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Referências encontradas : 1007 [refinar]
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  1 / 1007 MEDLINE  
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[PMID]:29227612
[Au] Autor:Raukar N; Lemieux RS; Casa DJ; Katch RK
[Ti] Título:Dead Heat: Treating exertional heat stroke is a race against time and temperature.
[So] Source:JEMS;42(5):54-9, 2017 05.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Crioterapia/métodos
Serviços Médicos de Emergência/métodos
Golpe de Calor/diagnóstico
Golpe de Calor/terapia
Esforço Físico
[Mh] Termos MeSH secundário: Atletas
Medicina Baseada em Evidências
Golpe de Calor/fisiopatologia
Seres Humanos
Imersão
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


  2 / 1007 MEDLINE  
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[PMID]:29279936
[Au] Autor:Peiris AN; Jaroudi S; Noor R
[Ti] Título:Heat Stroke.
[So] Source:JAMA;318(24):2503, 2017 12 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Golpe de Calor
[Mh] Termos MeSH secundário: Golpe de Calor/etiologia
Golpe de Calor/prevenção & controle
Golpe de Calor/terapia
Seres Humanos
[Pt] Tipo de publicação:PATIENT EDUCATION HANDOUT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.18780


  3 / 1007 MEDLINE  
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[PMID]:29095276
[Au] Autor:Yang M; Li Z; Zhao Y; Zhou F; Zhang Y; Gao J; Yin T; Hu X; Mao Z; Xiao J; Wang L; Liu C; Ma L; Yuan Z; Lv J; Shen H; Hou PC; Kang H
[Ad] Endereço:aDepartment of Critical Care Medicine, Chinese PLA General Hospital, Beijing bDepartment of Orthopedics, Wuhan General Hospital of Guangzhou Command, Guangzhou cDepartment of Critical Care Medicine, Kai Luan General Hospital, Tangshan dDepartment of Critical Care Medicine, The Centre Hospital of Baotou, Baotou eDepartment of Critical Care Medicine, The 251th Hospital of Chinese PLA, Zhangjiakou fDepartment of Critical Care Medicine, The 180th Hospital of Chinese PLA, Quanzhou gDepartment of Critical Care Medicine, People's Hospital Chang Ji Hui Autonomous Prefecture, Xinjiang hDepartment of Critical Care Medicine, Affiliated Hospital of Nan Tong University, Nantong, China iDepartment of Emergency Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
[Ti] Título:Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke.
[So] Source:Medicine (Baltimore);96(44):e8417, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To explore the relationship between the extent of central nervous system (CNS) injury and patient outcomes meanwhile research the potential risk factors associated with neurologic sequelae. In this retrospective cohort study, we analyzed data from 117 consecutive patients (86 survivors, 31 nonsurvivors) with exertional heat stroke (EHS) who had been admitted to intensive care unit (ICU) at 48 Chinese hospitals between April 2003 and July 2015. Extent of CNS injury was dichotomized according to Glasgow coma scale (GCS) score (severe 3-8, not severe 9-15). We then assessed differences in hospital mortality based on the extent of CNS injury by comparing 90-day survival time between the patient groups. Exploring the risk factors of neurologic sequelae. The primary outcomewas the 90-day survival ratewhich differed between the 2 groups (P = .023). The incidence of neurologic sequelae was 24.4%. For its risk factors, duration of recurrent hyperthermia (OR = 1.73, 95% CI: 1.20-2.49, P = .003), duration of CNS injury (OR = 1.39, 95% CI: 1.04-1.85, P = .025), and low GCS in the first 24 hours after admission (OR = 2.39, 95% CI: 1.11-5.15, P = .025) were selected by multivariable logistic regression. Cooling effect was eliminated as a factor (OR = 2641.27, 95% CI 0.40-1.73_107, P = .079). Significant differences in 90-day survival ratewere observed based on the extent of CNS injury in patients with EHS, and incidence was 24.4% for neurologic sequelae. Duration of recurrent hyperthermia, duration of CNS injury, and low GCS score in the first 24 hours following admission may be independent risk factors of neurologic sequelae. Cooling effect should be validated in the further studies.
[Mh] Termos MeSH primário: Golpe de Calor/complicações
Esforço Físico
Traumatismos do Sistema Nervoso/etiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Febre/etiologia
Escala de Coma de Glasgow
Golpe de Calor/mortalidade
Mortalidade Hospitalar
Seres Humanos
Incidência
Unidades de Terapia Intensiva/estatística & dados numéricos
Modelos Logísticos
Masculino
Análise Multivariada
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Traumatismos do Sistema Nervoso/mortalidade
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008417


