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Exam Room Odors

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1. Exam Room Odors

Exam Room Odors Exam Room Odors Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Exam Room Odors Exam Room Odors Aka: Exam Room Odors (...) II. Technique Nebulized masking substances (nebulizer on low flow, hung in room) Mint essence goo Mouthwash Coffee Double mask, with masking substances between layers paste Shaving cream Benzoin Liniment III. References Orman and Swaminathan in Herbert (2017) EM:Rap 17(6): 1 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Exam Room Odors." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

2. Exam Room Odors

Exam Room Odors Exam Room Odors Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Exam Room Odors Exam Room Odors Aka: Exam Room Odors (...) II. Technique Nebulized masking substances (nebulizer on low flow, hung in room) Mint essence goo Mouthwash Coffee Double mask, with masking substances between layers paste Shaving cream Benzoin Liniment III. References Orman and Swaminathan in Herbert (2017) EM:Rap 17(6): 1 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Exam Room Odors." Click on the image (or right click) to open the source website in a new browser window

2017 FP Notebook

3. Screening Pelvic Examination in Adult Women

prospective observational study (269 participants) compared the Amsel criteria for screening for bacterial vaginosis with the reference standard of Gram staining. According to the Amsel criteria, a diagnosis of bacterial vaginosis can be made if vaginal secretions obtained by swab during the pelvic examination contain 3 of the 4 following characteristics: thin, homogeneous consistency; pH greater than 4.5; presence of clue cells on microscopic evaluation; and release of amine odor after the addition (...) , Beydoun HA . Evaluation of the usefulness of the ‘hormones with optional pelvic exam' programme offered at a family planning clinic. Eur J Contracept Reprod Health Care 2012 17 307 13 Osofsky HJ . Women's reactions to pelvic examination. Obstet Gynecol 1967 30 146 51 Hoyo C , Yarnall KS , Skinner CS , Moorman PG , Sellers D , Reid L . Pain predicts non-adherence to pap smear screening among middle-aged African American women. Prev Med 2005 41 439 45 Taylor VM , Yasui Y , Burke N , Nguyen T , Acorda E

2014 American College of Physicians

4. Practice Advisory for the Prevention and Management of Operating Room Fires

Practice Advisory for the Prevention and Management of Operating Room Fires Practice Advisory for the Prevention and Management of Operating Room Fires:An Updated Report by the American Society of Anesthesiologists Task Force on Operating Room Fires | Anesthesiology | ASA Publications 2524149103 ASA Publications Log in to access full content You must be logged in to access this feature. ASA members enjoy complimentary access to ASA publications, as well as a variety of educational resources (...) . Non-ASA Members Login Free Practice Parameter | February 2013 Practice Advisory for the Prevention and Management of Operating Room Fires: An Updated Report by the American Society of Anesthesiologists Task Force on Operating Room Fires ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; Author Notes Received from the American Society of Anesthesiologists, Park Ridge, Illinois. Submitted for publication October 18, 2012. Accepted for publication October 18, 2012. Supported by the American Society

2013 American Society of Anesthesiologists

5. Tales of Survival: Physical Exam

is extremely malodorous, enough to make me pause and catch my breath before I lean forward. As I draw his blood, a worry emerges from the back of my mind that the odor might cling to me for the rest of the day, that it will follow me as I meet with my classmates and instructors. This concern is so obviously superficial in nature that it is appalling. Soon I have a difficult time deciding which is more offensive, the smell in the patient’s room or this absent-minded preoccupation. Extremities Examination (...) at the brink of life. Mental Status Exam Patient awake and alert, but severely cognitively impaired. Completely nonverbal and does not repeat or respond to commands. He looks observers in the eye, but he does not recognize faces and generally remains expressionless. On occasion, though, he spontaneously breaks into a beaming, ear-to-ear toothless smile that always surprises me, and at which I cannot help but sheepishly smile back. The entire room seems to light up, if only briefly, and even the doctors

2011 Clinical Correlations

6. Mental status examination Full Text available with Trip Pro

of the American Academy of Psychiatry and the Law . 38 (1): 15–26. . Retrieved 20 November 2010 The Pass the CASC book (2012,2018) by Dr Seshni Moodliar for the CASC clinical exam for psychiatrists for their final Mrcpsych exam. It teaches psychiatrists how do perform a mental status examination. The core psychiatric interview skills book by Dr Seshni Moodliar (2014) is a communication skills book to assist doctors, nurses, social workers and psychologists to undertake mental status examinations and identify (...) Mental status examination Mental status examination - Wikipedia Mental status examination From Wikipedia, the free encyclopedia Not to be confused with . This page is about an exhaustive mental status examination. For a more brief assessment, used in emergency situations, for example: alert and oriented, times three – to person, place, and time, abbreviated A&Ox3, see . Mental status examination , [ ] The mental status examination or mental state examination ( MSE ) is an important part

