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.

ROX index versus HACOR scale in predicting success and failure of high-flow nasal cannula in the emergency department for patients with acute hypoxemic respiratory failure: a prospective observational study
ConclusionThe ROX index had superior prognostic utility in predicting HFNC outcome (success/failure) compared to the HACOR scale in patients with AHRF in the ED setting. Moreover, it is less complex and more efficient to be employed at bedside. Therefore, the ROX index is a more appropriate tool to guide further management and potential escalation therapy for AHRF patients with HFNC therapy initiated in the ED. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 10, 2023 Category: Emergency Medicine Source Type: research

Bedside lung ultrasound for the diagnosis of pneumonia in children presenting to an emergency department in a resource-limited setting
ConclusionBedside LUS when used by ED clinicians had good accuracy for diagnosis of pneumonia in children in a resource-limited setting. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 9, 2023 Category: Emergency Medicine Source Type: research

Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report
ConclusionEmergency physicians should maintain a high index of suspicion for dangerous pathology in cases without a clear etiology; they should also utilize metacognition to assess their own biases and thought patterns so as to avoid missing critical diagnoses. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 5, 2023 Category: Emergency Medicine Source Type: research

Bowel obstruction secondary to internal hernia in a hereditary angioedema patient: a case report
ConclusionAlthough C1-INH concentrate remains the principal treatment for HAE, gastrointestinal attacks may potentially cause surgical emergencies. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 30, 2022 Category: Emergency Medicine Source Type: research

The impact of COVID-19 on myocardial infarctions, strokes and out-of-hospital cardiopulmonary arrests: an observational retrospective study on time-sensitive disorders in the Friuli Venezia Giulia region (Italy)
AbstractThe COVID-19 global pandemic has changed considerably the way time-sensitive disorders are treated. Home isolation, people ’s fear of contracting the virus and hospital reorganisation have led to a significant decrease in contacts between citizens and the healthcare system, with an expected decrease in calls to the Emergency Medical Services (EMS) of the Friuli-Venezia Giulia (FVG) region. However, mortality in clinic al emergencies like acute ST-elevation myocardial infarction (STEMI), stroke and out-of-hospital cardiopulmonary arrest (OHCA) remained high. An observational retrospective cross-sectional study was...
Source: International Journal of Emergency Medicine - December 29, 2022 Category: Emergency Medicine Source Type: research

Audit of a computerized version of the Manchester triage system and a SIRS-based system for the detection of sepsis at triage in the emergency department
AbstractBackground and importanceDifferent triage systems can be used to screen for sepsis and are often incorporated into local electronic health records. Often the design and interface of these digitalizations are not audited, possibly leading to deleterious effects on screening test performance.ObjectiveTo audit a digital version of the MTS for detection of sepsis during triage in the ED.DesignA single-center retrospective studySettings and participantsPatients (n=29766) presenting to an ED of a tertiary-care center who received formal triage were included.Outcome measures and analysisCalculated performance measures inc...
Source: International Journal of Emergency Medicine - December 13, 2022 Category: Emergency Medicine Source Type: research

Reducing 48-h emergency department revisits and subsequent admissions: a retrospective study of increased emergency medicine resident floor coverage
ConclusionOur intervention did not significantly decrease the incidence of admission at an ED revisit. However, some factors identified in this study seem to have some benefits and might be helpful for preventing errors and constructing a standard discharge care plan for patients with these risk factors. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 6, 2022 Category: Emergency Medicine Source Type: research

Current utilization of interosseous access in pediatrics: a population-based analysis using an EHR database, TriNetX
ConclusionsMore IOs were placed in subjects ≥ 1 year of age, and a higher rate of mortality was seen in subjects< 1 year of age. Lower frequencies of noncardiac diagnoses at the time of IO placement were found in both groups, highlighting IO may be underutilized in noncardiac settings such as convulsions, shock, and respiratory failure. Given the low rate of complications seen in both groups of our study, IO use should be considered early on for urgent vascular access, especially for children less than 1 year of age. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 29, 2022 Category: Emergency Medicine Source Type: research

Characteristics and outcomes of patients triaged as critically ill in the emergency department of a tertiary care hospital in Bhutan
ConclusionThe findings from this study constitute the first ever local database, at the national referral hospital in Bhutan, of critically ill patients treated in the emergency department. It highlights the central role the emergency department plays in their management and provides information for strengthening critical care services. It also highlights the areas of improvement and identifies high yield areas of training for the emergency department. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 21, 2022 Category: Emergency Medicine Source Type: research

An unusual case of a traumatic splenic rupture masquerading as myocardial ischemia: a case report
ConclusionSplenic injuries might present with ambiguous symptoms such as atypical chest pain and shoulder pain, necessitating attending clinicians to have a high degree of suspicion, especially in busy units such as the emergency department (ED). (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 17, 2022 Category: Emergency Medicine Source Type: research

Improving safety and communication for healthcare providers caring for SARS-COV-2 patients
ConclusionThis QI initiative with a novel transceiver showed significant decreases in isolation room door opening and increases in communication clarity. Future work will expand to operating rooms and intensive care units. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 12, 2022 Category: Emergency Medicine Source Type: research

Physicians ’ experiences and perceived challenges working in an emergency setting in Bharatpur, Nepal: a qualitative study
ConclusionsThe physicians identified numerous regularly encountered challenges and barriers. These challenges stretched beyond the ED and into various aspects of society. The patients ’ financial problems were described as the greatest problem, restricting the treatment due to a given patient’s inability or unwillingness to pay for the required procedures. The physicians were thus restricted in completing their duties to the desired levels. The low quality of prehospital care and a lack of education and awareness of common diseases and symptoms in a significant proportion of patients were identified by many participant...
Source: International Journal of Emergency Medicine - November 8, 2022 Category: Emergency Medicine Source Type: research

Prehospital characteristics of COVID-19 patients transported by emergency medical service and the predictors of a prehospital sudden deterioration in Addis Ababa, Ethiopia
ConclusionIn the current study, one in every ten COVID-19 patients experienced a clinical deterioration while an EMS provider was present. The factors that determined rapid deterioration were total prehospital time, queueing delays, the initial respiratory rate, and diabetes mellitus. Queueing delays should be managed in order to find a way to decrease overall prehospital time. According to this finding, more research on prehospital intervention and indicators of prehospital clinical deterioration in Ethiopia is warranted. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 28, 2022 Category: Emergency Medicine Source Type: research

Aortic dissection following “ecstasy” use complicated by compartment syndrome
ConclusionPhysicians treating adults with symptoms and signs of aortic dissection should take a focused history about substance use and include AD on their differential. In addition, the extremities should be monitored for signs and symptoms of ischemia throughout the acute peri-surgical period(s). (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 12, 2022 Category: Emergency Medicine Source Type: research

Surgical treatment features of liver gunshot wound with a dumdum bullet (expanding bullet)
ConclusionThis surgical history research is an example of the effectively organized and coordinated work of two clinics such as National Military Medical Clinical Center “Main Military Clinical Hospital” and Shalimov National Institute of Surgery and Transplantation, based on the principle of damage control in conditions of active hostilities. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 10, 2022 Category: Emergency Medicine Source Type: research