排序方式: 共有20条查询结果,搜索用时 468 毫秒
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Jessica Roberts MBBS Jason Powell MBBS MClinRes PhD MRCS Jacob Begbie MBBS MRes Gerard Siou MBBS MD FRCS Claire McLarnon MBBS MSc FRCS Andrew Welch MBBS FRCS Michael McKean MBChB MD FRCPCH Mathew Thomas MBChB MRCPCH PhD Anne-Marie Ebdon MBBS MRCPCH FRACP Samantha Moss MBBS MRCPCH MD Rachel S. Agbeko MSc MD PhD FRCPCH FFICM Jonathan H. Smith MBChB MRCP FRCA Malcolm Brodlie MB ChB PhD MRCPCH Christopher O'Brien MBBS FRCPCH Steven Powell MBBS MSc FRCS 《The Laryngoscope》2020,130(5):E375-E380
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Indran Davagnanam MB BCh BAO BMedSci FRCR Graeme Holland Raj S. Dattani Alexander Tamm Shashivadan P. Hirani MSc PhD CPsychol Nicky Kolfschoten MD Lisa Strycharczuk Cathy Green John S. Thornton PhD Alex Wright MB FRCP Mark Edsell FRCA Neil D. Kitchen MD FRCS David J. Sharp PhD Timothy E. Ham PhD Andrew Murray DPhil Cameron J. Holloway FRACP D.Phil Kieran Clarke PhD Mike P.W. Grocott BSc MBBS MD FRCA FRCP FFICM Birmingham Medical Research Expeditionary Society Caudwell Xtreme Everest Research Group 《Annals of neurology》2013,73(3):381-389
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Integrated major haemorrhage management in the retrieval setting: Damage control resuscitation from referral to receiving facility 下载免费PDF全文
Julian D Wijesuriya MBBS DipIMC MAcadMEd FRCA FFICM Sean Keogh FRCS FRCP FIMC FRCEM FACEM 《Emergency medicine Australasia : EMA》2017,29(4):470-475
Major haemorrhage is a leading cause of death in critically ill or injured patients requiring medical retrieval and presents significant clinical and logistic challenges irrespective of patient location, primary pathophysiology or mode of transport. It is essential that all care providers involved in the retrieval patient pathway, including referring hospitals, ambulance services, retrieval teams and tertiary receiving centres, adopt a common approach to the management of this complex patient group through the use of retrieval‐specific, integrated protocols. These should incorporate the latest clinical evidence base, recognise the differences between primary and inter‐facility missions and clearly define the roles and responsibilities of the retrieval clinical coordinator. By unifying the response across services, the aim is to facilitate seamless transition of care with ongoing damage control resuscitation from point of referral, during transfer and on arrival at the receiving centre. 相似文献
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In this exchange, a clinician (the first author) presents a case scenario for comment by an ethicist (the second author). The case concerns a 15-year-old boy with Duchenne's muscular dystrophy requested palliative surgical correction of a 60 degree thoraco-lumbar scoliosis. The surgical team were initially reluctant to offer surgery given their assessment of the perioperative and postoperative risks (anesthetic review suggested an 80% chance of surviving the surgery and 50% likelihood of returning home), but the operation proceeded. The case raises issues of the rights of patients to insist on nonfutile but high risk surgery, risk perception, resource allocation, autonomy, and the integrity of clinicians. 相似文献
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Cardioembolic strokes resulting from a self‐inflicted needle puncture involving both sides of the heart 下载免费PDF全文
Mark Zheng Yi Tan MRCS Shamsaldeen Abdelraheem MSc Alison Sheehan FRCEM FFICM 《Echocardiography (Mount Kisco, N.Y.)》2017,34(4):614-616
Foreign bodies in the heart are rare occurrences with a limited evidence base to guide recommendations on management. We report a case of multiple cardioembolic strokes as a result of a self‐inflicted sewing needle puncture from the anterior chest through the right ventricle and interventricular septum with its tip in the left ventricle close to the subvalvular apparatus in a 39‐year‐old psychiatric patient. We discuss issues surrounding decision making and ongoing care and highlight the importance of further follow‐up and reporting of cases to form a robust evidence base to guide future recommendations. 相似文献