Effect of urgency level on prehospital emergency transport times: a natural experiment
The objective of the study is to compare ambulance urgency level on the differences in estimates of ambulance transport times generated by Google Maps and the observed transport times in a prehospital setting where emergency vehicles have their own traffic laws. The study was designed as a natural experiment and register study. Ambulance transports dispatched with different levels of urgency (Level A and B) were included in the Central Denmark Region (a mixed urban and rural area) from March 10 to June 11, 2021. Ambulance transports for highest urgency level were compared to lowest urgency level with Google Maps estimated ...
Source: Internal and Emergency Medicine - December 20, 2023 Category: Emergency Medicine Source Type: research
Trends in sudden cardiac death mortality in Italy, 2013 –2019
AbstractWe sought to analyse the incidence of sudden cardiac deaths (SCDs) amongst subjects aged less than 39 years in Italy and its time trend between 2013 and 2019. Data regarding cause-specific mortality and population size by sex in 5-year age groups were extracted from the World Health Organization (WHO) mortality database. Decedents reporting the codes I46.1, I45.6, I47.2, I41.9, R09.2 and R96.0 of the International Classification of Disease-10 (ICD-10) coding system, were extracted. The age-adjusted mortality rates (AAMRs), with relative 95% confidence intervals (CIs) stratified by sex, were determined using the d...
Source: Internal and Emergency Medicine - December 19, 2023 Category: Emergency Medicine Source Type: research
Should prothrombin complex concentrate be given to all patients with trauma at risk of massive transfusion?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - December 19, 2023 Category: Emergency Medicine Source Type: research
Trends in sudden cardiac death mortality in Italy, 2013 –2019
AbstractWe sought to analyse the incidence of sudden cardiac deaths (SCDs) amongst subjects aged less than 39 years in Italy and its time trend between 2013 and 2019. Data regarding cause-specific mortality and population size by sex in 5-year age groups were extracted from the World Health Organization (WHO) mortality database. Decedents reporting the codes I46.1, I45.6, I47.2, I41.9, R09.2 and R96.0 of the International Classification of Disease-10 (ICD-10) coding system, were extracted. The age-adjusted mortality rates (AAMRs), with relative 95% confidence intervals (CIs) stratified by sex, were determined using the d...
Source: Internal and Emergency Medicine - December 19, 2023 Category: Emergency Medicine Source Type: research
Early association between respiratory mechanics and radiological changes in mechanically ventilated critically ill patients with COVID-19
AbstractThe chest X-ray (CXR) Brixia scoring system was developed exclusively for COVID-19 severity assessment. However, no association between the score and respiratory mechanics during mechanical ventilation has been examined. Our aim was to evaluate the association between the CXR Brixia score and respiratory mechanics on the first day of mechanical ventilation in critically ill COVID-19 patients. A total of 77 COVID-19 patients who underwent mechanical ventilation and CXR in the ICU setting were retrospectively included. The CXR Brixia scoring system was applied, and respiratory mechanics data were recorded on the firs...
Source: Internal and Emergency Medicine - December 17, 2023 Category: Emergency Medicine Source Type: research
Transition of care interventions to manage severe COVID-19 in the ambulatory setting: a systematic review
ConclusionOur findings highlight the potential in treating severe COVID-19 at the ambulatory setting and the lack of high-quality data in this field. Dedicated medical teams, adjusted monitoring methods, improving clinical trajectory, and correct inclusion settings are needed for safe and effective transition of care. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - December 17, 2023 Category: Emergency Medicine Source Type: research
Early association between respiratory mechanics and radiological changes in mechanically ventilated critically ill patients with COVID-19
AbstractThe chest X-ray (CXR) Brixia scoring system was developed exclusively for COVID-19 severity assessment. However, no association between the score and respiratory mechanics during mechanical ventilation has been examined. Our aim was to evaluate the association between the CXR Brixia score and respiratory mechanics on the first day of mechanical ventilation in critically ill COVID-19 patients. A total of 77 COVID-19 patients who underwent mechanical ventilation and CXR in the ICU setting were retrospectively included. The CXR Brixia scoring system was applied, and respiratory mechanics data were recorded on the firs...
