medical services; emergency medical technicians; J-Point; prehospital care; STsegment Abbreviations: BEH = Bachelor of Emergency Health

...SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS PLAN FOR THE EMERGENCY SECURITY CONTROL OF AIR TRAFFIC (ESCAT) Explanation of Terms, Acronyms and Abbreviations § 245.6 Abbreviations and acronyms. AADC�Area Air Defense Commander...

disaster team; disaster team formation; emergency response; multidisciplinary team; physiotherapy; roles of physiotherapy Abbreviations: NGO = non-governmental organization

incident; public health; relief work; research design Abbreviations: EFIC = exception from informed consent

WhisperFlow� Abbreviations: CPAP = continuous positive airway pressure ED = emergency department EMS = emergency medical services ICU = intensive care unit LOS = length of stay

Emergency Preparedness RERF Radiation Effects Research Foundation RF Radio frequency RITN Radiation Injury Treatment Network RSO Radiation safety officer Rx Treatment...

This report describes a very rare case of right paraduodenal hernia presenting as volvulus of nonherniated small intestine. A 12-year-old boy presented with sudden onset of lower abdominal pain, and emergency laparotomy was performed on a diagnosis of small intestinal obstruction. Laparotomy confirmed right paraduodenal hernia and ...

Rupture of a splenic artery aneurysm remains an uncommon cause of hypovolaemic shock in the emergency department. This case report highlights that rapid resuscitation, diagnostic imaging, surgical consultation and subsequent laparotomy remain the priorities in patient management

Objective:The focused assessment with sonography for trauma (FAST) exam is a routine diagnostic adjunct in the initial assessment of blunt trauma victims but lacks the ability to reliably predict which patients require laparotomy. Physiologic data play a major role in decision making regarding the need for emergent laparotomy versus ...

BackgroundVery few cases of small bowel obstruction due to ingested fruits have been described in literature, and most of these have managed by a laparotomy. Laparoscopic assisted surgery can effectively deal with such impacted foreign bodies, thereby avoiding a formal laparotomy.Case presentationA 75 years old lady was admitted via the Accident and ...

Background:Studies have documented the impact of intra-abdominal hypertension (IAH) on virtually every organ. However, it still remains strangely underdiagnosed. The aims of the study were to assess, in patients undergoing emergency laparotomy, whether intra-abdominal pressure (IAP) is an independent predictor of morbidity and mortality, to evaluate the ...

Objective. To describe a profoundly immunocompromised (panleukopenia) child with septic shock who developed abdominal compartment syndrome (ACS) and was successfully treated with surgical decompression. Design. Individual case report. Setting. Pediatric intensive care unit of a tertiary children's hospital. Patient. A 32-month-old male with Fanconi anemia who underwent bone marrow transplantation ...

...SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW...Department of Commerce DOD�Department of Defense...Local Emergency Planning Committee NCP...National Strike Force NSFCC�National Strike Force Coordination...

...SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW...Department of Commerce DOD�Department of Defense...Local Emergency Planning Committee NCP...National Strike Force NSFCC�National Strike Force Coordination...

...MISCELLANEOUS PLAN FOR THE EMERGENCY SECURITY CONTROL OF AIR TRAFFIC (ESCAT...Fleet DEN�Domestic Event Network DHS�Department of Homeland Security DND�Department of National...Order ESCAT�Emergency Security Control of Air Traffic...

Colorectal foreign bodies are infrequently encountered, and are mostly associated with increased incidence of homosexuality and anal auto-erotism. The diagnosis may be confirmed by plain abdominal radiographs and rectal examination, but abdominal computerized tomography can be decisive in the further management. Manual extraction is only possible for very low-lying objects; patients with ...

A 72-year-old male patient with gall bladder perforation and small intestinal obstruction from impacted gall stone was posted for emergency laparotomy. He had congestive heart failure, severe hypertension at admission and history of multiple other coexisting diseases. On admission, he developed pulmonary oedema from systolic hypertension which was ...

A 72-year-old male patient with gall bladder perforation and small intestinal obstruction from impacted gall stone was posted for emergency laparotomy. He had congestive heart failure, severe hypertension at admission and history of multiple other coexisting diseases. On admission, he developed pulmonary oedema from systolic hypertension which was ...

Right lower quadrant pain is a very common symptom in everyday clinical practice, and of variable etiology. In patients arriving in the emergency room with sudden-onset right lower quadrant pain, the commonest cause is acute appendicitis. Primary epiploic appendagitis, a rare entity, with a clinical presentation similar to other causes of acute abdomen, and one that subsides ...

INTRODUCTIONViolence has become part and parcel of the daily routine of living in South Africa. This prospective study of 78 patients who sustained abdominal gunshot wounds was undertaken to evaluate the pattern of injuries, treatment outcome and the role of selective conservative management.PATIENTS AND METHODSAll patients with abdominal gunshot wounds admitted into the accident and ...

Splenic trauma in children following blunt abdominal injury is usually treated by nonoperative management (NOM). Splenectomy following abdominal trauma is rare in children. NOM is successful as in the majority of instances the injury to the spleen is contained within its capsule or a localised haematoma. Rarely, the spleen may suffer from an avulsion injury that causes severe uncontrollable ...

