The given article discusses about the evaluation of the Chest Pain Dashboard.
<h3>What is the result of the article?</h3>
A difference-in-difference analysis suggests that the ED with the Dashboard implementation resulted in a significant increase in HIE use compared to EDs without. This finding was supported by qualitative interviews. While these results are encouraging, we also identified areas for improvement. FHIR-based solutions may offer promising approaches to encourage greater accessibility and use of HIE data.
<h3>What is Chest Pain?</h3>
One of the most frequent causes for emergency room visits is chest pain (ER). Each person experiences chest discomfort differently. It differs as well in:
It could seem like a mild ache or a severe, searing pain. It could indicate a major heart condition or be the result of a less serious, common reason.
<h3>What causes Chest Pain?</h3>
Your initial assumption while experiencing chest pain can be that you are having a heart attack. Although chest discomfort is a recognized indicator of a heart attack, there are numerous other less dangerous diseases that can also cause it.
Only 5.5% of all ER visits for chest discomfort, according to one study, result in the identification of a significant cardiac condition.
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The main<u> </u><u>difference</u><u> between a</u><u> TIA</u> (transient ischemic attack) <u>and </u><u>RIND</u> (Reversible ischemic neurologic deficit) is the time duration taken for reversal of symptoms.
Explanation:
The symptoms of TIA can last for about 24 hours and settle within a day. RIND lasts for more than 24 hours and clears within a week or few weeks. This means that RIND is actually a mini version of TIA.
<u>Perspective of the paramedic:</u>
Since both the conditions exhibits acute mini stroke-like conditions with reversal of symptoms, the perspective of the paramedic will be the same for both TIA and RIND.
The paramedics in the field should conduct GCS and FAST tests, detect stroke and its damage caused, should obtain other basic information at the field, and administer basic neuroprotective treatment modalities to save the patient from further damage.
<u>In the hospital,</u> for both TIA and RIND, the primary stroke management is to restore the blood supply to the brain through anticlotting agents like tPA injections or endovascular procedures
. The treatment can vary later according to the severity of the stroke.
A nurse is preparing to administer dextrose 5% in water (d5w) 150 ml iv to infuse over 3 hr. the drop factor of the manual iv tubing is 10 gtt/ml.
Amount of solution to infused=250 ml
Time to be infused = 4 hours
=(4*60)=240 minutes
Drop factor=60gtt/ml
=60gtt/ml
Drip rate in gtt/min=? (calculation)
Drip rate = volume * drop factor
time(minute)
=62.5 gtt/ml
Drip rate=62.5gtt/ml=62gtt/ml
A simple sugar derived from corn or wheat with the term dextrose is chemically equivalent to glucose, or blood sugar. Dextrose is a typical sweetener used in baked products and is present in things like processed foods and corn syrup.
There are many medical uses for dextrose. It is dissolved in intravenous solutions that can be mixed with other medications or used to raise a person's blood sugar. Dextrose is a "simple" sugar that the body can utilize for energy quickly.
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