Download or read book Flux interne des patients des box vers la salle d accueil des urgences vitales written by Franck Triponel and published by . This book was released on 2016 with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Le tri réalisé par l'infirmière organisatrice d'accueil (IOA) est une mission indispensable à une prise en charge médico-chirurgicale correcte devant un flux croissant de patients consultant au service d'accueil des urgences. Le but de l'étude est de juger de la pertinence et de la bonne application des échelles de tri en étudiant les patients initialement installés en box et redirigés secondairement à la SAUV. Matériel et méthode : De juillet à décembre 2015, tous les patients installés en box et redirigés à la salle d'accueil des urgences vitales (SAUV) ont été inclus dans l'étude sans restriction concernant l'âge, le sexe ou l'ethnie. Une étude qualitative et quantitative a été réalisée dans cette population. Des critères secondaires tels que les paramètres vitaux, les constantes biologiques et notamment le taux de lactate ont été étudiés. Résultats : 216 patients ont été inclus sur les 15073 admissions sur la période étudiée. 18 patients ont été admis via le SMUR et 53 par leurs propres moyens. 65% des motifs d'admission sont représentées par une plainte bien identifiée. 34% des admissions sont représentées par une détresse vitale. 203 patients seront hospitalisés. 79 patients avaient des paramètres vitaux justifiant initialement un transfert à la SAUV. Conclusion : L'IOA a un rôle fondamental au sein des urgences et la bonne application des échelles de tri est indispensable. Il semble toutefois nécessaire de bien s'attarder sur les paramètres vitaux relevés à l'admission des patients.
Download or read book Description des motifs de transfert du service d accueil des urgences polyvalentes adultes vers la salle d accueil des urgences vitales au sein des urgences du CHU d Amiens written by Manon Feder and published by . This book was released on 2021 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : plusieurs travaux ont montré l’importance de l’orientation à l’admission des patients aux urgences. Certains patients ne sont admis en Salle d’Accueil des Urgences Vitales (SAUV) que secondairement. L’objectif principal est d’identifier les facteurs impliqués lors de cette orientation. Matériel et méthode : il s’agissait d’une étude cas-témoin, monocentrique comparant les patients admis directement au SAUV (SAUV1) aux patients admis secondairement (SAUV2) sur les données d’accueil (motif, paramètres vitaux), motifs de transfert, résultats biologiques. Nous avons inclus 241 patients et comparé deux groupes. 162 patients étaient admis directement en salle d’accueil des urgences vitales (Groupe SAUV 1) et 79 patients ont été admis initialement au service des urgences polyvalentes adultes avant d’être secondairement transférés en salle d’accueil des urgences vitales. (Groupe SAUV 2). Résultats : sur deux mois, 241 patients ont été inclus : 162 dans le groupe SAUV1 et 79 dans le groupe SAUV2. Les motifs de consultations étaient significativement différents dans les deux groupes (p
Download or read book Analyse Du Recours la Salle D Accueil Des Urgences Vitales Du Centre Hospitalier de Pau written by Simon Gouin and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The admission of a patient in the intensive care room of emergency (ICRE) in our hospital and its organization are ill-defined. Despite 39,000 admissions per year in the emergency service, ICRE seems underexploited. The objective is to quantify the daily number of patients who need to be admited to ICRE. Materials and Methods: Prospective study of patients admitted to the emergency department from 3 to 17.3.2014. An evaluation grid with severity criteria (critical vitals and reasons for admission) was established from existing sorting scales filled for all patients. Results: 1460 medical records, 1316 patients included (90.14%). Average age = 49.8 year old. Sex ratio M / F = 1.17. 14 patients admitted to ICRE. Average age = 69.6 year old, sex ratio M / F = 1. Admission Reasons: 3 cardiac arrests, 3 polytrauma, 4 neurological failures, 3 cardiac failures, 1 respiratory failure. The patients were dispatched to recovery unit (5), cardiac intensive care (2), deceased (2), short hospitalization unit (3), hospital unit (1) released (1). 100 patients (7.6%) were admitted to other units despite fullfilling ICRE's admission criteria. Causes of admission: 29 respiratory failures, 21 cardiovascular failures, 20 neurological failures, 12 hemodynamic failures and 7 traumas. Patients were referred to short hospitalization unit (31), medical services (31) or surgery (6), cardiac intensive care (11), recovery unit (3) released (15), deceased (1). Discussion: Our study confirms the underutilization of ICRE, it is only used for extreme gravity patients and therein is used as a recovery unit. This underutilization leads to overcrowding and poor efficiency of other units of the service. Conclusion: The appointment of a responsible physician and standardization of patient admissions to ICRE would improve both management of potentially unstable patients and the effectiveness of the entire service.
