By C. Lipp, R. Dhaliwal, E. Lang (auth.), Jean-Louis Vincent Prof. (eds.)
The Yearbook compiles the newest advancements in experimental andclinical study and perform in a single finished reference booklet. Thechapters are written by means of good famous specialists within the box of extensive care and emergency medication. it truly is addressed to everybody concerned with inner drugs, anesthesia, surgical procedure, pediatrics, extensive care and emergency medicine.
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Extra info for Annual Update in Intensive Care and Emergency Medicine 2013
BJOG 117:399–406 Rath W, Surbek D, Kainer F et al (2008) Diagnosis and Therapy of Peripartum Hemorrhage. Leitlinie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). pdf. Accessed October 2012 Gayat E, Resche-Rigon M, Morel O et al (2011) Predictive factors of advanced interventional procedures in a multicentre severe postpartum haemorrhage study. Intensive Care Med 37:1816–1825 Naef 3rd RW, Chauhan SP, Chevalier SP et al (1994) Prediction of hemorrhage at cesarean delivery. Obstet Gynecol 83:923–926 Prata N, Hamza S, Bell S et al (2011) Inability to predict postpartum hemorrhage: insights from Egyptian intervention data.
Currently, most experts, including an expert panel set up by the manufacturer of rhFVII, advocate the use of rhFVII only in very select situations [60, 84, 91–93]. • rhFVII cannot be a substitute for adequate medical or surgical treatment. In any cases, prior to its use, a definitive diagnosis of the cause of PPH must be established. Practically all cases, except uterine atony without retained fetal tissue, must be treated surgically and are not suitable for rhFVII use. For PPH from uterine atony, after uterotonic agents and uterine massage have been appropriately used, advanced interventions, such as balloon tamponade, B-Lynch suture or radiological embolization of uterine arteries should be considered (the latter, however, is usually not a suitable option for massive, ongoing PPH) .
Other factors, such as traffic or venue location, may also inhibit access and egress of emergency vehicles to and from the site should a major catastrophe occur during the event . Another special challenge is the actual configuration of the venue. In the stadium or arena setting, thousands of audience members usually are stacked vertically over many rows making access with equipment difficult and evacuation of the potential patient even more difficult. Even if patients are ambulatory, numerous stairs and steps may be extraordinarily difficult for the ill or injured patient and/or may worsen the condition.