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Overview

Balloon tube tamponade is a life saving intervention in patients with active variceal bleeding, especially if emergency endoscopic intervention is unavailable or not possible. Esophageal varices are usually fed from abdominal vessels such as the coronary vein and short gastric vein that enter the chest through the diaphragm around the gastroesophageal (GE) junction. Increased portal pressure can cause dilatation of the coronary vein, which often leads to the formation of thin-walled, fragile varices below the esophageal and stomach mucosa. Applying pressures on the GE junction will tamponade the GE junction vessels and effectively stop bleeding. In other words, it is the pressure on the “feeding vessels” rather than pressure on the actual varices that stops the bleeding.

01 Jan 2011·Textbook of Rapid Response Systems

The Nurse’s View of RRS

Author: Donna Goldsmith ; Nicolette C. Mininni

During the past two decades, healthcare cultures have evolved to recognize the nurse’s critical thinking skills and to promote independent functioning of nurses. Nurses, like all other healthcare professionals, focus on patient safety and deliver the right care at the right time. One example of this new cultural focus of patient safety is introduction of Rapid Response Systems (RRSs) that include Medical Emergency Teams (METs) and Rapid Response Teams (RRTs). Both teams rely on nurse calling for assistance at the first signs of clinical deterioration in hospitalized patients to prevent serious adverse events (such as cardiac arrests) from occurring. Without nurses, METs/RRTs probably would not be successful in achieving this goal.

Nursing Education Research Conference 2020

Impact of LGBTQ Cultural Competence on Registered Nurses

Author: Tyler Traister

100 Deals associated with UPMC Shadyside

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100 Translational Medicine associated with UPMC Shadyside

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