546 results match your criteria BMC Emergency Medicine[Journal]


Prehospital administration of blood products: experiences from a Finnish physician-staffed helicopter emergency medical service.

BMC Emerg Med 2020 Jul 7;20(1):55. Epub 2020 Jul 7.

Emergency Medical Services, Tampere University Hospital, PO Box 2000, FI-33521, Tampere, Finland.

Background: Massive infusions of crystalloids into bleeding hypotensive patients can worsen the outcome. Military experience suggests avoiding crystalloids using early damage control resuscitation with blood components in out of hospital setting. Civilian emergency medical services have since followed this idea. Read More

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http://dx.doi.org/10.1186/s12873-020-00350-xDOI Listing

Comparison of admission rates among patients treated by male and female emergency physicians: a multicenter study.

BMC Emerg Med 2020 Jul 1;20(1):54. Epub 2020 Jul 1.

Edward Via College of Osteopathic Medicine, 2265 Kraft Drive, Blacksburg, VA, 24060, USA.

Background: No study to date has looked at the gender of emergency medicine (EM) physicians in the United States in relation to admission rates. This study seeks to investigate admission rates of adult patients treated by female vs male EM physicians, to identify whether a practice pattern bias exists.

Methods: This was a multicenter retrospective study of four community hospitals. Read More

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http://dx.doi.org/10.1186/s12873-020-00349-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329465PMC

Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia.

BMC Emerg Med 2020 Jun 26;20(1):52. Epub 2020 Jun 26.

Department of Orthopedics, College of Medicine and Health Sciences, Faculty of Medicine, Hawassa University, Hawassa, Ethiopia.

Background: Post-traumatic stress disorder (PTSD) is prevalent among road traffic accident survivors (RTA), yet the psychological welfare of the persons has largely been ignored as health care professionals focus more on managing physical injuries. Many literatures from other parts of the world have addressed the issue of post-traumatic stress disorder among road traffic accident survivors, but such studies are mostly unavailable in sub-Saharan Africa, especially in Ethiopia. Therefore, this study examined the prevalence and determinants of PTSD among RTA survivors attending selected hospitals in southern Ethiopia. Read More

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http://dx.doi.org/10.1186/s12873-020-00348-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318391PMC

Analysis of emergency department visits for all reasons by adults with depression in the United States.

BMC Emerg Med 2020 Jun 22;20(1):51. Epub 2020 Jun 22.

Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, Room 1177, 400 North Ingalls Building, Ann Arbor, MI, 48109-5482, USA.

Background: We aimed to characterize Emergency Department (ED) utilization and outcomes of patients with depression seeking emergency care for all reasons.

Methods: Using 2014-2016 ED data from the National Hospital Ambulatory Medical Care Survey, we investigated demographics, ED resource utilization, clinical characteristics, and disposition of patients with depression versus those without depression.

Results: Approximately 10,626,184 (11. Read More

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http://dx.doi.org/10.1186/s12873-020-00347-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310062PMC

Prevalence of crowding, boarding and staffing levels in Swedish emergency departments - a National Cross Sectional Study.

BMC Emerg Med 2020 Jun 18;20(1):50. Epub 2020 Jun 18.

Department of Emergency Medicine, Local Health Care Services in Central Östergötland, Linköping, Sweden.

Background: Emergency Department (ED) crowding occurs when demand for care exceeds the available resources. Crowding has been associated with decreased quality of care and increased mortality, but the prevalence on a national level is unknown in most countries.

Method: We performed a national, cross-sectional study on staffing levels, staff workload, occupancy rate and patients waiting for an in-hospital bed (boarding) at five time points during 24 h in Swedish EDs. Read More

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http://dx.doi.org/10.1186/s12873-020-00342-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301476PMC

Evaluation of manual chest compressions according to the updated cardiopulmonary resuscitation guidelines and the impact of feedback devices in an educational resuscitation course.

BMC Emerg Med 2020 Jun 16;20(1):49. Epub 2020 Jun 16.

Trauma and Acute Critical Care Center, Tokyo Medical and Dental University 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.

Background: The cardiopulmonary resuscitation guidelines revised in 2015 recommend target chest compression rate (CCR) and chest compression depth (CCD) of 100-120 compressions per minute (cpm) and 5-6 cm, respectively. We hypothesized that the new guidelines are harder to comply with, even with proper feedback.

