Factors associated with prehospital delay in acute myocardial infarction in Maldives
ConclusionSea ambulance, referral cases, lack of knowledge, and denial of symptoms are significant factors associated with prehospital delay among patients with AMI. Public awareness about the benefits of early presentation and improvement of the means of transportation between islands is suggested to improve emergency cardiac care in the country. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - May 1, 2023 Category: Emergency Medicine Source Type: research

A qualitative study of people who use methamphetamine during the early COVID-19 pandemic to inform future ED harm reduction strategies
ConclusionsPeople who use methamphetamine noted an increase in use along with the social distancing guidelines put in place for COVID-19 and employed a variety of harm reduction profiles when obtaining methamphetamine. Also, the pandemic brought difficulties in accessing care and amplified mistrust in healthcare instructions and public health messages. Based on these qualitative interviews, further work should consider aligning methamphetamine and COVID-19 harm reduction messages and working with trusted community resources to improve harm reduction strategies for methamphetamine use and COVID-19. IRB: Informed Consent by ...
Source: International Journal of Emergency Medicine - April 28, 2023 Category: Emergency Medicine Source Type: research

Evaluation of the World Health Organization —International Committee of the Red Cross Basic Emergency Care course for senior medical students
ConclusionThese findings suggest that the Basic Emergency Care course is effective in providing senior medical students with basic emergency medicine knowledge and increasing their confidence to identify and address life-threatening conditions prior to their intern year. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 21, 2023 Category: Emergency Medicine Source Type: research

Acute hydrocephalus caused by a colloid cyst — a case report
ConclusionThe case we present emphasizes the critical importance of prompt identification of warning signs, complex thinking, and evaluation. Establishing the right diagnostic approach early on can facilitate accurate diagnosis. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 19, 2023 Category: Emergency Medicine Source Type: research

Classification of suicidal behavior calls in emergency medical services: a systematic review
ConclusionDespite the existence of international disease classifications and standardized suicide identification systems and codes in EMS, there is no consensus on their use, making it difficult to correctly identify calls for suicidal behavior. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 17, 2023 Category: Emergency Medicine Source Type: research

Spontaneous hemoperitoneum in the second and third trimester of pregnancy: two uncommon case reports at Tu Du Hospital, in Vietnam and a literature review
ConclusionsIn pregnant women with a history of endometriosis, adenomyosis, or ovarian tumor removal, acute abdominal pain combined with the presence of free fluid collection in the intraperitoneal cavity, and a decreased hemoglobin levels should be first assessed as SHiP originating from the spontaneous rupture of abnormal vascular proliferation. Proper management is strongly indicated for an emergent laparotomy to control the active bleeding point, thus increasing the survival rate for both mother and neonate. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 17, 2023 Category: Emergency Medicine Source Type: research

Current patterns of care at adult emergency department in Ethiopian tertiary university hospital
ConclusionsTriage has been done within the recommended time after patient arrival. However, many patients were staying at the ED for an unacceptably prolonged time. Unavailability of beds at the admission areas, waiting long for senior clinicians ’ decisions, delays in investigation results, and lack of medical equipment were the causes of delayed discharge from the ED. Shock, pneumonia, and poisoning were the leading causes of death. Healthcare administrators should address the lack of medical resources, and clinicians should provide time ly clinical decision and investigation results. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 11, 2023 Category: Emergency Medicine Source Type: research

Veno-venous extracorporeal membrane oxygenation support in the resuscitation from extreme metabolic acidosis (pH   & lt;  6.5) after drowning cardiac arrest: a case report
ConclusionsOur case adds further concerns in supporting a patient with extreme metabolic acidosis (pH  <  6.5) and hypothermia after severe drowning cardiac arrest, including extracorporeal life support, renal support, targeted temperature management, cerebral resuscitation, etc., due to the reversible nature of this condition. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 7, 2023 Category: Emergency Medicine Source Type: research

Evaluating the one-time chair stand test for predicting the coronavirus disease severity in patients during hospital admission: a cohort study in Japan
ConclusionFor COVID-19 patients with acute respiratory failure, the CS-1 performed on admission was useful for predicting the severity of COVID-19. Furthermore, the CS-1 can be utilized as a remote and simple evaluation parameter. Thus, it could have potential clinical applications in the future. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - April 6, 2023 Category: Emergency Medicine Source Type: research

Unexpected carboxyhemoglobin half-life during cardiopulmonary resuscitation: a case report
ConclusionsThis result suggests that prolongation of CPR time needed to back COHb at 10%, a level more compatible with successful return of spontaneous circulation (ROSC), could be compatible with a realistic CPR time. Calculating COHbt1/2 during CPR may help with decision-making regarding the optimal duration of resuscitation efforts and further with HBO2 or ECLS. Further evidence-based data are needed to confirm this result. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 21, 2023 Category: Emergency Medicine Source Type: research

Pyogenic sacroiliitis caused by Salmonella schwarzengrund in a young healthy woman: a case report and literature review
ConclusionThese clinical courses indicate that S. schwarzengrund could cause the fatal SIJ infection irrespective of the host immunocompetence. Considering the recent increase in the diagnostic rate of S. schwarzengrund, this case emphasized the need to be more cautious about Salmonella species infection. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 20, 2023 Category: Emergency Medicine Source Type: research

Monkeypox epidemiology, clinical presentation, and transmission: a systematic review
ConclusionMonkeypox human-to-human and human-to-animal transmission are rising. Thus, it is essential to do research on the prevention, clinicodemographic trends, and treatment of monkeypox. Understanding this will enable us to treat monkeypox patients with a targeted and focused approach. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 17, 2023 Category: Emergency Medicine Source Type: research

Right-sided weakness in a Rwandan patient with untreated Tetralogy of Fallot
DiscussionIn countries where surgical repair of TOF is not available, early recognition and medical management are key in temporizing the development of devastating sequelae. Describing the prevalence of CHD in Rwanda is urgent, requiring further research by which effective prevention and treatment strategies can be developed. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 14, 2023 Category: Emergency Medicine Source Type: research

Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension —an emergency department-based cross-sectional study
ConclusionsABG sampling causes most unpleasant experiences to patients and is associated with complications like arterial injury, thrombosis, air or clotted-blood embolism, arterial occlusion, hematoma, aneurysm formation, and reflex sympathetic dystrophy. The study has shown strong correlations and agreements for most ABG and VBG parameters and can predict ABG mathematically using regression formulas formulated from VBG. This will decrease needle stick injury, consume less time, and make blood gas evaluation easy in hypotensive settings. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 10, 2023 Category: Emergency Medicine Source Type: research

Venoarterial extracorporeal membrane oxygenation treatment for acute respiratory distress syndrome and non-occlusive mesenteric ischemia due to Pasteurella multocida-related sepsis with purpura fulminans: a case report
ConclusionIn this case, VA-ECMO was used to maintain circulatory dynamics during septic shock in a patient withPasteurella multocida infection who developed PF. Surgery was also performed for complicated ischemic necrosis of the intestinal tract, helping save the patient's life. This development illustrated the importance of paying attention to intestinal ischemia during intensive care. (Source: International Journal of Emergency Medicine)
Source: International Journal of Emergency Medicine - March 9, 2023 Category: Emergency Medicine Source Type: research