| 4 | Acute care needs in an Indian emergency department: A retrospective analysis显示文摘BACKGROUND: Emergencies such as road traffic accidents(RTAs), acute myocardial infarction(AMI) and cerebrovascular accident(CVA) are the most common causes of death and disability in India. Robust emergency medicine(EM) services and proper education on acute care are necessary. In order to inform curriculum design for training programs, and to improve the quality of EM care in India, a better understanding of patient epidemiology and case burden presenting to the emergency department(ED) is needed.METHODS: This study is a retrospective chart review of cases presenting to the ED at Kerala Institute of Medical Sciences(KIMS), a private hospital in Trivandrum, Kerala, India, from November 1, 2011 to April 21, 2012 and from July 1, 2013 to December 21, 2013. De-identified charts were systematically sampled and reviewed.RESULTS: A total of 1 196 ED patient charts were analyzed. Of these patients, 55.35%(n=662) were male and 44.7%(n=534) were female. The majority(67.14%, n=803) were adults, while only 3.85%(n=46) were infants. The most common chief complaints were fever(21.5%, n=257), renal colic(7.3%, n=87), and dyspnea(6.9%, n=82). The most common ED diagnoses were gastrointestinal(15.5%, n=185), pulmonary(12.3%, n=147), tropical(11.1%, n=133), infectious disease and sepsis(9.9%, n=118), and trauma(8.4%, n=101).CONCLUSION: The patient demographics, diagnoses, and distribution of resources identifi ed by this study can help guide and shape Indian EM training programs and faculty development to more accurately refl ect the burden of acute disease in India. | Elizabeth G. Clark Jessica Watson Allison Leemann Alan H. Breaud Frank G. Feeley III James Wolff Tamorish Kole Gabrielle A. Jacquet | 2016 | World Journal of Emergency Medicine2016，7，3： | 2 |
| 11 | 癌症的血液标志物显示文摘一名61岁男子因背痛一个月,去看他的全科医生。他患有高血压,无吸烟史,并且近几个月感到疲劳,背痛使他彻夜难眠,没有体重减轻。临床检查结果正常。该患者的鉴别诊断范围很广,包括潜在的恶性疾病,例如胰腺癌、骨髓瘤、前列腺癌或转移瘤。因为许多常见症状是非特异性的且低风险,故癌症难以识别,甚至众所周知的“警示”性症状对潜在的恶性肿瘤的阳性预测值(PPV)也相对较低1。 | Jessica Watson Luke Mounce Sarah ER Bailey Sharon L Cooper Willie Hamilton 时丹丹(译) | 2020 | 英国医学杂志中文版2020，23，2： | 0 |
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