2012 Wikipedia

7. Covid-19: Safety of Extended Use and Reuse of N95 Respirators

the safety of N95 reuse and extended use during critical shortages, so we examined 21 laboratory studies because they may provide at least some rational basis for actions during a crisis. Also, clinical studies are likely unavailable and infeasible because of major ethical and logistical barriers since N95 reuse/extended use practices are associated with sporadic, unpredictable, variable crisis situations. Nonetheless, limited evidence from laboratory studies supports prioritizing extended use over reuse (...) , we reviewed 21 laboratory studies on N95 reuse and extended use. - N95 respirator contamination risks: 2 studies found that 4% to 18% of H1N1 virus particles and >10% of M2 bacteriophage particles were viable after 4 to 6 days on 3M 8210 filters at room temperature. 1 of the studies (Brady et al. 2017) reported that 2% to 15% of M2 particles transferred to the users who donned contaminated N95s. The other study (Fisher et al. 2012) reported minimal M2 aerosolization ( 10,000-fold reduction

2020 Covid-19 Ad hoc papers

8. Safety of Extended Use and Reuse of N95 Respirators

of N95 reuse and extended use during critical shortages, so we examined 21 laboratory studies because they may provide at least some rational basis for actions during a crisis. Also, clinical studies are likely unavailable and infeasible because of major ethical and logistical barriers since N95 reuse/extended use practices are associated with sporadic, unpredictable, variable crisis situations. Nonetheless, some evidence from laboratory studies supports prioritizing extended use over reuse because (...) ASSESSMENT © April 16, 2020 ECRI Executive Summary Conclusions In the absence of clinical studies, we reviewed 21 laboratory studies on N95 reuse and extended use. - N95 respirator contamination risks: 2 studies found that 4% to 18% of H1N1 virus particles and >10% of M2 bacteriophage particles were viable after 4 to 6 days on 3M 8210 filters at room temperature. 1 of the studies (Brady et al. 2017) reported that 2% to 15% of M2 particles transferred to the users who donned contaminated N95s. The other

2020 Covid-19 Ad hoc papers

9. Improving outdoor air quality and health: review of interventions

of it strong, for interventions in each of the 5 areas which can reduce emissions of harmful pollutants. Few existing studies directly examine the effects of these interventions on environmental concentrations or the resulting health outcomes. The health benefits of interventions must therefore be inferred from the reductions in emissions. Whilst this is not perfect, it is reasonable to do so, given the strength of evidence supporting the links between individual pollutants and their health impacts (...) . Studies examining the cost-benefits of interventions are unfortunately very limited. At this stage we are, therefore, unable to stratify by cost and health benefits as the original commission envisaged. Nevertheless, despite the need for more work to understand the detailed health impact of interventions and their cost-benefits, there is Review of interventions to improve outdoor air quality and public health 9 sufficient evidence to recommend action. We know that air pollution has a substantial

2019 Public Health England

10. Evidence Map - Aromatherapy and Essential Oils

Methods 2 Results 4 Figure. Map of the evidence from systematic reviews of inhaled and topical essential oils for targeted health conditions/populations 5 Discussion 6 Conclusions 6 Abbreviations Table 7 INTRODUCTION 9 METHODS 10 Topic Development 10 Search Strategy 10 Study Selection 11 Data Abstraction 12 Quality Assessment 12 Data Synthesis 13 Rating the Body of Evidence 14 RESULTS 15 Literature Flow 15 Key Question: What evidence is available that examines the effectiveness of aromatherapy (...) ABSTRACT Background: The purpose of this review is to provide the Veterans Health Administration (VHA) with a broad overview of the effectiveness of aromatherapy and essential oils (EOs), and the health conditions for which these interventions have been examined. Data Sources and Study Selection: We searched multiple databases through February 2019 for systematic reviews (SRs) of aromatherapy and EOs for health conditions. Using pre-specified inclusion criteria, all abstracts and full-text articles

2019 Veterans Affairs Evidence-based Synthesis Program Reports

11. Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder

) for treatment of PTSD. However, the CPG recommended the SSRI fluoxetine and the serotonin-norepinephrine reuptake inhibitor (SNRI) venlafaxine as well. The systematic review used to develop the CPG included many randomized controlled trials (RCTs); more recent RCTs have examined new populations, combinations of interventions, or different treatment durations or modalities. 9-12 Additional recent RCTs investigated new or emerging interventions such as pharmacotherapies effective for depression or other

2019 Effective Health Care Program (AHRQ)

12. Child Abuse, Elder Abuse, and Intimate Partner Violence

, Uiterwaal CS, Moons KG, et al. Value of systematic detection of physical child abuse at emergency rooms: A cross-sectional diagnostic accuracy study. BMJ Open. 2016; 6(3):e010788. 5. Louwers EC, Korfage IJ, Affourtit MJ, et al. Accuracy of a screening instrument to identify potential child abuse in emergency departments. Child Abuse Negl. 2014; 38(7): 1275-81. 6. Escobar MA, Jr., Flynn-O’Brien KT, Auerbach M, et al. The association of nonaccidental trauma with historical factors, examination findings (...) ., fighting with each other in the examination room or unusual displays of affection) z The family’s approach to discipline (e.g., spanking or other forms of corporal punishment) These clues are difficult to quantify in the EMR, and evidence for the above factors is limited to expert opinion and health professional experience. Reliability of the historical information is a concern. Adults who provide the history or witness the event can be concerned about personal safety and/or the negative consequences

