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.

Stroke in a patient of anaphylaxis —a case report and brief review
ConclusionAn ischemic stroke in the setting of an anaphylaxis is a rare occurrence, which can be attributed to multiple factors in our patient. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 17, 2023 Category: Emergency Medicine Source Type: research

Diagnosis and management of elevated intracranial pressure in the emergency department
ConclusionRecent literature has reported several methods to detect elevated intracranial pressure easily and studies describing multiple treatment modalities. These investigations suggest that early detection and timely treatment of intracranial hypertension are beneficial in reducing mortality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 13, 2023 Category: Emergency Medicine Source Type: research

Outcomes of critically ill COVID-19 patients boarding in the emergency department of a tertiary care center in a developing country: a retrospective cohort study
ConclusionTo conclude, all efforts need to be drawn to re-establish mitigation strategies and models of critical care delivery in the ED to alleviate the burden of critical boarders during pandemics, thus decreasing morbidity and mortality rates. Lessons from this pandemic should raise concern for complications seen in ED ICU boarders and allow the promotion of health measures optimizing resource allocation in future pandemic crises. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 13, 2023 Category: Emergency Medicine Source Type: research

Out-of-hospital cardiac arrest treated with prehospital double sequential external defibrillation during eCPR in refractory VF — a case report
ConclusionDSED can be a sufficient strategy for patients in refractory VF while on eCPR and should be evaluated in further studies. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 12, 2023 Category: Emergency Medicine Source Type: research

Outcomes of prehospital traumatic cardiac arrest managed by helicopter emergency medical service personnel in Japan: a registry data analysis
ConclusionsThe results of our study were similar to those reported in previous studies with regards to the use of HEMS in Japan for transporting patients with TCA. Our findings suggest that in patients with severe trauma, cardiac arrest after initiation of HEMS, the highest level of prehospital medical intervention, may be associated with an inferior prognosis. Tracheal intubation and administration of tranexamic acid by the EMS team may increase the rate of ROSC in TCA. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 12, 2023 Category: Emergency Medicine Source Type: research

Understanding patient non-transport decision theories in the pre-hospital setting: a narrative review
ConclusionsThe issue of patient non-conveyance to hospitals continues to pose a crucial challenge to the seamless operation of emergency healthcare systems, warranting increased attention from various healthcare entities. To comprehend and pinpoint potential areas of improvement, a comprehensive analysis of pre-hospital non-transport events is imperative. A well-informed, strategic approach could prevent resource waste while ensuring patients receive the required and definitive care.Key messagesWhy is this topic important?Some studies have suggested that non-transport to hospitals following emergency calls is safe. However...
Source: International Journal of Emergency Medicine - October 11, 2023 Category: Emergency Medicine Source Type: research

Determinants of hypertensive crisis among hypertensive patients at adult emergency departments of public hospitals in Addis Ababa, Ethiopia, 2021: a case –control study
ConclusionThis study demonstrated a statistically significant association between unemployment, diabetes mellitus, stroke, heart failure, history of hypertension, family history of hypertension, and regular follow-up with a hypertensive crisis. The Ethiopian Ministry of Health, Ababa City Administration Health Bureau, and hospitals shall give due attention to the HTN crisis. Health care workers, hospital managers, and other stakeholders shall work towards the early detection and management of HTN-crisis to prevent related morbidity, disability, and mortality. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 9, 2023 Category: Emergency Medicine Source Type: research

Development and usability testing of a fully immersive VR simulation for REBOA training
ConclusionsProcedural training of the REBOA procedure in immersive virtual reality is possible with a good acceptance and high usability. REBOA VR training can be an important part of a training curriculum, with the virtual reality-specific advantages of a time- and instructor-independent learning. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 6, 2023 Category: Emergency Medicine Source Type: research

Use of point-of-care ultrasound in a low-resource setting to diagnose Achilles tendon rupture and avulsion fracture of the calcaneal bone
ConclusionThis case demonstrates that POCUS is a valuable diagnostic tool in evaluating patients with a suspected Achilles tendon rupture, especially in a resource-limited setting. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 3, 2023 Category: Emergency Medicine Source Type: research

An unusual case of thrombotic storm in an amateur cricketer —a case report
ConclusionThrombotic storm should be recognized promptly in the Emergency Department and timely anticoagulation should be initiated. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - October 2, 2023 Category: Emergency Medicine Source Type: research

Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis
ConclusionsOverall, bystander CPR was less common in female gender; after adjustment for other covariates, including arrest location, we found no significant gender differences in provision of bystander CPR. We also observed that females were found to have a lower incidence of cardiac arrest in public locations. Nevertheless, if females were to experience cardiac arrest in a public location, they would be more likely to receive CPR. Further research is required to explain the observed differences in provision of bystander CPR. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 26, 2023 Category: Emergency Medicine Source Type: research

Do patients referred to emergency departments after being assessed in primary care differ from other ED patients? Retrospective analysis of a random sample from two German metropolitan EDs
ConclusionReferred patients were more often admitted. They received more laboratory investigations, ultrasound examinations, and computed tomographies. Difficult decisions regarding the necessity of admission requiring typical resources of EDs may be a reason for PCP referrals. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 26, 2023 Category: Emergency Medicine Source Type: research

Lethal abdominal compartment syndrome after extracorporeal cardiopulmonary resuscitation in a patient with out-of-hospital cardiac arrest: a case report
ConclusionsWe report a case of a patient with OHCA who developed lethal ACS after ECPR. Despite this, the patient was able to recover from several major crises. Regardless of how lethal the patient is, if compartment syndrome develops in any part of the body, we should aggressively consider surgical decompression. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 26, 2023 Category: Emergency Medicine Source Type: research

Screening Tool Risk Score Assessment in the Emergency Department for Geriatric (S-TRIAGE) in 28-day mortality
ConclusionThis study showed malignancy, hypotension, increased SI, and mental status change were predictive factors for 28-day mortality in older adults in the ED. The screening tool risk score for geriatrics used in this study is potentially a good predictor of mortality and lifesaving intervention in high-risk older patients in the ED. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 26, 2023 Category: Emergency Medicine Source Type: research

Capsular warning syndrome —a case of atrial fibrillation and corona radiata infarct
ConclusionsThis case illustrates an uncommon etiology of CWS. We will also discuss the lack of consensus in treatment options for CWS to mitigate a complete stroke. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 26, 2023 Category: Emergency Medicine Source Type: research