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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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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...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Burn Injuries01:22

Burn Injuries

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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Why burn patients are referred?

Noor-Ahmad Latifi1, Hamid Karimi1

  • 1Faculty of Medicine, Motahary Burn Hospital, School of Medicine, Burn Research Center, Iran University of Medical Sciences, Yasemi Alley, Vali Asr Ave., Tehran 19637, Iran.

Burns : Journal of the International Society for Burn Injuries
|October 17, 2016
PubMed
Summary

Many burn patients are referred to specialized hospitals. Patient and family requests accounted for 45% of transfers, highlighting potential for telemedicine to reduce unnecessary referrals and improve burn care access.

Keywords:
BurnsReferralTBSATelemedicineTertiary burn center

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Area of Science:

  • Medical research
  • Burn care
  • Patient transfer protocols

Background:

  • Tertiary burn hospitals are crucial for severe burn cases as per American Burn Association (ABA) criteria.
  • Understanding referral patterns is essential for optimizing resource allocation and patient outcomes.

Purpose of the Study:

  • To investigate the primary reasons behind burn patient referrals to a tertiary burn hospital.
  • To analyze factors influencing transfer decisions and identify areas for improvement in the referral process.

Main Methods:

  • Prospective survey of 578 referred burn patients over two years.
  • Data collection included burn cause, demographics, TBSA, comorbidities, referral reasons, transport conditions, and outcomes.
  • Statistical analysis using SPSS software.

Main Results:

  • 45% of referrals were initiated by patient or family requests.
  • 43% were transferred due to the need for tertiary burn center admission.
  • 9% of referrals stemmed from a lack of diagnostic facilities at the referring institution.

Conclusions:

  • Patient and family-initiated requests represent a significant portion of tertiary burn center referrals.
  • Telemedicine could facilitate direct physician-patient contact, potentially reducing unnecessary transfers.
  • Inadequate diagnostic capabilities at local facilities contribute to a notable percentage of referrals.