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Specialty: Emergency Medicine
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Total 683 results found since Jan 2013.
Effect of COVID19 on prehospital pronouncements and ED visits for stroke and myocardial infarction
In this study, our goal was to determine if there was an increase in prehospital ALS pronouncements and a decrease in ED visits for potentially serious conditions such as MI and stroke during the peak of the COVID-19 pandemic in northern NJ.
Source: The American Journal of Emergency Medicine - January 14, 2021 Category: Emergency Medicine Authors: Nikhil Jain, Michael Berkenbush, David C. Feldman, Barnet Eskin, John R. Allegra Source Type: research
Noninvasive Beat-To-Beat Stroke Volume Measurements to Determine Preload Responsiveness During Mini-Fluid Challenge in a Swine Model: A Preliminary Study
The objectives of this paper are to compare EIT with an invasive pulse contour analysis (PCA) method in measuring SV during mini-fluid challenge in animals and determine preload responsiveness with EIT. Five pigs were anesthetized and mechanically ventilated. After removing 25% to 30% of the total blood from each animal, multiple fluid injections were conducted. The EIT device successfully tracked changes in SV beat-to-beat during varying volume states, i.e., from hypovolemia and preload responsiveness to target volume and volume overload. From a total of 50 100-mL fluid injections on five pigs (10 injections per pig), the...
Source: Shock - October 21, 2021 Category: Emergency Medicine Tags: Basic Science Aspects Source Type: research
Increased 5-year risk of stroke, atrial fibrillation, acute coronary syndrome, and heart failure in out-of-hospital cardiac arrest survivors compared with population controls: A nationwide registry-based study
Long-term risks of stroke, atrial fibrillation, or flutter (AF), acute coronary syndrome (ACS), and heart failure (HF) among survivors of out-of-hospital cardiac arrest (OHCA) are unknown. We aimed to examine 5-year risks of these outcomes among 30-day survivors of OHCA.
Source: Resuscitation - October 22, 2021 Category: Emergency Medicine Authors: Christina Byrne, Manan Pareek, Maria Lukacs Krogager, Kristian B. Ringgren, Mads Wissenberg, Fredrik Folke, Freddy Lippert, Gunnar Gislason, Lars K øber, Peter Søgaard, Gregory YH Lip, Christian Torp-Pedersen, Kristian Kragholm Tags: Clinical paper Source Type: research
Cooling modality effectiveness and mortality associated with pre-hospital care of exertional heat stroke casualties
Cold water immersion is the gold standard for field treatment of an exertional heat stroke (EHS) casualty. Practical limitations may preclude this method and ice sheets (bed linens soaked in ice water) have emerged as a viable alternative. Laboratory studies suggest that this is an inferior method, however the magnitude of hyperthermia is limited and may under-estimate the cooling rate in EHS casualties.
Source: The Journal of Emergency Medicine - December 19, 2022 Category: Emergency Medicine Authors: David W DeGroot, Kaemmer N Henderson, Francis G O'Connor Tags: Selected Topics: Prehospital Care Source Type: research
Cooling modality effectiveness and mortality associated with prehospital care of exertional heat stroke casualties
Cold-water immersion is the gold standard for field treatment of an exertional heat stroke (EHS) casualty. Practical limitations may preclude this method and ice sheets (bed linens soaked in ice water) have emerged as a viable alternative. Laboratory studies suggest that this is an inferior method; however, the magnitude of hyperthermia is limited and may underestimate the cooling rate in EHS casualties.
Source: The Journal of Emergency Medicine - December 19, 2022 Category: Emergency Medicine Authors: David W. DeGroot, Kaemmer N. Henderson, Francis G. O'Connor Tags: Selected Topics: Prehospital Care Source Type: research
Dizziness Evaluation and Characterisation of Patients with Posterior Circulation Stroke in the Emergency Department; a Case Series Study
CONCLUSIONS: Dizziness is the most frequent symptom of PS. Patients usually present an AVS (associated with additional N-SS or not) and HINTS bedside examination is the most adequate protocol to differentiate a PS from other AVS causes until the diagnostic confirmation via MRI. Interestingly, mainly otolaryngologists seem to use HINTS. However, the use of CT is widespread despite its poor value.PMID:36620730 | PMC:PMC9807946 | DOI:10.22037/aaem.v11i1.1764
Source: Accident and Emergency Nursing - January 9, 2023 Category: Emergency Medicine Authors: Miguel Saro-Buend ía Lidia Torres-Garc ía Natalia Jaramillo Angel Ra úl Mellídez Acosta Javier Cabrera Guijo Catalina Bancalari D íaz Alfonso Garc ía Piñero Vanesa P érez-Guillén Miguel Armengot Carceller Source Type: research
Evaluation of computed tomography perfusion and angiogram use in stroke evaluation for thrombectomy at a community emergency department setting
ConclusionsThis study helps to understand CT-P/A usage, especially in patients that fall outside of treatment criteria in the current thrombectomy literature. Results may have value to institutions interested in using CT-P/A as a diagnostic tool as well as institutions already incorporating it in stroke assessments.
