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

Right main bronchus rupture associated with blunt chest trauma: a case report
ConclusionsA delay in diagnosis increases the rate of complications, mainly infectious complications and the formation of granulation tissue that could potentially obstruct the airway, impacting the patient ’s outcome. The first step in the management of these patients is securing the airway, which should be done immediately. The gold standard for the diagnosis and characterization of airway injuries is bronchoscopy as it is the most effective tool to assess topography, extent, and depth of the lesio n. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 10, 2019 Category: Emergency Medicine Source Type: research

Fluid resuscitation in trauma: what are the best strategies and fluids?
ConclusionsPrehospital trauma care systems reduce mortality in low-resource/remote settings. Delayed resuscitation seems a better option when transport time to definitive care is shorter whereas goal-directed resuscitation with low-volume crystalloid seems a better option if transport time is longer. Few general recommendations regarding the choice of fluid are provided. Adhering to evidence-based clinical practice guidelines and local modifications based on patient population, available resources, and expertise will improve patient outcomes. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 4, 2019 Category: Emergency Medicine Source Type: research

Developing an emergency medicine handoff tool: an electronic Delphi approach
ConclusionsThis study yielded an itemized and ranked list of elements that are easy to implement and could be used to standardize patient handoffs by emergency physicians. While this study was conducted on an emergency medicine panel, the methods used may be adapted to develop standardized handoff frameworks that serve different disciplines or practice settings. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 21, 2019 Category: Emergency Medicine Source Type: research

Triage and flow management in sepsis
This study compared the triage strategies and intensive care rationing between septic patients and patients with other indications of intensive care. This study included all patients with signs for intensive care, enrolled in the intensive care management system of a Brazilian tertiary public emergency hospital, from January 1, 2010, to December 31, 2016. The intensivist periodically evaluated the requests, prioritizing them according to a semi-quantitative scale. Demographic data, Charlson Comorbidity Index (CCI), Sequential Organ Failure Assessment (SOFA), and quick SOFA (qSOFA), as well as surgical interventions, were u...
Source: International Journal of Emergency Medicine - November 21, 2019 Category: Emergency Medicine Source Type: research

Exploring emergency department visits: factors influencing individuals ’ decisions, knowledge of triage systems and waiting times, and experiences during visits to a tertiary hospital in Saudi Arabia
ConclusionsThis study showed that the majority of patients do not know what triage means and that most of them want to know how the ED works. Moreover, a lot of respondents said that they do not have a primary care physician. These results support increasing patient awareness by education and involving them if any delay happens. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 21, 2019 Category: Emergency Medicine Source Type: research

A compulsive act of excess water intake leading to hyponatraemia and rhabdomyolysis: a case report
We report a patient who had hyponatraemia and rhabdomyolysis after consuming excess water for ureteric calculus.Case presentationA healthy middle-aged male presented with an episode of generalized tonic-clonic seizure and reduced level of consciousness preceded by consumption of excess water. He was recently diagnosed to have a ureteric calculus and was advised to consume plenty of water. On examination, he was disoriented in place, person and time. Except for the generalized diminished reflexes, other neurological and systemic examinations were normal. He had severe hyponatraemia, mild hypokalaemia and myoglobulinuria. Hi...
Source: International Journal of Emergency Medicine - November 14, 2019 Category: Emergency Medicine Source Type: research

Rhabdomyolysis as an initial presentation of systemic lupus erythematosus: a case report
ConclusionsWe report with a view to recommend autoimmune screening in young patients for whom a cause of rhabdomyolysis is not clearly identified. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 8, 2019 Category: Emergency Medicine Source Type: research

Case report: systolic murmur associated with pulmonary embolism
AbstractBackgroundThis case study ’s novelty lies in the potential to link a new sign in pulmonary embolism diagnosis which does not increase cost but could lead to more rapid treatment. Early intervention in these cases is vital to decrease morbidity and mortality.Case presentationAn otherwise healthy 20-year-old female patient presents to the emergency department for evaluation of a syncopal episode which occurred just prior to arriving to the emergency department. Patient also complains of ongoing shortness of breath while performing activities of daily living for 3 weeks. In this patient with no known valvular di...
Source: International Journal of Emergency Medicine - November 6, 2019 Category: Emergency Medicine Source Type: research

