The impact of teach-back on patient recall and understanding of discharge information in the emergency department: the Emergency Teach-Back (EM-TeBa) study
ConclusionTeach-back is an efficient and non-time-consuming method to improve patients ’ immediate and short-term recall and comprehension of discharge information in the ED. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 24, 2020 Category: Emergency Medicine Source Type: research

Successful management of zinc phosphide poisoning —a Hungarian case
ConclusionsOur case is the first documented voluntary and severe ZnP poisoning in Hungary. Our patient developed multiple organ failure and atelectasis, possibly resulting in the observed respiratory infection. The development of bacterial pneumonia highlighted the dangers of phosphine-induced atelectasis. The use of ALA in our patient ’s case, as an antioxidant and agent for metal chelation, suggested that this agent could be a promising tool in the prevention and treatment of ZnP-induced hepatic damage. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 18, 2020 Category: Emergency Medicine Source Type: research

Clinical and imaging profiles of pulmonary embolism: a single-institution experience
ConclusionThis study suggests that patients with obesity and sickle cell disease constitute an important proportion of all PE cases. Furthermore, the clinical and imaging profiles in patients with peripheral PE are similar to those in patients with central PE. Future research should focus on the clinical value of peripheral PE in patients with sickle cell disease. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 31, 2020 Category: Emergency Medicine Source Type: research

Separating the wheat from the chaff —COVID-19 in a German emergency department: a case-control study
ConclusionDysgeusia seems to be a typical symptom for COVID-19, which occurred in 14% of our COVID-19 patients. However, no valid parameters could be found to distinguish clinically between COVID-19 and other diseases with similar symptoms. Therefore, early testing, a strict isolation policy, and proper personal protection are crucial to maintain workflow and safety of patients and ED staff for the months to come.Trial registrationGerman Clinical Trials registry,DRKS00021675 (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Source Type: research

Nebulized tranexamic acid for recurring hemoptysis in critically ill patients: case series
ConclusionTranexamic acid may be considered in the treatment of hemoptysis regardless of the underlying cause. This may be utilized pending further workup and investigation into the underlying source of the bleeding. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Source Type: research

A fatal fecaloma
ConclusionsChronic constipation with fecal impaction is a well-known complication of long-term neuroleptic treatment. Severe forms may be life-threatening. Prevention with systematic administration of laxatives appears of paramount importance. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Source Type: research

Performance of the modified HEART score in an Asian population
ConclusionThe modified HEART score is an effective risk stratification tool in an ethnically diverse Asian population. Furthermore, it identifies low-risk patients who are candidates for early discharge from a local emergency department. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 19, 2020 Category: Emergency Medicine Source Type: research

Intractable nausea and vomiting in na ïve ingestion of kratom for analgesia
We present the case of a 62-year-old woman arriving to the emergency department (ED) with a chief complaint of intractable vomiting after ingestion of kratom. After a day of yard work, she was in pain, secondary to her osteoporotic joints. She was recommended kratom from a family member, who stated he was using kratom to transition away from opioid dependence. She took two “scoops.” She proceeded to have multiple episodes of vomiting at home. She came to the ED, where she required multiple rounds of anti-emetic medication for resolution of her symptoms.DiscussionWe present a classic case of a novel acute toxici...
Source: International Journal of Emergency Medicine - August 5, 2020 Category: Emergency Medicine Source Type: research

Comparison of various risk scores for the prognosis of hemorrhagic upper gastrointestinal mucosal disorder
ConclusionIn addition to the AIMS65 score, the updated CCI can be a useful tool for managing upper gastrointestinal mucosal disorder bleeding that requires endoscopic hemostasis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 29, 2020 Category: Emergency Medicine Source Type: research

Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review
ConclusionThe frontline healthcare workers are at risk of physical and mental consequences directly as the result of providing care to patients with COVID-19. Even though there are few intervention studies, early data suggest implementation strategies to reduce the chances of infections, shorter shift lengths, and mechanisms for mental health support could reduce the morbidity and mortality amongst HCWs. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 20, 2020 Category: Emergency Medicine Source Type: research

