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https://www.readbyqxmd.com/read/27768659/combat-medevac-a-comparison-of-care-by-provider-type-for-en-route-trauma-care-in-theater-and-30-day-patient-outcomes
#1
Joseph K Maddry, Alejandra G Mora, Shelia Savell, Lauren K Reeves, Crystal A Perez, Vikhyat S Bebarta
BACKGROUND: Medical evacuation (MEDEVAC) is the movement and en route care of injured and medically compromised patients by medical care providers via helicopter. Military MEDEVAC platforms provide lifesaving interventions that improve survival in combat. There is limited evidence to support decision making related to en route care and allocation of resources. The association between provider type and en route care is not well understood. Our objective was to describe MEDEVAC providers and identify associations between provider type, procedures performed, and outcomes...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27612069/cultural-events-provided-by-employer-and-occupational-wellbeing-of-employees-a-cross-sectional-study-among-hospital-nurses
#2
Katinka Tuisku, Laura Pulkki-Råback, Marianna Virtanen
BACKGROUND: Occupational well-being in health care is essential for the quality of care and productivity. Some of the major challenges facing hospital nurses are the personnel turnover, emotional loading and health care reforms. After primary occupational safety and risk management, complementary positive health promotion approaches with cultural interventions can be experimented. OBJECTIVE: To examine the association between well-being indicators of hospital nurses and their participation in cultural events provided by the employer (theater, concerts, exhibitions, museums, sight-seeing, and musicals) during past 6 months...
September 7, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27579445/isiris-a-novel-method-of-removing-foreign-bodies-from-the-lower-urinary-tract-to-avoid-unnecessary-hospitalization-and-anesthesia
#3
Peter Mark Smith, Aman Harbias, Richard Robinson, Anne Palmer, Benjamin Robin Grey
BACKGROUND: Polyembolokoilamania refers to the practice of inserting foreign bodies (FBs) into natural orifices. A FB within the urethra is a relatively rare phenomenon with 646 cases recorded last year in the United Kingdom. Management of these patients presents technical challenges and complexities because of underlying psychiatric disorders that are often associated. This case illustrates a novel way of removing FBs from the genitourinary tract, requiring less resources, preventing hospital admission, and attempts to break the cycle of behavior, leading to recurrent attendance with polyembolokoilamania...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27530589/seroprevalence-of-blood-borne-pathogens-among-health-care-workers-and-their-hepatitis-b-vaccination-status-in-tertiary-care-hospitals-in-india
#4
Maryam Dafei, Shiv K Sarin, Anjur T Kannan, Kamal Agrawal, Suneela Garg, Kieert Agrawal, Ali Dehghani
BACKGROUND & AIM: Occupational exposure to blood-borne pathogens, mainly human immunodeficiency virus (HIV), hepatitis B (HBV) and hepatitis C (HCV), poses a serious risk to healthcare workers (HCWs), especially in developing countries, due to the high prevalence of these pathogens and fewer safety precautions. The aim of this study was to investigate the seroprevalence of HBV, HCV, and HIV infections and to measure the vaccination practices in HCWs at three tertiary care hospitals in Delhi, India...
2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27501620/50th-year-anniversary-of-department-of-anesthesiology-faculty-of-medicine-siriraj-hospital-mahidol-university
#5
Jariya Lertakyamanee
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, has started to be a formal anesthesia division, divided from division of Surgery in 1965; hence our 50th year anniversary in 2015. Research is now a priority and mandatory mission, according to the vision of Mahidol University. Second mission is to teach and train, and we produce the highest number of states-of-the-art anesthesiologists and anesthetic nurses each year Curriculum and training are being continuously improved. From a small unit, now it is one of the largest departments and extends the service, our third mission, to more than only in the operating theaters...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27413775/improving-surgical-access-in-rural-africa-through-a-surgical-camp-model
#6
M Galukande, O Kituuka, E Elobu, J Jombwe, J Sekabira, Elissa Butler, J Faulal
Introduction. Surgical camps are preplanned activities where volunteer surgical teams congregate at specified place(s) and perform a wide range of mostly elective procedures for a limited period of time. This is usually at no cost to the patients, who belong to vulnerable (poor and hard to reach) communities. We describe a surgical camp model and its challenges as a means of improving access to surgical services. Methods. A cross-sectional descriptive study. Data from a recent Association of Surgeons of Uganda surgical camp were collected and analyzed for demographics, costs, procedure types, and rates and, in addition, challenges encountered and solutions...