Methods: This prospective observational study using data collected from the participants of an Immediate Cardiac Life Support course included the evaluation of chest compressions using performance data from a feedback device after the completion of the course. Read More

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http://dx.doi.org/10.1186/s12873-020-00345-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298753PMC

Piloting data linkage in a prospective cohort study of a GP referral scheme to avoid unnecessary emergency department conveyance.

BMC Emerg Med 2020 Jun 12;20(1):48. Epub 2020 Jun 12.

Division of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, N.S, Canada.

Background: UK Ambulance services are under pressure to safely stream appropriate patients away from the Emergency Department (ED). Even so, there has been little evaluation of patient outcomes. We investigated differences between patients who are conveyed directly to ED after calling 999 and those referred by an ambulance crew to a novel GP referral scheme. Read More

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http://dx.doi.org/10.1186/s12873-020-00343-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291513PMC

The growing impact of older patients in the emergency department: a 5-year retrospective analysis in Brazil.

BMC Emerg Med 2020 Jun 11;20(1):47. Epub 2020 Jun 11.

Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

Background: The average age of the global population is rising at an increasing rate. There is a disproportional increase in Emergency Department (ED) visits by older people worldwide. In the Brazilian health system, complex and severely ill patients and those requiring specialized urgent procedures are referred to tertiary level care. Read More

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http://dx.doi.org/10.1186/s12873-020-00341-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291438PMC

Use of peripheral vascular access in the prehospital setting: is there room for improvement?

BMC Emerg Med 2020 Jun 9;20(1):46. Epub 2020 Jun 9.

Department of Emergency Medicine, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), Bugnon 46, 1011, Lausanne, Switzerland.

Background: Previous studies have shown that prehospital insertion of peripheral vascular access is highly variable. The aim of this study is to establish the proportion of peripheral vascular access placement and its use with regard to both the severity of cases and the main problem suspected by the paramedics involved. Over-triage was considered to have taken place where peripheral vascular access was placed but unused and these cases were specifically analysed in order to evaluate the possibility of improving current practice. Read More

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http://dx.doi.org/10.1186/s12873-020-00340-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285568PMC

Immediate effects of urgent reorganisation of emergency department-based treatment pathway in nonperforated appendicitis: a retrospective study.

BMC Emerg Med 2020 May 29;20(1):45. Epub 2020 May 29.

Department of Emergency Medicine, Kanta-Häme Central Hospital, Ahvenistontie 20, FI-13530, Hämeenlinna, Finland.

Background: Acute appendicitis is a global disease and a very common indication for emergency surgery worldwide. The need for hospital resources is therefore constantly high. The administration in Kanta-Häme Central Hospital, Southern Finland, called for an urgent reorganisation due to shortage of hospital beds at the department of general surgery. Read More

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http://dx.doi.org/10.1186/s12873-020-00339-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257164PMC

Cognitive skills of emergency medical services crew members: a literature review.

Authors:
Martin Sedlár

BMC Emerg Med 2020 May 29;20(1):44. Epub 2020 May 29.

Institute of Experimental Psychology, Centre of Social and Psychological Sciences, Slovak Academy of Sciences, Dúbravská cesta 9, 841 04, Bratislava, Slovak Republic.

Background: Situation awareness and decision making, listed in non-technical skills taxonomies, are critical for effective and safe performance in high-risk professions. These cognitive skills and their behavioral markers have been studied less in emergency medical services (EMS) crew members. This paper aims to review the existing literature and identify important aspects and behavioral markers of situation awareness and decision making in EMS crew members - those who work in the role of prehospital emergency care providers - and to synthesize findings as a basis for developing a rating and training tool. Read More

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http://dx.doi.org/10.1186/s12873-020-00330-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257132PMC

The utility of red cell distribution width to predict mortality of septic patients in a tertiary hospital of Nepal.

BMC Emerg Med 2020 May 26;20(1):43. Epub 2020 May 26.

Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Background: Sepsis is a common problem encountered in the emergency room which needs to be intervened early. Predicting prognosis is always a difficult task in busy emergency rooms using present scores, which has several variables to calculate. Red cell distribution width (RDW) is an easy, cheap, and efficacious score to predict the severity and mortality of patients with sepsis. Read More

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http://dx.doi.org/10.1186/s12873-020-00337-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249690PMC

Reliability of prehospital patient classification in helicopter emergency medical service missions.

BMC Emerg Med 2020 May 25;20(1):42. Epub 2020 May 25.

