journal
https://read.qxmd.com/read/36450522/clinical-predictors-of-fracture-in-patients-with-shoulder-dislocation-systematic-review-of-diagnostic-test-accuracy-studies
#1
JOURNAL ARTICLE
Ilaria Oldrini, Laura Coventry, Alex Novak, Steve Gwilym, David Metcalfe
BACKGROUND: Prereduction radiographs are conventionally used to exclude fracture before attempts to reduce a dislocated shoulder in the ED. However, this step increases cost, exposes patients to ionising radiation and may delay closed reduction. Some studies have suggested that prereduction imaging may be omitted for a subgroup of patients with shoulder dislocations. OBJECTIVES: To determine whether clinical predictors can identify patients who may safely undergo closed reduction of a dislocated shoulder without prereduction radiographs...
November 30, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36424126/thromboprophylaxis-in-ambulatory-emergency-department-patients-managed-with-lower-limb-immobilisation-after-injury-a-national-survey
#2
JOURNAL ARTICLE
Chloe A Crainie, Jamie G Cooper, Daniel Horner
No abstract text is available yet for this article.
November 24, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36414323/paediatric-acute-non-traumatic-limp-presenting-to-the-emergency-department-a-retrospective-observational-study
#3
JOURNAL ARTICLE
Jacky Tu, Mitchell Haines, Peter Gowdie, Simon Craig
BACKGROUND: Acute non-traumatic limp in children has many causes, ranging from common benign and self-limiting disease to serious time-sensitive emergencies such as septic arthritis. We aimed to (1) describe the epidemiology and workup of paediatric acute non-traumatic limp presentation in three Australian EDs and (2) compare investigations and treatment between a tertiary paediatric centre and two non-tertiary centres. METHODS: A retrospective chart review of children aged 0-16 years, with an initial presentation of non-traumatic limp to three EDs in Melbourne, Australia...
November 22, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36396347/temperature-threshold-in-the-screening-of-bacterial-infections-in-young-infants-with-hypothermia
#4
JOURNAL ARTICLE
Yu Hsiang Johnny Lo, Christopher Graves, Jamie Lynn Holland, Alexander Joseph Rogers, Nathan Money, Andrew Nobuhide Hashikawa, Sriram Ramgopal
BACKGROUND: Young infants with hypothermia presenting to the emergency department (ED) are at risk for serious bacterial infections (SBI), however there is no consensus temperature to prompt evaluation for SBI among these children. We sought to statistically derive a temperature threshold to guide detection of SBI in young infants with hypothermia presenting to the ED. METHODS: We performed a cross-sectional study of infants ≤90 days old presenting to four academic paediatric EDs in the United States of America from January 2015 through December 2019 with a rectal temperature of ≤36...
November 17, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36396346/in-reply-to-use-tripod-when-validating-clinical-prediction-models
#5
LETTER
Michiel Schinkel, Frits Holleman
No abstract text is available yet for this article.
November 17, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36357167/optimising-ambulance-conveyance-rates-and-staff-costs-by-adjusting-proportions-of-rapid-response-vehicles-and-dual-crewed-ambulances-an-economic-decision-analytical-modelling-study
#6
JOURNAL ARTICLE
Colin Ridyard, Murray Smith, Robert Spaight, Graham Richard Law, Aloysius Niroshan Siriwardena
AIM: To model optimum proportions of dual-crewed ambulances (DCAs) and rapid-response vehicles (RRVs) in Ambulance Trusts with a view to generating a policy brief for one Ambulance Trust and a modelling tool for other Trusts on the strategic procurement and allocation of emergency vehicle (EV) resources. METHODS: Historical EV assignments for 12 months of emergency calls in 2019 were provided by an NHS Ambulance Trust and analysed for backup, see and treat, and patient to hospital conveyance...
November 10, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36351780/rates-of-perceived-medical-errors-and-its-correlation-with-work-related-factors-and-personal-distress-among-emergency-physicians-in-china-a-national-cross-sectional-study
#7
JOURNAL ARTICLE
Shijiao Yan, Jing Wang, Xiaoxv Yin, Chuanzhu Lv, Jianxiong Wu, Nan Jiang, Zhenyuan Chen, Ketao Mu, Guopeng Zhang, Yanhong Gong
PURPOSE: Medical errors are a global concern, and specifically, EDs are at considerable risk for medical errors. Few studies focus on the healthcare provider's self-perceived medical errors in hospitals, let alone the ED. Hence, this study explored perceived medical errors and their correlation with work-related factors and personal distress among physicians in EDs in China. METHODS: From July 2018 to August 2018, a national web-based cross-sectional study was conducted...
