Complete maternal recovery after prolonged cardiac arrest due to atonic postpartum hemorrhaging
Youichi Yanagawa, Toshitaka Tanaka, Hiroshi Kaneda, Tsuyoshi OmaeJournal of Emergencies, Trauma, and Shock 2021 14(4):249-250 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Youichi Yanagawa Toshitaka Tanaka Hiroshi Kaneda Tsuyoshi Omae Source Type: research

The alpha-bent and tunneling: A novel technique for fixing the transvenous pacer lead during temporary transvenous pacing in the emergency department
R Gunaseelan, M Sasikumar, B Nithya, G Ezhilkugan, SS Anuusha, N Balamurugan, M VivekanadanJournal of Emergencies, Trauma, and Shock 2021 14(4):246-248 The last step in the management of symptomatic bradycardia according to the advanced cardiac life support algorithm is temporary transvenous pacemaker insertion (TPI). TPI done by an emergency physician in the emergency department (ED) is on the rise particularly in South India owing to the increased incidence of yellow oleander poisoning. As in ED, we use passive fixation leads, fixation of a transvenous pacer lead is very important. In the following case series, we descr...
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: R Gunaseelan M Sasikumar B Nithya G Ezhilkugan SS Anuusha N Balamurugan M Vivekanadan Source Type: research

Congenital cryptorchidism masquerading as traumatic dislocation of testis
We present a case of a 33-year-old man with bilateral congenital cryptorchidism who suffered blunt trauma to his genitalia following a road traffic injury. On presentation, based on a well-developed scrotum, it looked like a case of TDT. However, good history along with detailed physical and radiological evaluation helped us reach the correct diagnosis. TDT must be suspected in a case of blunt trauma to the genitalia when the scrotal sac (well-developed) is empty. This case report highlights the importance of detailed clinical and radiological evaluation in such cases. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Mayank Agrawal Venkat Arjun Gite Prakash Sankapal Source Type: research

A rare case of isolated, spontaneous, and asymptomatic common carotid artery dissection
Iyad Farouji, Hossam Abed, Theodore Dacosta, Hamid Shaaban, Addi SuleimanJournal of Emergencies, Trauma, and Shock 2021 14(4):240-242 Carotid artery dissection begins as a tear in one of the carotid arteries of the neck, which allows blood under arterial pressure to enter the wall of the artery and split its layers. The result is either an intramural hematoma or an aneurysmal dilatation. It is a significant cause of neurological signs and symptoms in all age groups. The common carotid artery dissection is the least affected and reported in the literature. There are multiple conditions that can cause the common carotid art...
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Iyad Farouji Hossam Abed Theodore Dacosta Hamid Shaaban Addi Suleiman Source Type: research

Taking serious games forward in curriculum and assessment: Starting infusions right every time
Fatimah Lateef, Rong Ee Lim, Michelle Wan Yu Loh, Kelvin Yew Chuan Pang, Mark Wong, Kai Xiong Lew, Suppiah MadhaviJournal of Emergencies, Trauma, and Shock 2021 14(4):232-239 Technology-driven educational modalities are increasingly utilized today in a variety of forms. Different combinations of the spectrum of simulation-based learning, the use of virtual reality, augmented reality, mixed reality, and serious gaming continue to gain traction on various educational platforms. In this paper, we share the formation of our project team to plan and execute a serious game on starting infusions and the use of infusion pump for ...
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Fatimah Lateef Rong Ee Lim Michelle Wan Yu Loh Kelvin Yew Chuan Pang Mark Wong Kai Xiong Lew Suppiah Madhavi Source Type: research

Protocol failure detection: The conflation of acute respiratory distress syndrome, SARS-CoV-2 pneumonia and respiratory dysfunction
Lawrence A Lynn, Emily Wheeler, Russel Woda, Alexander B Levitov, Stanislaw P Stawicki, David P BahnerJournal of Emergencies, Trauma, and Shock 2021 14(4):227-231 In medicine, protocols are applied to assure the provision of the treatment with the greatest probability of success. However, the development of protocols is based on the determination of the best intervention for the group. If the group is heterogeneous, there will always be a subset of patients for which the protocol will fail. Furthermore, over time, heterogeneity of the group may not be stable, so the percentage of patients for which a given protocol may fa...
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Lawrence A Lynn Emily Wheeler Russel Woda Alexander B Levitov Stanislaw P Stawicki David P Bahner Source Type: research