Emergency Medical Services, Turku University Hospital and University of Turku, Turku, Finland.

Background: Several scores and codes are used in prehospital clinical quality registries but little is known of their reliability. The aim of this study is to evaluate the inter-rater reliability of the American Society of Anesthesiologists physical status (ASA-PS) classification system, HEMS benefit score (HBS), International Classification of Primary Care, second edition (ICPC-2) and Eastern Cooperative Oncology Group (ECOG) performance status in a helicopter emergency medical service (HEMS) clinical quality registry (CQR).

Methods: All physicians and paramedics working in HEMS in Finland and responsible for patient registration were asked to participate in this study. Read More

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http://dx.doi.org/10.1186/s12873-020-00338-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249641PMC

Which factors influence the ED length-of-stay after anterior shoulder dislocations: a retrospective chart review in 716 cases.

BMC Emerg Med 2020 May 20;20(1):41. Epub 2020 May 20.

Dijklander Ziekenhuis, Maelsonstraat 3, 1624, NP, Hoorn, the Netherlands.

Background: Anterior shoulder dislocations (ASD) are commonly seen in Emergency Departments (ED). ED overcrowding is increasingly burdening many healthcare systems. Little is known about factors influencing ED length-of-stay (LOS) for ASD. Read More

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http://dx.doi.org/10.1186/s12873-020-00336-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238621PMC

Diagnostic uncertainty and urinary tract infection in the emergency department: a cohort study from a UK hospital.

BMC Emerg Med 2020 May 19;20(1):40. Epub 2020 May 19.

Department of Microbiology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Birmingham, B15 2TH, UK.

Background: Suspected urinary tract infection (UTI) syndromes are a common reason for empirical antibiotics to be prescribed in the Emergency Department (ED), but differentiating UTI from other conditions with a similar presentation is challenging. We investigated how often an ED diagnosis of UTI is confirmed clinically/microbiologically, and described conditions which present as UTI syndromes.

Methods: Observational study using electronic health records from patients who attended the ED with suspected UTI and had a urine sample submitted for culture. Read More

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http://dx.doi.org/10.1186/s12873-020-00333-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238572PMC

Outcomes of tranexamic acid administration in military trauma patients with intracranial hemorrhage: a cohort study.

BMC Emerg Med 2020 May 14;20(1):39. Epub 2020 May 14.

Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD, 20889, USA.

Background: Tranexamic acid (TXA) may be a useful adjunct for military patients with severe traumatic brain injury (TBI). These patients are often treated in austere settings without immediate access to neurosurgical intervention. The purpose of this study was to evaluate any association between TXA use and progression of intracranial hemorrhage (ICH), neurologic outcomes, and venous thromboembolism (VTE) in TBI. Read More

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http://dx.doi.org/10.1186/s12873-020-00335-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222426PMC

Efficacy and safety of inhaled budesonide on prevention of acute mountain sickness during emergent ascent: a meta-analysis of randomized controlled trials.

BMC Emerg Med 2020 May 13;20(1):38. Epub 2020 May 13.

Maharajgunj Medical Campus, Tribhuvan University Institute of Medicine, Kathmandu, Nepal.

Background: Acute Mountain Sickness (AMS) is a pathophysiologic process that occurs in non-acclimated susceptible individuals rapidly ascending to high-altitude. Barometric pressure falls at high altitude and it translates to a decreased partial pressure of alveolar oxygen (PAO2) and arterial oxygen (PaO2). A gradual staged ascent with sufficient acclimatization can prevent AMS but emergent circumstances requiring exposure to rapid atmospheric pressure changes - such as for climbers, disaster or rescue team procedures, and military operations - establishes a need for effective prophylactic medications. Read More

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http://dx.doi.org/10.1186/s12873-020-00329-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222565PMC

"Analysis of readmissions to the emergency department among patients presenting with abdominal pain".

BMC Emerg Med 2020 May 12;20(1):37. Epub 2020 May 12.

2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St, 31-501, Cracow, Poland.

Background: Abdominal pain is one of the most common complaints among patients admitted to the Emergency Department (ED). Diagnosis and management of abdominal pain may be a challenge and there are patients who require admission to the ED more than once in a short period of time. Our purpose was to assess the incidence of readmissions among patients treated in the ED due to abdominal pain and to investigate the impact of readmission on the further course of treatment. Read More

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http://dx.doi.org/10.1186/s12873-020-00334-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216723PMC

Prognostic prediction tools and clinician communication: a qualitative study of the effect of the STUMBL tool on clinical practice.

