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Author = Mulcahy, D;
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Displaying Results 1 - 2 of 2 on page 1 of 1
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A rare case of cryptogenic stroke with an incidental finding of patent foramen ovale.
(2015)
Anglim, B; Maher, N; Cunningham, O; Mulcahy, D; Harbison, J; O'Connell, M
A rare case of cryptogenic stroke with an incidental finding of patent foramen ovale.
(2015)
Anglim, B; Maher, N; Cunningham, O; Mulcahy, D; Harbison, J; O'Connell, M
Abstract:
Patent foramen ovale (PFO) occurs in 25-30% of the general population. Stroke in the puerperium is a rare phenomenon, 34 per 100,000 women. A 32 year old lady, Para3+2 presented eight days postnatally with symptoms of a transient episode of left sided facial and limb parathesia and dysphasia. She had a CT brain which was normal, however a subsequent MRI brain showed a small right parietal lobe infarct. An echocardiogram was performed which showed a small PFO, with an ejection fraction of 60-65%. A bubble study was performed which was positive with valsalva. She was started on aspirin 300mg once daily for 2 weeks, and shall remain on life-long aspirin 75mg.
http://hdl.handle.net/10147/559204
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Nurse Triage in an Irish Out-of-hours General Practice Co-Operative
(2017)
Mulcahy, D; O’Callaghan, C; Hannigan, A
Nurse Triage in an Irish Out-of-hours General Practice Co-Operative
(2017)
Mulcahy, D; O’Callaghan, C; Hannigan, A
Abstract:
Specially trained triage nurses play a crucial role in the operation of out-of-hours GP co-operatives. This study aimed to establish the proportion of all patient contacts with the out-of-hours GP co-operative based in the Mid-West of Ireland (Shannondoc), which were managed by triage nurses. A retrospective, descriptive analysis was conducted on the database of contacts to the Shannondoc urgent, out-of-hours primary care co-operative. Of the 110,039 contacts to the service in 2013, 19,147 (17.4%) were classified as being managed by nurses and 14.2% were managed by nurse telephone triage alone. Twenty-four percent of the 19,147 calls managed by nurses involved children under six years. Triage nurses play an important role in administering safe medical advice over the phone. This has implications for the training of triage nurses and the future planning of urgent out-of-hours primary care services.
http://hdl.handle.net/10147/621219
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