journal
https://read.qxmd.com/read/33837120/diagnostic-accuracy-of-the-heart-pathway-and-edacs-adp-when-combined-with-a-0-hour-1-hour-hs-ctnt-protocol-for-assessment-of-acute-chest-pain-patients
#1
Tsvetelina Nilsson, Erik Johannesson, Jakob Lundager Forberg, Arash Mokhtari, Ulf Ekelund
BACKGROUND/AIM: In ED chest pain patients, a 0-hour/1-hour protocol based on high sensitivity cardiac troponin T (hs-cTnT) tests combined with clinical risk stratification in diagnosing acute coronary syndrome is recommended. Two of the most promising risk stratification tools are the History, ECG, Age, Risk Factors and Troponin (HEART) and Emergency Department Assessment of Chest Pain (EDAC) scores. Few studies have assessed the diagnostic accuracy of the 0-hour/1-hour hs-cTnT protocol when combined with HEART score, and none with EDACS...
April 9, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33832926/psychological-distress-during-the-acceleration-phase-of-the-covid-19-pandemic-a-survey-of-doctors-practising-in-emergency-medicine-anaesthesia-and-intensive-care-medicine-in-the-uk-and-ireland
#2
Tom Roberts, Jo Daniels, William Hulme, Robert Hirst, Daniel Horner, Mark D Lyttle, Katie Samuel, Blair Graham, Charlie Reynard, Michael Barrett, James Foley, John Cronin, Etimbuk Umana, Joao Vinagre, Edward Carlton
OBJECTIVE: To quantify psychological distress experienced by emergency, anaesthetic and intensive care doctors during the acceleration phase of COVID-19 in the UK and Ireland. METHODS: Initial cross-sectional electronic survey distributed during acceleration phase of the first pandemic wave of COVID-19 in the UK and Ireland (UK: 18 March 2020-26 March 2020 and Ireland: 25 March 2020-2 April 2020). Surveys were distributed via established specialty research networks, within a three-part longitudinal study...
April 8, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33832925/can-thiopental-serve-as-a-safe-sedative-agent
#3
LETTER
Fatemeh Rasooli, Maryam Bahreini
No abstract text is available yet for this article.
April 8, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33832924/predicting-need-for-hospital-admission-in-patients-with-traumatic-brain-injury-or-skull-fractures-identified-on-ct-imaging-a-machine-learning-approach
#4
Carl Marincowitz, Lewis Paton, Fiona Lecky, Paul Tiffin
BACKGROUND: Patients with mild traumatic brain injury on CT scan are routinely admitted for inpatient observation. Only a small proportion of patients require clinical intervention. We recently developed a decision rule using traditional statistical techniques that found neurologically intact patients with isolated simple skull fractures or single bleeds <5 mm with no preinjury antiplatelet or anticoagulant use may be safely discharged from the emergency department. The decision rule achieved a sensitivity of 99...
April 8, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33832923/incidence-of-emergency-calls-and-out-of-hospital-cardiac-arrest-deaths-during-the-covid-19-pandemic-findings-from-a-cross-sectional-study-in-a-uk-ambulance-service
#5
Karl Charlton, Matthew Limmer, Hayley Moore
BACKGROUND: In response to the COVID-19 pandemic, a national lockdown was introduced on 23 March 2020. In the following weeks, emergency departments in the UK reported a reduction in attendances. We aimed to explore the incidence of emergency calls across North East England, as well as the number of out-of-hospital cardiac arrest (OHCA) deaths. METHODS: Data were collected for all patients who contacted North East Ambulance Service between 4 March 2019-2 June 2019 and 2 March 2020-31 May 2020 suffering stroke, ST elevation myocardial infarction, allergy, asthma, chronic obstructive pulmonary disease, falls, intoxication, seizure, sepsis, acute coronary syndrome and OHCA...
