journal
Journals Open Access Emergency Medicine...

Open Access Emergency Medicine : OAEM

https://read.qxmd.com/read/38343729/the-role-of-ophthalmology-in-tele-stroke-consults-for-triaging-acute-vision-loss
#1
JOURNAL ARTICLE
Anna Artymowicz, Christina Douglas, Kimberly Cockerham
Advances in telemedicine have allowed physicians to provide care in areas that were previously geographically or practically inaccessible. Roughly 70% of all US hospital have less than 200 bed capacity and nearly 50% have fewer than 100 beds. These smaller hospitals often do not have specialists available for bedside patient care, making them potential beneficiaries of telemedicine medical specialty services. In 2005, the American Stroke Association proposed implementing telemedicine services in effort to increase access to acute stroke care in neurologically underserved areas such as small hospitals...
2024: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38343728/chest-pain-risk-stratification-in-the-emergency-department-current-perspectives
#2
REVIEW
Zeynep Yukselen, Vidit Majmundar, Mahati Dasari, Pramukh Arun Kumar, Yuvaraj Singh
Chest pain is the second leading cause of all emergency department (ED) visits in adults in the United States, with nearly 11 million encounters yearly. While identifying low-risk patients is crucial for early discharge, identifying high-risk patients in ED is vital in timely and appropriate acute coronary syndrome (ACS) management. Traditional methods such as physical examination, cardiac markers, or imaging tests cannot reliably confirm or rule out ACS; they cannot be singularly incorporated to risk stratify patients...
2024: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38318470/a-case-of-severe-rhabdomyolysis-acute-myocardial-damage-and-multi-organ-dysfunction-syndrome-in-a-patient-with-novel-coronavirus-pneumonia
#3
Shuaishuai Yuan, Yuting Huang, Pailing Xie, Peijun Li
In recent years, healthcare systems worldwide have faced the challenge of the severe COVID-19 pandemic. However, cases of severe rhabdomyolysis, acute myocardial damage, and multiple organ dysfunction syndrome (MODS) caused by COVID-19 are currently rare. This report presents a case of severe rhabdomyolysis, acute myocardial damage, and MODS caused by COVID-19. The patient was treated at The University of Hong Kong-Shenzhen Hospital. The purpose of this report is to aid clinicians in quickly identifying and treating similar cases, ultimately improving patient outcomes...
2024: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38314068/a-case-study-on-unreported-first-probable-human-rabies-following-honey-badger-in-somalia
#4
Ubah Mumin Ali Osman, Selim Turfan, Mohamed Farah Yusuf Mohamud
Rabies is a neglected zoonotic disease caused by a virus. It is an acute progressive neurological disease that affects people in many parts of the world, especially in low income countries including Somalia and it is always lethal once symptoms appear without immediate post-exposure prophylaxis (PEP). Nearly half of rabies cases occur in children. This case report presents a tragic and unique clinical scenario involving a 14-year-old boy from a rural area in Somalia who presented to our tertiary hospital after a bite from a honey badger...
2024: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38192570/microsurgical-digits-replantation-in-resource-limited-setting-a-retrospective-study
#5
Abdulfattah Altam, Yasser Obadiel, Rami Salim Alazaiza, Mohamed Ali Alshujaa, Faris Alhajami, Faisal Ahmed, Abdullah Mohammed Al-Naggar, Ahmed Mohamed Albushtra, Mohamed Badheeb
BACKGROUND: This article aims to share our experiences with microsurgical finger replantation in a resource-limited setting. METHODS: This multi-institutional, retrospective study included 21 cases of finger amputation that underwent microsurgical replantation, within 7 years period. Patient demographics, preoperative assessments, surgical approaches, and outcomes were documented and analyzed. A univariate analysis was performed to obtain factors associated with digit reimplantation failure...
