3,321 results match your criteria Emergency Medicine[Journal]


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 2019 Mar 12;19(1):26. Epub 2019 Mar 12.

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

Background: Snake envenomation is an underestimated pathology in sub-Saharan Africa associated with severe emergencies, and even death in case of late presentation. We herein present a case of severe envenomation managed at the surgical emergency department of the Yaoundé Central Hospital.

Case Presentation: We report a case of a 47-year-old female farmer with no relevant past history who sustained a snakebite by an Echis occellatus viper during an agricultural activity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0239-0DOI Listing

Prevalence and factors associated with road traffic incident among adolescents and children in the hospitals of Amhara National Regional State, Ethiopia.

BMC Emerg Med 2019 Mar 4;19(1):25. Epub 2019 Mar 4.

Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O.Box: 196, Gondar, Ethiopia.

Background: Road Traffic Incident (RTI) has been commonly reported as a major public health problem around the world and the incidence is higher in low and middle income countries, such as Ethiopia than high income countries. The aim of this study was to assess the prevalence and factors associated with RTI among adolescents and children in the hospitals of Amhara Regional State, Ethiopia.

Methods: A cross-sectional study design was employed among 830 injured children visiting the Emergency Department of four randomly selected hospitals of Amhara Regional State, Ethiopia between February 1 and April 30, 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0238-1DOI Listing

CT imaging history for patients presenting to the ED with renal colic--evidence from a multi-hospital database.

BMC Emerg Med 2019 Mar 1;19(1):24. Epub 2019 Mar 1.

Department of Emergency Medicine, CHRISTUS Health/Texas A&M School of Medicine, Corpus Christi, TX, USA.

Background: Patients with renal colic have a 7% chance of annual recurrence. Previous studies evaluating cumulative Abbreviations: computed tomography (CT) exposure for renal colic patients were typically from single centers.

Methods: This was an observational cohort study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0232-7DOI Listing
March 2019
1 Read

Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases.

BMC Emerg Med 2019 Feb 28;19(1):23. Epub 2019 Feb 28.

Department of Forensic Medicine & Toxicology, School of Medicine, Aristotle University of Thessaloniki, (Campus), School of Medicine, 54124, Thessaloniki, Greece.

Background: Cardiopulmonary resuscitation (CPR) provides a significant increase in survival rate, even if performed by bystanders. However, bystanders may refrain from performing CPR for fear of eventual malpractice litigation. Currently lack Guidelines specifying whether a particular CPR-related complication is in all likelihood unavoidable or not. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0234-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396442PMC
February 2019
2 Reads

Respiratory compromise in children presenting to an urban emergency department of a tertiary hospital in Tanzania: a descriptive cohort study.

BMC Emerg Med 2019 Feb 28;19(1):21. Epub 2019 Feb 28.

Department of Emergency Medicine, University of California, San Francisco, CA, USA.

Background: Respiratory compromise is the leading cause of cardiac arrest and death among paediatric patients. Emergency medicine is a new field in low-income countries (LICs); the presentation, treatment and outcomes of paediatric patients with respiratory compromise is not well studied. We describe the clinical epidemiology, management and outcomes of paediatric patients with respiratory compromise presenting to the first full-capacity Emergency Department in Tanzania. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0235-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393970PMC
February 2019
1 Read

Pre-referral stabilization and compliance with WHO guidelines for trauma care among adult patients referred to an urban emergency department of a tertiary referral hospital in Tanzania.

BMC Emerg Med 2019 Feb 28;19(1):22. Epub 2019 Feb 28.

Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.

Background: The outcomes of trauma are considered to be time dependent. Efficient and timely pre-referral stabilization of trauma patients has been shown to impact survival. Tanzania has no formal pre-hospital or trauma system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0237-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394079PMC
February 2019

Emergency department visits in older patients: a population-based survey.

BMC Emerg Med 2019 Feb 27;19(1):20. Epub 2019 Feb 27.

