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Related Concept Videos

Measurement of Blood Pressure01:17

Measurement of Blood Pressure

Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Decreased pulse rate01:14

Decreased pulse rate

Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with bradycardia...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

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Related Experiment Video

Updated: Jun 3, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
14:09

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

Reducing admissions utilizing the Boston Syncope Criteria.

Shamai A Grossman1, Jessica Bar, Christopher Fischer

  • 1Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02115, USA.

The Journal of Emergency Medicine
|March 23, 2011
PubMed
Summary
This summary is machine-generated.

The Boston Syncope Criteria, a new guideline for syncope patients, safely reduced hospital admissions by 11% in an emergency department. This clinical tool demonstrated high sensitivity and negative predictive value for identifying patients who could be safely discharged.

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

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Last Updated: Jun 3, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
14:09

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Clinical Decision Support

Background:

  • Previously developed criteria for identifying syncope patients at risk for adverse events.
  • These criteria were theoretically proposed to reduce admissions but remained untested in practice.

Purpose of the Study:

  • To conduct a prospective effectiveness study evaluating the Boston Syncope Criteria.
  • To test the hypothesis that using these criteria as a clinical guideline can safely decrease syncope-related hospital admissions.

Main Methods:

  • A prospective, before-and-after cohort study involving consecutive Emergency Department (ED) patients with syncope.
  • Implementation of the Boston Syncope Criteria after physician training, guiding admission decisions.
  • 30-day follow-up to assess adverse outcomes, including death, myocardial infarction, and stroke.

Main Results:

  • Hospital admissions for syncope decreased by 11% (69% before vs. 58% after criteria implementation).
  • The criteria demonstrated 100% sensitivity and 100% negative predictive value for identifying patients with adverse outcomes.
  • No adverse events occurred in discharged patients, and all 30-day adverse outcomes were in initially admitted patients.

Conclusions:

  • Implementation of the Boston Syncope Criteria in the ED setting safely reduced hospital admissions.
  • The criteria proved effective in guiding clinical decisions for syncope management.
  • Further research is recommended to validate the external validity and generalizability of these findings.