2024: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38145228/validity-of-timi-risk-score-and-heart-score-for-risk-assessment-of-patients-with-unstable-angina-non-st-elevation-myocardial-infarction-presented-to-an-emergency-department-in-jordan
#6
JOURNAL ARTICLE
Muhannad J Ababneh, Mahmoud Mustafa Smadi, Abdullah Al-Kasasbeh, Qutaiba Ali Jawarneh, Mohammad Nofal, Mohanad El-Bashir, Mohamad Ismail Jarrah, Liqaa A Raffee
PURPOSE: To examine the validity and predictability of thrombolysis in myocardial infarction (TIMI) risk and HEART scores in patients presenting to the emergency department (ED) with chest pain in Jordan (representative of the Middle East and North Africa Region, MENA). PATIENTS AND METHODS: Risk scores were calculated for 237 patients presenting to the ED with chest pain. Patients were followed-up prospectively for the need for percutaneous coronary intervention, major adverse cardiovascular events, and all-cause mortality, looking for correlation and accuracy between the predicted cardiovascular risk from TIMI risk score and HEART score and the clinical outcome...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38145227/shortening-door-to-balloon-time-the-use-of-ambulance-versus-private-vehicle-for-patients-with-st-segment-elevation-acute-myocardial-infarction
#7
JOURNAL ARTICLE
Abdulrhman Saleh Alghamdi, Abdullah Alshibani, Meshary Binhotan, Meshal Alharbi, Saleh S Algarni, Mohammed Musaed Alzahrani, Abdulmalik Nasser Asiri, Faisal Faleh Alsulami, Kamal Ayoub, Abdullah Alabdali
PURPOSE: Time is critical when dealing with acute myocardial infarction (AMI) patients in the Emergency Department (ED), as 90 min is crucial for overall health. Using non-EMS transportation for critical patients, such as patients with acute myocardial infarction, to a hospital might delay the rapid identification of the underlying medical disease and initiating definitive treatment. We aim to evaluate the association between the mode of transportation and the D2B time in patients presenting at the ED with AMI...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38116248/effects-of-the-hazardous-area-response-team-training-program-on-the-knowledge-and-confidence-in-operational-skills-of-prehospital-emergency-medical-personnel-in-thailand-a-quasi-experimental-study
#8
JOURNAL ARTICLE
Thongpitak Huabbangyang, Thanidtha Nomrabporn, Watcharan Chiraratchawarich, Rapeeporn Rojsaengroeng
BACKGROUND: Hazardous areas are places emitting hazardous materials, terrorist- or war-related, which lead to public health risks in developed and developing countries globally. Hence, prehospital emergency medical personnel who work as frontliners should be trained. PATIENTS AND METHODS: Data via pretest, posttest, and questionnaire surveys regarding the HART's knowledge of and confidence in operational skills were collected using the 5-point Likert scale. The cohort included prehospital emergency medical personnel aged >18 years...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38022743/factors-associated-with-postintubation-hypotension-among-patients-with-suspected-sepsis-in-emergency-department
#9
JOURNAL ARTICLE
Panvilai Tangkulpanich, Chuenruthai Angkoontassaneeyarat, Thavinee Trainarongsakul, Chetsadakon Jenpanitpong
PURPOSE: Postintubation hypotension (PIH) is a recognized complication that increases both in-hospital mortality and hospital length of stay. Sepsis is reportedly a factor associated with PIH. However, no study to date has examined which factors, including the intubation method, may be clinical predictors of PIH in patients with sepsis. This study aims to investigate factors associated with the occurrence of PIH in patients with suspected sepsis in emergency department. PATIENTS AND METHODS: This retrospective cross-sectional study was performed over a 5-year period (January 2013-December 2017) and involved patients with suspected sepsis who underwent endotracheal intubation in the emergency department of Ramathibodi Hospital...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38022742/impact-of-different-treatments-for-disseminated-intravascular-coagulation-on-patients-with-or-without-biliary-drainage-for-severe-biliary-tract-infection
#10
JOURNAL ARTICLE
Makoto Kobayashi, Shun Takai, Kyohei Sakurai, Yoshimatsu Ehama
