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The impact of clinical pharmacists ’ medication reconciliation upon patients’ admission to reduce medication discrepancies in the emergency department: a prospective quasi-interventional study
ConclusionThe clinical pharmacists are the main members of the emergency health care team. One of their fundamental services is medication reconciliation. The establishment of a complete drug history list and physicians ’ discussion about the current treatment plan can obviously detect and reduce medication errors.Trial registrationNCT04395443. Registered 16 May 2020. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 15, 2023 Category: Emergency Medicine Source Type: research

Reverse shock index (RSI) as a predictor of post-intubation cardiac arrest (PICA)
ConclusionRSI may be useful in predicting PICA with higher diagnostic accuracy compared to the shock index. Furthermore, advanced age, hypoxia, and hyperbilirubinemia may increase the risk of PICA in patients admitted to the ED. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - December 7, 2023 Category: Emergency Medicine Source Type: research

Volume replacement in the resuscitation of trauma patients with acute hemorrhage: an umbrella review
ConclusionHypertonic crystalloid use did not result in superior 28- to 30-day survival. Increasing evidence supports the scientific rationale for early use of high-ratio blood components, but their use requires careful consideration. Preliminary evidence is very uncertain about the effects of whole blood and further high-quality studies are required. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 30, 2023 Category: Emergency Medicine Source Type: research

Self-discharge during treatment for acute recreational drug toxicity: an observational study from emergency departments in seven European countries
ConclusionOne in eight presentations self-discharged. There was a large variation in self-discharge rates across the participating centres, possibly partly reflecting different discharge procedures and practices. Measures to improve the management of agitation and cautious administration of naloxone to avoid opioid withdrawal symptoms may be approaches worth exploring to reduce self-discharge. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Source Type: research

Awareness and use of five imaging decision rules for musculoskeletal injuries: a systematic review
ConclusionOur results suggest that awareness of the five imaging decision rules is low. Changing clinicians ’ attitudes and knowledge towards these decision rules and addressing barriers to their implementation could increase use. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 13, 2023 Category: Emergency Medicine Source Type: research

Assessment of suicidal ideation via telemedicine: a case report and management suggestions
ConclusionsTelemedicine centers should be prepared for direct consumer assessment of suicidal ideation. Current management suggestions include recognizing the risk profile through institutional training and software skills and immediate referral for face-to-face assessment, encouraging continuous monitoring until the admission and active recruitment of family members or closest friends. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 13, 2023 Category: Emergency Medicine Source Type: research

Carbon monoxide intoxication with a CO-Hb of 30% while smoking waterpipe: a case report
AbstractCarbon monoxide (CO) poisoning is a significant public health issue and a considerable economic burden in developed countries. While the majority of non-fire-related CO poisonings are attributed to gas heating, there are several other less recognized sources that should be considered in the initial differential diagnosis.The patient in this case was a 21-year-old who experienced a brief episode of loss of consciousness and was subsequently admitted to the Emergency department. Upon evaluation, the patient was diagnosed with CO poisoning, which necessitated hyperbaric oxygen therapy to mitigate the effects of this t...
Source: International Journal of Emergency Medicine - November 7, 2023 Category: Emergency Medicine Source Type: research

Pediatric injury attendances in different population groups in Israel before, during, and after COVID-19 lockdowns: a descriptive study, 2018 –2022
ConclusionsCompared to previous years, the volume of injuries was lower during lockdowns for all ages, with a relative increase in the proportion of injuries among younger children attending the ED. A lower proportion of attendance from minority groups suggests different health-seeking behavior patterns during emergencies compared to the general population. Understanding these differences will help better plan for future emergencies. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 6, 2023 Category: Emergency Medicine Source Type: research

The HEARTS ECG workshop: a novel approach to resident and student ECG education
ConclusionThe HEARTS ECG workshop is an innovative pedagogical method that can be adapted for all levels of training. Future directions include integration in undergraduate medical and EM residency curricula, and workshops for physicians to update ECG interpretation skills. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 6, 2023 Category: Emergency Medicine Source Type: research

Tiger attack at a Japanese safari park: a case report
ConclusionsA multidisciplinary approach of the severe tiger bites successfully treated a young woman cosmetically and mentally. Animal farms and zoos that keep tigers should take strict measures to avoid direct confrontation with tigers. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 6, 2023 Category: Emergency Medicine Source Type: research

Parental perceptions of the importance of pediatric out-of-hospital cardiopulmonary resuscitation for the survival rate in Saudi Arabia: a cross-sectional survey
ConclusionThis study showed evidence of interest in CPR and BLS training in Saudi parents, despite the low levels of knowledge regarding BLS training. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 3, 2023 Category: Emergency Medicine Source Type: research

Factors for delays in door-to-balloon time  ≤ 90 min in an electrocardiogram triage system among patients with ST-segment elevation myocardial infarction: a retrospective study
ConclusionPatients without chest pain as the chief complaint or non-ambulance usage were significantly associated with the failure to achieve door to balloon time  ≤ 90 min. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 2, 2023 Category: Emergency Medicine Source Type: research

Emergency medicine in Nepal: are we going the right way and fast enough?
AbstractNepal is a landlocked country with variable topography including the world ’s tallest mountains, tropical forests, and Gangetic plains. This topography leads to diverse healthcare needs, from tropical diseases in plains, to road traffic accidents in hills, and to disaster-related emergencies from floods and landslides during monsoon season and unpredictable earthquakes. Emergency medicine care is underdeveloped and is currently being provided by general practitioners. The capital city Kathmandu has a few tertiary healthcare centers with emergency medicine fellowship-trained general practitioners staffing them, bu...
Source: International Journal of Emergency Medicine - November 2, 2023 Category: Emergency Medicine Source Type: research

A role of point-of-care ultrasound in the emergency department diagnosis of vision loss due to traumatic cataract
ConclusionsThe use of POCUS can expedite the accurate identification of vision threatening pathology, such as cataracts, and streamline ED disposition and plan of care. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - November 2, 2023 Category: Emergency Medicine Source Type: research

Evaluation of human monkeypox knowledge and beliefs regarding emerging viral infections among healthcare workers
ConclusionThis study discovered lower levels of knowledge of HMPX among HCWs in Egypt. Beliefs about emerging viral infections were widespread, and future research should look into their potential negative impact on health behavior. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 18, 2023 Category: Emergency Medicine Source Type: research