Emergencias
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Multicenter Study Observational Study
Risk for early death in acutely ill older adults attended by prehospital emergency medical services.
To develop and validate a prehospital risk model to predict early in-hospital mortality (#48 hours) in patients aged 65 years or older. ⋯ The prehospital POAWS score can be used to stratify risk for death within 48 hours in patients aged 65 years or older.
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Observational Study
Deaths in hospital emergency departments in Aragon: patient characteristics and association with comorbidity.
To describe the clinical and personal characteristics of patients who died in hospital emergency departments in Aragon, Spain, and explore associations with the Charlson Comorbidity Index (CCI). ⋯ Patients who die in Aragon's emergency departments have high levels of comorbidity. A large proportion of patients are of advanced age. Polypharmacy and advanced chronic conditions are common. We stress the need to implement emergency department approaches to ongoing and palliative care for this group, which is growing as the population ages.
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Activated charcoal in suspension contains 600 mg/mL of sucrose. We aimed to assess the impact of an activated charcoal suspension on blood glucose levels in patients with acute medication poisoning. ⋯ Activated charcoal induces an increase in blood glucose level that is statistically but not clinically significant. The increase is comparable to the increase after breakfast.
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Observational Study
Seriousness of medication reconciliation errors in patients of advanced age in the emergency department.
To analyze the seriousness of medication reconciliation errors (MREs) in the treatment of older patients admitted to an emergency department's acute geriatric unit. To identify and describe discrepancies, including the drug groups involved, and to explore risk factors. ⋯ MREs were common but not serious, and the injuries caused were reversible.
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To identify predictors of mortality after implementation of a treatment protocol in the first 3 hours for patients who come to our emergency department with sepsis scored 2 or 3 on the Quick Sequential Organ Failure Assessment (qSOFA) scale. ⋯ Full implementation of the protocol within 3 hours of hospital arrival favors survival in patients with sepsis and qSOFA scores of 2 or 3 on arrival. We recommend that emergency departments organize ways to train staff in the use of a sepsis treatment protocol and improve compliance.