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Diagnosis of ruptured abdominal aortic aneurysm: a multicentre cohort study
Conclusion: The classical signs and symptoms or rAAA are not always present and patients frequently show additional features that may confound the diagnosis. A high level of suspicion should be adopted for rAAA alongside a low threshold for immediate computed tomography. Further research is required to develop an objective clinical risk score or predictive tool for characterizing patients at risk. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Opportunities and barriers to cardiopulmonary resuscitation training in English secondary schools
Conclusion: The establishment of cardiopulmonary resuscitation training in secondary schools in the UK is achievable. The commonly perceived barriers to establishment of training are all surmountable, but solving them does not necessarily ensure universal coverage. Support from healthcare professionals, in particular public health, is essential to ensure that the training is as widespread as possible. Mandatory inclusion of this training on the school curriculum, as seen in other countries, would result in significantly improved survival rates from out-of-hospital cardiorespiratory arrest. Solutions to improve training hav...
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Epidemiology and aetiology of impaired level of consciousness in prehospital nontrauma patients in an urban setting
Conclusion: Of all EMS calls, patients who presented with an impaired level of consciousness represented 1.4% of all patients, but the fatality rate in those who remained with an impaired level of consciousness during the prehospital phase was considerable. Impaired level of consciousness was associated with a multitude of aetiologies, of which seizures were the most common. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Patient satisfaction in out-of-hospital emergency care: a multicentre survey
Conclusion: Patient satisfaction in out-of-hospital physician-based EMS is generally high. There is room for improvement in areas such as the social skills of dispatchers and EMS-team members and the comfort of the patients during transport. A checklist should be developed for basic articles that patients should take along to hospital and for questions on responsibilities for children, dependent people or pets. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Intravenous dexamethasone in acute management of vestibular neuritis: a randomized, placebo-controlled, single-blind trial
Conclusion: The value of dexamethasone cannot be established, given the small sample and limitations of the present study. Some observations consistent with clinical improvement cannot exclude a true treatment effect, and further study is still warranted. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

A retrospective review of sudden onset severe headache and subarachnoid haemorrhage on the clinical decision unit: looking for a needle in a haystack?
Conclusion: The management of neurologically pristine patients with sudden onset severe headache on a CDU pathway is feasible. In light of the low prevalence of SAH in this population, the decision to follow a negative CT with an LP in all cases needs careful consideration, as CSF results may only rarely confer therapeutic benefit to patients suspected of SAH. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Characteristics of people who rapidly and frequently reattend the emergency department for mental health needs
Conclusion: Individuals with certain clinical and social characteristics were significantly more likely to reattend EDs and have referral to MHLS rapidly and frequently (i.e. intensely). (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial
Conclusion: Our study provides evidence that a carefully designed telephone-based intervention with accurate and systematic patient selection and appropriate staff training in a centralized setup can lead to significant decreases in healthcare consumption and costs. Further, our results also show that the effects are sensitive to the delivery model chosen. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effects of emergency department crowding on the delivery of timely care in an inner-city hospital in the Netherlands
Conclusion: In this hospital, ED crowding results in increased times to triage and to treatment, not in increased 24-h or 10-day mortality. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Direct oral anticoagulants: a practical guide for the emergency physician
The direct oral anticoagulants (DOACs) are the mainstay for stroke prophylaxis in nonvalvular atrial fibrillation and treatment of acute venous thrombosis. They are attractive alternatives to warfarin because of their efficacy, ease of prescription and safety profile. The emergency department has gained expertise in the management of DOAC bleeding complications, but has been slower to adopt prescription decisions. Emergency clinicians are in a unique position to identify patients who are prescribed DOACs and are at high risk of impending bleeding. This is a practical guide for the emergency clinician on how to prescribe DO...
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Review Articles Source Type: research

How to manage patients on rivaroxaban in the emergency department: a statement of the Italian society of emergency medicine advisory board
Rivaroxaban, a new oral anticoagulant, has been approved in many countries and its everyday use in clinical practice is increasing. Thus, the chances for an emergency physician to encounter rivaroxaban-treated patients in emergency situations have increased. Here, the authors address the main issues in terms of the prescription of rivaroxaban and the management of these patients in cases of minor or major bleeding, urgent surgery, atrial fibrillation requiring cardioversion, acute ischemic stroke, ST-elevation myocardial infarction, and new onset of atrial fibrillation in recent ST-elevation myocardial infarction. The reco...
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Review Articles Source Type: research

Upheaval in Europe
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - September 8, 2016 Category: Emergency Medicine Tags: Editorial Source Type: research

Comparison of patient and caregiver perception of pain from commonly performed accident and emergency services procedures
Conclusion: Caregivers should be aware of the most feared procedures by patients to establish pre-emptive analgesia when possible, inform patients and achieve reassurance. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Short Reports Source Type: research

