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Emergencies

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Emergencies*

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Emergencies*

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Emergencies*

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Emergencies*

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Antidotes* ; Emergencies*

Emergency splenectomy is the therapy of choice after trying to prevent bleeding by other methods. Without result in immune thrombocytopenic for operative in patient to reduce mortality and morbidity rate. It is now generally agreed that splenectomy is not only a valid alternative to medical treatment but is associated with a significantly higher rate of permanent remission.
Splenectomy ; Emergencies

Background: Thai Nguyen province have many national and provincial level hospitals. There are a large number of children patients who admitted hospital yearly. Objectives:This study aims to determine the rate patients with emergency status admitted and managed in leu of general hospitals in Thai Nguyen. Subjects and method: A cross - sectional study was done at pediatric departments of general hospitals in Thai Nguyen from April 2004 to April 2005. The data was collected and analyzed by EpiInfo6.04 software. Results:Among 5595 patients admitted hospital, there was 1270 patients hospitalized in emergency unit account for 22.7%, the respiratory disease was the most common. The rate of emergency patient hospitalized directly was very high (38,7 % to 61,9%). The rate of patients who received the first aid or care in community health station was low (10.3 - 20.7%). A great majority of patients were brought to hospital on motorbike. Conclusion: Among the emergency diseases, the highest rate was respiratory disease, then neonatal. The highest mortality rate at Thai Nguyen General Hospital was 13,7%.
Emergencies ; Child

PURPOSE: This study was conducted to shorten the time spent at each stage of treatment and to reduce the total amount of time patients spend in the emergency department (ED) by applying Six Sigma in the treatment of major trauma patients. METHODS: This is a comparative study encompassing 60 patients presenting to the ED of Bundang CHA Hospital from January 2008 to December 2008 and from July 2009 to March 2010. The stages of treatment for major trauma patients were divided into six categories (T1: total emergency department staying time, T2: duration of visit-radiologic evaluation time, T3: duration of visit-consult to department of admission, T4: duration of consultation-issue of hospital admissions time, T5: duration of visit-issue of hospital admissions time, T6: duration of issue of hospital admission-emergency department discharge time) and the total time patients spent in the ED was compared and analyzed for periods; before and after the application of Six Sigma. RESULTS: After the application of Six Sigma, the numerical values in four of the six categories were significantly reduced; T2, T3, T4, and T5. However, the average of the total time patients spent in the ED did not show any remarkable change because the T6 increased highly. The level of Six Sigma increased 0.17sigma. CONCLUSION: The application of Six Sigma for major trauma patients in the ED resulted in a significant improvement in the error rate for the total time patients spent in the ED. The Six Sigma activity has shown great potential. Therefore, the project is expected to bring better results in every stage of treatment if the levels of the hospital facilities are improved.
Emergencies ; Humans

BACKGROUND: Soon Chun Hyang University Hospital emergency laboratory introduced Cobas(R) 6000 (Roche Diagnostics, Switzerland) to improve the turnaround time of emergency chemistry tests at peak time period. METHODS: For the designated period, before and after introduction of Cobas(R) 6000 the numbers of tests and test time were compared and we analyzed the process of the tests using Workflow simulator (Roche Diagnostics). RESULTS: The numbers of tests of 8 days (every Monday and Thursday) in June, 2007 and 2008 were 22,902 and 27,384. The mean test time of the 8 days in June, 2007 and 2008 were 13 min 41 sec and 12 min 22 sec. In 2007, increased mean test time was due to prolongation of waiting times in rotor within equipment for tests at peak time period. CONCLUSIONS: Using Cobas(R) 6000, the numbers of tests were increased at peak time period but mean test time was reduced, which made physicians and laboratory all satisfied.
Emergencies ; Workflow