Urgences 2017

Liste des sessions associées

Je prépare mon abstract et je rédige mon article

En direct du Plateau TV

[31/05/2017]
[01/06/2017]
[01/06/2017]
[02/06/2017]
[02/06/2017]

Traumatologie de la main - Les cas hors du co-main

Triage médicalisé : un médecin en plus de l’IOA ?

Prise en charge des conduites addictives

[31/05/2017]
[31/05/2017]
[31/05/2017]

Toxidromes

Perspectives dans la prise en charge de l’arrêt cardiaque ?

Traumatisme du rachis

[31/05/2017]
[31/05/2017]
[31/05/2017]

Accès aux soins et inégalité de santé

SCA ST+

Session SUdF : Structures de MU . L’Actualité... et challenges.

Urgences neuro-vasculaires

[31/05/2017]
[31/05/2017]

Embolie pulmonaire - Faire mieux avec les reco ? / Session commune SFMU / SFC

Allocution de la Ministre des Solidarités et de la Santé

Oedème

Infectieux - Des images et des tubes

L’agité – Comment garder le contrôle ?

Formation 2

Urgences et mémoire collective : comment les événements dramatiques récents impactent la société ?

Violences conjugales

Session SFMU/SRLF/ Insuffisance Respiratoire Aiguë en urgence

Traumatisme thoracique

Atelier Mundipharma : Du nouveau dans la prise en charge de la douleur traumatique aux urgences : études, protocoles et démarche qualité

Atelier Déjeuner Roche

Voies d'abord - Mon royaume pour une veine !

Comment motiver ses équipes urgentistes en 2017 : quelle carrière ?

Je gère une équipe ? Et elle gagne !

Anticoagulants oraux directs. Avons-nous changé nos pratiques ?

Demo Show Weinmann

Drépanocytose

Cardiologie

NRBC

Hémostase du polytraumatisé

Sepsis 4.0. les 6 premières heures

Traumatisme psychologique

ECMO

Justice et terrorisme

[02/06/2017]

Atelier Déjeuner Roche

Pathologies circonstancielles

[02/06/2017]
[02/06/2017]
[02/06/2017]

Accidents domestiques chez l'enfant

"Le damage control n’est pas du scoop and run " - Session SFMU/SFMC

Cardiologie 2

Respiratoire

Neurologie

Insuffisance cardiaque aiguë - Pourquoi notre vision de l'insuffisance cardiaque doit changer ?

