13 results on '"Adrian Moughty"'
Search Results
2. Seizures as a complication of recreational drug use: Analysis of the Euro-DEN Plus data-set
- Author
-
Caitlin E. Wolfe, David M. Wood, Alison Dines, Benjamin P. Whatley, Christopher Yates, Fridtjof Heyerdahl, Knut Erik Hovda, Isabelle Giraudon, Paul I. Dargan, Kurt Anseeuw, Robertas Badaras, Jeffrey Bonnici, Miran Brvar, Blazena Caganova, Alessandro Ceschi, Florian Eyer, Miguel Galicia, Stefanie Geith, Johan Gillebeert, Damjan Grenc, Ketevan Gorozia, Karim Jaffal, Gesche Jürgens, Piotr Maciej Kabata, Iarlaith Kennedy, Jutta Konstari, Soso Kutubidze, Gabija Laubner, Evangelia Liakoni, Matthias E. Liechti, Cathelijne Lyphout, Bruno Mégarbane, Òscar Miró, Adrian Moughty, Laura Müller, Niall O'Connor, Raido Paasma, Juan Ortega Perez, Marius Perminas, Per Sverre Persett, Kristiina Põld, Jordi Puiguriguer, Julia Radenkova-Saeva, Jan Rulisek, Yasmin Schmid, Irene Scholz, Radhika Sopirala, Jonas Surkus, Ibolya Toth, Odd Martin Vallersnes, Federico Vigorita, Wojciech Waldman, W. Stephen Waring, and Sergej Zacharov more...
- Subjects
Adult ,Male ,Drug ,medicine.medical_specialty ,Recreational Drug ,Substance-Related Disorders ,Narcotic Antagonists ,media_common.quotation_subject ,Context (language use) ,Toxicology ,Risk Assessment ,Body Temperature ,Heroin ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Seizures ,Internal medicine ,medicine ,Humans ,030304 developmental biology ,media_common ,Psychotropic Drugs ,0303 health sciences ,Harm reduction ,biology ,Cannabinoids ,Illicit Drugs ,business.industry ,Incidence ,Respiration ,General Neuroscience ,Hemodynamics ,Odds ratio ,Opioid-Related Disorders ,Prognosis ,Recreational drug use ,biology.organism_classification ,Europe ,Female ,Cannabis ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Seizures are a recognized and potentially serious complication of recreational drug use. This study examined a large international data set of presentations to Emergency Departments with acute recreational drug toxicity, the European Drug Emergencies Plus (Euro-DEN Plus) Network, to compare presentations with and without seizures and estimate incidence and associated drugs. Amongst 23,947 presentations between January 2014 and December 2017, there were 1013 (4.2%) with reported seizures. Clinical and demographic features were similar between individuals who had a seizure and those who did not, although rates of coma, cardiac arrest, intubation, intensive care admission, and death were significantly higher in those with seizures. There was a significant association between specific drugs and a higher seizure incidence, including fentanyl (odds ratio 2.63, 95% confidence interval 1.20-5.80), and synthetic cannabinoids (OR 2.90, 95% CI 2.19-3.84). Other drugs were associated with a lower seizure incidence, including heroin (OR 0.46, 95% CI 0.35-0.61), clonazepam (OR 0.22, 95% CI 0.06-0.91), and cannabis (OR 0.65, 95% CI 0.50-0.86). This substantiates observations that the synthetic cannabinoids as a group of novel psychoactive substances are clinically different in consequence of intoxication than cannabis, and that individuals who suffer a seizure in the context of recreational drug intoxication are likely to have worse outcomes overall. Utilising this information of what substances have a greater risk of seizures, could provide tailored harm reduction and education strategies to users to reduce the risk of seizures and their associated complications. more...
- Published
- 2019
- Full Text
- View/download PDF
Catalog
3. Variation of drugs involved in acute drug toxicity presentations based on age and sex: an epidemiological approach based on European emergency departments
- Author
-
Kristiina Pold, Matthias E. Liechti, Fridtjof Heyerdahl, Miguel Galicia, Blazena Caganova, William Stephen Waring, Bruno Mégarbane, Niall O'Connor, Paul I. Dargan, Alison M. Dines, Gesche Jürgens, Evangelia Liakoni, Knut Erik Hovda, Isabelle Giraudon, Christopher Yates, Adrian Moughty, Sergej Zacharov, David M. Wood, Odd Martin Vallersnes, Jacek Sein Anand, Jeffrey Bonnici, Òscar Miró, Raido Paasma, Florian Eyer, Julia Radenkova-Saeva, Service de Réanimation Médicale et Toxicologique [Hôpital Lariboisière], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Optimisation thérapeutique en Neuropsychopharmacologie (OPTeN (UMR_S_1144 / U1144)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Euro-DEN Plus Research Group, and Mégarbane, Bruno more...