Source: Internal and Emergency Medicine - December 17, 2023 Category: Emergency Medicine Source Type: research
Transition of care interventions to manage severe COVID-19 in the ambulatory setting: a systematic review
ConclusionOur findings highlight the potential in treating severe COVID-19 at the ambulatory setting and the lack of high-quality data in this field. Dedicated medical teams, adjusted monitoring methods, improving clinical trajectory, and correct inclusion settings are needed for safe and effective transition of care. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - December 17, 2023 Category: Emergency Medicine Source Type: research
Clinical features that predict the mortality risk in older patients with Omicron pneumonia: the MLWAP score
AbstractIn December 2022, the Chinese suffered widespread Omicron of SARS-CoV-2 with variable symptom severity and outcome. We wanted to develop a scoring model to predict the mortality risk of older Omicron pneumonia patients by analyzing admission data. We enrolled 227 Omicron pneumonia patients aged 60 years and older, admitted to our hospital from December 15, 2022, to January 16, 2023, and divided them randomly into a 70% training set and a 30% test set. The former were used to identify predictors and develop a model, the latter to verify the model, using the area under the receiver operating characteristic curve (A...
Source: Internal and Emergency Medicine - December 16, 2023 Category: Emergency Medicine Source Type: research
Sex differences in the management of patients with suspected acute coronary syndrome in China
AbstractFew studies have assessed sex differences in the management of suspected acute coronary syndrome (ACS). We aimed to compare the evaluation, treatment, and outcomes between males and females with suspected ACS in the emergency department. Data were obtained from a prospective registry of acute chest pain involving 21 emergency departments in Shandong Province, China. The primary endpoint was 30-day major adverse cardiac events (MACEs). Overlap propensity score weighting was used to address potential confounding. A total of 8046 patients were analysed (42.8% female). Overlap-weighted analysis showed no significant as...
Source: Internal and Emergency Medicine - December 16, 2023 Category: Emergency Medicine Source Type: research
Do we consider enough the presence of triggering factors in the evaluation of patients with FMF? Triggering factors are highly prevalent in colchicine-resistant FMF patients
In this study, triggering factors were more frequent in colchicine-resistant patients as compared to colchicine-responsive patients. Treatment with IL-1 antagonists seems to increase the endurance of colchicine-resistant patients in str essful conditions. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - December 16, 2023 Category: Emergency Medicine Source Type: research
Clinical features that predict the mortality risk in older patients with Omicron pneumonia: the MLWAP score
AbstractIn December 2022, the Chinese suffered widespread Omicron of SARS-CoV-2 with variable symptom severity and outcome. We wanted to develop a scoring model to predict the mortality risk of older Omicron pneumonia patients by analyzing admission data. We enrolled 227 Omicron pneumonia patients aged 60 years and older, admitted to our hospital from December 15, 2022, to January 16, 2023, and divided them randomly into a 70% training set and a 30% test set. The former were used to identify predictors and develop a model, the latter to verify the model, using the area under the receiver operating characteristic curve (A...
Source: Internal and Emergency Medicine - December 16, 2023 Category: Emergency Medicine Source Type: research
Sex differences in the management of patients with suspected acute coronary syndrome in China
AbstractFew studies have assessed sex differences in the management of suspected acute coronary syndrome (ACS). We aimed to compare the evaluation, treatment, and outcomes between males and females with suspected ACS in the emergency department. Data were obtained from a prospective registry of acute chest pain involving 21 emergency departments in Shandong Province, China. The primary endpoint was 30-day major adverse cardiac events (MACEs). Overlap propensity score weighting was used to address potential confounding. A total of 8046 patients were analysed (42.8% female). Overlap-weighted analysis showed no significant as...
Source: Internal and Emergency Medicine - December 16, 2023 Category: Emergency Medicine Source Type: research
Do we consider enough the presence of triggering factors in the evaluation of patients with FMF? Triggering factors are highly prevalent in colchicine-resistant FMF patients
In this study, triggering factors were more frequent in colchicine-resistant patients as compared to colchicine-responsive patients. Treatment with IL-1 antagonists seems to increase the endurance of colchicine-resistant patients in str essful conditions. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - December 16, 2023 Category: Emergency Medicine Source Type: research