Médecine de crise / Session commune SFMU/SFAR/CARUM

Contenus sponsorisés

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med_description_longue => '<p><strong>Introduction</strong></p> <p>Le parcours hospitalier des patients souffrants d&rsquo;insuffisance cardiaque aigu&euml; (ICA) n&rsquo;a jamais &eacute;t&eacute; analys&eacute;. La multiplicit&eacute; des fili&egrave;res pourrait influer la morbi-mortalit&eacute;.</p> <p><strong>Objectif</strong></p> <p>Caract&eacute;riser les parcours pr&eacute;-hospitaliers et hospitaliers de patients pr&eacute;sentant des sympt&ocirc;mes d&rsquo;ICA.</p> <p><strong>M&eacute;thodes</strong></p> <p>Enqu&ecirc;te prospective, multicentrique nationale, de suivi d&rsquo;une cohorte. R&eacute;alisation d&rsquo;une fiche de recueil de donn&eacute;es sur le parcours, les traitements entrepris, les caract&eacute;ristiques cliniques et biologiques et sur la mortalit&eacute; hospitali&egrave;re de patients atteints d&rsquo;ICA. Les donn&eacute;es &eacute;taient collect&eacute;es prospectivement dans chaque centre. Le crit&egrave;re d&rsquo;&eacute;valuation principal &eacute;tait la nature des fili&egrave;res suivies par les patients. Les crit&egrave;res secondaires concernaient les traitements administr&eacute;s, le profil clinique et biologique des patients et la mortalit&eacute; hospitali&egrave;re.</p> <p><strong>R&eacute;sultats</strong></p> <p>Entre le 1/6/2014 et le 1/5/2016, 1.822 patients ont &eacute;t&eacute; inclus dans 24 centres. L&rsquo;&acirc;ge moyen &eacute;tait de 78 ans et il y avait 52% d&rsquo;hommes. La dur&eacute;e m&eacute;diane des s&eacute;jours &eacute;tait de 7 jours et 16 heures. Soixante-treize pour cent des patients &eacute;taient pris en charge aux urgences, les soins intensifs de cardiologie repr&eacute;sentaient 29% et les services de cardiologie, 68%. Seize pour cent des patients &eacute;taient initialement pris en charge par un Smur. La fili&egrave;re la plus repr&eacute;sent&eacute;e &eacute;tait l&rsquo;admission directe aux urgences pr&eacute;c&eacute;dant un service conventionnel. La cardiologie repr&eacute;sentait 74% des hospitalisations conventionnelles. L&rsquo;appel au Samu repr&eacute;sentait 24% de la cohorte. Le d&eacute;lai entre l&rsquo;apparition des sympt&ocirc;mes et l&rsquo;entr&eacute;e dans une fili&egrave;re hospitali&egrave;re &eacute;tait de plus de 3 jours. La pression art&eacute;rielle moyenne &agrave; l&rsquo;admission &eacute;tait de 96 &plusmn;19 mmHg et la fr&eacute;quence cardiaque de 91 &plusmn;26/min. La moiti&eacute; des patients avait une fraction d&rsquo;&eacute;jection du ventricule gauche inf&eacute;rieure &agrave; 40%. Un tiers des patients pr&eacute;sentait une dysfonction r&eacute;nale. Aux urgences, il y avait un traitement par oxyg&egrave;ne dans 83% des cas, des diur&eacute;tiques 87%, les vasodilatateurs 26% et des inotropes 2%. La ventilation non invasive &eacute;tait utilis&eacute;e dans 17% des cas. La mortalit&eacute; hospitali&egrave;re &eacute;tait de 8% (142 patients).</p> <p><strong>Conclusion</strong></p> <p>Cette enqu&ecirc;te nationale a pu identifier les diff&eacute;rents parcours des patients atteints d&rsquo;ICA. Les urgences et les services de cardiologies conventionnelles sont les plus sollicit&eacute;s. Le recrutement se poursuit afin d&rsquo;identifier des pistes d&rsquo;optimisation du parcours de prise en charge des patients atteints d&rsquo;ICA.</p>'
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med_description_longue => '<p>Introduction&nbsp;: L&rsquo;insuffisance cardiaque aigu&euml; (ICA) est un motif fr&eacute;quent de consultation aux urgences. Cependant peu de donn&eacute;es concernant le profil des patients et leurs conditions de prise en charge en sont issues.</p> <p>M&eacute;thode&nbsp;: Etude observationnelle multicentrique d&eacute;crivant les caract&eacute;ristiques, la prise en charge et le devenir des patients pr&eacute;sentant une ICA. Tous les patients admis aux urgences pour insuffisance cardiaque dans sept structures d&rsquo;urgence d&rsquo;un r&eacute;seau territorial de m&eacute;decine d&rsquo;urgence ont &eacute;t&eacute; inclus pendant deux mois. Nous avons recueillis les ant&eacute;c&eacute;dents, les pr&eacute;sentations cliniques, le bilan paraclinique, les traitements administr&eacute;s, le diagnostic final et l&rsquo;orientation. ICSAU a b&eacute;n&eacute;fici&eacute; de l&rsquo;autorisation de la CNIL.