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The validated measures of task performance vary from relatively simple competencies such as speed of response, activity, and task orientation, through intermediate level capabilities such as initiative, emergency responsiveness, and use of information, to highly complex thought and action processes such as breadth of approach to problems, planning capacity, and strategy.
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Mulvaney defended the plan in his response, saying it will "streamline operational decisions during responses to public health and other emergencies and improve responsiveness". It is unlikely Congress could derail the move, but appropriators have to fund it and still can provide direction and oversight.
This study was aimed to evaluate the use of indicators of fluid responsiveness by emergency practitioners during septic shock management.
Increased access to day case theatres for emergency surgery improved the responsiveness of the system to emergency admissions.
The paper presents a bi-objective robust program to design a cost-responsiveness efficient emergency medical services (EMS) system under uncertainty.
Such cities use the data to make their operations more efficient but also to improve their responsiveness to emergencies and critical incidents.
For example, how is initial inpatient treatment modified in case of patients presenting to the emergency department after non-responsiveness to prior outpatient treatment?
The inferior vena cava diameter variation was found to be a poor predictor of fluid responsiveness in the emergency department where patients are usually spontaneously breathing [14, 50], although contradictory findings have been reported [51].
Research on the accuracy and feasibility of the caval index to predict fluid responsiveness in the emergency department has not yet been performed.
Finally, no information on the time intervals between the accident and the presence of first aid or emergency services was recorded, so responsiveness and quality of pre-hospital trauma care cannot be evaluated.
This is the first study investigating the use of the caval index for the assessment of fluid responsiveness in the emergency department In line with physiological expectations and previous studies, a caval index of < 36.5% in a patient with signs of shock predicts the absence of an adequate response to a fluid challenge of 500 ml NaCl 0.9% with a reliability of 92%.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com