BACKGROUND Readmission to intensive care during the same hospital stay has been associated with a greater risk of in-hospital mortality and has been suggested as a marker of quality of care. There is lack of published research attempting to develop clinical prediction tools that individualise the risk of readmission to the intensive care unit during the same hospital stay. OBJECTIVE To develo...

In Internal Medicine, POCUS is gaining significant favorability. An increasing number of clinicians are interested in being trained for POCUS. The newer portable ultrasounds small and can be transported easily during rounds. Their design now a more intuitive use. Training Internists involves assessing patients utilizing technology residency. Here at Danbury Hospital, we have formal training. At...

background & aims of the study: the sharp injuries (sis) are a percutaneous piercing wound caused by a sharp instrument. needle sticks and sharp injuries (nssis) can increase the incidence of cases of hepatitis b, c and hiv. the purpose of this study was to investigation of the relative frequency of nssis in healthcare workers (hcws) in ahvaz, iran (razi hospital) over 3-year period (2011–2013)...

Patients can experience unexpected deterioration in their physiological condition that can lead to critical illness, cardiac arrest, admission to the intensive care unit and death. While ward staff can identify deterioration through monitoring physiological signs, these signs can be missed, interpreted incorrectly or mismanaged. Rapid response systems using early warning scores can fail if staf...

Background. To identify, upon emergency department (ED) admission, predictors of unexpected death or unplanned intensive care/high dependency units (ICU/HDU) admission during the first 15 days of hospitalization on regular wards. Methods. Prospective cohort study in a medical-surgical adult ED in a teaching hospital, including consecutive patients hospitalized on regular wards after ED visit, a...

BACKGROUND Accessibility to tertiary intensive care resources differs among hospitals within a rural region. Determining whether accessibility is associated with outcome is important for understanding the role of regionalization when providing critical care to a rural population. METHODS In a prospective design, we identified and recorded the mortality ratio, percentage of unanticipated death...

BACKGROUND Early warning scores (EWS) may aid the prediction of major adverse events in hospitalized patients. Recently, an expanded EWS was introduced in the Netherlands. The aim of this study was to assess the relationship between this EWS and the occurrence of major adverse clinical events during hospitalization of patients admitted to a general and trauma surgery ward. METHODS This was a ...