Awake pronation with helmet CPAP in early COVID-19 ARDS patients: effects on respiratory effort and distribution of ventilation assessed by EIT
AbstractProne positioning with continuous positive airway pressure (CPAP) is widely used for respiratory support in awake patients with COVID-19-associated acute respiratory failure. We aimed to assess the respiratory mechanics and distribution of ventilation in COVID-19-associated ARDS treated by CPAP in awake prone position. We studied 16 awake COVID-19 patients with moderate-to-severe ARDS. The study protocol consisted of a randomized sequence of supine and prone position with imposed positive end-expiratory pressure (PEEP) of 5 and 10 cmH2O delivered by helmet CPAP. Respiratory mechanics and distribution of ventilation...
Source: Internal and Emergency Medicine - March 26, 2024 Category: Emergency Medicine Source Type: research

Peripherally inserted central catheter fracture and migration
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 26, 2024 Category: Emergency Medicine Source Type: research

Quantitative research assessment: using metrics against gamed metrics —comment
AbstractIn this letter to the Editor, the author reports his comment on the review article entitled. “Quantitative research assessment: using metrics against gamed metrics” published in this Journal. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 22, 2024 Category: Emergency Medicine Source Type: research

Impact of healthcare-associated infections within 7-days of acute stroke on health outcomes and risk of care-dependency: a multi-centre registry-based cohort study
AbstractHealthcare-associated infections (HCAIs) in patients admitted with acute conditions remain a major challenge to healthcare services. Here, we assessed the impact of HCAIs acquired within 7-days of acute stroke on indicators of care-quality outcomes and dependency. Data were prospectively collected (2014 –2016) from the Sentinel Stroke National Audit Programme for 3309 patients (mean age = 76.2 yr, SD = 13.5) admitted to four UK hyperacute stroke units (HASU). Associations between variables were assessed by multivariable logistic regression (odds ratios, 95% confidence intervals), adjuste d for age, sex, ...
Source: Internal and Emergency Medicine - March 22, 2024 Category: Emergency Medicine Source Type: research

Quantitative research assessment: using metrics against gamed metrics —comment
AbstractIn this letter to the Editor, the author reports his comment on the review article entitled. “Quantitative research assessment: using metrics against gamed metrics” published in this Journal. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 22, 2024 Category: Emergency Medicine Source Type: research

Impact of healthcare-associated infections within 7-days of acute stroke on health outcomes and risk of care-dependency: a multi-centre registry-based cohort study
AbstractHealthcare-associated infections (HCAIs) in patients admitted with acute conditions remain a major challenge to healthcare services. Here, we assessed the impact of HCAIs acquired within 7-days of acute stroke on indicators of care-quality outcomes and dependency. Data were prospectively collected (2014 –2016) from the Sentinel Stroke National Audit Programme for 3309 patients (mean age = 76.2 yr, SD = 13.5) admitted to four UK hyperacute stroke units (HASU). Associations between variables were assessed by multivariable logistic regression (odds ratios, 95% confidence intervals), adjuste d for age, sex, ...
Source: Internal and Emergency Medicine - March 22, 2024 Category: Emergency Medicine Source Type: research

Trends in non-focal neurological chief complaints and CT angiography utilization among adults in the emergency department
This study includes patients prese nting with headache and/or dizziness to the emergency department between January 2017 and December 2021. Patients who received a head and neck CTA were compared to those who did not. The main outcomes included annual head and neck CTA utilization and positivity rates, defined as the percent of scans with attributable acute pathologies. Among 24,892 emergency department visits, 2264 (9.1%) underwent head and neck CTA imaging. The percentage of patients who received a scan over the study period increased from 7.89% (422/5351) in 2017 to 13.24% (662/5001) in 2021, representing a 67.4% increa...
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research

Non-dipper blood pressure pattern and glycemic alterations: does post-prandial glucose rise predict lack of nocturnal pressure drop?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research

Trends in non-focal neurological chief complaints and CT angiography utilization among adults in the emergency department
This study includes patients prese nting with headache and/or dizziness to the emergency department between January 2017 and December 2021. Patients who received a head and neck CTA were compared to those who did not. The main outcomes included annual head and neck CTA utilization and positivity rates, defined as the percent of scans with attributable acute pathologies. Among 24,892 emergency department visits, 2264 (9.1%) underwent head and neck CTA imaging. The percentage of patients who received a scan over the study period increased from 7.89% (422/5351) in 2017 to 13.24% (662/5001) in 2021, representing a 67.4% increa...
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research

Non-dipper blood pressure pattern and glycemic alterations: does post-prandial glucose rise predict lack of nocturnal pressure drop?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research

Critical care management of acute intoxications, dynamics and changes over time: a cohort study
This study aimed to determine the characteristics of intoxicated patients in a tertiary center medical ICU in Austria over time and to investigate parameters associated with ICU mortality. This study was a retrospective data analysis including adult ICU patients from the years 2007 to 2021. In addition to ICU documentation, pre-hospital, and emergency department documents as well as autopsy reports were utilized. In an exploratory subanalysis, we compared these findings to a historical dataset from our facility from 1992 to 1996. We identified 581 cases admitted to the medical ICU because of acute poisoning (2007 –2021),...
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research

Proposition of a universal algorithm for dispatcher telephone advice on first aid in drowning
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research

Critical care management of acute intoxications, dynamics and changes over time: a cohort study
This study aimed to determine the characteristics of intoxicated patients in a tertiary center medical ICU in Austria over time and to investigate parameters associated with ICU mortality. This study was a retrospective data analysis including adult ICU patients from the years 2007 to 2021. In addition to ICU documentation, pre-hospital, and emergency department documents as well as autopsy reports were utilized. In an exploratory subanalysis, we compared these findings to a historical dataset from our facility from 1992 to 1996. We identified 581 cases admitted to the medical ICU because of acute poisoning (2007 –2021),...
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research

Proposition of a universal algorithm for dispatcher telephone advice on first aid in drowning
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research

Dysbiosis and nutrition in steatotic liver disease: addressing the unrecognized small intestinal bacterial overgrowth (SIBO) challenge
AbstractSteatotic liver disease (SLD) is characterized by hepatic fat accumulation, potentially causing major consequences such as liver decompensation. Currently, we lack medications for the treatment of SLD. Therapeutic recommendations for patients include a hypocaloric diet, weight loss, and physical activity. In particular, the Mediterranean diet is frequently recommended. However, this diet might exacerbate intestinal problems in a subset of patients with coexisting small intestinal bacterial overgrowth (SIBO). Previous studies have reported that SIBO is more predominant in patients with fatty liver than in healthy in...
Source: Internal and Emergency Medicine - March 18, 2024 Category: Emergency Medicine Source Type: research