Research Journal of Emergency Medicine


Factors associated with morbidity in ICU

Review Article of Research Journal of Emergency Medicine Factors associated with morbidity in ICU AK Mohiuddin World University, Plot: 5 - 8, Avenue 6 & Lake Drive Road, Sector: 17/H, Uttara, Dhaka - 1230, Bangladesh The beginnings of caring for critically ill patients date back to Florence Nightingale’s work during the Crimean War in 1854, but the subspecialty of critical care medicine is relatively young. Many factors are hypothesized to contribute to the relatively high incidence and associated morbidity of medication errors in the ICU. The patients themselves are the most complex and critically ill in the hospital setting [1]. Critical care areas present a particular challenge with regard to medication errors. They are a dynamic environment with critically ill patients who often require rapid adaptation of ongoing management. ICUs can be error-prone settings, where even otherwise minor adverse events can lead to serious disability. By virtue of being sicker, older, and having more comorbidities, these patients are less resilient to errors. Because they require a higher intensity of care provision and may receive more medications, they may be at greater risk of iatrogenic harm. Pharmacokinetics of medications can also be altered in critically ill patients, principally through changes in volume of distribution and drug clearance. Large volume resuscitations, positive pressure ventilation, surgical procedures, systemic inflammatory response, and changes in protein binding, all common in ICU patients, affect the pharmacokinetics of many drugs. In addition, these patients are usually unable to help facilitate their own care, a problem aggravated by the volume of transfers to and from ICUs. Medication safety in ICUs might also be compromised because of the risks associated with the use of multiple medications per patient and the use of high-risk drugs associated with potentially severe adverse events [2]. Drugs used in the ICU are more likely ...

Dengue Protection and Cure: Bangladesh Perspective

Review Article of Research Journal of Emergency Medicine Dengue Protection and Cure: Bangladesh Perspective AK Mohiuddin World University, Plot: 5 - 8, Avenue 6 & Lake Drive Road, Sector: 17/H, Uttara, Dhaka - 1230, Bangladesh Up to 50-100 million infections are now estimated to occur annually in over 100 endemic countries, putting almost half of the world’s population at risk. Bangladesh is one of the countries that are affected by dengue viruses. Dengue is a viral infection caused by four types of viruses (DENV-1, DENV-2, DENV-3, DENV-4) belonging to the Flaviviridae family. These mosquitoes thrive in areas with standing water, including puddles, water tanks, containers and old tires. Lack of reliable sanitation and regular garbage collection also contribute to the spread of the mosquitoes. The disease has probably been known since the Chinese described it in 420 AD. Outbreaks are increasing although there is no human-to-human transfer, only mosquito-to-human viral transfer. Africans described “ka dinga pepo” as cramp-like seizure caused by an evil spirit. The Spanish may have changed “dinga” to dengue since it means fastidious or careful in Spanish, which describes the gait of people trying to reduce the pain of walking. With the number of patients rising, hospitals outside Dhaka are facing huge challenges to cope with the pressure, mostly due to lack of diagnosis chemicals, kits and other medical support. Keywords: Dengue protection; topical essential oils; misconceptions with Dengue; Dengue vaccines; mosquito repellents; neem oil ...

Clinical Aspects and Direct Micological Examination in the Presuptive Diagnosis of Surface Micoses in Patients of the Intensive Care Unit of Hospital University of Petrolina-PE

