Point of care ultrasound as initial diagnostic tool in acute dyspnea patients in the emergency department of a tertiary care center: diagnostic accuracy study
ConclusionBy combining the overall accuracy of PoCUS, the concordance with the final composite diagnosis, and the statistically significant reduction in time taken to formulate the diagnosis, PoCUS shows immense promise as an initial diagnostic tool that may expedite the decision-making in ED for patients ’ prompt management and disposition with reliable accuracy. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 13, 2022 Category: Emergency Medicine Source Type: research

Impact of the COVID-19 outbreak on out-of-hospital cardiac arrest management and outcomes in a low-resource emergency medical service system: a perspective from Thailand
ConclusionThere was a significant decrease in the rate of survival to hospital discharge of patients with OHCA during the COVID-19 outbreak in Thailand. Maintaining the first responder response quality and encouraging prehospital advanced airway insertion might improve the survival rate during the COVID-19 outbreak. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 9, 2022 Category: Emergency Medicine Source Type: research

Correction: Extensive eczema herpeticum in a previously well child
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 1, 2022 Category: Emergency Medicine Source Type: research

Comparison of emergency airway management techniques in the performance of emergent Cricothyrotomy
This study aimed to identify major techniques used to perform EC in a regional trauma center and evaluate outcomes associated with the techniques.MethodsPatients who underwent EC at Arrowhead Regional Medical Center between 1-1-2009 and 1-1-2019 were reviewed for eligibility for this study. Patients ’ data were extracted from the trauma database. Chi-square tests were conducted to assess the difference on variables between the techniques.ResultsA total of 51 (0.17%) of these patients required EC and were included in the database. The two most prevalent techniques were the scalpel-bougie-tube (SBT) and the surgical cricot...
Source: International Journal of Emergency Medicine - May 30, 2022 Category: Emergency Medicine Source Type: research

Clinical and electrocardiogram presentations of patients with high serum potassium concentrations within emergency settings: a prospective study
ConclusionsThe physicians ’ abilities to predict hyperkalemia based on ECG and symptoms were poor. ECG could not be solely relied on, and serum potassium tests should be conducted for accurate diagnosis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 26, 2022 Category: Emergency Medicine Source Type: research

Clinical characteristics and mortality associated with COVID-19 at high altitude: a cohort of 5161 patients in Bogot á, Colombia
ConclusionAmong more than 5000 patients with COVID-19 treated in our hospital, mortality at hospital discharge was 25%. Older age, low S/F ratio, and high LDH at admission were predictors of mortality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 21, 2022 Category: Emergency Medicine Source Type: research

Extensive eczema herpeticum in a previously well child
ConclusionEczema herpeticum is a rare clinical entity that can result in significant morbidity. The case highlights the importance of considering the diagnosis of eczema herpeticum in the appropriate clinical settings, even in patients who were not known to have any prior skin disorder. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 21, 2022 Category: Emergency Medicine Source Type: research

Sudden quadriparesis after non-overdose local anesthesia
ConclusionsOur case presented a favorable outcome following the administration of intravenous lipid emulsion (ILE) for non-over dose local anesthetic drug induced spinal cord inhibition symptoms. These findings highlight the need for further research on the use of ILE to reverse LAST and other adverse effects of local anesthetics. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Source Type: research

Hemorrhagic shock due to colonic arteriovenous malformation in late pregnancy: a case report
ConclusionsWe reported a case of colonic intestinal arteriovenous malformation resulting in hemodynamic instability due to hematochezia during late pregnancy, which was successfully treated via angioembolization. Intestinal arteriovenous malformation should be considered as a differential diagnosis in pregnant patients with hemodynamic instability and hematochezia. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Source Type: research

The Ramathibodi early warning score as a sepsis screening tool does not reduce the timing of antibiotic administration
ConclusionsImplementing the REWs as a tool in sepsis screening protocols in EDs did not improve rates of antibiotic administration within 1 h as recommended by the SSC. However, time to ICU admission was improved after implementation of the REWs. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 10, 2022 Category: Emergency Medicine Source Type: research

Stoma-related complications and emergencies
This article will provide a review of emergencies and complications associated with ileostomies, colostomies, and urostomies. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 9, 2022 Category: Emergency Medicine Source Type: research

Moringa Oleifera leaf extract induced pulmonary embolism-a case report
We report a case of a 63-year-old Hispanic female with past  medical history of obesity and type 2 diabetes mellitus who presented to the emergency room with a three-day history of worsening shortness of breath and chest pain. Computerized tomography-pulmonary angiogram (CT-PA) revealed bilateral pulmonary embolism (PE) and right ventricle strain. Based on CT imaging findings, the absence of a major transient risk factor for venous thromboembolism (VTE), no history suggestive of an underlying hypercoagulable disorder, and a medication history that was significant for a recent 5-month use ofM. oleifera leaf extract that h...
Source: International Journal of Emergency Medicine - April 12, 2022 Category: Emergency Medicine Source Type: research

Bradykinin-induced angioedema in the emergency department
ConclusionDiagnostic algorithms of bradykinin-induced angioedema should be followed in the ED, with early use of approved therapies to improve patient outcomes. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 26, 2022 Category: Emergency Medicine Source Type: research

Effect of appropriate dose, spectrum, and timing of antibiotics on 28-day mortality in patients with sepsis in the emergency department
ConclusionAppropriate antibiotics included timing less than 60  min, spectrum and the dose was not significantly affected in 28-day mortality in emergency sepsis patients.Trial registrationThe trial was retrospectively registered in the Thai Clinical Trial Registry, identification numberTCTR20211216003. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 24, 2022 Category: Emergency Medicine Source Type: research

Spinal epidural lipomatosis
We present a case of lumbar SEL compressing the thecal sac in a 50-year-old female patient. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 24, 2022 Category: Emergency Medicine Source Type: research