Pneumatosis intestinalis (PI) is defined as gas within the gastrointestinal wall and is associated with a variety of disorders. As a concurrent occurrence with pneumoperitoneum, it can easily to be mistaken for bowel ischemia with perforated peritonitis. In fact, air dissection or rupture from subserosal cysts may be the cause of intraperitoneal and intraluminal free air, with clinical symptoms ...

Pneumatosis intestinalis (PI) is defined as gas within the gastrointestinal wall and is associated with a variety of disorders. As a concurrent occurrence with pneumoperitoneum, it can easily to be mistaken for bowel ischemia with perforated peritonitis. In fact, air dissection or rupture from subserosal cysts may be the cause of intraperitoneal and intraluminal free air, with clinical symptoms ...

A consecutive series of 49 women (50 procedures), whose conditions were haemodynamically stable, presenting with acute lower abdominal pain, pelvic tenderness, and either a urine concentration of greater than 50 U/l beta human chorionic gonadotrophin or a pelvic mass shown by ultrasonography were treated with operative laparoscopy under video monitoring (videopelviscopy) as an alternative to ...

emergency medical services; infection control; influenza vaccination; pandemic influenza; pandemic preparedness; respirator fitchecking; respiratory personal protective equipment Abbreviations: EMS = emergency medical services EMT = emergency medical technician FDNY = Fire Department of New York PPE = personal ...

A 17 year old male was admitted emergently with acute small bowel obstruction. An urgent laparotomy revealed a loop of gangreous ileum herniated through a right paraduodenal hernia. The compromised bowel was resected and a primary anastomosis was performed. This case report allows us to discuss the diagnostic and therapeutic features of this rare ...

We report the case of a 44-year-old farmer who fell from a ladder onto the handle of a wheelbarrow and sustained a rectal impalement with rupture of the small intestine. After the clinical diagnostics an emergency laparotomy was carried out with primary suturing of the rectal perforation. Furthermore there were two perforations of the small intestine which ...

The case of a 20 year old primigesta with a 30 weeks pregnancy, who was admitted to Emergency Service, with acute abdomen by cholecystitis, is presented. At laparotomy, a vesicular wall perforation, was found, partially sealed with epiplon and free biliary fluid in peritoneal cavity. Cholecystectomy was performed; and cesarean section 24 hours after. ...

Rupture of an intra-abdominal varix in a patient with portal hypertension is a rare but severe cause of massive hemoperitoneum. The authors report the case of a patient with alcoholic cirrhosis that presented to the emergency department with hypovolemic shock. Imaging showed massive hemoperitoneum, severe portal hypertension and suggested the diagnosis of spontaneous rupture ...

Traumatic diaphragmatic injury (DI) is a unique clinical entity that is usually occult and can easily be missed. Their delayed presentation can be due to the delayed rupture of the diaphragm or delayed detection of diaphragmatic rupture, making the accurate diagnosis of DI challenging to the trauma surgeons. An emergency laparotomy and thorough exploration ...

Traumatic diaphragmatic injury (DI) is a unique clinical entity that is usually occult and can easily be missed. Their delayed presentation can be due to the delayed rupture of the diaphragm or delayed detection of diaphragmatic rupture, making the accurate diagnosis of DI challenging to the trauma surgeons. An emergency laparotomy and thorough exploration ...

A 75-year old male presented to the emergency room with worsening abdominal pain and distension. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. A transverse colon volvulus was ...

Severe dog bites can result in substantial morbidity and potentially fatal injury. We present a case of an infant attacked by a Staffordshire bull terrier with resultant soft tissue injury, evisceration, and bowel injury. Rapid assessment in the emergency department included evaluation for both blunt and penetrating injuries. After initial survey and resuscitation, the patient ...

The association of an ovarian cyst with pregnancy is relatively rare; it may result in serious maternal and fetal complications and its treatment is still controversial. We present a case in which the rarity is given by the association of an 11cm--serous right ovarian cyst (with signs of torsion) with a monofetal 6 gestation week--pregnancy, by the initial conservative management and by the ...

This study evaluated 18 patients with blunt abdominal trauma who suffered isolated mesenteric injuries, diagnosed at exploratory laparotomy. Thirteen had diagnostic peritoneal lavage (PL) as their initial diagnostic study, and five had computed tomography (CT). All patients who had positive PL were explored emergently, undergoing repair of mesenteric ...

Contents: Abbreviations; Background; Executive Summary; Disaster Management and Recovery; Mental Health; Child Physical Health and Trauma; Emergency Medical Services and Pediatric Transport; Disaster Case Management; Child Care and Early Education; Elemen...

Response................................5 Hurricane Response Plan (abbreviated) ...............7 Tornado Response Plan .........................................8 Tornado: Classroom Response school buses for transport to inland shelters. #12;� � Tornado Response Plan tornado Watch � is issued when

This report identifies those individuals who are conducting investigative protocols at Madigan Army Medical Center. An abstract of each protocol giving abbreviated technical objectives, approach, and progress is presented. Emergency Medicine; Family Pract...