journal
Journals Clinical and Experimental Emer...

Clinical and Experimental Emergency Medicine

https://read.qxmd.com/read/38778495/local-anesthetic-systemic-toxicity-awareness-recognition-and-risk-mitigation-in-the-emergency-department
#1
EDITORIAL
Michael Shalaby, Raghav Sahni, Richard Hamilton
No abstract text is available yet for this article.
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778494/characteristics-of-patients-who-return-to-the-emergency-department-after-an-observation-unit-assessment
#2
JOURNAL ARTICLE
Barry Hahn, Shannon Sunny, Patrick Kettyle, Jerel Chacko, Dimitre G Stefanov
INTRODUCTION: Emergency Department observation units (EDOU) transition patients from the emergency department (ED) to dedicated areas where they can receive continuous monitoring. Understanding patient return visits after EDOU discharge is important for optimizing healthcare. The objective of this study was to investigate the correlation between demographic and clinical features and the likelihood of returning to the ED within 30 days following their initial assessment in the EDOU. METHODS: This retrospective, observational cohort study of adult EDOU subjects was conducted between February 1, 2018 - January 31, 2023...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778493/can-ct-measured-la-diameter-predict-the-presence-and-the-degree-of-lv-diastolic-dysfunction
#3
JOURNAL ARTICLE
Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee
OBJECTIVE: This study was conducted to determine whether the presence and the degree of left ventricular diastolic dysfunction (LVDD) can be predicted by the simple LA diameter measured on computed tomography (CTLAD). METHODS: Among adult patients who underwent both chest CT and echocardiography in the emergency department from January 2020 to December 2021, a retrospective cross-sectional study was conducted on patients in whom the time interval between the two tests was less than 24 hours...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778492/evaluation-of-the-quality-of-ed-management-for-patients-with-copd
#4
JOURNAL ARTICLE
Pascale J King, Lana Ramic, Janet Wilson, Shawn Aaron, Ian G Stiell
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is associated with exacerbations and high risk of serious outcomes. Our goal was to determine the appropriateness of the ED management of COPD exacerbations. METHODS: This observational cohort study incorporated a health records review and included COPD exacerbation cases seen at two large academic EDs. We included all patients with the primary diagnosis of COPD exacerbation. From the electronic medical record, demographic and clinical data were abstracted, and the Ottawa COPD Risk Score (OCRS) was calculated for each...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778491/characteristics-and-trends-of-pediatric-trauma-in-jeju-island-south-korea-a-community-level-serial-cross-sectional-study
#5
JOURNAL ARTICLE
Chaemoon Lim, Jung-Hwan Oh, Jeong Rae Yoo, Seo Young Ko, Jeong Ho Kang, Sung Kgun Lee, Wooseong Jeong, Gil Myeong Seong, Hyun Jung Lee, Chul-Hoo Kang, Ji Hyun Moon, In-Seok Son, Hyun Ju Yang, Min-Su Oh, Sung Wook Song
OBJECTIVE: This study aimed to investigate the characteristics and epidemiological trends of pediatric injuries among patients visiting emergency departments (EDs) on Jeju Island. METHOD: Employing a community-level serial cross-sectional analysis, we targeted pediatric patients aged 18 years or younger who visited EDs for injuries over a ten-year period. The data, sourced from the Jeju Injury Surveillance System (JISS), facilitated a comprehensive examination of injury characteristics and epidemiological trends...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778490/physician-awareness-of-fluid-volume-administered-with-intravenous-antibiotics-a-structured-interview-based-study
#6
JOURNAL ARTICLE
Jaleh Aghaie, Marianne Lisby, Marie Kristine Jessen
OBJECTIVE: Fluids administered as drug diluents with intravenous (IV) medicine constitute a substantial fraction of fluids in inpatients. Are physicians aware of fluid volumes administered with IV antibiotics for patients with suspected infections? Does addressing this lead to adjustments in 24-hour fluid administration/antibiotics? METHODS: This cross-sectional interview-based study was conducted in three emergency departments. Physicians were interviewed after prescribing around-the-clock IV antibiotics for ³24 hours to patients with suspected infection...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778489/wikipedia-as-a-highly-accessed-though-imperfect-source-of-knowledge-on-cardiopulmonary-resuscitation
#7
JOURNAL ARTICLE
Alexei A Birkun
No abstract text is available yet for this article.