April 8, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33827853/validity-of-the-taiwan-triage-and-acuity-scale-in-mainland-china-a-retrospective-observational-study
#6
Qing-Qing Chen, Sherry Yueh-Hsia Chiu, Lai-Yin Tsai, Rong-Fang Hu
OBJECTIVES: The Taiwan Triage and Acuity Scale (TTAS), developed for use in EDs, has been shown to be an excellent tool for triaging patients with high predictive performance, with an area under the receiver operating curve (AUROC) of 0.75. TTAS has been widely used in hospitals in Taiwan since 2010, but its utility has not been studied outside of Taiwan. Thus, the aim of this study was to evaluate the validity of using the TTAS in the ED of a tertiary hospital in mainland China to predict patient outcomes...
April 7, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33789938/utility-of-venous-blood-gases-for-the-assessment-of-traumatic-shock-a-prospective-observational-study
#7
Andrew R Coggins, Nurojan Vivekanandamoorthy, Karen Byth, Tabish Aleemullah, Selwyn T Selvendran, Rachel J Watkins, Amith L Shetty, Lorraine Devjak, Jeremy M Hsu
BACKGROUND: ABG samples are often obtained in trauma patients to assess shock severity. Venous blood gas (VBG) sampling, which is less invasive, has been widely used to assess other forms of shock. The study aim was to determine the agreement between VBG and ABG measurements in trauma. METHODS: Patients were enrolled at an Australian trauma centre between October 2016 and October 2018. Bland-Altman limits of agreement (LOA) between paired blood gas samples taken <30 min apart were used to quantify the extent of agreement...
March 31, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33785487/mortality-in-adolescent-trauma-a-comparison-of-children-s-mixed-and-adult-major-trauma-centres
#8
Jordan Evans, Hannah Murch, Roisin Begley, Damian Roland, Mark D Lyttle, Omar Bouamra, Stephen Mullen
OBJECTIVE: We aimed to compare adolescent mortality rates between different types of major trauma centre (MTC or level 1; adult, children's and mixed). METHODS: Data were obtained from TARN (Trauma Audit Research Network) from English sites over a 6-year period (2012-2018), with adolescence defined as 10-24.99 years. Results are presented using descriptive statistics. Patient characteristics were compared using the Kruskal-Wallis test with Dunn's post-hoc analysis for pairwise comparison and χ2 test for categorical variables...
March 30, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33785486/injured-adolescents-should-they-be-treated-as-big-kids-or-little-adults
#9
Caroline Leech, Rachel Jenner
No abstract text is available yet for this article.
March 30, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33771819/prehospital-continuous-positive-airway-pressure-cpap-for-acute-respiratory-distress-a-randomised-controlled-trial
#10
Judith C Finn, Deon Brink, Nicole Mckenzie, Antony Garcia, Hideo Tohira, Gavin D Perkins, Glenn Arendts, Daniel M Fatovich, Delia Hendrie, Brendan McQuillan, Quentin Summers, Antonio Celenza, Ashes Mukherjee, Ben Smedley, Gavin Pereira, Stephen Ball, Teresa Williams, Paul Bailey
OBJECTIVE: To compare the efficacy of continuous positive airway pressure (CPAP) versus usual care for prehospital patients with severe respiratory distress. METHODS: We conducted a parallel group, individual patient, non-blinded randomised controlled trial in Western Australia between March 2016 and December 2018. Eligible patients were aged ≥40 years with acute severe respiratory distress of non-traumatic origin and unresponsive to initial treatments by emergency medical service (EMS) paramedics...
March 26, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33771818/establishing-a-covid-19-treatment-centre-in-israel-at-the-initial-stage-of-the-outbreak-challenges-responses-and-lessons-learned
#11
Elhanan Bar-On, Gad Segal, Gili Regev-Yochay, Galia Barkai, Asaf Biber, Avinoah Irony, Assaf Luttinger, Hindy Englard, Amir Grinberg, Eldad Katorza, Galia Rahav, Arnon Afek, Yitshak Kreiss
Anticipating the need for a COVID-19 treatment centre in Israel, a designated facility was established at Sheba Medical Center-a quaternary referral centre. The goals were diagnosis and treatment of patients with COVID-19 while protecting patients and staff from infection and ensuring operational continuity and treatment of patients with non-COVID. Options considered included adaptation of existing wards, building a tented facility and converting a non-medical structure. The option chosen was a non-medical structure converted to a hospitalisation facility suited for COVID-19 with appropriate logistic and organisational adaptations...