Emergency Division of Pirkanmaa Hospital District, Tampere University Hospital, Teiskontie 35, 33521, Tampere, Finland.

Background: Given the higher incidence of emergency conditions in older inhabitants, the global increase in aged population will pose a challenge for emergency services. In this study we examined the burden caused to emergency health care by the aged population.

Methods: Consecutive patients aged 80 years or over visiting a high-volume, collaborative emergency department (ED) between 2015 and 2016 were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0236-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391758PMC
February 2019

Improving pediatric emergency department physicians' adherence to clinical practice guidelines on the diagnosis and management of group A beta-hemolytic streptococcal pharyngitis-a cross-sectional study.

Int J Emerg Med 2018 16;11:49. Epub 2018 Nov 16.

4Department of Pediatric Emergency, College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAUHS), Riyadh, Saudi Arabia.

Introduction: Pharyngitis is one of the major and commonly seen presentations in pediatric emergency departments. While it could be caused by both bacterial and viral pathogens, antibiotics are improperly prescribed regardless of the pathogen. Inappropriate usage of antibiotics has risen the concern of microbial resistance and the need for stricter guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12245-018-0209-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326116PMC
November 2018
5 Reads

Quality of reporting of systematic reviews and meta-analyses in emergency medicine based on the PRISMA statement.

BMC Emerg Med 2019 02 11;19(1):19. Epub 2019 Feb 11.

Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

Background: Emergency department utilization has increased tremendously over the past years, which is accompanied by an increased necessity for emergency medicine research to support clinical practice. Important sources of evidence are systematic reviews (SRs) and meta-analyses (MAs), but these can only be informative provided their quality is sufficiently high, which can only be assessed if reporting is adequate. The purpose of this study was to assess the quality of reporting of SRs and MAs in emergency medicine using the PRISMA statement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0233-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371507PMC
February 2019

Acute respiratory failure secondary to a cervical goitre in a pregnant woman: a case report.

BMC Emerg Med 2019 01 29;19(1):18. Epub 2019 Jan 29.

Department of anesthesiology and critical care, Military Hospital Mohamed V, Faculty of medicine and pharmacy, university of Mohamed V Souissi, Rabat, Morocco.

Background: Pregnancy constitutes a significant factor in thyroid hypertrophy and can rarely progress to respiratory distress. We describe case of pregnant woman with acute respiratory distress following a tracheal compression due to goiter, quickly resulting in respiratory arrest, requiring emergency orotracheal intubation and thyroidectomy.

Case Presentation: A pregnant woman with a growing goiter was referred to the hospital with a respiratory difficulty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0231-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352421PMC
January 2019
1 Read

The effectiveness of ultrasound in the detection of fractures in adults with suspected upper or lower limb injury: a systematic review and subgroup meta-analysis.

BMC Emerg Med 2019 01 28;19(1):17. Epub 2019 Jan 28.

Centre for Rural Health, University of Aberdeen, Inverness, Scotland, UK.

Background: The aim of the present review is to assess the effectiveness of ultrasound (US) in the detection of upper and lower limb bone fractures in adults compared to a diagnostic gold standard available in secondary and tertiary care centres (e.g. radiography, CT scan or MRI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0226-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350304PMC
January 2019
1 Read

Cluster randomised comparison of the effectiveness of 100% oxygen versus titrated oxygen in patients with a sustained return of spontaneous circulation following out of hospital cardiac arrest: a feasibility study. PROXY: post ROSC OXYgenation study.

BMC Emerg Med 2019 01 25;19(1):16. Epub 2019 Jan 25.

Consultant in Anaesthesia and Critical Care Department of Anaesthesia, Royal United Hospital Bath NHS Trust, Bath, BA1 3NG, England.

