A5048194354- Ultrasound in Clinical Applications
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Radiology practices and education
- Hemodynamic Monitoring and Therapy
- Radiation Dose and Imaging
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Appendicitis Diagnosis and Management
- Central Venous Catheters and Hemodialysis
- Pelvic and Acetabular Injuries
- Abdominal Trauma and Injuries
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Heart Failure Treatment and Management
- Healthcare Policy and Management
- Health, Medicine and Society
- Patient Safety and Medication Errors
- Venous Thromboembolism Diagnosis and Management
- Airway Management and Intubation Techniques
- Blood donation and transfusion practices
- Vascular Procedures and Complications
- Lung Cancer Diagnosis and Treatment
Université de Montpellier
2018-2025
Centre Hospitalier Universitaire de Montpellier
2019-2025
Université de Nîmes
2015-2024
Initial MAnagement and prevention of acute orGan failures IN critically ill patiEnts
2024
Centre Hospitalier Universitaire de Nîmes
2014-2023
Hôpital Lapeyronie
2022
Hôpital de la Timone
2018-2021
Patients First
2021
Aix-Marseille Université
2018-2019
Assistance Publique Hôpitaux de Marseille
2018
To investigate whether respiratory variation of inferior vena cava diameter (cIVC) predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure (ACF).Forty ACF and spontaneous were included. Response to challenge was defined as a 15% increase subaortic velocity time index (VTI) measured by transthoracic echocardiography. Inferior diameters recorded subcostal view using M Mode. The cIVC calculated follows: (Dmax - Dmin/Dmax) × 100 then receiver operating...
Abstract Background Rapid response teams are intended to improve early diagnosis and intervention in ward patients who develop acute respiratory or circulatory failure. A management protocol including the use of a handheld ultrasound device for immediate point-of-care (POCUS) examination at bedside may team performance. The main objective study was assess impact implementing such POCUS-guided on proportion adequate diagnoses two groups. Secondary endpoints included time treatment patient...
<h3>Importance</h3> Clinical guidelines for the early management of acute heart failure in emergency department (ED) setting are based on only moderate levels evidence, with subsequent low adherence to these guidelines. <h3>Objective</h3> To test effect an guideline-recommended care bundle short-term prognosis older patients ED. <h3>Design, Setting, and Participants</h3> Stepped-wedge cluster randomized trial 15 EDs France 503 75 years a diagnosis ED from December 2018 September 2019...
Abstract Background To assess the performance of transcranial Doppler (TCD) in predicting neurologic worsening after mild to moderate traumatic brain injury. Methods The authors conducted a prospective observational study across 17 sites. TCD was performed upon admission 356 patients (Glasgow Coma Score [GCS], 9 15) with lesions on cerebral computed tomography scan. Normal defined as pulsatility index less than 1.25 and diastolic blood flow velocity higher 25 cm/s two middle arteries....
Experimental evidence suggests that cyclosporine prevents postcardiac arrest syndrome by attenuating the systemic ischemia reperfusion response.To determine whether early administration of at time resuscitation in patients with out-of-hospital cardiac (OHCA) would prevent multiple organ failure.A multicenter, single-blind, randomized clinical trial was conducted from June 22, 2010, to March 13, 2013 (Cyclosporine A Out-of-Hospital Cardiac Arrest Resuscitation [CYRUS]). Sixteen intensive care...
To develop French guidelines on the management of patients with severe abdominal trauma. A consensus committee 20 experts from Society Anaesthesiology and Critical Care Medicine (Société française d'anesthésie et de réanimation, SFAR), Emergency médecine d'urgence, SFMU), Urology d'urologie, SFU) Association Surgery (Association chirurgie, AFC), Val-de-Grâce School (École du Val-De-Grâce, EVG) Federation for Interventional Radiology (Fédération radiologie interventionnelle, FRI-SFR) was...
The collapsibility index of inferior vena cava (cIVC) is widely used to decide fluid infusion in spontaneously breathing intensive care unit patients. authors hypothesized that high inspiratory efforts may induce false-positive cIVC values. This study aims at determining a value diaphragmatic motion recorded by echography could predict (more than or equal 40%) healthy volunteers.The and motions were for three levels efforts. Right left defined as the maximal excursions. Receiver operating...
When medical wards become saturated, the common practice is to resort outlying patients in another ward until a bed becomes free. Compare quality of care provided for inpatients who are (O) inappropriate because lack vacant beds appropriate specialty given non (NO) patients. We propose matched-pair cluster study. The exposed group consisted that were outliers available beds. Non-exposed subjects (the control group) those hospitalized corresponded reason their admission. Each patient was...
Introduction: Several prehospital major trauma patient triage scores have been developed, the revised score (T-RTS), Vittel criteria, Mechanism/Glasgow Coma Scale/Age/Systolic blood pressure (MGAP), and new (NTS). These scoring schemes allow a rapid accurate prognostic assessment of severity potential lesions. The aim our study was to compare these with in-hospital mortality predictions in cohort consecutive patients admitted Level 1 center. Materials: Between 2013 2016, 1,112 were "major...
Aim Treatment withholding or withdrawal (TWW) is frequent in the emergency department (ED). Most studies on this topic only study patients who die ED. The main aim of was to determine 30‐day mortality after a TWW decision ED, for discharged alive from Methods This retrospective monocentric conducted January 1, 2020, March 31, 2022, university hospital France. Classes levels were low, medium and high, corresponding do‐not‐resuscitate order, treatment withdrawal, respectively. secondary if...
Medication-related events (MREs) are a frequent cause of emergency department (ED) visits and patient harm. To assess the efficacy pharmacist-led transition care program in reducing ED related to same MRE at 6 months compared with usual care. This prospective, open-label, parallel-group randomized clinical trial was conducted from November 2018 July 2021 Montpellier University Hospital, Montpellier, France, 6-month follow-up period. Adult patients an detected admission were included. MREs...