Outcomes of rapid response team implementation in tertiary private hospitals: a prospective cohort study
ConclusionImplementation of the RRT project has shown a dramatic reduction in the total ICU admissions, average ICU occupancy rate, total hospital mortality, and total ICU mortality. These findings reinforce the evidence that RRT implementation is effective in reducing hospital mortality and cardiopulmonary arrest rates in addition to other outcomes related to healthcare quality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 30, 2019 Category: Emergency Medicine Source Type: research

To enhance the quality of CPR performed by youth layman
ConclusionEducating young people at school is one way to disseminate CPR knowledge in society. In this study, the ventilation of the patient arose as a major weakness. To be able to establish an open airway and ventilate the patient with the correct volume as well as to overcome the psychological barrier to initiate mouth-to-mouth ventilation seems to require more than 2  h training. The training may need to consist of repeated sessions over the year with feedback, to give young people the skills to perform CPR with good quality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 7, 2019 Category: Emergency Medicine Source Type: research

Impact of age on the seasonal prevalence of hypernatremia in the emergency department: a single-center study
AbstractBackgroundHypernatremia is one of the most commonly encountered electrolyte disorders in the emergency department (ED). Few studies have reported the seasonal fluctuations of the prevalence of hypernatremia with conflicting results. We investigated the seasonal prevalence of hypernatremia in an emergency department in Japan.MethodsA total of 12,598 patients presented to the ED between January 2015 and December 2017 were reviewed. The adult group aged between 18 and 64  years old consisted of 5427 patients and the elderly group aged over 65 years consisted of 7171 patients. Information collected included...
Source: International Journal of Emergency Medicine - September 18, 2019 Category: Emergency Medicine Source Type: research

Complete brachial plexus palsy following shoulder dislocation due to sneeze: a case report
ConclusionNeurovascular injuries in the setting of shoulder dislocation may be present despite low-energy injury mechanisms. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 13, 2019 Category: Emergency Medicine Source Type: research

Euglycemic diabetic ketoacidosis associated with sodium-glucose cotransporter-2 inhibitor use: a case report and review of the literature
ConclusionsThe SGLT2 inhibitors are a novel class of anti-hyperglycemic medications that are being used with increasing frequency in the treatment of diabetes mellitus. They are associated with a small but significantly increased risk of DKA. Many of the patients presenting with DKA associated with SGLT2 inhibitor use will have normal or minimally elevated serum glucose levels. This unusual presentation of DKA can be diagnostically challenging. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 5, 2019 Category: Emergency Medicine Source Type: research

Prospective comparison of capillary and venous brain biomarker S100B: capillary samples have large inter-sample variation and poor correlation with venous samples
ConclusionThe results of this study indicate that correlation and agreement between capillary and venous samples are low, and because of this, we cannot recommend studies on capillary serum S100B protein level to rule out intracranial hemorrhage in mild traumatic brain injury. Given the limitations of the current sampling and analysis methods of capillary protein S100B protein level, we conclude that evaluating its predictive ability to rule out intracranial hemorrhage should be withheld until more reliable methods can be incorporated into the study design. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 2, 2019 Category: Emergency Medicine Source Type: research

Clinical significance of urinary L-FABP in the emergency department
This study ’s aim is to measure liver-type fatty acid-binding protein (L-FABP) levels in urine using a rapid semiquantitative assay kit in the emergency department and to investigate whether the onset of acute kidney injury (AKI) after hospitalization can be predicted.MethodsThis was a prospective observation study. Patients transferred to the emergency and critical care center were divided into two groups: urinary L-FABP negative and positive groups. The status and severity of AKI were evaluated for the respective patients based on the Kidney Disease: Improving Global Outcome (KDIGO) classification. We compared the ...
Source: International Journal of Emergency Medicine - August 30, 2019 Category: Emergency Medicine Source Type: research

