Urgences Médicales最新文献

{"title":"Intoxication à l'éthyléne glycol. À propos d'un cas","authors":"S Texier, J.M. Le Gac, S Saifudin, R Pélerin","doi":"10.1016/S0923-2524(97)84295-6","DOIUrl":"https://doi.org/10.1016/S0923-2524(97)84295-6","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 6","pages":"Pages 263-265"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0923-2524(97)84295-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91721829","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}

{"title":"La lactatémie: un indicateur de gravite non spécialisé, chez les malades admis dans un service d'urgence médicale","authors":"T Soupison,&nbsp;Y Piednoël,&nbsp;L Provoost,&nbsp;C Sicot","doi":"10.1016/S0923-2524(97)84292-0","DOIUrl":"https://doi.org/10.1016/S0923-2524(97)84292-0","url":null,"abstract":"<div><p>L'hypoxie tissulaire n'est pas la cause exclusive de l'hyperlactatémie. D'autres situations médicales peuvent induire une hyperlactatémie. Le but de ce travail est d'étudier les corrélations qui existent entre la concentration plasmatique de lactates et le pronostic à court terme ainsi que le lieu d'hospitalisation (soins intensifs ou service de médecine), chez les malades admis dans un service d'urgence médicale. La lactatémie a été mesurée dés l'admission du malade aux urgences sur des prélévements artériels. Soixante et un malades ont été inclus durant une période de 4 mois. La sensibilité et la spécificité ont été calculées pour le meilleur seuil déterminé par le test de Youden. La lactatémie était significativement plus élevée chez les non-survivants (<em>n</em> = 15) que chez les survivants (<em>n</em> = 46) (5,5 ± 4,2 contre 2,3 ± 1,0; <em>p</em> &lt; 0,001 respectivement). Le seuil a été déterminé à 3,7 mmol/L. Pour ce seuil, la sensibilité était de 60 %, la spécificité de 91 %. Par ailleurs, le groupe des malades admis en réanimation (<em>n</em> = 15) avait une lactatémie supérieure au groupe des malades admis dans un service de médecine (<em>n</em> = 46) (4,5 ± 3,6 contre 2,0 ± 2,1, <em>p</em> &lt; 0,01 respectivement). En conclusion ces résultats préliminaires suggérent que la lactatémie soit un bon indicateur du pronostic à court terme chez les malades admis dans un service d'urgence médicale.</p></div><div><p>Tissue hypoxia is a non exclusive cause of hyperlactatémia. Other serious medical situations induce hyperlactatémia. The aims of this study were to examine the correlation between lactatémia with the short term prognosis and the unit of hospitalization in patients admitted in an emergency department. Sixty-one patients were included during 4 months. Lactatemia was measured as soon as the admittance of the patients, in arterial blood sample. Sensitivity (Se), specificity (Sp) were calculated for the best threshold determined by the Youden's test. Lactatemia was higher innon survivor (<em>n</em> = 15) than survivor (<em>n</em> = 46) (5.5± 4.2 vs 2.3± 1.0; <em>P</em> &lt; 0.001, respectively), the threshold of lactatemia was 3,7 mmol.L-1, Se was 60% and Sp was 91%. Lactatemia was higher in patients admitted in ICU (<em>n</em> = 15) than in medical unit (<em>n</em> = 46) (4.5 ±3.6 vs 2.0 ±2.1, <em>P</em> &lt; 0.01, respectively). In contusions, this results suggest that lactatemia is a good indicator of the short term survival course in patients admitted in an emergency unit.</p></div>","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 6","pages":"Pages 251-254"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0923-2524(97)84292-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91721830","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}

