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Journals International Journal of Emerg...

International Journal of Emergency Medicine

https://read.qxmd.com/read/38491434/utilizing-the-national-early-warning-score-2-news2-to-confirm-the-impact-of-emergency-department-management-in-sepsis-patients-a-cohort-study-from-taiwan-1998-2020
#1
JOURNAL ARTICLE
Ming-Shun Hsieh, Kuan-Chih Chiu, Amrita Chattopadhyay, Tzu-Pin Lu, Shu-Hui Liao, Chia-Ming Chang, Yi-Chen Lee, Wei-En Lo, Vivian Chia-Rong Hsieh, Sung-Yuan Hu, Chorng-Kuang How
BACKGROUND: Most sepsis patients could potentially experience advantageous outcomes from targeted medical intervention, such as fluid resuscitation, antibiotic administration, respiratory support, and nursing care, promptly upon arrival at the emergency department (ED). Several scoring systems have been devised to predict hospital outcomes in sepsis patients, including the Sequential Organ Failure Assessment (SOFA) score. In contrast to prior research, our study introduces the novel approach of utilizing the National Early Warning Score 2 (NEWS2) as a means of assessing treatment efficacy and disease progression during an ED stay for sepsis...
March 15, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38486140/emergency-airway-management-in-resource-limited-setting
#2
REVIEW
Gbolahan Olatunji, Emmanuel Kokori, Nicholas Aderinto, Mohammed Alsabri Hussein Alsabri
BACKGROUND: Emergency airway management in resource-limited settings presents multifaceted challenges due to shortages in essential medical resources, healthcare professionals, and infrastructure. METHODS: We conducted a literature search using keywords "Emergency Airway Management" "Low Resource" "Africa" "Asia" from databases such as Pubmed, and Google Scholar, from where we extracted relevant literature for our study. FINDINGS: These limitations resulted in delayed interventions, suboptimal care, and higher complication rates during intubation procedures...
March 14, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38481141/from-compression-to-diagnosis-identification-of-superior-vena-cava-syndrome-using-point-of-care-ultrasound-in-the-emergency-department
#3
JOURNAL ARTICLE
Noman Ali, Alan Tan, Jordan Chenkin
BACKGROUND: Superior vena cava (SVC) syndrome is an urgent condition arising from restricted blood flow through the SVC, often linked to factors like malignancy, thrombosis, or infections. Typically, confirmation of the diagnosis involves computed tomography. However, many patients experience respiratory distress and cannot lie supine. Given the increasing integration of point-of-care ultrasound in emergency medicine, it is important to be familiar with findings that are suggestive of this important condition...
March 13, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38475708/pocus-identification-of-distal-biceps-tendon-rupture-a-case-report
#4
JOURNAL ARTICLE
Noman Ali, Alan Tan, Jordan Chenkin
BACKGROUND: In the Emergency Department (ED), patients may present with various injuries that damage muscles, tendons, ligaments, and bony structures. Fractures, joint dislocations, strains, and sprains are prevalent among them. However, distal biceps tendon ruptures are uncommon. CASE REPORT: Here, we report a case of a young man presented to the ED with a complaint of left arm pain following a martial arts activity. The diagnosis of distal biceps tendon rupture was made using a point-of-care ultrasound (PoCUS), and an early referral to the orthopedic service was provided...
March 12, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38462623/jejunogastric-intussusception-associated-with-jejunojejunal-intussusception-double-telescoping-occurring-20-years-after-gastrojejunostomy
#5
JOURNAL ARTICLE
Souhaib Atri, Mahdi Hammami, Amine Sebai, Rany Aifia, Meriem Ben Brahim, Youssef Chaker, Fadhel Samir Fteriche, Montassar Kacem
INTRODUCTION: Jejunogastric intussusception (JGI) is a rare but potentially lethal complication following gastrectomy or gastrojejunostomy surgeries. Diagnosis of this condition can be challenging due to its rarity and non-specific symptoms. This article presents a case report of a 60-year-old male with a history of trans mesocolic gastrojejunostomy who developed acute symptoms of JGI. CASE REPORT: The patient presented with acute epigastric pain, vomiting, and hematemesis...
March 11, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38454355/use-of-bitemporal-naca-score-documentation-in-prehospital-emergency-medical-services-a-retrospective-study
#6
JOURNAL ARTICLE
Michael Eichinger, Sandro Reiterer, Martin Rief, Michael Eichlseder, Alexander Pichler, Philipp Zoidl, Gerhard Prause
BACKGROUND: The assessment of illness severity in the prehospital setting is essential for guiding appropriate medical interventions. The National Advisory Committee for Aeronautics (NACA) score is a validated tool commonly used for this purpose. However, the potential benefits of using bitemporal documentation of NACA scores to capture the dynamic changes in emergency situations remain uncertain. The objective of this study was to evaluate the potential benefit of bitemporal NACA score documentation in the prehospital setting, specifically in assessing the dynamic changes of emergencies and facilitating quality improvement through enhanced documentation practices...