Pain management framework in the emergency department: patterns in 40 emergency departments worldwide
This study examines analgesia frameworks in emergency departments (EDs) in multiple countries, compares them with the recent literature, and illuminates the variability in protocols and treatment. A survey was conducted assessing the pain management framework and practices in a convenience sample of 40 hospitals distributed over 22 countries. Most EDs (80%) indicated that pain intensity was routinely documented, most commonly (42.5%) using a verbal numerical 0–10 scale. Most (57.5%) reported specific protocols for specific conditions, with 56.5% reporting that these protocols were mandatory. Structured training was repor...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Short Reports Source Type: research

A combination of clinical parameters and blood–gas analysis identifies patients at risk of transfer to intensive care upon arrival to the Emergency Department
Conclusion: The predictors identified could be used as part of ED triage to identify high-risk patients for ICU. These findings should be examined in a well-designed prospective cohort study. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Influence of case-based e-learning on students’ performance in point-of-care ultrasound courses: a randomized trial
Conclusion: e-learning exclusively based on clinical cases is an effective method of education in preparation for HT sessions and can reduce attendance time in ultrasound courses. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Ultrasonographic comparison of two landmarks for the internal jugular vein: high versus conventional approach
Objective: We assessed and compared two landmarks (conventional vs. high approach) used in internal jugular vein (IJV) cannulation with respect to the degree of overlap with the carotid artery (CA) and the cross-sectional area (CSA) of the IJV using ultrasonography. Patients and methods: Forty-eight adult patients were included. Using ultrasonography, the percentage overlaps with the CA and the CSA of both IJVs were measured in the supine and Trendelenburg positions using conventional and high approaches. With the conventional approach, the IJV is penetrated at the apex of Sedillot’s triangle, formed by the clavicle and...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Airway management techniques in a restricted-access situation: a manikin study
Conclusion: Supraglottic airway devices appear to offer advantages in restricted-access situations. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Comparison of airway management techniques for different access in a simulated motor vehicle entrapment scenario
Conclusion: Both scenarios of securing the airway seem suitable in this manikin study, with access from the back seat being superior. Although all airway devices were applicable by both groups, paramedics and emergency physicians, supraglottic device placement was faster and always possible at the first attempt. Therefore, the LMA Supreme and the Laryngeal Tube are attractive alternatives for airway management in this context if endotracheal tube placement fails. Furthermore, supraglottic device placement, while the patient is still in the vehicle, followed by a definitive airway once the patient is extricated would be a w...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Education, exposure and experience of prehospital teams as quality indicators in regional trauma systems
Conclusion: The quality indicators of education, exposure and experience of prehospital physicians and nurses can be measured reliably, have a high level of usability and have distinctive power. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Cryoprecipitate administration after trauma
Objectives: Haemorrhage remains among the most preventable causes of trauma death. Massive transfusion protocols, as part of ‘haemostatic resuscitation’, have been implemented in most trauma centres. Relative to the attention to the ideal ratio of red blood cells to fresh frozen plasma and platelets, cryoprecipitate treatment has been infrequently discussed. We aimed to outline the use of cryoprecipitate during trauma resuscitation and analyse outcomes in patients who received cryoprecipitate after hypofibrinogenaemia detection. Methods: A retrospective review of registry data on all major trauma patients (Injury Seve...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Individualized rescuer change by a team leader during uninterrupted cardiopulmonary resuscitation: comparison with rescuer change in 2-min intervals
Objective: Currently recommended cardiopulmonary resuscitation (CPR) guidelines to change rescuers in 2-min intervals do not consider the differences in the physical capability of individual rescuers. We compared the quality of chest compressions between the conventional rescuer rotation method (RC2, rescuers changed in 2-min intervals) and the novel rescuer rotation method (RCL, rescuers changed by a team leader’s decision on the basis of gross assessment of the quality of chest compression). Methods: Ninety-six rescuers (48 pairs) were recruited and the sequence of the two-rescuer change methods (RC2 and RCL) was rand...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

