Journals International Journal of Emerg...

International Journal of Emergency Medicine
Shayne Gue, Stephanie Cohen, Maria Tassone, Ayanna Walker, Andy Little, Martin Morales-Cruz, Casey McGillicuddy, David Lebowitz, Robert Pell, Ariel Vera, Steven Nazario, Darielys Mejias, Andrew Bobbett, Drake Dixon, Anines Quinones, Latha Ganti
BACKGROUND: Disaster medicine is a growing field within the specialty of emergency medicine, but educational training typically focuses on hospital drills or other educational strategies, such as didactics, simulation, or tabletop exercises. With the success of gamification in other medical education applications, we sought to investigate if a novel gamified curricular innovation would lead to improved test performance and confidence in the ability to manage a real mass casualty incident (MCI)...
September 13, 2023: International Journal of Emergency Medicine
Mindi Guptill, Ellen Reibling, Tammy Phan, Bryant Khoo, Stephen Lin, Corbin Donham, Cheryl Wang, E Lea Walters
BACKGROUND: This study examined the conflicts between different generations working in US emergency departments (ED). We sought to record generational differences involving communication preferences, perceived areas of conflict, work motivations, and attitudes regarding work-life balance. METHODS: We developed a survey to assess the physician perspective on generational conflict in the ED. The survey was distributed to members of the American College of Emergency Physicians, a professional organization comprising emergency medicine physicians in the USA...
September 13, 2023: International Journal of Emergency Medicine
Rayal Jhagru, Rajiv Singh, Jordan Rupp
BACKGROUND: This is a cohort pilot study of senior emergency medicine residents and residency-trained emergency medicine registrars practicing in an urban tertiary academic hospital in Guyana in South America. The primary aim was to assess the effectiveness of the current adapted residency ultrasound training curriculum and guide future ultrasound-specific continuing medical education. Ultrasound image acquisition, interpretation, and integration of ultrasound findings into clinical medical decision-making competency were assessed in a multimodal fashion: a written assessment and a practical assessment...
September 6, 2023: International Journal of Emergency Medicine
Anh Dinh Bao Vuong, Thanh Hai Pham, Xuan Trang Nguyen, Ngoc Bich Trinh, Phuc Nhon Nguyen, Quang Nhat Ho
No abstract text is available yet for this article.
September 5, 2023: International Journal of Emergency Medicine
Amir Khorrami, Mohammad Ali Khorrami, Heitham Gheriani
BACKGROUND: E-cigarette use, or vaping, is an alternative nicotine delivery system that is becoming increasingly prevalent in adolescents and young adults. There is currently a lack of comprehensive research on the adverse effects of vaping on the upper airway. Acute epiglottitis is a potentially life-threatening condition that can lead to airway obstruction. It is commonly caused by bacterial infections such as streptococci, staphylococcus, and Moraxella. Adult patients with acute epiglottitis mainly present with odynophagia, dysphagia, and respiratory difficulties...
September 5, 2023: International Journal of Emergency Medicine
Henrik Bergenfeldt, Jakob Lundager Forberg, Riikka Lehtinen, Ebba Anefjäll, Tomas Vedin
BACKGROUND: Traumatic brain injury causes morbidity, mortality, and at least 2,500,000 yearly emergency department visits in the USA. Computerized tomography of the head is the gold standard to detect traumatic intracranial hemorrhage. Some are not diagnosed at the first scan, and they are denoted "delayed intracranial hemorrhages. " To detect these delayed hemorrhages, current guidelines for head trauma recommend observation and/or rescanning for patients on anticoagulation therapy but not for patients on antiplatelet therapy...
September 4, 2023: International Journal of Emergency Medicine
Ahmad Khobrani, Osama Kentab, Abdulaziz Algarni, Ahmad AAl Ibrahim, Javid Ahmad Bhat, Ammar Abdulmajeed, Wafa Homaida, Sara El Basheer, Abdullah Akkam, Muna Aljahany
OBJECTIVES: To assess the impact of the COVID-19 pandemic on the academic and clinical processes of pediatric emergency medicine (PEM) fellowship training held by the Saudi Commission for Health Specialties (SCHS). METHODS: A cross-sectional, nationwide, survey-based study was conducted between June and December 2020. PEM program directors as well as fellowship trainees were eligible. The collected data were under the following domains: (1) sociodemographic and work-related characteristics; (2) impact of the COVID-19 pandemic on patient flow and PEM procedures; (3) impact on emergency skills and competence; (4) impact on academic performance; and (5) attitudes toward PEM practice and potential solutions...