2019 American College of Surgeons

13. Supporting Adults Who Anticipate or Live with an Ostomy

to ensure quality care. It includes physical resources, human resources, and information and financial resources. ? Process examines the health-care activities being provided to, for, and with persons or populations as part of the provision of quality care. ? Outcome analyzes the effect of quality care on the health status of persons and populations, health workforce, health service organizations, academic institutions or health systems (10). For additional information, please refer to the RNAO Toolkit

2019 Registered Nurses' Association of Ontario

14. Paediatric Urology

. Enhanced urinalysis improves identification of febrile infants ages 60 days and younger at low risk for serious bacterial illness. Pediatrics, 2001. 108: 866. 346. Mayo, S., et al. Clinical laboratory automated urinalysis: comparison among automated microscopy, flow cytometry, two test strips analyzers, and manual microscopic examination of the urine sediments. J Clin Lab Anal, 2008. 22: 262. 347. Kass, E.H. Asymptomatic infections of the urinary tract. Trans Assoc Am Physicians, 1956. 69: 56. 348

2019 European Association of Urology

16. Concise practice guidance on the prevention and management of accidental awareness during general anaesthesia

of accidental awareness during general anaesthesia Membership of the working party J. J Pandit 1 , T. M Cook 2 , S. Shinde 3 , K. Ferguson 4 , J. Hitchman 5 , W. Jonker 6 , P . M Odor 7 , T. Meek 8 1 Consultant, Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Trust, Oxford, UK (Co-Chair, Working Party on behalf of the Royal College of Anaesthetists) 2 Consultant, Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK (on behalf of Royal College (...) is providing anaesthetic services on the day of surgery is essential and is over and above any prior pre-assessment visit. As recommended elsewhere [13], the visit should take place before arrival in the anaesthetic room or theatre. The visit is an important opportunity for the anaesthetist to establish rapport with the patient, and to understand the patient’s frame of mind and allay their specific concerns. Where a general anaesthetic is planned, the anaesthetist should describe what is to happen from

2019 Association of Anaesthetists of GB and Ireland

17. Paediatric Urology

. Enhanced urinalysis improves identification of febrile infants ages 60 days and younger at low risk for serious bacterial illness. Pediatrics, 2001. 108: 866. 346. Mayo, S., et al. Clinical laboratory automated urinalysis: comparison among automated microscopy, flow cytometry, two test strips analyzers, and manual microscopic examination of the urine sediments. J Clin Lab Anal, 2008. 22: 262. 347. Kass, E.H. Asymptomatic infections of the urinary tract. Trans Assoc Am Physicians, 1956. 69: 56. 348

2018 European Association of Urology

19. Acute Rhinosinusitis in Adults

and the nasal cavity lasting no longer than 4 weeks. It can range from acute viral rhinitis (the common cold) to acute bacterial rhinosinusitis. Fewer than 5 in 1,000 colds are followed by bacterial rhinosinusitis. Diagnosis. Estimate the probability of acute bacterial rhinosinusitis based on history, clinical presentation, and physical examination. Best predictors include maxillary toothache, poor response to decongestants, patient report of colored nasal discharge, and purulent secretions by exam (...) strains. The preferred option is levofloxacin. Ancillary therapies (see Table 5) for acute rhinosinusitis have little supporting data. Some studies examining treatments for viral upper respiratory infections have shown: ? Efficacy in symptom control: decongestants (especially topical decongestants), topical anticholinergics and nasal steroids (high dose), [II A*] ? Possible efficacy: zinc gluconate lozenges, vitamin C, Echinacea extract, saline irrigation [conflicting or insufficient data

2018 University of Michigan Health System

20. A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology Full Text available with Trip Pro

container, RT, 2 h Abbreviations: AFB, acid-fast bacilli; CDC, Centers for Disease Control and Prevention; EDTA, ethylenediaminetetraacetic acid; NAAT, nucleic acid amplification test; RT, room temperature. a Contact the microbiology laboratory regarding appropriate collection and transport devices and procedures as transport media such as Cary-Blair or parasite preservative transport for stool specimens, boric acid for urines, and specialized containers for Mycobacterium tuberculosis are often critical (...) for successful examination. The time from collection to transport listed will optimize results; longer times may compromise results. Table 1. Transport Issues (General Guide) a Specimen Type Specimen Required Collection Device, Temperature, and Ideal Transport Time Aerobic bacterial culture Tissue, fluid, aspirate, biopsy, etc Sterile container, RT, immediately Swab (second choice); flocked swabs are recommended Swab transport device, RT, 2 h Aerobic and anaerobic bacterial culture Tissue, fluid, aspirate

2018 Infectious Diseases Society of America

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