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.

Disaster day: a simulation-based competition for educating emergency medicine residents and medical students on disaster medicine
ConclusionsIn this study, we found that learners perceived a novel gamification event as an effective educational tool, which led to improved learner knowledge and self-reported confidence in the ability to manage a real MCI. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 13, 2023 Category: Emergency Medicine Source Type: research

Working in fours: generational communication in the emergency department
ConclusionConflicts in the ED in the USA can be attributed to how an individual views the values of someone from another generation. Understanding the frequency and areas of generational conflict in the ED can help medical leaders find strategies to mitigate negative workplace interactions. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 13, 2023 Category: Emergency Medicine Source Type: research

Evaluation of an emergency medicine point-of-care ultrasound curriculum adapted for a resource-limited setting in Guyana
ConclusionThe assessment results of this pilot study suggest that the current residency ultrasound training curriculum adapted to the resources available is associated with sustained competency after graduation. There was minor attrition of knowledge amongst the senior physicians, but all senior residents and all participating residency graduates were competent in the core ultrasound applications. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 6, 2023 Category: Emergency Medicine Source Type: research

Vaping-induced acute epiglottitis: a case report
ConclusionsAlthough bacterial infections usually cause acute epiglottitis, this case presents the second report of this condition associated with vaping with negative microbiological investigations. Therefore, we recommend that physicians consider non-infectious causes such as vaping in their differential diagnosis for patients with acute and subacute epiglottitis. More research is warranted on the utility of antibiotics in treating vaping-induced epiglottitis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 5, 2023 Category: Emergency Medicine Source Type: research

Correction: Spontaneous hemoperitoneum in the second and third trimester of pregnancy: two uncommon case reports at Tu Du Hospital, in Vietnam and a literature review
(Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 5, 2023 Category: Emergency Medicine Source Type: research

Delayed intracranial hemorrhage after head trauma seems rare and rarely needs intervention —even in antiplatelet or anticoagulation therapy
ConclusionTraumatic delayed intracranial hemorrhage is rare and consequences mild and antiplatelet and anticoagulation therapy might confer similar risk. Because serious complications appear rare, observing, and/or rescanning all patients with either of these medications can be debated. Risk stratification of these patients might have the potential to identify the patients at risk while safely reducing observation times and rescanning. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - September 4, 2023 Category: Emergency Medicine Source Type: research

Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
ConclusionThe COVID-19 pandemic had significant effects on clinical procedures and academic activities in the PEM fellowship program. The impact was consistently perceived across PEM program directors and fellows. Technology-driven solutions are warranted to mitigate the expected learning and clinical deficits due to reduced clinical exposure. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 28, 2023 Category: Emergency Medicine Source Type: research

Severe hypocalcemia after denosumab treatment leading to refractory ventricular tachycardia and veno-arterial extracorporeal membrane oxygenation support: a case report
ConclusionCardiac arrest due to hypocalcemia is relatively rare but can be fatal. In the present case, hyperventilation may have acutely exacerbated pre-existing hypocalcemia, leading to ventricular tachycardia. The patient had a slightly decreased serum calcium level prior to denosumab. Close monitoring may be preferable after the primary dose of denosumab in selected patients. Emergency physicians caring for patients who may be suffering from symptoms/signs of hypocalcemia must be mindful of medications that have long half-lives and affect electrolyte balance when treating fatal arrhythmia due to hypocalcemia. (Source: I...
Source: International Journal of Emergency Medicine - August 28, 2023 Category: Emergency Medicine Source Type: research

Retrieval of ferromagnetic fragments from the lung using video-assisted thoracoscopic surgery and magnetic tool: a case report of combat patient injured in the war in Ukraine
ConclusionsVATS and magnetic technologies should be considered for hemodynamically stable combat patients with a gunshot injury to the lungs in the ongoing war. Each combat patient could be treated by individualized approach such as using the wound canal as a scope port after primary surgical debridement of the wound and antibiotic prophylaxis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 24, 2023 Category: Emergency Medicine Source Type: research

The impact on clinical outcomes after 1  year of implementation of an artificial intelligence solution for the detection of intracranial hemorrhage
ConclusionThe added value of this study emphasizes the introduction of artificial intelligence (AI) computer-aided triage and prioritization software in an emergent care setting that demonstrated a significant reduction in a 30- and 120-day all-cause mortality and morbidity for patients diagnosed with intracranial hemorrhage (ICH). Along with mortality rates, the AI software was associated with a significant reduction in the Modified Ranking Scale (mRs). (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 11, 2023 Category: Emergency Medicine Source Type: research

Point of Care Ultrasonographic Life Support in Emergency (PULSE) —a quasi-experimental study
ConclusionAll participants showed improvement in their knowledge and confidence regarding using PoCUS in life-threatening conditions. Through this study, we have also developed an algorithmic approach to managing undifferentiated shock, respiratory failure, and cardiac arrest. Future studies must assess the effectiveness and feasibility of incorporating these algorithms into clinical practice. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 9, 2023 Category: Emergency Medicine Source Type: research

Key causes and long-term trends related to emergency department and inpatient hospital admissions of homeless persons in England
ConclusionMarked disparities around primary causes of ED and inpatient admissions were identified between persons experiencing homelessness and the general population. There is a continued need for prevention measures to reduce the prevalence of drug and alcohol, injury and poisoning-related admissions to the ED, enhanced service provision at the community level, and multisector collaborations. These initiatives should maximise opportunities for early interventions and improve outcomes for persons experiencing homelessness, including increased accessibility of healthcare and mental health services, particularly in areas th...
Source: International Journal of Emergency Medicine - August 7, 2023 Category: Emergency Medicine Source Type: research

Emergency departments as under-utilized venues to provide HIV prevention services to female sex workers in Nairobi, Kenya
ConclusionsMany FSW at high risk for HIV were not accessing HIV prevention tools despite attending a dedicated FSW clinic offering such services. FSW who had attended an ED over the past year had a higher prevalence of HIV risk factors, demonstrating that emergency departments may be important acute intervention venues to prevent HIV transmission in this population. These results can guide policy design, health care provider training, and facility preparedness to support strategies aimed at improving HIV prevention strategies for FSW in Kenyan ED ’s. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - August 3, 2023 Category: Emergency Medicine Source Type: research

A case report: anteroseptal ST elevation due to acute isolated right ventricular infarction
DiscussionRV myocardial infarction is usually due to an occlusion of the dominant RCA proximal to the origin of its RV wall branch, which often results in inferior ST elevation with reciprocal anterior ST depression. The ST elevation over V1 which would accompany RV infarction is often masked due to the more dominant electrical forces of inferior and posterior LV wall infarction. Our case demonstrates that in isolated RV infarction due to non-dominant proximal RCA occlusion, anterior ST elevation can be seen over V1-3, being most prominent in V1, which overlies the right ventricle, and resolved after restoring flow to the ...
Source: International Journal of Emergency Medicine - July 28, 2023 Category: Emergency Medicine Source Type: research

Lemierre syndrome: a hidden complication of sore throats
ConclusionThis report presents an unusual occurrence of Lemierre syndrome caused byK. pneumoniae, a less frequently encountered causative pathogen in patients without diabetes mellitus. The case highlights the significance of timely and appropriate antibiotic use to prevent potential complications. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - July 24, 2023 Category: Emergency Medicine Source Type: research