Emergency Medicine Journal: EMJ

Timothy J Coats, Fiona E Lecky
No abstract text is available yet for this article.
March 27, 2020: Emergency Medicine Journal: EMJ
Margaret Lin-Martore, Nancy Anaya
No abstract text is available yet for this article.
March 22, 2020: Emergency Medicine Journal: EMJ
Shuang Li, Ting Kan, Zijian Guo, Chulin Chen, Li Gui
BACKGROUND: High-quality cardiopulmonary resuscitation (CPR) could improve survival of drowning victims. The purpose of the study is to assess the impact of fatigue caused by water rescue on subsequent CPR quality and the influence of a bystander's participation on CPR quality in a lifeguard rescue. METHODS: This was a simulated quasi-experimental study with a sample of 14 lifeguards and 13 laypersons. Each lifeguard performed 2 min single-rescuer CPR as baseline measurement...
March 22, 2020: Emergency Medicine Journal: EMJ
Rosa McNamara
No abstract text is available yet for this article.
March 22, 2020: Emergency Medicine Journal: EMJ
Joseph Roland Brown, William Shyy
No abstract text is available yet for this article.
March 13, 2020: Emergency Medicine Journal: EMJ
Amber Mughal, Catrin Evans
INTRODUCTION: With an increase in the population living with terminal illness, many patients are accessing EDs during the last days of their life. Yet EDs are often not well prepared to provide end-of-life (EOL) care. The aim of this review was to identify and synthesise studies that describe the views and experiences of emergency nurses in providing EOL care so as to understand the barriers and challenges that they face while caring for these patients and to identify factors that can support appropriate care delivery...
March 9, 2020: Emergency Medicine Journal: EMJ
Jocelyn Gravel, Andrée-Ann Ledoux, Ken Tang, Keith Owens Yeates, William Craig, Martin Osmond, Kathy Boutis, Emma Burns, Gurinder Sangha, Alexander Sasha Dubrovsky, Darcy Beer, Roger Zemek
OBJECTIVES: We evaluated the association between timing of presentation and postconcussive symptoms (PCS) at 1, 4 and 12 weeks after injury. METHODS: This was a secondary analysis of a prospective cohort study conducted in nine Canadian paediatric EDs in 2013-2015 (5P study). Participants were children who suffered a head injury within the preceding 48 hours and met Zurich consensus concussion diagnostic criteria. The exposure was the time between head injury and ED presentation...
March 5, 2020: Emergency Medicine Journal: EMJ
Erica E M Lee, Edmund S H Kwok, Christian Vaillancourt
BACKGROUND: In many EDs, emergency physicians (EPs) do not have admitting privileges and must wait for consultants to further assess and admit patients. This delays bed requests and increases ED crowding. We measured EPs' abilities to predict patient admission prior to consultation and estimated the potential ED stretcher time saved if EPs requested a bed with consultation. METHODS: We conducted a prospective cohort study in an academic centre in Canada between October 2017 and February 2018 using a convenience sample of ED patient encounters requiring consultation...
March 5, 2020: Emergency Medicine Journal: EMJ
John Glasheen, Jeff Hooper, Andrew Donohue, Emmeline Finn, Bronwyn Murray-Smith, Renée Bolot, Mark Edwards
INTRODUCTION: First attempt intubation success is used by many prehospital services as a marker of quality and safety. An increasing complication rate is associated with repeated intubation attempts. The aim of this study was to identify changes to intubation technique following a failed intubation attempt. METHODS: LifeFlight Retrieval Medicine provides aeromedical retrieval services in Queensland, Australia. This retrospective study identified cases of failed intubation attempts from an electronic database registry over a 41-month period from March 2015 to July 2018...
March 5, 2020: Emergency Medicine Journal: EMJ
Hanna Vihonen, Mitja Lääperi, Markku Kuisma, Jussi Pirneskoski, Jouni Nurmi
BACKGROUND: To determine if prehospital blood glucose could be added to National Early Warning Score (NEWS) for improved identification of risk of short-term mortality. METHODS: Retrospective observational study (2008-2015) of adult patients seen by emergency medical services in Helsinki metropolitan area for whom all variables for calculation of NEWS and a blood glucose value were available. Survival of 24 hours and 30 days were determined. The NEWS parameters and glucose were tested by multivariate logistic regression model...
February 19, 2020: Emergency Medicine Journal: EMJ
Marianne C Wallis, Jonathan H Chow, Michael E Winters, Michael T McCurdy
Refractory hypotension is one of the most common and difficult clinical problems faced by acute care clinicians, and it poses a particularly large problem to the emergency physician when a patient in undifferentiated shock arrives in the department. Angiotensin II (Ang-2) has been previously used as a vasopressor to combat shock; the feasibility of its clinical use has been reinvigorated after approval of a human synthetic formulation of the medication by the US Food and Drug Administration in 2017 and the European Medicines Agency in 2019...
