International journal of critical illness and injury science
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Int J Crit Illn Inj Sci · Oct 2016
Usefulness of full outline of unresponsiveness score to predict extubation failure in intubated critically-ill patients: A pilot study.
To assess the usefulness of the full outline of unresponsiveness (FOUR) score in predicting extubation failure in critically ill intubated patients admitted with disturbed level of conscious in comparison with the Glasgow coma scale (GCS). ⋯ The FOUR score is superior to the GCS for the prediction of successful extubation of intubated critically ill patients.
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Int J Crit Illn Inj Sci · Oct 2016
A profile of metabolic acidosis in patients with sepsis in an Intensive Care Unit setting.
Metabolic acidosis is frequently found in patients with severe sepsis. An understanding of types of acidosis in sepsis and their evolution over the course of treatment may give us insight into the behavior of acid-base balance in these patients. ⋯ In patients with sepsis and septic shock, high anion gap metabolic acidosis is the dominant blood gas anomaly. Fall in lactate levels over the first 5 days of admission is a good prognostic marker of survival. Evolution of the blood gas profile over time suggests that a fall in lactate levels and a rise in bicarbonate levels correlate with a better outcome. The role of the anion gap as a prognostic marker holds promise and further studies are needed in this regard.
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Int J Crit Illn Inj Sci · Oct 2016
Effect of training problem-solving skill on decision-making and critical thinking of personnel at medical emergencies.
The aim of this study was to determine the effect of problem-solving training on decision-making skill and critical thinking in emergency medical personnel. ⋯ Therefore, this kind of education on problem-solving in various emergency medicine domains such as education, research, and management, is recommended.