检索结果-南通市图书馆

A novel predictor of unsustained return of spontaneous circulation in cardiac arrest patients through a combination of capnography and pulse oximetry: a multicenter observational study

引用

World Journal of Emergency Medicine 2024年第1期15卷 16-22页

作者： Jing Yang Hanqi Tang Shihuan Shao Feng Xu Yangyang Fu Shengyong Xu Chen Li Yan Li Yang Liu joseph Harold walline Huadong Zhu Yuguo Chen Xuezhong Yu Jun Xu Emergency Department State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Emergency Department Peking University People’s HospitalBeijing 100044China Department of Emergency and Chest Pain Center Shandong Provincial Clinical Research Center for Emergency and Critical Care MedicineKey Laboratory of Emergency and Critical Care Medicine of Shandong ProvinceQilu Hospital of Shandong UniversityJinan 250012China Emergency Department Beijing Jishuitan HospitalBeijing 100035China Emergency Department Tianjin Medical University General HospitalTianjin 300052China Department of Emergency Medicine Penn State Health Milton S.Hershey Medical Center and Penn State College of MedicineHershey 17033USA

BACKGROUND:Unsustained return of spontaneous circulation(ROSC)is a critical barrier to survival in cardiac arrest *** study examined whether end-tidal carbon dioxide(ETCO_(2))and pulse oximetry photoplethysmogram(POP)parameters can be used to identify unsustained ***:We conducted a multicenter observational prospective cohort study of consecutive patients with cardiac arrest from 2013 to ***’general information,ETCO_(2),and POP parameters were collected and statistically ***:The included 105 ROSC episodes(from 80 cardiac arrest patients)comprised 51 sustained ROSC episodes and 54 unsustained ROSC *** 24-hour survival rate was significantly higher in the sustained ROSC group than in the unsustained ROSC group(29.2%vs.9.4%,P<0.05).The logistic regression analysis showed that the difference between after and before ROSC in ETCO_(2)(ΔETCO_(2))and the difference between after and before ROCS in area under the curve of POP(ΔAUCp)were independently associated with sustained ROSC(odds ratio[OR]=0.931,95%confi dence interval[95%CI]0.881-0.984,P=0.011 and OR=0.998,95%CI 0.997-0.999,P<0.001).The area under the receiver operating characteristic curve ofΔETCO_(2),ΔAUCp,and the combination of both to predict unsustained ROSC were 0.752(95%CI 0.660-0.844),0.883(95%CI 0.818-0.948),and 0.902(95%CI 0.842-0.962),***:Patients with unsustained ROSC have a poor *** combination ofΔETCO_(2) andΔAUCp showed signifi cant predictive value for unsustained ROSC.

关键词： Return of spontaneous circulation Pulse oximetry photoplethysmogram End-tidal carbon dioxide Cardiac arrest Cardiopulmonary resuscitation

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

What does H7N9 mean and how can we be prepared for the next flu pandemic?

引用

Science China(Life Sciences) 2013年第11期56卷 1057-1058页

作者： XU Jun YU XueZhong walline joseph Chinese Academy of Medical Sciences Peking Union Medical Hospital Division of Emergency Medicine Department of Surgery Saint Louis University HospitalSaint Louis Missouri 63110 USA

In early 2013, the novel H7N9 influenza virus was identi- fied as a human-infecting virus in China. The virus causes pneumonia, respiratory failure, acute respiratory distress syndrome, multi-organ failure and death [1]. As of 27 May 2013, 130 known cases of H7N9 infection were confirmed for China's Mainland. Of these cases, 36 resulted in death, while 57 patients have recovered according to the Chinese National Health and Family Planning Commission. At the commencement of the H7N9 outbreak, health care providers worldwide, especially those in front-line clinical areas such as emergency rooms and outpatient clinics,

关键词：流感病毒呼吸衰竭感染病例中国大陆计划生育医疗机构中国人综合征

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

A survey of ventilation strategies during cardiopulmonary resuscitation

引用

World Journal of Emergency Medicine 2019年第4期10卷 222-227页

作者： Ye-cheng Liu Yan-meng Qi Hui Zhang joseph walline Hua-dong Zhu Department of Emergency Medicine Peking Union Medical College HospitalBeijingChina Accident and Emergency Medicine Academic Unit Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina

BACKGROUND:Many controversies still exist regarding ventilator parameters during cardiopulmonary resuscitation(CPR).This study aimed to investigate the CPR ventilation strategies currently being used among physicians in Chinese tertiary ***:A survey was conducted among the cardiac arrest team physicians of 500 tertiary hospitals in China in August,*** data included physician and hospital information,and preferred ventilation strategy during ***:A total of 438(88%)hospitals completed the survey,including hospitals from all 31 Chinese mainland *** 41.1%of respondents chose delayed or no ventilation during CPR,with delayed ventilations all starting within 12 *** all the respondents who provided ventilation,83.0%chose to strictly follow the 30:2 strategy,while 17.0%chose ventilations concurrently with uninterrupted *** 38.3%respondents chose to intubate after initiating CPR,while 61.7%chose to intubate immediately when resuscitation *** bagvalve-mask ventilation,only 51.4%of respondents delivered a frequency of 10 breaths per *** terms of ventilator settings,the majority of respondents chose volume control(VC)mode(75.2%),tidal volume of 6–7 mL/kg(72.1%),PEEP of 0–5 cmH2O(69.9%),and an FiO2 of 100%(66.9%).However,62.0%of respondents had mistriggers after setting the ventilator,and 51.8%had high pressure ***:There is a great amount of variability in CPR ventilation strategies among cardiac arrest team physicians in Chinese tertiary *** are needed with specific recommendations on ventilation during CPR.

关键词： Cardiopulmonary resuscitation Ventilation strategy Questionnaire survey Cardiac arrest team

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Do corticosteroids have a role in treating Ebola virus disease?

引用

Science China(Life Sciences) 2015年第1期58卷 111-113页

作者： XU Jun TAN DingYu FU YangYang walline joseph YU XueZhong Emergency Department Peking Union Medical HospitalChinese Academy of Medical sciences Division of Emergency Medicine Department of SurgerySaint Louis University Hospital

Dear Editor,Humans have been fighting Ebola virus disease(EVD)since its first outbreak in 1976 in Yambuku village in the Democratic Republic of the Congo(previously Zaire).EVD is part of the Filoviridae family of viruses that includes Ebola and Marburg *** date,EVD,one of the most deadly communicable diseases known to humans,has had15 outbreaks in *** 2014,the most severe and complicated outbreak yet swept through the West African countries of Guinea,Liberia,Nigeria,Senegal and Sierra Leone,

关键词：糖皮质激素刚果民主共和国出血治疗病毒病 EVD 利比里亚尼日利亚

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Adenovirus sneak attacks during the H7N9 flu season

引用

Science China(Life Sciences) 2013年第9期56卷 863-864页

作者： XU Jun LI Chen walline joseph YU XueZhong Chinese Academy of Medical Sciences Peking Union Medical Hospital Division of Emergency Medicine Department of Surgery Saint Louis University Hospital

The H7N9 influenza virus made headlines recently, with outbreaks in Chinese urban centers. These infections continue a recent trend of novel virus outbreaks, such as those involving SARS coronavirus and the H1N1 influenza virus. These outbreaks have been likened to tropical storms, and like prior ＇viral storms＇ the latest H7N9 influenza virus has aroused public panic despite the fact that H7N9 infection rates are sporadic.

关键词：流感病毒腺病毒 SARS冠状病毒偷袭季节热带风暴城市中心感染率

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Treatment of hyperkalemic emergencies

引用

World Journal of Emergency Medicine 2022年第3期13卷 232-236页

作者： Yao Wu Yang-yang Fu Hua-dong Zhu Jun Xu joseph Harold walline Emergency Department State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Centre for the Humanities and Medicine the University of Hong KongHong KongChina

Hyperkalemic emergency(HE)refers to life-threatening hyperkalemia consisting of a high serum potassium level with severe complications(e.g.,dysrhythmias,cardiac arrest,or myopathy).^([1])Hyperkalemic emergencies(HEs)a... 详细信息