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778488/sex-and-age-differences-in-atypical-chief-complaints-for-acute-decompensated-heart-failure-in-emergency-department-visits
#8
JOURNAL ARTICLE
Matthew L Regan, Jason J Bischof, Montika Bush, Anna E Waller, Timothy F Platts-Mills, Martin F Casey, Michelle L Meyer
OBJECTIVES: Around one million United States emergency department (ED) visits annually are due to acute decompensated heart failure (ADHF) symptoms. Characterizing ED symptom presentation of ADHF patients may improve clinical care, yet sex and age differences in ED chief complaints have not been thoroughly investigated. This paper aims to describe differences in chief complaints and comorbid conditions for ED patients with a ADHF diagnosis, stratified by sex and age. METHODS: Retrospective analysis of adults presenting to North Carolina EDs in NC DETECT, a statewide syndromic surveillance system, between 2010 and 2016 with a diagnosis of ADHF...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778487/diffuse-incidental-dural-calcifications
#9
JOURNAL ARTICLE
Emily Wusterbarth, Jenna Pederson, Michael Gottlieb
No abstract text is available yet for this article.
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38778486/epinephrine-induced-lactic-acidosis-during-the-management-of-anaphylactic-shock-a-case-report
#10
Hyo Suk Oh, Chi Ryang Chung, Chi-Min Park, Gee Young Suh, Ryoung-Eun Ko
In a case of contrast media-induced anaphylactic shock managed with epinephrine, a 57-year-old male developed lactic acidosis without cardiogenic shock or global hypoperfusion, highlighting epinephrine's potential to trigger lactic acidosis. Despite previous management of similar reactions with antihistamines and corticosteroids, this case required intensive care unit admission and emergency intervention, with lactate levels peaking alarmingly. The rapid resolution of acidosis following epinephrine discontinuation underscores the need for careful monitoring and the consideration of alternative vasopressor strategies in severe anaphylaxis, illustrating the complex relationship between epinephrine's metabolic effects and anaphylaxis-induced tissue hypoperfusion...
May 23, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38583867/popular-websites-as-a-source-of-misinformation-on-first-aid-in-foreign-body-airway-obstruction
#11
JOURNAL ARTICLE
Alexei A Birkun, Adhish Gautam
No abstract text is available yet for this article.
April 5, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38583866/comparison-of-dual-dispatch-protocols-on-return-of-spontaneous-circulation-in-patients-with-out-of-hospital-cardiac-arrest-a-nationwide-observational-study
#12
JOURNAL ARTICLE
Seung Hyo Lee, Young Su Kim, Jeseong Park, Hyouk Jae Lim, Won Pyo Hong
OBJECTIVE: In South Korea, the National Fire Agency (NFA) conducted a pilot project on the advanced life support (ALS) protocol, including epinephrine administration, to improve the survival rate of out-of hospital cardiac arrest (OHCA). Therefore, this study aimed to evaluate the effect of the ALS protocol of NFA on prehospital return of spontaneous circulation (PROSC) in patients with OHCA. METHODS: This study was conducted on patients with adult-presumed cardiac arrest between January and December 2020...
April 5, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38583865/management-of-organophosphorus-poisoning-and-the-role-of-magnesium-sulfate-a-scoping-review-of-literature
#13
JOURNAL ARTICLE
Zahra Nekoukar, Homa Talabaki, Zakaria Zakariaei, Mahdi Mesri, Hossein Azadeh
Organophosphorus agents are easily absorbed via respiratory, gastrointestinal, and dermal routes, and inhibit the acetylcholine transferase enzyme (AChE), which is responsible for the majority of toxicity caused by organophosphates in the body. A comprehensive search was conducted across three prominent databases, namely Google Scholar, PubMed, and Science Direct, to identify relevant articles published. The search focused on the keywords "MgSO4" or "magnesium sulfate" in conjunction with "organophosphate" or "organophosphate poisoning...