BMC Emerg Med 2020 May 11;20(1):36. Epub 2020 May 11.

Morriston Hospital, Abertawe Bro Morgannwg University Health Board, Heol Maes Eglwys, Swansea, SA6 6NL, UK.

Background: In recent years, researchers and clinicians have been developing prognostic prediction tools (PPTs) as a way of identifying patients at risk of deterioration. The use of PPTs in the clinical environment not only impacts the risk of adverse outcomes for patients, but the use of these tools also effect clinical practice. Much attention has been paid to the clinical performance of PPTs. Read More

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http://dx.doi.org/10.1186/s12873-020-00331-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216548PMC

Lower maximum forces on oral structures when using gum-elastic bougie than when using endotracheal tube and stylet during both direct and indirect laryngoscopy by novices: a crossover study using a high-fidelity simulator.

BMC Emerg Med 2020 May 6;20(1):34. Epub 2020 May 6.

Department of Disaster and Emergency Medicine, Graduate School of Medicine, Kobe University, 7-5-2 Kusunoki-cho, Chuo-ward, Kobe, 650-0017, Japan.

Background: Applying excessive force during endotracheal intubation (ETI) is associated with several complications, including dental trauma and hemodynamic alterations. A gum-elastic bougie (GEB), a type of tracheal tube introducer, is a useful airway adjunct for patients with poor laryngoscopic views. However, how the use of a GEB affects the force applied during laryngoscopy is unclear. Read More

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http://dx.doi.org/10.1186/s12873-020-00328-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201614PMC

Development of the "POP" scoring system for predicting obstetric and gynecological diseases in the emergency department: a retrospective cohort study.

BMC Emerg Med 2020 May 6;20(1):35. Epub 2020 May 6.

Department of Emergency Medicine and Critical Care, Japanese Red Cross Society Kyoto Daini Hospital, 602-8026, Haruobicho 355-5, Kamigyo, Kyoto, Japan.

Background: Obstetric and gynecological (OBGY) diseases are among the most important differential diagnoses for young women with acute abdominal pain. However, there are few established clinical prediction rules for screening OBGY diseases in emergency departments (EDs). This study aimed to develop a prediction model for diagnosing OBGY diseases in the ED. Read More

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http://dx.doi.org/10.1186/s12873-020-00332-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203896PMC

Evaluating capacity at three government referral hospital emergency units in the kingdom of Eswatini using the WHO Hospital Emergency Unit Assessment Tool.

BMC Emerg Med 2020 May 6;20(1):33. Epub 2020 May 6.

Division of Emergency Medicine, University of Cape Town, Anzio Road, Observatory, Cape Town, 7935, South Africa.

Background: The Kingdom of Eswatini, a lower-middle income nation of 1.45 million in southern Africa, has recently identified emergency care as a key strategy to respond to the national disease burden. We aimed to evaluate the current capacity of hospital emergency care areas using the WHO Hospital Emergency Unit Assessment Tool (HEAT) at government referral hospitals in Eswatini. Read More

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http://dx.doi.org/10.1186/s12873-020-00327-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201969PMC

Potential prognostic roles of serum lactate and Creatine kinase levels in poisoned patients.

BMC Emerg Med 2020 Apr 29;20(1):32. Epub 2020 Apr 29.

Tehran University of Medical Science, Tehran, Iran.

Background: Examination of serum lactate level and its changes, as an indicator of tissue oxygenation, as well as level of creatine kinase (CK) inhibitors, as a factor of mortality which partially expresses heart, brain, and muscle damage, may be considered as tools to determine prognosis in critically ill patients. We aimed to evaluate these two factors as potential prognostic factors in critically poisoned patients admitted to our toxicology ICU.

Method: This is a cross-sectional descriptive-analytic study that was performed on poisoned patients referred to emergency department of Loghman Hakim Hospital. Read More

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http://dx.doi.org/10.1186/s12873-020-00326-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191820PMC

Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: a knowledge, attitudes and practices survey.

BMC Emerg Med 2020 Apr 28;20(1):31. Epub 2020 Apr 28.

Department of Anaesthesia and Perioperative Medicine, University of Cape Town (UCT), Cape Town, South Africa.

Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between healthcare providers' knowledge of, and attitudes towards pain and pain management practices. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers regarding acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. Read More

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http://dx.doi.org/10.1186/s12873-020-00315-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187518PMC

A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke.

BMC Emerg Med 2020 Apr 26;20(1):30. Epub 2020 Apr 26.

Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.

Background: Pre-hospital identification of key subgroups within the suspected stroke population could reduce delays to emergency treatment. We aimed to identify and describe technology with existing proof of concept for diagnosis or stratification of patients in the pre-hospital setting.

Methods: A systematic electronic search of published literature (from 01/01/2000 to 06/06/2019) was conducted in five bibliographic databases. Read More

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http://dx.doi.org/10.1186/s12873-020-00323-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183583PMC

Trauma care and capture rate of variables of World Health Organisation data set for injury at regional hospitals in Tanzania: first steps to a national trauma registry.

BMC Emerg Med 2020 Apr 23;20(1):29. Epub 2020 Apr 23.

Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Private Bag X24 • Bellville, Cape Town, 7535, South Africa.

Background: In Tanzania, there is no national trauma registry. The World Health Organization (WHO) has developed a data set for injury that specifies the variables necessary for documenting the burden of injury and patient-related clinical processes. As a first step in developing and implementing a national Trauma Registry, we determined how well hospitals currently capture the variables that are specified in the WHO injury set. Read More

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http://dx.doi.org/10.1186/s12873-020-00325-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178583PMC

A needs assessment of resuscitative endovascular balloon occlusion of the aorta (REBOA) in non-traumatic out-of-hospital cardiac arrest in Norway.

BMC Emerg Med 2020 Apr 21;20(1):28. Epub 2020 Apr 21.

Norwegian Air Ambulance Foundation, Department of Research and Development, Oslo, Norway.

Introduction: Out of hospital cardiac arrest (OHCA) carries an 86% mortality rate in Norway. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potential adjunct in management of non-traumatic cardiac arrest and is feasible in pre-hospital setting without compromising standard cardiopulmonary resuscitation (CPR). However, number of patients potentially eligible for REBOA remain unknown. Read More

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http://dx.doi.org/10.1186/s12873-020-00324-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175537PMC

Quality of gout care in the emergency departments: a multicentre study.

BMC Emerg Med 2020 Apr 20;20(1):27. Epub 2020 Apr 20.

Department of Internal Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, 65000, Thailand.

Background: To report on prevalence of gout flare in emergency departments and to report the quality of gout care in emergency departments and causes of admission at emergency departments.

Methods: A retrospective chart review of visits that had a primary diagnosis in gout by the International Classification of Diseases, the tenth revision, at emergency departments from 6 universities in Thailand over a 5 year period from 1 January 2012 to 31 December 2016.

Results: Six hundred thirty-two visits were included to the study. Read More

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http://dx.doi.org/10.1186/s12873-020-00319-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171834PMC

The impact of early administration of vasopressor agents for the resuscitation of severe hemorrhagic shock following blunt trauma.

BMC Emerg Med 2020 Apr 16;20(1):26. Epub 2020 Apr 16.

Department of Traumatology and Critical Care Medicine, Osaka City University, Graduate school of medicine, , 1-5-7, Asahi-machi, Abeno-ku, Osaka City, Osaka, 545-8585, Japan.

Background: When resuscitating patients with hemorrhagic shock following trauma, fluid volume restriction and permissive hypotension prior to bleeding control are emphasized along with the good outcome especially for penetrating trauma patients. However, evidence that these concepts apply well to the management of blunt trauma is lacking, and their use in blunt trauma remains controversial. This study aimed to assess the impact of vasopressor use in patients with blunt trauma in severe hemorrhagic shock. Read More

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http://dx.doi.org/10.1186/s12873-020-00322-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164243PMC

Predictive value of circulating plasma mitochondrial DNA for Sepsis in the emergency department: observational study based on the Sepsis-3 definition.

BMC Emerg Med 2020 Apr 16;20(1):25. Epub 2020 Apr 16.

Department of Emergency, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Background: The definition of sepsis is regularly updated; however, there is no standard diagnostic test. To improve diagnosis and prognostic prediction, the aim of this study was to determine the predictive value of circulating plasma mitochondrial DNA (mtDNA) levels in patients admitted to the emergency department (ED) with sepsis.

Methods: A total of 107 patients hospitalized from June 2018 to January 2019 were divided into the sepsis (n = 72) and septic shock (n = 35) groups based on the sepsis-3 definition. Read More

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http://dx.doi.org/10.1186/s12873-020-00320-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164211PMC

Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation; an observational prospective study.

