Articles: emergency-medicine.
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Acta clinica Croatica · Apr 2023
Case ReportsEMERGENCY TRACHEOTOMY IN TRACHEAL STENOSIS - A CASE REPORT.
Airway management in an emergency department is the first step in critical care of an urgent patient. When orotracheal intubation is not possible due to upper airway obstruction, such an emergency is known as a 'cannot intubate - cannot ventilate' situation. Then, emergency tracheotomy is indicated. ⋯ Early postoperative care was complicated by incipient right-sided pneumonia, which may have provoked narrowing of the existing subglottic stenosis in the first place. Tracheal stenosis is an important differential diagnosis of airway obstruction in patients with previous malignant diseases of the upper respiratory system. Emergency physicians should promptly recognize these situations based on clinical examination to secure appropriate airway management.
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Observational Study
Variation in general practice referral rate to acute medicine services and association with hospital admission. A retrospective observational study.
Variation in general practice (GP) referral rates to outpatient services is well described however variance in rates of referral to acute medical units is lacking. ⋯ High variation in GP practice referral rate for acute medical assessment is incompletely explained by practice population socioeconomic factors and negatively associates with need for urgent inpatient care. Identifying modifiable factors influencing referral rate may provide opportunities to facilitate community-based care and reduce congestion on acute unscheduled care pathways.