The neonatal resuscitation algorithm organized cart is more efficient than the airway–breathing–circulation organized drawer: a crossover randomized control trial
Introduction: Although there is consensus on the resuscitation of newborns, there is no standardization on how resuscitation equipment should be organized. This might lead to difficulty and inefficiency in retrieval of the right equipment during resuscitation. The neonatal resuscitation carts organized in accordance with the American Academy of Pediatrics (AAP) Neonatal Resuscitation Program (NRP) algorithm might result in more efficient retrieval of resuscitation equipment. Objectives: To compare user preference and lengths of time required to retrieve standard resuscitation equipment from an NRP Cart versus a generic st...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Optimal chest compression rate in cardiopulmonary resuscitation: a prospective, randomized crossover study using a manikin model
Conclusion: The number of high-quality CPR compressions was the highest at a compression rate of 120 min−1, and increased incomplete recoil occurred with increasing compression rate. However, further studies are needed to confirm the results. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Using ambulance data to reduce community violence: critical literature review
Discussion: Although the standard of evidence was generally low, most studies demonstrated that ambulance services detected a substantial proportion of assaults that were not recorded by the police or the emergency departments. We identified only two interventional studies, but they were of low quality. Although the interventional evidence base is currently weak, ambulance data provide a unique source of information about the epidemiology of community violence and have the potential to improve current violent crime surveillance methods. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Review Articles Source Type: research

Reverse triage: more than just another method
Reverse triage is a way to rapidly create inpatient surge capacity by identifying hospitalized patients who do not require major medical assistance for at least 96 h and who only have a small risk for serious complications resulting from early discharge. Electronic searches were conducted in the MEDLINE, TRIP, Cochrane Library, CINAHL, EMBASE, Web of Science, and SCOPUS databases to identify relevant publications published from 2004 to 2014. The reference lists of all relevant articles were screened for additional relevant studies that might have been missed in the primary searches. There will always be small individual ...
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Review Articles Source Type: research

The European curriculum for geriatric emergency medicine
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 30, 2016 Category: Emergency Medicine Tags: Editorial Source Type: research

Management of eye injuries in children attending the Emergency Department
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Correspondence Source Type: research

Hyperfrequent users of Spanish Hospital Emergency Departments
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Correspondence Source Type: research

Ambulance trust initiatives to reduce conveyances to emergency departments
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Correspondence Source Type: research

Hospital implementation of resuscitation guidelines and review of CPR training programmes: a nationwide study
This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life support (ALS) algorithm was 8...
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Short Reports Source Type: research

Isolated fat pad sign in acute elbow injury: is it clinically relevant?
This study shows that, unless symptoms persist or worsen, regular follow-up at a specialized outpatient clinic is not needed. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Short Reports Source Type: research

The Icatibant Outcome Survey: treatment of laryngeal angioedema attacks
Conclusions: This analysis describes successful use of icatibant for the treatment of laryngeal HAE attacks in a real-world setting. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Short Reports Source Type: research

Bradykinin-mediated angioedema: factors associated with admission to an intensive care unit, a multicenter study
Conclusion: Upper airway involvement is an independent risk factor for ICU admission. Corticosteroid use, which is an ineffective treatment, and C1-inhibitor concentrate use are factors for ICU admission. The presence of upper airway involvement should be a warning signal that the attack may be severe. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Ethically justified treatment limitations in emergency situations
Objective: Medical emergency teams (METs) implement do not attempt cardiopulmonary resuscitation (DNACPR) orders and other limitations of medical treatment (LOMTs) in hospitals regularly. However, METs operate in emergency situations with limited or no patient information at the scene. We aimed to study the medical ethics of LOMTs implemented in in-hospital emergency situations. Methods: This was a prospective observational study with retrospect case-note analysis conducted in a single Finnish university hospital over 16 months. Data were collected according to the Utstein-style scientific statement. Results: There were ...
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Modular continuing professional development for emergency physicians – the MNSHA masterclass programme
Introduction: Emergency physician (EP) training in the Netherlands is currently a 3-year competency-based programme. Upon its completion, many Dutch EPs feel that they lack some of the skills and the knowledge necessary to be fully prepared for the challenges of emergency medicine. We perceived a need for new methods to deliver continuing professional development (CPD). Methods: A needs analysis survey was conducted to ascertain whether our perceived need for a new CPD programme was genuine. A new course was developed, incorporating innovative learning methods. The results of the needs analysis were incorporated into the ...
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Patient expectations of emergency hospital admission: a cross-sectional questionnaire survey
Conclusion: Most patients being assessed for admission do not expect to be admitted, but most report positive views about the safety, comfort and convenience of hospital admission. We found no evidence of reduced satisfaction if expectations about admission are not met. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Self-referrals in a Dutch Emergency Department: how appropriate are they?
Conclusion: The percentage of appropriate ED visits by self-referred patients in the Netherlands ranges from 48.1 to 58.8%, as determined using two different methods. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

The management of suspected scaphoid fractures in English hospitals: a national survey
Conclusion: This is still considerable variability in the way these patients are managed in England. Further work needs to be undertaken to establish the most appropriate way to manage patients with wrist injuries with ongoing clinical suspicion of scaphoid fracture. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

