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Is procalcitonin a reliable marker of bacterial community-acquired pneumonia in adults admitted to the emergency department during SARS-CoV-2 pandemic?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Research Letters Source Type: research

Goal-directed ultrasound protocol in patients with nontraumatic undifferentiated shock in the emergency department: prospective dual centre study
Background and Importance Early identification of the cause of shock is associated with better prognosis. Objective The aim of this study was to explore the performances of an ultrasound protocol (echoSHOCK) to diagnose the cause of shock in the emergency department (ED). Design, settings and participants This was a prospective study performed in two EDs. Included patients were older than 18 years admitted with shock. After routine workup strategy, the suspected cause of shock and the planned treatment were reported. The echoSHOCK protocol, using only B mode, was then performed. After performing echoSHO...
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Association of sex with the clinical course and outcome of internal emergency department patients: a secondary data analysis
This study investigated sex-differences in an unselected cohort of nonsurgical ED patients. Design Secondary data of all patients attending two EDs of the Charité, Universitätsmedizin Berlin collected in the framework of their medical evaluation was reviewed. Settings and participants Within a 1-year-period all 34 333 adult internal patients presenting to one of the two EDs were included and analysed. Outcomes measure and analyses Sex-stratified descriptive analysis of the in-hospital course and outcome of the ED patients was performed as primary endpoint. Admission data, ED processes and diagnoses w...
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Evaluation of HEAR score to rule-out major adverse cardiac events without troponin test in patients presenting to the emergency department with chest pain
Background and importance Current guidelines for patients presenting to the emergency department with chest pain without ST-segment elevation myocardial infarction (non-STEMI) on electrocardiogram are based on troponin measurement. The HEART score is reportedly a reliable work-up strategy that combines clinical evaluation with troponin value. A clinical rule that could select very low-risk patients without the need for a blood test (HEAR score, being the HEART score without the troponin item) would be of great interest. Objectives To prospectively assess the safety of a HEAR score (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Association of frailty on treatment outcomes among patients with suspected infection treated at emergency departments
Conclusions This study reported that in patients with suspected sepsis in the emergency department, frailty may be associated with poor prognosis and length of hospital stay. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Association between mean arterial pressure and survival in patients after cardiac arrest with vasopressor support: a retrospective study
Conclusions This study suggests that maintaining a mean arterial pressure of equal or greater than 65 mmHg may be a reasonable target in postcardiac arrest patients admitted to the ICU with vasopressor support. However, further prospective randomized trials are needed to determine the optimal mean arterial pressure targets in this patient population. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

A narrative review of frailty assessment in older patients at the emergency department
Optimizing emergency care for the aging population is an important future challenge, as the proportion of older patients at the emergency department (ED) rapidly increases. Older patients, particularly those who are frail, have a high risk of adverse outcomes after an ED visit, such as functional decline, institutionalization, and death. The ED can have a key position in identifying frail older patients who benefit most from comprehensive geriatric care [including delirium preventive measures, early evaluation of after-discharge care, and a comprehensive geriatric assessment (CGA)]. However, performing extensive frailty as...
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Review Source Type: research

Emergency medicine in Switzerland: a laboratory for professional experimentation
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Viewpoint Source Type: research

Rebuild resilience in emergency physicians to prevent burnout during COVID-19 pandemic
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Viewpoint Source Type: research

New trajectories for emergency medicine in Italy
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Status of physician education in emergency medicine in four European countries: no primary specialty yet
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Basic certification process for point-of care-ultrasound in emergency medicine: an European perspective
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Emergency medicine specialization: the French and Belgian perspective
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

The Royal College of Emergency Medicine’s curriculum in the UK
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

From Spain with love
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - July 15, 2021 Category: Emergency Medicine Tags: Guest Editorial Source Type: research