- Subjects
Male ,Time Factors ,Databases, Factual ,acute toxicity ,Toxicology ,[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract ,0302 clinical medicine ,Risk Factors ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Epidemiology ,Medicine ,030212 general & internal medicine ,Registries ,610 Medicine & health ,Drug toxicity ,media_common ,[SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases ,[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases ,Poisoning ,Age Factors ,General Medicine ,Middle Aged ,humanities ,[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Europe ,[SDV.TOX] Life Sciences [q-bio]/Toxicology ,[SDV.TOX]Life Sciences [q-bio]/Toxicology ,Toxicity ,Acute Disease ,[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Female ,epidemiology ,Emergency Service, Hospital ,Drug ,Adult ,medicine.medical_specialty ,Recreational Drug ,Adolescent ,emergency department ,Substance-Related Disorders ,media_common.quotation_subject ,Age and sex ,Risk Assessment ,03 medical and health sciences ,Young Adult ,Sex Factors ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Recreational Drug Use ,Recreational drugs ,Humans ,sex ,Aged ,business.industry ,Illicit Drugs ,030208 emergency & critical care medicine ,Emergency department ,Acute toxicity ,age ,Emergency medicine ,[SDV.MHEP.PSR] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract ,business - Abstract
International audience; Objective: To analyse the relative percentage of acute recreational drug toxicity emergency department (ED) presentations involving the main drug groups according to age and sex and investigate different patterns based on sex and age strata.Methods: We analysed all patients with acute recreational drug toxicity included by the Euro-DEN Plus dataset (22 EDs in 14 European countries) between October 2013 and December 2016 (39 months). Drugs were grouped as: opioids, cocaine, cannabis, amphetamines, gamma-hydroxybutyrate (GHB), hallucinogens, new psychoactive substances (NPS), benzodiazepines and ketamine. Descriptive data by age and sex are presented and compared among age/sex categories and among drug families.Results: Of 17,371 patients were included during the 39-month period, 17,198 (99.0%) had taken at least one of the investigated drugs (median age: 31 years; 23.9% female; ethanol co-ingestion recorded in 41.5%, unknown in 31.2%; multiple drug use in 37.9%). Opioids (in 31.4% of patients) and amphetamines (23.3%) were the most frequently involved and hallucinogens (1.9%) and ketamine (1.7%) the least. Overall, female patients were younger than males, both in the whole cohort (median age 29 vs. 32 years; p < 0.001) and in all drug groups except benzodiazepines (median age 36 vs. 36 years; p = 0.83). The relative proportion of each drug group was different at every age strata and some patterns could be clearly described: cannabis, NPS and hallucinogens were the most common in patients more...
