Interhospital transfer of COVID-19 patients treated with high-flow nasal oxygen therapy
AbstractAt the start of the COVID-19 pandemic, early intubation was recommended on the basis of worldwide observations of severe hypoxemia. However, some patients were ultimately able to benefit from high-flow nasal cannula (HFNC) and thus avoid intubation. During the “second wave” (September to December 2020 in France), some emergency departments implemented HFNC in patients with severe COVID-19. The question then arose regarding the transfer of these most serious patients to intensive care units (ICU) and of the respiratory modalities to be used during this transfer. To assess the feasibility of interhospital transfe...
Source: International Journal of Emergency Medicine - September 26, 2021 Category: Emergency Medicine Source Type: research

Spontaneous spinal epidural hematoma: a case report
ConclusionIn patients with no risk factors related to spinal epidural hematoma, symptoms of bilateral lower limb weakness must be investigated carefully because this condition may occur spontaneously. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 25, 2021 Category: Emergency Medicine Source Type: research

Impact of a binary triage system and structural reorganization of emergency department on health care workers exposed to suspected COVID-19 patients —a single-centre analysis
ConclusionA binary triage system based on severity and infectivity and supported with structural reorganization can be effective in reducing HCWs COVID-19 exposure. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 23, 2021 Category: Emergency Medicine Source Type: research

Language diversity and challenges to communication in Indian emergency departments
ConclusionsThis study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication between the multiple languages spoken by clinicians and patients. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 22, 2021 Category: Emergency Medicine Source Type: research

A rare case of persistent air leak: beware of all the tubes
ConclusionsVigilant monitoring of patients requiring mechanical ventilation is necessary. For the evaluation of the cause of air leak, algorithmic approach will help in correctly identifying the abnormality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 22, 2021 Category: Emergency Medicine Source Type: research

Early diagnosis and critical management of wound botulism in the emergency department: a single center experience and literature review
ConclusionsEmergency physicians should remain vigilant about early recognition of wound botulism, especially in patients who inject drugs. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 22, 2021 Category: Emergency Medicine Source Type: research

Successful treatment of severe electrolyte imbalance-induced cardiac arrest caused by adrenal tuberculosis with ECMO in the ED
ConclusionsECMO has won the opportunity for the diagnosis and treatment of this young patient who suffered from a rare cause of cardiac arrest and finally achieved a good prognosis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 20, 2021 Category: Emergency Medicine Source Type: research

Public attitudes towards cardiopulmonary resuscitation training and performance in Singapore
ConclusionsThe survey results show that most participants in Singapore are keen to perform conventional CPR for a member of the public and can help to target future CPR training accordingly. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 15, 2021 Category: Emergency Medicine Source Type: research

Postmortem diagnosis of pulmonary tumor thrombotic microangiopathy with rapid exacerbation in a patient with gastric cancer: a case report
ConclusionsIn patients with carcinoma of unknown primary site and pulmonary hypertension with pulmonary embolism ruled out by CT, emergency physicians and intensivists must consider the possibility of PTTM, which represents an oncologic emergency, and initiate chemotherapy administration as soon as possible. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 15, 2021 Category: Emergency Medicine Source Type: research

Recurrent acute pancreatitis during a ketogenic diet —a case report and literature review
ConclusionThis case indicates that the ketogenic diet could lower the threshold for acute pancreatitis, and that an episodic stressor may trigger an acute attack in the absence of traditional risk factors. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 15, 2021 Category: Emergency Medicine Source Type: research

Multisystem inflammatory syndrome in children (MIS-C): a mini-review
AbstractMultisystem inflammatory syndrome in children (MIS-C) is a novel, life-threatening hyperinflammatory condition that develops in children a few weeks after infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This disease has created a diagnostic challenge due to overlap with Kawasaki disease (KD) and KD shock syndrome. The majority of patients with MIS-C present with the involvement of at least four organ systems, and all have evidence of a marked inflammatory state. Most patients show an increase in the level of at least four inflammatory markers (C-reactive protein, neutrophil count, ferri...
Source: International Journal of Emergency Medicine - September 10, 2021 Category: Emergency Medicine Source Type: research

A big white dot after CPR
ConclusionThis case reminds us to consider neurologic causes of cardiac arrest. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 10, 2021 Category: Emergency Medicine Source Type: research

When disasters strike the emergency department: a case series and narrative review
ConclusionsHospitals and their EDs are at-risk for crises and their potential escalation to hospital disasters. Emerging risks due to climate-related emergencies, infectious disease outbreaks, terrorism, and cyberattacks pose particular threats. If a hospital is not prepared for IHCDs, it undermines the capacity of administration and staff to safeguard the safety of patients. Therefore, hospitals and their EDs must check and where necessary enhance their preparedness for these contingencies. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 9, 2021 Category: Emergency Medicine Source Type: research

Impact of an end-of-fourth-year emergency medicine bootcamp
ConclusionsParticipation in an EM bootcamp increases self-confidence at the start of residency among EM-matched residents. EM bootcamps and other specialty-specific courses at the end of medical school may ease the transition from student to clinician and may improve clinical knowledge and procedural skills. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 3, 2021 Category: Emergency Medicine Source Type: research

A survey study of the psychological impact of COVID-19 pandemic on physician parents
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 30, 2021 Category: Emergency Medicine Source Type: research