BMC Emerg Med 2020 Mar 23;20(1):22. Epub 2020 Mar 23.

Center of Emergency Medicine, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany.

Background: Videolaryngoscopy (VL) has become a popular method of intubation (ETI). Although VL may facilitate ETI in less-experienced rescuers there are limited data available concerning ETI performed by paramedics during CPR. The goal was to evaluate the impact VL compared with DL on intubation success and glottic view during CPR performed by German paramedics. Read More

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http://dx.doi.org/10.1186/s12873-020-00316-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092671PMC

Seasonal and climatic variation in the incidence of adult acute appendicitis: a seven year longitudinal analysis.

BMC Emerg Med 2020 Apr 7;20(1):24. Epub 2020 Apr 7.

St Mary's Hospital, Imperial College Healthcare NHS Trust, Praed Street, London, W2 1NY, UK.

Background: Acute appendicitis represents an extremely common surgical emergency, yet its aetiology remains uncertain. A multifactorial understanding of its causation has emerged along with increasing evidence of seasonal variation. This study seeks to find evidence for such a circannual trend within the United Kingdom (UK), and further assess key meteorological indicators which may be causative of any such variation. Read More

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http://dx.doi.org/10.1186/s12873-020-00321-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140570PMC

Retraction Note: Severe Viperidae envenomation complicated by a state of shock, acute kidney injury, and gangrene presenting late at the emergency department: a case report.

BMC Emerg Med 2020 03 30;20(1):23. Epub 2020 Mar 30.

Department of Emergency medicine, Anesthesiology and critical care, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

The authors have retracted this case report [1] because the head of the snake shown in Figure 1 and described as being that of a viper (Echis occellatus) is identical to the head of a snake shown in Figure 1 of a different case report [2] where it was identified as being Naja melanoleuca, a member of the Elapidae family. Read More

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http://dx.doi.org/10.1186/s12873-020-00318-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106662PMC

Impact of a postcrash first aid educational program on knowledge, perceived skills confidence, and skills utilization among traffic police officers: a single-arm before-after intervention study.

BMC Emerg Med 2020 03 18;20(1):21. Epub 2020 Mar 18.

Department of Nursing, Umeå University, Umeå, Sweden.

Background: An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present study evaluated a postcrash first aid (PFA) educational program developed for police officers in Tanzania. Read More

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http://dx.doi.org/10.1186/s12873-020-00317-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079460PMC

Patient motives for contacting out-of-hours care in Denmark: a cross-sectional study.

BMC Emerg Med 2020 03 17;20(1):20. Epub 2020 Mar 17.

Research Unit for General Practice, Bartholins Alle 2, 8000, Aarhus, Denmark.

Background: Patients in need of acute health care do not always contact the most suitable health care service provider. Contacting out-of-hours primary care for an urgent problem may delay care, whereas contacting emergency medical services for a non-urgent problem could ultimately affect patient safety. More insight into patient motives for contacting a specific health care provider may help optimise patient flows. Read More

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http://dx.doi.org/10.1186/s12873-020-00312-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079359PMC

First line in psychiatric emergency: pre-hospital emergency protocol for mental disorders in Iran.

BMC Emerg Med 2020 03 16;20(1):19. Epub 2020 Mar 16.

Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Tehran, Iran.

Introduction: This article is a report of designing a rapid and effective guide for paramedics who take care of patients in a pre-hospital setting to answer developing demands.

Methods: The relevant literature was reviewed, and the topics were extracted. Then, the extracted items were discussed in an expert panel. Read More

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http://dx.doi.org/10.1186/s12873-020-00313-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074981PMC

Determinants of prehospital lactate in trauma patients: a retrospective cohort study.

BMC Emerg Med 2020 03 11;20(1):18. Epub 2020 Mar 11.

Air Ambulance Kent, Surrey and Sussex, Redhill Aerodrome, Redhill Airfield, Redhill, Surrey, RH1 5YP, UK.

Background: Point of care serum lactate measurement is emerging as an adjunct to prehospital clinical assessment and has the potential to guide triage and advanced treatment decision-making. In this study we aimed to assess which factors potentially affect prehospital lactate levels.

