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SURGERY CENTER: SECTION I

SURGERY TECHNIQUES & ANALYSIS

WOUND MANAGEMENT, EMERGENCY MEDICINE

INFECTIOUIS DISEASE CONTROL, TRAUMA, ICU

SURGICAL MODELING, SURGICAL EQUIPMENT


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Home Page ~ Anesthesiology & Surgery Center



SURGERY CENTER: SECTION I


Surgery Related Centers

Anatomy & Histology ~ Pathology, Forensics & Virology ~ CAT; MRI, PET, Ultrasound etc.

Medical Calculators ~ Lab Tests & Procedures ~ Drugs & Toxicology


Surgical Techniques, Set-up, Instrumentation, Analysis, etc.,

Perfusion ~ Bronchoscopy ~ Colonoscopy

Endoscopic Surgery ~ Laparoscopic Surgery ~ Robotic Surgery


Physical Examination ~ Surgery Procedural Times


Wound Management

Wound Treatment & Healing ~ Wound Closure ~ Knot Tying/Suturing


ER Medicine

Disaster Management
Bioterrorism, Nuclear & Radiological Terrorism,
Chemical Emergencies, Mass Casualties, Terrorist Bombings


Infectious Disease Control

Guidelines & Handbooks


Trauma, ICU & Surgical Outcomes

ICU & Surgical Scoring Systems

Injury - Trauma Scoring ~ Textbook & Manuals ~ Cases/Grand Rounds


Computing/Modeling in Surgery ~ Surgical Equipment & Instruments


Anesthesiology & Surgery Center

Anesthesiology & Surgery Journals ~ Anesthesiology Center

Surgery Center: Section I
Surgery Center: Section II ~ Surgery Center: Section III ~ Surgery Center: Section IV





SURGERY TECHNIQUES, INSTRUMENTATION & ANALYSIS













WOUND MANAGEMENT








EMERGENCY MEDICINE (ER),

ALGORITHMS & DISASTER MANAGEMENT



    EMERGENCY MEDICINE - PHYSICIAN & SURGEON


      Emergency Medicine Related Centers


      Emergency Medicine Clinical Practice Guidelines & Policies

      Emergency Medicine Clinical Practice Teaching Modules, CME Available

        EMERGENCY MEDICINE - eMedicine Multimedia Infectious Disease Clinical Knowledge Base/Practice Guidelines, CME Available (Text, Images & Simulations).
        Infectious Disease Clinical Practice Guidelines for each of the over "30" Subject Categories & over "400" Articles include:
          "...Author Information; Introduction (Background of Disease, etc.);
          Clinical (History, Physical & Causes); Differentials;
          Workup (Lab Studies, Imaging Studies, etc.); Treatment;
          Medication; Follow-Up & Miscellaneous (Medical/Legal Pitfalls, etc.)..."
        Examples of Emergency Clinical Practice Subject Categories include:
          "...Allergy and Immunology;
          Cardiovascular;
          Dermatology;
          Ear, Nose, and Throat;
          Endocrine and Metabolic;
          Epidemiology;
          Gastrointestinal;
          Genitourinary;
          Hematology and Oncology;
          Implantable Devices;
          Infectious Diseases;
          International Emergency Medicine;
          Neurology;
          Obstetrics and Gynecology;
          Ophthalmology;
          Pediatric;
          Pulmonary;
          Toxicology;
          Trauma and Orthopedics;
          Warfare Emergency Medicine: Chemical, Biological, Radiological, Nuclear and Explosives; etc..."












INFECTIOUS DISEASE CONTROL








TRAUMA, APACHE IV, ICU & SURGICAL OUTCOMES



    ICU & SURGICAL SCORING & APACHE IV


      Acute Physiology & Chronic Health Evaluation (APACHE IV)

        ACUTE PHYSIOLOGY & CHRONIC HEALTH EVALUATION (APACHE IV) - ICU Medicus VERY VERY EXTENSIVE.
        Acute Physiology & Chronic Health Evaluation IV Calculator input values include:
          Physiology
            "...Temperature; Systolic B/P; Diastolic B/P; Heart Rate;
            Respiratory Rate; pH; PO2; Sodium; Glucose; Creatinine;
            BUN; Urine Output; Albumin; Bilirubin; HCT; etc..."
          Glasgow Coma Score
            "...Eye Opening; Verbal Response; Motor Response..."
          Age; Chronic Health Condition; ICU Admission Information; etc.
        For more information see ICU Scores or ICU Medicus