November 9, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36344240/use-of-the-national-early-warning-score-for-predicting-deterioration-of-patients-with-acute-pulmonary-embolism-a-post-hoc-analysis-of-the-years-study
#8
JOURNAL ARTICLE
Roisin Bavalia, Milou A M Stals, Frits I Mulder, Ingrid M Bistervels, Michiel Coppens, Laura M Faber, Stephan V Hendriks, Herman M A Hofstee, Menno V Huisman, Tom van der Hulle, Albert T A Mairuhu, Marieke J H A Kruip, Saskia Middeldorp, Frederikus A Klok, Barbara A Hutten, Frits Holleman
BACKGROUND: The Pulmonary Embolism Severity Index (PESI) and the simplified PESI (sPESI) are validated scores for mortality prediction in patients with pulmonary embolism (PE). National Early Warning Score (NEWS) is a general prognostic risk score for multiple clinical settings. We investigated whether the NEWS had a comparable performance with the PESI and sPESI, for predicting intensive care unit (ICU) admission and death in patients with acute PE. METHODS: In haemodynamically stable patients with confirmed PE from the YEARS Study (2013-2015), we evaluated the performance of the NEWS, PESI and sPESI for predicting 7-day ICU admission and 30-day mortality...
November 7, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36344239/traumatic-brain-injury
#9
JOURNAL ARTICLE
Emanuele Bernardi, Jacopo Davide Giamello, Bartolomeo Lorenzati
No abstract text is available yet for this article.
November 7, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36344238/international-practice-patterns-of-iv-magnesium-in-paediatric-acute-asthma
#10
JOURNAL ARTICLE
Laura Simone, Roger Zemek, Damian Roland, Mark D Lyttle, Simon Craig, Stuart R Dalziel, Jocelyn Gravel, Yaron Finkelstein, Sarah Curtis, Stephen B Freedman, Amy C Plint, Suzanne Schuh
No abstract text is available yet for this article.
November 7, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36328410/factors-affecting-providers-comfort-and-fear-during-intubations-of-patients-with-covid-19
#11
JOURNAL ARTICLE
Esther Lee, Reem Qabas Al Shabeeb, Muhammad El Shatanofy, Collin F Mulcahy, David P Yamane, Marian L Sherman, Eric R Heinz
BACKGROUND: Providers performing endotracheal intubation are at high risk of contracting SARS-CoV-2. The objective was to assess various demographic, exposure and institutional preparedness factors affecting intubators' comfort and fear level during COVID-19 intubations. METHODS: We conducted a cross-sectional, survey-based study during the COVID-19 pandemic from September 2020 to January 2021 at a single academic medical centre in Washington, DC, USA. Inclusion criteria were healthcare providers who had an experience in intubating patients confirmed with or suspected of COVID-19...
November 3, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36323497/the-nhs-is-broken-we-need-to-change-how-our-healthcare-system-works-and-join-the-21st-century
#12
LETTER
Stephen H Boyce
No abstract text is available yet for this article.
November 2, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36323496/diagnostic-performance-of-s100b-as-a-rule-out-test-for-intracranial-pathology-in-head-injured-patients-presenting-to-the-emergency-department-who-meet-nice-head-injury-guideline-criteria-for-ct-head-scan
#13
JOURNAL ARTICLE
Alice Rogan, Annabelle Sik, Emily Dickinson, Vimal Patel, Brad Peckler, David McQuade, Peter D Larsen
BACKGROUND: Traumatic brain injury is a common ED presentation. CT-head utilisation is escalating, exacerbating resource pressure in the ED. The biomarker S100B could assist clinicians with CT-head decisions by excluding intracranial pathology. Diagnostic performance of S100B was assessed in patients meeting National Institute of Health and Clinical Excellence Head Injury Guideline (NICE HIG) criteria for CT-head within 6 and 24 hours of injury. METHODS: This multicentre prospective observational study included adult patients presenting to the ED with head injuries between May 2020 and June 2021...
