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.

Impact of cardiopulmonary resuscitation duration on the neurological outcomes of out-of-hospital cardiac arrest
ConclusionCardiopulmonary Resuscitation Duration out-of-hospital cardiac arrest does not significantly influence the patient neurological outcome in the current study hospital. Variables such as the patient population's uniqueness, underlying medical conditions, or the specific study conditions may explain this variance between the bivariate analysis and the study conclusion. Therefore, a more comprehensive study is recommended in future. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 19, 2022 Category: Emergency Medicine Source Type: research

Rare case of Torsades de Pointes in severe hypothyroidism: literature review and challenges in management
ConclusionsVDs, including NSVT, Tdp, and VT, are rare and potentially lethal in hypothyroidism. Our case demonstrates important challenges in the management of severe hypothyroidism. Here, VDs are often refractory to treatment with drugs and electrical means. The choice(s) of anti-arrhthymics requires careful consideration and can be difficult before thyroid function tests are known. Amiodarone use should be cautioned as it is associated with thyroid dysfunction and QT interval prolongation.There is no literature to guide thyroid hormone replacement in this disease. Aggressive replacement is associated with adverse cardiov...
Source: International Journal of Emergency Medicine - March 14, 2022 Category: Emergency Medicine Source Type: research

Simultaneous interfacility transfer of multiple non-critically ill COVID-19 patients using a single vehicle: the ambulance bus experience
ConclusionThe simultaneous interfacility transfer of multiple non-critically ill COVID-19 patients using an ambulance bus was feasible. No technical or patient-related adverse events were reported during 22 dispatches, involving a total of 102 patients. This mode of transport may also be useful in non-pandemic situations, such as hospital and nursing home evacuations. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 5, 2022 Category: Emergency Medicine Source Type: research

The use of monoclonal antibody therapy in pediatric patients with COVID-19: a retrospective case series
ConclusionsThe administration of MCA therapy in high-risk pediatric patients in the pediatric ED was well-tolerated with subjective improvement noted in COVID-19 symptoms post-therapy. Further studies are necessary to determine the role MCA therapy may play in reducing morbidity from COVID-19 infection in high-risk pediatric patients. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 3, 2022 Category: Emergency Medicine Source Type: research

Leriche syndrome diagnosed due to polytrauma: a case report
ConclusionsIn this case, conservative therapy was initially chosen for Leriche syndrome. However, the complex factors in the acute phase of trauma led to development of hemorrhagic necrosis, requiring amputation of the lower extremity. Our findings indicate the need to carefully consider the unique factors affecting Leriche syndrome patients when considering treatment indications and choices for trauma. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - February 4, 2022 Category: Emergency Medicine Source Type: research

Wernicke ’s encephalopathy and cranial nerve VII palsy in a 24-year-old patient with COVID-19
ConclusionsThis case is one of three documented cases of Wernicke ’s encephalopathy believed to be caused by COVID-19 in patients without risk factors or chronic alcohol use. Ours is also the first case in which Wernicke’s encephalopathy presents with a concomitant cranial nerve VII palsy. While Emergency Medicine doctors must maintain a high index of suspicio n for stroke in younger patients with COVID-19, our patient’s case augments the correlation between COVID-19 and Wernicke’s encephalopathy in patients without other risk factors for developing the syndrome. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 28, 2022 Category: Emergency Medicine Source Type: research

Peripheral venous lactate levels substitute arterial lactate levels in the emergency department
ConclusionsThis study revealed that PVL and AL levels in the same critically ill patients did not perfectly agree with each other but were strongly correlated. Furthermore, the high accuracy for predicting AL ranges from PVL levels explains why PVL levels could be used as a substitute for AL level ranges. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 28, 2022 Category: Emergency Medicine Source Type: research

Patient satisfaction, needs, and preferences concerning information dispensation at the emergency department: a cross-sectional observational study
ConclusionThe majority of respondents were satisfied concerning information dispensation at the ED, especially regarding medical information. Respondents requested more general and practical information and preferred to receive the information orally or by leaflets. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 24, 2022 Category: Emergency Medicine Source Type: research

Self-efficacy beliefs and expectations during an Emergency Medicine Clerkship
ConclusionThis study showed that a 4-week mandatory EM clerkship increased medical students' perceived self-efficacy in basic emergency management skills. The EM clerkship met students' expectations on knowledge and skill acquisition, and exceeded students ’ expectations on educational environment. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 22, 2022 Category: Emergency Medicine Source Type: research

COVID-19 masquerading as a non-convulsive status epilepticus
AbstractSince the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), more and more atypical presentations of COVID-19 are being reported. Here, we present and discuss non-convulsive status epilepticus (NCSE) as presenting symptom of SARS-CoV-2 infection at the Emergency Department. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 21, 2022 Category: Emergency Medicine Source Type: research

Development of a remote learning educational model for international Emergency Medicine trainees in the era of COVID-19
ConclusionsInternational remote education in LMICs poses a unique set of challenges to medical educators. Residents in our study reported high satisfaction with the curriculum, but there is a lack of clarity regarding how a remote curriculum may impact academic and clinical performance. Future studies are needed to further evaluate the efficacy and academic and clinical implications of remote medical education in LMICs. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 6, 2022 Category: Emergency Medicine Source Type: research

Tenecteplase vs. alteplase for acute ischemic stroke: a systematic review
ConclusionsThe available evidence suggests that tenecteplase appears to be a better thrombolytic agent for acute ischemic stroke when compared to alteplase. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 4, 2022 Category: Emergency Medicine Source Type: research

Emergency medicine in Brazil: historical perspective, current status, and future challenges
ConclusionAlthough EM in Brazil has accomplished key steps toward its development, there are several obstacles before it becomes a solid medical specialty. Its continuous development will depend on special attention to key challenges involving recognition, reliability, and research. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 22, 2021 Category: Emergency Medicine Source Type: research

Keywords reflecting sepsis presentation based on mode of emergency department arrival: a retrospective cross-sectional study
ConclusionsThe distribution of most keywords related to sepsis presentation was similar irrespective of mode of arrival; however, some differences were present. This information may be useful in clinical decision tools or sepsis screening tools. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 20, 2021 Category: Emergency Medicine Source Type: research

Bioresorbable plate fracture after cranioplasty caused by head injury: a pediatric case
ConclusionIt has been reported that the durability of bioresorbable plates is no less than that of titanium plates. We experienced a relatively rare case in which bioabsorbable plate used for bone fixation was damaged due to head trauma. After craniotomy or cranioplasty using bioresorbable plates, special attention should be paid to head trauma that involves bone flap sinking force and side bending stress. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 20, 2021 Category: Emergency Medicine Source Type: research