Chest pain while gardening: a Stanford type A dissection involving the aortic root extending into the iliac arteries —an uncommon and potentially catastrophic disease process
ConclusionThe clinical presentation of an acute aortic dissection is often atypical and mimics other common disease processes. The signs and symptoms largely depend on the extent of the aortic dissection and the presence or absence of malperfusion. With a mortality increasing by 1 –2% for every hour until definitive treatment, early recognition and prompt operative intervention are crucial for patient survival. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 30, 2019 Category: Emergency Medicine Source Type: research

New d -dimer threshold for Japanese patients with suspected pulmonary embolism: a retrospective cohort study
ConclusionThe newd-dimer threshold could safely exclude PE. This result can be generalized to other Asian populations with a lower incidence of PE. Further prospective studies will be needed. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 28, 2019 Category: Emergency Medicine Source Type: research

The impact of a multimodal intervention on emergency department crowding and patient flow
The objective of this study is to assess the impact of a multimodal intervention on emergency department (ED) crowding and patient flow in a Dutch level 1 trauma center.MethodsIn this cross-sectional study, we compare ED crowding and patient flow between a 9-month pre-intervention period and a 9-month intervention period, during peak hours and overall (24/7). The multimodal intervention included (1) adding an emergency nurse practitioner (ENP) and (2) five medical specialists during peak hours to the 24/7 available emergency physicians (EPs), (3) a Lean programme to improve radiology turnaround times, and (4) extending the...
Source: International Journal of Emergency Medicine - August 27, 2019 Category: Emergency Medicine Source Type: research

Interdisciplinary in situ simulation-based medical education in the  emergency department of a teaching hospital in Nepal
ConclusionsThe baseline knowledge score and the confidence level of the staff were low. Self-reported feedback suggested increased confidence level and teamwork skills after ISS. It promoted identification and remediation of latent safety threats. ISS serves as a cost-effective powerful educational model that can be implemented even in settings where finances and space are limited. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 27, 2019 Category: Emergency Medicine Source Type: research

Complications of subcutaneous penile modifications: a discussion of emergency department presentations and management
ConclusionsSPMs appear to be growing in popularity among Western culture, and emergency department health care providers should be aware of trends in body modifications as well as potential complications. The conditions in which SPMs are often placed pose a high risk for infection. In some cases, placement and/or removal of SPMs pose a risk of damage to the corpora, arteries, and nerves of the penis. In the absence of overt bleeding, or suggestion of neurologic injury, dorsally placed superficial foreign bodies of the penis may be amenable to emergency department removal. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 27, 2019 Category: Emergency Medicine Source Type: research

Effect of new year holidays on hospital mortality: a time series study
ConclusionsReduced quality of services during the holidays is a prominent issue and leads to increased hospital death. Hospital managers can improve the quality of services, by identifying the root causes and by taking measures such as increased and balanced distribution of human resources, equipping hospitals and improving supervision during holidays. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 27, 2019 Category: Emergency Medicine Source Type: research

Epidemiology of paediatric trauma in Norway: a single-trauma centre observational study
ConclusionsIn a developed healthcare system, the number of potentially severely injured children is small and with very few deaths following trauma. Transport and falls represent the most common causes of injury throughout all age groups, though with a tendency towards more transport-related injuries with increasing age. In-hospital trauma care is characterized by a low threshold for a multidisciplinary reception, low use of intensive care and need for emergency surgical procedures, though with increased need in the older children. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 31, 2019 Category: Emergency Medicine Source Type: research

The importance of platelet counts in severe hypothermia
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 23, 2019 Category: Emergency Medicine Source Type: research

Emergency medicine in Saudi Arabia: a century of progress and a bright vision for the future
This article provides an overview of emergency medicine in Saudi Arabia and the progress it has made in the pre-hospital system, healthcare delivery system, and emergency medicine training. Finally, we will discuss the challenges and opportunities faced as this specialty continues to develop. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Source Type: research

