scholarly journals Decision-making Processes for a Patient Admitted to the Accident and Emergency Department Requiring Emergency Abdominal X-ray ― A Case Study

2016 ◽  
Vol 33 (1) ◽  
pp. 37
Author(s):  
Y. Yuliawati
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Descriptive Model ◽  
X Ray ◽  
Processing Theory ◽  
Accident And Emergency ◽  
Prescriptive Model ◽  
Decision Making Processes ◽  
Accident And Emergency Department

This study investigated the application of the various processes involved in decision-making for acase requiring radiologic emergency abdominal X-ray examination to the Accident and Emergency Department in a government-owned hospital in West Java, Indonesia. It is also aimed to evaluate the patient who was experiencing abdominal pain accompanied by bloating, vomiting, severe constipation and abdominal cramps.The decision-making models used for this case were the normative, prescriptive and descriptive judgments. A decision tree in the form of decision options that was employed in this case addressed the normative model of decision-making, while the algorithm and information processing theory focused on the prescriptive model. Lastly, the intuition that was used in this case concentrated on the descriptive model of decision-making. An emergency abdominal X-ray was indicated for the patient ― a prescriptive decision. Options from decision trees were also practiced. However, the patient was in pain; therefore, she was unable to understand the alternatives that were presented. Hence, this choice was suggested by the author because, by intuition, the expectation was that the patient suffered from acute abdominal crisis.

Advanced lung cancer on CT pulmonary angiogram in a patient presenting to an accident and emergency department with chest pain and breathlessness

2018 ◽  
pp. 20-23
Author(s):  
Adam Ainley ◽  
Himender Makker
Keyword(s):  
Lung Cancer ◽  
Emergency Department ◽  
Chest Pain ◽  
Advanced Lung Cancer ◽  
Pulmonary Angiogram ◽  
Accident And Emergency ◽  
Ct Pulmonary Angiogram ◽  
Accident And Emergency Department

This case study looks at Advanced lung cancer on CTPA in a patient presenting to Accident & Emergency department with chest pain and breathlessness, and provides questions with model answers.

Sports Injuries as Seen at An Accident and Emergency Department

1988 ◽  
Vol 33 (4) ◽  
pp. 296-297 ◽  
Author(s):  
M.A. Pickard ◽  
W.M. Tullett ◽  
A.R. Patel
Keyword(s):  
Emergency Department ◽  
Sports Injuries ◽  
Patient Treatment ◽  
Trauma Patients ◽  
Work Time ◽  
X Ray ◽  
Appropriate Treatment ◽  
Accident And Emergency ◽  
Working Age ◽  
Accident And Emergency Department

We present certain characteristics of 1,000 consecutive patients who attended an Accident and Emergency Department (A&E) with an injury sustained as a result of sport. The majority of injuries occurred as a result of football. Sports injuries had a higher requirement of X-ray than general trauma patients. A minority were treated at the site of injury. A fifth of patients required no treatment or a simple dressing. Commonest treatment was a support bandage. Only 2% required immediate in-patient treatment. Those affected by sports injuries tend to be young and of working age and may lose work time as a result of their injuries and therefore appropriate treatment is justified.

scholarly journals Decision Making Processes for a Pregnant Woman Admitted to the Accident and Emergency Department Requiring Emergency Diagnostic X-ray – A Case Study

2017 ◽  
Vol 32 (2) ◽  
pp. 121
Author(s):  
S. Ismanto
Keyword(s):  
Decision Making ◽  
Pregnant Woman ◽  
Emergency Care ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
X Ray ◽  
Processing Theory ◽  
Vehicle Accident ◽  
Decision Making Processes ◽  
Diagnostic Investigations

The objective of this study is to apply the decision-making processes for a pregnant woman who was involved in a motor vehicle accident and admitted to a private middle-class hospital in the capital of Indonesia requiring radiologic X-ray examination.  It also aims to examine and evaluate the patient who was in her 20th week of gestation in order to provide her with the best emergency care, diagnostic investigations and treatments.The descriptive, normative and prescriptive models of decision-making are demonstrated. The descriptive model used intuition, while the normative model used decision trees as decision options and lastly the prescriptive decision used the information processing theory (IPT) to decide on the best emergency care, diagnostic investigations and treatments for the patient. The IPT dominated the decision-making process; hence an X-ray examination was done that was safe for the fetus and the childbearing mother. Decision option was not used since the patient was in pain and could not understand much of the procedure that was explained.  Intuition helped in the decision-making in order to ensure safe and effective practice.

scholarly journals Decision Making Processes for a Patient with Cardiac Pacemaker Admitted to the Accident and Emergency Undergoing Magnetic Resonance Imaging – A Case Study

2017 ◽  
Vol 32 (2) ◽  
pp. 133
Author(s):  
F. P. Raditya
Keyword(s):  
Magnetic Resonance Imaging ◽  
Decision Making ◽  
Magnetic Resonance ◽  
Cardiac Pacemaker ◽  
Resonance Imaging ◽  
Processing Theory ◽  
Prescriptive Model ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

This case study aims to apply the processes of decision-making for magnetic resonance imaging (MRI) as a diagnostic examination for a patient with cardiac pacemaker admitted to a private hospital in the capital of Indonesia. It also aims to examine and evaluate the case of a 53-year-old mother who had a heart abnormality that has a pacemaker for one year and was diagnosed to do an MRI examination because of a suspected tumor on the wrist area.The three basic models of decision-making — the descriptive, prescriptive and normative — were applied. The prescriptive used the information processing theory, while the normative used decision trees as decision options and lastly, the descriptive used intuition and pattern recognition.Dominantly, the prescriptive model for decision-making is more appropriate for this case.  The descriptive decision-making model, using intuition however, helped in supporting the intuitive hypothesis.  Lastly, the normative model of decision-making played an important role but was not likely effective.

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