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.

Subarachnoid hemorrhage in the emergency department
ConclusionSubarachnoid hemorrhages are frequently misdiagnosed; therefore, we believe it is imperative to address the diagnosis and initiation of early management in the emergency medicine department to minimize poor outcomes in the future. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 12, 2021 Category: Emergency Medicine Source Type: research

Diagnostic pitfalls: intramyocardial lymphoma metastasis mimics acute coronary syndrome in a diffuse large B cell lymphoma patient —case report
ConclusionsOur case demonstrates a very rare manifestation of a heart metastasis. ACS is an unusual symptom of cardiac tumors. But our patient ’s intramyocardial lymphoma in the right atrium and ventricle externally compressed the right coronary artery and damaged the heart tissue, causing the patient’s symptoms which imitated ACS. Fortunately, the quick diagnostics and immediate aggressive chemotherapy provided the patient’s remissi on and suitability to further treatment. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 7, 2021 Category: Emergency Medicine Source Type: research

The use of dual oxygen concentrator system for mechanical ventilation during COVID-19 pandemic in Sabah, Malaysia
AbstractSabah in Malaysian Borneo is among the Malaysian states which reported a high number of detected COVID-19 cases during the current pandemic. Due to geographical challenges and limited resources, clinicians developed novel strategies for managing patients. The use of a dual oxygen concentrator system for mechanical ventilation is one of the innovations developed by retrieval team members from the Emergency Department (ED) of the Sabah Women and Children ’s Hospital. Due to conditions requiring isolation of patients suspected of or positive for COVID-19, high-risk patients were treated in an ED extension area that ...
Source: International Journal of Emergency Medicine - May 7, 2021 Category: Emergency Medicine Source Type: research

Emergency medical dispatcher training as a strategy to improve pre-hospital care in low- and middle-income countries: the case study of Nepal
ConclusionsContext-specific Emergency Medical Dispatch training programs, which aim to optimize the emergency resources available in resource-limited settings, present a promising low-cost, high-impact interventional strategy to strengthen the pre-hospital care systems in low- and middle-income countries. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 6, 2021 Category: Emergency Medicine Source Type: research

The evaluation of using new trachea and skin manikins for practicing emergency anterior neck access
AbstractEmergency anterior neck access may be performed if intubation and ventilation fail. Practicing this life-saving procedure with manikins before facing a real-life emergency anterior neck access is required to do this procedure successfully when we encounter a difficult airway situation. The current manikins are expensive and thus are sometimes difficult to acquire in low-cost settings such as Thailand. We devise a cost-effective training manikin using less expensive materials but retaining the simple design of the trachea and skin areas which are flexible polyurethane (PU) foam and silicone, but which still had the ...
Source: International Journal of Emergency Medicine - May 1, 2021 Category: Emergency Medicine Source Type: research

Health care-based voter registration: a new kind of healing
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 30, 2021 Category: Emergency Medicine Source Type: research

Infected open depressed skull fracture complicated with tetanus grade I in an unimmunized child: a rare case report with literature review
ConclusionThe pediatric intensive care of such patients requires halting further toxin production, neutralization of circulating toxin, and control of the clinical manifestation induced by the toxin that has already gained access to the central nervous system. The basic tenets of anesthetic care in such case must be well-managed and planned prior to surgery. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 23, 2021 Category: Emergency Medicine Source Type: research

The pathophysiology of “happy” hypoglycemia
ConclusionsFollowing the example of the “happy hypoxemia” recently reported in the literature describing asymptomatic hypoxemia in COVID-19 patients, we describe a case of “happy hypoglycemia.” (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 21, 2021 Category: Emergency Medicine Source Type: research

Fulminant hepatic failure in a patient testing re-positive for SARS-CoV-2: a case report
ConclusionFulminant hepatic failure is a rare manifestation in patients with re-positive RT-PCR tests for SARS-CoV-2. Clinicians should maintain a high index of suspicion for hepatic injury with active monitoring of liver enzymes. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 21, 2021 Category: Emergency Medicine Source Type: research

Data missingness in the Michigan NEMSIS (MI-EMSIS) dataset: a mixed-methods study
ConclusionsThe adoption of electronic data collection in the prehospital setting can only support quality improvement if its entry is complete. The data suggest that there are many EMS agencies and MCAs with very high levels of missingness, and they do not appear to be improving over time, demonstrating a need for investment in efforts in improving data collection and reporting. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 14, 2021 Category: Emergency Medicine Source Type: research

Use of sodium bicarbonate in out-of-hospital cardiac arrest: a systematic review and meta-analysis
ConclusionThe current evidence demonstrated that SB was not superior to the control group in terms of survival to discharge and return of spontaneous circulation. Further, SB was associated with lower rates of sustained ROSC and good neurological outcomes. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 13, 2021 Category: Emergency Medicine Source Type: research

Non-penetrating traumatic psoas muscle hematoma presenting with gross hematuria: a case report
AbstractPsoas muscle hematoma is defined as a spontaneous or traumatic retroperitoneal collection of blood involving the psoas muscle. Early symptoms of an iliopsoas hematoma include lower abdominal or severe groin pain. Although psoas hematoma is a known complication of coagulopathy, psoas hematoma caused by non-penetrating trauma is the subject of only scattered reports and its significance has not been well described in the literature, so the aim of this study was to report a case of blunt traumatic psoas hematoma with the fracture of vertebral transverse process with the presentation of gross hematuria. A 65-year-old I...
Source: International Journal of Emergency Medicine - April 7, 2021 Category: Emergency Medicine Source Type: research

Preliminary report of drive-through screening COVID-19 screening process in a large suburban community
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 24, 2021 Category: Emergency Medicine Source Type: research

Disaster management of the psychological impact of the COVID-19 pandemic
ConclusionsAddressing the psychological effects is an essential component of disaster management of infectious pandemics. This should be implemented through the whole spectrum of disaster management including preparedness, mitigation, response, and recovery. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 24, 2021 Category: Emergency Medicine Source Type: research

Protecting providers and patients: results of an Internet survey of health care workers ’ risk perceptions and ethical concerns during the COVID-19 pandemic
ConclusionsIn the face of limited resources, surveyed health care workers reported concern about their own and their families ’ health from exposure. Securing adequate protective equipment must be a high priority for pandemic management. In addition, more governmental and facility-level ethical guidance is required for allocation of resources given ongoing scarcity, and facilities must create conditions so health care wo rkers can speak openly about safety issues without fear of retaliation. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 24, 2021 Category: Emergency Medicine Source Type: research