Is the Addiction Severity Index–Multimedia Version a viable alternative to the expensive and potentially unreliable Standard Addiction Severity Index? The Addiction Severity Index– Multimedia Version is a CD-ROM based simulation of the interviewer-administered Standard Addiction Severity Index (ASI-MV, 2003). This study has clients in treatment self-administer the Addiction Severity Index – Mul...

Objective To verify correlations between age, injury severity, length of stay (LOS), cognition, functional capacity and quality of life (QOL) six months after hospital discharge (HD) of victims of traumatic brain injury (TBI). Method 50 patients consecutively treated in a Brazilian emergency hospital were assessed at admission, HD and six months after HD. The assessment protocol consisted in Ab...

A modified flash flood severity assessment is presented, based on scoring a set of factors according to their potential for generating extreme catchment-scale flooding. Improvements are made to the index through incorporation of parameter uncertainties, managing data absence, and clearer graphical communication. The motive for proposing these changes is to better inform flood managers during th...

Proponents of return to a "need for treatment" standard for civil commitment contend that the current dangerousness standard forces psychiatrists to neglect severely ill patients in favor of those who are less ill but dangerous to others. Among 198 psychiatric emergency patients in five facilities, those rated as most dangerous on Three Ratings of Involuntary Admissibility, a reliable index of ...

Mortality in patients with community-acquired pneumonia (CAP) who require intubation or support with inotropes in an intensive care unit setting remains extremely high (up to 50%). Systematic use of objective severity-of-illness criteria, such as the Pneumonia Severity Index (PSI), British Thoracic Society CURB-65 (an acronym meaning Confusion, Urea, Respiratory rate, Blood pressure, age >/=65 ...

BACKGROUND Haemorrhagic shock is a major cause of death in the acute care setting. Since 2009, our emergency department has used intra-aortic balloon occlusion (IABO) catheters for resuscitative endovascular balloon occlusion of the aorta (REBOA). METHODS REBOA procedures were performed by one or two trained acute care physicians in the emergency room (ER) and intensive care unit (ICU). IABO ...