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Specialty: Emergency Medicine
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Total 683 results found since Jan 2013.
Prehospital paths and hospital arrival time of patients with acute coronary syndrome or stroke, a prospective observational study
Patients with a presumed diagnosis of acute coronary syndrome (ACS) or stroke may have had contact with several healthcare providers prior to hospital arrival. The aim of this study was to describe the various...
Source: BMC Emergency Medicine - January 9, 2016 Category: Emergency Medicine Authors: Carine J. M. Doggen, Marlies Zwerink, Hanneke M. Droste, Paul J. A. M. Brouwers, Gert K. van Houwelingen, Fred L. van Eenennaam and Rolf E. Egberink Source Type: research
Effect of prehospital notification on acute stroke care: a multicenter study
The sooner thrombolytic therapy is given to acute ischemic stroke patients, the better the outcome. Prehospital notification may shorten the time between hospital arrival and brain computed tomography (door-to...
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - April 27, 2016 Category: Emergency Medicine Authors: Ming-Ju Hsieh, Sung-Chun Tang, Wen-Chu Chiang, Li-Kai Tsai, Jiann-Shing Jeng and Matthew Huei-Ming Ma Source Type: research
The Effect of Ethyl Pyruvate and N-Acetylcysteine on Ischemia Reperfusion Injury in an Experimental Model of Ischemic Stroke
Reperfusion therapies play an important role in early-period treatment of patients presenting to the emergency department due to stroke. However, the ischemia–reperfusion injury that may occur with reperfusion must then be considered. The purpose of this study was to determine the effectiveness of N-acetylcysteine (NAC) and ethyl pyruvate in preventing ischemia–reperfusion injury.
Source: The American Journal of Emergency Medicine - June 4, 2016 Category: Emergency Medicine Authors: Turkmen Suha, Cekic Gonenc Ozgen, Karaca Yunus, Mentese Ahmet, Demir Selim, Beyhun Ercument, Sahin Aynur, Gunduz Abdulkadir, Yulug Esin, Turedi Suleyman Source Type: research
The effect of ethyl pyruvate and N-acetylcysteine on ischemia-reperfusion injury in an experimental model of ischemic stroke
Reperfusion therapies play an important role in early-period treatment for patients presenting to the emergency department due to stroke. However, the ischemia-reperfusion injury that may occur with reperfusion must then be considered. The purpose of this study was to determine the effectiveness of N-acetylcysteine (NAC) and ethyl pyruvate in preventing ischemia-reperfusion injury.
Source: The American Journal of Emergency Medicine - June 4, 2016 Category: Emergency Medicine Authors: Suha Turkmen, Ozgen Cekic Gonenc, Yunus Karaca, Ahmet Mentese, Selim Demir, Ercument Beyhun, Aynur Sahin, Abdulkadir Gunduz, Esin Yulug, Suleyman Turedi Source Type: research
Cocaine Use and Risk of Ischemic Stroke in Young Adults
Case studies have suggested increased risk of ischemic stroke (IS) in young adults who use cocaine, but there is limited evidence on this topic.
Source: The Journal of Emergency Medicine - July 31, 2016 Category: Emergency Medicine Authors: Jennifer Zhan Tags: Abstract Source Type: research
Microcirculatory Disorders and Protective Role of Antioxidant in Severe Heat Stroke: A Rat Study
This study aims to examine microcirculation and systemic hemodynamic disturbances in severe heat stroke (HS). A total of 147 rats were divided into HS group (HS), pretreated with superoxide dismutase (SOD+HS) group, and pretreated with normal saline (NS+HS) group. Heat stress was induced by incubating the animals in certain temperatures. Blood flow and vascular reactivity were monitored dynamically with intravital microscopy. Pulmonary permeability was reflected by wet-to-dry weight ratio, the concentration of Evans Blue (EB), and histopathology of lung. The results showed that heat stress could induce blood flow rate redu...