February 19, 2020: Emergency Medicine Journal: EMJ
Amit Kochar, Meredith L Borland, Natalie Phillips, Sarah Dalton, John Alexander Cheek, Jeremy Furyk, Jocelyn Neutze, Mark D Lyttle, Stephen Hearps, Stuart Dalziel, Silvia Bressan, Ed Oakley, Franz E Babl
OBJECTIVE: Head injury (HI) is a common presentation to emergency departments (EDs). The risk of clinically important traumatic brain injury (ciTBI) is low. We describe the relationship between Glasgow Coma Scale (GCS) scores at presentation and risk of ciTBI. METHODS: Planned secondary analysis of a prospective observational study of children<18 years who presented with HIs of any severity at 10 Australian/New Zealand centres. We reviewed all cases of ciTBI, with ORs (Odds Ratio) and their 95% CIs (Confidence Interval) calculated for risk of ciTBI based on GCS score...
February 12, 2020: Emergency Medicine Journal: EMJ
Jesse Smith, Patrick Date, William Spencer, Erik de Tonnerre, David McDonald Taylor
OBJECTIVE: We aimed to determine trends over time in article origin, and article and methodology characteristics. METHOD: We examined original research articles published every fifth year over a 20-year period (1997-2017) in six emergency medicine (EM) journals ( Ann Emerg Med, Acad Emerg Med, Eur J Emerg Med, Emerg Med J, Am J Emerg Med, Emerg Med Australas ). Explicit data extraction of 21 article characteristics was undertaken. These included regional contributions, specific article items and research methodology...
February 11, 2020: Emergency Medicine Journal: EMJ
Shabnam Thapa, Ruth Wong, Steve Goodacre
OBJECTIVES: Recent guidance recommended use of high-sensitivity troponin for rapid rule out of myocardial infarction (MI) in the English health service. We aimed to determine the extent of implementation of this guidance across English hospitals. METHODS: This study conducted a cross-sectional questionnaire survey of 131 English acute hospitals with over 10 000 admissions per year. RESULTS: We received 125/131 responses (95%), with 110/125 (88%) reporting use of a high-sensitivity troponin assay and responses showing progressive implementation over the last 10 years...
February 5, 2020: Emergency Medicine Journal: EMJ
Suzanne M Mason
No abstract text is available yet for this article.
February 4, 2020: Emergency Medicine Journal: EMJ
Myles Dworkin, Vizir Nsengimana, Ashley Rosenberg, John Scott, Robert Riviello, Elizabeth Krebs, Christian Umuhoza, Edmond Ntaganda, Jean Marie Uwitonze, Ignace Kabagema, Theophile Dushime, Sudha Jayaraman
INTRODUCTION: Paediatric injuries are a major cause of mortality and disability worldwide, yet little information exists regarding its epidemiology or prehospital management in low-income and middle-income countries. We aimed to describe the paediatric injuries seen and managed by the prehospital ambulance service, Service d'Aide Medicale d'Urgence (SAMU), in Kigali, Rwanda over more than 3 years. METHODS: A retrospective, descriptive analysis was conducted of all injured children managed by SAMU in the prehospital setting between December 2012 and April 2016...
January 30, 2020: Emergency Medicine Journal: EMJ
Bernard P Chang, Talea Cornelius, Joshua Willey, Donald Edmondson, Mitchell Sv Elkind, Ian M Kronish
BACKGROUND: Recent evidence suggests clinical equipoise for managing transient ischaemic attack and minor stroke (TIAMS) either via discharge from the emergency department (ED) with rapid outpatient follow-up or inpatient admission. Understanding patient preferences may guide decision-making around disposition after TIAMS that can lead to higher patient satisfaction and adherence. Psychological distress, particularly a sense of vulnerability (eg, 'threat perception') is associated with adverse psychological outcomes following TIAMS and may influence patient disposition preference...
January 28, 2020: Emergency Medicine Journal: EMJ
Benjamin Partiali, Sandra Oska, Ross Benjamin Touriel, Anthony Delise, Antonio Barbat, Adam Folbe
BACKGROUND: Although women make up a substantial portion of the workforce in emergency medicine, they remain under-represented in academia. METHODS: This study investigates trends in the representation of female speakers at the American College of Emergency Physicians scientific assembly-the largest academic emergency medicine conference in the world. Publication profiles, speaking duration and gender composition of speakers were collected and compared over a 3-year period...
January 28, 2020: Emergency Medicine Journal: EMJ
Alistair Maddock, Alasdair R Corfield, Michael J Donald, Richard M Lyon, Neil Sinclair, David Fitzpatrick, David Carr, Stephen Hearns
BACKGROUND: Scotland has three prehospital critical care teams (PHCCTs) providing enhanced care support to a usually paramedic-delivered ambulance service. The effect of the PHCCTs on patient survival following trauma in Scotland is not currently known nationally. METHODS: National registry-based retrospective cohort study using 2011-2016 data from the Scottish Trauma Audit Group. 30-day mortality was compared between groups after multivariate analysis to account for confounding variables...
January 20, 2020: Emergency Medicine Journal: EMJ
Merel van Loon, Roos C Van der Mast, M Christien van der Linden, Floris A van Gaalen
BACKGROUND: Routine screening programmes for hazardous alcohol use in the ED miss large numbers of patients. We investigated whether patient-related or staff-related factors cause screening failures and whether unscreened patients are at increased risk of hazardous alcohol use. METHODS: This is a secondary analysis of a prospective study. From November 2012 to November 2013, all adult patients visiting a Dutch inner city ED were screened for hazardous alcohol consumption using the Alcohol Use Disorders Identification Test-Consumption...
January 13, 2020: Emergency Medicine Journal: EMJ
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