Introduction: Sepsis is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. Common signs and symptoms include fever, increased heart rate, increased breathing rate, and confusion. To guide treatment, a central venous catheter and an arterial catheter may be placed for access to the bloodstream. Other measurements such as cardiac output and superior vena cava oxygen saturation may be used. Aims: This study was aimed to assess the diagnostic value of procalcitonin (PCT) for sepsis patients and to study the values of procalcitonin (PCT) with multiple organ dysfunctions, death and culture positive patients for sepsis patients. Materials and Methods:ADescriptive, cross-sectional and Prospective Study was conducted in Department of Emergency Medicine in a Tertiary Care Hospital, Kolkata, West Bengal from October 2020 - September 2021. 182 patients were taken in our study. Result:We examined that LOS was signicantly more in patients with Culture [8.5246 ± 2.6433] compared to without Culture patients [6.9752± 1.8729]. (p=<0.001) and more patients had Culture with Died patients [22 (91.7%)] but this was statistically signicant (p<0.0001). Conclusion: We examined that LOS was signicantly more in patients with Culture compared to without Culture patients and age was not signicantly less in patients with MOD compared to without MOD patients.

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Int. J. Adv. Res. 8(03), 268-309 269 and 107(71.3%) emergency physicians were Male. Questions on the Haemorrhage Control, Fight Bites, Burns, Nerve Examination, Fractures, Tendon Injury, Radiology and local anaesthesia were answered correctly by most of the emergency physicians, but there was significant knowledge deficit in the questions based on Amputation , Nail bed injury and High pressure injection injury. Overall ,our study shows that there is significant knowledge deficit amongst the emergency physicians ,out of the twenty questions on various hand injuries presenting to ED,10(6.7%) emergency physicians had 100% correct answers, 35(23.3%) emergency physicians had 50% correct answers and 105(70.0%) emergency physicians had below 50% correct answers.Hence this study showed significant knowledge deficit in assessment and management of hand injuries amongst Emergency Physicians.Copy Right, IJAR, 2020,. All rights reserved. …………………………………………………………………………………………………….... Introduction:-Human alone through the course of evolution has a hand,he used as a tool, symbol, and as a weapon. Any grievous injury to such a vital organ can be a huge occupational and socio-economic burden. Acute traumatic injuries of the hand and wrist especially from road traffic accidents are often encountered in the emergency department. About 10 to 20% of the patients attending the emergency and trauma care present with various forms of hand injuries. Several studies have enumerated the injuries to hand as per the severity where the most common being the soft tissue injuries followed by open wound injuries. The injuries to deeper structures like vessels, nerve and underlying bones were less common. 1, 2, 3 . So for the optimum treatment of any serious hand injury depends upon early recognition and appropriate referral. This can only be achieved with a thorough understanding about the evaluation and management of hand injuries by the ED physicians.Function of hand has to be optimal for good quality of life. Unfortunately, hand injuries are very common as finger and hand injuries are the most common type of work related injury 4 . Severe and life threatening hand injuries are generally managed in the hospital emergency department setting. Whereas if the injuries are not that severe,they can be successfully managed in primary care. Many of the studies have enumerated the injuries to hand as per the severity where the most common being the soft tissue injuries followed by open wound injuries. The causes of such hand injuries are numerous and can include traumatic injuries, sporting accidents, occupational injuries, burns (thermal and chemical) and bites of various types. This study emphasises on the knowledge of emergency physicians regarding initial management and assessment of hand injuries presenting to emergency department followed by more specific detail about common injuries and their management. The aim is not to cover each injury in detail, but to assess the knowledge of emergency physicians regarding hand injuries and how confidently ...

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