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Emergency Care Of Traumatic Brain Injuries In Pakistan: A Multicenter Study, Junaid Ahmad Bhatti, Kent Stevens, Muhammad Umer Mir, Adnan Ali Hyder, Junaid Razzak

Department of Emergency Medicine

Background:

This study assessed factors associated with emergency care outcomes and out-of-pocket treatment costs in traumatic brain injury (TBI) patients in Pakistan.

Methods:

Data on TBI patients were extracted from a four-month surveillance study conducted in the emergency departments (ED) of seven large teaching hospitals. Emergency care access to physicians and imaging facilities were compared with respect to ED outcomes (discharged, admitted or dead). Out-of-pocket treatment costs (in United States dollars [USD]) were compared among different patient strata.

Results:

ED outcomes were available for 1,787 TBI patients. Of them, most were males (79%), aged <25 years (46%) and arrived by ambulances (32%). Nurses or paramedical staff saw almost all patients (95%). Physicians with practice privileges (medical officers, residents or consultants) saw about half (55%) of them. Computerized tomography (CT) scans were performed in two of five patients (40%). Of all, 26% (n = 460) were admitted and 3% died (n = 52). Emergency care factors significantly associated with being admitted or died were arriving by ambulance (adjusted odds ratio [aOR] = 2.37, 95% confidence interval (CI) [95%CI] = 1.78-3.16); seen by medical officer/residents (aOR = 2.11; 95%CI = 1.49-2.99); and had CT scan (aOR = 2.93; 95%CI = 2.25-3.83). Out-of-pocket treatment costs at the ED were reported in 803 patients. Average costs were USD 8, (standard deviation [SD] = 23). Costs were twice as high in those arriving in ambulances (USD 20, SD = 49) or who underwent CT scans (USD 16, SD = 37).

Conclusion:

TBI patients' access to ambulance …

Ambulance Use In Pakistan: An Analysis Of Surveillance Data From Emergency Departments In Pakistan., Nukhba Zia, Hira Shahzad, Syed Muhammad Baqir, Shahab Shaukat, Haris Ahmad, Courtland Robinson, Adnan Ali Hyder, Junaid Razzak

Department of Emergency Medicine

Background:

The utilization of ambulances in low- and middle-income countries is limited. The aim of this study was to ascertain frequency of ambulance use and characteristics of patients brought into emergency departments (EDs) through ambulance and non-ambulance modes of transportation.

Methods:

The Pakistan National Emergency Departments Surveillance (Pak-NEDS) was a pilot active surveillance conducted in seven major tertiary-care EDs in six main cities of Pakistan between November 2010 and March 2011. Univariate and multivariate logistic regression was performed to investigate the factors associated with ambulance use.

Results:

Out of 274,436 patients enrolled in Pak-NEDS, the mode of arrival to the …

Pattern Of Presenting Complaints Recorded As Near-Drowning Events In Emergency Departments: A National Surveillance Study From Pakistan., Siran He, Jeffrey C. Lunnen, Nukhba Zia, Uzma Rahim Khan, Khusro Shamim, Adnan Ali Hyder

Department of Emergency Medicine

Background:

Drowning is a heavy burden on the health systems of many countries, including Pakistan. To date, no effective large-scale surveillance has been in place to estimate rates of drowning and near-drowning in Pakistan. The Pakistan National Emergency Department Surveillance (Pak-NEDS) study aimed to fill this gap.

Method:

Patients who presented with a complaint of “near-drowning” were analyzed to explore patterns of true near-drowning (unintentional) and intentional injuries that led to the “near-drowning” complaint. Bivariate analysis was done to establish patterns among patients treated in emergency departments, including socio-demographic information, injury-related information, accompanying injuries, and emergency department resource utilization.

Result: …

Incentives Critical To Full Wind Power Potential In Nebraska, Michael Neale

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

On August 3rd, President Obama and the EPA announced the Clean Power Plan (CPP) with the goal of cutting 32% of carbon emissions nationwide by 2030. The plan institutes carbon reduction requirements for all states based on their current sources of energy, for Nebraska the goal is 40%. The next day, Governor Ricketts and his Attorney General announced they would be fighting the mandate in court; stating the plan is unlawful federal government overreach, while expressing concerns the reduction are infeasible in the timeframe given and will drive up electricity costs. Governor Ricketts misses the point on this. Reducing carbon …

The Tax Of The Century, Anna Wistrom

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

The current economic standing of the United States is nothing like it was back in the 20’s when “business was booming”. There are some businesses today that are still above water despite these difficult times and they are mainly fossil fuel companies. The United States, along with other develOp-ed and developing countries, has a strong and crippling addiction to these cheap and dirty fuels. The goal of several recent environmental conventions has been to find a way to decrease the amount harmful gas that is emitted from these fuels into our atmosphere. Clean energy technologies always seem to be the …

2015-12-11, Board Of Regents, Murray State University

Board of Regents Meeting Minutes

No abstract provided.