Download or read book Evaluation de l activit de la salle d accueil des urgences vitales S A U V au Centre hospitalier d Armenti res written by Jenny Fiquemo and published by . This book was released on 2008 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: L’accroissement majeur du nombre de consultations aux urgences ces dernières années implique que la Salle d’Accueil des Urgences Vitales ( S.A.U.V.) soit conforme aux Recommandations de 2002 établies par les Sociétés Savantes, afin d’assurer une bonne prise en charge des patients en situation d’ urgence vitale ou potentielle. Une étude rétrospective a été menée aux Urgences du Centre Hospitalier d’Armentières du 1er Janvier au 30 juin 2007, incluant 479 patients répondant aux critères d’admission dans la SAUV.L’objectif de cette étude était d’évaluer l’activité de cette salle de « déchoquage », et d’identifier les patients qui y étaient admis, les gestes et examens effectués, leur orientation et leur devenir. La SAUV représentait 3 ,7% de l’activité globale et 11,3% des hospitalisations du service. Les patients avaient un âge moyen de 61,5 ans, appartenaient majoritairement aux classes 4 et 5 de la CCMU dans 54% des cas, et présentaient pour 81% d’entre eux des pathologies médicales, essentiellement cardiovasculaires. Si quasiment tous avaient bénéficié d’examens biologiques et radiologiques, une tomodensitométrie était réalisée dans 23% des cas. Au total, 32,8% avaient bénéficié de gestes de réanimation. Les patients étaient majoritairement orientés vers la cardiologie ou les USIC ( 28%), mais aussi l’UHCD dans 19% des cas. La réanimation ou les USC concernaient 19,4% des patients. La durée moyenne de passage dans la SAUV s’élevait à 4 heures et 45 minutes. Seul un quart des patients des classes 4 et 5 de la CCMU avaient été médicalisés par le SMUR avant leur entrée dans la SAUV, d’où la nécessité de mettre en place une grille de triage qui permettrait d’apprécier efficacement le degré de gravité des patients et d’ optimiser leur prise en charge initiale dès l’arrivée aux urgences. Cette étude met en évidence qu’outre sa fonction de prise en charge des urgences vitales, si la SAUV du Centre Hospitalier d’Armentières remplit sa fonction première dans près de 54% des cas, elle assure également un rôle de stabilisation, d’évaluation, et de surveillance rapprochée des patients.Dans les années à venir, une restructuration profonde du Service des Urgences du C.H.A. et une augmentation des moyens matériels et humains avec une IOA 24H/24 à l’accueil permettront une sectorisation des filières de soins, et une utilisation de la SAUV spécifiquement dédiée à la prise en charge des urgences vitales
Download or read book Parliamentary Oversight of the Security Sector written by Philipp Fluri and published by DCAF. This book was released on 2003 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Best of the Grapevine written by and published by . This book was released on 1985 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Simon Denny written by Simon Denny and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Simon Denny's new body of work for Portikus ranks among the most ambitious the artist has developed to date. Over the period of one year, the artist researched and developed an intricate project that has grown to considerable dimensions -- both physically and in terms of its critical content. For two months, the monumental gallery space is turned into an homage to technology, communication, and the relentless need for innovation. Simon Denny has produced an embracing and multi-faceted installation that functions as a documentary of the South Korean technology giant Samsung and its global success story. The exhibition's title, "New Management", refers to the legendary management philosophy that Lee Kun-hee, Chairman of the Samsung Group, infamously introduced in the early nineties."--Publisher's website.
Download or read book Sailing to the Reefs written by Bernard Moitessier and published by Sheridan House, Inc.. This book was released on 2001 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bernard Moitessier is a writer and one of France's most famous sailors.
Download or read book The Heidegger Change written by Catherine Malabou and published by SUNY Press. This book was released on 2011-12-01 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Elaborates the author’s conception of plasticity by proposing a new way of thinking through Heidegger’s writings on change.
Download or read book In the Flow written by Boris Groys and published by Verso Books. This book was released on 2016-02-16 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the early 20th century, art and its institutions came under critique from a new democratic and egalitarian spirit. In an age of secularism and materialism, artworks would be understood as merely things among other things. This meant an attack on the techniques of realism, and the traditional mission of the museum, both designed shield a small class of objects from the entropic fate awaiting everything else-and the development of an approach that Boris Groys calls "direct realism": an art that would not produce objects, but practices that could enter the flow of time to live and die like the rest of us. But for more than a century now, every advance in this direction has been quickly followed by new means of preserving art's distinction. In this major new work, Groys, one of the world's leading art theorists, charts the paradoxes produced by this tension, which continues to structure the production and reception of new art. The internet, the latest medium through which artists have attempted to disavow this special status, inverts the most notorious consequence of early modernist developments. If the techniques of mechanical reproduction gave us objects without aura, digital production generates aura without objects, transforming all its materials into vanishing markers of the transitory present.