- Published
- 2021
- Full Text
- View/download PDF
4. Prevalence and predictors of oral to intravenous antibiotic switch among adult emergency department patients with acute bacterial skin and skin structure infections: a pilot, prospective cohort study
- Author
-
Abel Wakai, Fiona Boland, Stephen Kelly, Michael Quirke, Joseph McKeever, Niamh Mitchell, Jarlath Varley, Adrian Moughty, and Tom Fahey
- Subjects
Adult ,Male ,medicine.medical_specialty ,emergency department ,medicine.drug_class ,Antibiotics ,abscess ,Administration, Oral ,Pilot Projects ,Internal medicine ,medicine ,Prevalence ,Humans ,Prospective Studies ,cellulitis ,Prospective cohort study ,Abscess ,Aged ,treatment failure ,Aged, 80 and over ,business.industry ,Drug Substitution ,General Medicine ,Emergency department ,Skin Diseases, Bacterial ,Middle Aged ,medicine.disease ,Anti-Bacterial Agents ,Cellulitis ,Acute Disease ,Skin structure ,Emergency Medicine ,Medicine ,wound infection ,Administration, Intravenous ,Female ,Flucloxacillin ,business ,Emergency Service, Hospital ,Cohort study ,medicine.drug - Abstract
ObjectiveTo determine the prevalence and predictors of oral to intravenous antibiotic switch among adult emergency department (ED) patients with acute bacterial skin and skin structure infections (ABSSSIs).DesignMulticentre, pilot cohort study.SettingThree urban EDs in Dublin, Ireland.ParticipantsConsecutive ED patients aged >16 years old with ABSSSIs between March 2015 and September 2016.InterventionOral flucloxacillin 500 mg–1 g four times a day (alternative in penicillin allergy).Primary and secondary outcome measuresThe primary outcome was to determine the prevalence and predictors of oral to intravenous antibiotic switch. Secondary outcomes were to determine the prevalence and predictors of receiving an extended course of oral antibiotic treatment and measurement of interobserver reliability for clinical predictors at enrolment.ResultsOverall, 159 patients were enrolled of which eight were lost to follow-up and five were excluded. The majority of patients were male (65.1%) and ConclusionThe prevalence of oral to intravenous antibiotic switch in this pilot study is 8.9% (95% CI 4.8% to 14.7%). We identify the predictors of oral to intravenous switch worthy of future investigation.Trial registration numberNCT02230813. more...
- Published
- 2020
5. 137The Impact of Access Block in the Emergency Department on the Functional Status of the Admitted Older Patient
- Author
-
Gerard O'Connor, Thomas Breslin, Vincent Ramiah, Dermot Power, Edward Brazil, Lisa Cogan, and Adrian Moughty
- Subjects
Aging ,medicine.medical_specialty ,business.industry ,Block (telecommunications) ,Emergency medicine ,Medicine ,Functional status ,General Medicine ,Emergency department ,Medical emergency ,Geriatrics and Gerontology ,business ,medicine.disease - Published
- 2017
- Full Text
- View/download PDF
6. An Integrated Inclusion Health Service for Homeless Adults in Dublin: An Observational, Descriptive Study
- Author
-
Rikke Siersbaek, Claire Rooney, Joanne Dowds, Jess Sears, Ann-Marie Sweeney, Adrian Moughty, Lilly Macken, Niamh O’Rourke, Cliona Ni Cheallaigh, Una Kennedy, Aoife Molamphy, Vicky Sandys, Ann-Marie Lawlee, and Una Geary more...
- Subjects
medicine.medical_specialty ,Health services ,Family medicine ,medicine ,Observational study ,Descriptive research ,Psychology ,Inclusion (education) - Abstract
Background: The pilot Inclusion Health Service was a multi-component intervention designed to improve outcomes for adults experiencing homelessness accessing hospital care. The objectives of this report are to describe the development and evaluation of the Inclusion Health Service. Method: Observational study reporting on a multi-component intervention including comprehensive assessment and case management of homeless adult inpatients, case management advice to emergency department- and community-based health, and social care providers and education sessions for hospital and community-based staff. Results: The Inclusion Health Service assessed and developed a comprehensive discharge plan for 262 patients admitted to the hospital. 51 weekly interagency case management meetings took place during the one-year pilot. Additional interventions included education sessions for hospital and community-based health and social care providers; case management advice to ED and community-based health providers and provision of clothes and personal hygiene items to homeless inpatients. During the intervention, declines in the rate of ED presentations and admissions for homeless adults, compared with the prior year, were observed in the participating hospital. Lengths of stay remained the same. Conclusion: An Inclusion Health assessment and integrated discharge plan are feasible and acceptable and may have reduced the need for unscheduled healthcare. more...
- Published
- 2020
- Full Text
- View/download PDF
7. Clinical relevance of ethanol coingestion in patients with GHB/GBL intoxication
- Author
-
Miguel Galicia, Paul I. Dargan, Alison M. Dines, Christopher Yates, Fridtjof Heyerdahl, Knut Erik Hovda, Isabella Giraudon, David M. Wood, Òscar Miró, Jacek Sein Anand, Jeffrey Bonnici, Blazena Caganova, Florian Eyer, Gesche Jürgens, Piotr Maciej Kabata, Evangelia Liakoni, Matthias E Liechti, Bruno Mégarbane, Adrian Moughty, Niall O'Connor, Raido Paasma, Per Sverre Persett, Kristiina Põld, Julia Radenkova–Saeva, Irene Scholz, Odd Martin Vallersnes, W Stephen Waring, and Sergej Zacharov more...