Source: Emergency Radiology - February 14, 2023 Category: Emergency Medicine Source Type: research
Cooling Modality Effectiveness and Mortality Associate With Prehospital Care of Exertional Heat Stroke Casualities
Cold-water immersion is the gold standard for field treatment of an exertional heat stroke (EHS) casualty. Practical limitations may preclude this method and ice sheets (bed linens soaked in ice water) have emerged as a viable alternative. Laboratory studies suggest that this is an inferior method; however, the magnitude of hyperthermia is limited and may underestimate the cooling rate in EHS casualties.
Source: The Journal of Emergency Medicine - December 19, 2022 Category: Emergency Medicine Authors: David W. DeGroot, Kaemmer N. Henderson, Francis G. O'Connor Tags: Selected Topics: Prehospital Care Source Type: research
Evaluation of computed tomography perfusion and angiogram use in stroke evaluation for thrombectomy at a community emergency department setting
ConclusionsThis study helps to understand CT-P/A usage, especially in patients that fall outside of treatment criteria in the current thrombectomy literature. Results may have value to institutions interested in using CT-P/A as a diagnostic tool as well as institutions already incorporating it in stroke assessments.
Source: Emergency Radiology - February 14, 2023 Category: Emergency Medicine Source Type: research
Two-Stage Clinical Model for Screening the Suspected Cases of Acute Ischemic Stroke in Need of Imaging in Emergency Department; a Cross-sectional Study
CONCLUSION: Here, we proposed a 2-step model for approaching suspected AIS patients in ED for an attempt to safely exclude patients with the least probability of having an AIS as a diagnosis. However, further surveys are required to assess its accuracy and it may even need some modifications.PMID:36919139 | PMC:PMC10008216 | DOI:10.22037/aaem.v11i1.1941
Source: Accident and Emergency Nursing - March 15, 2023 Category: Emergency Medicine Authors: Somayeh Karimi Lorraine Martins Dutra E Oliva Hosein Rafiemanesh Melissa Mendez Capitaine Sarah Jabre Alireza Baratloo Source Type: research
The Rapid Arterial oCclusion Evaluation (RACE) scale accuracy for diagnosis of acute ischemic stroke in emergency department – A multicenter study
It seems that the available data on performance of the Rapid Arterial oCclusion Evaluation (RACE) as a prehospital stroke scale for differentiating all AIS cases, not only large vessel occlusion (LVO), from th...
Source: BMC Emergency Medicine - May 24, 2023 Category: Emergency Medicine Authors: Hosein Rafiemanesh, Negin Barikro, Somayeh Karimi, Mehran Sotoodehnia, Alireza Jalali and Alireza Baratloo Tags: Research Source Type: research
Study Examines Effectiveness of Acute Care Coordination Medical App
Stop Stroke
Dickson R, Nedelcut A, Nedelcut MM. Stop stroke: A brief report on door-to-needle times and performance after implementing an acute care coordination medical application and implications to emergency medical services. Prehosp Disaster Med. 2017;32(3):1-5.
High-acuity EMS patients, such as those suffering traumatic injuries, stroke or acute myocardial infarction, often benefit from timely administration of definitive care. Optimizing systems of care between out-of-hospital and in-hospital practitioners is one method of ensuring patients receive needed emergency care as expeditiously as possible.
Kudos to these...
Source: JEMS Patient Care - June 1, 2017 Category: Emergency Medicine Authors: Sean J. Britton, MPA, NRP Tags: Cardiac & Resuscitation Columns Source Type: news
Simultaneous thrombosis of 2 vascular territories: is thrombolytic therapy a better option?
We have read with great interest the article by Akyuz and colleagues in the American Journal of Emergency Medicine and congratulate them for their observation. Their case exemplifies the concurrent occurrence of ST-segment elevation myocardial infarction (STEMI) and posterior circulation stroke that was eventually managed with thrombolytic therapy. Simultaneous thrombosis of 2 distant vascular territories is a rare and complicated clinical scenario. In these instances, there is usually an underlying cause linking both thrombotic events rather than being a mere coincidence. We have previously described the myocardial infarc...
Source: The American Journal of Emergency Medicine - July 1, 2013 Category: Emergency Medicine Authors: Hesham R. Omar, Devanand Mangar, Enrico M. Camporesi Tags: Correspondence Source Type: research
