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[Algorithms and protocols for acute dyspnea in the Emergency Department]

Bingisser, Roland. (2009) [Algorithms and protocols for acute dyspnea in the Emergency Department]. Therapeutische Umschau, Vol. 66, H. 9. pp. 632-634.

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Official URL: http://edoc.unibas.ch/dok/A6007397

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Abstract

The evaluation of dyspnea in the Emergency Department (ED) is a critical step in the diagnostic procedure, especially when cardiopulmonary disease is suspected. Because dyspnea is a symptom in which many different afferent mechanisms are involved, a large number of underlying causes must be considered, alone or in combination. Qualitative and quantitative aspects of difficult or laboured breathing may vary extremely between patients. Therefore, especially under time pressure in emergency situations, it is important to consider a very broad differential diagnosis, and at the same time use a standardized protocol or diagnostic algorithms for the initial work-up.In this article, a standardized work-up published by family practitioners is compared to a standardized work-up proposed by our ED. While practitioners may safely use a multi-step algorithmic approach, it is important in the ED to consider all possible serious underlying conditions at the same time. Over 90 % of all emergency situations are accounted for by only 7 different disease groups. Therefore, all of these must be considered simultaneously in a protocol that is useful for emergency physicians.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Stationäre innere Medizin (Schifferli)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Ehemalige Einheiten Medizinische Fächer (Klinik) > Stationäre innere Medizin (Schifferli)
UniBasel Contributors:Bingisser, Roland M.
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Bibsysno:Link to catalogue
Publisher:Hans Huber
ISSN:0040-5930
Note:Publication type according to Uni Basel Research Database: Journal item
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Last Modified:20 Jun 2014 07:56
Deposited On:20 Jun 2014 07:56

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