Journal of Ayub Medical College, Abbottabad : JAMC
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J Ayub Med Coll Abbottabad · Jan 2008
Reasons for delay in inpatient admission at an emergency department.
This study highlighted the reasons which contributed to longer stay of patients in Emergency Department (ED) who were advised admission. ⋯ Out of admitted patients 67% were delayed mainly due to late advised admission with major reason of delay were multiple consultations.
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J Ayub Med Coll Abbottabad · Jan 2008
Evaluation of results of interlocking nails in femur fractures due to high velocity gunshot injuries.
Femoral shaft fractures are common in adult population due to vulnerability to road traffic accident and firearm injuries. There are various treatment modalities to treat the femur shaft fracture, i.e., Plating & screws, Intramedullary nailing, External fixator and Interlocking nails. Comminuted fractures due to gun shot injuries are a challenging problem for orthopaedic surgeons. The objective of this study is to evaluate the role of interlocking nailing in the management of femoral fractures due to high velocity gunshot injuries. ⋯ Interlocking nailing is one of the best options for the management of femoral shaft fractures due to high velocity gunshot injuries.
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J Ayub Med Coll Abbottabad · Oct 2007
ReviewThe critical analysis on diagnosis of disseminated intravascular coagulation with screening tests--a scoring system and related literature review.
The aim of this study is to assess confidence in the diagnosis of Disseminated Intravascular Coagulation (DIC); to evaluate the clinical significance of the haemostatic tests; to disclose any respective associations of such tests with patients' prognosis; and to review the related literature. It is a retrospective case series study in Changhua Christian Hospital, Taiwan. ⋯ There are 14 points of impression with clinical significance outlined.
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Postpartum haemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality. Its causes & risk factors are important for its prevention and management. Poor, unhealthy, high parity women delivering away from health facility are usual victims. The purpose of this study is to determine causes of PPH, risk factors, preventable factors and to assess treatment measures adopted. ⋯ PPH can be prevented by avoiding unnecessary inductions/augmentations of labour, risk factors assessment and active management of 3rd stage of labour. It needs critical judgment, early referral and early resuscitation by birth attendant. There is room for temponade and compression sutures. Hysterectomy should be the last option.
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There have been rapid and significant advances in diagnostic and interventional radiology, including interventional neuroradiology, in recent years. Many intracranial vascular pathologies are being successfully managed by endovascular interventional neuroradiology techniques. These techniques include procedures like embolization of vascular tumours and arterio-venous malformations, coiling of cerebral aneurysms. etc. ⋯ The main aims of the anaesthesiologist during any interventional neuroradiology procedure are provision of a physiologically stable and immobile patient, alteration of arterial blood pressure as necessary, and appropriate and timely management of complications. Provision of anaesthesia in remote locations, such as the radiology suite, has its own inherent risks. In this article the anaesthetic considerations for therapeutic interventional neuroradiology procedures performed in the radiology suite have been reviewed, including the preprocedure preparation, monitoring requirements, suitable anaesthetic techniques, postprocedure management and complications.