</p> <p>R&eacute;sultats&nbsp;: 251 patients inclus du 4/01 au 03/03/2016, &acirc;ge m&eacute;dian&nbsp;: 85 [79-90] ans. Le vecteur d&rsquo;entr&eacute;e &eacute;tait une ambulance dans 66% des cas et un SMUR dans 3%. Les patients &eacute;taient &agrave; 72% hypertendus, &agrave; 45% insuffisants cardiaques connus, &agrave; 43% en fibrillation atriale et suivis par un cardiologue dans 53% des cas. 16% avaient &eacute;t&eacute; hospitalis&eacute;s pour ICA dans l&rsquo;ann&eacute;e pr&eacute;c&eacute;dente. Le principal sympt&ocirc;me &eacute;tait la dyspn&eacute;e (56%) avec comme facteurs d&eacute;clenchant une infection (31%) ou un trouble du rythme (19%). Bien que les sympt&ocirc;mes &eacute;voluaient depuis 7,8 jours en moyenne, aucune mesure th&eacute;rapeutique n&rsquo;avait &eacute;t&eacute; prise auparavant dans 64% des cas. Seuls 3% des patients &eacute;taient choqu&eacute;s. Le bilan paraclinique a inclus&nbsp;: ionogramme avec cr&eacute;atinine (98%), ECG (96%), dosage du BNP ou NTproBNP (96%), radiographie thoracique (94%), ETT (31%, dont un tiers par urgentiste). Furos&eacute;mide, oxyg&egrave;ne et d&eacute;riv&eacute;s nitr&eacute;s ont &eacute;t&eacute; administr&eacute;s dans respectivement &nbsp;90%, 61% et 10% des cas. 3% des patients sont d&eacute;c&eacute;d&eacute;s aux urgences et 81% ont &eacute;t&eacute; hospitalis&eacute;s dont un tiers en secteur cardiologique&nbsp;; 40% sont pass&eacute;s par l&rsquo;UHCD. La concordance de diagnostic entre la sortie des urgences et celui en sortie d&rsquo;hospitalisation retrouvait un accord mod&eacute;r&eacute; (test ? de Cohen &agrave; 0,41).</p> <p>Discussion&nbsp;: ICSAU est une des rares &eacute;tudes descriptives de la prise en charge de l&rsquo;ICA aux urgences. Elle d&eacute;crit une population &acirc;g&eacute;e, majoritairement suivie par un cardiologue avec cependant peu d&rsquo;&eacute;l&eacute;ments disponibles &agrave; l&rsquo;accueil en SU. Nous notons une bonne utilisation des peptides natriur&eacute;tiques mais une sous utilisation de l&rsquo;&eacute;chographie aux urgences expliquant une concordance de diagnostic perfectible entre SU et services d&rsquo;hospitalisation ainsi qu&rsquo;une sous utilisation des d&eacute;riv&eacute;s nitr&eacute;s.</p>'
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med_auteurs => 'Tahar CHOUIHED (1, 2), Yann DELORME (3), Baptiste AGULLES (3), Adrien BASSAND (3), Aurélien BUESSLER (4), Julien JABBOUR (3), Nicolas GIRERD (2)'
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med_date_maj => '2017-12-02 12:21:45'
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med_description_longue => '<p><strong>Introduction&nbsp;:</strong> La dyspn&eacute;e aigu&euml; non traumatique est un motif fr&eacute;quent d&rsquo;appel au Service d&rsquo;Aide M&eacute;dicale d&rsquo;Urgence (SAMU). Les &eacute;tiologies les plus fr&eacute;quentes sont&nbsp;: les syndromes d&rsquo;insuffisance cardiaque aigu&euml; (SICA), l&rsquo;exacerbation aigu&euml; de BPCO, la pneumopathie et l&rsquo;embolie pulmonaire. Ce travail souhaite &eacute;valuer la mortalit&eacute; intra-hospitali&egrave;re des patients pris en charge pour dyspn&eacute;e aigu&euml; en pr&eacute;-hospitalier et en fonction du diagnostic port&eacute; en pr&eacute;-hospitalier. Les objectifs secondaires&nbsp;: comparer les caract&eacute;ristiques cliniques en fonction du diagnostic final et &eacute;tudier la concordance entre les diagnostics pr&eacute;-hospitalier et finaux ainsi que la qualit&eacute; du traitement initi&eacute; en pr&eacute;-hospitalier et ces cons&eacute;quences sur le pronostic.</p> <p><strong>Mat&eacute;riel et m&eacute;thode&nbsp;:</strong> &eacute;tude observationnelle r&eacute;trospective mono-centrique dans un CHRU sur 2014 et 2015. Les crit&egrave;res d&rsquo;inclusion&nbsp;: &acirc;ge &gt; 18 ans, dyspn&eacute;e aigu&euml; et une prise en charge pr&eacute;-hospitali&egrave;re par le SMUR. Les malades &eacute;taient r&eacute;partis en 2 bras&nbsp;: &laquo;&nbsp;syndrome insuffisance cardiaque aigu&euml;&nbsp;&raquo; (SICA) ou &laquo;&nbsp;non syndrome d&rsquo;insuffisance cardiaque aigu&euml;&nbsp;&raquo; (non SICA) sur la base des diagnostics pr&eacute;-hospitaliers et finaux. CIL: R2016-08 et &laquo;&nbsp;clinicaltrials.gov&nbsp;&raquo; NCT02800122.</p> <p><strong>R&eacute;sultats&nbsp;: </strong>823 premiers patients saisis. Age moyen 79 ans. Le sex-ratio est de 1,38. La mortalit&eacute; globale intra-hospitali&egrave;re est de 14.6 %&nbsp;; pour les SICA final&nbsp;: 8.6% et pour les non SICA final&nbsp;: 16.6 %, (p=0.016). La concordance entre les diagnostics pr&eacute;-hospitalier et finaux fixait un coefficient Kappa &agrave; 0.48 (0.40 &ndash; 0.56&nbsp;; IC 95 %). Les caract&eacute;ristiques cliniques r&eacute;v&eacute;laient pour les SICA et non SICA, une moyenne de SpO2 de 92% contre 95% (p=0.016), une PAS moyenne de 159 mm Hg contre 142 (p=0.007). On observe une baisse de 5,1 % de la mortalit&eacute; quand la prise en charge th&eacute;rapeutique pr&eacute;-hospitali&egrave;re est appropri&eacute;e. Apr&egrave;s les urgences, 40 % sont hospitalis&eacute;s en surveillance&nbsp;continue, quand 10 % regagnent leurs domiciles.</p> <div> <p><strong>Discussion&nbsp;et Conclusion&nbsp;:</strong> la dyspn&eacute;e aigu&euml; est un sympt&ocirc;me grave dont la mortalit&eacute; intra-hospitali&egrave;re toutes causes est &eacute;lev&eacute;e (14,6%). La concordance entre diagnostics pr&eacute;- hospitaliers et finaux &eacute;tait en faveur d&rsquo;un accord mod&eacute;r&eacute; montrant les difficult&eacute;s diagnostiques face &agrave; une dyspn&eacute;e aigue. Le diagnostic pr&eacute;-hospitalier est souvent erron&eacute; et n&eacute;cessite de d&eacute;velopper d&rsquo;autres outils diagnostics (Echo. Pulm. ou BNP pr&eacute;-hospitalier) afin de pouvoir initier le traitement plus rapidement qui permettrait d&rsquo;am&eacute;liorer le pronostic des patients.</p> </div>'