  4 / 1007 MEDLINE  
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[PMID]:29020735
[Au] Autor:Ollove M
[Ti] Título:Protecting Student Athletes. Are states doing enough to keep student athletes safe from heat and head injuries?
[So] Source:State Legis;43(9):24-5, 2017 Oct-Nov.
[Is] ISSN:0147-6041
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Atletas/legislação & jurisprudência
Traumatismos em Atletas/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Concussão Encefálica/prevenção & controle
Criança
Parada Cardíaca/prevenção & controle
Golpe de Calor/prevenção & controle
Seres Humanos
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171013
[St] Status:MEDLINE


  5 / 1007 MEDLINE  
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[PMID]:28805553
[Au] Autor:Katch RK; Scarneo SE; Adams WM; Armstrong LE; Belval LN; Stamm JM; Casa DJ
[Ad] Endereço:a University of Connecticut.
[Ti] Título:Top 10 Research Questions Related to Preventing Sudden Death in Sport and Physical Activity.
[So] Source:Res Q Exerc Sport;88(3):251-268, 2017 Sep.
[Is] ISSN:2168-3824
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Participation in organized sport and recreational activities presents an innate risk for serious morbidity and mortality. Although death during sport or physical activity has many causes, advancements in sports medicine and evidence-based standards of care have allowed clinicians to prevent, recognize, and treat potentially fatal injuries more effectively. With the continual progress of research and technology, current standards of care are evolving to enhance patient outcomes. In this article, we provided 10 key questions related to the leading causes and treatment of sudden death in sport and physical activity, where future research will support safer participation for athletes and recreational enthusiasts. The current evidence indicates that most deaths can be avoided when proper strategies are in place to prevent occurrence or provide optimal care.
[Mh] Termos MeSH primário: Traumatismos em Atletas/prevenção & controle
Morte Súbita/prevenção & controle
[Mh] Termos MeSH secundário: Arritmias Cardíacas/terapia
Regulação da Temperatura Corporal
Lesões Encefálicas Traumáticas/complicações
Lesões Encefálicas Traumáticas/terapia
Desfibriladores Implantáveis
Serviços Médicos de Emergência/organização & administração
Exercício/fisiologia
Futebol Americano/lesões
Golpe de Calor/prevenção & controle
Golpe de Calor/terapia
Seres Humanos
Hiponatremia/etiologia
Hiponatremia/prevenção & controle
Hiponatremia/terapia
Programas de Rastreamento
Educação Física e Treinamento/recursos humanos
Volta ao Esporte
Fatores de Risco
Traço Falciforme/complicações
Traço Falciforme/terapia
Esportes/classificação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1080/02701367.2017.1342201