A comparison of a formal triage scoring system and a quick-look triage approach
Conclusion: TNs assigning triage scores to ED patients on arrival, using only chief complaint and observation, were statistically comparable to scores assigned utilizing a resource-intense, comprehensive triage system, but clinically significant discrepancies were identified. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Heart failure diagnosis in acute conditions has high agreement with inpatient diagnosis
Conclusion: Our study showed considerable agreement between different AHF diagnostic standards. An initial AHF diagnosis on the basis of clinical signs and biological parameters utilizing B-type natriuretic peptide testing has high agreement and accuracy with the hospital discharge and adjudicated diagnosis of AHF. The present study also shows that the accuracy of the initial AHF diagnosis allows rapid inclusion in AHF trials. These results, if confirmed in a broader cohort of patients, suggest that the initial ED diagnosis is highly accurate and reliable to guide further inpatient management. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

The management of cellulitis in emergency departments: antibiotic-prescribing practices and adherence to practice guidelines in Ireland
Conclusion: In Ireland, current prescribing practices for CREST 1 and modified CREST 1 and 2 patients are poorly adherent to guideline recommendations. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Mortality and prognostic factors of patients who have blood cultures performed in the emergency department: a cohort study
Conclusion: Among blood-cultured patients in the MED, we found an 11.0% overall 30-day mortality. Factors associated with 30-day mortality were age more than 80 years, at least two organ failure, bacteraemia, Charlson Comorbidity Index of at least 2, SIRS, a history of alcohol dependency and late drawing of blood cultures. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Testicular torsion and the acute scrotum: current emergency management
The acute scrotum is a challenging condition for the treating emergency physician requiring consideration of a number of possible diagnoses including testicular torsion. Prompt recognition of torsion and exclusion of other causes may lead to organ salvage, avoiding the devastating functional and psychological issues of testicular loss and minimizing unnecessary exploratory surgeries. This review aims to familiarize the reader with the latest management strategies for the acute scrotum, discusses key points in diagnosis and management and evaluates the strengths and drawbacks of history and clinical examination from an emer...
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Review Article Source Type: research

Sepsis – where are the emergency physicians?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Editorial Source Type: research

Diagnosing fractures: pain intensity and subjective functional impairment are unreliable markers for initial assessment of possible extremity fractures
Conclusion: Fracture diagnosis based only on patient opinion or subjective functional impairment can be misleading. Pain intensity needs further investigation for its role in fracture detection. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 25, 2016 Category: Emergency Medicine Tags: Short Report Source Type: research

Psychoactive substance (drugs and alcohol) use by Emergency Department patients before injury
Conclusion: Over a quarter of trauma patients visiting the ED had used alcohol, psychoactive medication and/or illicit drugs before their accident. By far, the majority of intoxications before trauma were because of alcohol (19%). We found higher prevalence rates of alcohol intoxication and lower prevalence rates for illicit drug use than others. Because of our comprehensive approach and high response rates, registration bias was minimized. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 25, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Factors affecting blood sample haemolysis: a cross-sectional study
Objective: To determine the effect of blood sampling through an intravenous catheter compared with a needle in Emergency Department blood sampling. Methods: We undertook a prospective, cross-sectional study in a UK university teaching hospital Emergency Department. A convenience sample of 985 patients who required blood sampling via venepuncture was collected. A total of 844 complete sets of data were analysed. The median age was 63 years, and 57% of patients were male. The primary outcome measure was the incidence of haemolysis in blood samples obtained via a needle compared with samples obtained via an intravenous cathe...
Source: European Journal of Emergency Medicine - February 25, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Comparison of two intraosseous devices in adult patients in the emergency setting: a pilot study
Objective: To compare two intraosseous (IO) insertion devices in terms of safety and ease of use in patients who need urgent vascular access in the emergency setting following failed attempts for intravenous lines. Methods: This prospective, randomized clinical study compared two different IO access devices in adults (≥16 years of age or weighing>40 kg) admitted to our emergency department with difficult peripheral venous access and in need of urgent intervention. The findings were compared in terms of the rates of successful insertion of spring-loaded impact-driven adult BIG and the battery-driven EZ-IO devices on th...
Source: European Journal of Emergency Medicine - February 25, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Do physiological scoring and a novel point of care metabolic screen predict 48-h outcome in admissions from the emergency department resuscitation area?
Objective: We aimed to compare the performance of a widely used physiological score [Modified Early Warning Score (MEWS)] and a novel metabolic score (derived from a blood gas) in predicting outcome in emergency department patients. Design, setting and participants: We carried out a prospective observational study using a convenience sample of 200 patients presenting to the resuscitation area of an inner-city teaching hospital over 4 months. Main outcome measures: We looked primarily at whether either score predicted new organ failure at 48 h. Our secondary outcome measures were escalation of care and mortality at 48...
Source: European Journal of Emergency Medicine - February 25, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research