Source: Shock - November 15, 2016 Category: Emergency Medicine Tags: Basic Science Aspects Source Type: research
Rapid Systematic Review: Intra-Arterial Thrombectomy ( “Clot Retrieval”) for Selected Patients with Acute Ischemic Stroke
Acute ischemic stroke (AIS) is a leading cause of morbidity and mortality. However, precisely defining the optimal treatment for individual patients early after AIS onset remains elusive. There has recently been a surge in published studies documenting the effectiveness of mechanical intra-arterial thrombectomy for treatment of a subset of patients with AIS. This therapy has been proposed and studied for the small (
Source: The Journal of Emergency Medicine - November 14, 2016 Category: Emergency Medicine Authors: William J. Meurer, Bradley E. Barth, Gary Gaddis, Gary M. Vilke, Samuel H.F. Lam Tags: AAEM Position Paper Source Type: research
Telemedicine Ambulance May Deliver Faster Stroke Care
When experiencing a
stroke, people who are brought to the hospital in an
ambulance with a CT scanner and telemedicine capabilities are evaluated and
treated nearly two times faster than people taken in a regular ambulance, according to a study published in the March 8, 2017, online issue of Neurology, the medical journal of the American Academy of Neurology.
Read More at Medical Express
Source: JEMS Patient Care - March 9, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news
Regional disparities in the quality of stroke care
This study characterized geographic disparities in stroke care quality to assess whether improved access to neurological services has the potential to bridge the care quality gap, particularly in terms of alteplase (rt-PA) administration.
Source: The American Journal of Emergency Medicine - March 18, 2017 Category: Emergency Medicine Authors: Seth Seabury, Katalin Bognar, Yaping Xu, Caroline Huber, S. Renee Commerford, Darren Tayama Source Type: research
Effect of paracetamol (acetaminophen) on body temperature in acute stroke: A meta-analysis
The objective of this study was to assess the efficacy of paracetamol (acetaminophen) on body temperature in acute stroke.
Source: The American Journal of Emergency Medicine - March 17, 2017 Category: Emergency Medicine Authors: Junjie Fan, Chensong Cheng, Hongsen Cheng, Ren Wang, Linhao Ma Source Type: research
Usefulness of glycated hemoglobin A1c-based adjusted glycemic variables in diabetic patients presenting with acute ischemic stroke
The objective of the current study was to assess whether HbA1c-based adjusted glycemic variables were associated with unfavorable outcomes among patients admitted to the hospital for AIS.
Source: The American Journal of Emergency Medicine - March 21, 2017 Category: Emergency Medicine Authors: Chih-Jen Yang, Wen-I Liao, Jen-Chun Wang, Chia-Lin Tsai, Jiunn-Tay Lee, Giia-Sheun Peng, Chien-Hsing Lee, Chin-Wang Hsu, Shih-Hung Tsai Source Type: research
Identification and Treatment of Exertional Heat Stroke in the Prehospital Setting
A 15-year-old football player collapses during practice on a day when the heat index is 114 degrees F.
Bystanders move the patient to the shade and EMS is called. Upon arrival, paramedics jump in to assist the bystanders, who are removing the boy's pads, uniform and equipment.
The transport of the patient to the hospital took 15 minutes. In the ED, the patient's Glasgow coma scale was 5, and his rectal temperature was 107.3 degrees F. He is cooled with IV fluids and cool water misting.
The patient died on the fourth day of hospitalization as a combined consequence of the effects of an exertional heat stroke (EH...
Source: JEMS Patient Care - May 9, 2017 Category: Emergency Medicine Authors: Neha Raukar, MS, MD Tags: Patient Care Cardiac & Resuscitation Source Type: news
Combined Intravenous Thrombolysis and Thrombectomy vs Thrombectomy Alone for Acute Ischemic Stroke. A Pooled Analysis of the SWIFT and STAR Studies
Previous studies have demonstrated that mechanical thrombectomy (MT) with a stent retriever in combination with intravenous thrombolysis (IVT) with tissue plasminogen activator (tPA) is superior to IVT alone in patients with an acute ischemic stroke secondary to large vessel occlusion. The benefit to MT after IVT versus MT alone remains to be determined.
Source: The Journal of Emergency Medicine - July 1, 2017 Category: Emergency Medicine Authors: Monica Noori Tags: Abstract Source Type: research