Board Of Trustees Agenda, Dec. 11 2015, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

Board Of Trustees Agenda, Dec. 11 2015 - Finance Committee, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

Terik Williams V. Roger Bolava

2015 Decisions

USDC for the Eastern District of Pennsylvania

Derrick Brown V. Warden Lewisburg Usp

2015 Decisions

USDC for the Middle District of Pennsylvania

Michael Kissell V. Laurel Highlands Sci

2015 Decisions

USDC for the Western District of Pennsylvania

Usa V. Saladen Williams

2015 Decisions

USDC for the District of New Jersey

Usa V. Arnell Monroe

2015 Decisions

USDC for the Middle District of Pennsylvania

Newsletter, University Of South Florida St. Petersburg Celebrates 50, December 11, 2015, University Of South Florida St. Petersburg. Office Of University Advancement

USF St. Petersburg 50th Celebration: Monthly Newsletter

An e-newsletter with updates about events for the University of South Florida St. Petersburg's 50th anniversary.

Emu Today, December 11, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 10, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 9, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 8, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 7, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 4, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 3, 2015, Eastern Michigan University

EMU Today

No abstract provided.

[2015-12-11] Meeting Of The Finance, Investment And Property Committee, Virginia Commonwealth University. Board Of Visitors

VCU Board of Visitors Minutes

Official minutes of the VCU Board of Visitors and its Executive Committee.

Isso Newsletter, December 11, 2015, University Of Northern Iowa. International Students And Scholars Office.

ISSO Weekly Newsletter

Inside This Issue:

--Winter Clothing Drive December 14-18
--Winter Break On Campus Dining Hours
--International Students Living on Campus Late Departure Procedures
--Winter Break Travel Reminder
--Health and Wellness
--Change in the Pharmacy Specialist Used for SHIP Health Insurance
--Money Matters
--Live Like a Student Financial Literacy Classes
--Transit Financial Literacy
--The Sue Follon Scholarship for Women in Leadership
--For Sale and Sublease Ads

Comparison Of Outcomes In Heart Bypass Patients Undergoing Insertion Of An Internal Jugular Vein Central Line By Ultrasound Compared To Traditional Landmark Technique, Sayha Ol Ma

Doctoral Projects

Patients that undergo heart bypass surgery require central line placement from a healthcare provider. To place this device one must use either ultrasound guided or landmark technique. Using ultrasound guided compared to landmark technique may reduce complications. The goal of this project was to determine if ultrasound use of central line placement is a safer practice compared to using the traditional technique.

A retrospective chart review was performed to compare internal jugular central line placement by ultrasound with the traditional landmark placement to evaluate results related to patient outcomes. Data from fifty health records were analyzed using chi-square. The complications …

The Regional Study Of Sleep-Related Behaviors Of Nurse Anesthetists: Personal And Professional Implications: A Replication Study, Jarrod Fontenelle

Doctoral Projects

Universally, anesthesia providers are expected to be knowledgeable, astutely responding to clinical challenges while maintaining a prolonged vigilance for administration of safe anesthesia and critical care. A fatigued anesthetist is the consequence of cumulative acuity manifesting as decreased motor and cognitive powers. This results in patient harm, impaired judgement, late and inadequate responses to clinical changes, poor communications, and medical errors. With increased expectations and medical-legal claims, anesthesiologists work to provide efficient and timely services, but are rendered sleep deprived themselves. It is the right time to address the issue of the health of anesthesia providers and the profession. The …

Does The Use Of A Regional Nerve Block Decrease The Incidence Of Post Operative Nausea And Vomiting, Decrease Pain Scores, Or Decrease Discharge Time Compared To General Anesthesia Alone?, Donald Lane Whitney

Doctoral Projects

Problem Statement: The use of regional anesthesia in orthopedic surgeries has been shown to decrease the rate of postoperative nausea and vomiting (PONV), postoperative pain, and decrease postoperative discharge time. However, some healthcare facilities continue to provide anesthesia for these procedures without the use of regional anesthesia techniques.

Purpose: The purpose of this capstone project was to determine if the addition of a regional anesthetic technique would be beneficial to the patient and cost efficient to the healthcare facility.

Methods: A retrospective chart review was conducted and data collected on the population of interest. Inclusion criteria were patients undergoing orthopedic …

Evaluation Of Vaccination Policies Among Outpatient Oncology Clinics In Utah: A Pilot Study, Karlen Beth Luthy, Sarah L. Stocksdale, Janelle L B Macintosh, Lacey M. Eden, Renea L. Beckstrand, Katherine Edmonds

Faculty Publications

Background: In Utah, all major hospital facilities have employee vaccination policies. However, the presence of health care worker vaccination policies in the Utah outpatient oncology setting was unknown.

Objectives: The objectives were to identify Utah oncology outpatient employee vaccination policies and to identify what consequences, if any, were present for unvaccinated employees.

Methods: This was a cross-sectional, descriptive study design in which clinic managers from outpatient oncology clinics in Utah were asked, via questionnaire, to describe the clinic’s employee vaccination policy and the consequences for refusing the policy.

Findings: Most vaccination policies applied to employees primarily assigned to work in …

Scene & Herd, December 11, 2015, University Of South Florida St. Petersburg. Division Of University Relations

Points of Pride, Scene & Herd, and E-News

The December 11, 2015, issue of Scene & Herd, a newsletter for faculty and staff at the University of South Florida St. Petersburg.

Functional Biomarker For Age-Related Macular Degeneration, Staff

Browse All News

No abstract provided.

Bbva Compass Field First Of Many Athletics Facilities Coming To Uab, Staff

Browse All News

No abstract provided.