Elastomeric respirators are safer and more sustainable alternatives to disposable N95 masks during the coronavirus outbreak
ConclusionGiven the shortage of PPE for aerosols, it is logical to utilize reusable elastomeric respirators with filter efficiency of 95% or higher. A single elastomeric respirator may replace hundreds to thousands of new disposable N95 masks. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 20, 2020 Category: Emergency Medicine Source Type: research

A randomised crossover comparison of two endotracheal tube introducers: the FROVA and the Flexible Tip Bougie for GlideScope intubation of a difficult airway manikin by infrequent intubators
AbstractBackgroundThis unblinded randomised crossover study compares two endotracheal tube introducers (ETIs): the FROVA and the “Flexible Tip Bougie” (FTB), in an airway manikin mimicking difficult intubation with a percentage of glottic opening view of 30%. Participants were Emergency Medicine and Anaesthesia trainees with recent experience of less than twenty patient intubations. The primary outcome was time to intubat ion, further divided into time taken to pass the ETI and time to railroad the endotracheal tube (ETT) over the ETI. The secondary outcome was the difficulty of intubation.ResultsThe median tot...
Source: International Journal of Emergency Medicine - July 17, 2020 Category: Emergency Medicine Source Type: research

Trauma team conformation in a war-influenced middle-income country in South America: is it possible?
AbstractIntroductionTrauma teams (TTs) improve outcomes in trauma patients. A multidisciplinary TT was conformed in September 2015 in a tertiary level I trauma university hospital in southwestern Colombia, a middle-income war-influenced country.ObjectiveTo evaluate the impact of a TT in admission-tomography and admission-surgery times as well as mortality in a tertiary center university hospital in a middle-income country war-influenced country.Material and methodsRetrospective analytical study. Patients older than 17  years admitted to the emergency room 15 months prior and 15 months after the TT impl...
Source: International Journal of Emergency Medicine - July 14, 2020 Category: Emergency Medicine Source Type: research

Development of an interactive curriculum and trainee-specific preparedness plan for emergency medicine residents
ConclusionAn interactive-based MCI curriculum is more engaging and may foster more retention than the traditional lecture approach. Resident involvement in the hospital disaster response is paramount as more hospitals are becoming teaching hospitals and mass casualty incidents are inevitable. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 14, 2020 Category: Emergency Medicine Source Type: research

A rapid response-type doctor car system shortened time to intravenous thrombolytic therapy for patients with ischemic stroke: an observational study at a single emergency center in Japan
This study aimed to determine whether the RRC system shortened the time to commence intravenous reperfusion therapy in patients with ischemic stroke. This was a retrospective observational study conducted at a tertiary emergency center in Japan. Cases of patients with ischemic stroke who underwent intravenous thrombolytic therapy from January 2015 to December 2018 were enrolled. They were divided into two groups: RRC group (intervened by RRC system) and non-RRC group (not intervened by RRC system). The groups’ door-to-needle (DTN) time was compar ed.ResultsDuring the study period, 140 patients received intravenous th...
Source: International Journal of Emergency Medicine - June 26, 2020 Category: Emergency Medicine Source Type: research

Emergency department utilization of case-managed patients following benign gynecologic surgery
ConclusionIn an effort to reduce healthcare costs, case management is a promising intervention to help postoperative patients manage their care while minimizing emergency department visits. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 26, 2020 Category: Emergency Medicine Source Type: research

A qualitative study of workplace violence among healthcare providers in emergency departments in India
ConclusionWorkplace violence is a frequent reality for this sample of Indian ED healthcare providers. Alarming levels of verbal and physical abuse and their impact on patient care are described. This qualitative study identified unique challenges to Indian ED providers that differ from those in more developed settings, including financial stressors, inadequate enforcement of rules governing behavior in the hospital, and an overwhelming frequency of violence emanating from patient family members and attendants rather than the patients themselves. Further investigation into preventive strategies is needed. (Source: Internati...
Source: International Journal of Emergency Medicine - June 17, 2020 Category: Emergency Medicine Source Type: research