关键词： cardiac potassium arrest

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

My mother is looking blue

引用

World Journal of Emergency Medicine 2019年第4期10卷 251-252页

作者： Howard Tat Chun Chan Anselm Wang Hei Hui Colin Graham joseph walline Department of Accident and Emergency Medicine Hong Kong Hospital AuthorityPrince of Wales HospitalShatinHong KongChina Accident and Emergency Medicine Academic Unit The Chinese University of Hong KongPrince of Wales HospitalShatinHong KongChina

Dear editor,A 76-year-old Chinese female presented by ambulance to the Emergency Department complaining of dizziness,headache and *** son claimed that the patient“turned blue”three hours prior to onset of the patient’s *** noted the patient’s SpO2 was 83%on room air with no improvement with a nonrebreather *** medical history was signifi cant for diabetes and ***,social and medication history were non-contributory.

关键词： mother looking blue Emergency Department

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

A red herring: An unusual case of pneumothorax

引用

World Journal of Emergency Medicine 2021年第2期12卷 160-161页

作者： joseph H.walline Koon-ho Cheung Priscilla P.Song Colin A.Graham Accident and Emergency Medicine Academic Unit Prince of Wales Hospitalthe Chinese University of Hong KongHong KongChina Department of Accident and Emergency Medicine Prince of Wales HospitalHong Kong Hospital AuthorityHong KongChina Centre for the Humanities and Medicine the University of Hong KongHong KongChina

Dear editor,A 67-year-old Chinese man presented to our emergency department (ED) complaining of right-sided chest wall *** noticed these symptoms three hours prior to arrival. He denied any shortness of breath or recent injury. Past medical history was significant only for hypertension. Social history was significant for a history of smoking (40 packs per year).

关键词： sided editor hypertension

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Tension hydropneumothorax in a Boerhaave syndrome patient:A case report

引用

World Journal of Emergency Medicine 2021年第3期12卷 235-237页

作者： Chun-ting Wang Hui Jiang joseph walline Yan Li Jian Wang Jun Xu Hua-dong Zhu Emergency Department Peking Union Medical College HospitalBeijing 100730China Emergency Department Civil Aviation General HospitalBeijing 100123China Accident and Emergency Medicine Academic Unit the Chinese University of Hong KongHong Kong 999077China Department of Radiology Peking Union Medical College HospitalBeijing 100730China

Dear editor,Boerhaave syndrome,firstly described by Hermann Boerhaave in 1724,is a rare and life-threatening condition characterized by spontaneous transmural tear of the oesophagus.[1]The early diagnosis of Boerhaave syndrome is extremely important since a delay in the diagnosis can increase the mortality rate.[2]Here,we reported a Boerhaave syndrome patient combined with tension hydropneumothorax.

关键词： diagnosis patient mortality

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Morbidity and mortality risk factors in emergency department patients with Acinetobacter baumannii bacteremia

引用

World Journal of Emergency Medicine 2020年第3期11卷 164-168页

作者： Rui-xue Sun Priscilla Song joseph walline He Wang Ying-chun Xu Hua-dong Zhu Xue-zhong Yu Jun Xu Emergency Department Peking Union Medical College HospitalBeijing 100010China Department of Anthropology Washington University in Saint LouisSaint Louis 63101USA Division of Emergency Medicine Saint Louis UniversitySaint Louis 63101USA Laboratory Department Peking Union Medical College HospitalBeijingChina

BACKGROUND:Acinetobacter baumannii(AB)bacteremia is an increasingly common and often fatal nosocomial *** of morbidity and mortality risk factors for AB bacteremia in emergency department(ED)patients may provide ways to improve the clinical outcomes of these ***:The records for 51 patients with AB bacteremia and 51 patients without AB infection were collected and matched in a retrospective case-control study between 2013 and 2015 in a singlecenter *** factors were analyzed by Chi-square and multivariate logistic regression statistical ***:A significant risk factor for morbidity was the presence of a central venous catheter(CVC)(P<0.001).The mortality rate for the 51 patients with AB bacteremia was 68.6%.Risk factors for mortality were the presence of a CVC(P=0.021)and an ED stay longer than two weeks(P=0.015).CONCLUSION:AB infections lead to high morbidity and *** presence of a CVC was associated with higher morbidity and mortality in patients with AB *** CVC insertions may improve outcomes in ED patients with AB bacteremia.

关键词： Acinetobacter baumannii Bacteremia Morbidity Mortality

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：