journal
https://read.qxmd.com/read/38316538/external-validation-of-a-rapid-algorithm-using-high-sensitivity-troponin-assay-results-for-evaluating-patients-with-suspected-acute-myocardial-infarction
#21
JOURNAL ARTICLE
Louise Cullen, Jaimi H Greenslade, Laura Stephensen, Isuru Ranasinghe, Niranjan Gaikwad, Maryam Khorramshahi Bayat, Ehsan Mahmoodi, Martin Than, Fred Apple, William Parsonage
OBJECTIVE: We sought to validate the clinical performance of a rapid assessment pathway incorporating the Siemens Atellica IM high sensitivity cardiac troponin I (hs-cTnI) assay in patients presenting to the emergency department (ED) with suspected acute myocardial infarction (AMI). METHODS: This was a multicentre prospective observational study of adult ED patients presenting to five Australian hospitals between November 2020 and September 2021. Participants included those with symptoms of suspected AMI (without ST-segment elevation MI on presentation ECG)...
February 5, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38316537/trends-in-the-mortality-of-intra-abdominal-infections-in-adults-over-25-years-in-the-usa-1999-2021
#22
JOURNAL ARTICLE
Yi Liu, Jamil S Samaan, Youssef M Essanaa, Fan Lv, Fanpu Ji, Kamran Samakar, Yee Hui Yeo
No abstract text is available yet for this article.
February 5, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38302279/high-sensitivity-troponin-testing-at-the-point-of-care-for-the-diagnosis-of-myocardial-infarction-a-prospective-emergency-department-clinical-evaluation
#23
JOURNAL ARTICLE
Jemima May Curran, Aleksandra Mergo, Sarah White, Bernard L Croal, Jamie G Cooper
No abstract text is available yet for this article.
February 1, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38238066/which-low-urgent-triaged-febrile-children-are-suitable-for-a-fast-track-an-observational-european-study
#24
JOURNAL ARTICLE
Chantal D Tan, Clementien L Vermont, Joany M Zachariasse, Ulrich von Both, Enitan D Carrol, Irini Eleftheriou, Marieke Emonts, Michiel van der Flier, Jethro Herberg, Benno Kohlmaier, Michael Levin, Emma Lim, Ian K Maconochie, Federico Martinon-Torres, Ruud G Nijman, Marko Pokorn, Irene Rivero-Calle, Aleksandra Rudzāte, Maria Tsolia, Werner Zenz, Dace Zavadska, Henriette A Moll
BACKGROUND: The number of paediatric patients visiting the ED with non-urgent problems is increasing, leading to poor patient flow and ED crowding. Fast track aims to improve the efficiency of evaluation and discharge of low acuity patients. We aimed to identify which febrile children are suitable for a fast track based on presenting symptoms and management. METHODS: This study is part of the Management and Outcome of Fever in children in Europe study, which is an observational study including routine data of febrile children <18 years attending 12 European EDs...
January 18, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38238065/can-acutely-ill-patients-predict-their-outcomes-a-scoping-review
#25
JOURNAL ARTICLE
Elisabeth Margaretha Mols, Harm Haak, Mark Holland, Bo Schouten, Stine Ibsen, Hanneke Merten, Erika Frischknecht Christensen, Prabath W B Nanayakkara, Christian Hans Nickel, Immo Weichert, John Kellett, Christian Peter Subbe, Marjolein N T Kremers
INTRODUCTION: The full impact of an acute illness on subsequent health is seldom explicitly discussed with patients. Patients' estimates of their likely prognosis have been explored in chronic care settings and can contribute to the improvement of clinical outcomes and patient satisfaction. This scoping review aimed to identify studies of acutely ill patients' estimates of their outcomes and potential benefits for their care. METHODS: A search was conducted in PubMed, Embase, Web of Science and Google Scholar, using terms related to prognostication and acute care...