November 2, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36323495/emergency-department-visits-and-emergency-to-inpatient-admissions-for-abnormal-uterine-bleeding-in-the-usa-nationwide
#14
JOURNAL ARTICLE
Jessica Grubman, Mitzi Hawkins, Sara Whetstone, Meg Autry, Ann Lazar, George F Sawaya, Vanessa Jacoby
BACKGROUND: Abnormal uterine bleeding (AUB) is a common but understudied gynaecological problem, and data are lacking on emergency department (ED) visits and associated ED-to-inpatient admissions for AUB. This project aims to further understanding of the burden of AUB on patients and the healthcare system by establishing the number and characteristics of women with AUB in the ED and evaluating predictors of AUB-related inpatient hospitalisation in the USA. METHODS: This is a cross-sectional study of women presenting to the ED with non-malignant AUB in the 2016 US Nationwide Emergency Department Sample (NEDS)...
November 2, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36316103/cervical-spine-movements-during-laryngoscopy-and-orotracheal-intubation-a-systematic-review-and-meta-analysis
#15
JOURNAL ARTICLE
Jaqueline Betina Broenstrup Correa, Vinicius Brenner Felice, Graciele Sbruzzi, Gilberto Friedman
BACKGROUND: Airway management is challenging in trauma patients because of the fear of worsening cervical spinal cord damage. Video-integrated and optic-integrated devices and intubation laryngeal mask airways have been proposed as alternatives to direct laryngoscopy with the Macintosh laryngoscope (MAC). We performed a meta-analysis to clarify which devices cause less cervical movement during airway management. METHODS: We searched MEDLINE, Cochrane Central, Embase and LILACS from inception to January 2022...
October 31, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36257774/cop27-climate-change-conference-urgent-action-needed-for-africa-and-the-world
#16
EDITORIAL
Chris Zielinski
No abstract text is available yet for this article.
October 18, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36253075/humans-not-heroes-canadian-emergency-physician-experiences-during-the-early-covid-19-pandemic
#17
JOURNAL ARTICLE
Anna Tran, Clare Wallner, Kerstin de Wit, Caroline Gérin-Lajoie, Kerri Ritchie, Mathew Mercuri, Natasha Clayton, Mary Boulos, Patrick Archambault, Lisa Schwartz, Sara Gray, Teresa Man-Yee Chan
BACKGROUND: The pandemic has upended much clinical care, irrevocably changing our health systems and thrusting emergency physicians into a time of great uncertainty and change. This study is a follow-up to a survey that examined the early pandemic experience among Canadian emergency physicians and aimed to qualitatively describe the experiences of these physicians during the global pandemic. The study was conducted at a time when Canadian COVID-19 case numbers were low. METHODS: The investigators engaged in an interview-based study that used an interpretive description analytic technique, sensitised by the principles of phenomenology...
October 17, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36244685/new-nhs-prehospital-major-incident-triage-tool-from-mimms-to-mitt
#18
JOURNAL ARTICLE
James Vassallo, Chris G Moran, Philip Cowburn, Jason Smith
Triage is a key principle in the effective management of major incidents and is the process by which patients are prioritised on the basis of their clinical acuity. However, work published over the last decade has demonstrated that existing methods of triage perform poorly when trying to identify patients in need of life-saving interventions. As a result, a review of major incident triage was initiated by NHS England with the remit to determine the optimum way in which to triage patients of all ages in a major incident for the UK...
October 16, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36241371/risk-factors-that-predict-mortality-in-patients-with-blunt-chest-wall-trauma-an-updated-systematic-review-and-meta-analysis
#19
JOURNAL ARTICLE
Ceri Battle, Kym Carter, Luke Newey, Jacopo Davide Giamello, Remo Melchio, Hayley Hutchings
BACKGROUND: Over the last 10 years, research has highlighted emerging potential risk factors for poor outcomes following blunt chest wall trauma. The aim was to update a previous systematic review and meta-analysis of the risk factors for mortality in blunt chest wall trauma patients. METHODS: A systematic review of English and non-English articles using MEDLINE, Embase and Cochrane Library from January 2010 to March 2022 was completed. Broad search terms and inclusion criteria were used...
October 14, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36220329/use-tripod-when-validating-clinical-prediction-models
#20
LETTER
Bart Gj Candel, Søren Kabell Nissen
No abstract text is available yet for this article.
October 11, 2022: Emergency Medicine Journal: EMJ
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