August 28, 2023: International Journal of Emergency Medicine
Fumito Okuno, Asami Ito-Masui, Atsuya Hane, Keiko Maeyama, Kaoru Ikejiri, Ken Ishikura, Masashi Yanagisawa, Kaoru Dohi, Kei Suzuki
BACKGROUND: Severe hypocalcemia may lead to life-threatening arrhythmias. Denosumab is an effective treatment for osteoporosis that allows long intervals between doses. However, there is a risk of hypocalcemia in some patients. Due to the long half-life of denosumab, emergency physicians caring for patients presenting with symptoms of hypocalcemia may not be aware of the medication, and adverse effects may last longer. CASE PRESENTATION: A 55-year-old woman with a history of systemic lupus erythematosus (SLE) and anxiety disorder called for an ambulance for symptoms of hyperventilation and muscle cramps...
August 28, 2023: International Journal of Emergency Medicine
Igor Lurin, Eduard Khoroshun, Volodymyr Negoduiko, Volodymyr Makarov, Serhii Shypilov, Volodymyr Boroday, Maksym Gorobeiko, Andrii Dinets
BACKGROUND: Gunshot wounds injury to the thorax is common in armed conflicts or war, including the war of Russia against Ukraine. Injury to the chest is associated with a high mortality or physical disability due to damage to the lungs, heart, and major vessels. The aim of this report is to demonstrate a case of successful management of severe gunshot injury to the lungs using video-assisted thoracoscopic surgery and magnetic tool for a combat patient injured in the war in Ukraine. CASE PRESENTATION: A 51-year-old soldier of the Armed Forces of Ukraine received a gunshot injury due to shelling from artillery strikes in the Donbas battlefield area...
August 24, 2023: International Journal of Emergency Medicine
Dmitry Kotovich, Gilad Twig, Zeev Itsekson-Hayosh, Maximiliano Klug, Asaf Ben Simon, Gal Yaniv, Eli Konen, Noam Tau, Daniel Raskin, Paul J Chang, David Orion
BACKGROUND: To assess the effect of a commercial artificial intelligence (AI) solution implementation in the emergency department on clinical outcomes in a single level 1 trauma center. METHODS: A retrospective cohort study for two time periods-pre-AI (1.1.2017-1.1.2018) and post-AI (1.1.2019-1.1.2020)-in a level 1 trauma center was performed. The ICH algorithm was applied to 587 consecutive patients with a confirmed diagnosis of ICH on head CT upon admission to the emergency department...
August 11, 2023: International Journal of Emergency Medicine
Noman Ali, Abdul Ahad Chhotani, Sannia Perwaiz Iqbal, Salman Muhammad Soomar, Ahmed Raheem, Shahan Waheed
BACKGROUND: Many physicians use point-of-care ultrasound (PoCUS) in their clinical practice to improve their diagnostic capabilities, accuracy, and timeliness. Over the last two decades, the use of PoCUS in the emergency room has dramatically increased. This study aimed to determine emergency physicians' retention of knowledge and skills after a brief training workshop on a focused ultrasound-guided approach to a patient presenting with undifferentiated shock, shortness of breath, and cardiac arrest in the emergency department of a tertiary care hospital...
August 9, 2023: International Journal of Emergency Medicine
Vibhu Paudyal, Neha Vohra, Malcolm Price, Zahraa Jalal, Karen Saunders
BACKGROUND: It is estimated that approximately 300,000 people are experiencing homelessness in England. The aim of this study was to evaluate key causes and long-term trends of emergency departments (EDs) and in hospital inpatient admissions of persons experiencing homelessness in England. METHODS: ED and hospital inpatient admissions data were obtained from Hospital Episode Statistics (HES) covering all National Health Service (NHS) England hospitals. Anyone identified or declared to be experiencing homelessness during the service usage are recorded in HES datasets...
August 7, 2023: International Journal of Emergency Medicine
Amanda Poxon, Maria Leis, Miranda McDermott, Antony Kariri, Rupert Kaul, Joshua Kimani
BACKGROUND: Female sex workers (FSW) in sub-Saharan Africa are disproportionately affected by HIV and remain a key target population for efforts to reduce transmission. While HIV prevention tools such as PEP and PrEP are available through outpatient FSW clinics, these services are underused. Emergency medicine is a rapidly expanding field in Kenya and may provide a novel venue for initiating or optimizing HIV prevention services. This study examined the characteristics of FSW from Nairobi, Kenya, who had utilized an emergency department (ED) during the past year to broaden our understanding of the patient factors related to usage...
