Residents were excluded if the facility staff identified them as being acutely medically unstable or suffering from delirium, or if they were in the terminal stages of a co-morbid illness (e.g. metastatic cancer).
Gibson [ 40] found that ward staff often lacked confidence and felt ill prepared to deal with acutely ill unstable patients, and that they experienced increased stress and anxiety.
Circulating RANTES level is elevated in symptomatic coronary artery disease [33] and is also acutely increased in unstable angina pectoris during severe ischemic symptoms [34].
Galectin-3 was found to be increased in patients with acutely decompensated and unstable HF [ 7, 8].
While a contrast CT is the study of choice in the acutely ill, haemodynamically unstable patient, in a haemodynamically stable patient a focused CMR exam of the aorta may be performed within approximately 10 15 minutes with little cooperation from the patient (fig 8).
Tissue acquisition relies upon lesion access, which is particularly challenging from the duodenum when an unstable or acutely angulated scope position may be required.
The depth of shock, haemdoynamic response to resuscitation, and the rate of actual blood loss in the acutely bleeding and haemodynamically unstable patient may also be integrated into the indication for RBC transfusion.
Those found to be HIV positive and placed on treatment (particularly acutely infected patients and patients with unstable viral loads) would require more frequent testing to monitor treatment adherence and provide early warning of the development of possible drug resistance.
However, it has to be demonstrated that the equipment is accurate, precise and reliable for wide ranging and unstable blood gas levels, characteristic of acutely ill patients entering an ICU.
Exclusion criteria were as follows: be acutely suicidal, comorbidity with substance use disorders, except nicotine, presence of acute or unstable or chronic general medical comorbidity, inability to read and understand study procedures, pregnancy, and postpartum period.
