Journal of Emergencies, Trauma and Shock 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.

Patient safety during rapid sequence intubation when using succinylcholine instead of nondepolarizing paralytic agents: Should we change a common rapid sequence intubation pathway ?
Conclusions: While the succinylcholine adverse effect profile is concerning, data from our institution does not support removal of the agent as an available option for RSI as the mortality rate among patients receiving succinylcholine was lower than that of patients receiving non-depolarizing agents. Patient level data will be needed in future work to further understand why the all-cause mortality rate was higher in the group receiving rocuronium or vecuronium and whether those patients had increased risk of mortality from underlying disease at time of presentation. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 7, 2020 Category: Emergency Medicine Authors: Jason W Wilson James P Gillen Tucker Maute Source Type: research

Evaluation of patients record and its implications in the management of trauma patients
Conclusion: The average length of stay for the disaster beds was 11.7 days. Maximum admissions were under the neurosurgery department. The filing and assembling of records were poor. Signature of the patient and doctor and name of the witness were missing in more than 50% of the consent forms. There was no anesthesia consent form used. The doctor daily records were poor, while the nursing records were well maintained. It is recommended to have a periodic weekly auditing to minimize chances of deficiency/misplacing of records. Periodic training sessions and workshops should be organized. (Source: Journal of Emerg...
Source: Journal of Emergencies, Trauma and Shock - December 7, 2020 Category: Emergency Medicine Authors: Anant Gupta Kanika Jain Sanjeev Bhoi Source Type: research

Comparison of weight-based dosing versus fixed dosing of 23.4 & #37; hypertonic saline for intracranial pressure reduction in patients with severe traumatic brain injury
Conclusions: Our data did not show a significant difference between fixed- and weight-based doses of 23.4% HTS for ICP reduction. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 7, 2020 Category: Emergency Medicine Authors: Kirsten Busey Jason Ferreira Petra Aldridge Marie Crandall Donald Johnson Source Type: research

The impact of the COVID 19 pandemic on emergency department attendance: What seems to be keeping the patients away ?
Fatimah LateefJournal of Emergencies, Trauma, and Shock 2020 13(4):246-251 During outbreaks such as severe acute respiratory syndrome and COVID 19, many Emergency Departments across the world had a reduction in the general attendance, including the attendance of more serious and critical diagnoses. Here, the author shares the numbers seen at Singapore General Hospital, the largest public hospital in Singapore during the period of February to June 2020. The reduction ranged from 13% to 28% compared to the same period in 2019, before the outbreak. Patient and healthcare system-related factors which may...
Source: Journal of Emergencies, Trauma and Shock - December 7, 2020 Category: Emergency Medicine Authors: Fatimah Lateef Source Type: research

Infection control measures, in situ simulation, and failure modes and effect analysis to fine-tune change management during COVID-19
This article shares our experience integrating the concept of simulation-based training, quality improvement, and failure mode analysis. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 7, 2020 Category: Emergency Medicine Authors: Fatimah Lateef Stanislaw P Stawicki Lee Man Xin S Vimal Krishnan A Sanjan Freston Marc Sirur Jayaraj Mymbilly Balakrishnan Rose V Goncalves Sagar Galwankar Source Type: research

What's new in emergency trauma and shock ? The choice of hyperosmolar agent in emergency department
Vivek ChauhanJournal of Emergencies, Trauma, and Shock 2020 13(4):237-238 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 7, 2020 Category: Emergency Medicine Authors: Vivek Chauhan Source Type: research

Inadequate management of patients with acute aortic symptoms before transfer from emergency departments
Quincy K Tran, Anne M Walker, Emilie Berman, Roumen Vesselinov, Mark Rose, Laura Tiffany, Vera Bzhilyanskaya, Sean Naimi, Zain Alam, Norhan Abdalla, Saman Tanveer, Ji Sun Yi, Tucker Lurie, Jon Mark HirshonJournal of Emergencies, Trauma, and Shock 2020 13(3):234-235 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Quincy K Tran Anne M Walker Emilie Berman Roumen Vesselinov Mark Rose Laura Tiffany Vera Bzhilyanskaya Sean Naimi Zain Alam Norhan Abdalla Saman Tanveer Ji Sun Yi Tucker Lurie Jon Mark Hirshon Source Type: research

