My Long Covid Advocacy’s Post

Patient types الدرس ١٨ من دورة الإيرادات متوفر فيديو شرح للدرس د صديق الحكيم Patients can be categorized into different types based on various criteria such as care needs, visit purpose, and healthcare delivery settings. Below are the main types of patients commonly encountered in clinical settings: ♦️1. Based on Visit Purpose 1. New Patients Visiting the clinic for the first time. Require more time for intake, medical history review, and establishing rapport. 2. Established Patients Have visited the clinic before. Records and history are already available, making visits more focused on ongoing care. 3. Referral Patients Referred by another provider or specialist. Often for specific diagnostic or therapeutic services. ♦️2. Based on Condition Severity 1. Acute Patients Present with short-term or sudden conditions (e.g., flu, infections, injuries). Require immediate attention but are usually resolved quickly. 2. Chronic Patients Suffering from long-term or ongoing conditions (e.g., diabetes, hypertension). Need continuous monitoring and management. 3. Critical Patients Present with life-threatening conditions (e.g., heart attack, severe trauma). Require urgent and intensive care, often involving hospitalization. ♦️3. Based on Age Group 1. Pediatric Patients Children and adolescents (typically under 18 years). Require specialized care tailored to their developmental needs. 2. Adult Patients Typically aged 18-65 years. Receive a broad range of services, from preventive to chronic disease management. 3. Geriatric Patients Older adults (usually 65+ years). Focus on managing aging-related conditions, multiple comorbidities, and mobility issues. ♦️4. Based on Type of Care Needed 1. Preventive Care Patients Visit for routine screenings, vaccinations, or health check-ups. Focused on maintaining health and preventing disease. 2. Diagnostic Patients Present with symptoms requiring evaluation and testing to determine the cause. 3. Therapeutic Patients Undergoing treatment or interventions for a specific condition. 4. Rehabilitative Patients Recovering from surgery, injury, or illness. Often require physical, occupational, or speech therapy. ♦️5. Based on Healthcare Setting 1. Outpatients Visit the clinic or hospital but do not require overnight stays. 2. Inpatients Admitted to the hospital for at least one night for more intensive care. 3. Emergency Patients Seen in the emergency department for urgent or acute care. 4. Home-Care Patients Receive care at home, often for chronic or terminal conditions. ♦️6. Based on Payment or Insurance Status 1. Self-Pay Patients Pay out-of-pocket for services. 2. Insured Patients Covered by private or public insurance. 3. Charity or Uninsured Patients Receive care through charity programs or with financial assistance. ✅️✅️Understanding the type of patient helps healthcare providers tailor their approach to ensure efficient and effective care delivery.

10 Reseaons Why EM is extremely Important : 1.Immediate Care for Acute Conditions - The ER is often the first point of contact for patients experiencing acute and life-threatening conditions, such as heart attacks, strokes, trauma, and severe infections. The ability to provide immediate care can be the difference between life and death. 2.Broad Scope of Practice - Emergency physicians must be skilled in a wide range of medical fields, including internal medicine, surgery, pediatrics, and obstetrics. This broad knowledge allows them to treat a diverse array of conditions quickly and efficiently. 3.Critical Decision-Making - ER physicians are trained to make rapid, high-stakes decisions with limited information. They often have to diagnose and stabilize patients within minutes, which requires strong clinical judgment and the ability to work under pressure. 4.24/7 Accessibility - The ER is open 24/7, providing access to medical care at any time. This is especially crucial for individuals who cannot wait for a regular appointment or who experience medical emergencies outside of regular office hours. 5.Public Health Role - ERs often serve as the front line in public health crises, such as pandemics, natural disasters, and mass casualty incidents. They play a key role in identifying and managing outbreaks and other large-scale health emergencies. 6.Interdisciplinary Collaboration - The ER is a hub of interdisciplinary teamwork, involving nurses, paramedics, surgeons, specialists, and other healthcare professionals. This collaboration ensures that patients receive comprehensive and coordinated care. 7.Gateway to Further Treatment - The ER often acts as a gateway to further treatment, with many patients being admitted to the hospital for additional care or referred to specialists for ongoing treatment. This initial assessment and stabilization are crucial for guiding the next steps in patient care. 8.Patient Advocacy - ER physicians often advocate for patients who might not have access to regular healthcare. They provide care regardless of a patient's ability to pay, and they often connect patients with resources and follow-up care that they might not otherwise receive. 9.High Impact on Healthcare Outcomes - Effective emergency care can significantly reduce morbidity and mortality rates. Early intervention in critical cases, such as trauma or sepsis, can dramatically improve patient outcomes. 10.Dynamic and Rewarding Field - The dynamic nature of ER work, where no two days are the same, can be highly rewarding for those who thrive in fast-paced environments. The immediate impact on patient outcomes provides a deep sense of professional fulfillment. The ER specialty is vital not only for the immediate care it provides but also for its role in the broader healthcare system, ensuring that patients receive timely and appropriate care when they need it most.