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med_tags => 'Dyspnée,Pré-hospitalier,Insuffisance Cardiaque,Diagnostics,Traitements.'
med_titre => 'Dyspnée aiguë en pré-hospitalier : Impact de la qualité du diagnostic et de la prise en charge thérapeutique en urgence sur le pronostic: Résultats préliminaires de PARADISE study ?PAthwAy of Dyspneic patIent in Emergency?'
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med_description_longue => '<p><strong>INTRODUCTION&nbsp;: </strong>L&rsquo;&eacute;tat de mal convulsif (EMC) constitue une urgence neurologique grev&eacute;e d&rsquo;une lourde mortalit&eacute; et est peut &ecirc;tre responsable de s&eacute;quelles fonctionnelles invalidantes. Le recours &agrave; l&rsquo;intubation constitue un tournant majeur dans la prise en charge. Peu d&rsquo;&eacute;tudes se sont int&eacute;ress&eacute;es &agrave; la description de la fr&eacute;quence, les indications et le timing de l&rsquo;intubation au cours des EMC.</p> <p><strong>OBJECTIF&nbsp;: </strong>Identifier les facteurs de risque de recours &agrave; l&rsquo;intubation chez les patients admis aux urgences pour un EMC.</p> <p><strong>MATERIELS ET METHODES&nbsp;: </strong>Etude prospective observationnelle mono-centrique men&eacute;e sur 3 ans. Ont &eacute;t&eacute; inclus tous les patients &acirc;g&eacute;s de plus de 15 ans consultant aux urgences dans un tableau d&rsquo;EMC. Recueil des donn&eacute;es d&eacute;mographiques, cliniques, biologiques, &eacute;volutives et des examens compl&eacute;mentaires. Une analyse multi-vari&eacute;e pour identifier les facteurs associ&eacute;s au recours &agrave; l&rsquo;intubation a &eacute;t&eacute; r&eacute;alis&eacute;e.</p> <p><strong>RESULTATS&nbsp;: </strong>Inclusion de 116 patients. &Acirc;ge moyen=43&plusmn;18ans. Sex-ratio=1,69. Dans 88% des cas (n=102), les patients sont arriv&eacute;s par leurs propres moyens. Tous nos patients n&rsquo;ont pas eu de pr&eacute;m&eacute;dication pr&eacute;-hospitali&egrave;re. Le d&eacute;lai moyen de consultation &eacute;tait de 67&plusmn;42min. La crise convulsive &eacute;tait dans 95% des cas&nbsp; tonico-clonique g&eacute;n&eacute;ralis&eacute;e. Les &eacute;tiologies &eacute;taient&nbsp;: causes m&eacute;taboliques (n=33, 28%), arr&ecirc;t du traitement anti&eacute;pileptique (n=25, 22%), causes neurovasculaires (n=19, 16%), traumatisme cr&acirc;nien (n=11,10%), infection (n=6, 5%), causes toxiques (n=4, 4%), privation de sommeil (n=6, 5%). Aucun facteur d&eacute;compensant n&rsquo;a &eacute;t&eacute; identifi&eacute; dans pr&egrave;s de 22% des cas. L&rsquo;administration d&rsquo;un anti&eacute;pileptique de deuxi&egrave;me intention a &eacute;t&eacute; instaur&eacute;e dans 15% des cas. On a eu recours &agrave; l&rsquo;intubation chez 11 patients, soit 9%. L&rsquo;analyse multi-vari&eacute;e a identifi&eacute; comme facteurs ind&eacute;pendants de recours &agrave; l&rsquo;intubation&nbsp;: une infection neuro-m&eacute;ning&eacute;e, avec un OR ajust&eacute; &agrave; 4,3, IC [1,09-17], p=0,03 ; une glyc&eacute;mie &agrave; l&rsquo;admission &gt;11 mmol/l, OR ajust&eacute; &agrave; 3,9, IC [1,25-12,24], p=0.01&nbsp;; et une crise partielle &agrave; l&rsquo;admission avec un OR ajust&eacute; &agrave; 4, IC [1,03-10,7], p=0.03.</p> <p><strong>CONCLUSION&nbsp;: </strong>Une infection neuro-m&eacute;ning&eacute;e, une glyc&eacute;mie &gt;11mmol/l &agrave; l&rsquo;admission et une crise partielle &agrave; l&rsquo;admission sont associ&eacute;s &agrave; un haut risque de recours &agrave; l&rsquo;intubation dans les EMC chez l&rsquo;adulte. <strong>&nbsp;</strong>&nbsp;</p>'
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med_description => '<ul> </ul> <p>Comment la ma&icirc;trise des m&eacute;canismes physiopathologiques peut influencer nos pratiques ?</p> <ul> <li>Classification de l'insuffisance cardiaque</li> <li>Baisse du d&eacute;bit cardiaque et ses cons&eacute;quences</li> </ul>'
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/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Action/Helper/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Action/Helper/ViewRenderer.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Action/HelperBroker.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Action/HelperBroker/PriorityStack.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Action/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Dispatcher/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Dispatcher/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Dispatcher/Standard.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Exception.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Front.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Plugin/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Plugin/Broker.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Plugin/ErrorHandler.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Request/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Request/Http.