Best fre fuck site - Limitations in validating emergency department triage scales
This can help guide the often murky process of crisis assessment. (2016) note that the CTRS “requires knowledge of each patient’s social and family support system at the time of assessment, which can be especially difficult to gauge in aggressive, agitated, suspicious, isolated or non-cooperative patients” which is a reasonable criticism of the Support System subscale of the tool.
Bonynge & Thurber (2008) determined that the CTRS was accurate in determining the difference between inpatient and outpatient treatment but that with all the tools tested (the Crisis Triage Rating Scale, the Triage Assessment Form and the Suicide Assessment Checklist), the determination of exactly what inpatient treatment (Hospitalization in a psychiatric or substance abuse settings, partial hospitalization or crisis beds) is most effective. The criteria used for the Dangerousness subscale is also interesting, for each rating there are 3-4 criteria given.
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Derivation of the decision tree provided probabilities of PLTE of 13% (95% CI, 6%-19%) in the low-risk group, 27% (95% CI, 20%-33%) in the intermediate-risk group and 62% (95% CI, 48%-76%) in the high-risk group, ruling out PLTE with a specificity of 92.3%; (95% CI, 89%-96%).
In the validation dataset, PLTE probabilities were 16.3% in the low-risk group, 30.6% in the intermediate-risk group, and 44% in the high-risk group, ruling out the diagnosis of PLTE with a specificity of 88.6%. However, only a minority of these patients require emergency surgery.
Triage scales such as the Emergency Severity Index  are used to determine whether medical care is required immediately, within a few minutes, within the next hour, or can be delayed.
However, these scales are not well suited to gynecological emergencies  which can lead to hemodynamic instability, organ failures, severe morbidity and death.
Triage tools specifically designed for gynecological emergencies may be useful to rapidly identify patients in whom endovaginal ultrasonography by a gynecologist or radiologist may detect a condition requiring prompt treatment, thus protecting the patient from life-threatening or function-threatening events .
A self-assessment questionnaire for gynecological emergencies (SAQ-GE) recently developed by our group for the assessment of acute pelvic pain in women with gynecologic emergencies has been used to build clinical prediction rules for tubal rupture complicating ectopic pregnancy [ We conducted a prospective multicenter study in five gynecology departments in the Paris metropolitan area, France.
Laparoscopy was the reference standard for diagnosing PLTE; other diagnoses were based on algorithms.Tags: Adult Dating, affair dating, sex dating