Articles: critical-care.
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Intensive Crit Care Nurs · Sep 1993
Case ReportsA severe and fatal case of ethylene glycol poisoning.
A severe and fatal case of ethylene glycol (anti-freeze) poisoning in an unidentified vagrant man is reported and discussed. The case demonstrates the typical complications associated with this type of poisoning, in particular severe metabolic acidosis, acute renal failure and a deep comatose state. The importance of early diagnosis, aggressive treatment and intensive nursing care in order to optimize the chance of recovery are illustrated.
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Comparative Study
Critical care by emergency physicians in American and English hospitals.
The object of this study was to compare emergency physician critical care services in an American (A) and an English (E) Emergency Department (ED). A prospective case comparison trial was used. The study was carried out at two university affiliated community hospitals, one in the U. ⋯ Emergency physicians at E provided critical care services almost continuously during a short stay in the ED. Emergency physicians at A provided services intermittently with most services during an initial period of stabilization. Further study is necessary to identify what factors contribute to these different approaches to critical care in the ED.