        ACUTE PHYSIOLOGY & CHRONIC HEALTH EVALUATION (APACHE IV) (SPREADSHEET OPENS ONLINE WITH EXCEL, iWORK-NUMBERS, IBM LOTUS SYMPHONY, NEOOFFICE, OPENOFFICE CALC, ETC.) - Cerner Corporation VERY VERY EXTENSIVE.
        Apache IV
          "...The accuracy of APACHE predictions is dependent upon the quality of data upon which predictions are made. Deviations from the precise data collection methodology may result in errors in prediction which Cerner Corporation cannot be responsible for..."
          "...Using the disease mapping table, select the single primary reason for ICU admission. Patients coming to the ICU from the operating room or post-anesthesia care unit must be assigned surgical diagnoses..."
        Acute Physiology & Chronic Health Evaluation IV Calculator input values include:
          Acute Physiology Score
            "...Pulse; Mean Blood Pressure (MAP); Temperature; Respiratory Rate;
            PaO2; A-aDO2; Hematocrit; WBC; Creatine; Urine Output; BUN;
            Sodium; Albumin; Bilrubin; etc..."
          Acid-Base Abnormalities; Neurological Abnormalities; Age;
          Chronic Health Items Present on Admission;
          APACHE Disease Mapping; APPACHE IV Hospital Mortality;
          APACHE IV ICU Length of Stay; etc..."
        For more information see the Critical Care; Cerner Millennium; Solutions & Services or Cerner



      Scoring Systems for ICU & Surgical Patients - Calculators

        EUROSCORE INTERACTIVE CALCULATOR: STANDARD AND LOGISTIC REGRESSION - European System for Cardiac Operative Risk Evaluation (EuroScore) VERY VERY EXTENSIVE.
        EuroSCORE Calculator
          "...is a method of predicting the chances of dying during or shortly after undergoing heart surgery..."
          "...It is very valuable in quality control in cardiac surgery and gives quite a useful estimate of risk in individual patients...."
        For more information see Calculators or Euroscore



        LOGISTIC ORGAN DYSFUNCTION SYSTEM CALCULATOR (LODS CALCULATOR) - J.C. Pezzullo, Georgetown University Medical Center VERY VERY EXTENSIVE.
        Logistic Organ Dysfunction System Calculator (LODS Calculator)
          "...computes the LODS score and predicted mortality, based on the methodology of Le Gall, et al. in..."
          "...As you set each measurement, the program should update that measurement's severity score, the composite score for that organ system (equal to the largest score in that system, not the sum of the scores), the overall LODS score, and the predicted probability of death..."
        Logistic Organ Dysfunction System Calculator INPUT Values includes:
          "...Neurologic System (Glasgow Coma Score);
          Cardiovascular System (Heart Rate; Systolic Blood Pressure);
          Renal System (Serum Urea; Serum Urea Nitrogen; Creatinine; Urine Output);
          Pulmonary System (PaO2; PaO2[kPa]/FiO2);
          Hematologic System (White Blood Cell Count; Platelets);
          Hepatic System (Bilirubin; Prothrombin)..."
        Logistic Organ Dysfunction System Calculator OUTPUT Values includes:
          "...Total LODS Score; Probability of Death..."
        For more information see Interactive Statistics Calculations Pages or John C. Pezzullo's Home Page



        SCORING SYSTEMS FOR ICU AND SURGICAL PATIENTS - Jean-Yves Marandon, Centre Chirurgical Marie Lannelongue, and hosted by the Société Française d'Anesthésie et de Réanimation (French Society of Anesthesia and Intensive Care), Paris, France VERY VERY VERY...EXTENSIVE.
        Scoring Systems for ICU and Surgical Patients
          "...These pages allow an easy "on line" calculation of scores used in general or specialized Intensive Care or Anesthesia..."
        Scoring Systems for ICU and Surgical Patients Calculators Subject Categories include:
          Adults
            "...General Scores Calculators; Trauma Scores Calculators;
            Specialized and Surgical Intensive Care - Preoperative Evaluation Calculators
            Therapeutic Intervention, Nursing ICU Scores Calculators..."
          Pediatrics
            "...General Scores Calculators; Pediatric Trauma Scores Calculators;
            Specialized: Neonatal, Surgical, Meningococcal Septic Shock Calculators;
            Pediatrics: Therapeutic Intervention, Nursing ICU Scores Calculators..."
        For more information see Société Française d'Anesthésie et de Réanimation (SFAR)

