Biomedical subjects
Publications and source records attributed to A P Klippel.
We present an outline of how to conduct a financial feasibility study for an emergency transport helicoptor service as well as an example of one hospital's successful experience. Data regarding types of patients transported and guidelines for setting up such a program also are discussed.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The emergency department records at the St. Louis County Hospital were reviewed for 1973, 1974, and 1975. The distribution of patients was considered by the day of the week and hour of the day. For the three year period, the daily average showed that one third of patients had been seen by 2:36 pm and two thirds by 8:14 pm. An analysis of peak patient load showed the first peak was around 11:00 am and the second, a higher peak, around 7:00 pm. By day of the week, more patients were seen on Tuesday and Saturday. Using data from such an analysis, emergency department personnel can devise an appropriate staffing pattern for their own situation.
We describe our experimental studies of a powder formulated to treat serious burn wounds on-the-scene. The wound powder comprises two parts silver-citro-allantoinate, two parts zinc allantoinate and 96 parts pure allantoin. The back skin of 62 rats was shaved and exposed to actively boiling water for ten seconds, resulting in third degree burns of 20% of the total body surface. Immediately, 1 ml of a culture containing 2 X 10(8) Pseudomonas aeruginosa was applied to the burn. The animals were isolated. Of the 30 control rats, six were powdered with allantoin only. Thirty-two rats were dusted with the silver-zinc-allantoin powder within 15 minutes of burning. Cultures were taken at 48 hour intervals. Eighty-seven percent of the control animals died an average of six days postburn. In the treated animals, the mortality was 15%. A mean of 27% of the applied silver (0.35 gm) became incorporated in the eschar. In all control rats, sepsis was detected under the eschar. In treated animals, bacterial concentration fell from an initial average of 5 X 10(4) at 4 hours postburn to 6 X 10(2) at 96 hours.
If hospitals do not categorize themselves, it is very possible that categorization of emergency capabilities will be imposed by some local, state, or federal agency, probably using the rigid guidelines. The use of status categorization could be an alternative method of evaluating hospital emergency capabilities, especially when consideration is given to the ability to handle medical problems and to the shifting capabilities at different times of the day and night. Ignoring the problem or downgrading the rigid guidelines to include all hospitals are ineffective.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.