August 3, 2023: International Journal of Emergency Medicine
Indah Sukmawati, Fang Qin Goh, Alfred Yip, Poay Huan Loh, Koo Hui Chan
BACKGROUND: Electrocardiogram (ECG) is the first diagnostic tool physicians use in diagnosing acute myocardial infarction (MI). In this case report, we present a case where the initial ECG diagnosis was that of an acute anteroseptal MI but emergency coronary angiography showed that the infarct-related artery was a small non-dominant right coronary artery (RCA) instead of the anticipated left anterior descending artery (LAD). Isolated right ventricular (RV) infarction from a non-dominant RCA is rarely seen in clinical practice, and it may exhibit ECG changes that can be confused with an acute anteroseptal MI...
July 28, 2023: International Journal of Emergency Medicine
Naheel A AlAmer, Wasan F AlMarzouq
BACKGROUND: Lemierre syndrome is a rare but potentially life-threatening condition characterized by septic thrombophlebitis of the internal jugular vein, most commonly caused by Fusobacterium necrophorum. CASE PRESENTATION: A 46-year-old woman with no significant medical history presented with generalized neck swelling and fever. Despite seeking medical attention at multiple outpatient clinics for upper respiratory symptoms lasting 10 days, she only received symptomatic treatment for acute viral pharyngitis...
July 24, 2023: International Journal of Emergency Medicine
Mohamad Shadi Alkarrash, Mohammad Nour Shashaa, Mohammad Nour Kitaz, Roaa Rhayim, Mohammed Ismail, Sarya Swed, Wael Hafez, M Ihsan Kaadan, Hamzeh Koumakli, Nour Alhisah, Ahmed Al-Haider, Samer Al-Salloum, Ivan Cherrez-Ojeda
BACKGROUND AND AIMS: Basic life support (BLS) training rates vary widely worldwide, and there is a general scarcity of surveys that assess students' knowledge and awareness of BLS in middle eastern nations. This study aims to evaluate medical students' knowledge and awareness towards basic life support. METHODS: A cross-sectional study, using an online web-based questionnaire, assessing BLS awareness and knowledge, was conducted from 3 to 30 November 2021. The study included 2114 medical students from Syria, Iraq, and Jordan...
July 24, 2023: International Journal of Emergency Medicine
Erik Strandqvist, Staffan Olheden, Anders Bäckman, Henrik Jörnvall, Denise Bäckström
BACKGROUND: The aim of this study was to determine when and how rapid response vehicles (RRVs) make a difference in prehospital care by investigating the number and kinds of RRV assignment dispatches and the prehospital characteristics and interventions involved. METHODS: This retrospective cohort study was based on data from a quality assurance system where all assignments are registered. RRV staff register every assignment directly at the site, using a smartphone, tablet, or computer...
July 14, 2023: International Journal of Emergency Medicine
Marián Sedlák, Kamila Brúsiková, Vladimíra Sobolová, Michal Králik
BACKGROUND: BRASH syndrome (bradycardia, renal failure, atrioventricular nodal blockade, shock, and hyperkalemia) is a rare clinical condition with potentially severe outcomes. Patients with BRASH syndrome can present with diverse signs and symptoms and are usually in critical condition, but if recognized early, the syndrome is treatable and may have a favorable prognosis. CASE PRESENTATION: This case study presents a 74-year-old patient with a history of multiple chronic conditions who was brought to the emergency department with a suspected cerebrovascular accident, altered mental status, and bradycardia...
July 3, 2023: International Journal of Emergency Medicine
Rie Yamamoto, Takayuki Yasuoka, Junya Matsushima, Youhei Tsubouchi, Hideaki Kanazashi, Keiji Sakurai, Tomoki Hanazawa, Yoshito Kamijo, Kazuki Akieda
BACKGROUND: Acrylamide poisoning is often reported as chronic poisoning presenting with peripheral neuropathy or carcinogenic action due to long-term exposure to low concentrations. However, there have been few reports of acute poisoning due to oral ingestion of acrylamide, where the symptoms appear a few hours after ingestion. Here, we report a case of acute acrylamide poisoning where a high concentration was ingested in a short time, resulting in a fatal outcome due to the rapid course of events...
June 29, 2023: International Journal of Emergency Medicine
Toshiki Sera, Norio Otani, Hideo Bannai, Takanori Hasegawa, Takehiro Umemura, Hideki Honda, Akio Kimura
BACKGROUND: While emergency medicine (ER)-based emergency care is prevalent in many countries, in Japan, the "department-specific emergency care model" and the "emergency center model" are mainstream. We hypothesized that many secondary emergency medical institutions in Japan have inadequate systems. Using a questionnaire, we investigated the status of and problems in the emergency medical services system in secondary emergency medical institutions in Japan. Until date, there has not been an exhaustive survey of emergency facilities on a countrywide scale...
June 23, 2023: International Journal of Emergency Medicine
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.