Reorganising the emergency department to manage the COVID-19 outbreak
ConclusionWith the large numbers of undifferentiated patients managed by the ED to date, more than 820 patients with COVID-19 have been identified in the hospital. Not a single member of the staff of the SGH Emergency Department has come down with the illness. The various measures undertaken by the department have helped to ensure good staff morale and strict adherence to safety procedures. We share the lessons learnt so that others who manage EDs around the world can benefit from our experience. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 17, 2020 Category: Emergency Medicine Source Type: research

The effect of 10-min dispatch-assisted cardiopulmonary resuscitation training: a randomized simulation pilot study
ConclusionsThis brief DACPR training in addition to standard CPR training can result in a modest improvement in the time to initiate CPR. Future studies are now required to examine the effect of DACPR training on survival of sudden CA. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Source Type: research

Performance of a three-level triage scale in live triage encounters in an emergency department in Hong Kong
AbstractBackgroundDespite its continued use in many low-volume emergency departments (EDs), 3-level triage systems have not been extensively studied, especially on live triage cases. We have modified from the Australasian Triage Scale and developed a 3-level triage scale, and sought to evaluate its validity, reliability, and over- and under-triage rates in real patient encounters in our setting.MethodThis was a cross-sectional study in a single ED with 24,000 attendances per year. At triage, each patient was simultaneously assessed by a triage nurse, an adjudicator (the “criterion standard”), and a study nurse ...
Source: International Journal of Emergency Medicine - June 10, 2020 Category: Emergency Medicine Source Type: research

Neuroprotective effect of paricalcitol in a rat model of transient global cerebral ischemia
ConclusionsParicalcitol significantly attenuated neuronal injury in the hippocampus. Although motor coordination, memory function, and survival rate were not significantly improved by paricalcitol treatment in this study, paricalcitol remains a potential neuroprotective drug after global cerebral ischemia. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 10, 2020 Category: Emergency Medicine Source Type: research

Public knowledge and attitudes towards bystander cardiopulmonary resuscitation (CPR) in Ghana, West Africa
In this study, we sought to evaluate Ghanaians ’ knowledge of and attitudes towards bystander CPR, in the context of the country’s nascent emergency medicine network.MethodsCapitalizing on the growing ubiquity and use of social media across the country, we used a novel social media sampling strategy for this study. We created, pre-tested, and distributed an online survey, using the two most utilized social media platforms in Ghana: WhatsApp and Facebook. An airtime data incentive of 5 US dollars, worth between 5 and 10 GB of cellular data based on mobile phone carrier, was provided as incentive. Inclusion crite...
Source: International Journal of Emergency Medicine - June 10, 2020 Category: Emergency Medicine Source Type: research

Keeping up with the information explosion: a surge in consumption of data on pediatric SARS-CoV-2 infection by pediatric emergency physicians
AbstractPEM-Database.org is an unaffiliated, not-for-profit website, dedicated to the field ’s advancement of pediatric emergency medicine. PEM-Database published the first early access pediatric-related SARS-CoV-2 articles on March 13th, two days following the World Health Organization’s declaration of a global pandemic. Over the following 2 weeks, the number of PEM-Database entries increased dramatically. This surge expresses interest by pediatric emergency medicine physicians in data on pediatric SARS-CoV-2 infection. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 19, 2020 Category: Emergency Medicine Source Type: research

Estimation of the burden of out-of-hospital traumatic cardiac arrest in Karachi, Pakistan, using a cross-sectional capture-recapture analysis
ConclusionThe actual burden of traumatic OHCA in Pakistan is larger than the burden reported by either the hospitals or EMS services alone. Most of the cases occurred due to GSW and RTI. A multipronged approach is required to manage the problem; from prevention to developing organized trauma care systems and training lay responders in pre-hospital trauma care is vital. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 14, 2020 Category: Emergency Medicine Source Type: research

Ruptured abdominal aortic aneurysm identified on point-of-care ultrasound in the emergency department
ConclusionsCharacteristics suggestive of AAA rupture may be seen on ultrasound. As ED physicians become more familiar with the use of point-of-care ultrasound in the evaluation of abdominal pain, identification of these characteristics may aid in the rapid diagnosis of AAA rupture. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 14, 2020 Category: Emergency Medicine Source Type: research