High Pediatric Hospital Mortality in LMICs: Urgent Call for Resource Allocation and Research The increasing rate of pediatric hospital deaths in low- and middle-income countries

Diagnostic Challenges of Long COVID in Children: A Survey of Pediatric Health Care Providers' Preferences and Practices Given the challenges in diagnosing children with long COVID, we sought to explore diagnostic practices and preferences among clinicians. A ten-question survey assessed pediatric providers' clinical decision making for identifying and evaluating long COVID in children. Of the 120 survey respondents, 84 (70%) were physicians, 31 (26%) nurse practitioners, and 5 (4%) physician assistants. The most common categories of symptoms identified as raising suspicion for long COVID in children included cardiopulmonary symptoms, selected by 119 (99%) of pediatric providers, and neurocognitive symptoms, selected by 118 (98%) of providers. However, there was more ambiguity on the primary feature of long COVID, with providers selecting a range of key symptoms. Of all physical exam findings, postural orthostatic tachycardia, was most suggestive of long COVID (identified by 49 [41%] of pediatric providers), whereas one-third of providers reported no specific identifiable exam finding. Pediatric providers report variable decision making in the clinical evaluation of long COVID, with patient demographics and clinical factors impacting whether a diagnosis of long COVID is considered. This variation in diagnosing pediatric long COVID reflects ambiguity in the definition of long COVID in children and the absence of clinical guidelines to support providers in the identification of disease and treatment. This study highlights an area of need for future clinical advances in pediatric long COVID. ***Click on banner below to access entire study. Posted by Larry Cole Executive Director - Covid Impact 360

📃Scientific paper: Benign acute children myositis: 5 years experience in a tertiary care pediatric hospital Abstract: Benign acute childhood myositis (BACM) is a self-limited childhood illness, and viral infections mainly cause it. Clinical and laboratory alterations usually normalize rapidly; generally, the only medical intervention required is supportive (hydration and analgesic medication). The low awareness about BACM often led to delayed diagnosis and unneeded ancillary investigations. This study aims to better characterize the clinical and laboratory features of BACM to improve the diagnostic process and inpatient and outpatient management. We conducted a retrospective study selecting all children admitted to Meyer’s Children’s Hospital-IRCCS (Florence, Italy) with a diagnosis of BACM over the last 5 years, both those visited at Emergency Department (ED) and those admitted to the Pediatric Unit. Clinical, laboratory, and instrumental data were collected from electronic clinical records and analyzed. Overall, sixty-five patients were enrolled; 49 children were visited and discharged directly from ED, whereas 16 were admitted in the Pediatric or Neurologic Wards. The median age was 6.56 years (IQR 4.9–9.1). Male gender (66.1%) and Caucasian ethnicity (70%) were prevalent. Most patients were admitted during winter, and a second peak was found in autumn. All patients had bilateral calf pain, most of them (87.7%) associated with asthenia and refuse to walk (93.8%). Prodromal symptoms were fever (75.3%), cough (32.3%), coryza (26.1%), sore throat (26.1%), and vomiting (15.3%). ... Continued on ES/IODE ➡️ https://etcse.fr/k5ym9 ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

📚 Loved this read The history of US hospital-based care and many of the most significant medical achievements in the modern age can be traced back to 462 1st Ave., New York, NY, or the one and only Bellevue Hospital. Named after the Belle Vue farm it sat on, Bellevue has become the institution of some of the most notable medical advancements, a treatment center for every major disease and outbreak, and the epicenter for research and public health initiatives. Here are some of the amazing achievements from the the 288 years of history: 🚑 First Ambulance Service (1869): Bellevue established the first ambulance service in the US, transforming emergency medical care and setting a standard for modern EMS systems. 🤰 First Maternity Ward (1799): Bellevue also established the first maternity ward in the US, with dedicated care throughout the marterinal journey, which lead to increidble innovations in maternal and infant care. 👩🔬 Pathological Laboratory (1874): Bellevue opened the first pathological laboratory in the country revolutionizing the analysis of blood, urine and tissue samples. 🧠 Pioneering Psychiatry: In the early 1930s, Bellevue's psychiatric division became the leading center for psychiatric research. This is a very checkered piece of their history as many controversial techniques an clinical failures are noted. 🔬 AIDS Research (1980s): Bellevue was at the center of developing the "Triple Drug Cocktail" or HAART treatment, a breakthrough in the treatment of AIDS. 💉 Innovations in Surgery: Bellevue has been at the forefront of surgical and trauma care, including the development of advanced techniques, such as performing the first mitral valve replacement to performing the first a kidney transplant, and the establishment of one of the first comprehensive trauma center. 📋 Public Health Initiatives: From pioneering the first tuberculosis control and being the designated hospital to treat Ebola patients, discovering streptokinase (blood clot treatments), inventing the first active immunization for hepatitis B, and addressing the health needs of millions of underserved populations. Bellevue's ethos: we treat everybody, regardless of their disease, regardless of their social standing.

