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1

Booth, Sara. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Sara, Booth. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Booth, Sara. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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Dr, Booth Sara, Edmonds Polly, and Kendall Margaret, eds. Palliative care in the acute hospital setting: A practical guide. Oxford: Oxford University Press, 2010.

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5

Royal College of Physicians of London. Acute Medicine Task Force. Acute medical care: The right person, in the right setting, first time. London: Royal College of Physicians of London, 2007.

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McKenna, Monica Erin. The experience of a spinal cord injured person in the acute setting. Ottawa: National Library of Canada, 1994.

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7

Pantall, John. "Sperrin Lakeland Hospital: Developing acute services in a rural setting" : a discussion documenton acute services in Sperrin Lakeland : the future. Manchester: Health Services Management Unit, Manchester University, 1996.

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8

Lordan-Dunphy, Maria. A workplace health needs assessment of staff working in an acute hospital setting. [s.l: The Author], 2001.

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9

Webster, B. J. Sexuality: A study of nursing skill and interventions within an acute medical setting. Oxford: Oxford Brookes University, 2001.

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Clinical Standards Board for Scotland. Stroke services: Care of the patient in the acute setting : clinical standards - March 2004. Edinburgh: Clinical Standards Board for Scotland, 2004.

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11

Bonner, G. A study of staff and inpatients' experiences of untoward incidents in the acute mental health setting. Oxford: Oxford Brookes University, 2001.

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12

Commission, Massachusetts Rate Setting, ed. Key trends in Massachusetts acute hospitals, 1981-1986: A report of the Massachusetts Rate Setting Commission. [Boston?]: The Commission, 1987.

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13

Corroon, Anne-Marie. Nurses' lived experience of caring for relatives of terminally ill patients in an acute oncology setting in Ireland. (s.l: The Author), 2003.

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14

R, Marler John, Jones Pamela Winters, Emr Marian, and National Institute of Neurological Disorders and Stroke (U.S.). Office of Scientific and Health Reports., eds. Setting new directions for stroke care: Proceedings of a National Symposium on Rapid Identification and Treatment of Acute Stroke. Bethesda, Md: The Institute, 1997.

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15

Hunter, Leigh Heatley. A study of factors which affect nurses in their role as oral health promotors in an acute hospital setting. [s.l: The Author], 1997.

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16

Thwaites, Steve. Coaching and mentoring in an acute hospital setting: Understanding the 'real life' issues of developing people in the public sector. Oxford: Oxford Brookes University, 2003.

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17

Porter, Barbara Jane. A preparatory study to establish standards for an audit of education and training in health promotion within an acute hospital setting. [s.l: The Author], 1997.

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18

St.Pierre, Michael, Gesine Hofinger, and Robert Simon. Crisis Management in Acute Care Settings. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-41427-0.

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19

St.Pierre, Michael, Gesine Hofinger, Robert Simon, and Cornelius Buerschaper. Crisis Management in Acute Care Settings. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-19700-0.

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20

St. Pierre, Michael, Gesine Hofinger, and Cornelius Buerschaper, eds. Crisis Management in Acute Care Settings. Berlin, Heidelberg: Springer Berlin Heidelberg, 2008. http://dx.doi.org/10.1007/978-3-540-71062-2.

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21

Office, General Accounting. Medicare: Health maintenance organization rate-setting issues : report to congressional committees. Washington, D.C: The Office, 1989.

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22

Hopkins, Lisa Kennedy Sheldon, Larry Shepherd, Thomas Whalen, Watkins, J. Remy, M. Remy-Jardin, et al. Nursing Concepts: Acute Care Setting. Slack Inc, 2003.

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23

Wilson, Michael P., Kama Z. Guluma, and Stephen Hayden. Research in the Acute Setting. Wiley & Sons, Limited, John, 2015.

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24

Marinella, Mark A. Frequently Overlooked Diagnoses In the Acute Setting. Hanley & Belfus, 2003.

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25

Ross, Helen. Constipation: Cause and control in an acute hospital setting. 1998.