  6 / 1007 MEDLINE  
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[PMID]:28692392
[Au] Autor:White JR; Berisha V; Lane K; Ménager H; Gettel A; Braun CR; Council of State and Territorial Epidemiologists Heat Syndrome Workgroup
[Ad] Endereço:1 Office of Epidemiology, Maricopa County Department of Public Health, Phoenix, AZ, USA.
[Ti] Título:Evaluation of a Novel Syndromic Surveillance Query for Heat-Related Illness Using Hospital Data From Maricopa County, Arizona, 2015.
[So] Source:Public Health Rep;132(1_suppl):31S-39S, 2017 Jul/Aug.
[Is] ISSN:1468-2877
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: We evaluated a novel syndromic surveillance query, developed by the Council of State and Territorial Epidemiologists (CSTE) Heat Syndrome Workgroup, for identifying heat-related illness cases in near real time, using emergency department and inpatient hospital data from Maricopa County, Arizona, in 2015. METHODS: The Maricopa County Department of Public Health applied 2 queries for heat-related illness to area hospital data transmitted to the National Syndromic Surveillance Program BioSense Platform: the BioSense "heat, excessive" query and the novel CSTE query. We reviewed the line lists generated by each query and used the diagnosis code and chief complaint text fields to find probable cases of heat-related illness. For each query, we calculated positive predictive values (PPVs) for heat-related illness. RESULTS: The CSTE query identified 674 records, of which 591 were categorized as probable heat-related illness, demonstrating a PPV of 88% for heat-related illness. The BioSense query identified 791 patient records, of which 589 were probable heat-related illness, demonstrating a PPV of 74% for heat-related illness. The PPV was substantially higher for the CSTE novel and BioSense queries during the heat season (May 1 to September 30; 92% and 85%, respectively) than during the cooler seasons (55% and 29%, respectively). CONCLUSION: A novel query for heat-related illness that combined diagnosis codes, chief complaint text terms, and exclusion criteria had a high PPV for heat-related illness, particularly during the heat season. Public health departments can use this query to meet local needs; however, use of this novel query to substantially improve public health heat-related illness prevention remains to be seen.
[Mh] Termos MeSH primário: Golpe de Calor/epidemiologia
Hospitais/estatística & dados numéricos
Registros Médicos/estatística & dados numéricos
Vigilância da População/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Arizona
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Meia-Idade
Saúde Pública
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1177/0033354917706517


  7 / 1007 MEDLINE  
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[PMID]:28692389
[Au] Autor:Harduar Morano L; Waller AE
[Ad] Endereço:1 Carolina Center for Health Informatics, Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
[Ti] Título:Evaluation of the Components of the North Carolina Syndromic Surveillance System Heat Syndrome Case Definition.
[So] Source:Public Health Rep;132(1_suppl):40S-47S, 2017 Jul/Aug.
[Is] ISSN:1468-2877
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To improve heat-related illness surveillance, we evaluated and refined North Carolina's heat syndrome case definition. METHODS: We analyzed North Carolina emergency department (ED) visits during 2012-2014. We evaluated the current heat syndrome case definition (ie, keywords in chief complaint/triage notes or International Classification of Diseases, Ninth Revision, Clinical Modification [ ICD-9-CM] codes) and additional heat-related inclusion and exclusion keywords. We calculated the positive predictive value and sensitivity of keyword-identified ED visits and manually reviewed ED visits to identify true positives and false positives. RESULTS: The current heat syndrome case definition identified 8928 ED visits; additional inclusion keywords identified another 598 ED visits. Of 4006 keyword-identified ED visits, 3216 (80.3%) were captured by 4 phrases: "heat ex" (n = 1674, 41.8%), "overheat" (n = 646, 16.1%), "too hot" (n = 594, 14.8%), and "heatstroke" (n = 302, 7.5%). Among the 267 ED visits identified by keyword only, a burn diagnosis or the following keywords resulted in a false-positive rate >95%: "burn," "grease," "liquid," "oil," "radiator," "antifreeze," "hot tub," "hot spring," and "sauna." After applying the revised inclusion and exclusion criteria, we identified 9132 heat-related ED visits: 2157 by keyword only, 5493 by ICD-9-CM code only, and 1482 by both (sensitivity = 27.0%, positive predictive value = 40.7%). Cases identified by keywords were strongly correlated with cases identified by ICD-9-CM codes (rho = .94, P < .001). CONCLUSIONS: Revising the heat syndrome case definition through the use of additional inclusion and exclusion criteria substantially improved the accuracy of the surveillance system. Other jurisdictions may benefit from refining their heat syndrome case definition.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/estatística & dados numéricos
Golpe de Calor/epidemiologia
Vigilância da População/métodos
[Mh] Termos MeSH secundário: Codificação Clínica/métodos
Serviço Hospitalar de Emergência/organização & administração
Seres Humanos
Classificação Internacional de Doenças/utilização
North Carolina/epidemiologia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1177/0033354917710946