The use of clinical decision rules for pulmonary embolism in the emergency department: a retrospective study
ConclusionsThe study revealed that approximately one-third of all CT-PA requests were not adhering to the clinical decision rules with a significant underutilization of D-dimer assay in such patients. To reduce overutilization of imaging, planned interventions to promote the adherence to the current guidelines seem imperative. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 11, 2020 Category: Emergency Medicine Source Type: research

Male infant patient with a mesenteric cyst in the greater and lesser omenta: a case report
ConclusionIt is important to know these pathologies even though they are infrequent, because although they are benign masses by definition, they can lead to complications such as intestinal torsion, intestinal obstruction, and even peritonitis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 11, 2020 Category: Emergency Medicine Source Type: research

Prehospital reversal of profound respiratory acidosis and hypercapnic coma by non-invasive ventilation: a report of two cases
AbstractBackgroundIn chronic obstructive pulmonary disease (COPD) patients with acute respiratory failure (ARF), non-invasive ventilation (NIV) is generally recommended and has proven its benefits by reducing endotracheal intubation (ETI) rates, intensive care unit (ICU) admissions, complications, and mortality. Choosing between immediate ETI or NIV trial is often difficult when such patients present with an altered mental status. Some guidelines recommend avoiding NIV when consciousness is impaired given the risk of aspiration, and some authors suggest that a pH
Source: International Journal of Emergency Medicine - May 7, 2020 Category: Emergency Medicine Source Type: research

Prehospital acute traumatic pain assessment and management practices in the Western Cape, South Africa: a retrospective review
This study aimed to identify the prevalence of acute pain among high acuity trauma patients presenting to a public sector emergency medical service and to describe prehospital acute traumatic pain assessment and management practices amongst emergency care providers in the Western Cape Province, South Africa.MethodsA retrospective review of electronic patient care reports of trauma patients treated by the South African Western Cape Emergency Medical Services between January 1 and December 31, 2017 was conducted. Stratified random sampling was utilised to select 2401 trauma patients out of 24,575 that met the inclusion crite...
Source: International Journal of Emergency Medicine - May 5, 2020 Category: Emergency Medicine Source Type: research

Evolution of emergency medical services in the Kingdom of Bahrain
This article will focus on the development of EMS in the Kingdom and its evolution from a scattered hospital-based system to a unified system, which ensures ease of access for the population and speed of delivery to the healthcare facilities. The major focus will be the most recent national project which is the National Ambulance. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 28, 2020 Category: Emergency Medicine Source Type: research

Knowledge of and attitudes towards cardiopulmonary resuscitation among junior doctors and medical students in Upper Egypt: cross-sectional study
This study aims to evaluate the knowledge and attitudes of junior doctors and medical students towards CPR and CPR training at Beni-Suef University Hospital in Upper Egypt, a representative region with conditions common to LMIC settings.Participants and methodsIn this cross-sectional study, a total of 205 participants (60 junior doctors and 145 medical students) responded to a self-administered questionnaire assessing their knowledge regarding basic life support (BLS) and CPR techniques in neonates, children, and adults, in addition to attitudes towards the importance and necessity of CPR and CPR training.ResultsOf the 60 ...
Source: International Journal of Emergency Medicine - April 22, 2020 Category: Emergency Medicine Source Type: research

How to think like an emergency care provider: a conceptual mental model for decision making in emergency care
ConclusionCombining various clinical reasoning provides better opportunity, particularly for trainees and novices, to develop their experience and learn new skills. This mental model could be also of help for seasoned practitioners in their teaching, audits, and review of emergency cases. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 16, 2020 Category: Emergency Medicine Source Type: research

Manual ventilation quality is improved with a real-time visual feedback system during simulated resuscitation
AbstractIntroductionManual ventilations during cardiac arrest are frequently performed outside of recommended guidelines. Real-time feedback has been shown to improve chest compression quality, but the use of feedback to guide ventilation volume and rate has not been studied. The purpose of this study was to determine whether the use of a real-time visual feedback system for ventilation volume and rate improves manual ventilation quality during simulated cardiac arrest.MethodsTeams of 2 emergency medical technicians (EMTs) performed two 8-min rounds of cardiopulmonary resuscitation (CPR) on a manikin during a simulated car...
Source: International Journal of Emergency Medicine - April 16, 2020 Category: Emergency Medicine Source Type: research

