European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Historical Article Observational Study
Elevated lactate level and shock index in nontraumatic hypotensive patients presenting to the emergency department.
The aim of our study was to evaluate the effect of lactate level (LL) and shock index (SI) on the outcome in nontraumatic hypotensive patients in the emergency department, and also to show the significance of the combined usage of these two parameters. ⋯ The combination of both parameters is effective in predicting these outcome measures with higher sensitivities and NPVs. Further studies on the subject are required.
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Observational Study
A study of hypothermic patients presenting to a Mediterranean emergency department.
A retrospective chart review was carried out in the adult Emergency Department of Mater Dei Hospital in the 'sunny warm Mediterranean island' Malta, on patients admitted with a rectal temperature of less than 35°C during the two consecutive winters of 2010-2011 and 2011-2012. ⋯ This showed that warm Malta also has its fair share of patients suffering from hypothermia during its winters. The minimum recorded temperatures ranged from +3.8 to +14.2°C in winter 1 and +3.6 to +13.1°C in winter 2. The majority of patients were suffering from either mild or moderate hypothermia, in roughly equal numbers. However, 4% of hypothermic admissions in the first winter and 7% in the colder second winter had severe hypothermia. Hypothermic admissions were most common among patients in their late seventies. Survival rates in primary hypothermia were better than in secondary hypothermia. The type of residence of the patient did not significantly affect the admission rate.