Adopting Clinical Guidelines for Admission Criteria of Intensive Care Unit: A Measure to Manage Queues of Patients Waiting for This Section

Background: Due to the need of patients to the intensive care unit (ICU) for receiving medical and nursing services, these services should be provided in a timely manner. This study aimed to develop the clinical guidelines for admission criteria of intensive care unit.Materials and Methods: This study was observational type study was conducted for nine months in 2015 based on a three-step process of adoption of clinical guidelines including planning, adoption and finalization. After conducting systematic searches, the quality of retrieved clinical guidelines was evaluated by experts from policy makers in the admission of patients in the ICU. Finally, the ultimate version of the guideline was developed after reviewing and organizing expert panel sessions.Results: The criteria for accepting patients were presented in form of seven clauses based on the neurological status, cardiovascular status, respiratory status, water and electrolyte disorders, gastrointestinal disturbances, endocrine disorders, surgery and postoperative care.Conclusion: One of the most important factors of creating demand inducing to the patients is the lack of clinical guidelines. It is recommended that departmental doctors should apply the mentioned clinical guidelines in order to make the resources of the intensive care unit more effective

Emphysematous pyelitis: a case report

Background and Objectives: Emphysematous pyelitis is a relatively benign disease and according to our knowledge, it is not often reported in scientific literature and is rare. The aim of this study is to report a rare case of emphysematous pyelitis. Case report: A 51-year-old female patient from Golestan province came to the hospital with symptoms of fever, chills, weakness, and lethargy and side pain. The patient has a history of kidney stones, thyroid, grade 1 fatty liver, anemia and cardiovascular disease. A computed tomography (CT) scan was used to diagnose emphysema pyelitis and the patient was treated with antibiotics. The patient's symptoms improved after drug treatment and the abscess drainage was suggested. The patient was discharged from the hospital after the improvement of symptoms. After discharge, he was taking Litorex B (stone remover). The patient's kidneys produce urine and the operation was not done at the moment.                       Conclusion: The diagnosis of this patient was made by CT scan and he was treated with antibiotic therapy and suggested to drain the abscess. Reporting rare cases like Emphysematous pyelitis can increase the awareness of medical students. Research in the field of emphysema pyelitis can reduce the incidence and complications of this disease