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Master Thesis

Prise en charge des ivresses publiques manifestes dans la structure des urgences de l’Hôpital d’Instruction des Armées Robert Picqué au cours de l’année 2018

Abstract : The problem of public drunkenness is common in emergency departments. The objective of our study was to describe the management of patients admitted for public drunkenness in the emergency department of Bordeaux’s military hospital in 2018 and to propose a computerized form to guide the emergency practitioner. We conducted an observational, monocentric, retrospective, descriptive study based on existing records. We extracted patient administrative data, vital parameters, and clinical examination data. We included 193 patients in the study. Patients were male in 87.5% of cases (n = 169). The mean age was 38 years +/- 12 (min: 18 years; max: 64 years). There were 49.7% (n = 96) of consultations on weekends. Night consultations accounted for 74.61% (n = 144). The average consultation time was 18 minutes +/- 19 ( min: 0; max: 127). Respiratory rate was missing in 99.5% (n=192) of the charts, capillary blood glucose was missing in 19% (n=37) of the charts, and Glasgow score was missing in 39% (n=75) of the charts. Temperature was missing in 14% (n=28) of the records. Treatment information was missing in 34.2% (n=66) and history was missing in 38.3% (n=74) of cases. Trauma examination was absent in 59,1 % (n = 114) of cases and abdominal examination in 36,3 % ( n = 69) of cases. Cardiopulmonary examination was missing in 19,7 % ( n = 30) of cases. Our work confirmed that too much data was missing from our files, placing the onus on the practitioner in the event of an adverse outcome. We could not know whether or not the elements had been searched for. We therefore created a secure computerized form in order to guide practitioners and to have a certain completeness in our files. Practitioners are already using this form and their feedback is generally positive.
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Master Thesis
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Submitted on : Thursday, July 9, 2020 - 11:25:16 PM
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Côme Lourde. Prise en charge des ivresses publiques manifestes dans la structure des urgences de l’Hôpital d’Instruction des Armées Robert Picqué au cours de l’année 2018. Médecine humaine et pathologie. 2020. ⟨dumas-02895640⟩

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