OBJECTIVE: Sepsis caused by severe acute cholangitis requires biliary drainage to decrease the intra-biliary pressure. Furthermore, several studies showed that anticoagulant treatment can improve the outcomes of patients with sepsis-associated disseminated intravascular coagulation (DIC). There were reports examining the efficacy of anti-DIC drugs in patients undergoing biliary drainage with sepsis-associated DIC, and no reports compared the efficacy of DIC treatments when no drainage is performed...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/38022741/outcome-of-poisoning-and-associated-factors-among-patients-admitted-at-referral-hospitals-in-northwest-ethiopia-2022-a-multicenter-retrospective-study
#11
JOURNAL ARTICLE
Gashachew Bayleyegn Reda, Hailemichael Kindie Abate, Hidja Mustofa Mekonnen, Agerie Zerihun Gared, Zerko Wako Beko
BACKGROUND: Poisonings are the most common reason for visiting emergency departments and hospitals globally. Poisoning-related mortalities increase instantly, and it is a principal public health problem in Ethiopia. Hence, understanding the treatment outcome and identifying the associated factors is necessary to reduce poisoning-related mortality. OBJECTIVE: To assess outcome of poisoning and associated factors among patients admitted to Referral Hospitals in Northwest Ethiopia, 2022...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37965444/the-burden-and-contributing-factors-of-cardiogenic-pulmonary-edema-among-acute-heart-failure-patients-admitted-to-tertiary-hospital-eastern-ethiopia
#12
JOURNAL ARTICLE
Natanim Degefu, Abera Jambo, Shambel Nigusse, Mesay Dechasa, Tigist Gashaw, Melaku Getachew
BACKGROUND: Despite cardiogenic pulmonary edema is the most common phenotype of acute heart failure (AHF), studies on its burden and associated factors are limited. This study aimed to assess the burden and contributing factors of cardiogenic pulmonary edema in patients with acute heart failure admitted to a tertiary hospital in eastern Ethiopia. PATIENTS AND METHODS: An institution-based cross-sectional study was conducted on the medical records (n = 276) of patients with AHF between February 01, 2018, and January 31, 2023...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37886229/the-clinical-value-of-comprehensive-nursing-intervention-in-preventing-severe-lymphopenia-and-improving-the-survival-rate-among-patients-with-sepsis
#13
JOURNAL ARTICLE
Lin Zhang, Chao Xu, Lin Bai, Lin Li, Jinyan Guo, Yanyi Li
BACKGROUND: Intensive care unit (ICU) patients with sepsis who experience severe lymphopenia are at a higher risk of mortality, and they serve as a more accurate indicator of bacteremia compared to traditional infection markers. AIM: Our study aimed to examine the influence of severe lymphopenia on ICU mortality and outcomes in sepsis patients, while also evaluating the clinical significance of comprehensive nursing intervention in preventing severe lymphopenia...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37876607/perioperative-adverse-outcome-and-its-predictors-after-emergency-laparotomy-among-sigmoid-volvulus-patients-retrospective-follow-up-study
#14
JOURNAL ARTICLE
Tilahun Deresse, Esubalew Tesfahun, Zenebe Abebe Gebreegziabher, Mandante Bogale, Dawit Alemayehu, Megbar Dessalegn, Tewodros Kifleyohans, George Eskandar
BACKGROUND: Acute sigmoid volvulus is a surgical emergency with closed-loop obstruction of the colon that often requires emergency laparotomy, which is associated with a multitude of post-operative complications. Although sigmoid volvulus is the main cause of intestinal obstruction in Ethiopia, local studies of its management outcomes are limited. OBJECTIVE: To assess the magnitude and predictors of adverse perioperative outcomes of emergency laparotomy for acute sigmoid volvulus in the Debre Markos Comprehensive Specialized Hospital (DMCSH), Amhara region, Ethiopia in 2023...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37872979/evaluating-the-triage-of-suspected-covid-19-cases-in-sudan-s-emergency-settings-a-clinical-audit
#15
JOURNAL ARTICLE
Bayan E Ibrahim, Rahba Osman El-Amin, Safia Tarig Adam Abdulla