January 18, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38233106/using-an-artificial-intelligence-software-improves-emergency-medicine-physician-intracranial-haemorrhage-detection-to-radiologist-levels
#26
JOURNAL ARTICLE
Pranav Warman, Anmol Warman, Roshan Warman, Andrew Degnan, Johan Blickman, David Smith, Paul McHale, Zachary Coburn, Sean McCormick, Varun Chowdhary, Dev Dash, Rohit Sangal, Jason Vadhan, Tulio Bueso, Thomas Windisch, Gabriel Neves
BACKGROUND: Tools to increase the turnaround speed and accuracy of imaging reports could positively influence ED logistics. The Caire ICH is an artificial intelligence (AI) software developed for ED physicians to recognise intracranial haemorrhages (ICHs) on non-contrast enhanced cranial CT scans to manage the clinical care of these patients in a timelier fashion. METHODS: A dataset of 532 non-contrast cranial CT scans was reviewed by five board-certified emergency physicians (EPs) with an average of 14...
January 17, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38216307/cause-of-death-in-the-ed-of-a-major-trauma-centre-in-the-uk
#27
JOURNAL ARTICLE
Robert Hywel James, Rhiannon Jones, Felix Wood
No abstract text is available yet for this article.
January 12, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38195524/perceived-barriers-and-opportunities-to-improve-working-conditions-and-staff-retention-in-emergency-departments-a-qualitative-study
#28
JOURNAL ARTICLE
Jo Daniels, Emilia Robinson, Elizabeth Jenkinson, Edward Carlton
BACKGROUND: Staff retention in Emergency Medicine (EM) is at crisis level and could be attributed in some part to adverse working conditions. This study aimed to better understand current concerns relating to working conditions and working practices in Emergency Departments (EDs). METHODS: A qualitative approach was taken, using focus groups with ED staff (doctors, nurses, advanced care practitioners) of all grades, seniority and professional backgrounds from across the UK...
January 9, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38176889/is-it-time-to-incorporate-viral-testing-results-within-clinical-practice-guidelines-for-febrile-infants
#29
JOURNAL ARTICLE
Nathan Money, Sriram Ramgopal
No abstract text is available yet for this article.
January 4, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38514203/journal-update-monthly-top-five
#30
JOURNAL ARTICLE
Robert Hirst, Hannah Courtney, Tom Dickinson, Stephanie Milne, Kieran McDonnell, Sally Wright, Francesca Hinds, Jonathan Benger
No abstract text is available yet for this article.
March 21, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38514202/an-elderly-man-with-chronic-poor-appetite
#31
JOURNAL ARTICLE
Hiroki Matsuura, Hiroyuki Kageyama
No abstract text is available yet for this article.
March 21, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38514201/older-man-with-acute-dyspnoea
#32
JOURNAL ARTICLE
Hsuan-An Chen, Bao-Luen Chang, Chih-Jung Chang
No abstract text is available yet for this article.
March 21, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38378234/unusual-cause-of-recurrent-aspiration-pneumonia
#33
JOURNAL ARTICLE
Hiroki Matsuura, Ryota Imamura
No abstract text is available yet for this article.
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38378233/journal-update-monthly-top-five
#34
JOURNAL ARTICLE
Gabrielle Prager, Robert Hirst, Daniel Darbyshire, Patricia Van Den Berg, Govind Oliver, Thomas Alexander Gerrard Shanahan, Simon David Carley
No abstract text is available yet for this article.
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38378232/seventy-five-year-old-woman-with-month-long-fever-cavity-lung-lesions-and-cutaneous-ulcer
#35
JOURNAL ARTICLE
Chang-Han Wu, Chi-Wei Chen
No abstract text is available yet for this article.