2016: Surgery Research and Practice
https://www.readbyqxmd.com/read/27324155/-pre-operative-documentation-of-individual-in-patient-therapy-goals-a%C3%A2-medical-staff-questionnaire
#7
K Umgelter, J Landscheidt, K Jäger, M Blobner, E Kochs
BACKGROUND: Perioperative care demands consideration of individual treatment goals. We evaluated the attitudes of medical staff towards a short standardized advance directive (SSAD) as a means of improving patient-orientated care at the transition from operating theater to general or intensive care wards. METHOD: Multicenter anonymized standardized multiple-choice questionnaire among physicians and nurses from various operative and anesthesiology departments. Questions addressing demographic parameters and attitudes towards advance directives in acute care settings (eleven 4‑stepped Likert items)...
July 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27310034/feasibility-of-human-factors-immersive-simulation-training-in-ophthalmology-the-london-pilot
#8
George M Saleh, James R Wawrzynski, Kamran Saha, Phillip Smith, Declan Flanagan, Melanie Hingorani, Clinton John, Paul Sullivan
IMPORTANCE: Human factors training can enhance teamworking and reduce error. It is used regularly in certain medical disciplines, but its use has not been established for ophthalmology to our knowledge. OBJECTIVE: To explore the feasibility of providing immersive simulation human factors training for ophthalmic surgical teams. DESIGN, SETTING, AND PARTICIPANTS: Prospective scenario-based simulation and concept description at University College London Hospital and Moorfields Eye Hospital, London, England, from December 12, 2013, to March 13, 2014...
August 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27290944/guideline-recommended-15%C3%A2-left-lateral-table-tilt-during-cesarean-section-in-regional-anesthesia-practical-aspects-an-observational-study
#9
Hansjoerg Aust, Sigmund Koehler, Maritta Kuehnert, Thomas Wiesmann
OBJECTIVE: Left lateral table tilt of 15° to 30° is recommended for cesarean section, although little is known about the practical problems of its implementation. This study examines these issues from the perspective of anesthesiologists, obstetricians, theater nurses, and patients. Initially, the tilt was set by visual estimation in 100 women and checked by inclinometer afterwards. STUDY DESIGN: Observational survey. PATIENTS: One hundred women undergoing primary cesarean section...
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27257699/combat-medevac-a-comparison-of-care-by-provider-type-for-en-route-trauma-care-in-theater-and-30-day-patient-outcomes
#10
Joseph Maddry, Alejandra G Mora, Shelia Savell, Lauren K Reeves, Crystal A Perez, Vikhyat S Bebarta
BACKGROUND: Medical evacuation (MEDEVAC) is the movement and en route care of injured and medically compromised patients by medical care providers via helicopter. Military MEDEVAC platforms provide life-saving interventions that improve survival in combat. There is limited evidence to support decision making related to en route care and allocation of resources. The association between provider type and en route care is not well understood. Our objective was to describe MEDEVAC providers and identify associations between provider type, procedures performed, and outcomes...
May 27, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27215892/predeployment-medical-training-for-providers
#11
Michael D Holloway
Following the attacks of September 11, 2001, the United States became simultaneously engaged in military conflicts in 2 theaters of operation. At that time there was no organized program to train medical providers assigned to deployable Role 1 or Role 2 aid stations. To fill this gap, the Tactical Combat Medical Care (TCMC) course was developed and instituted at Fort Sam Houston, Texas, in 2004 to provide the training platform for providers in preparation for assignment to and deployment with combat units. The TCMC course has become the standard for prehospital wartime care training...
April 2016: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/27145149/nursing-and-theater-teaching-ethics-through-the-arts
#12
Jennifer J Coleman, Tracey K Dick
Prelicensure nursing education needs to prepare students for their future roles as professional nurses with ethical and moral decision-making skills. This article describes the use of theater as one approach to teaching nursing ethics at the prelicensure level. Students perform as actors, directors, and discussion leaders in a series of simulated ethical scenarios designed to encourage individual accountability and responsibility for action.
September 2016: Nurse Educator
https://www.readbyqxmd.com/read/26936865/clinical-assessment-and-management-of-general-surgery-patients-via-synchronous-telehealth
#13
Steven M Cain, Robert Moore, Lauren Sturm, Travis Mason, Caitlin Fuhrman, Robin Smith, Irfan Bojicic, Brandon Carter
OBJECTIVE: This paper describes how a clinical team at Landstuhl Regional Medical Center (LRMC) successfully integrated synchronous telehealth (TH) into their routine clinical practice. METHODS AND MATERIALS: Synchronous TH encounters were performed using Polycom® software on surgeons' computers with high-definition (HD) cameras on monitors at distant sites and PolyCom HDX9000® Telehealth Practitioner Carts at originating sites. Patients provided consented and were presented to general surgeons by nurses and medical technicians at Army health clinics throughout the European Theater...
March 1, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26926219/-won-t-you-be-my-patient-preparing-theater-students-as-standardized-patients
#14
Julie A Hart, Deborah R Chilcote
BACKGROUND: Simulation in nursing education is a well-supported teaching strategy. High-fidelity manikins provide students with an opportunity to practice nursing care in a safe environment. Yet, limitations such as lack of realism and inability to practice therapeutic communication have been reported. However, standardized patients (SPs)--actors trained to portray patients with medical issues--provide students with realistic patient situations and opportunities to develop essential skills...