March 26, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33766937/correction-274-thrombotic-complications-in-patients-with-covid-19-requiring-hospitalisation-a-single-centre-prospective-service-evaluation
#12
(no author information available yet)
No abstract text is available yet for this article.
March 25, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33758002/variation-in-referral-rates-to-emergency-departments-and-inpatient-services-from-a-gp-out-of-hours-service-and-the-potential-impact-of-alternative-staffing-models
#13
Daniel Lasserson, Honora Smith, Sophie Garland, Helen Hunt, Gail Hayward
INTRODUCTION: Out of hours (OOHs) primary care is a critical component of the acute care system overnight and at weekends. Referrals from OOH services to hospital will add to the burden on hospital assessment in the ED and on-call specialties. METHODS: We studied the variation in referral rates (to the ED and direct specialty admission) of individual clinicians working in the Oxfordshire, UK OOH service covering a population of 600 000 people. We calculated the referral probability for each clinician over a 13-month period of practice (1 December 2014 to 31 December 2015), stratifying by clinician factors and location and timing of assessment...
March 23, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33731421/time-matters-but-getting-the-basics-right-is-key-to-survival-in-out-of-hospital-cardiac-arrest
#14
EDITORIAL
Jason E Smith, Caroline Leech
No abstract text is available yet for this article.
March 17, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33727235/non-invasive-ventilation-for-sars-cov-2-acute-respiratory-failure-a-subanalysis-from-the-hope-covid-19-registry
#15
Maurizio Bertaina, Ivan J Nuñez-Gil, Luca Franchin, Inmaculada Fernández Rozas, Ramón Arroyo-Espliguero, María C Viana-Llamas, Rodolfo Romero, Charbel Maroun Eid, Aitor Uribarri, Víctor Manuel Becerra-Muñoz, Jia Huang, Emilio Alfonso, Fernando Marmol-Mosquera, Fabrizio Ugo, Enrico Cerrato, Lucia Fernandez-Presa, Sergio Raposeiras Roubin, Gisela Feltes Guzman, Adelina Gonzalez, Mohammad Abumayyaleh, Antonio Fernandez-Ortiz, Carlos Macaya, Vicente Estrada
BACKGROUND: The COVID-19 pandemic has seriously challenged worldwide healthcare systems and limited intensive care facilities, leading to physicians considering the use of non-invasive ventilation (NIV) for managing SARS-CoV-2-related acute respiratory failure (ARF). METHODS: We conducted an interim analysis of the international, multicentre HOPE COVID-19 registry including patients admitted for a confirmed or highly suspected SARS-CoV-2 infection until 18 April 2020...
March 16, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33727234/emergency-medicine-electronic-health-record-usability-where-to-from-here
#16
EDITORIAL
Katie Walker, Tim Dwyer, Heather A Heaton
No abstract text is available yet for this article.
March 16, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33727233/risk-factors-for-deterioration-in-mild-covid-19-remain-undefined
#17
LETTER
Felix Wood, Thomas Roe, Jason Newman, Leo Wood
No abstract text is available yet for this article.
March 16, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33707201/correction-emergency-medicine-journal-covid-19-monthly-top-five
#18
(no author information available yet)
No abstract text is available yet for this article.
March 11, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33707200/correction-apnoeic-oxygenation-was-associated-with-decreased-desaturation-rates-during-rapid-sequence-intubation-in-multiple-australian-and-new-zealand-emergency-departments
#19
(no author information available yet)
No abstract text is available yet for this article.
March 11, 2021: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/33707199/-emergency-medicine-journal-covid-19-monthly-top-five
#20
REVIEW
Mohammed H Elwan, Sarah L Edwards, Mostafa Hassanein, Alasdair Moffat, James David van Oppen, Damian Roland, Timothy J Coats, Anisa Jabeen Nasir Jafar
No abstract text is available yet for this article.
March 11, 2021: Emergency Medicine Journal: EMJ
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