BMC research notes
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The aim of this survey is to determine the standard of practice of cricoid pressure application on rapid sequence induction in Ayder comprehensive specialized hospital from April 3 to May 3, 2019. ⋯ A total of 30 anesthetists were involved in the study with a response rate of 87%. Ninety percent of the respondents do not mask ventilate during rapid sequence induction and they do aspirate the naso-gastric tube if present. Almost half of the respondents have witnessed regurgitation during application of cricoid pressure and 93% do not remove the naso-gastric tube before rapid sequence induction. Seventy percent had experienced difficulty of endotracheal intubation during application of cricoid pressure. All of the respondents had less than 10 years of working experience as anesthetist.
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The aim of this study was to assess nurses' Knowledge, Attitude and Associated Factors towards end of life care in Amhara Referral Hospitals, Northwest Ethiopia, 2017. ⋯ A total of 331 participants were included with a response rate of 93.2%. From these, 129 (39.0%) of them had good knowledge and 234 (70.7%) had favorable attitude towards end of life care. Being Bachelor of Science holder and above in nursing (AOR = 4.261, 95% CI 1.524-11.912), working in Emergency department (AOR = 4.911, 95% CI 1.796-13.426), having daily experience of caring for chronically ill patients (AOR = 2.764, 95% CI 1.366-5.591) and taking training on end of life care (AOR = 10.269, 95% CI 4.730-22.296) were significantly associated with good knowledge of nurses towards end of life care. On the other hand, having 6-10 years of working experience in nursing (AOR = 2.199, 95% CI 1.147-4.215), being trained in end of life care (AOR = 3.027, 95% CI 1.285-7.13), Bachelor of Science holder and above in nursing (AOR = 4.414, 95% CI 2.230-8.738) were found to be statistically significant with more positive attitude of nurses towards end of life care.
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Road traffic injury (RTI) is the leading cause of death among aged 15-29 years, although low and middle income countries only have half of the vehicles, they have 80% of road traffic related death. This study aimed to assess the probability of road traffic injury occurrence and potential consequences among patient visiting at emergency department of Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia. Retrospective cross-sectional study was conducted from March 8 to April 6/2018 among 350 patients who were recruited using systematic random sampling techniques. Binary logistic regression analysis was used for data analysis. ⋯ A total of 350 patients medical charts were reviewed at emergency department. The prevalence of road traffic accident was 40.9%. Being male (AOR = 1.84: 95% CI 1.11-3.09), being in age group of 20-29 (AOR = 2.58: 95% CI 1.14-5.84) and being in urban area of residence (AOR = 2.46; 95% CI 1.51-4.02) were significantly associated with road traffic accident. Conducting further research on road traffic injury and risk factors recommended.
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This study was aimed to assess the prevalence and associated factors of diabetic ketoacidosis among adult patients admitted in emergency department of Hawassa university comprehensive specialized hospital. An institution based retrospective cross-sectional study design was conducted among 195 adult patients aged 16 years and above with known or previously unknown diabetes cases presented in the emergency unit. ⋯ In our study from the total 195 patients medical record reviewed 78 (40%) developed DKA. Out of the total reviewed medical record 55 (28.2%) and 23 (11.8%) were with type-1 and type 2 diabetes mellitus respectively. From acute complication of diabetes, diabetic ketoacidosis was a leading cause 78 (77%) followed by hypoglycemia 14 (14%) and hyperosmolar hyperglycemic state (9%). During multiple logistic regression analysis age and hypertension were found to have significant association with diabetic ketoacidosis.
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To assess computed tomography pulmonary angiography (CTPA) positive yield rate for pulmonary embolism (PE) in a Canadian academic tertiary center. ⋯ This one-center retrospective cross-sectional study includes from 5565 (model 1) to 5296 (model 2) patients that were evaluated for suspected PE in 2015, among which 1331 (23.9% (model 1) to 25.1% (model 2)) underwent CTPA. Mean age of CTPA patients was 60.2 ± 16.6 years, of which 575 were males (43.2%). Two hundred eleven CTPA examinations were positive for PE, giving a CTPA positive yield rate of 15.9% (95% CI (13.93-17.87)). One hundred and thirteen (8.1%) CTPA were considered indeterminate, and eleven were considered nondiagnostic (0.8%). Among the 211 CTPA positive for PE, 67 (32%) were proximal emboli, 98 (47%) were segmental emboli and 44 (21%%) were subsegmental emboli. In conclusion, in this retrospective study done in a Canadian academic tertiary center, we report a positive rate of 15.9% for PE detection with CTPA, which is above the generally accepted lower threshold of 10% for the yield of CTPA.