{"title":"Place de la nalbuphine (Nubain®) dans l'arsenal analgésique moderne","authors":"M Senard ,&nbsp;K Tazarourte ,&nbsp;PL Darmon","doi":"10.1016/0923-2524(96)82414-3","DOIUrl":"10.1016/0923-2524(96)82414-3","url":null,"abstract":"<div><p>Après un bref rappel sur la physiopathologie de la douleur, les caractéristiques pharmacologiques de la nalbuphine, morphinique agoniste-antagoniste, sont énoncées. Les résultats publiés lors de l'utilisation de la nalbuphine en anesthésie, analgésie, réanimation et médecine d'urgence sont également présentés. L'utilisation de la nalbuphine en analgésie périopératoire n'a pas montré d'intérêt spécifique comparée aux morphiniques agonistes conventionnels. La dépression respiratoire modeste qu'entraîne la nalbuphine, la stabilité hémodynamique lors de son utilisation et la simplicité administrative pour sa prescription et son stockage en font un agent analgésique d'utilisation sûre dans les mains d'un non-spécialiste, et ce dans le cadre d'urgences hospitalières ou préhospitalières.</p></div><div><p>Following a short reminder on pain pathophysiology, pharmacological properties of nalbuphine, an agonist-antigonist analgesic agent, are presented. Based on published results, the use of nalbuphine in anesthesia, analgesia, intensive care and emergency medicine is discussed: regarding perioperative analgesia, nalbuphine could not be demonstrated to have specific advantages compared to usual opioid agonists. However, it appears that nalbuphine can be recommended as a first choice antalgic drug for prehospital or intrahospital emergency units utilization because of limited respiratory and cardiovascular side effects, easy stocking and a simple administrative prescription procedure.</p></div>","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 4","pages":"Pages 169-176"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)82414-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74176871","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}

{"title":"La lactatémie: un indicateur de gravite non spécialisé, chez les malades admis dans un service d'urgence médicale","authors":"T. Soupison, Y. Piednoël, L. Provoost, C. Sicot","doi":"10.1016/S0923-2524(97)84292-0","DOIUrl":"https://doi.org/10.1016/S0923-2524(97)84292-0","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"14 1","pages":"251-254"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84121543","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}

{"title":"Exercice de médecine de catastrophe Port d'Envalira, 12 juin 1995","authors":"M. Barthet, C. Virenque","doi":"10.1016/0923-2524(96)80441-3","DOIUrl":"https://doi.org/10.1016/0923-2524(96)80441-3","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 1","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84309919","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}

{"title":"Exercice de médecine de catastrophe Port d'Envalira, 12 juin 1995","authors":"MC Barthet,&nbsp;C Virenque","doi":"10.1016/0923-2524(96)80441-3","DOIUrl":"https://doi.org/10.1016/0923-2524(96)80441-3","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 2","pages":"Pages 89-92"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)80441-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91719712","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}

{"title":"Hémothorax par plaie iatrogène de l'artère sous-clavière au cours d'une chirurgie à c˦ur ouvert","authors":"A Alami,&nbsp;M Fares,&nbsp;Y Cheikahoui,&nbsp;S Belhaj,&nbsp;A Idrissi-Kacemi,&nbsp;W Maazouzi","doi":"10.1016/S0923-2524(97)81354-9","DOIUrl":"10.1016/S0923-2524(97)81354-9","url":null,"abstract":"<div><p>Les plaies vasculaires provoquées par la pose d'un cathéter de voie centrale prennent parfois une allure dramatique. Nous rapportons un cas d'hémothorax survenu à la suite d'une plaie transfixiante de l'artère sous-clavière gauche au cours d'une circulation extracorporelle qui impose une anticoagulation. Dans le contexte peropératoire de la chirurgie à c˦ur ouvert, cette complication doit être évoquée devant l'apparition d'une hypovolémie sans saignement apparent dans le champ opératoire.</p></div>","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 5","pages":"Pages 215-216"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0923-2524(97)81354-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86319446","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}

{"title":"Intoxication aux diurétiques thiazidiques","authors":"B Roy ,&nbsp;G Duchevet ,&nbsp;X Voisin","doi":"10.1016/0923-2524(96)86675-6","DOIUrl":"10.1016/0923-2524(96)86675-6","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 3","pages":"Pages 117-118"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)86675-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78450926","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}

{"title":"Service d'hélisecours du Piémont","authors":"R Balagna","doi":"10.1016/0923-2524(96)86677-X","DOIUrl":"10.1016/0923-2524(96)86677-X","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 3","pages":"Pages 122-125"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)86677-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77444436","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}

{"title":"Rôle des ONG dans les catastrophes","authors":"X Emmanuelli ,&nbsp;M Fleury","doi":"10.1016/0923-2524(96)86678-1","DOIUrl":"10.1016/0923-2524(96)86678-1","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 3","pages":"Pages 127-130"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)86678-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"112072128","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}