Since the declaration of COVID-19 pandemic infection by World Health Organization, many governmental restrictions have been differently applied in involved countries order to contain spread infection; Italy severe restrictive, public measures actually confining entire population an almost complete lockdown for several weeks; restrictive quarantine can be considered controversial when excessively prolonged over time, due possible economic, psychologic and social consequences with a remarkable...

Overcrowding in emergency departments (EDs) is a common and worldwide phenomenon, widely reported even by the non-specialist press. It contributes to number of consequences that can affect both resources available quality care. Strategies address this incriminating situation for patients, nurses, doctors, hospital administrators are urgently needed. For reason, based on input from Ministry Health, series projects procedures have been developed various Italian regions, aimed at reducing...

Since December 2019, with the spreading of pandemic, a lot medical centers registered data about their patients. In Italy, most relevant quantity patients was hospitalized in internal medicine wards. this observational, retrospective cross-sectional study, all COVID-19 admitted to some Lazio hospitals from March 01 31, 2020, were collected, and epidemiological data, demographics, signs symptoms on admission, comorbidities, laboratory findings, chest radiography computed tomography treatment...

The aim of our study was to assess the relationship between cigarette smoking and epicardial fat in a cohort patients with metabolic syndrome (MetS) at risk for coronary artery disease.We studied, primary prevention, 54 subjects diagnosed MetS. According their habits, were divided into two groups: smokers non-smokers. Besides anthropometric characterization screening laboratory tests, had multidetector computerized tomography scan, which allowed quantification calcium score (CS)...

In hospitalized medical patients, the venous thromboembolism (VTE) risk is notable. Nevertheless, available assessment model (TPF) generally underused. this work, we propose an ex novo based on elaboration of clinical data exhibited by VET patients. Differently from previous studies, proposed approach does not exploit pre-established models, resulting in a more valid and easy-to-use score.We performed double case-control observational study. For each case VTE, enrolled two consecutive...

The recent literature reported an inverse correlation between COVID-19 pandemic and hospital admissions for Acute Coronary Syndromes (ACS).

In this study, we report some experimental results about the strong correlation between physical activity and cardiovascular prevention that has been confirmed by many epidemiological studies. particular, examined epicardial fat (EF) behavior in order to investigate its direct role coronary disease through vasocrine paracrine cytokines secretions. The purpose of study was determine effects aerobic exercise on volume patients with metabolic syndrome. We have studied, primary prevention, 54...

Recently, although without a universal recognition, the use of lipid emulsions as rescue therapy for bupivacaine cardiac toxicity has been proposed. In this article we report successful resuscitation patient after injection in emergency room and commented review related literature. The is 73 years old man that, subcutaneous (0.5%, i.e. 0.5 mL/h), developed circulatory arrest. After failure initial treatment based on advanced life support protocol, have successfully performed with emulsion....

Overuse of thromboprophylaxis is not an infrequent behavior in internal medicine. However, differently from underuse, overuse rarely taken into account, and only few studies have addressed this issue. The purpose our study was to try understand the reasons behind phenomenon.Using data TEVERE study, we evaluated 279 patients hospitalized 21 hospitals Lazio Region Italy. Only who were negative major risk scores as established scientific literature included. We assessed frequency acutely ill...

Systemic lupus erythematosus (SLE) is a chronic inflammatory disease that has protean manifestations and follows relapsing remitting course. More than 90% of cases SLE occur in women, frequently starting at childbearing age. It characterized by the presence autoantibodies potentially directed toward every organ or apparatus. Cardiac alterations are frequent patients affected simultaneous antiphospholipid antibodies (aPL), able to cause arterial thrombosis any vascular district, considered...

The latest developments in emergency medicine (EM) have introduced new typologies of patients that not been taken into account previous studies venous thromboembolism (VTE) risk. aim the current study was to evaluate by comparing main international risk scores whether different perceptions VTE exist internal (IM) departments and EM departments. This cross-sectional observational involved 23 IM 10 21 hospitals. patient data were collected physicians who blinded purpose study. analyzed using...