A comparison of airway management devices in simulated entrapment-trauma: a prospective manikin study
ConclusionThe LMA Supreme took the least amount of time and was the easiest to be inserted. Extraglottic airway devices may be beneficial alternative airway management devices to be considered by paramedics in the entrapped patient. Endotracheal intubation using the Macintosh laryngoscope was performed competently by participating paramedics. The Airtraq enabled superior laryngoscopy but resulted in poorer first-pass success rate. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Source Type: research

Outcomes following clonidine ingestions in children: an analysis of poison control center data
AbstractBackgroundThis paper sought to characterize pediatric clonidine ingestions, report trends in incidence, and evaluate outcomes using the Florida Poison Center ’s data over a period of 15 years, from 2002 to 2016.ResultsThere were 3444 total exposures. Forty percent of the cohort was female. The median age was 5  years. The age distribution changed over time to a higher proportion of teenagers exposed (p 
Source: International Journal of Emergency Medicine - July 4, 2019 Category: Emergency Medicine Source Type: research

Medical students and metrics: seven techniques for a win-win situation
ConclusionsThe authors present seven practical strategies that are portable to many settings. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 6, 2019 Category: Emergency Medicine Source Type: research

Differences in initial electrocardiographic findings between ST-elevation myocardial infarction due to left main trunk and left anterior descending artery lesions
AbstractBackgroundEarly discrimination of ST-elevation myocardial infarction (STEMI) due to a left main trunk (LMT) lesion provided by straightforward electrocardiographic criteria is useful for prompt treatment. The purpose of this study is to investigate differences in electrocardiographic findings between STEMI due to lesions of LMT and those of left anterior descending artery (LAD).MethodsInitial electrocardiogram (ECG) recordings of 435 patients with analyzable ECGs from a cohort of 940 consecutive STEMI patients were analyzed retrospectively for presence of LMT lesions (LMT,n = 39), proximal (pLAD,n&thi...
Source: International Journal of Emergency Medicine - April 5, 2019 Category: Emergency Medicine Source Type: research

Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module
ConclusionsA brief self-learning training module improved the ability of emergency physicians in identifying EEG seizure patterns. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 27, 2019 Category: Emergency Medicine Source Type: research

Quick SOFA vs Rockall preendoscopy scores for risk assessment in patients with nonvariceal upper gastrointestinal bleeding: a retrospective cohort study
AbstractBackgroundSeveral scoring systems are used to evaluate the severity of nonvariceal upper gastrointestinal bleeding (NVUGB) and the risk of rebleeding or death. The most commonly used scoring systems include the Rockall score, Glasgow-Blatchford score, and Forrest classification. However, the use of simpler definitions, such as the quick Sequential Organ Failure Assessment (qSOFA) score, to make a clinical decision is reasonable in areas with limited time and/or material resources and in low- and middle-income countries.MethodsPatients with NVUGB whose medical records included information required to calculate the q...
Source: International Journal of Emergency Medicine - March 25, 2019 Category: Emergency Medicine Source Type: research

A critical review of the factors leading to cardiopulmonary resuscitation as the default position of hospitalized patients in the USA regardless of severity of illness
ConclusionA critical review of the historical factors reveals that the rapid dissemination of cardiopulmonary training for the public, inaccuracies in the media regarding successful cardiopulmonary resuscitation, well-meaning legislative efforts with inadvertent consequences, and judicial interpretation outside the generally accepted concept of malpractice law have contributed to the situation faced by today ’s physicians and hospitals in the USA. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 13, 2019 Category: Emergency Medicine Source Type: research

It ’s not just FaceTime: core competencies for the Medical Virtualist
AbstractNew applications for virtual healthcare have resulted in an expansion of medical care beyond traditional healthcare settings. However, the rapid development of telemedicine as a field has resulted in poor standardization of the care provided through this new medium. The authors outline core competencies to be used in developing training programs for practicing physicians, medical students, and other clinicians using telemedicine as a medium for providing patient care. These competencies aim to provide a framework for defining a standard of care in telemedicine and the ultimate development of a certification in the ...
Source: International Journal of Emergency Medicine - March 12, 2019 Category: Emergency Medicine Source Type: research

