Emergencias
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To analyze the variables associated with better functional outcome 3 months after ischemic stroke treated with fibrinolytic agents. ⋯ The prognosis for the functional recovery of patients given intravenous fibrinolytic therapy after stroke depends on such factors as age, time treatment is started, severity, and the patient's status at 24 hours. The last factor is the one that is most strongly related to prognosis.
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To detect the problems hospital emergency room staff have when prescribing and administering antibiotics. ⋯ This study revealed the difficulties medical and nursing staff have in prescribing and administering antibiotics in a hospital emergency department. The results can facilitate improvements in antibiotic therapy by pinpointing areas to target for specific training interventions or the design of electronic prescribing aids.
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To describe the clinical characteristics of fire smoke inhalation victims and carboxyhemoglobin values (Sp- CO) recorded with a portable pulse carbon monoxide (CO) oximeter at rescue sites in Catalonia. To assess the contribution of SpCO information to decision-making during emergency transfers. ⋯ Pulse CO-oximetry contributed to the prehospital emergency care of these patients by influencing the decision to transfer the patient to a hospital.
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To compare venous catheter insertion by inexperienced medical residents using a traditional ultrasound guidance method and ultrasound with a probe to guide the needle. ⋯ In this group of residents without prior experience of venous cannulation or ultrasound guidance, significantly fewer attempts were required and the catheter was correctly inserted sooner when the needle guide was used. Furthermore, most residents felt insertion was easier when the guide was used.