Venous thromboembolism (VTE) is the third most common cardiovascular illness after acute coronary syndrome and stroke preventable cause of hospital-related death. Several studies have demonstrated a significant reduction fatal pulmonary embolism attributed to introduction thromboprophylactic measures changes in hospital practices. However, influence some demographical variables, especially age, has largely been under appreciated.Using date TEVere study, we studied 187 patients with VTE 350...

Rome is vulnerable to chemical, biological, radiological, nuclear, and explosive (CBRNe) attacks. The study evaluates Rome’s advanced emergency departments’ state of plans for massive influx injures (PEIMAF) CBRNe We propose a chemical attack on Saint Peter’s Square during the Pope’s General Assembly its effects. National Stockpile Antidotes’ activation territorial distribution timing work well also estimated timing. Our data show that despite good organization, travel times can be improved....

In this review, we discuss the management of burn patients in emergency room. Burn injury is characterized by a hypermetabolic response with physiological, catabolic and immune effects. The treatment burns requires multidisciplinary approach proper able to reduce both damage risk infections. patient begins primary evaluation: i) maintaining high index suspicion for presence airway compromise following smoke inhalation secondary edema; ii) identifying managing associated mechanical injuries;...

The intensive short observation (OBI) unit provides rapid diagnostic and therapeutic evaluations for patients in emergency-urgent conditions. Due to emergency department (ED) overcrowding, dedicated OBIs have been developed improve care. As a pilot project, cardiological OBI was established where specialist physicians manage patients, supported by nursing staff from the assigned unit. After observation, are discharged, hospitalized cardiology, or transferred other departments based on needs....

Hypothermia, a potentially fatal condition, is defined as drop of the body temperature below 35°C. The most common cause severe hypothermia environmental exposure to low-temperatures. Other causes include septicemia, diabetic ketoacidosis, trauma, acute spinal cord injury, prolonged cardiac arrest and hypothyroidism. an infrequent, but previously documented, adverse effect antipsychotic medications. A 83-year-old Italian woman was transported Emergency Room with reduced level consciousness,...

Sepsis is a clinical syndrome induced from the host response to an infection. Severe sepsis leading cause of death in critically ill patients. The introduction early goaldirected therapy (EGDT) has been able reduce mortality patients with severe sepsis/ septic shock. However, rates remain high compared other critical illnesses. Many studies have pointed out that use arterial line placement and execution central venous pressure oxygen saturation measurements are most difficult EGDT elements...

Riassunto. La torsione di punta (TdP) è una tachicardia ventricolare polimorfica con caratteristica sinusoidale del complesso QRS attorno alla linea base. Si differenzia da altre forme per le sue caratteristiche morfologiche, il meccanismo sottostante e modalità terapia. È associato sindrome QT lungo ha molti meccanismi precipitanti, fattori eziologici opzioni trattamento. Questo articolo presenta un caso TdP che stato caratterizzato molteplici richiesto molte Inoltre, vengono discussi i...

Epicardial fat (EF) is considered an important risk factor and active player in the pathogenesis of cardiovascular metabolic diseases. EF endocrine organ that releases hormones mediators, including circulating C-reactive protein (CRP), plays a vital role modifying vascular endothelial function promoting growth coronary atherosclerosis. This study aimed to investigate relationship between CRP concentrations cohort patients with syndrome at for artery disease. In our study, carried out primary...

Information regarding the kinetics and longevity of acquired immunity in recovered COVID-19 patients requires thorough analysis documentation. This is an update to ongoing monocentric pilot observational study, that longitudinally analyzed presence antibodies after SARS-CoV-2 infection.Antibody titers against nucleocapsid protein (NCP) at 8 months was followed by adoption a more specific immunoassay, anti-Spike-Receptor binding domain IgG CLIA for 12 13 post infection.MAGLUMI® S-RBD...