Abstract
In the urban area of Prato (population 172,473 01.01.2000), the Emergency Department runs three ambulances with doctor on board coordinated by the emergency number 118. Here we analysed the typology of 798 consecutive services carried out by our ambulance from 01.08.1998 to 31.01.1999. Twenty-eight services (3.5%), canceled for various reasons, were excluded by the statistical analysis. 770 patients were visited; 402 (52.2%) were males and 368 females (47.8%); males were significantly younger than females (53.8 ± 24.2 vs 59.9 ± 17 years, P = 0.001). 75.5% of services concerned non-traumatic cases, 17.9% traumatic cases and 6.6% transfers between hospitals. The services for non-trauma group, concerned dyspnoic symptoms (15.7%), cases of lipothimia (15.2%), chest pain (11.1%), mental disorders (7.9%), cerebrovascular pathology (6.8%), abdominal pain (4.4%), use of psychotropic substances (4.3%), epileptic and not epileptic convulsions (3.5%). Metabolic disorders (diabetes, hypoglycemic crises, hyperthyroidism) accounted for 2.4% of cases, hypertensive crises 2.4%, tachycardia 2.2%, support to patients with terminal cancer 2.2%, vertigo 2%, allergies 1.1% and obstetric pathology 0.9%. 1.9% of cases required cardiopulmonary resuscitation. 15.9% was a miscellany of services including poisonings, migraines, haemorrhages, flu syndromes. Trauma cases were road accidents (64.7%), falls (27.2%), work-related accidents (4.4%) and aggression (3.7%). 75.8% of patients were admitted to hospital; the others (24.2%) were not urgent or refused hospitalisation. According to Sonsin et al [1], the most frequent services were related with cardiorespiratory pathologies, cases of lipothimia and trauma so as the % of non-hospitalised patients (24.2% vs 23%). The % of our traumatic cases is like that found by Brismar et al [2] in Sweden urban areas (17.9% vs 20%). Cases of cardiopulmonary resuscitation were 1.9%, similar to 1.8% found by Hu et al [3]. Further studies are in progress.
Highlights
In our experience, very often, even with a nonrebreathing mask (NRM), high oxygen delivery to patient with the existent materials is insufficient
TMSORG for R, C, N and Re were significantly associated with HM
P109 How we reduce allogenic blood transfusions in the patients undergoing surgery of ascending aorta D Radojevic, Z Jankovic, B Calija, M Jovic, B Djukanovic
Summary
Very often, even with a nonrebreathing mask (NRM), high oxygen delivery to patient with the existent materials is insufficient. There is evidence that increasing the dose of continuous renal replacement therapy (CRRT) is associated with improved survival in critically ill patients with acute renal failure (ARF) [1]. The aim of this study is to investigate if there is any difference in patients’ characteristics in ICU between COPD and nonCOPD diseases caused chronic respiratory failure and require mechanical ventilation during acute exacerbations. Noninvasive positive pressure ventilation (NPPV) has been reported to be beneficial in the treatment of acute exacerbation of chronic obstructive pulmonary disease (COPD), and to facilitate weaning In this trial we assessed the possible benefit of early NPPV in patients with blunt chest trauma and acute respiratory failure. The aim of this study was to compare the pharmacokinetic and pharmacodynamic parameters and the clinical efficacy of a continuous infusion of cefepime versus an intermittent regimen in critically ill adults patients with gram negative bacilli infection. The purpose of the study is to identify the factors associated with DNR status in our institution
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