International Journal of Emergency Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension —an emergency department-based cross-sectional study
ConclusionsABG sampling causes most unpleasant experiences to patients and is associated with complications like arterial injury, thrombosis, air or clotted-blood embolism, arterial occlusion, hematoma, aneurysm formation, and reflex sympathetic dystrophy. The study has shown strong correlations and agreements for most ABG and VBG parameters and can predict ABG mathematically using regression formulas formulated from VBG. This will decrease needle stick injury, consume less time, and make blood gas evaluation easy in hypotensive settings. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 10, 2023 Category: Emergency Medicine Source Type: research

Venoarterial extracorporeal membrane oxygenation treatment for acute respiratory distress syndrome and non-occlusive mesenteric ischemia due to Pasteurella multocida-related sepsis with purpura fulminans: a case report
ConclusionIn this case, VA-ECMO was used to maintain circulatory dynamics during septic shock in a patient withPasteurella multocida infection who developed PF. Surgery was also performed for complicated ischemic necrosis of the intestinal tract, helping save the patient's life. This development illustrated the importance of paying attention to intestinal ischemia during intensive care. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 9, 2023 Category: Emergency Medicine Source Type: research

Myocardial infarction in patients with severe beta thalassaemia: a case series
ConclusionsThe exact etiology of the presentation, remains a mystery and therefore the rational use of thrombolytic therapy, carrying out angiogram in the primary setting, using and continuing antiplatelet and high dose statins all remains unclear in this sub group of patients. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 9, 2023 Category: Emergency Medicine Source Type: research

Diagnosis and treatment approaches for simultaneous onset of subarachnoid hemorrhage and thyroid storm: a case report
ConclusionIf a pulse rate of 130  bpm or higher is observed alongside subarachnoid hemorrhage, we recommend considering the possibility of concomitant thyroid storm and testing for thyroid hormone. If concomitant thyroid storm is present, we believe that a treatment plan tailored to the patient’s condition is critical, and early diagnosis will lead to a favorable outcome for the patient. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 1, 2023 Category: Emergency Medicine Source Type: research

BRASD trial: biomechanical reposition techniques in anterior shoulder dislocation —a randomized multicenter clinical trial
ConclusionA combination of biomechanical techniques resulted in a similar length of stay in the emergency department and showed similar pain scores with an overall high success rate of reduction. In both groups, the modified Milch had the highest first-reduction success rate.Trial registrationNetherlands Trial Register NTR5839 —1 April 2016. Ethical committee Noord-Holland with the CCMO-number NL54173.094.15 (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 24, 2023 Category: Emergency Medicine Source Type: research

Waterhouse-Friderichsen syndrome following a dog bite in an asplenic patient: case report and review of the literature
AbstractThe Waterhouse-Friderichsen syndrome represents a critical condition characterized by a septic shock associated with a disseminated intravascular coagulation causing the plugging of the microvascular network virtually all organs and systems, including the skin, the kidneys, the liver, and adrenal glands; the mortality rate is elevated, and survivors often must undergo multiple limb amputations. Here, we describe the uncommon case of an asplenic patient who developed this syndrome after a superficial wound caused by a dog bite causing an initial infection due toCapnocytophaga canimorsus that is part of the normal or...
Source: International Journal of Emergency Medicine - February 23, 2023 Category: Emergency Medicine Source Type: research

Emergency unit assessment of seven tertiary hospitals in Nepal using the WHO tool: a cross-sectional study
ConclusionThis pilot assessment demonstrates that the current emergency care capacity at representative tertiary referral hospitals in Kathmandu, Nepal is variable with some consistent barriers which preclude meeting the ECSA goals. The results can be used to inform emergency care development within Nepal and demonstrate that the WHO HEAT assessment is feasible and may be instructive in systematically advancing emergency care delivery at the national level if implemented more broadly. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 23, 2023 Category: Emergency Medicine Source Type: research

Clinical factors associated with adverse clinical outcomes in elderly versus non-elderly COVID-19 emergency patients: a multi-center observational study
ConclusionImportant clinical factors associated with in-hospital mortality in elderly COVID-19 patients were age, sex, DNR status, diastolic blood pressure, body temperature, GCS score, total bilirubin, and CRP. These parameters may aid in triage and ED disposition decision-making in this very important patient population during times of limited resources during the COVID-19 pandemic. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 22, 2023 Category: Emergency Medicine Source Type: research

Stroke-like manifestation of a spontaneous spinal epidural hematoma with spontaneous resolution: a case report
ConclusionsSEH, although uncommon, can be a mimic of stroke and it is important to avoid misdiagnosis as it is a time critical diagnosis, and administration of thrombolysis or antiplatelets can lead to unfavourable outcomes. Having a high clinical suspicion can help to guide us in the choice of imaging and interpretation of subtle signs to reach the correct diagnosis in a timely manner. Further research is required to better understand the factors that would favour a conservative approach as opposed to surgical treatment. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 20, 2023 Category: Emergency Medicine Source Type: research

The comparison of emergency medical service responses to and outcomes of out-of-hospital cardiac arrest before and during the COVID-19 pandemic in Thailand: a cross-sectional study
ConclusionsIn the present study, there was no significant difference between the response time of patients with OHCA managed by EMS before and during COVID-19 pandemic period; however, markedly longer on-scene and hospital arrival times and higher ROSC rates were observed during the COVID-19 pandemic than those in the period before the pandemic. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 20, 2023 Category: Emergency Medicine Source Type: research

Impact of bystander cardiopulmonary resuscitation on neurological outcomes in patients undergoing veno-arterial extracorporeal membrane oxygenation
ConclusionConsidering the presence of bystander CPR help in selecting the appropriate candidate of V-A ECMO among out-of-hospital CA cases. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 17, 2023 Category: Emergency Medicine Source Type: research

Spinal injury with spinal ankylosing disorders as a primary cause of death: report of two cases
ConclusionsThe patients died of persistent thoracic hemorrhage, and the sources of bleeding were the fracture site of the spine fractures. Controlling spinal hemorrhage is difficult due to the absence of a bleeding artery, which is managed via trans-arterial embolization. This report emphasized that fracture of SADs could be a fatal disease that requires prompt intervention. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 16, 2023 Category: Emergency Medicine Source Type: research

Effects of process changes on emergency department crowding in a changing world: an interrupted time-series analysis
ConclusionsIn the ongoing battle against ED crowding, it is pivotal to understand the effect of interventions, corrected for changing circumstances and patient and visit characteristics. In our ED, interventions which were associated with decreased crowding measures included the expansion of the ED with more beds and the integration of the GPC on the ED. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 15, 2023 Category: Emergency Medicine Source Type: research

Penetrating gunshot wounds to the penis: a case report of combat patient injured in the war in Ukraine
ConclusionsWe have shown that in a case of gunshot wounds to the penis and hanging part of the urethra, even in the presence of combined severe purulent lesions of non-urological localizations, it is possible to perform a primary reconstruction of urogenital injuries using a primary urethral suture and applying a negative pressure device. Findings from this case report shed new light on the management of penile gunshot injury in ongoing warfare as well as provide evidence of the possibility to perform adequate management for penile injury in conditions of limited medical resources, violation of international humanitarian l...
Source: International Journal of Emergency Medicine - February 3, 2023 Category: Emergency Medicine Source Type: research

Hemithorax white-out due to massive pleural effusion
AbstractThis is a clinical image submission depicting hemithorax white-out due to massive pleural effusion. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 23, 2023 Category: Emergency Medicine Source Type: research