- Subjects
0301 basic medicine ,Adult ,Male ,medicine.medical_specialty ,Time Factors ,Alcohol Drinking ,Consciousness ,Substance-Related Disorders ,Toxicology ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Patient Admission ,4-Butyrolactone ,Risk Factors ,Epidemiology ,Medicine ,Humans ,Registries ,Adverse effect ,Depression (differential diagnoses) ,Ethanol ,business.industry ,Illicit Drugs ,Glasgow Coma Scale ,General Medicine ,Emergency department ,Length of Stay ,Acute toxicity ,Aggression ,Europe ,Intensive Care Units ,030104 developmental biology ,Concomitant ,Anesthesia ,Toxicity ,Consciousness Disorders ,Female ,business ,Emergency Service, Hospital ,Sodium Oxybate ,030217 neurology & neurosurgery - Abstract
Ethanol intake can increase the sedative effects of gamma-hydroxybutyrate/gamma-butyrolactone (GHB/GBL), although the real clinical impact is unknown. We studied the clinical impact of the co-ingestion of ethanol in patients presenting to the Emergency Department (ED) with acute toxicity related to GHB/GBL use.We performed a secondary analysis of the Euro-DEN Plus Registry (14 countries, 22 EDs) which includes 17,371 consecutive patients presenting to the ED with acute recreational drug toxicity over 39 consecutive months (October 2013 - December 2016). We compared the epidemiological and clinical characteristics and ED management of patients identified as presenting with acute toxicity related to lone GHB/GBL (Group A) or GHB/GBL combined with ethanol (Group B) without other concomitant drugs.A total of 609 patients were included (age 32 (8) years; 116 women (19%); Group A: 183 patients and Group B: 426). The most common features were reduction in consciousness (defined as Glasgow Coma Score13 points: 56.1%) and agitation/aggressiveness (33.6%). Those with ethanol co-ingestion were younger patients (Group A/B: 31.5/33.1 years, p = 0.029) and ethanol co-ingestion was associated with a lower frequency of bradycardia (23.5%/15.7%, p = 0.027) and more frequent arrival at the ED by ambulance (68.3/86.6%; p 0.001), reduction in consciousness (58.9%/49.1%; p = 0.031), need for treatment in the ED (49.2%/60.4%; p = 0.011), use of sedatives (20.1%/12.8%; p = 0.034), admission to critical care units (22.4%/55.3%; p 0.001), and longer hospital stay (stay longer than 6 h: 16.9%/28.4%; p = 0.003).Co-ingestion of ethanol increases the adverse effects of patients intoxicated by GHB/GBL, leading to greater depression of consciousness, need for treatment, admission to the ICU and longer hospital stay. more...
- Published
- 2019
8. Intoxication by gamma hydroxybutyrate and related analogues: Clinical characteristics and comparison between pure intoxication and that combined with other substances of abuse
- Author
-
Òscar Miró, Miguel Galicia, Paul Dargan, Alison M. Dines, Isabelle Giraudon, Fridtjof Heyerdahl, Knut E. Hovda, Christopher Yates, David M. Wood, Evangelia Liakoni, Matthias Liechti, Gesche Jürgens, Carsten Boe Pedersen, Niall O’Connor, Gerard Markey, Adrian Moughty, Christopher Lee, Patrick O’Donohoe, Jacek Sein Anand, Jordi Puiguriguer, Catalina Homar, Florian Eyer, Odd Martin Vallersnes, Per Sverre Persett, Lucie Chevillard, Bruno Mégarbane, Raido Paasma, W. Stephen Waring, Kristiina Põld, Christian Rabe, and Piotr Maciej Kabata more...
