Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Carbon monoxide poisoning: correlation of neurological findings between accident and emergency departments and a hyperbaric unit
Autore:
Lynch, R; Laden, G; Grout, P;
Indirizzi:
Hull Royal Infirm, Dept Accid & Emergency, Hull HU3 2JZ, N Humberside, England Hull Royal Infirm Hull N Humberside England HU3 2JZ N Humberside, England BUPA Hosp, Clin Hyperbar Facil, Hull, N Humberside, England BUPA Hosp Hull N Humberside England r Facil, Hull, N Humberside, England
Titolo Testata:
EMERGENCY MEDICINE JOURNAL
fascicolo: 2, volume: 18, anno: 2001,
pagine: 95 - 98
SICI:
1472-0205(200103)18:2<95:CMPCON>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
OXYGEN;
Keywords:
carbon monoxide poisoning; hyperbaric oxygen; neurological examination;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Lynch, R Hull Royal Infirm, Dept Accid & Emergency, Hull HU3 2JZ, N Humberside, England Hull Royal Infirm Hull N Humberside England HU3 2JZ ide, England
Citazione:
R. Lynch et al., "Carbon monoxide poisoning: correlation of neurological findings between accident and emergency departments and a hyperbaric unit", EMERG MED J, 18(2), 2001, pp. 95-98

Abstract

Objectives-To investigate and quantify the differences in neurological examination findings in patients acutely poisoned with carbon monoxide, between initial assessment at accident and emergency (A&E) departments and subsequently at a hyperbaric unit. Methods-Retrospective case note review of all patients referred to the Hull Hyperbaric Unit for treatment of acute carbon monoxide poisoning between August 1998 and August 1999. Patients who were ventilated or less than 16 years old were excluded because of difficulty in assessing their neurological status. Results-Thirty patients were included for analysis. The mean duration fromexposure to assessment in A&E was four hours while patients were reviewed on average three hours later at the hyperbaric unit. Referrals came from 14different hospitals. A history of loss of consciousness accounted for 70% of referrals. A mean of 3.2 neurological signs per patient was documented in A&E compared with 9.2 at the hyperbaric unit. Seventy nine per cent of abnormal neurological signs were not detected at A&E departments compared with 3% at the hyperbaric unit. The major source of discrepancy was in sharpened Rhomberg's test and heel-toe gait, in 13% of patients examined in A&E departments these signs were recorded as abnormal compared with 90% at the hyperbaric unit. Conclusion-There is a large discrepancy in neurological findings between assessment in A&E departments and the Hull Hyperbaric Unit. A number of factors may account for this including interobserver variation, patient deterioration during transfer, poor documentation, lack of understanding of the sequelae of carbon monoxide poisoning and inadequate examinations. Further research is required to quantify the impact of the various factors that may contribute to the differences in neurological findings.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 03:04:09