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38267194/four-factor-prothrombin-complex-concentrate-versus-andexanet-alfa-for-the-reversal-of-traumatic-brain-injuries
#36
JOURNAL ARTICLE
Erin Sadek, William Curtiss, Jessica Andrews, Jason Hecht
BACKGROUND: Andexanet alfa was approved in 2018 for reversal of direct oral anticoagulants but due to issues of cost and access, four-factor prothrombin complex concentrate (4F-PCC) continues to be used for this indication. The objective of this study is to evaluate outcomes of reversal with these agents in patients with isolated traumatic brain injuries (TBI). METHODS: This is a retrospective review of 35 trauma centres from 2014 to 2021. Patients were included with an Abbreviated Injury Scale (AIS)>2 for head and having received andexanet alfa or 4F-PCC within 24 hours of admission...
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38253364/comparison-of-diuretics-and-fluid-expansion-in-the-initial-treatment-of-patients-with-normotensive-acute-pulmonary-embolism-a-systematic-review-and-meta-analysis
#37
JOURNAL ARTICLE
Cláudia Febra, Ana Rita Santos, Isabel Cabrita, Joana Bento, João Pacheco, Mariana Mendes, Michael Isidro, Rafael Batista, Ana Margarida André Febra Moita Macedo
BACKGROUND: Right ventricular (RV) dysfunction is the main cause of death in patients with normotensive acute pulmonary embolism (PE). The optimal management for this subset of patients remains uncertain. This systematic review and meta-analysis focused on the comparison of diuretics and fluid expansion in patients with acute PE presenting with RV dysfunction and haemodynamic stability. METHODS: A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines considering only RTCs...
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38253363/mortality-and-risk-factors-associated-with-misdiagnosis-of-acute-aortic-syndrome-in-ontario-canada-a-population-based-study
#38
JOURNAL ARTICLE
Robert Ohle, David W Savage, Joseph Caswell, Sarah McIsaac, Krishan Yadav, Michael Conlon
INTRODUCTION: Acute aortic syndrome (AAS) is a life-threatening aortic emergency. It describes three diagnoses: acute aortic dissection, acute intramural haematoma and penetrating atherosclerotic ulcer. Unfortunately, there are no accurate estimates of the miss rate for AAS, risk factors for missed diagnosis or its effect on outcomes. METHODS: A population-based retrospective cohort study of anonymously linked data for residents of Ontario, Canada, was carried out...
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38233107/predictors-of-adverse-outcomes-in-elders-hospitalised-for-isolated-orthopaedic-trauma-a-multicentre-cohort-study
#39
MULTICENTER STUDY
Chartelin Jean Isaac, Lynne Moore, Mélanie Bérubé, Étienne Belzile, Christian Malo, Marianne Giroux, Amina Belcaid, Godwill Abiala, David Trépanier, Marcel Émond, Clermont E Dionne
BACKGROUND: Patients >64 years of age now represent more than 51% of injury hospitalisations in Canada. The tools used to identify older patients who could benefit the most from an interdisciplinary approach include complex parameters difficult to collect in the ED, which suggests that better tools with higher accuracy and using items that can be derived from routinely collected data are needed. We aimed to identify variables that are associated with adverse outcomes in older patients admitted to a trauma centre for an isolated orthopaedic injury...
February 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/37945311/diagnosis-of-acute-aortic-syndrome-in-the-emergency-department-dashed-study-an-observational-cohort-study-of-people-attending-the-emergency-department-with-symptoms-consistent-with-acute-aortic-syndrome
#40
JOURNAL ARTICLE
Rachel McLatchie, Matthew J Reed, Nicola Freeman, Richard A Parker, Sarah Wilson, Steve Goodacre, Alicia Cowan, Jessica Boyle, Benjamin Clarke, Ellise Clarke
BACKGROUND: The diagnosis of acute aortic syndrome (AAS) is commonly delayed or missed in the ED. We describe characteristics of ED attendances with symptoms potentially associated with AAS, diagnostic performance of clinical decision tools (CDTs) and physicians and yield of CT aorta angiogram (CTA). METHODS: This was a multicentre observational cohort study of adults attending 27 UK EDs between 26 September 2022 and 30 November 2022, with potential AAS symptoms: chest, back or abdominal pain, syncope or symptoms related to malperfusion...
February 20, 2024: Emergency Medicine Journal: EMJ
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