Subject(s)
Air Ambulances , Anesthesia , Emergency Medical Services , Emergency Medicine , Cognition , Critical Care , Humans , Software DesignABSTRACT
Under the authority of the French Biomedicine Agency, a new care pathway integrates refractory cardiac arrest patients into a process of organ donation. It is a medical, logistical and ethical challenge for the staff of the mobile emergency services.
Subject(s)
Emergency Medical Services , Out-of-Hospital Cardiac Arrest , Tissue Donors , Tissue and Organ Procurement , France , Humans , Nurse's RoleSubject(s)
Hereditary Angioedema Types I and II/therapy , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Bradykinin/analogs & derivatives , Bradykinin/antagonists & inhibitors , Bradykinin/physiology , Bradykinin/therapeutic use , Complement C1 Inhibitor Protein/therapeutic use , Emergency Service, Hospital , Female , HumansSubject(s)
Emergency Medical Services/methods , Triage/methods , Wounds, Nonpenetrating/diagnostic imaging , Abdominal Injuries/diagnostic imaging , Humans , Inservice Training , Point-of-Care Systems , Randomized Controlled Trials as Topic , Sensitivity and Specificity , Time and Motion Studies , UltrasonographyABSTRACT
BACKGROUND: Group A Streptococcus (GAS) is an uncommon cause of infection after clean surgery in non-pregnant adults. METHODS: Report of three cases and review of the literature. results: For the first time in France, severe GAS infections were observed in three patients who underwent thyroidectomy at three hospitals. Two of them developed streptococcal toxic shock syndrome. CONCLUSION: Better knowledge of physiopathologic mechanisms would help in the detection and prevention of severe GAS infections.