Methods: We performed a retrospective cohort study of all trauma patients attended by the Air Ambulance, Kent, Surrey & Sussex (AAKSS) between July 2017 and April 2018 in whom a pre-hospital lactate was measured. Read More

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http://dx.doi.org/10.1186/s12873-020-00314-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066760PMC

Value of clinical examination in the assessment of penetrating neck injuries: a retrospective study of diagnostic accuracy test.

BMC Emerg Med 2020 03 9;20(1):17. Epub 2020 Mar 9.

Escuela de Medicina y Ciencias de la Salud. Grupo de Investigación Clínica, Universidad del Rosario, Carrera 24 No 63C-69 Barrio Siete de Agosto, Bogotá, DC, Colombia.

Background: There are many high-volume trauma centers in limited resource environments where a thorough clinical examination of patients may contribute to a more economical, accurate, and widely applicable method of determining the proper management of patients with penetrating neck injuries. The purpose of this study was to validate thorough physical examination as a reliable diagnostic tool in these patients.

Methods: We performed an observational retrospective study of a diagnostic accuracy test where we compared clinical findings (symptoms and soft signs on admission of the patient) with the definitive findings according to the gold standard test for each particular situation (selective studies, clinical observation and surgical exploration). Read More

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http://dx.doi.org/10.1186/s12873-020-00311-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063736PMC

Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study.

BMC Emerg Med 2020 03 2;20(1):16. Epub 2020 Mar 2.

Department of Psychiatry, New York University School of Medicine, 1 Park Avenue, New York, NY, 10016, USA.

Background: Previous work has indicated that post-traumatic stress disorder (PTSD) symptoms, measured by the Clinician-Administered PTSD Scale (CAPS) within 60 days of trauma exposure, can reliably produce likelihood estimates of chronic PTSD among trauma survivors admitted to acute care centers. Administering the CAPS is burdensome, requires skilled professionals, and relies on symptoms that are not fully expressed upon acute care admission. Predicting chronic PTSD from peritraumatic responses, which are obtainable upon acute care admission, has yielded conflicting results, hence the rationale for a stepwise screening-and-prediction practice. Read More

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http://dx.doi.org/10.1186/s12873-020-00308-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053081PMC

Serum Copeptin levels in the emergency department predict major clinical outcomes in adult trauma patients.

BMC Emerg Med 2020 02 24;20(1):14. Epub 2020 Feb 24.

Department of Emergency Medicine Azienda USL-IRCCS di Reggio Emilia, via Amendola 2, 42122, Reggio Emilia, Italy.

Background: Early prognostication in trauma patients is challenging, but particularly important. We wanted to explore the ability of copeptin, the C-terminal fragment of arginine vasopressin, to identify major trauma, defined as Injury Severity Score (ISS) > 15, in a heterogeneous cohort of trauma patients and to compare its performances with lactate. We also evaluated copeptin performance in predicting other clinical outcomes: mortality, hospital admission, blood transfusion, emergency surgery, and Intensive Care Unit (ICU) admission. Read More

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http://dx.doi.org/10.1186/s12873-020-00310-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041089PMC
February 2020

Oxygen therapy in patients with ST elevation myocardial infarction based on the culprit vessel: results from the randomized controlled SOCCER trial.

BMC Emerg Med 2020 02 18;20(1):12. Epub 2020 Feb 18.

Department of Clinical Sciences Lund, Emergency and Internal Medicine, Lund University, Skåne University Hospital, Akutmottagningen, EA10, SUS Lund, 221 85, Lund, Sweden.

Background: Oxygen (O) treatment has been a cornerstone in the treatment of patients with myocardial infarction. Recent studies, however, state that supplemental O therapy may have no effect or harmful effects in these patients. The aim of this study was thus to evaluate the effect of O therapy in patients with ST Elevation Myocardial Infarction (STEMI) based on the culprit vessel; Left Anterior Descending Artery (LAD) or Non-LAD. Read More

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http://dx.doi.org/10.1186/s12873-020-00309-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027294PMC
February 2020

Indirect impact of violent events on emergency department utilization and disease patterns.

BMC Emerg Med 2020 02 13;20(1):10. Epub 2020 Feb 13.

Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Background: The health effects of war and armed conflict on casualties and mental health of those directly exposed has been well described, but few studies have explored the indirect health effects of violent events. This paper assesses the indirect health impact of several violent events that took place in Beirut in 2013-2014 on ED visit utilization and disease patterns.

