Clinical trials are extremely difficult to undertake and recruiting patients for these trials is one of the most significant challenges. This brief report sought to determine the suitability of an urgent care center as a research recruitment site by assessing its patients' views on participating in clinical trials. One thousand and two subjects were surveyed over a 45-day period; 9.0 % had prev...

Strangulated intestinal obstruction is one of the most common types of acute abdomen and requires urgent surgical treatment. Herein, we report a very rare case of strangulated intestinal obstruction caused by an ileo-ileal knot. An 80-year-old woman was admitted to our hospital with suspicion of strangulation ileus and underwent emergency laparotomy after investigation by exploratory single-por...

An 81-year-old woman was admitted with a 1-week history of breathlessness. On admission, she was found to be in respiratory distress with new onset atrial fibrillation and hypotension. Her chest X-ray (Fig. 1) revealed a large hiatus hernia with a dual-fluid level, associated with significant extension into the left hemithorax and mediastinal shift. She was admitted to a general medical ward, w...

Case report of a 23-year-old male patient with pancreatic pseudocyst, initially was treated by the Interventional Radiology service placing percutaneous drainage poor evolution, abruptly presented abdominal pain, Systemic Inflammatory Response Syndrome and peritoneal irritation, so an urgent exploratory laparotomy performed finding rupture pseudocyst into cavity. He septic shock died in immedia...

With increasing national focus on patient experience scores through public reporting and the Value-Based Purchasing Program, hospitals and medical groups are challenged with initiating sustainable programs to improve their scores. Our system initiated 3 pilot programs to determine which approaches and techniques would be the most beneficial. The pilot trails included: (a) MD to MD 1:1 coaching ...

BACKGROUND Visceral artery aneurysms at the origin of the gastric and gastroepiploic artery are uncommon. Raptured visceral aneurysms cause high mortality and require urgent and adequate intervention and treatment. PRESENTATION OF CASE A 65-year-old woman was transferred to the emergency department with sudden abdominal and back pain. Radiographically, we diagnosed intra-abdominal bleeding du...

OBJECTIVES To determine the community characteristics associated with non-hospital-based urgent care centres wherever they are located. DESIGN National cross-sectional study evaluating the association between non-hospital-based urgent care centers, and their demographic characteristics in a community, using descriptive statistics and multivariate logistic regressions. SETTING Communities in...

An elderly gentleman suddenly developed moderate to severe epigastric pain associated with hypotension and tachycardia. A supine abdominal X-ray was taken. Urgent CT abdomen performed after initial stabilisation revealed large amounts of free gas and fluid in the peritoneal cavity. Emergency Laparotomy revealed a perforated gastric ulcer. Review of the supine abdominal X-ray showed a number of ...