CPR update. Where we've been and where we're headed.
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Biomedical subjects
Publications and source records attributed to W Andrew.
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The CPR is a powerful concept. In practice, it collects and presents information. It communicates among patients, health plans and all who participate in the healthcare delivery process. The CPR's value extends from supporting better clinical decision making to helping save time and money while making the clinical practice more rewarding. To get the CPR working in your organization, you must ensure that, aside from all the data collection and analysis benefits it might provide healthcare planners, the system must actively support and reward the clinicians who use it every time they come into contact with it.
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The lateral decubitus view of the barium-filled stomach has been reassessed in a series of 42 patients with possible splenic rupture and compared with a group of 17 patients with splenomegaly. Displacement of the gastric fundus of more than 4 cm from the inner rib margin is highly suggestive of splenic rupture. Where doubt exists, the test should be repeated within a short while. Peritoneal lavage and a full blood count investigation both add to the diagnostic accuracy.
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