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PURPOSE To evaluate abdominal ultrasonography (US) for indirect (with free fluid analysis only) and direct (with free fluid and parenchymal analysis) detection of organ injury in patients with blunt abdominal trauma, with findings at computed tomography (CT) and/or surgery as the standard of diagnosis. MATERIALS AND METHODS Abdominal US was performed at(More)
Objective: To study prospectively if, when plasma creatine kinase (CK) and plasma myoglobin are elevated, the origin of these abnormalities is cardiac or not, by measuring cardio-specific troponin T (cTT). Method: Fifteen patients with acute severe bronchial asthma (ASBA) were prospectively studied in the intensive care unit (ICU) with continuous(More)
A patient presenting primary pulmonary hypertension and absent right superior vena cava underwent blade/balloon atrial septostomy as palliative therapy. Due to the anomaly of the venous drainage system, only transesophageal echocardiography allowed the performance of the maneuvre.
The aim of this study was to evaluate the time saved by prehospital thrombolysis compared with the usual inhospital reperfusion strategies in Geneva, Switzerland, a moderate-sized urban area with short transportation times (median time 4 min). Patients with acute myocardial infarction, diagnosed clinically and by means of a 12-lead electrocardiogram in a(More)
The potential impact of thrombolytic agents on mortality and morbidity from coronary artery disease is weakened by in- and out-of-hospital delays occurring in the management of acute myocardial infarction. The goals of this study were to review the situation 5 years after the publication of the GISSI study. From October 1, 1991 to March 31, 1992, all the(More)
Objective: To determine whether decision analysis is applicable to routine management of suspected pulmonary embolism in an emergency care setting. Design: Controlled feasibility trial. Setting: Emergency center of a university hospital. Patients: Outpatients (n=84) admitted with clinical and scintigraphic evidence of pulmonary embolism. Interventions:(More)
In reference to a series of 36 in situ breast carcinomas, the current therapeutic possibilities are considered: 8 lobular carcinomas in situ (LCIS) and 28 ductal carcinomas in situ (DCIS) were diagnosed between January 1985 and July 1988. These are infraclinical forms in 80% of the cases, representing 20% of the breast carcinomas treated during the same(More)
The case of a 34-year-old diabetic patient with an endobronchial granular myoblastoma is presented. This tumor was discovered during an episode of acute pneumonia on the same side as the neoplasm. Endobronchial granular myoblastoma is rare; it is sometimes multiple, with some degree of mucosal infiltration. The treatment (monitoring only, endoscopic or(More)
Objective: Emergency department (ED) triage for acute cardiac ischemia in the primary teaching hospital in Geneva, Switzerland, is very accurate, but at the cost of very long ED stays. Thus, the authors sought: 1) to determine the impact of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI), incorporated into a computerized(More)
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