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,Consciousness ,Substance-Related Disorders ,Motor Activity ,Toxicology ,Drug overdose ,Severity of Illness Index ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,4-Butyrolactone ,Internal medicine ,Intensive care ,Severity of illness ,medicine ,Intubation, Intratracheal ,Humans ,Drug Interactions ,030212 general & internal medicine ,Prospective Studies ,610 Medicine & health ,gamma-Butyrolactone ,business.industry ,Illicit Drugs ,030208 emergency & critical care medicine ,Gamma hydroxybutyrate ,General Medicine ,Emergency department ,medicine.disease ,Respiration, Artificial ,Substance abuse ,Europe ,Treatment Outcome ,chemistry ,Anesthesia ,Vomiting ,Female ,medicine.symptom ,Drug Overdose ,business ,Emergency Service, Hospital ,Sodium Oxybate ,Akathisia, Drug-Induced - Abstract
OBJECTIVE To study the profile of European gamma-hydroxybutyrate (GHB) and gammabutyrolactone (GBL) intoxication and analyse the differences in the clinical manifestations produced by intoxication by GHB/GBL alone and in combination with other substances of abuse. METHOD We prospectively collected data on all the patients attended in the Emergency Departments (ED) of the centres participating in the Euro-DEN network over 12 months (October 2013 to September 2014) with a primary presenting complaint of drug intoxication (excluding ethanol alone) and registered the epidemiological and clinical data and outcomes. RESULTS We included 710 cases (83% males, mean age 31 years), representing 12.6% of the total cases attended for drug intoxication. Of these, 73.5% arrived at the ED by ambulance, predominantly during weekend, and 71.7% consumed GHB/GBL in combination with other substances of abuse, the most frequent additional agents being ethanol (50%), amphetamine derivatives (36%), cocaine (12%) and cannabis (8%). Among 15 clinical features pre-defined in the project database, the 3 most frequently identified were altered behaviour (39%), reduced consciousness (34%) and anxiety (14%). The severity ranged from mild cases requiring no treatment (308 cases, 43.4%) to severe cases requiring admission to intensive care (103 cases, 14.6%) and mechanical ventilation (49 cases, 6.9%). No deaths were reported. In comparison with only GHB/GBL consumption, patients consuming GHB/GBL with co-intoxicants presented more vomiting (15% vs. 3%, p12h, p more...
- Published
- 2017
9. Nurses', physicians' and radiographers' perceptions of the safety of a nurse prescribing of ionising radiation initiative:A cross-sectional survey
- Author
-
Jonathan Drennan, Eileen Savage, Barbara Coughlan, Adrian Moughty, Abbey Hyde, Josephine Hegarty, Eoin C. Kavanagh, Jennifer Grehan, and Corina Naughton
- Subjects
medicine.medical_specialty ,Occupational group ,Cross-sectional study ,Attitude of Health Personnel ,media_common.quotation_subject ,Alternative medicine ,Context (language use) ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Nursing ,Perception ,Physicians ,Radiation, Ionizing ,Post-hoc analysis ,Radiologists ,medicine ,Nurse prescribing ,Humans ,030212 general & internal medicine ,General Nursing ,media_common ,Practice Patterns, Nurses' ,030504 nursing ,business.industry ,Test (assessment) ,Professions ,Cross-Sectional Studies ,Expanded role ,Ionising radiation ,Medicine ,Nursing Staff ,Patient Safety ,0305 other medical science ,business ,Ireland - Abstract
Background A new initiative was introduced in Ireland following legislative changes that allowed nurses with special training to prescribe ionising radiation (X-ray) for the first time. A small number of studies on nurse prescribing of ionising radiation in other contexts have found it to be broadly as safe as ionising radiation prescribing by physicians. Sociological literature on perceptions of safety indicates that these tend to be shaped by the ideological position of the professional rather than based on objective evidence. Objectives To describe, compare and analyse perceptions of the safety of a nurse prescribing of ionising radiation initiative across three occupational groups: nursing, radiography and medicine. Design A cross-sectional survey design. Settings Participants were drawn from a range of clinical settings in Ireland. Participants Respondents were 167 health professionals comprised of 49 nurses, 91 radiographers, and 27 physicians out of a total of 300 who were invited to participate. Non-probability sampling was employed and the survey was targeted specifically at health professionals with a specific interest in, or involvement with, the development of the nurse prescribing of ionising radiation initiative in Ireland. Methods Comparisons of perspectives on the safety of nurse prescribing of ionising radiation across the three occupational groups captured by questionnaire were analysed using the Kruskal–Wallis H test. Pairwise post hoc tests were conducted using the Mann–Whitney U test. Results While the majority of respondents from all three groups perceived nurse prescribing of ionising radiation to be safe, the extent to which this view was held varied. A higher proportion of nurses was found to display confidence in the safety of nurse prescribing of ionising radiation compared to physicians and radiographers with differences between nurses' perceptions and those of the other two groups being statistically significant. Conclusion That an occupational patterning emerged suggests that perceptions about safety and risk of nurse prescribing of ionising radiation are socially constructed according to the vantage point of the professional and may not reflect objective measures of safety. These findings need to be considered more broadly in the context of ideological barriers to expanding the role of nurses. more...
