Vasopressin alone or with epinephrine may be superior to epinephrine in a clinically relevant porcine model of pulseless electrical activity cardiac arrest

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• 作者：Charles M. Little ; Mia H. Marietta ; Kathleen Peng ; Kennon Heard ; Miguel Fragoso ; Fred A. Severyn ; Vikhyat S. Bebarta ; Norman A. Paradis
• 关键词：Acetic acid (AA) ; Hematuria ; Hemolysis ; Hepatic dysfunction
• 刊名：The American Journal of Emergency Medicine
• 出版年：2006
• 出版时间：November 2006
• 年：2006
• 卷：24
• 期：7
• 页码：810-814
• 全文大小：100 K

文摘

The aim of this study was to evaluate the effectiveness of analgesia delivery, in the emergency department setting, to patients presenting with acute pain, with regard to guidelines from the British Association of Accident and Emergency Medicine (BAEM).<h4 class=""h4"">Methodsh4>

A retrospective analysis of patient records. We measured the time intervals between patient arrival, assessment, and the delivery of analgesia. Clinical outcomes were compared with national target guidelines.<h4 class=""h4"">Resultsh4>

The mean interval for patients with moderate pain was 3 hours and 46 minutes, and for those with severe pain, 1 hour and 12 minutes. The range was from 8 minutes to 4 hours and 11 minutes. The number of patients not receiving analgesia within BAEM best practice guidelines was 68 % .<h4 class=""h4"">Conclusionh4>

There is a significant delay in patients with acute pain receiving any form of analgesia. Performance in relation to BAEM guidelines is poor. Several areas have been identified to make practical changes to service provision and patient care.