Approach to suspected physeal fractures in the emergency department
Ajai Singh, Prashant Mahajan, John Ruffin, Sagar Galw.ar, Courtney KirklandJournal of Emergencies, Trauma, and Shock 2021 14(4):222-226 Growth plate (physeal) fractures are defined as a disruption in the cartilaginous physis of bone with or without the involvement of epiphysis or metaphysis. These represent around 15-18% of all pediatric fractures. It is important to diagnose physeal injury as early as possible, as misdiagnosis or delay in diagnosis may result in long term complications. Physeal injuries may not be initially obvious in children who present with periarticular trauma, and a high index of suspicio...
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Ajai Singh Prashant Mahajan John Ruffin Sagar Galwankar Courtney Kirkland Source Type: research

Trauma in obstetrical patients
Conclusion: There was no increase in mortality for trauma patients who are pregnant when controlling for covariates. Factors such as head injuries, the need for blood, and comorbid diseases appear to have a more significant contribution to mortality. We also report the prevalence of head, cervical spine, and extremity injuries in pregnant trauma patients. Multidisciplinary simulation, jointly crafted protocols, and expanding training in regional anesthesia may be the next steps to improving care for pregnant trauma patients. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Ryan J Keneally Kyle L Cyr Marian Sherman Anita Vincent Everett Chu Jeffrey S Berger Jonathan H Chow Source Type: research

Inferior vena cava/abdominal aorta ratio as a guide for fluid resuscitation
Conclusion: The measurement of IVC/Ao is an accurate, sensitive, and specific parameter to predict fluid responsiveness. The best cut-off for the IVC/Ao ratio is 0.675. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Neurinda Permata Kusumastuti Abdul Latief Antonius Hocky Pudjiadi Source Type: research

How many ultrasound examinations are necessary to gain proficiency in accurately identifying the nerves of the brachial plexus at the level of the interscalene space ?
Conclusion: Emergency medicine residents are easily adept in the identification of the nerves of the brachial plexus at the level of the interscalene space following two supervised examinations. Residents made steady gains in confidence and proficiency throughout the study; statistical analysis found a significant association between the two. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Alan Shteyman Saundra A Jackson Tabitha Anne Campbell Charlotte Derr Source Type: research

Stroke incidence and outcome disparity in Rural regions of Southern West Virginia
Conclusions: Stroke incidence and mortality were found to be higher than expected in many areas of rural West Virginia. The higher stroke risk populations correlate with area that may be impacted by socioeconomic factors and limited access to primary care. These high-risk areas may therefore benefit from investments in infrastructure, patient education, and unrestricted primary care. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Frank Harrison Annie Mark C Bates Muhammad Khan Salman Zahid Syed Imran Shah Aravinda Nanjundappa Joshua R Wyner Elise Anderson Ali Farooq Megan Wood Abhiram Challa Source Type: research

Treatment outcomes of epinephrine for traumatic out-of-hospital cardiac arrest: A systematic review and meta-analysis
Conclusion: The use of epinephrine for traumatic OHCA may not improve either inhospital survival or prehospital ROSC and short-term survival. Epinephrine administration as indicated in standard advanced life support algorithms might not be routinely used in traumatic OHCA. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Wachira Wongtanasarasin Thatchapon Thepchinda Chayada Kasirawat Suchada Saetiao Jirayupat Leungvorawat Nichanan Kittivorakanchai Source Type: research

What & #39;s new in emergencies, trauma, and shock & #8211; Prehospital cardiac arrest in trauma victims
Vivek ChauhanJournal of Emergencies, Trauma, and Shock 2021 14(4):193-194 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Vivek Chauhan Source Type: research

Concurrence of intracranial hemorrhaging and stanford type a acute aortic dissection
Hiromichi Ohsaka, Kei Jitsuiki, Daigo Takahashi, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2021 14(3):191-192 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Hiromichi Ohsaka Kei Jitsuiki Daigo Takahashi Youichi Yanagawa Source Type: research

Mechanisms and patterns of animal-related injuries in patients admitted to a major trauma center in central India
Abdul Haque M Quraishi, Ashvin Damdoo, Shruti Srinivasan, Girish Umare, Pankaj TongseJournal of Emergencies, Trauma, and Shock 2021 14(3):190-191 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Abdul Haque M Quraishi Ashvin Damdoo Shruti Srinivasan Girish Umare Pankaj Tongse Source Type: research