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Impact of the COVID-19 pandemic on visits to the hospital emergency service in two hospitals in Spain, from March 14, 2020 to June 21, 2020
This study will describe trends in the use of emergency departments before and after the Spanish State of Alarm, especially in pathologies not directly related to this infection. A cross-sectional study was conducted of all visits to the emergency departments in two third-level hospitals in two Spanish communities during the Spanish State of Alarm, compared with the same period of the previous year. The variables collected included the day of the week, the time of the visit, the duration of the visit, the final destination of the patients (home, admission to a conventional hospitalization ward, admission to the intensive c...
Source: Internal and Emergency Medicine - June 12, 2023 Category: Emergency Medicine Source Type: research

The impact of COVID-19 on myocardial infarctions, strokes and out-of-hospital cardiopulmonary arrests: an observational retrospective study on time-sensitive disorders in the Friuli Venezia Giulia region (Italy)
AbstractThe COVID-19 global pandemic has changed considerably the way time-sensitive disorders are treated. Home isolation, people ’s fear of contracting the virus and hospital reorganisation have led to a significant decrease in contacts between citizens and the healthcare system, with an expected decrease in calls to the Emergency Medical Services (EMS) of the Friuli-Venezia Giulia (FVG) region. However, mortality in clinic al emergencies like acute ST-elevation myocardial infarction (STEMI), stroke and out-of-hospital cardiopulmonary arrest (OHCA) remained high. An observational retrospective cross-sectional study was...
Source: International Journal of Emergency Medicine - December 29, 2022 Category: Emergency Medicine Source Type: research

Comparing Emergency Medical Services Processing Times for Stroke Patients Before and During COVID-19 Pandemic; A Cross-sectional Study
CONCLUSIONS: During COVID-19 pandemic, the number of acute stroke patients serviced by EMS increased substantially, but there was no difference in the average number of patients per week. During the pandemic, EMS processing times markedly increased.PMID:36381971 | PMC:PMC9637259 | DOI:10.22037/aaem.v10i1.1710
Source: Accident and Emergency Nursing - November 16, 2022 Category: Emergency Medicine Authors: Thongpitak Huabbangyang Rossakorn Klaiangthong Krit Prasittichok Sutida Koikhunthod Jakkapan Wanna Nutthapong Sudajun Parichat Khaisri Anucha Kamsom Source Type: research

Recognizing Vaccine-Induced Immune Thrombotic Thrombocytopenia
CONCLUSIONS: Vaccine-induced immune thrombotic thrombocytopenia is a serious complication of vaccination that is not feasible to anticipate or prevent. When the patient presents with sustained headache, neurologic symptoms/signs, abdominal pain, dyspnea, or limb pain/swelling beginning 5–30 days post vaccination, platelet count and d-dimer must be measured, and imaging for thrombosis performed. Confirmation of vaccine-induced immune thrombotic thrombocytopenia diagnosis should be ordered (platelet factor 4/polyanion enzyme-linked immunosorbent assay; platelet factor 4–enhanced platelet activation testing) as treatm...
Source: Critical Care Medicine - December 20, 2021 Category: Emergency Medicine Tags: Online Review Article Source Type: research

Stroke With Delayed Visit to the Emergency Department: The Next Public Crisis?
We read with great interest the article by Montagnon et  al. about the impact of the coronavirus disease 2019 (COVID-19) pandemic on emergency department (EDs) (1). The authors described how daily visits dropped in their ED, but the COVID-19 pandemic does not seem to have had an effect on patients needing emergency revascularization (ST-segment elevatio n myocardial infarction and stroke). However, in the United Kingdom, Fersia et al. experienced a 33% drop in myocardial infarction diagnosis, Ullah et al.
Source: The Journal of Emergency Medicine - June 1, 2021 Category: Emergency Medicine Authors: Hugo De Carvalho, Pierre Urlacher, Nicolas Goffinet, Emmanuel Montassier Tags: Letter to the Editor Source Type: research

Guillain-Barr é Syndrome after Novel Coronavirus Disease 2019
Novel coronavirus disease 2019 (COVID-19) has affected more than 89 million people worldwide. As the pandemic rages on, more complications of the disease are being recognized, including stroke, cardiovascular disease, thromboembolic events, encephalopathy, seizures, and more. Peripheral nervous system involvement, particularly Guillain-Barr é syndrome (GBS), is of special interest, given the increasing reports of cases related to COVID-19. Because of the potentially delayed onset of symptoms of polyradiculoneuropathy and weakness after the traditional COVID-19 symptoms, it is vitally important for emergency physicians to ...
Source: The Journal of Emergency Medicine - March 25, 2021 Category: Emergency Medicine Authors: Jordan Yakoby, Ilya Litvak, Edward Yu Tags: Clinical Communications: Adult Source Type: research

Guillain-Barr é Syndrome Following Novel Coronavirus Disease 2019
: Novel Coronavirus Disease 2019 (COVID-19) has affected more than 89 million people worldwide. As the pandemic rages on, more complications of the disease are recognized including stroke, cardiovascular disease, thromboembolic events, encephalopathy, seizures and more. Peripheral nervous system involvement, particularly Guillain-Barre Syndrome (GBS) are of special interest given the increasing reports of cases related to COVID-19. Because of the potentially delayed onset of symptoms polyradiculoneuropathy and weakness after the traditional COVID-19 symptoms, it is vitally important for emergency physicians to be vigilant ...
Source: The Journal of Emergency Medicine - March 25, 2021 Category: Emergency Medicine Authors: Jordan Yakoby, Ilya Litvak, Edward Yu Tags: Adults Clinical Communications Source Type: research

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

L.A. County EMS Told to Conserve Oxygen, Don ’t Transport Patients with Little Chance of Survival
New efforts to increase capacity and triage care to focus on the sickest patients Alex Wigglesworth, Rong-Gong Lin II, Soumya Karlamangla and Luke Money Los Angeles Times (MCT) LOS ANGELES — The situation in Los Angeles County hospitals is so critical that ambulance crews have been advised to try to cut back on their use of oxygen and not to bring to hospitals patients who have virtually no chance of survival. Officials now say they need to focus on patients with a greater chance of surviving. The measures were taken as circumstances were expected to become even worse in coming weeks, when patients sickene...
Source: JEMS Patient Care - January 5, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Administration and Leadership News News Feed Operations Patient Care Source Type: news

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