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26

Chou, Jason, and George Chalkiadis. Acute Pain Management. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0059.

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Age-appropriate pain assessment and management is vital in the care of children with acute pain. Assessment should happen regularly and should be documented clearly; pain should be treated and routinely reassessed. There are both short- and long-term consequences if pain is poorly treated in the acute and postoperative setting. The most effective analgesia plans are multimodal. This chapter focuses on systemic treatments of pain in the acute setting.
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27

Patel, Nihar. Acute Pain Management. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0064.

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Age-appropriate pain assessment and management is vital in the care of children with acute pain. Pain in children should be routinely and regularly assessed, documented, treated and reassessed with clear documentation. Poor pain management in the acute and postoperative setting can result in both short- and long-term consequences. The most effective analgesia plans are multimodal. This chapter focuses on the variety of treatment options for pain in the acute setting. Topics covered include age-appropriate pain assessment tools for children; the basics of age-appropriate pain management in children; as well as the role of opioids, nonsteroidal anti-inflammatory drugs, and patient-controlled analgesia in acute and postoperative pain management in children.
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28

Acute Myocardial Infarction: Setting Priorities for Effectiveness Research (Publication Iom). National Academies Press, 1990.

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29

Booth, Sara, and Polly Edmonds. Palliative Care in the Acute Hospital Setting: A Practical Guide. Oxford University Press, 2014.

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30

Kendall, Margaret, Sara Booth, and Polly Edmonds. Palliative Care in the Acute Hospital Setting: A Practical Guide. Oxford University Press, Incorporated, 2009.

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31

Price, Susanna, Roxy Senior, and Bogdan A. Popescu. Acute cardiac care. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198726012.003.0062.

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Echocardiography is fundamental to the assessment and management of patients with acute cardiac disease, and differs from outpatient echocardiography in some key areas. Echocardiography provides important information throughout the whole patient pathway, having been shown to change interventions in 60–80% patients in the pre-hospital setting, improve diagnostic accuracy and efficiency in the emergency room, and reveal the aetiology of unexplained hypotension in 48% of medical intensive care patients. Echocardiography is now included in the universal definition of acute myocardial infarction, and in international guidelines regarding the management of cardiac arrest. In the critical care setting, echocardiography can be used to as a haemodynamic monitor, to determine abnormalities of cardiac physiology and coronary perfusion, as well as defining the underlying cardiac diagnosis. This chapter focuses on situations relevant to acute cardiac care, however, where discussed elsewhere in this textbook (acute coronary syndromes, pulmonary embolism, takotsubo, aortic disease, pericarditis, cardiomyopathies, heart failure, and valvular disease) they are not covered in detail here.
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32

Steinberg, Alexis, and Bradley J. Molyneaux. Acute Stroke (DRAFT). Edited by Raghavan Murugan and Joseph M. Darby. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190612474.003.0019.

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The development of a stroke is an acute neurologic emergency that requires rapid evaluation as any delay in treatment worsens outcome. There are two main types of strokes, hemorrhagic and ischemic, each requiring specific rapid assessment and interventions. If an acute ischemic stroke is suspected, then a decision regarding thrombolytic therapy and endovascular thrombectomy has to be made quickly. A hemorrhagic stroke demands rapid medical management of blood pressure, reversal of coagulopathy, and early neurosurgical consult for possible external ventricular drain (EVD) placement and hemorrhage evacuation. This chapter expands on the indicated work-up in a suspected stroke patient in the setting of the rapid response team (RRT) calls, different imaging modalities, management options in the acute and subacute periods, and post-stroke complications.
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33

Nurse Care Managers in the Acute Care Setting: A Qualitative Descriptive Study. Storming Media, 1997.

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34

J, McNeal Gloria, ed. Acute and critical care patients in the home setting: High-tech homecare. Philadelphia: W.B. Saunders, 1998.

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35

Hansen, Tom G. Acute paediatric pain management. Edited by Jonathan G. Hardman and Neil S. Morton. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0073.

