Triage à l’admission aux urgences en 2022

Abi-Khalil, Muriel; Ongaro, Gioele; Berger, Élodie; Wijayasinghe, Sagara; Hausser, Joëlle

doi:10.53738/revmed.2022.18.791.1501

Cited by 2 publications

(2 citation statements)

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“…The prevalence and incidence of anaphylaxis in the general population are underestimated. In fact, this condition is underdiagnosed because of the variety of clinical manifestations [4] [5].…”

Section: Discussionmentioning

confidence: 99%

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Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

Camara,

Touré,

Ahounou

et al. 2023

OJEM

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Anaphylaxis is a serious systemic reaction that is part of the general pattern of potentially fatal hypersensitivity reactions requiring immediate management. We report the case of a patient presenting to emergency with signs of malaria and pneumonia who was diagnosed with grade 4 anaphylaxis following antibiotic injection in the emergency department. The patient was 30 years old, with no previous history of anaphylaxis, and presented to the emergency department with fever, dry cough, headache and dizziness associated with prostration. Physical examination showed stable hemodynamics (BP = 110/80 mmHg, HR = 95 p/min,) and respiratory function with SpO 2 = 98%, HR = 22 c/min and crepitus rales at the base of the lungs. The laboratory work-up carried out in the emergency department revealed a biological inflammatory syndrome associated with hyperleukocytosis of 11,260/mm 3 , a positive thick drop with GE(+) dp = 1183 T/microlitre; blood glucose = 0.83 g/l; Covid 19 RDT = (negative). A diagnosis of malaria and pneumonia was made and antibiotic therapy (ceftriaxone) and artesunate were indicated. During the injection of ceftriaxone 1 g, the patient became agitated, followed by cardiorespiratory arrest, confirming the diagnosis of stage 4 anaphylaxis. Treatment consisted of stopping the ceftriaxone injection, external cardiac massage and ventilation, intravenous adrenaline and vascular filling, which enabled the patient to recover and stabilize. The diagnosis of anaphylaxis is clinical. Early administration of adrenaline is the mainstay of treatment.

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Section: Discussionmentioning

confidence: 99%

“…The actual incidence of anaphylactic events remains poorly known and appears to be underestimated. Existing epidemiological studies are heterogeneous and most often based on self-reporting [4] [5].…”

Section: Introductionmentioning

confidence: 99%

Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

Camara,

Touré,

Ahounou

et al. 2023

OJEM

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Sexual Assault Report: Creation and Implementation of an Electronical Form at Geneva University Hospitals (Preprint)

Cottler-Casanova,

Rimondi,

Lamuela

et al. 2024

Preprint

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BACKGROUND During a sexual assault report, physicians gather a significant amount of information: socio- demographic characteristics of the victims, events and documentation of injuries. However, the literature highlights the lack of comparative information from available clinical research studies. The World Health Organization (WHO) and Council of Europe emphasized the urgent need for a common methodology to document sexual assaults and to strengthen care. OBJECTIVE We describe the methods used at the Obstetrics and Gynecology Emergency Departments (ObGyn ED) of Geneva University Hospitals (HUG) to create a comprehensive, systematic and reproductible digital datasheet for medico-legal sexual assault reports, with the aim of informing the creation of a regional sexual assault patient cohort for French-speaking Switzerland. Integrated into the patient’s electronic medical record (EMR), the ease of access restricted to authorized staff should enhance the efficiency of the clinical workflow. METHODS Identification of data and variables of the electronic Sexual Assault Report (eSAR) was guided by a retrospective study conducted between 2018 and 2021 in the Swiss University Hospitals of Geneva and Lausanne and included 740 sexual assault reports. Standardized classifications and clinical scales were utilized. For one year, the eSAR was revised and improved by a multidisciplinary panel of experts, through clinical application. RESULTS The implementation of the eSAR ensures the collection of 100% of selected variables, monitors data to identify finalized and not finalized records and provides full traceability of access for security. Designed to be inclusive of gender diversity, the eSAR is replicable for Adult and Pediatrics ED. CONCLUSIONS Our method for medico-legal sexual assault reporting builds a comprehensive IT guideline for new doctors through harmonized terminologies and decreases administrative burden to finalize reports. The eSAR provides IT assistance for the clinical and administrative management of patients and is intended to contribute to overall efforts to improve research and health services.

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Triage à l’admission aux urgences en 2022

Cited by 2 publications

References 0 publications

Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

Sexual Assault Report: Creation and Implementation of an Electronical Form at Geneva University Hospitals (Preprint)

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