A pilot study of improvised CPAP (iCPAP) via face mask for the treatment of adult respiratory distress in low-resource settings
ConclusionsThis improvised CPAP system maintained positive airway pressure for 30  min in healthy volunteers. Use did not cause tachycardia, hypoxia, or hypoventilation and was well tolerated. This system may be a useful adjunctive treatment for respiratory distress in low-resource settings. Further research should test this system in settings where other positive pressure moda lities are not available. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 5, 2019 Category: Emergency Medicine Source Type: research

Implementation and performance of the South African Triage Scale at Kenyatta National Hospital in Nairobi, Kenya
AbstractIntroductionTriage protocols standardize and improve patient care in accident and emergency departments (A&Es). Kenyatta National Hospital (KNH), the largest public tertiary hospital in East Africa, is resource-limited and was without A&E-specific triage protocols.ObjectivesWe sought to standardize patient triage through implementation of the South African Triage Scale (SATS). We aimed to (1) assess the reliability of triage decisions among A&E healthcare workers following an educational intervention and (2) analyze the validity of the SATS in KNH ’s A&E.MethodsPart 1 was a prospective, before...
Source: International Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Source Type: research

Team-based learning improves knowledge and retention in an emergency medicine clerkship
AbstractBackgroundTeam-based learning (TBL) as an instructional pedagogy is increasingly recognized to improve student engagement, value of teamwork, and performance on standardized assessments when compared to traditional lecture-based instruction. The aim of this study is to compare two educational modalities (TBL and didactic/case discussion) on knowledge-based outcome and student perceptions.MethodsTwo emergency medicine clerkship academic years were studied. In the first year, all topics were delivered via didactic presentations along with case discussions. In the second year, eight topics were delivered using TBL whi...
Source: International Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Source Type: research

Evaluating the impact of emergency department crowding on disposition patterns and outcomes of discharged patients
ConclusionED crowding was associated with reduced likelihood of hospitalization without increased likelihood of 2-week return ED visit or hospitalization. Furthermore, high occupancy disposition hours with high boarder patient counts were associated with decreased likelihood of hospitalization. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 30, 2019 Category: Emergency Medicine Source Type: research

Impact of short basic emergency medicine training in introducing emergency medicine as a specialty in Sub-Saharan Africa: experience from Tanzania
AbstractBackgroundEmergency medicine (EM) is a new specialty in Tanzania. Little is known about how to introduce EM to health care providers (HCPs) in hospitals without EM. We determined the impact of a 2-day EM training program on the understanding, perception, and choice of EM as a career amongst HCPs at hospitals in Tanzania without EM.MethodsThis was a pre- and post-training interventional study including randomly selected HCPs from four tertiary hospitals in Tanzania without EM. Understanding, perception, and desirability of EM as a career were assessed before and after a 2-day university-accredited basic EM short-cou...
Source: International Journal of Emergency Medicine - January 11, 2019 Category: Emergency Medicine Source Type: research

Relationship between level of CPR training, self-reported skills, and actual manikin test performance —an observational study
ConclusionAs expected, higher levels of BLS training correlated with better CPR quality. However, this study showed that ventilations and hands-on time were the components of CPR that were most affected by the level of training. Self-assessments of CPR ability correlated well to actual test performance and may have a role in probing CPR skills in students. The results may be important for BLS instructors and program developers. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 10, 2019 Category: Emergency Medicine Source Type: research

The association between intravenous fluid resuscitation and mortality in older emergency department patients with suspected infection
ConclusionThis hypothesis-generating study suggests that older patients with suspected infection may need higher fluid volumes than younger patients, when having a seemingly normal initial SBP. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 5, 2019 Category: Emergency Medicine Source Type: research

Public perception of female paramedics at King Abdulaziz Medical City, Saudi Arabia
ConclusionsRespondents rated the importance of trained female paramedics in the EMS system. Most strongly agreed that female and male paramedics had equal patient-management capabilities and skills. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 20, 2018 Category: Emergency Medicine Source Type: research