- Published
- 2016
- Full Text
- View/download PDF
10. Who needs a shot … a review of tetanus immunity in the West of Ireland
- Author
-
Adrian Moughty, M. Nugent, and John O Donnell
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,chemical and pharmacologic phenomena ,Critical Care and Intensive Care Medicine ,Young Adult ,Sex Factors ,Immunity ,Epidemiology ,Tetanus Toxoid ,medicine ,Humans ,Young adult ,Child ,Aged ,Aged, 80 and over ,Tetanus ,business.industry ,Age Factors ,Toxoid ,General Medicine ,Emergency department ,Middle Aged ,medicine.disease ,Antibodies, Bacterial ,Surgery ,Vaccination ,Logistic Models ,Immunization ,Child, Preschool ,Family medicine ,Emergency Medicine ,Female ,Emergency Service, Hospital ,business ,Ireland - Abstract
Tetanus is a rare disease but, in the era of widespread vaccination, largely a preventable one. Immunization programmes in childhood are felt to offer lifelong immunity but it is known that with increased age immunity wanes. We sought to assess immunity in a sample of patients presenting for conditions unrelated to injury to the emergency department covering an area in the West of Ireland.A convenience sample of 216 patients, who presented to the emergency department for complaints unrelated to injury, requiring blood tests for their management was obtained. Using the Protetanus QuickStick® all samples were analysed.No statistical difference between men and women in terms of tetanus immunity (p=0.94) but significant reduction in immunity with increasing age (p0.001). Those non-immune tended to be older with mean age of 66 years compared to mean age of 46 year for immune. Using logarithmic regression analysis an increase in age of 10 years was associated with 50% reduction in immunity.National guidelines should incorporate this data and explicitly advocate the use of booster doses of tetanus toxoid outside of the normal vaccination programme especially in the elderly. more...
- Published
- 2012
- Full Text
- View/download PDF
11. Splenic rupture visualised with focused assessment with sonography for trauma (FAST): heterogeneous echogenicity of acute haemorrhage following blunt trauma
- Author
-
John McInerney, Vinesh Ramiah, Adrian Moughty, and Gerard O'Connor
- Subjects
Adult ,Male ,medicine.medical_specialty ,Context (language use) ,Hemorrhage ,Wounds, Nonpenetrating ,Article ,Diagnosis, Differential ,medicine ,Pericardium ,Focused assessment with sonography for trauma ,Humans ,Hemoperitoneum ,Pelvis ,Ultrasonography ,business.industry ,Echogenicity ,General Medicine ,Splenic Rupture ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Abdominal trauma ,Blunt trauma ,Radiology ,medicine.symptom ,business ,Tomography, X-Ray Computed ,Spleen - Abstract
Focused assessment with sonography in trauma (FAST) is now widely recognised as a mainstream emergency medicine technique in the management of trauma. The conventional areas that are screened for intraperitoneal blood following trauma include the hepatorenal interface (Morison's pouch), perisplenic space, pericardium and the pelvis. In the context of abdominal trauma, fluid or blood is indicated by the presence of black anechoic collections. The utility of FAST in solid … more...
- Published
- 2012
12. Pronator Drift
- Author
-
Philip Darcy and Adrian Moughty
- Subjects
medicine.medical_specialty ,business.industry ,MEDLINE ,Physical therapy ,Medicine ,General Medicine ,Pronator drift ,business - Published
- 2013
- Full Text
- View/download PDF
13. Bilateral Anterior Shoulder Dislocation
- Author
-
Adrian Moughty and Gerard O'Connor
- Subjects
medicine.medical_specialty ,business.industry ,Shoulders ,Excruciating pain ,Medicine ,General Medicine ,business ,Body weight ,Range of motion ,human activities ,Anterior shoulder dislocation ,Surgery - Abstract
A 34-year-old man with a history of recurrent dislocations of both shoulders presented with sudden excruciating pain in both arms and an inability to move either of them, after attempting to lift a weight equal to his body weight above his head in the gym. more...
- Published
- 2012
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.