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.

A young woman presented with massive pulmonary embolism with inferior vena cava thrombus as a complication of nephrotic syndrome: a case report
AbstractNephrotic syndrome (NS) was first described in 1827 as the presence of proteinuria of ≥ 3.5 g/24 h, hypoalbuminemia< 3.0 g/dl, peripheral edema, hyperlipidemia, lipiduria, and increased thrombotic risk. Nephrotic syndrome has an incidence of three cases per 100,000 each year in adults. Nephrotic syndrome also has serious complications due to hypercoagulable state in both various venous and arteries which could lead thromboembolic events. The pathophysiology of hypercoagulability in the nephrotic syndrome is due to an imbalance of prothrombotic and antithrombotic factors, as well as impaired thrombolytic activi...
Source: International Journal of Emergency Medicine - August 23, 2021 Category: Emergency Medicine Source Type: research

Rapid sequence intubation: a survey of current practice in the South African pre-hospital setting
ConclusionThe practice of safe and effective pre-hospital RSI, performed by non-physician providers or ECPs, relies on comprehensive implementation and adherence to all the components of the minimum standards. Although there is largely an apparent alignment with the minimum standards, recurrent revision of practice needs to occur to ensure alignment with recommendations. Additionally, some areas may benefit from further research to improve current practice. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 17, 2021 Category: Emergency Medicine Source Type: research

A focused, longitudinal analysis of cannabinoid hyperemesis syndrome symptomatology
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 29, 2021 Category: Emergency Medicine Source Type: research

Hereditary angioedema
AbstractA 14-year-old African American female presented to the emergency department with spontaneous, sudden-onset lip swelling for 1 h. On examination, there was significant water-bag edema of the upper lip extending to the philtrum and premaxilla. Nasopharyngeal laryngoscopy revealed a patent airway without edema. She was initiated on intravenous dexamethasone, famotidine, and diphenhydramine, after which her edema improved but did not resolve. She was subsequently transferred to a local pediatric hospital and upon further testing she was found to have a C1 esterase inhibitor de novo gene mutation. Angioedema causes loca...
Source: International Journal of Emergency Medicine - July 29, 2021 Category: Emergency Medicine Source Type: research

Adolescent and young adult stress and coping during COVID-19: the utility of a pediatric emergency department screener
ConclusionsWhile patients typically present to PEDs for a somatic complaint, screening their psychosocial and emotional states may reveal underlying mental health concerns that require intervention and at times, assistance from social workers. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 27, 2021 Category: Emergency Medicine Source Type: research

Feasible and effective use of a simulation-based curriculum for post-graduate emergency medicine trainees in India to improve learner self-efficacy, knowledge, and skills
ConclusionsA simulation-based curriculum is an effective and sustainable way to improve Indian post-graduate EM trainees ’ self-efficacy, knowledge, and skills in pediatric emergency care. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 27, 2021 Category: Emergency Medicine Source Type: research

Spontaneous giant rectus sheath hematoma in patients with COVID-19: two case reports and literature review
ConclusionsThese two reports and literature review demonstrate the need of active surveillance for possible hemorrhagic complications in patients with COVID-19 infection. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 23, 2021 Category: Emergency Medicine Source Type: research

Microbiological findings in emergency department patients with sepsis identified by the Sepsis-3 criteria: a single-center prospective population-based cohort study
ConclusionPatients identified with sepsis by SOFA score were more often blood culture-positive. Gram-positive pathogens, pulmonary tract infections,Streptococcus pneumoniae, and polymicrobial infections were also more common among SOFA patients. Polymicrobial infection,Staphylococcus aureus, and a group of other organisms were independently associated with an increased risk of death. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 23, 2021 Category: Emergency Medicine Source Type: research

Prehospital time of suspected stroke patients treated by emergency medical service: a nationwide study in Thailand
ConclusionPrehospital time from EMS call to hospital was approximately 30 min which was mainly utilized for traveling from the ambulance parking to the scene and transporting patients from the scene to hospitals. Even though only 48% of the services had RT ≤ 8 min, 95% of them had the scene time ≤ 15 min. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 19, 2021 Category: Emergency Medicine Source Type: research

Diagnostic delay of acute mitral regurgitation during the coronavirus disease 2019 pandemic: a case report
ConclusionsIn COVID-19 pandemic, anchoring bias suspecting COVID-19 among febrile patients becomes a strong heuristic factor. A thorough history and physical examination is still important in febrile patients presenting with dyspnea to ensure the correct diagnosis of acute mitral regurgitation. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 19, 2021 Category: Emergency Medicine Source Type: research

Case report: appendicitis induced Staphylococcus aureus and Klebsiella pneumoniae bacteremia in a young healthy male
ConclusionsAlthough rare, appendicitis can causeStaphylococcus aureus andKlebsiella pneumoniae bacteremia with extensive implications for workup and antibiotic management. Our case stresses the importance of obtaining cultures in patients with suspicion of bacteremia given its consequences for clinical management. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 19, 2021 Category: Emergency Medicine Source Type: research

Personal protective equipment and doffing procedures in out-of-hospital practice: assessment with a contamination simulation
ConclusionResults of this study converge towards the selection of surgical gowns over other types of PPE gowns, which met both contamination criteria as well as staff appreciation in this context. Specific attention should be paid to the legs and abdomino-pelvic areas. Additional protection such as protective trousers or aprons could be added. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 13, 2021 Category: Emergency Medicine Source Type: research

Predicting emergency department visits in a large teaching hospital
ConclusionsBecause of this similar performance, and the inaccuracy caused by weather forecasts, we decided the calendar-only model would be most useful in our hospital; it can probably be transferred for use in EDs of the same size and in a similar region. However, the variability in ED visits is considerable. Therefore, one should always anticipate potential unforeseen spikes and dips in ED visits that are not shown by the model. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - June 12, 2021 Category: Emergency Medicine Source Type: research

In-hospital cardiac arrest incidence and outcomes in the era of COVID-19: an observational study in a Singapore hospital
ConclusionsThe study observed a trend towards higher incidence of IHCA and lower rate of survival to hospital discharge during COVID-19 pandemic compared to pre-COVID-19 period. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 31, 2021 Category: Emergency Medicine Source Type: research

Calibrating a chief complaint list for low resource settings: a methodologic case study
ConclusionsThis study presented a systematic methodology for calibrating a chief complaint list for the local context. Our revised list removed/reworded symptoms that frequently clustered together or were misinterpreted by health professionals. Recommendations for additions, modifications, and/or deletions from the pilot chief complaint list we believe will improve the functionality of the list in low resource environments. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 19, 2021 Category: Emergency Medicine Source Type: research