March 7, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38454338/patient-controlled-analgesia-morphine-for-the-management-of-acute-pain-in-the-emergency-department-a-systematic-review-and-meta-analysis
#7
REVIEW
Muhammad Baihaqi Oon, Nik Hisamuddin Nik Ab Rahman, Norhayati Mohd Noor, Mohd Boniami Yazid
BACKGROUND: The ideal pain control approach is typically viewed as titration of analgesia for pain reduction and periodic pain evaluation. However, this method takes time and is not always possible in the crowded Emergency Department. Therefore, an alternative way to improve pain care in the Emergency Department is needed to avoid this unpleasant sensation in the patients. The best solution to tackle this situation is using Patient Controlled Analgesia (PCA), in the form of a PCA pump...
March 7, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38443799/recurrent-transitory-attacks-with-cytotoxic-edema-could-benefit-from-thrombolysis
#8
LETTER
Josef Finsterer, Sounira Mehri
No abstract text is available yet for this article.
March 5, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38438968/comparison-of-t-pod-and-sam-pelvic-sling-ii-and-the-influence-of-attachment-level-in-the-initial-management-of-unstable-pelvic-type-c-injuries-a-cadaveric-study
#9
JOURNAL ARTICLE
Maxim Privalov, Malte Junge, Matthias Karl Jung, Sven Yves Vetter, Jochen Franke, Svetlana Hetjens, Paul Alfred Grützner, Holger Stadthalter
BACKGROUND: Type C pelvic fractures (AO/OTA) are severe injuries that frequently lead to bleeding and hemodynamic instability. Pelvic binders play a crucial role in their initial management. Placement at the correct level in the prehospital setting is challenging. The aim of this study was to compare two pelvic binders regarding their effectiveness in reducing intrapelvic volume and increasing intrapelvic pressure in patients with type C pelvic fractures (AO/OTA) when applied at three different levels...
March 4, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38433183/catheter-related-gas-forming-suppurative-thrombophlebitis
#10
JOURNAL ARTICLE
Yasuyoshi Miyamura, Takeshi Shimazaki, Kunihiko Okada
Catheter-related suppurative thrombophlebitis (CRST) is a complication of catheter-related bloodstream infection (CRBSI). The microbiology of CRST is similar with the microbiology of CRBSI, but Clostridium perfringens that causes gas gangrene is a rare pathogen of CRBSI and CRST. We present a case of catheter-related gas-forming suppurative thrombophlebitis due to Clostridium perfringens infection. Gas-forming thrombus around the catheter can be useful findings for the early diagnosis of catheter-related clostridial thrombophlebitis...
March 4, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38429763/the-pirate-mnemonic-providing-a-structured-approach-in-the-care-for-intoxicated-patients-at-the-emergency-department
#11
JOURNAL ARTICLE
Nicole Kraaijvanger, Wouter Raven, Trudy van Dijken, Femke Gresnigt
BACKGROUND: Expertise in toxicology is essential for acute care providers, as intoxicated patients frequently present to Emergency Departments. These patients can be challenging for care providers because they often present with uncertain substance exposure and unknown dose and timing of these exposures. METHODS: The Dutch Society of Emergency Physicians has developed an mnemonic to support treating physicians in a structured approach for the management of (undifferentiated) intoxicated patients...
March 1, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38429675/introduction-of-a-formative-assessment-tool-in-a-post-graduate-training-program-in-india-a-mixed-methods-evaluation
#12
JOURNAL ARTICLE
Katherine Douglass, Tania Ahluwalia, Brianna McKiernan, Heena Patel, Natasha Powell, Jacob Keller, Serkan Toy
BACKGROUND: Our institution has longstanding post-graduate education and training partnership programs in Emergency Medicine (EM) across India. A programmatic challenge has been the integration and uptake of evidence-based medicine and lifelong learning concepts. Formative assessment (FA) is intended to enable learners to monitor learning, identify strengths and weaknesses, and target areas of growth. As part of a program improvement initiative, we introduced an online FA tool to existing summative assessments...
March 1, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38429663/the-leading-role-of-expert-safety-knowledge-in-supporting-the-mission-of-caring-for-patients-during-man-made-and-natural-disasters-state-of-emergency-medicine-in-ethiopia-myanmar-and-ukraine
#13
JOURNAL ARTICLE
Ralph C Miles, Vivian I Avelino-Silva, Wilfred Odoke, Jan van den Hombergh, Fernanda F Fonseca, Mengistu GebreMichael, Yaroslava Lopatina, Win Oo, Adele Schwartz Benzaken
Preparedness to endure extreme situations such as natural disasters or military conflicts is not commonplace in healthcare training programs. Moreover, multidisciplinary teams in health services rarely (if ever) include experts in security. However, when emergency situations occur, prevailing healthcare demands do not cease to exist, and unexpected demands often surge due to the shortage of other services and supplies or as a consequence of the emergency condition itself.With services in 45 countries, AIDS Healthcare Foundation (AHF) has operated in several conflict zones, facing broad and challenging security demands...
