Revitalizing a Vital Sign: Improving Detection of Tachypnea at Primary Triage

Bianchi, William; Dugas, Andrea; Hsieh, Yu Hsiang; Saheed, Mustapha; Hill, Peter; Lindauer, Cathleen; Terzis, Andreas; Rothman, Richard E.

doi:10.1016/j.annemergmed.2012.05.030

Cited by 68 publications

(53 citation statements)

References 13 publications

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“…The validity and reliability of Bioharness measures has been evaluated under controlled laboratory conditions and field-based assessments (Johnstone et al, 2012a, 2012b, 2012c). More recently, studies have begun to examine the clinical and research utility of Bioharness in hospital and exercise settings (Bianchi et al, 2013; Brooks et al, 2013; Kim et al, 2013), and our lab recently demonstrated the usefulness of this device to monitor discreet changes in HR, respiration and body temperature in individuals exposed to acute doses of cocaine in the laboratory (Yoon et al, 2014). In the current study, Bioharness devices were worn by participants throughout study visits (including specifically throughout the exercise session) so that accurate and detailed exercise profiles could be established.…”

Section: Methodsmentioning

confidence: 99%

Treadmill exercise improves fitness and reduces craving and use of cocaine in individuals with concurrent cocaine and tobacco-use disorder

Garza

Yoon

Thompson-Lake

et al. 2016

Psychiatry Research

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Exercise may be a useful treatment for substance use disorders. Participants (N=24) included treatment-seeking individuals with concurrent cocaine and tobacco-use disorder (cigarette smokers). Participants were randomized to either running or walking (30 min per session, 3 times per week) or sitting (control condition) for 4 consecutive weeks. Several metrics indicated significant differences among runners, walkers, and sitters during sessions, including mean distance covered and calories burned. In addition, remote physiological monitoring showed that the groups differed significantly according to mean maximum heart rate (HR), respiration, and locomotor activity. Across the 4-week study, exercise improved fitness measures including significantly decreasing resting HR. Though not statistically significant, exercise improved abstinence from cocaine and increased self-reports of no cocaine use in last 24h. In general, reductions in tobacco use and craving were not as robust. To our knowledge, this is the first study to evaluate the effects of a multi-week exercise program in individuals with concurrent cocaine and tobacco-use disorder. The data clearly show significant improvements in basic fitness measures and several indices reveal that exercise improved both self-report and biochemically verified reports of cocaine abstinence. Taken together, the data from this study provides preliminary evidence for the efficacy of exercise for improving fitness and reducing cocaine use.

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Section: Methodsmentioning

confidence: 99%

Treadmill exercise improves fitness and reduces craving and use of cocaine in individuals with concurrent cocaine and tobacco-use disorder

Garza

Yoon

Thompson-Lake

et al. 2016

Psychiatry Research

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“…This finding may be due to limitations associated with vital signs. For instance, vital sign abnormalities have been associated with over-triaging in pediatric emergency departments, 24,25 and vital sign measurement in young children is prone to inaccuracy [26][27][28] and the confounding effects of emotional distress. 25,29,30 However, vital signs are a crucial component of pediatric early warning systems which have been shown to detect or reduce critical deterioration.…”

Section: Discussionmentioning

confidence: 99%

Remote Pediatric Critical Care Telephone Consultations: Quality and Outcomes

Tijssen

Miller

Parshuram

2019

J Pediatr Intensive Care

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There are no studies describing the nature and quality of telephone consultations for critically ill children despite being an important part of pediatric intensive care. We described pediatric telephone consultations to a PICU in Ontario, Canada in 2011 and 2012. Of 203 consultations, 104 patients (51.2%) were admitted to the PICU; this was associated with weekend consultations (p = 0.005) and referral hospital location (p = 0.036). Frequency of interruptions was 1 in every 3.2 (2.0, 5.7) minutes and not associated with call content. Twenty-one percent of consults had limited discussion of vital signs. Our study described our center's remote critical care consultation program and outcomes.

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“…Indeed based on these findings and those of others, RR could potentially be excluded from triage algorithms, although such a strategy needs to be prospectively evaluated. One important limitation of RR measurement is differing techniques and measurement error . For many years RR has been used in the American College of Surgeons trauma transport algorithms and forms one of the main components of the Revised Trauma Score .…”

Section: Discussionmentioning

confidence: 99%