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Paediatric pain management has made great strides in the past few decades in the understanding of developmental neurobiology, developmental pharmacology, the use of analgesics in children, the use of regional techniques in children, and of the psychological needs of children in pain. The consequences of a painful experience on the young nervous system are so significant that long-term effects can occur, resulting in behavioural changes and a lowered pain threshold for months after a painful event. Accurate assessment of pain in different age groups and the effective treatment of postoperative pain are constantly being refined, with newer drugs being used alone and in combination with other drugs, and continue to be explored. Systemic opioids, paracetamol, non-steroidal anti-inflammatories, and regional anaesthesia alone or combined with additives are currently used to provide effective postoperative analgesia. These modalities are often best utilized when combined as a multimodal approach to treat acute pain in the perioperative setting. The safe and effective management of pain in children includes the prevention, recognition, and assessment of pain; early and individualized treatment; and evaluation of the efficacy of treatment. This chapter discusses selected topics in paediatric acute pain management, with more specific emphasis placed on pharmacology and regional anaesthesia in the treatment of acute postoperative pain management.
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36

Brown, Jeremiah R., and Chirag R. Parikh. Cardiovascular surgery and acute kidney injury. Edited by Norbert Lameire. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0245.

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Over the last decade, cardiac surgery-associated acute kidney injury (AKI) has been recognized as a frequent adverse event following cardiac surgery. In this clinical context and others, AKI has been strongly associated with increased morbidity, mortality, and length of hospitalization. These adverse events that accompany AKI have been shown to be directly proportional to the magnitude of the peak rise in serum creatinine and the duration of AKI making AKI a costly complication and a target for prevention in hospitalized patients around the world. This chapter discusses the subsequent healthcare costs, utilization, mortality, and morbidity that follow subtle changes in serum creatinine known as AKI in the perioperative setting of cardiac surgery.
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37

Factors influencing job satisfaction for clinical nurses in an acute care setting: A descriptive study. Ottawa: National Library of Canada, 1993.

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38

Nursing Leadership in the Organized Delivery System for the Acute Care Setting (American Nurses Association). American Nurses Association, 2002.

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39

Rafiq, Amil. Current Hospital Medicine: Quick Guide for Management of Common Medical Conditions in Acute Care Setting. Independently Published, 2020.

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40

Miller, Aaron E., and Teresa M. DeAngelis. Acute Inflammatory Demyelinating Polyneuropathy (Guillain-Barré Syndrome). Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199732920.003.0024.

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Acute inflammatory demyelinating polyneuropathy (AIDP), also known as Guillain-Barré syndrome (GBS), is a common acute neurological presentation encountered in both the outpatient setting and hospital wards. The hallmark of the disorder is the development of ascending motor paralysis with loss of deep tendon reflexes. In this chapter, we outline the classical clinical and laboratory findings in GBS as well as critical therapeutic and supportive measures along with prognosis.
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41

Yoon, Soo Young, and Ravindra L. Mehta. Acute kidney injury in pulmonary diseases. Edited by Norbert Lameire. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0249.

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Acute kidney injury (AKI) and acute lung injury often complicate the course of hospitalized patients particularly in the ICU setting. When this association is present it is associated with high mortality. While one disorder may precede the other, they are particularly problematic when they coexist. Patients with AKI are more likely to be ventilated than patients without AKI and they have impaired ability to wean from the ventilator. This chapter describes the alterations in renal function in lung diseases, the alterations in lung function in patients with kidney disease, the pathophysiology of lung–kidney interactions, and the application of these interactions for clinical care. In addition the early recognition of AKI in lung injury and interventions to attenuate injury are described.
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42

Lameire, Norbert, Wim Van Biesen, and Raymond Vanholder. Overall outcomes of acute kidney injury. Edited by Norbert Lameire. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0237_update_001.