Research capacity of Australian and New Zealand emergency medicine departments
DiscussionACEM sites have the capacity to undertake large multicentre studies with a varied network of sites and researchers. While some sites are well equipped for research, the majority of EDs had minimal research output. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 15, 2020 Category: Emergency Medicine Source Type: research

Impact of bedside lung ultrasound on physician clinical decision-making in an emergency department in Nepal
ConclusionsIn an emergency department in Nepal, bedside lung ultrasound had a significant impact on physician clinical decision-making, especially on patient diagnosis and treatment. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 3, 2020 Category: Emergency Medicine Source Type: research

The assessment of acute pulmonary embolism severity using CT angiography features
This study was conducted to detect the association between radiologic features of CT pulmonary angiography (CTPA) and pulmonary embolism severity index (PESI).MethodsA total of 150 patients with a definite diagnosis of PE entered the study. The CTPA feature including obstruction index, pulmonary trunk size, presence of backwash contrast, septal morphology, right ventricular (RV) and left ventricular (LV) dimensions, and RV/LV ratio were examined. The severity of the PE was estimated using PESI. The association between CTPA indices and PESI was measured. Statistical analysis was conducted using the SPSS software.P value
Source: International Journal of Emergency Medicine - April 3, 2020 Category: Emergency Medicine Source Type: research

Improving perception and confidence towards bystander cardiopulmonary resuscitation and public access automated external defibrillator program: how does training program help?
The objectives of this study is to (1) evaluate the effectiveness of a structured training program in improving the perception of the importance of AED and cardiopulmonary resuscitation (CPR), (2) evaluate the confidence of the employees in using an AED and performing bystander CPR, (3) identify the fears and concerns of these employees in using AED and performing CPR, and (4) determine the perception of these employees towards the strategy of the AEDs placed at various locations within the university.MethodsIn this single-center observational study, a validated questionnaire aimed to assess the university employees &rsquo...
Source: International Journal of Emergency Medicine - March 17, 2020 Category: Emergency Medicine Source Type: research

Factors influencing termination of resuscitation in children: a qualitative analysis
ConclusionPhysicians consider numerous “non-medical” factors when terminating pediatric resuscitative efforts. Factors are tied largely to individual beliefs, attitudes, and values, and likely contribute to variability in practice. An increased understanding of the uncertainty that exists around termination of resuscitation may help physicians in objective clinical decision-making in similar situations. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 14, 2020 Category: Emergency Medicine Source Type: research

A dignitary medicine curriculum developed using a modified Delphi methodology
ConclusionsThe results of our work can form the basis of formal fellowship training, continuing medical education, and publications in the field of dignitary medicine. It is clear that active medical practice and knowledge of resuscitation and emergency care are critical skills in this field, making emergency medicine physicians well suited to practicing dignitary medicine. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 21, 2020 Category: Emergency Medicine Source Type: research

Accuracy of Broselow tape in estimating the weight of the child for management of pediatric emergencies in Nepalese population
ConclusionsThe accuracy of the Broselow tape in estimating the weight of a child, endotracheal tube size, and dose of adrenaline is higher in weight group of less than 18  kg, and accuracy decreases as the weight of child increases. The Broselow tape should be avoided in children weighing more than 18 kg. Hence, PALS age-based formula for ET tube size estimation and weight-based formula for adrenaline dose calculation are recommended for children weighing more th an 18 kg. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 12, 2020 Category: Emergency Medicine Source Type: research

Position within the hospital and role in the emergency department of emergency physicians in the Netherlands: a national survey
ConclusionWe conclude that there is a high degree of heterogeneity between emergency CBs in regard to the position in the hospital and the role or responsibilities in the ED. Lack of uniformity might inhibit emancipation of the profession. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 10, 2020 Category: Emergency Medicine Source Type: research

Developing an integrated emergency medical services in a low-income country like Nepal: a concept paper
ConclusionNepal can develop a public private partnership model of EMS where capital cost is provided by the government and operational cost by other methods. Community-based insurance system looks more feasible in a country like Nepal for generating operational cost. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 7, 2020 Category: Emergency Medicine Source Type: research

