Acute medicine & surgery
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Acute medicine & surgery · Jan 2021
Comparison of Systemic Inflammatory Response Syndrome and quick Sequential Organ Failure Assessment scores in predicting bacteremia in the emergency department.
The emergency department requires simple and useful clinical indicators to identify bacteremia. This retrospective study explored the Systemic Inflammatory Response Syndrome (SIRS) and quick Sequential Organ Failure Assessment (qSOFA) scores for predicting bacteremia. ⋯ The SIRS score was a more sensitive indicator than the qSOFA score for predicting bacteremia.
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Acute medicine & surgery · Jan 2021
Emergency abdominal surgeries remain unchanged in the COVID-19 affected environment: A single-center experience at a community hospital in Japan.
This study assessed whether emergency abdominal surgeries were changed in the coronavirus disease (COVID-19)-affected environment at a community hospital in Japan, with the goal of planning and preparing hospital resources against the further spread of COVID-19. ⋯ Although the situation of the pandemic was different between countries and regions, the number of emergency surgeries in our hospital remained unchanged, and those patients visited the emergency room no later than usual.
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Acute medicine & surgery · Oct 2020
Personal Protective Equipment Use by Healthcare Workers in Intensive Care Unit During the COVID-19 Pandemic in Japan: Comparative Analysis With the PPE-SAFE Survey.
We investigated personal protective equipment (PPE) use and its shortage, training, and adverse events among healthcare workers (HCWs) in the intensive care unit (ICU) during the coronavirus disease (COVID-19) pandemic in Japan and compared the results with an international survey that used the same methodology. ⋯ PPE shortage and frequent mask reuse were prevalent during the COVID-19 pandemic in Japan. Intense heat is the most significant symptom, especially for nurses, even with short-duration PPE use. Strategies to protect HCWs from dehydration and intense heat stroke are needed.
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Acute medicine & surgery · Oct 2020
Case ReportsPreventing thrombosis in a COVID-19 patient by combinatorial therapy with nafamostat and heparin during extracorporeal membrane oxygenation.
Extracorporeal membrane oxygenation (ECMO) can be life-saving in cases of coronavirus disease (COVID-19); however, circuit thrombosis is a complication. This report describes a COVID-19 patient treated with nafamostat and heparin to prevent circuit thrombosis during ECMO support. ⋯ Combination therapy with nafamostat and heparin can prevent circuit thrombosis during ECMO. However, bleeding can still develop with this combination therapy during ECMO.
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Acute medicine & surgery · Aug 2020
Case ReportsImpaired mental health status following ICU care in a patient with COVID-19.
Severe respiratory failure patients with coronavirus disease 2019 (COVID-19) sometimes do not receive post intensive care syndrome prevention bundles. No detailed report has been published on the practical observations of mental impairments in these patients. ⋯ Careful follow-up is required to treat mental impairment in patients with COVID-19.