BACKGROUND: The inevitable coronavirus disease 2019 global pandemic has severely affected Sudan's fragile healthcare system. The authors share the experience of COVID-19 triage in the emergency departments of five public hospitals in Khartoum state, Sudan. METHODS: A clinical audit was conducted in December 2020 using the Centers for Disease Control and Prevention Checklist and Monitoring Tool for Triage of Suspected COVID-19 Cases. The tool was categorised into 5 domains and 38 indicators...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37868690/reducing-door-in-to-door-out-time-for-patients-receiving-a-mechanical-thrombectomy-using-autolaunch-protocol
#16
JOURNAL ARTICLE
Devin M Howell, Timmy Li, Elizabeth Quellhorst, Jeffrey M Katz, Rohan Arora, Jonathan Berkowitz
BACKGROUND: Door-in to door-out (DIDO) time for large vessel occlusion (LVO) stroke is an emerging stroke performance measure. Initial presentation at a non-Comprehensive Stroke Center (CSC) requires a transfer process that minimizes delays. Our objective was to assess whether DIDO time for stroke patients was reduced after implementation of an AutoLaunch protocol for interfacility transfers. METHODS: This was a pre-post analysis of an AutoLaunch protocol for all acute stroke patients transferred to a CSC for mechanical thrombectomy...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37818445/predictive-factors-of-oxygen-therapy-failure-in-patients-with-covid-19-in-the-emergency-department
#17
JOURNAL ARTICLE
Karn Suttapanit, Peeraya Lerdpaisarn, Pitsucha Sanguanwit, Praphaphorn Supatanakij
BACKGROUND: Most patients with coronavirus disease 2019 (COVID-19) pneumonia require oxygen therapy, including standard oxygen therapy and a high-flow nasal cannula (HFNC), in the Emergency Department (ED), and some patients develop respiratory failure. In the COVID-19 pandemic, the intensive care unit (ICU) was overburdening. Therefore, prioritizing patients who require intensive care is important. This study aimed to find predictors and develop a model to predict patients at risk of requiring an invasive mechanical ventilator (IMV) in the ED...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37771523/a-systematic-review-on-outcomes-of-patients-with-heatstroke-and-heat-exhaustion
#18
JOURNAL ARTICLE
Hassan Adnan Bukhari
INTRODUCTION: Heatstroke (HS) is a severe form of heat-related illness (HRI) associated with high morbidity and mortality, representing a condition that includes long-term multiorgan dysfunction and susceptibility to further heat illness. METHODS: In a systematic review searching Medline PubMed from the studies conducted between 2009 and 2020, 16 papers were identified. RESULTS: A hallmark symptom of heat stroke is CNS dysfunction (a hallmark sign of HS) which manifests as mental status changes, including agitation, delirium, epilepsy, or coma at the time of the collapse...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37753377/diagnostic-impact-of-hs-crp-and-il-6-for-acute-coronary-syndrome-in-patients-admitted-to-the-ed-with-chest-pain-added-value-to-the-heart-score
#19
JOURNAL ARTICLE
Khalil Rafiqi, Camilla Bang Hoeks, Bo Løfgren, Martin Bødtker Mortensen, Jens M Bruun
OBJECTIVE: To investigate whether hs-CRP and IL-6 provide additional diagnostic value beyond that achieved by the HEART score in patients with chest pain suggestive of acute coronary syndrome (ACS) admitted to the emergency department (ED). METHODS: This was a post hoc analysis using data from the RACING-MI study. Baseline data, including hs-CRP and IL-6 levels, were analyzed using the plasma from the biobank. A total of 818 patients with chest pain suggestive of ACS were included in this analysis...
2023: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/37745834/lasting-effects-of-covid-19-pandemic-on-prehospital-emergency-medical-service-missions
#20
JOURNAL ARTICLE
Isabella Metelmann, Matthes Nagel, Bastian Schneider, Bernd Krämer, Sebastian Kraemer
PURPOSE: The COVID-19 pandemic confronted prehospital emergency medical services (PHEMS) with immense challenges. This study aimed to investigate the development of PHEMS mission numbers and times in the COVID-affected region of Southwest Saxony (SWS). PATIENTS AND METHODS: This was a retrospective analysis of PHEMS in SWS during lockdown periods and equal time spans in the previous and following years. Differences were tested for statistical significance using the chi-squared test and one-way analysis of variance (ANOVA)...
2023: Open Access Emergency Medicine: OAEM
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