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This chapter describes the overall short- and long-term, mainly non-renal outcomes of patients who suffer from acute kidney injury (AKI). Despite increasing age and greater burden of co-morbidity at the occurrence of AKI, patient mortality shows an overall decline over time. However, relatively ‘mild’ forms of AKI (i.e. defined as an absolute increase in serum creatinine of at least 0.3 mg/dL (26.4 µmol/L)) are associated with statistically significant decreased patient survival. The absolute mortality rates of AKI vary according to the different patient groups studied (intensive care unit, hospital, and population based), differences in parameters used for the criteria of AKI, differences in acquisition of baseline serum creatinine, differences between need of renal replacement therapy or not, and timing of endpoints (in-hospital mortality, 30 days, 60 days, or longer). In many instances, particularly in critically ill patients, AKI occurs in the setting of other diseases, such as sepsis, which are associated with a significant mortality risk. In such cases, AKI appears to amplify the risk of death associated with the underlying disease.
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43

Kappetein, Arie Pieter, and Stephan Windecker. The heart team in acute cardiac care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0012.

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The complexity of acute cardiac care today makes it necessary that patients are looked after by more than one health care professional. Complex tasks require complex systems. Teamwork is essential for minimizing adverse events caused by miscommunication and misunderstanding about roles and responsibilities, and it can have an immediate and positive impact on the patient. The increasing complexity and specialization of care of the cardiac patient in the acute setting make it necessary to coordinate teams of doctors for each specialty area. Multidisciplinary decision making optimizes care and is mandatory in light of evolving options and improvement of quality of care and will lead to more efficiency.
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44

Kappetein, Arie Pieter, Christiaan Antonides, and Stephan Windecker. The heart team in acute cardiac care. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199687039.003.0012_update_001.

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The complexity of acute cardiac care today makes it necessary that patients are looked after by more than one health care professional. Complex tasks require complex systems. Teamwork is essential for minimizing adverse events caused by miscommunication and misunderstanding about roles and responsibilities, and it can have an immediate and positive impact on the patient. The increasing complexity and specialization of care of the cardiac patient in the acute setting, combined with an ever increasing number of therapeutic options, make it necessary to coordinate teams of doctors for each specialty area. Multidisciplinary decision making optimizes care and is mandatory in light of evolving options and improvement of quality of care and will lead to more efficiency.
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45

Visouli, Aikaterini N., and Antonis A. Pitsis. Acute heart failure: heart failure surgery and transplantation. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0054.

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Cardiac surgery should be considered in all cases of acute heart failure that is attributed to surgically correctable causes. Surgical revascularization, repair of mechanical complications of myocardial infarction, valve repair or replacement, mechanical circulatory support, and heart transplantation represent the main surgical interventions that may be offered in the setting of acute (de novo or decompensated chronic) heart failure. Percutaneous aortic valve replacement should also be considered for patients who are deemed inoperable.
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46

Moeckel, Gilbert W., Veena Manjunath, and Mark A. Perazella. Acute kidney injury in the cancer patient. Edited by Norbert Lameire. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0251.

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Acute kidney injury in cancer patients is a complicated clinical condition associated with significant morbidity and mortality, especially in the hospital setting. Cancer patients may develop a variety of different kidney lesions that impair not only immediate survival but also limit the adequate treatment of the underlying malignant process. This poses a significant challenge for clinicians.The mechanisms that lead to acute kidney injury in cancer patients are similar to those seen in non-cancer patients. Moreover, significant morbidity is seen in association with chemotherapy, as well as through direct effects of the cancer on the kidney (i.e. obstruction, infiltrate).This chapter reviews the clinical presentation of the most common malignancies that affect the kidney, discusses their pathologic manifestations in kidney tissue, and reviews options for the clinical management of cancer patients with acute kidney injury.
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47

Prowle, John, and Rinaldo Bellomo. Acute kidney injury in severe sepsis. Edited by Norbert Lameire. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0244_update_001.

