Academic literature on the topic 'Dyspnée – Soins médicaux'
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Journal articles on the topic "Dyspnée – Soins médicaux"
DESESQUELLES, M., J. CREANGE, C. SORS, G. DE VERICOURT, Y. GABOREAU, M. BOUTEILLER, and C. BARBARET. "Palliaclic : un site internet d'aide à la décision médicale pour la prise en charge ambulatoire des patients en soins palliatifs." EXERCER 32, no. 175 (September 1, 2021): 299–305. http://dx.doi.org/10.56746/exercer.2021.175.299.
Full textA, Dembélé. "Etude épidémio-clinique des références aux urgences pédiatriques du C.H.U Gabriel Touré." Mali Santé Publique 10, no. 02 (April 20, 2021): 29–33. http://dx.doi.org/10.53318/msp.v10i02.1793.
Full textBalen, F., X. Dubucs, T. Sylvester, C. Tison, S. Charpentier, C. H. Houze-Cerfon, V. Bounes, and P. G. Reuter. "Régulation médicale de la dyspnée de l’enfant : intérêt d’une régulation pédiatrique." Annales françaises de médecine d’urgence, 2022. http://dx.doi.org/10.3166/afmu-2022-0430.
Full textMaffei, Pierre. "Quelle place pour le massage en réanimation ?" Médecine Intensive Réanimation, August 17, 2020. http://dx.doi.org/10.37051/mir-00024.
Full textAdama, Dembele, O. Coulibaly, ME Cissé, and B. Maïga. "Les facteurs favorisant les sorties contre avis médical et les refus d’hospitalisation aux urgences pédiatriques du CHU Gabriel Touré." Mali Santé Publique, January 26, 2023, 54–57. http://dx.doi.org/10.53318/msp.v12i01.2423.
Full textDissertations / Theses on the topic "Dyspnée – Soins médicaux"
Balen, Frédéric. "Evaluation précoce de la dyspnée aiguë de l'adulte en médecine d'urgence." Electronic Thesis or Diss., Université de Toulouse (2023-....), 2024. http://www.theses.fr/2024TLSES060.
Full textAcute dyspnea is a subjective symptom perceived by the patient as a "sensation of respiratory discomfort" that has been evolving for less than two weeks. Dyspnea is a symptom of cardiorespiratory failure. The range of diagnoses to be considered is vast. The most serious pathologies frequently encountered in emergency medicine are bacterial pneumoniae (18 to 25%), acute heart failure (18 to 24%), exacerbation of Chronic Obstructive Pulmonary Disease (COPD) (16 to 18%), acute asthma (10 to 11%) and pulmonary embolism (1%). Dyspnea is an important symptom for emergency medicine, in all its aspects (telephone regulation and out-of-hospital and in-hospital management). In fact, it is a frequent reason for referral to out-of-hospital and in-hospital emergency services, the diagnostic process is complex and error-prone, and in-hospital mortality is high (5 to 15%). The objectives of this study are to identify the most severe patients as soon as they call for help, then to identify patients at risk of inappropriate treatment for the diagnosis of their dyspnea, and to propose tools to reduce the rate of inappropriate treatment. In order to identify the most severe patients from the time of the telephone call, we set up a retrospective cohort of 1387 patients aged over 15 years who contacted emergency services (call to the "112"/"911") for dyspnea from July 1, 2019 to December 31, 2019 and were admitted to the emergency department or died before admission. Two hundred and eight (15%) required early respiratory support. Factors predictive of the need for early respiratory support that could be identified on call were: having background ß2-mimetic therapy, polypnoea, inability to speak, cyanosis, sweating and altered consciousness. It seems relevant to investigate these elements during first call for help, in order to adapt the rescue resources to be engaged. In order to identify patients at risk of inappropriate treatment for the diagnosis of their dyspnea, we set up a retrospective cohort of 2123 patients aged over 15 admitted to an emergency department for dyspnea from July 1, 2019 to December 31, 2019. Eight hundred and nine (38%) had inappropriate treatment of the final diagnosis of their dyspnea, compared with internationally recommended treatments. Risk factors for inappropriate treatment were: age over 75, cardiac or respiratory history, SpO2 < 90%, pulmonary auscultation finding bilateral crackles, a crackle focus or wheezing. This population should be the subject of further studies to reduce the rate of inappropriate treatment. We also studied the diagnostic performance of lung ultrasound (LUS) in the early diagnosis of elderly patients (over 65) admitted to the emergency department for dyspnea. The prospective cohort recruited 116 patients. The performance of LUS, available immediately at the patient's bedside, was comparable to the usual strategy (including clinical examination and laboratory results) available at 2 hours, for the diagnosis of heart failure and pneumopathy. The use of LUS should make it possible to approach the final diagnosis at an early stage, and perhaps reduce inappropriate treatment. We propose a future research protocol on this topic. Dyspnea represents an important challenge for emergency medicine. Our current and future work should enable us to optimize pre-hospital and in-hospital management