April 5, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38485264/factors-associated-with-parental-knowledge-and-attitudes-towards-concussions-in-the-republic-of-korea
#14
JOURNAL ARTICLE
DongWon Son, Ki Ok Ahn, Hang A Park, Ju Ok Park
BACKGROUND: This study investigated the status and evaluated factors associated with knowledge and attitudes regarding concussions among Korean parents of children aged 6-18 years. METHODS: A cross-sectional online survey was employed to collect data from a panel of parents in the Republic of Korea in 2023. To assess knowledge and attitudes regarding concussions, participants completed a validated questionnaire. The outcome variables of the total knowledge and total attitude scores, which ranged from 0 to 30 and 7 to 49, respectively, were categorized into three levels based on approximately 33% increments...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38485263/erector-spinae-plane-block-espb-for-intractable-non-surgical-abdominal-pain-a-scoping-review
#15
JOURNAL ARTICLE
Ashley Meyer, Campbell Belisle Haley, Eisa Razzak, Amanda Dos Santos, Kyle Dornhofer, Edmund Hsu, Soheil Saadat, John Christian Fox, Megan Guy
Abdominal pain is one of the most common presenting chief complaints in the emergency department (ED). Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of non-surgical abdominal pain has not yet been characterized. Our scoping review aims to review the current literature on the safety and efficacy of ESPB in the management of patients experiencing intractable, non-surgical abdominal pain...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38485262/the-current-trend-of-emergency-airway-management-a-clinical-review
#16
JOURNAL ARTICLE
Sangun Nah, Yonghee Lee, Sol Ji Choi, Jeongwoo Lee, Soyun Hwang, Seongmi Lim, Inhye Lee, Young Soon Cho, Hyun Soo Chung
Airway management is a fundamental and intricate process that involves a sequence of integrated tasks. Situations requiring emergency airway management may occur in emergency department, intensive care units, and various other spaces. Emergency airway management can face a variety of challenges during preparation, intubation, and post-intubation, and may result in significant complications for the patients. Therefore, many countries are establishing step-by-step systemization and detailed guidelines, and updating the content based on the latest research...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38485261/masturbation-induced-presyncope-a-case-of-painless-aortic-dissection-in-igg4-related-disease
#17
Charles Sanky, Nidhish Sasi
This case concerns a 59-year-old male with a past medical history of hypertension, chronic renal insufficiency, and autoimmune pancreatitis secondary to IgG4-related disease, on chronic steroids. The patient experienced acute onset of lightheadedness, a tingling sensation to both hands, and jaw tightness while masturbating. He was found to have a Type A aortic dissection. This is the first case of its kind to document an atypical, painless aortic dissection presentation in a patient with IgG4-related disease...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38485260/update-on-the-pathophysiology-and-management-of-acute-trauma-hemorrhage-and-traumainduced-coagulopathy-tic-based-upon-viscoelastic-testing-vet
#18
JOURNAL ARTICLE
Marc Maegele
Uncontrolled hemorrhage and trauma-induced coagulopathy (TIC) remain the two predominante causes of preventable death after trauma. Early control of bleeding sources along with rapid detection, characterization and management of TIC have been associated with improved outcomes. However, recent surveys confirm vast heterogeneity in the clinical diagnosis and management of acute trauma hemorrhage and TIC even in advanced trauma centers. In addition, conventional coagulation assays, although still used frequently during the early assessment of bleeding trauma patients, have their limitations...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/37620036/point-of-care-ultrasound-for-airway-management-in-the-emergency-and-critical-care-setting
#19
JOURNAL ARTICLE
Michael Gottlieb, James R O'Brien, Nicholas Ferrigno, Tina Sundaram
Airway management is a common procedure within emergency and critical care medicine. Traditional techniques for predicting and managing a difficult airway each have important limitations. As the field has evolved, point-of-care ultrasound has been increasingly utilized for this application. Several measures can be used to sonographically predict a difficult airway, including skin to epiglottis, hyomental distance, and tongue thickness. Ultrasound can also be used to confirm endotracheal tube intubation and assess endotracheal tube depth...
March 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38368880/bezold-abscess-in-a-4-year-old-an-exceptionally-rare-complication-of-otitis-media
#20
JOURNAL ARTICLE
Zachary Tillett, Robert Anderson
No abstract text is available yet for this article.
February 16, 2024: Clinical and Experimental Emergency Medicine
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