          Some examples from over "50" ICU Calculators & Anesthesia Scoring Systems Calculators include

            SOFA: Sequential Organ Failure Assessment Calculator
            Sequential Organ Failure Assessment Calculator (SOFA Calculator) input values include:
              "...Respiration; Cardiovascular; Liver (bilirubin); Coagulation;
              Glasgow; Renal (creatinine or urine output)..."

            TROIS: Three days Recalibrated ICU Outcome Score Calculator
            Three days Recalibrated ICU Outcome Score Calculator (TROIS Calculator) INPUT values include:
              Input: Variables, Value & Beta for
                "...Transfer from ward; Chronic illness; SAPS II 2-SAPS II 3 alteration;
                LODS 2-LODS 3 alteration; LODS on admission; SAPS II on admission
            Three days Recalibrated ICU Outcome Score Calculator (TROIS Calculator) OUTPUT values include:
              "...Predicted death rate..."

            SYSTEM 97: Predictive Score for Acquired Adult Heart Surgery Calculator
            Predictive Score for Acquired Adult Heart Surgery Calculator (System 97 Calculator) INPUT values include:
              Input: Preoperative Risk Factors, Logistic Regression Model & Bedside Approximation Score for
                "...Age; Gender; Diabetes mellitus; Congestive heart failure;
                Left mainstem stenosis; COPD; Pulmonary hypertension;
                Peripheral vascular disease;
                Morbid obesity; Preoperative IABP; CABG added to valve surgery;
                Neurologic disorder; Hypertension; Cardiomegaly; etc..."
            Predictive Score for Acquired Adult Heart Surgery Calculator (System 97 Calculator) OUTPUT values include:
              "...Approximation Score; Predicted Death Rate..."

            ASCOT: A Severity Characterization of Trauma Calculator
            A Severity Characterization of Trauma Calculator (ASCOT Calculator) INPUT values include:
              Input: Organs, Number of AIS 3, 4 & 5 lesions & Points for
                "...Head, brain, spinal cord; Thorax, front of the neck;
                All other body areas; Age;
                Respiratory rate; Systolic blood pressure; Glasgow coma scale..."
            A Severity Characterization of Trauma Calculator (ASCOT Calculator) OUTPUT values include:
              "...Predicted death rate (blunt); Predicted death rate (penetrating)..."

            TISS: Therapeutic Intervention Scoring System Calculator
            Therapeutic Intervention Scoring System Calculator (TISS Calculator) (TISS-76 Calculator) input values include:
              Some examples from over "50" Interventions include:
              "...Cardiac arrest and/or countershock within past 48 hours;
              Controlled ventilation with or without PEEP; Balloon tamponade of varices;
              Pulmonary artery catheter; Induced hypothermia; Platelet transfusion;
              IMV or assisted ventilation; CPAP; Continuous antiarrythmia infusions;
              Hemodialysis stable patient; Parenteral chemotherapy; etc..."

            CRIB II: Clinical Risk Index for Babies Calculator
            Clinical Risk Index for Babies Calculator (CRIB II Calculator) INPUT values include:
              Input: Varialbles, Values & Points, Male & Female Infants for
                "...Gestation; Birthweight; Temperature at admission; Base excess..."
            Clinical Risk Index for Babies Calculator (CRIB II Calculator) OUTPUT values include:
              "...Total CRIB II score; Predicted Death Rate..."

            Rotterdam Score: Meningococcal Septic Shock in Children Calculator
            Meningococcal Septic Shock in Children Calculator (Rotterdam Score Calculator) input values include:
              Input: Varialbles & Score for
                "...Potassium; Base Excess; Platelet Count; C. Reactive Protein..."








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