Réanimation Urgences最新文献_第3页

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90053-7

B. Misset

引用次数: 0

Intoxication à la méthadone chez l'enfant 儿童美沙酮中毒

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90056-2

D Biarent , V Maes , C Fonteyne , V Cavenaile , C.A Peltier , M Reisinger

引用次数: 5

Dyspnée laryngée après extubation: efficacité de la ventilation non invasive à deux niveaux de pression 拔管后喉呼吸困难:两级压力下无创通气的有效性

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90068-9

P Matte , D Van Deynse , G Liistro , M Goenen , L Jacquet

引用次数: 0

Hémothorax iatrogène récidivant 复发医源性血胸

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90064-1

R Ascencio , J Campistron , P Lagadec , F Domergue , S Vergne

引用次数: 0

Prévention des hémorragies digestives hautes de stress en réanimation Révision de la conférence de consensus de 1988 在复苏中预防高应激性消化出血1988共识会议修订

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90062-8

B Raynard , B Bernard , G Bleichner , J.Y Fagon

引用次数: 9

Traumatismes abdominorachidiens et ceinture de sécurité 腹部和安全带损伤

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90066-5

J.P Torres , F.X Koch , P Lavagne

引用次数: 0

Agenda 议程

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90069-0

引用次数: 0

Charge de travail des médecins des urgences : problème quantitatif ou qualitatif? De la sérénité du médecin des urgences 急诊医生的工作量:定量问题还是定性问题?急诊医生的宁静

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90054-9

F Bertrand , P Martinez , D Thiercelin , J.P Fournier , L Van Elslande , A Romankiewicz , I Casini-Latil , C Gurgheguian , O Sebag , R Tolosano , R Rouvier , G Pouzac , T.T Tran , O Martin-Laval , J.M Sainty

{"title":"Charge de travail des médecins des urgences : problème quantitatif ou qualitatif? De la sérénité du médecin des urgences","authors":"F Bertrand , P Martinez , D Thiercelin , J.P Fournier , L Van Elslande , A Romankiewicz , I Casini-Latil , C Gurgheguian , O Sebag , R Tolosano , R Rouvier , G Pouzac , T.T Tran , O Martin-Laval , J.M Sainty","doi":"10.1016/S1164-6756(00)90054-9","DOIUrl":"10.1016/S1164-6756(00)90054-9","url":null,"abstract":"<div>Workload in emergency departments is known to be heavy, and may lead to “burn out” of the medical staff. Although the quantitative factors have been much studied, very few studies on qualitative factors interfering with medical activities are available.Method: From April to June 1998, eight physicians working in five emergency departments of the south-east of France answered a self-7-day activity evaluation. Quantity of workload, duration and nature of necessary and unjustified breaks were registered.Results: During the 631 hours of activity, these eight seniors saw 3,961 patients (21.2% of the emergency departments patients, two patients/hour/senior). Time for clinical work was 70%, for administrative work 6.5%, for authorized breaks 16.7%, and for unexpected breaks 6.2%. Unexpected breaks (UB) were justified in 66% and unjustified in 34%, and happened every 132 minutes. They are due to a resident (20.8% of UB), a secretary (14.7% of UB), another patient (13% of UB), a nurse (12.1% of UB), commercial representatives (12.3% of UB), and other people (21% of UB). Medical directors (two physicians) had a heavier administrative workload, and were more frequently interrupted than other physicians (p < 0.01, and p < 0.05).Conclusion: Qualitative factors should be considered as important as quantitative ones in the evaluation of emergency department physician's workload.</div>","PeriodicalId":101063,"journal":{"name":"Réanimation Urgences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1164-6756(00)90054-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78247811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Botulisme: pas toujours une intoxication par ingestion 肉毒中毒:并不总是摄入中毒

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90065-3

P Tattevin , F Shortgen , F Bruneel , M Wolff , F Vachon

{"title":"Botulisme: pas toujours une intoxication par ingestion","authors":"P Tattevin , F Shortgen , F Bruneel , M Wolff , F Vachon","doi":"10.1016/S1164-6756(00)90065-3","DOIUrl":"10.1016/S1164-6756(00)90065-3","url":null,"abstract":"<div>Botulism is a rare but paralyzing disease caused by a neurotoxin produced by the anaerobic, spore-forming Gram-positive bacterium. Clostridium botulinum. Temperatures of over 120° C are required to kill the spores, while a one-minute exposure to 85° C is sufficient to inactivate the toxin. Although in most cases botulism is caused by eating contaminated food, experimental data and documented cases of botulism in laboratory workers clearly indicate that an aerosolized form of the toxin may also provoke botulism, i.e., that the bacterium can be inhaled. Moreover, according to experts, the use of aerosolized botullinum toxin could be one of the most frightening weapons in the context of biological warfare. We report one case of documented botulism probably secondary to the inhalation of serotype B toxin from contaminated food. This observation emphasizes that although the clinical diagnosis of botulism is fairly straighforward as it is based on highly indicative symptoms (multiple paralysis of the cranial nerves and atropinic signs), the route of acquisition is not always easy to determine.</div>","PeriodicalId":101063,"journal":{"name":"Réanimation Urgences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1164-6756(00)90065-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88595206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Évaluation du coût de la réanimation, à partir de la Base nationale de coûts par activité médicale (France) 根据每个医疗活动的国家费用基础评估复苏费用(法国)

Réanimation Urgences Pub Date : 2000-11-01 DOI: 10.1016/S1164-6756(00)90063-X

Y Tibi-Lévy , C Brun

{"title":"Évaluation du coût de la réanimation, à partir de la Base nationale de coûts par activité médicale (France)","authors":"Y Tibi-Lévy , C Brun","doi":"10.1016/S1164-6756(00)90063-X","DOIUrl":"10.1016/S1164-6756(00)90063-X","url":null,"abstract":"<div>The cost of intensive care is poorly documented in France, despite its contribution to the global hospital expendituresObjectives: To assess the cost of intensive care in France.Design: To calculate mean costs by type of patients, from the National Hospital Cost Survey (NHCS).Patients: Patients hospitalized in an intensive care unit (ICU) in the public sector in 1997.Results: The average cost of hospitalization in ICU is 20.532 ± 29.262 FF or 5.112 ± 3.256 FF per day (N = 23.029 after trimming). Intensive care represents 46% of medical costs per patient and 38% of their total costs. Daily cost varies according to the mode of hospital discharge and type of stay.Discussion: The NHCS is the best available source of data on hospital costs, but it still underestimates the cost of ICU for sampling reasons, and does not yet include data to refine an analysis.Conclusion: The study confirms that the costs of ICU are significant as compared to other hospital stays, and allows for the computation of plausible orders of magnitudes.</div>","PeriodicalId":101063,"journal":{"name":"Réanimation Urgences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1164-6756(00)90063-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86944917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3