March 1, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38418952/persistent-hiccups-as-a-rare-presenting-symptom-of-empyema-a-case-report
#14
JOURNAL ARTICLE
An-Fu Lee, Hong-Wei Lee, Zui-Shen Yen
BACKGROUND: Empyema is uncommon owing to antibiotic use but still affects patient health if not treated. Hiccups as the initial symptom of empyema are rare; however, empyema should be considered if a patient has persistent hiccups with unexplained fever. CASE PRESENTATION: We present a case of persistent hiccups, left upper quadrant abdominal pain, and fever on day 1, and total left lung white-out and empyema on day 3. The hiccups resolved gradually after antibiotic treatment and surgical decortication...
February 28, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38413854/physicians-challenges-when-working-in-the-prehospital-environment-a-qualitative-study-using-grounded-theory
#15
JOURNAL ARTICLE
Denise Bäckström, Aida Alvinius
BACKGROUND: In the rapid development in prehospital medicine the awareness of the many challenges in prehospital care is important as it highlights which areas need improvement and where special attention during education and training should be focused. The purpose of this study is to identify challenges that physicians face when working in the prehospital environment. The research question is thus; what challenges do physicians face when working in prehospital care? METHOD: This is a qualitative study with an inductive approach and is based on individual interviews...
February 27, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38413847/a-case-report-of-an-accidental-iatrogenic-dexmedetomidine-overdose-in-an-adult
#16
JOURNAL ARTICLE
Suvi-Maria Tiainen, Jonni Unga, Panu Uusalo
BACKGROUND: Dexmedetomidine is a sedative drug with a wide safety margin. CASE PRESENTATION: We present a case of accidental iatrogenic dexmedetomidine overdose in an adult patient during high-intensity focused ultrasound (HIFU) treatment. This is the first case report of an adult patient receiving an intravenous push of dexmedetomidine. Overdose resulted in severe oversedation, but symptoms receded spontaneously over time. CONCLUSIONS: Dexmedetomidine overdoses are infrequent, and they are usually the result of an administration error...
February 27, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38408897/impact-of-teaching-on-use-of-mechanical-chest-compression-devices-a-simulation-based-trial
#17
JOURNAL ARTICLE
Richard Steffen, Simon Burri, Fredy-Michel Roten, Markus Huber, Jürgen Knapp
BACKGROUND: The use of mechanical chest compression devices on patients in cardiac arrest has not shown benefits in previous trials. This is surprising, given that these devices can deliver consistently high-quality chest compressions without interruption. It is possible that this discrepancy is due to the no-flow time (NFT) during the application of the device. In this study, we aimed to demonstrate a reduction in no-flow time during cardiopulmonary resuscitation (CPR) with mechanical chest compression devices following 10 min of structured training in novices...
February 26, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38408885/demographics-and-clinical-characteristics-of-carbon-monoxide-poisoning-for-patients-attending-in-the-emergency-department-at-a-tertiary-hospital-in-riyadh-saudi-arabia
#18
JOURNAL ARTICLE
Nesrin Alharthy, Aljohara Alanazi, Alreem Almoqaytib, Bedour Alharbi, Rakad Alshaibani, Jawaher Albuniyan, Abdullah Alshibani
BACKGROUND: Carbon Monoxide (CO) is one of the most common environmental causes of acute intoxication globally. It can lead to the development of Delayed Neuropsychiatric Sequelae (DNS) which may develop in 2-40 days after remission of acute CO poisoning. DNS is defined by recurrent-transient neurological, cognitive, or psychological manifestations. This study was intended to describe the demographics and characteristics of CO poisoning patients attending at the Emergency Department (ED) and assess the association between CO intoxication and the development of DNS in a tertiary hospital, Riyadh, Saudi Arabia...
February 26, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38395745/how-a-broken-vertebra-can-lead-to-a-fatal-hemorrhage-a-case-report
#19
JOURNAL ARTICLE
Roxanne A W Ploumen, Martin R van Wezenbeek, Paul C P H Willems, Suzanne C Gerretsen, Jan A Ten Bosch
BACKGROUND: Unintentional falls are common among the elderly and given the expected increase of the aging population, these falls contribute to a high number of admissions to the emergency department. Relatively low-energy trauma mechanisms can lead to serious injuries in the elderly, with contributing factors being comorbidities, medication use and degenerative abnormalities. CASE PRESENTATION: A 94-year-old female suffered an unintentional fall at home. Upon arrival of the ambulance at her house she was hemodynamically stable and mobilized to the gurney with assistance...
February 23, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38373992/overview-of-best-practices-for-buprenorphine-initiation-in-the-emergency-department
#20
JOURNAL ARTICLE
Terence Hughes, Nicholas Nasser, Avir Mitra
In recent decades, opioid overdoses have increased dramatically in the United States and peer countries. Given this, emergency medicine physicians have become adept in reversing and managing complications of acute overdose. However, many remain unfamiliar with initiating medication for opioid use disorder such as buprenorphine, a high-affinity partial opioid agonist. Emergency department-based buprenorphine initiation is supported by a significant body of literature demonstrating a marked reduction in mortality in addition to increased engagement in care...
February 19, 2024: International Journal of Emergency Medicine
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