Detroit Receiving Hospital

About: Detroit Receiving Hospital is a healthcare organization based out in Detroit, Michigan, United States. It is known for research contribution in the topics: Vancomycin & Population. The organization has 877 authors who have published 850 publications receiving 37202 citations. The organization is also known as: Detroit General.

Temperature Management in Acute Neurologic Injury: To Cool or Not to Cool

Abstract: Therapeutic hypothermia is becoming an important intervention following acute neurologic injury despite inconclusive results concerning efficacy. This enthusiasm primarily stems from a lack of other effective interventions in this population. With the increase in the use of therapeutic hypothermia, several practical issues must be considered when initiating this intervention. Clinical pharmacists can play an important role in anticipating and addressing some complications such as shivering, slow drug metabolism, and infection. This review will discuss the available literature concerning the efficacy of therapeutic hypothermia in various neurologic injuries, as well as the most common adverse events associated with it.

Treatment of Liver Injuries: An Overview

Abstract: The liver is the largest organ in the body and the organ most frequently injured. This is true for both blunt and penetrating wounds. The morbidity and mortality associated with liver injury vary with the associated hemorrhagic shock insult, the severity of liver injury as judged by the Abbreviated Injury Score (AIS), and the presence or absence of bleeding at the time of operative intervention. The severity of injury related to missile wounds correlates directly with the amount of energy that is dissipated as the missile traverses the liver, with the energy being calculated by the classic formula of energy = mass × volume 2 ÷ 2. Thus, high velocity missiles have the greatest potential for creating the worst injuries. When a patient with a liver injury presents with severe hemorrhagic shock that is not rapidly reversible with preoperative resuscitation, the mortality is very high; when the hemorrhagic shock insult is corrected while in transit to the operating room, the mortality is low; when there is no associated hemorrhagic shock, the mortality is negligible.

Gastric resection for ulcer

Abstract: 1. 1. Extensive duodenitis is suggested as the reason some patients cannot be controlled on a medical regime. 2. 2. The ability of standard operations to relieve pylorospasm, hypermotility, hypersecretion and hyperacidity, which is the aim of medical treatment, is discussed. Resection alone completely fulfils these requirements. 3. 3. Errors in technic and judgment are described, correction of which has reduced the mortality rate. 4. 4. Resection for exclusion has given good results and is recommended for those patients in whom complete resection carries too great a risk. The prepyloric mucosa should be removed. 5. 5. Antecolic anastomosis without jejunojejunostomy is the method of choice in the majority of cases.