Research Article of Research Journal of Emergency Medicine Clinical Aspects and Direct Micological Examination in the Presuptive Diagnosis of Surface Micoses in Patients of the Intensive Care Unit of Hospital University of Petrolina-PE Souza, R.L.S1; Albuquerque, L.A2; Santos, C.R.N3; Moraes, M.C.G4; Silva, L.E.S5; Magalhães, K.L6 1,2,3,4,5 Discentes do Curso de Bacharelado em Enfermagem pela Universidade Federal de Pernambuco – Centro Acadêmico de Vitória (UFPE-CAV); 6Docente do curso de Enfermagem na Universidade Federal do Vale do São Francisco – UNIVASF, Petrolina-PE. Introduction:Fungal infections have become more frequent in recent years, and are more prevalent in patients with underlying diseases that compromise the immune system and predispose to other risk factors, such as invasive devices and the use of antibacterials. The etiological agents of these mycoses are dermatophyte filamentous fungi, non-dermatophyte filamentous fungi (FFND) and yeasts. Objectives: To demonstrate the importance of observing the clinical aspects of lesions suggestive of mycosis, as well as the direct mycological examination in the presumptive diagnosis of superficial mycoses in patients in the Intensive Care Unit (ICU), Hospital University (HU) located in Petrolina- PE. Methods: Patients who were admitted to the UHU from March to May 2016, after ethical procedures, were analyzed for suspicion of superficial mycoses and the respective clinical samples were collected and processed for direct examination through clarification with 30% potassium hydroxide (KOH). Results and Discussion: The mean age of the patients was 39.4, ranging from 24 to 68 years and an average length of hospital stay of 15.1 days. None of the patients were on antifungal use. Of 23 patients, 10 presented lesions characteristic of nail mycoses, 4 presented lesions characteristic of tinea corporis. Of the 10 nail mycosis suspicions, 4 cases were confirmed. The toenails went to the most affected areas. The use of closed shoes and even vascular impairment in ...

The Alternative Communication With Critical Elderly Patients Hospitalized: Staff-patient-family Relationship

Review Article of Research Journal of Emergency Medicine The Alternative Communication With Critical Elderly Patients Hospitalized: Staff-patient-family Relationship Silva I.C.F1, Veras A.R.A.L2, Porto C.R3, Camilo F.S1, Cordeiro L.G.F4, Neves M.I.S4 1Fonoaudióloga graduada pelo UNIPÊ - Centro Universitário de João Pessoa-PB; 2Fonoaudióloga, Mestre e Docente do Curso de Fonoaudiologia da Faculdade São Miguel – PE; 3Fonoaudióloga Pediátrica Clínica e Educacional; 4Discente do Curso de Fonoaudiologia do UNIPÊ - Centro Universitário de João Pessoa-PB. Introduction:The Extended Alternative Communication ¬ (EAC) brings together other forms of communication, as well as oral language, such as use of gestures, sign language, facial expressions, use of alphabet boards or pictographic symbols, to the use of more sophisticated systems such as recorded or synthesized voice communicators and computers. The causes that make communication of elderly patients impossible through speech are the most diverse. This difficulty in oral language expression can compromise the relationship between the patient and the staff such as the patient and its family, resulting in frustrated, nervous, anxious, agitated and depressed patients. Objetives: Report the Alternative Extended Communication method and their contributions to the process of internalization of elderly patients unable to communicate through speech. Methodology: For this study, the database Pub Med was consulted such as selected review articles from the entrance of the terms: extended alternative communication, speech therapy, critical elderly patients. Results and Discussion: It was found that, patients admitted to the ICU experience a big potential traumatic experience and many develop serious emotional problems. These experiences come with a psychological suffering and which has a harmful effect on the overall rehabilitation of the patient. EAC is a clinical and educational practice where the speech therapist tries to compensate and to facilitate for losses and disabilities of the individuals with severe disturbances of expressive communication and / or comprehension disorders. It ...

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1.Machado T.G.O, Miranda T.B, Neves A.P.S.M, Morais E.S, Carvalho S.M, Vieira J.M.F.Health and Spirituality: a Humanization Proposal for Care.Research Journal of Emergency Medicine, 2018, 1:3 
2.Souza, R.L.S; Albuquerque, L.A; Santos, C.R.N; Moraes, M.C.G; Silva, L.E.S; Magalhães, K.L. Clinical Aspects and Direct Micological Examination in the Presuptive Diagnosis of Surface Micoses in Patients of the Intensive Care Unit of Hospital University of Petrolina-PE.Research Journal of Emergency Medicine, 2018, 1:5

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Research Journal of Emergency Medicine is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Emergency Medicine  (Indexing information).

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