Download or read book The Long Way written by Bernard Moitessier and published by Sheridan House, Inc.. This book was released on 1995 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bernard Moitessier is a writer and one of France's most famous sailors.
Download or read book Research Advances in Genetics and Genomics written by Nancy C. Andreasen and published by American Psychiatric Pub. This book was released on 2007-05-03 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research Advances in Genetics and Genomics: Implications for Psychiatry introduces mental health professionals to exciting breakthroughs in endophenotypes, animal models, microarrays, and genetic mapping, as well as general strategies for identifying the genetic mechanisms of mental illnesses. Uniquely valuable both as summary and signpost, this concise volume provides a fascinating overview of recent cutting-edge developments in the application of molecular genetics, genomics, and proteomics to the study of psychiatric populations. By reading Research Advances in Genetics and Genomics, you will gain a better understanding of Psychiatric Genetics -- Reviews and assesses the major research paradigms that have emerged in the field of psychiatric genetics over the several past decades, exploring the major conceptual and philosophical issues they pose and the value of their integration. Molecular Structure of Nucleic Acids -- An overview of the double-helix discovery and provides a context for current endeavors, the original one-page April 1953 Nature paper by Watson and Crick, which sparked a revolution in the life sciences. Psychiatry in the Genomics Era -- Posits that one of the most important consequences of genomics will be the development of individualized treatments that allow a clinician to tailor therapy on the basis of the unique genotype of each patient rather than on the mean responses of groups of unrelated patients. The Genomics Revolution -- Details the implications of the genome for future medical practice, including the potential for developing methods and tools to better understand, treat, and prevent major mental disorders. The Endophenotype Concept in Psychiatry -- Explains the etymology and strategy behind the use of endophenotypes in neuropsychiatric research and, more generally, in research on other diseases with complex genetics, such as schizophrenia. The Genes and Brains of Mice and Men -- Shows why a detailed assessment of brain function in mice is so important for advancing psychiatric research in humans. Humans and mice share numerous features-in fact, for an estimated 99% of human genes a mouse version may be identified-of brain organization and behavioral responses to many pharmacological agents. Microarray Technology -- Asserts that microarrays present a methodology for identifying genes or pathways for new and unique potential drug targets, determining premorbid diagnosis, predicting drug responsiveness for individual patients, and, eventually, initiating gene therapy and prevention strategies. Meticulously referenced, this volume is exceptionally useful as a starting point for understanding the impact of genetics and genomics on psychiatry, serving to introduce psychiatrists, psychologists, neurologists, and geneticists to this exciting field.
Download or read book Wim Delvoye written by Wim Delvoye and published by Rectapublishers. This book was released on 2001 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Borrowing its name from the ancient sewer in Rome, Belgian conceptualist Wim Delvoye's new and improved "Cloaca" is a room-sized shit-making machine whose bowels process two meals a day, serving up a mouthful of complex themes: scatalogy and disgust, high and low culture, man as machine and vice-versa, and the inversion of art semiotics. Many of these same concerns are processed in Delvoye's other work, like the life-sized carved walnut replica of a cement truck, the wood cabinet stocked with 32 circular saw blades painted with scenes in Delft China blue, and a herd of pigs tatooed by Antwerp's finest needle-men. Feces and other anal subjects are parsed in accompanying essays by such luminaries as Milan Kundera, Gerardo Mosquera, Dan Cameron, Georges Bataille and Salvador Dali.
Download or read book Before Nature Dies written by Jean Dorst and published by . This book was released on 1971 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Culture urban future written by UNESCO and published by UNESCO Publishing. This book was released on 2016-12-31 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Report presents a series of analyses and recommendations for fostering the role of culture for sustainable development. Drawing on a global survey implemented with nine regional partners and insights from scholars, NGOs and urban thinkers, the report offers a global overview of urban heritage safeguarding, conservation and management, as well as the promotion of cultural and creative industries, highlighting their role as resources for sustainable urban development. Report is intended as a policy framework document to support governments in the implementation of the 2030 Agenda for Sustainable Urban Development and the New Urban Agenda.
Download or read book On Becoming a Rock Musician written by H. Stith Bennett and published by Columbia University Press. This book was released on 2017-05-30 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the 1960s and 1970s, becoming a rock musician was fundamentally different than playing other kinds of music. It was a learned rather than a taught skill. In On Becoming a Rock Musician, sociologist H. Stith Bennett observes what makes someone a rock musician and what persuades others to take him seriously in this role. The book explores how bands form; the backstage and onstage reality of playing in a band; how bands promote themselves and interact with audiences and music professionals like DJs; and the role of performance.
Download or read book Music in Geriatric Care written by Ruth Bright and published by Angus & Robertson. This book was released on 1972 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
