A. Watson, H. Barnard, A. Shanmugarajah, P. Antoine-Pitterson, R. Mukherjee
{"title":"RESPONSE TIMES FOR ACUTE NON-INVASIVE VENTILATION SET-UPS","authors":"A. Watson, H. Barnard, A. Shanmugarajah, P. Antoine-Pitterson, R. Mukherjee","doi":"10.1136/thorax-2021-btsabstracts.125","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.125","url":null,"abstract":"NIV is a lifesaving treatment in chronic obstructive pulmonary disease (COPD). Prompt NIV treatment in hypercapnic COPD exacerbations allows for improved physiological outcomes, reduced intubation rates and shortened hospital stay in (1, 2). Therefore, consensus expert opinion is that prompt application of acute NIV substantially reduces the risk of death and should be started without delay in appropriately selected patients with acute hypercapnic respiratory failure (AHRF).The ‘door-to-mask’ time (hospital arrival to NIV commencement: target ≤120 minutes) has been widely used to measure the quality of acute NIV services as per the 2018","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"1 1","pages":"169 - 170"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83115559","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}
Ankur Gupta, Peter Thorson, Krishnam R Penmatsa, Pritam Gupta
{"title":"Rhabdomyolysis: Revisited.","authors":"Ankur Gupta, Peter Thorson, Krishnam R Penmatsa, Pritam Gupta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rhabdomyolysis (RML) is a pathological entity characterized by symptoms of myalgia, weakness and dark urine (which is often not present) resulting in respiratory failure and altered mental status. Laboratory testing for myoglobinuria is pathognomonic but so often not present during the time of testing that serum creatine kinase should always be sent when the diagnosis is suspected. Kidney injury from RML progresses through multiform pathways resulting in acute tubular necrosis. Early treatment (ideally<6 hoursfrom onset) is needed with volume expansion of all non-overloaded patients along with avoidance of nephrotoxins. There is insufficient data to recommend any specific fluid. The mortality rate ranges from 10% to up to 50% with severe AKI, so high index of suspicion and screening should be in care plan of seriously ill patients at risk for RML.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"90 2","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/73/umj-90-02-61.PMC8278949.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"REPRODUCTIVE ENDOCRINOLOGY","authors":"M. L. Moore","doi":"10.1093/humrep/11.suppl_1.163","DOIUrl":"https://doi.org/10.1093/humrep/11.suppl_1.163","url":null,"abstract":"The prevention and clinical management of RDS are discussed in detail, of particular interest being the details of the use of Swan-Ganz catheters, anticoagulants in the management of intravascular coagulation, post end-expiratory pressure and intravenous nutrition. Not everyone will agree with the opinions expressed but their rational presentation supported by an excellent bibliography are certainly stimulating.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"47 1","pages":"99 - 99"},"PeriodicalIF":0.0,"publicationDate":"2020-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74264485","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":"Treatment and Supervision, D-Day to Victory: Europe.","authors":"John Hedley-Whyte, Debra R Milamed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"88 3","pages":"174-178"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/e9/umj-88-03-174.PMC6790647.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"International Contributions toward the Conquest of Polio.","authors":"John Hedley-Whyte, Debra R Milamed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"88 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/6b/umj-88-01-47.PMC6342045.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sir Sheldon Francis Dudley, his Contributions to Diphtheria and the Aftermath of the Sinking of <i>HMS Curacoa</i> by the <i>Queen Mary</i>.","authors":"John Hedley-Whyte, Debra R Milamed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"87 3","pages":"188-193"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/c2/umj-87-03-188.PMC6169416.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}