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Prise En Charge Des Patients Septiques Aux Urgences De Nevers Admis En Reanimation
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Book Synopsis Prise en charge des patients septiques aux urgences de Nevers admis en réanimation by : Medhi Bassit
Download or read book Prise en charge des patients septiques aux urgences de Nevers admis en réanimation written by Medhi Bassit and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION : En 2018, la publication de la Survival Sepsis Campaign « Hour-1 bundle » détaille cinq recommandations de bonne pratique clinique à mettre en œuvre dans l'heure suivant l'arrivée du patient. L'objectif principal de notre étude est d'apprécier l'adhésion des praticiens urgentistes aux recommandations de la Surviving Sepsis Campaign de 2018. MATERIELS ET METHODES : Il s'agit d'une étude observationnelle mono-centrique rétrospective d'évaluation des pratiques professionnelles. Nous avons inclus sur une période de janvier 2020 à janvier 2022, les patients admis en réanimation et passés par le SAU dans les 48 heures précédentes, dont le score SOFA est > 2 et pour lesquels on retrouve le codage « sepsis » ou « choc septique » sur le courrier de sortie. RESULTATS : Sur la période concernée, 54 patients (dont 32 hommes, âge médian de 68 ans) ont été inclus, dont 68 % de choc septique et 32% de sepsis. La mortalité hospitalière a été de 47%. L'étiologie probable du sepsis était majoritairement urinaire dans 33%, pulmonaire dans 22%, % et digestifs dans 20%. L'adhésion à l'ensemble des recommandations était de 3,7%. Seuls 3 patients ont pu bénéficier à postériori d'un calcul du score qSOFA, ce qui met en lumière que le dépistage du sepsis dès le triage infirmier pourrait être nettement amélioré. Le non-respect des recommandations concernait : l'absence de recontrôle du lactate sanguin (11%), la prescription d'un support catécholinergique (35%) et l'antibiothérapie probabiliste dans l'heure (9%). L'adhésion aux recommandations dans les 3 heures devient conforme dans 38% des cas et en s'affranchissant du facteur temps, l'adhésion globale aux recommandations est de 58%. LIMITES : Les résultats de cette étude sont à considérer en tenant compte des biais de celle-ci : l'étude est rétrospective , l'inclusion des patients ne s'est faite qu'à partir des dossiers codés avec un code CIM-10 de « sepsis » ou « choc septique » uniquement sur la base des comptes rendus de sortie de réanimation ; les heures ou délais d'administration ou de prélèvement n'étaient pas renseignés de manière exacte, en effet, seules les heures et les dates des signatures informatiques apparaissaient, pouvant de ce fait fortement affecter les résultats finaux de l'étude . CONCLUSION : L'adhésion à l'ensemble des recommandations pour la prise en charge du sepsis était faible. Il semble de ce fait nécessaire de poursuivre la sensibilisation des soignants, d'intensifier leur formation, afin d'évaluer l'amélioration des pratiques à moyen ou long terme.
Book Synopsis Color Atlas of Equine Pathology by : Claus D. Buergelt
Download or read book Color Atlas of Equine Pathology written by Claus D. Buergelt and published by John Wiley & Sons. This book was released on 2014-01-28 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt: Color Atlas of Equine Pathology offers a practical guide to identifying equine diseases, presenting a single resource with more than 1000 images showing predominantly gross pathology. Organized by body systems, the book allows for picture matching during or after an equine necropsy. In this user-friendly atlas, each chapter takes a common format, presenting the disease process as well as congenital, degenerative, inflammatory, and neoplastic sequences, with text boxes offering quick reference to key information. The book begins with an introductory chapter summarizing the principles of the equine field necropsy, and subsequent organ-based chapters depict gross features of disease, focusing on macroscopic digital images supplemented by histology and immunohistochemistry when necessary. Some clinical information for correlation with pathology is included. Color Atlas of Equine Pathology is an essential resource for diagnostic veterinary pathologists and pathology residents, as well as for equine practitioners performing necropsies in the field.
Book Synopsis The Ladybird Illustrated by : D H Lawrence
Download or read book The Ladybird Illustrated written by D H Lawrence and published by . This book was released on 2020-11-09 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Ladybird is a long tale or novella by D. H. Lawrence. It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."
Book Synopsis Notes on the Minor Prophets by : Henry Allan Ironside
Download or read book Notes on the Minor Prophets written by Henry Allan Ironside and published by . This book was released on 1955 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 by : Catherine Barnard
Download or read book Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.
Book Synopsis Socialism, Perestroika, and the Dilemmas of Soviet Economic Reform by : John E Tedstrom
Download or read book Socialism, Perestroika, and the Dilemmas of Soviet Economic Reform written by John E Tedstrom and published by Routledge. This book was released on 2021-12-13 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights that Soviet economic planners and politicians must come to recognize the need to make fundamental changes, not simply incremental refinements, in the failing Soviet system. It examines the dynamics of the process of perestroika and the complexity of individual economic issues.