March 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/26874102/a-primary-care-telehealth-experience-in-a-us-army-correctional-facility-in-germany
#15
Christian Swift, Steven M Cain, Michael Needham
OBJECTIVE: To assess the feasibility of using telehealth (TH) equipment and infrastructure within the US Army's European Theater to evaluate and treat inmates with general medical complaints, and perform physicals and medical safety checks in a US Army Correctional Facility (CORFAC). METHODS AND MATERIALS: Synchronous TH encounters were performed using Polycom RealPresence software on providers' computers with high definition cameras on monitors at distant sites and PolyCom HDX9000 Practitioner Cart along with AMD Global Telemedicine devices at the originating site within the CORFAC...
January 2016: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/26868312/assessing-the-nontechnical-skills-of-surgical-trainees-views-of-the-theater-team
#16
Wissam Al-Jundi, Jonathan Wild, Judith Ritchie, Sarah Daniels, Eleanor Robertson, Jonathan Beard
OBJECTIVE: This study aims to explore the views of members of theater teams regarding the proposed introduction of a workplace-based assessment of nontechnical skills of surgeons (NOTSS) into the Intercollegiate Surgical Curriculum Programme in the United Kingdom. In addition, the previous training and familiarity of the members of the surgical theater team with the concept and assessment of NOTSS would be evaluated. DESIGN: A regional survey of members of theater teams (consultant surgeons, anesthetists, scrub nurses, and trainees) was performed at 1 teaching and 2 district general hospitals in South Yorkshire...
March 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/26761700/atypical-secretion-of-cortisol-in-nursing-professionals
#17
Siomara Tavares Fernandes Yamaguti, Amanda Roca Blasques de Mendonça, Daniela Coelho, Amanda Luiz Machado, Juliana Nery de Souza-Talarico
Objective To describe the frequency with which nursing staff in hospitals presents an altered diurnal pattern of cortisol secretion. Method These findings were based on results obtained from 56 randomly selected professional nursing staff working in outpatient clinics, medical clinics, surgical clinics, operating theaters, pediatric and adult emergency units, adult and pediatric intensive care units of a university hospital. The analysis of the diurnal cortisol pattern was based on saliva samples collected over two consecutive working days...
February 2015: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/26633395/process-mining-methodology-for-health-process-tracking-using-real-time-indoor-location-systems
#18
Carlos Fernandez-Llatas, Aroa Lizondo, Eduardo Monton, Jose-Miguel Benedi, Vicente Traver
The definition of efficient and accurate health processes in hospitals is crucial for ensuring an adequate quality of service. Knowing and improving the behavior of the surgical processes in a hospital can improve the number of patients that can be operated on using the same resources. However, the measure of this process is usually made in an obtrusive way, forcing nurses to get information and time data, affecting the proper process and generating inaccurate data due to human errors during the stressful journey of health staff in the operating theater...
November 30, 2015: Sensors
https://www.readbyqxmd.com/read/26632119/sharp-injuries-in-japanese-operating-theaters-of-hiv-aids-referral-hospitals-2009-2011
#19
Koji Wada, Toru Yoshikawa, Jong Ja Lee, Toshihiro Mitsuda, Kiyoshi Kidouchi, Hitomi Kurosu, Yuji Morisawa, Mayumi Aminaka, Takashi Okubo, Satoshi Kimura, Kyoji Moriya
The aim of this study was to identify how doctors and nurses experienced sharps injuries in operating rooms and the risks for these injuries by analyzing data from 78 Japanese hospitals participating in the nationwide EPINet surveillance system. The years of professional experience of the cases were classified into tertiles separately for doctors and nurses. Suture needles accounted for 54.9% of injuries in doctors and 48.3% of injuries in nurses. Among doctors, injuries occurred most frequently during the use of an item (range: 58...
June 10, 2016: Industrial Health
https://www.readbyqxmd.com/read/26182824/exploring-the-pathogens-present-at-the-patient-care-equipments-supplies-to-sensitise-the-health-care-workers-for-preventing-health-care-associated-infections-among-in-patients
#20
Amit Dadhich, Sanjay Arya, Arti Kapil
Health care-associated infection (HCAI) is an infection that a person acquires in hospital after 24 hours of his/her admission. A health care worker (HCW) does not have any right to provide another infection to in-patients. While caring the patients, HCW innocently or otherwise can transmit various pathogens to the patient. It is both ethically and legally wrong and HCW is answerable for it. The current study was conducted with the objectives to find out the rate of presence of pathogens at the patient care equipments & supplies, to identify the most common pathogens present at the patient care equipments & supplies and to identify such equipments & supplies that are at high risk of contamination...
November 2014: Nursing Journal of India
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