Methods: As tracked by media reports, there were 9 violent events in Beirut during 2013-2014. Read More

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http://dx.doi.org/10.1186/s12873-020-0307-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020587PMC
February 2020

To strengthen self-confidence as a step in improving prehospital youth laymen basic life support.

BMC Emerg Med 2020 01 30;20(1). Epub 2020 Jan 30.

Jönköping University, School of Health Sciences, PO Box 1026, 551 11, Jönköping, Sweden.

Background: A rapid emergency care intervention can prevent the cardiac arrest from resulting in death. In order for Cardio Pulmonary Resuscitation (CPR) to have any real significance for the survival of the patient, it requires an educational effort educating the large masses of people of whom the youth is an important part. The aim of this study was to investigate the effect of a two-hour education intervention for youth regarding their self-confidence in performing Adult Basic Life Support (BLS). Read More

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http://dx.doi.org/10.1186/s12873-020-0304-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993316PMC
January 2020

Patient characteristics, triage utilisation, level of care, and outcomes in an unselected adult patient population seen by the emergency medical services: a prospective observational study.

BMC Emerg Med 2020 01 30;20(1). Epub 2020 Jan 30.

Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: Crowding in the emergency department (ED) is a safety concern, and pathways to bypass the ED have been introduced to reduce the time to definitive care. Conversely, a number of low-acuity patients in the ED could be assessed by the emergency medical services (EMS) as requiring a lower level of care. The limited access to primary care in Sweden leaves the EMS nurse to either assess the patient as requiring the ED or to stay at the scene. Read More

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http://dx.doi.org/10.1186/s12873-020-0302-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993445PMC
January 2020

A qualitative study on conveyance decision-making during emergency call outs to people with dementia: the HOMEWARD project.

BMC Emerg Med 2020 01 29;20(1). Epub 2020 Jan 29.

Faculty of Health and Applied Sciences, University of the West of England, Glenside Campus, Blackberry Hill, Bristol, BS16 1DD, UK.

Background: Paramedics are increasingly required to make complex decisions as to whether they should convey a patient to hospital or manage their condition at the scene. Dementia can be a significant barrier to the assessment process. However, to our knowledge no research has specifically examined the process of decision-making by paramedics in relation to people with dementia. Read More

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http://dx.doi.org/10.1186/s12873-020-0306-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988190PMC
January 2020

The utility of the brain trauma evidence to inform paramedic rapid sequence intubation in out-of-hospital stroke.

BMC Emerg Med 2020 01 28;20(1). Epub 2020 Jan 28.

Department of Community Emergency Health and Paramedic Practice, Monash University, Melbourne, Australia.

Background: Rapid sequence intubation (RSI) is used to secure the airway of stroke patients. Randomized controlled trial evidence exists to support the use of paramedic RSI for traumatic brain injury (TBI), but cannot necessarily be applied to stroke RSI because of differences between the stroke and TBI patient. To understand if the TBI evidence can be used for stroke RSI, we analysed a retrospective cohort of TBI and strokes to compare how survival is impacted differently by RSI when comparing strokes and TBI. Read More

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http://dx.doi.org/10.1186/s12873-020-0303-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988411PMC
January 2020

Correction to: Atypical presentation of hemorrhagic shock in pregnancy: a case highlighting the developing field of emergency medicine in Israel.

BMC Emerg Med 2020 01 15;20(1). Epub 2020 Jan 15.

Department of Emergency Medicine Ha-Refu'a St 7, Samson Assuta Ashdod Medical Center, 7747629, Ashdod, Israel.

The original article [1] contained a misspelling in first author, Baruch Berzon's name which has since been corrected. Read More

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http://dx.doi.org/10.1186/s12873-020-0301-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961245PMC
January 2020

A woman's worth: an access framework for integrating emergency medicine with maternal health to reduce the burden of maternal mortality in sub-Saharan Africa.

BMC Emerg Med 2020 01 13;20(1). Epub 2020 Jan 13.

Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY, 14642, USA.

Background: Within each of the Sustainable Development Goals (SDGs), the World Health Organization (WHO) has identified key emergency care (EC) interventions that, if implemented effectively, could ensure that the SDG targets are met. The proposed EC intervention for reaching the maternal mortality benchmark calls for "timely access to emergency obstetric care." This intervention, the WHO estimates, can avert up to 98% of maternal deaths across the African region. Read More

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http://dx.doi.org/10.1186/s12873-020-0300-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958725PMC
January 2020