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Response/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Response/Http.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Rewrite.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Route.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Route/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Route/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Route/Module.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Controller/Router/Route/Static.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Date.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Date/DateObject.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Adapter/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Adapter/Pdo/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Adapter/Pdo/Mysql.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Expr.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Profiler.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Select.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Statement.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Statement/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Statement/Pdo.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Table.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Table/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Db/Table/Definition.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Exception.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Inflector.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/PregReplace.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/StringToLower.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Word/CamelCaseToDash.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Word/CamelCaseToSeparator.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Word/Separator/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Word/SeparatorToSeparator.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Filter/Word/UnderscoreToSeparator.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Layout.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Layout/Controller/Action/Helper/Layout.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Layout/Controller/Plugin/Layout.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Loader.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Loader/Autoloader.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Loader/PluginLoader.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Loader/PluginLoader/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Locale.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Locale/Data.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Locale/Format.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Locale/Math.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Log.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Log/FactoryInterface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Log/Filter/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Log/Filter/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Log/Filter/Priority.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Log/Writer/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Registry.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Session.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Session/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Session/Exception.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Session/Namespace.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Session/SaveHandler/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Uri.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/Version.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Doctype.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/HeadMeta.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/HeadTitle.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Layout.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Placeholder/Container.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Placeholder/Container/Abstract.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Placeholder/Container/Standalone.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Placeholder/Registry.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Helper/Url.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/Zend/View/Interface.php

ZFDebug Files

/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Cache.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Database.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Exception.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/File.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Interface.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Log.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Log/Writer.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Text.php
/var/www/vhosts/urgencesdirectinfo.com/sub/v3/httpdocs/library/ZFDebug/Controller/Plugin/Debug/Plugin/Variables.php