🚨 Revolutionary Sepsis Protocol Saves Lives in Pediatric Oncology! 🚨 A groundbreaking sepsis management strategy in a pediatric hematology-oncology unit has achieved a remarkable milestone—zero sepsis-related deaths! This significant advancement highlights the critical importance of innovative healthcare solutions for vulnerable children battling severe illnesses. 🔍 Key Highlights: - Sepsis Algorithm Implementation: A comprehensive protocol that integrates continuous education for nurses, quality improvement techniques, and proactive prevention measures. - 📈 Impressive Results: - 10.7% increase in compliance with the algorithm. - 24.7% rise in timely antibiotic administration within the crucial one-hour window. This initiative underscores how structured education and timely interventions can drastically improve patient outcomes and safety. 🌟 The success of this protocol not only showcases the vital role of well-trained nursing staff but also serves as a scalable model that other pediatric units can adopt to combat sepsis effectively. Let's continue to prioritize child healthcare and explore innovative solutions! 👉 Click to learn more about this transformative achievement! #ClinicalResearches #HealthcareInnovation #NursingExcellence #PediatricHealth #SepsisAwareness #MarketAccess #MarketAccessToday

🚨 New Research Alert: Severe Mycoplasma Pneumoniae and Pulmonary Embolism Risk in Children 🚨 Recent findings reveal a concerning link between severe Mycoplasma pneumoniae pneumonia (MPP) and an increased risk of pulmonary embolism (PE) in pediatric patients. 📊 Study Highlights: - 291 hospitalized children with MPP were analyzed. - 141 were diagnosed with PE, showcasing significant clinical differences. - Key indicators for PE risk include elevated levels of C-reactive protein (CRP), D-dimer, lactate dehydrogenase (LDH), and interleukin 6 (IL-6). 🔍 Key Insights: - D-dimer levels above 0.8 Ag/ml are strong predictors for PE. - Over 60% of PE cases showed pulmonary necrosis, highlighting a critical diagnostic marker. This research underscores the importance of monitoring specific biomarkers to enhance early detection and intervention strategies in affected children. Healthcare professionals are encouraged to implement routine screenings for these indicators to improve patient outcomes. 👉 Click the link to read more about this vital study! #ClinicalResearches #HealthcareResearch #MycoplasmaPneumonia #PatientCare #Pediatrics #Publications #PulmonaryEmbolism #MarketAccess #MarketAccessToday

For Healthcare Professionals #HCPs Conversation Openers: Practical advice for healthcare professionals on ‘how’ to have open conversations on mental health with patients - https://lnkd.in/eY_N-Jf2 UKONS (UK Oncology Nursing Society) EONS Cancer Nursing Nursing Times

🔬 New Consensus on RBC Transfusions for Preterm Neonates: Key Recommendations and Findings 👶🩸 In a previous publication in The Lancet (link in the comment), we emphasized the lack of clear transfusion guidelines for the premature population. Today, thanks to a significant task force, a new consensus statement informed by two large randomized clinical trials (RCTs) and a systematic review of six RCTs involving 3,483 preterm infants, provides updated guidelines to optimize clinical outcomes and minimize risks. **Key Points:** 1. **RBC Transfusions in Preterm Neonates:** The decision to transfuse RBCs in very preterm neonates is complex, balancing the benefits of improved cerebral oxygenation and reduced neurodevelopmental impairment against the risks of serious adverse effects (SAEs). 2. **Recent Findings:** The TOP and ETTNO trials compared high (liberal) vs. low (restrictive) transfusion thresholds. The results showed that a restrictive transfusion strategy (lower hemoglobin concentration thresholds) generally had little to no impact on key outcomes, such as survival and neurodevelopmental impairment. 3. **Recommendations:**   - **Restrictive Transfusion Strategy:** Conditional recommendation with moderate certainty of evidence for preterm neonates <30 weeks' gestation.   - **Hemoglobin Thresholds:**     - **Neonates on Respiratory Support:**       - Week 1: 11 g/dL       - Week 2: 10 g/dL       - Week 3 or more: 9 g/dL     - **Neonates on Minimal or No Respiratory Support:**       - Week 1: 10 g/dL       - Week 2: 8.5 g/dL       - Week 3 or more: 7 g/dL 4. **Guideline Development:** The guidelines were developed by an international steering committee using the GRADE approach, incorporating input from parent representatives and 10 stakeholder organizations. 5. **Clinical Implications:** These recommendations aim to reduce unnecessary exposure to RBC transfusions while ensuring clinical benefits for preterm neonates. The guidelines are pragmatic to facilitate implementation in neonatal intensive care units (NICUs). 6. **Considerations for Clinicians:**   - Higher thresholds may be necessary for patients with sepsis, NEC, or requiring inotropic support.   - The guidelines reflect the best current evidence but may evolve with ongoing research, particularly in school-age follow-up studies. This consensus emphasizes the importance of individualized care and careful consideration of transfusion thresholds to improve outcomes for preterm neonates. Despite this important consensus statement, is there something more we can do to improve transfusion medicine in the neonatal population? Regardless of when and how we proceed with a transfusion, is it important to consider the characteristics of the blood donor? What about the use of HbF instead of adult hemoglobin? is it feasible? Should we still believe in the potential of some technologies like NIRS? #Neonatology #PretermCare #RBCtransfusion #ClinicalGuidelines #NICU