Emergency departments (EDs) have been becoming increasingly congested due to the combined impacts of growing demand, access block and increased clinical capability of the EDs. This congestion has known to have adverse impacts on the performance of the healthcare services. Attempts to overcome with this challenge have focussed largely on the demand management and the application of system wide p...

In a time of increased patient loads and emergency department (ED) exit block, the need for strategies to manage patient flow in the ED has become increasingly important. In March 2002 we contacted all 1282 members of the Canadian Association of Emergency Physicians and asked them to delineate strategies for enhancing ED patient flow and ED productivity without increasing stress levels, reducin...

Introduction: An approach to building a hybrid simulation of patient flow is introduced with a combination of data-driven methods for automation of model identification. The approach is described with a conceptual framework and basic methods for combination of different techniques. The implementation of the proposed approach for simulation of acute coronary syndrome (ACS) was developed and used...

1. Plethysmographs containing the hand plus forearm were used to measure blood flow in patients with a srugically created arteriovenous fistula in one forearm. 2. Apparent flow rate was stable over a limited range of collecting pressures; the absolute value of these pressures varied from patient to patient. 3. After arterial occlusion, blood flow increased by a similar amount on the normal side...

infective endocarditis is a serious complication of intravenous (iv) drug abuse, with a reported mortality of 5 to 10%. a 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. transthoracic echocardiography showed a highly mobile, large vegetation on the anterior leaflet of the tricuspid valve. despite antibiotic therapy for ten days, the patient remained febril...

case presentation the patient was a 45-year-old male with t8 complete paraplegia; he had developed severe pressure ulcer. the authors used lllt as a complementary treatment. they used 980 nm, continuous 6 j/cm2 for margins and 655 nm, continuous 1.8 j/cm2 for bed of the ulcer, along with intravascular laser therapy. after 24 sessions of lllt and z-plasty surgery, the ulcer healed completely. co...