Successfully conservative management of the uterus in acute pulmonary embolism during cesarean section for placenta previa: a case report from  Tu Du Hospital, Vietnam and literature review
ConclusionsThe diagnosis of acute pulmonary embolism is extremely difficult due to uncommon occurrence, sudden onset, and non-specific presentation. Awareness of this life-threatening pathology during cesarean delivery should be raised. Interdisciplinary assessment must be essentially established in this life-threatening condition. After the whole conventional management, uterine conservation may be acceptable where applicable. Further data is required to encourage this finding. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 29, 2024 Category: Emergency Medicine Source Type: research

Evaluating the effectiveness of the pre ‑hospital trauma life support (PHTLS) program for the management of trauma patients in the pre-hospital emergency based on Kirkpatrick’s evaluation model
ConclusionThe implementation of PHTLS has been linked to the enhancement of participants ’ skills in treating trauma patients, leading to the application of acquired knowledge in real-life scenarios and a positive change in participants’ behavior. The evaluation of PHTLS courses in Iran, as in other countries, highlights the need for specialized training in pre-hospital trauma care. To ensure the continued effectiveness of the PHTLS course, it is advisable for managers and policymakers to encourage regular participation of PHTLS employees in the program. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 29, 2024 Category: Emergency Medicine Source Type: research

The diagnostic accuracy of point-of-care ultrasound parameters for airway assessment in patients undergoing intubation in emergency department —an observational study
ConclusionAssessment of the airway with POCUS may be helpful to the emergency physician when the clinical airway assessment parameters fail to predict difficult laryngoscopy as most patients requiring intubation are uncooperative. Assessment of the parameters in our study Pre-E/E-VC, tongue thickness, and hyomental distance can act as a promising tool for predicting difficult laryngoscopy in the emergency scenario. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 29, 2024 Category: Emergency Medicine Source Type: research

Development of prehospital emergency care in Singapore
AbstractThis review paper describes the development of the pre-hospital system in Singapore from the pre-war days. Every country ’s prehospital community needs a deep understanding of how they developed over the years, factors that played a part, and the aspirations their community and government have set for this. This can guide future evolution of the services to ensure that care provided is relevant, applicable and in ke eping with the community’s needs. Countries with similar contextual circumstances, but at a different stage of development of their PECs, may learn from these. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 22, 2024 Category: Emergency Medicine Source Type: research

History of emergency medicine in Bhutan
AbstractEmergency medicine in Bhutan has made significant progress in the past few decades and continues to evolve. In this article, we provide valuable insights into the history of emergency medicine at Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) and in Bhutan and highlight some of the future challenges we face as we move forward to meet the demands of increased patient volume and complexity. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 22, 2024 Category: Emergency Medicine Source Type: research

Ruptured abdominal aortic aneurysm discovered by pocket-sized ultrasound in a low resource setting: a case report
ConclusionThis case highlights the importance of considering AAA in patients with risk factors and abdominal pain in a low resource setting. POCUS using a pocket-sized ultrasound can aid in early AAA detection, potentially preventing rupture through preemptive vascular intervention. Emergency departments should prioritize ultrasound availability, and emergency physicians should be proficient in its use. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 17, 2024 Category: Emergency Medicine Source Type: research

Learning Urogenital Diseases in Oddity (LUDO) —a gamification-based innovation for learning urogenital diseases in emergency medicine
In conclusion, the incorporation of the LUDO gamified format provides an enjoyable and interactive learning experience for emergency medicine residents. It enhances engagement, fosters teamwork, and facilitates the rapid assimilation of crucial knowledge related to urogenital diseases. This adaptable approach holds promise for improving resident training in various clinical scenarios. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 9, 2024 Category: Emergency Medicine Source Type: research

A review of pre-hospital extracorporeal cardiopulmonary resuscitation and its potential application in the North East of England
This article will review recently published studies and summarise studies currently being undertaken in pre-hospital extracorporeal cardiopulmonary resuscitation. It will also discuss the potential application of a pre-hospital extracorporeal cardiopulmonary resuscitation programme in the North East of England. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 8, 2024 Category: Emergency Medicine Source Type: research

The utility of the abdominal series in the emergency setting: a retrospective review
ConclusionThe majority of AXRs were reported as normal. Our results showed that AXR had a statistically significant, but low clinically significant predictive ability on subsequent imaging ordering. This supports our hypothesis that the AXR is of low clinical utility with respect to the rate of ordering follow up imaging. The AXR also translated to a quantifiable time interval during the patient ’s stay in ED. Minimizing overuse of the AXR may result in a decrease in patient duration in the ED. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 4, 2024 Category: Emergency Medicine Source Type: research

Prediction of major adverse cardiac events in the emergency department using an artificial neural network with a systematic grid search
ConclusionWhen triage data is used to predict MACE, death, and cardiac arrest, ANN with systemic grid search gives precise and valid outcomes and will benefit in predicting MACE in emergency rooms with limited resources that have to deal with a substantial number of patients. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 4, 2024 Category: Emergency Medicine Source Type: research

Emergency department contribution to HCV elimination in the Iberian Peninsula
ConclusionsOpportunistic HCV screening in EDs is feasible, does not disrupt ED activities, is highly effective in increasing diagnosis, and contributes to WHO ’s HCV elimination goals. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 4, 2024 Category: Emergency Medicine Source Type: research

Incidence and outcome of laryngeal edema and rhabdomyolysis after ingestion of black rock
ConclusionPDD toxicity is more frequent in younger females. The intoxication from the black rock is increasingly used in suicide attempts and vital organs are usually affected especially the kidney, liver, and heart causing morbidity and mortality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 2, 2024 Category: Emergency Medicine Source Type: research

Latrodectus envenomation in Ethiopia
We described a black widow envenomation case that produced a significant reaction, including diaphoresis and excruciating pain throughout the left thigh that later spread to the lower leg, lower back, belly, and chest. Because of the patient ’s description of the spider that bit him and his typical clinical state, it was assumed that Latrodectus envenomation was the cause of his symptoms. The patient received 3 days of observation in the ED while receiving opioid analgesic pain management and muscle relaxant treatment with diazepam. The patient's pain and symptoms were satisfactorily managed, and he was sent home. This ...
Source: International Journal of Emergency Medicine - January 2, 2024 Category: Emergency Medicine Source Type: research

Stercoral colitis in the emergency department: a review of the literature
ConclusionsSC can be a challenging diagnosis in the ED, often requiring multidisciplinary collaboration. Timely recognition and appropriate treatment are essential to reduce morbidity and mortality associated with this condition. Further research is needed to establish diagnostic criteria and clear management algorithms. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - January 2, 2024 Category: Emergency Medicine Source Type: research

Klebsiella pneumoniae invasive syndrome with liver, lung, and brain abscesses complicated with pulmonary fungal infection: a case report and review of the literature
ConclusionIn cases ofK. pneumoniae infection, the possibility of intracranial, liver, lung, or other site infections should be considered, and physicians should be vigilant for the occurrence of KPIS. For patients suspected of developing an intracranial infection, cerebrospinal fluid should be tested and cultured as soon as possible, a head MRI should be performed, and antibiotics with high distribution in cerebrospinal fluid should be used early. When patients are complicated with diabetes, in addition to glycemic control, vigilance for concurrent fungal infections is also needed. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 21, 2023 Category: Emergency Medicine Source Type: research