ABSTRACT
BACKGROUND: As the field of Emergency Medicine grows worldwide, the importance of an Emergency Department Crash Cart (EDCC) has long been recognized. Yet, there is paucity of relevant peer-reviewed literature specificaly discussing EDCCs or proposing detailed features for an EDCC suitable for both adult and pediatric patients. METHODS: The authors performed a systematic review of EDCC-specific literature indexed in Pubmed and Embase on December 20, 2016. In addition, the authors reviewed the 2015 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation and emergency cardiovascular care, the 2015 European Resuscitation Council (ERC) guidelines for resuscitation, and the 2013 American College of Surgeons (ACS) Advanced Trauma Life Support (ATLS) 9th edition. RESULTS: There were a total of 277 results, with 192 unique results and 85 duplicates. After careful review by two independent reviewers, all but four references were excluded. None of the four included articles described comprehensive contents of equipment and medications for both the adult and pediatric populations. This article describes in detail the final four articles specific to EDCC, and proposes a set of suggested contents for the EDCC. CONCLUSION: Our systematic review shows the striking paucity of such a high impact indispensable item in the ED. We hope that our EDCC content suggestions help enhance the level of response of EDs in the resuscitation of adult and pediatric populations, and encourage the implementation of and adherence to the latest evidence-based resuscitation guidelines.
Subject(s)
Humans , Male , Female , Liver Abscess/drug therapy , Tuberculosis, Hepatic , TuberculosisABSTRACT
The treatment of anoperineal crohn disease [APCD] is difficult and still a controversy subject. We reviewed 31 cases, which were 19 men. The middle age was 37 years. The lesions were represented by ulcerations in 14 cases, the fistulas in 28 cases and 2 cases of stenosis of the rectum. An hemorroidary disease was associated at nine patients with 1 case of malignant degeneration. The intestinal location was present at 63% of the cases and mostly in a distal part of the bowel. The biopsy of the APCD had objectives a granuloma in 15 cases and a malpighien carcinoma in one case. The treatment consisted, in addition to the treatment of the intestinal disease, on the hygienic and dietary prescription, metronidazol in 100% of the cases, ciprofloxacin in 7 cases. A treatment by immunosuppressor has been instituted for 2 patients. The surgical treatment done for 14 patients consisted in a drainage of the fistulas through fistulotomy [6 cases], incision of abscess [4 cases], progressive fistulotomy with elastic drainage [2 cases], resection of a fibrous diaphragm [1 case] and abdomino-perineal amputation in one case. The APCD is often invalidating with a real therapeutic problem: how can we treat the infectious process without compromising the sphincterian function
Subject(s)
Humans , Male , Female , Anus Diseases , Anal Canal , Perineum/pathologySubject(s)
Humans , Female , Gastritis/diagnosis , Granuloma , Stomach Diseases , Gastritis/therapy , Tuberculosis, Gastrointestinal , Crohn DiseaseSubject(s)
Humans , Male , Budd-Chiari Syndrome/etiology , Hepatic Veins , Hepatic Veins , Liver CirculationSubject(s)
Humans , Male , Crohn Disease/epidemiology , Amyloidosis/diagnosis , Amyloidosis/epidemiology , Intestinal DiseasesABSTRACT
The study of 5 cases of colic diverticulosis observed during 12 years and a review of the literature permit the authors to show that this pathology is rare in Morocco, to insist on these different clinical aspects and to show the rarely and especially the gravity of its complications which make colectomy necessary. Finally, the authors notice the importance of the pathogenical and therapeutical part of dietary fibers on matter of colic diverticulosis
Subject(s)
Humans , Male , Female , Diverticulitis, Colonic/physiopathology , Diverticulitis, Colonic/etiology , ColonoscopyABSTRACT
Tow abservations about the oesophageal tuberculosis have been collected. In the two observation no oesophageal symptomatology has been indicated. The diagnosis of oesophageal tuberculosis has been done on anamnestic, clino, radiologic, enodoscopic and histologic bases. The different anatomic, clinio, radiologic and therapeutic aspects of the oesophageal tuberculosis based on review of literature have been investigated. It is necessary to notice the importance of fibroscopy with biojosies in order to do the diagnosis of the oesophageal tuberculosis
Subject(s)
Humans , Male , Female , Esophagus , Esophageal Diseases/pathology , EsophagoscopyABSTRACT
A case of primary adenocarcinoma of the vermiform appendix is reported with infiltrating mucus-secreting adenocarcinoma of the peritionium and a pseudomyxoma peritonei