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Association between history of cancer and major adverse cardiovascular events in patients with chest pain presenting to the emergency department: a secondary analysis of a prospective cohort study
Conclusions There was no difference in rate of MACE between those with recent history of cancer in remission compared to their counterparts. A higher proportion of patients with cancer in remission was triaged as intermediate risk by the HEART score, but we found no difference in the performance of the HEART score between the groups. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of a multidisciplinary program to improve organ donation in the emergency department
This study was a retrospective, observational study of the ED-inclusive ODIP implemented in 55 tertiary teaching hospitals contracted with the Korea Organ Donation Agency (KODA) since 2014. The inclusion criteria were: patients in the ED with a serious brain injury and futile prognosis or expected death of the patient within a few days, no contraindications for organ donation, and no objections registered in the donor registry. Intervention The ED-inclusive multidisciplinary approach was implemented to improve organ donation. It included regular meetings of the ODIP committee, hospital visits and staff education, im...
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of gender on out-of-hospital cardiac arrest survival: a registry-based study
Conclusions In this large nationwide matched OHCA study, female patients had a better chance of survival with no significant difference in neurological outcome. We also noticed that female patients received delayed care with a shorter resuscitation effort compared to men; these complex issues warrant further specific investigation. Encouraging bystanders to act as quickly as possible and medical teams to care for female patients in the same way as male patients should increase survival rates. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of written and video discharge instructions on parental recall of information about analgesics in children: a pre/post-implementation study
Conclusion In our study, we observed that the recall of the correct use of analgesics was increased in participants who had been given written instructions at discharge. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Association between collapse and serum creatinine and electrolyte concentrations in marathon runners: a 9-year retrospective study
Conclusion In this study, incidence of a raised creatinine was higher than previously reported. However, the significance of such a rise remains unclear with a similar rise seen in collapsed and noncollapsed runners, and resolution noted within 24 h. Abnormal sodium concentrations were observed infrequently, and severely abnormal results were not seen, potentially reflecting current advice to drink enough fluid to quench thirst. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of chest ultrasound on diagnostic workup in elderly patients with acute respiratory failure in the emergency department: a prospective study
Conclusion In our study, chest ultrasound add-on investigation to standard approach improved diagnosis performance in elderly patients presenting to the ED with acute respiratory failure. Further multicenter randomized trials are warranted to confirm this finding. Diagnostic assessment of acute respiratory failure in elderly patients is often challenging, and initial misdiagnosis is associated with poorer outcomes. Chest ultrasound could help to improve diagnostic performance in this population. The objective of our study was to assess chest ultrasound (i.e. combined cardiac and lung ultrasound) add-on investigation...
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Agreement between emergency physicians and radiologists for the diagnosis of deep venous thrombosis with compression ultrasound: a prospective study
Introduction The time factor in diagnosis and management of a deep vein thrombosis of the lower extremities (LE DVT) is of increasing importance in the era of crowding of emergency departments (ED). Current techniques used to detect LE DVT include a two-point regional compression ultrasound (rCUS), yet assessments are usually performed only during office hours. Outside office hours ultrasonography is postponed and low molecular weight heparin (LMWH) prescribed. Objectives Primary outcome of the study was to assess the level of agreement in rCUS for LE DVT when performed by Dutch emergency physicians compared to ...
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Quality of dispatcher-assisted vs. automated external defibrillator-guided cardiopulmonary resuscitation: a randomised simulation trial
Background Quality of hands-only cardiopulmonary resuscitation (CPR) is an important determinant of resuscitation outcome for cardiac arrest patients cared for by lay rescuers. We designed a simulation trial to assess and compare the quality of CPR among untrained lay people under two different scenarios: automated external defibrillator (AED)-guided and dispatcher-assisted CPR. Patients and methods A simulation study was performed involving 42 volunteers selected by non-probabilistic sampling. Participants were randomized into two CPR simulation scenarios with a manikin: (A) AED-guided CPR and (T) dispatcher-as...
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of oxygen supply on mortality in acute ST-elevation myocardial infarction: systematic review and meta-analysis
This study aims to evaluate the clinical effect of high oxygen supply in patients with STEMI using a systematic review of the available literature. All randomized controlled trials (RCTs) evaluating the systematic use of high oxygen (6 L/min or higher) versus room air or lower oxygen supply in STEMI patients were included. Systematic review with meta-analysis of trials retrieved in July 2020. Six databases were searched. The confidence in the pooled estimates was ascertained through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Risk of bias was evaluated using the Cochrane risk ...
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Review Source Type: research

Is good mentorship found on Twitter? We think so
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

The ineffable epinephrine in the labyrinth of evidence-based medicine
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Adding barriers to barriers during the COVID-19 pandemic: a call for interdisciplinary research on communication with migrant patients in the emergency department
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

A brief history of point-of-care transesophageal echocardiography in the USA
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Viewpoint Source Type: research

A European Emergency Medicine Research Network: a necessity achieved
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Tags: Editorial Source Type: research

Response to: Bin JH, Lee S-Y. Rapid detection of bacterial meningitis using a glucometer in children.
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Correspondence Source Type: research