Methanol outbreak: a Malaysian tertiary hospital experience
ConclusionThe mortality rate was higher, and the morbidity includes permanent visual impairment and severe neurological sequelae. Language barrier, severity of illness, late presentation, unavailability of intravenous ethanol and fomipezole and delayed dialysis may have been the contributing factors. Patient was managed based on clinical presentation. Laboratory parameters showed difference in median between group that survived and succumbed for pH, serum bicarbonate, lactate, potassium and osmolar and anion gap. Management of methanol toxicity outbreak in resource-limited area will benefit from a well-designed guideline t...
Source: International Journal of Emergency Medicine - February 7, 2020 Category: Emergency Medicine Source Type: research

Cohort retrospective study: the neutrophil to lymphocyte ratio as an independent predictor of outcomes at the presentation of the multi-trauma patient
ConclusionsElevated NLR on day 1 has high predictive power for overall survival during the first 30  days after trauma, but it was not independent of other factors. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 4, 2020 Category: Emergency Medicine Source Type: research

Are pre-existing psychiatric disorders the only reason for involuntary holds in the emergency department?
AbstractObjectivesTo determine the role of previous psychiatric disorders including substance use disorders on emergency department (ED) patients on involuntary holds and compare presentations, treatment, and outcomes based on cause.MethodsWe conducted a retrospective study of patients ≥ 18 years old on involuntary holds in the ED of a tertiary care center from January 1, 2013, to November 30, 2015. Demographic and clinical information were collected. Those with and without prior psychiatric disorder including substance use disorder were compared.ResultsWe identified 251 patients of which 129 (51.4%) had a...
Source: International Journal of Emergency Medicine - February 3, 2020 Category: Emergency Medicine Source Type: research

Pericardial effusion with tamponade: bedside ultrasonography saves another life
AbstractIn these video clinical images, the authors present the cause for an elderly gentleman ’s shortness of breath. It was presumed to be an exacerbation of chronic obstructive pulmonary disease, a condition for which he was in the process of being evaluated. However, bedside ultrasonography revealed a large pericardial effusion with tamponade. This timely diagnosis resulted in the patie nt being taken expeditiously to the operating room and saving his life. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 28, 2020 Category: Emergency Medicine Source Type: research

Euglycemic diabetic ketoacidosis caused by canagliflozin: a case report
ConclusionAlthough it is difficult to diagnose eu-DKA because of the absence of substantial blood glucose abnormalities in the ED, there is a need to consider eu-DKA when evaluating acidosis in a patient treated with SGLT2i. Moreover, even after discontinuing the SGLT2i, attention should be given to the possibility of continuing glucosuria. Regular measurements of urinary glucose should be obtained, and the patient should be monitored for dehydration. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 22, 2020 Category: Emergency Medicine Source Type: research

Eagle syndrome masquerading as a chicken bone
AbstractThis is a brief report of a 17-year-old male who presented to the emergency department with odynophagia and a foreign body sensation in the throat after choking on a chicken wing. A soft tissue neck radiograph was performed which revealed a 4.6-cm linear object in the vallecula read by the radiology department as a chicken bone. The otolaryngology team was consulted and performed a nasopharyngeal laryngoscopy which did not reveal a foreign body in the upper aerodigestive tract. On physical examination, the right tonsillar fossa was tender to palpation. Upon further review of the radiograph, the right stylohyoid lig...
Source: International Journal of Emergency Medicine - January 13, 2020 Category: Emergency Medicine Source Type: research

A 2-year-old with a hepatic abscess secondary to an ascending retrocecal appendicitis: case report and review of the literature
ConclusionOur case report illustrates the significance in identifying atypical features of appendicitis, broadening the differential of non-specific abdominal pain in pediatric patients, and depending on the clinical situation, ruling out other potential intra-abdominal infections even in the presence of a true urinary tract infection. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 19, 2019 Category: Emergency Medicine Source Type: research

The influence of past experiences on future willingness to perform bystander cardiopulmonary resuscitation
ConclusionPrior familial experiences of receiving CPR and medical help, particularly among those with successful outcomes in a hospital setting, seem to increase the willingness to perform bystander CPR. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 12, 2019 Category: Emergency Medicine Source Type: research