Blast injury of the scrotum
Siddharth Pramod Dubhashi, Atri Kumar, Rahul KadamJournal of Emergencies, Trauma, and Shock 2020 13(3):233-233 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Siddharth Pramod Dubhashi Atri Kumar Rahul Kadam Source Type: research

The impact of the & #8220;Weekend Effect & #8221; on emergency exploratory laparotomy surgeries outcomes at an urban level 1 trauma center
Adel Elkbuli, Sarah Zajd, Brianna Dowd, Shaikh Hai, Dessy Boneva, Mark McKenneyJournal of Emergencies, Trauma, and Shock 2020 13(3):232-232 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Adel Elkbuli Sarah Zajd Brianna Dowd Shaikh Hai Dessy Boneva Mark McKenney Source Type: research

Outcomes associated with femoral vein segmental oversew/ligation in penetrating trauma
Michael James Ramdass, Richard Spence, Patrick HarnarayanJournal of Emergencies, Trauma, and Shock 2020 13(3):231-231 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Michael James Ramdass Richard Spence Patrick Harnarayan Source Type: research

Difficulties in the management of impalement injuries sustained in rural India
We report two unusual cases of impalement from rural India: one, chest impalement by a hunting spear and the other, an extremity impalement by a rotatory tiller blade. Thoracic impalement injuries are very rare, and there is only one other published report of chest impalement by a spear (trident) in the modern era. There are only two published reports of extremity impalement by a rotatory tiller blade. We also describe the difficulties encountered in their management. Patient-1 sustained accidental impalement to the right hemithorax by a spear used for hunting wild boars, leaving a meter long shaft protruding from his body...
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Radhikaraj Coimbatore Govindaraju Jayateerth Munavalli Source Type: research

Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
Ikuto Takeuchi, Youichi Yanagawa, Mitsuhiro Takeuchi, Satoru SuwaJournal of Emergencies, Trauma, and Shock 2020 13(3):224-226 A 73-year-old male suddenly felt chest pain and nausea in his home. The fire department requested the dispatch of a physician-staffed helicopter. When the medical staff of the helicopter checked him, his 12-lead electrocardiogram showed ST elevation at the II, III, and aVF leads. After being fitted with pads for monitoring and defibrillation, he was transferred to the helicopter. Before landing at the base hospital a few minutes later, his electrocardiogram suddenly demonstrated ventricular fibrill...
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Ikuto Takeuchi Youichi Yanagawa Mitsuhiro Takeuchi Satoru Suwa Source Type: research

The use of evaluation tool for ultrasound skills development and education to assess the extent of point-of-care ultrasound adoption in lebanese emergency departments
Conclusion: This study is the first to tackle the extent of use and the hurdles to PoCUS adoption in Lebanese emergency medicine practice, using ETUDE. The findings from this study can be used in Lebanon to strengthen PoCUS use in the future. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Imad A El Majzoub Hani N Hamade Rola A Cheaito Basem F Khishfe Source Type: research

Characterization of acidosis in trauma patient
Conclusions: A pH ≤ 7.2 is associated with increased mortality. For patients in this range, only the presence of coagulopathy is associated with increased mortality. A pH > 7.2 may be an appropriate treatment goal for acidosis. Further work is needed to identify and target potentially modifiable factors in patients with acidosis such as coagulopathy. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Gregory S Corwin Kevin W Sexton William C Beck John R Taylor Avi Bhavaraju Benjamin Davis Mary K Kimbrough Joseph C Jensen Anna Privratsky Rotnald D Robertson Source Type: research

Ultrasound-guided serratus anterior plane block for rib fracture-associated pain management in emergency department
Conclusions: Ultrasound-guided SAPB can be used safely by trained EP in the emergency department to relieve acute severe analgesic-resistant pain in MFR patients. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Subhankar Paul Sanjeev Kumar Bhoi Tej Prakash Sinha Gaurav Kumar Source Type: research