  8 / 1007 MEDLINE  
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[PMID]:28692384
[Au] Autor:Lall R; Abdelnabi J; Ngai S; Parton HB; Saunders K; Sell J; Wahnich A; Weiss D; Mathes RW
[Ad] Endereço:1 Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA.
[Ti] Título:Advancing the Use of Emergency Department Syndromic Surveillance Data, New York City, 2012-2016.
[So] Source:Public Health Rep;132(1_suppl):23S-30S, 2017 Jul/Aug.
[Is] ISSN:1468-2877
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The use of syndromic surveillance has expanded from its initial purpose of bioterrorism detection. We present 6 use cases from New York City that demonstrate the value of syndromic surveillance for public health response and decision making across a broad range of health outcomes: synthetic cannabinoid drug use, heat-related illness, suspected meningococcal disease, medical needs after severe weather, asthma exacerbation after a building collapse, and Ebola-like illness in travelers returning from West Africa. MATERIALS AND METHODS: The New York City syndromic surveillance system receives data on patient visits from all emergency departments (EDs) in the city. The data are used to assign syndrome categories based on the chief complaint and discharge diagnosis, and analytic methods are used to monitor geographic and temporal trends and detect clusters. RESULTS: For all 6 use cases, syndromic surveillance using ED data provided actionable information. Syndromic surveillance helped detect a rise in synthetic cannabinoid-related ED visits, prompting a public health investigation and action. Surveillance of heat-related illness indicated increasing health effects of severe weather and led to more urgent public health messaging. Surveillance of meningitis-related ED visits helped identify unreported cases of culture-negative meningococcal disease. Syndromic surveillance also proved useful for assessing a surge of methadone-related ED visits after Superstorm Sandy, provided reassurance of no localized increases in asthma after a building collapse, and augmented traditional disease reporting during the West African Ebola outbreak. PRACTICE IMPLICATIONS: Sharing syndromic surveillance use cases can foster new ideas and build capacity for public health preparedness and response.
[Mh] Termos MeSH primário: Surtos de Doenças/prevenção & controle
Serviço Hospitalar de Emergência/estatística & dados numéricos
Vigilância da População/métodos
Informática em Saúde Pública/métodos
[Mh] Termos MeSH secundário: Asma/epidemiologia
Doenças Transmissíveis Emergentes/epidemiologia
Doenças Transmissíveis Emergentes/prevenção & controle
Serviço Hospitalar de Emergência/organização & administração
Golpe de Calor/epidemiologia
Seres Humanos
Abuso de Maconha/epidemiologia
Cidade de Nova Iorque/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1177/0033354917711183


  9 / 1007 MEDLINE  
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[PMID]:28651196
[Au] Autor:Nadesan K; Kumari C; Afiq M
[Ad] Endereço:Department of Forensic Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Electronic address: k.nadesan101@gmail.com.
[Ti] Título:Dancing to death: A case of heat stroke.
[So] Source:J Forensic Leg Med;50:1-5, 2017 Aug.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Heat stroke is a medical emergency which may lead to mortality unless diagnosed early and treated effectively. Heat stroke may manifest rapidly, hence making it difficult to differentiate it from other clinical causes in a collapsed victim. We are presenting a case report of twelve patients who were admitted to our emergency department from a music festival held on 13-15th of March 2014. They developed complications arising from a combination of severe adverse weather condition, prolonged outdoor physical exertion due to long hours of dancing and drug-use, resulting in heat stroke. Three of them died while the remaining patients survived. Their condition was initially misdiagnosed as a classical illicit drug overdose. This was based on the history of drug ingestion by some of the patients who attended the music festival on that day. The information in this case report aims, to create awareness amongst members of the medical team on duty in outdoor events, pre hospital responders and ED physicians when treating and managing similar cases in the future. In addition it is intended to warn the organizers of such events to take adequate precautions to avoid such tragedies in the future.
[Mh] Termos MeSH primário: Dança
Golpe de Calor/etiologia
Transtornos Relacionados ao Uso de Substâncias/complicações
[Mh] Termos MeSH secundário: Adulto
Serviço Hospitalar de Emergência
Feminino
Golpe de Calor/patologia
Temperatura Alta
Seres Humanos
Umidade
Masculino
Miocárdio/patologia
Esforço Físico
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE


  10 / 1007 MEDLINE  
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[PMID]:28273401
[Au] Autor:Bruchim Y; Kelmer E; Cohen A; Codner C; Segev G; Aroch I
[Ad] Endereço:Koret School of Veterinary Medicine, Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, 76100, Israel.
[Ti] Título:Hemostatic abnormalities in dogs with naturally occurring heatstroke.
[So] Source:J Vet Emerg Crit Care (San Antonio);27(3):315-324, 2017 May.
[Is] ISSN:1476-4431
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate hemostatic analyte abnormalities and their association with mortality in dogs with naturally occurring heatstroke. DESIGN: Prospective observational study. SETTING: University teaching hospital. ANIMALS: Thirty client-owned dogs with naturally occurring heatstroke. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Citrated and EDTA blood samples were collected at presentation and at 4, 12, 24, 36, and 48 hours postpresentation (PP). Hemostatic tests performed included platelet count, prothrombin and activated partial thromboplastin times (PT and aPTT, respectively), antithrombin activity (ATA), total protein C activity (tPCA), fibrinogen, and D-dimer concentrations. The overall survival rate was 60% (18/30 dogs). Older age, higher heart rate and rectal temperature at presentation, and time from onset of clinical signs to presentation were significantly associated with mortality. Hemostatic analytes at presentation were not associated with mortality. Prolonged PT and aPTT at 12-24 hours PP, lower tPCA at 12 hours PP, and hypofibrinogenemia at 24 hours PP were significantly (P < 0.05) associated with mortality. Increased D-dimer concentration and low ATA were common at all time points, but were not associated with mortality. The frequency of disseminated intravascular coagulation (DIC) increased in nonsurvivors throughout hospitalization, but the development of DIC was not associated with mortality. The number of abnormal coagulation disturbances during the first 24 hours was significantly higher in nonsurvivors (P = 0.04). CONCLUSIONS: Hemostatic derangements are common in dogs with naturally occurring heatstroke. Alterations in PT, aPTT, tPCA, and fibrinogen concentrations appear to be associated with the outcome at 12-24 hours PP, exemplifying the need for serial measurement of multiple laboratory hemostatic tests during hospitalization, even when within reference interval on presentation. The development of DIC, as defined in this cohort, was not associated with mortality; however, nonsurvivors had significantly more coagulation abnormalities during the first 24 hours PP.
[Mh] Termos MeSH primário: Coagulação Intravascular Disseminada/veterinária
Doenças do Cão/sangue
Golpe de Calor/veterinária
[Mh] Termos MeSH secundário: Animais
Testes de Coagulação Sanguínea/veterinária
Coagulação Intravascular Disseminada/sangue
Doenças do Cão/mortalidade
Cães
Emergências/veterinária
Feminino
Produtos de Degradação da Fibrina e do Fibrinogênio/análise
Golpe de Calor/sangue
Hemostasia
Masculino
Tempo de Tromboplastina Parcial/veterinária
Estudos Prospectivos
Análise de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fibrin Fibrinogen Degradation Products); 0 (fibrin fragment D)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1111/vec.12590



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