Correction to: Factors influencing medical students ’ choice of emergency medicine as a career specialty—a descriptive study of Saudi medical students
Following publication of the original article [1], the authors reported that one of the authors ’ names is spelled incorrectly. In this Correction the incorrect and correct author name are shown. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 17, 2018 Category: Emergency Medicine Source Type: research

The impact of prothrombin complex concentrates when treating DOAC-associated bleeding: a review
ConclusionsUltimately, a multimodal approach may be the optimal strategy to restore haemostasis in patients presenting with DOAC-associated coagulopathy. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 3, 2018 Category: Emergency Medicine Source Type: research

Estimation of weight in adults from height: a novel option for a quick bedside technique
ConclusionThis unprecedented statistical characterisation of the two weight estimate measures to have a good agreement scientifically proposes the utility of our method with the formula eBW(kg)  = 100(N−1) in critical care and ATLS protocol. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 27, 2018 Category: Emergency Medicine Source Type: research

Assessment of pre-hospital emergency medical services in low-income settings using a health systems approach
AbstractEmergency medical services (EMS) is defined as the system that organizes all aspects of care provided to patients in the pre-hospital or out-of-hospital environment. Hence,  EMS is a critical component of the health systems and is necessary to improve outcomes of injuries and other time-sensitive illnesses. Still there exists a substantial need for evidence to improve our understanding of the capacity of such systems as well as their strengths, weaknesses, and priorit y areas for improvement in low-resource environments. The aim was to develop a tool for assessment of the pre-hospital EMS system using the Worl...
Source: International Journal of Emergency Medicine - November 22, 2018 Category: Emergency Medicine Source Type: research

Aligning emergency care with global health priorities
ConclusionTo take emergency care to the next level, we must capitalize on the growing understanding of the disease burden of emergent conditions, along with the increasing evidence of the high-impact and low-cost of emergency care interventions. Linking these messages to widely accepted policy priorities like the SDGs and UHC will increase attention towards the development of emergency care systems, which potentially could save lives. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 22, 2018 Category: Emergency Medicine Source Type: research

Fatal orbital cellulitis with intracranial complications: a case report
ConclusionOrbital cellulitis associated with intracranial extension is an extremely rare presentation, and the incidence is unknown. The use of contrast-enhanced imaging studies (CT/MRI) early on in the management of suspected orbital cellulitis is supported by the literature. Cerebritis and brain abscesses resulting from orbital cellulitis need advanced care from multidisciplinary teams. Further studies need to be done to provide recommendations on the use and benefit of surgical intervention. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 22, 2018 Category: Emergency Medicine Source Type: research

Characteristics of traumatic out-of-hospital cardiac arrest patients presenting to major centers in Karachi, Pakistan —a longitudinal cohort study
ConclusionThere was no survival after a traumatic OHCA in Karachi, Pakistan. Even though ambulances reached the scene in a very short time, pre-hospital interventions were largely absent. There is a strong need to strengthen our pre-hospital care system but most importantly train the general public to deal with emergencies and be able to provide timely bystander CPR. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 22, 2018 Category: Emergency Medicine Source Type: research

Performance of an emergency department observation unit protocol in reducing length of stay for acetaminophen overdose: a retrospective study
ConclusionThe EDOU is a safe alternative to hospitalisation for patients presenting with acetaminophen poisoning. It is also associated with a shorter length of stay for such patients. Further studies need to be done to assess the cost-effectiveness of EDOU for management of patients presenting with acetaminophen overdose. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 16, 2018 Category: Emergency Medicine Source Type: research

Improving pediatric emergency department physicians ’ adherence to clinical practice guidelines on the diagnosis and management of group A beta-hemolytic streptococcal pharyngitis—a cross-sectional study
ConclusionLack of knowledge and adherence to guidelines is prevalent in our setting, with awareness, knowledge, and behavior of physicians playing as major factors behind this low adherence. Studies should aim towards the assessment of adherence towards locally developed guidelines. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 16, 2018 Category: Emergency Medicine Source Type: research