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Septic acute kidney injury (S-AKI) accounts for close to 50% of all cases of AKI in ICU and, in its various forms, affects between 15% and 20% of ICU patients. Patients typically present with clinical evidence of severe sepsis and septic shock, developing oliguria or anuria, and rapidly rising serum creatinine concentration. The pathophysiology of S-AKI is poorly understood. Although haemodynamic factors might play a role in the loss of glomerular filtration rate, this may not be through the induction of renal ischaemia. Inflammation, microvascular shunting, and changes in glomerular arteriolar tone may play important roles. Much evidence suggests that clinically urinalysis fails to provide useful diagnostic or prognostic information in this setting but novel biomarkers and urine microscopy may provide more useful prognostic information.The treatment of S-AKI remains based on the treatment of the aetiology of sepsis with source control and appropriate antibiotics, supportive treatment of systemic illness including, in severe cases, renal replacement therapy (RRT). Because most patients with S-AKI requiring RRT are critically ill and haemodynamically unstable, RRT in these patients is best provided as continuous RRT.Approximately 50% of patients with severe S-AKI survive to hospital discharge and, among those who survive, approximately 85–90% recover to dialysis independence. However, those patients who recover appear to be at increased risk of developing chronic kidney disease over the following years.
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48

Mueller, Christian. Acute dyspnoea in the emergency department. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0009.

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Acute dyspnoea is a very common symptom in the acute cardiac care setting. In contrast to current beliefs, acute dyspnoea, as the leading symptom in the emergency department, is associated with about twice the mortality risk, compared to acute chest pain. Rapid and accurate identification of the cause of dyspnoea is critical to the initiation of specific and effective treatment. In most patients, a rapid and accurate diagnosis in the emergency department can be achieved by a combination of vital signs, including pulse oximetry, detailed patient history, physical examination, blood tests (including natriuretic peptides—BNP, NT-proBNP, or MR-proANP), venous blood gases, and C-reactive protein in all patients, and D-dimers in selected patients, electrocardiograms, and chest X-ray. It is key to remember that the prevalence of acute heart failure in unselected patients with acute dyspnoea is about 50%. Therefore, a high awareness for the presence of acute heart failure is mandatory. Acute heart failure, pneumonia, obstructive pulmonary diseases (chronic obstructive pulmonary disease and asthma), pulmonary embolism, and anxiety disorders represent more than 90% of all cases with acute dyspnoea in the emergency department. In about 10–15%, two acute causes (e.g. acute heart failure and pneumonia) may be present and require combined treatment. Transthoracic echocardiography should be immediately performed in all patients with acute dyspnoea and shock, and in those patients in whom the diagnosis remains uncertain, even after initial work-up.
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49

Mueller, Christian. Acute dyspnoea in the emergency department. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199687039.003.0009_update_001.

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Acute dyspnoea is a very common symptom in the acute cardiac care setting. In contrast to current beliefs, acute dyspnoea, as the leading symptom in the emergency department, is associated with about twice the mortality risk, compared to acute chest pain. Rapid and accurate identification of the cause of dyspnoea is critical to the initiation of specific and effective treatment. In most patients, a rapid and accurate diagnosis in the emergency department can be achieved by a combination of vital signs, including pulse oximetry, detailed patient history, physical examination, blood tests (including natriuretic peptides—BNP, NT-proBNP, or MR-proANP), venous blood gases, and C-reactive protein in all patients, and D-dimers in selected patients, electrocardiograms, chest X-ray, and more recently also lung ultrasound. It is key to remember that the prevalence of acute heart failure in unselected patients with acute dyspnoea is about 50%. Therefore, a high awareness for the presence of acute heart failure is mandatory. Acute heart failure, pneumonia, obstructive pulmonary diseases (chronic obstructive pulmonary disease and asthma), pulmonary embolism, and anxiety disorders represent more than 90% of all cases with acute dyspnoea in the emergency department. In about 10–15%, two acute causes (e.g. acute heart failure and pneumonia) may be present and require combined treatment. Transthoracic echocardiography should be immediately performed in all patients with acute dyspnoea and shock, and in those patients in whom the diagnosis remains uncertain, even after initial work-up.
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50

Mcgurk, Rita. ONE MAN'S FAMILY: AN EXAMINATION OF THE NURSE/PHYSICIAN RELATIONSHIP IN THE ACUTE CARE SETTING (SEXUAL HARASSMENT). 1996.

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