Background: Hyperoxia following out of hospital cardiac arrest (OHCA) is associated with a poor outcome. Animal data suggest the first hour post resuscitation may be the most important. In the UK the first hour usually occurs in the prehospital environment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0214-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347786PMC
January 2019

Adverse events in prehospital emergency care: a trigger tool study.

BMC Emerg Med 2019 01 24;19(1):14. Epub 2019 Jan 24.

Department of Anaesthesiology and Intensive Care and Department of Medical and Health Sciences, Linköping University, SE-581 85, Linköping, Sweden.

Background: Prehospital emergency care has developed rapidly during the past decades. The care is given in a complex context which makes prehospital care a potential high-risk activity when it comes to patient safety. Patient safety in the prehospital setting has been only sparsely investigated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0228-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345067PMC
January 2019

The prevalence of alcohol and illicit drug use among injured patients presenting to the emergency department of a national hospital in Tanzania: a prospective cohort study.

BMC Emerg Med 2019 01 24;19(1):15. Epub 2019 Jan 24.

Department of Emergency Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Background: Alcohol and illicit drugs have been found to be major contributing factors leading to severe injuries in a variety of settings. In Tanzania, the use of these substances among injured patients has not been studied. We investigated the prevalence of positive tests for alcohol and illicit drug use among injured patients presenting to the emergency medicine department (ED) of Muhimbili National Hospital (MNH). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0222-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346498PMC
January 2019
1 Read

Enhanced prehospital volume therapy does not lead to improved outcomes in severely injured patients with severe traumatic brain injury.

BMC Emerg Med 2019 01 23;19(1):13. Epub 2019 Jan 23.

Department of Trauma, University Hospital and University of Zurich, Zürich, Switzerland.

Background: Whether enhanced prehospital volume therapy leads to outcome improvements in severely injured patients with severe traumatic brain injury (TBI) remains controversial. The aim of this study was to investigate the influence of prehospital volume therapy on the clinical course of severely injured patients with severe TBI.

Methods: Data for 122,672 patients from TraumaRegister DGU (TR-DGU) was analyzed. Read More

View Article

Download full-text PDF

Source
https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-019-0221-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343344PMC
January 2019
6 Reads

Prehospital cricothyrotomies in a helicopter emergency medical service: analysis of 19,382 dispatches.

BMC Emerg Med 2019 01 23;19(1):12. Epub 2019 Jan 23.

Department of Anesthesiology, VU University Medical Center, De Boelelaan 1117, 1007 MB, Amsterdam, The Netherlands.

Background: Creating a patent airway by cricothyrotomy is the ultimate maneuver to allow oxygenation (and ventilation) of the patient. Given the rarity of airway management catastrophes necessitating cricothyrotomy, sufficiently sized prospective randomized trials are difficult to perform. Our Helicopter Emergency Medical Service (HEMS) documents all cases electronically, allowing a retrospective analysis of a larger database for all cases of prehospital cricothyrotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0230-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343329PMC
January 2019
1 Read

Profile and outcome of patients with emergency complications of renal failure presenting to an urban emergency department of a tertiary hospital in Tanzania.

BMC Emerg Med 2019 01 22;19(1):11. Epub 2019 Jan 22.

Emergency Medicine Department, Muhimbili University of Health and Allied Science, P.O Box 65001, Dar es Salaam, Tanzania.

Background: Renal failure carries high mortality even in high-resource countries. Little attention has been paid to renal failure patients presenting acutely in emergency care settings in low-to-middle income countries (LMIC). Our aim was to describe the profile, management strategies and outcome of renal failure patients presenting with indications for emergent dialysis to an urban Emergency Department (ED) in a tertiary public hospital in Tanzania. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0229-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341653PMC
January 2019
2 Reads

Concomitant leukocytosis and lymphopenia predict significant pathology at CT of acute abdomen: a case-control study.

BMC Emerg Med 2019 01 18;19(1):10. Epub 2019 Jan 18.

Department of Radiology, University Hospital of Geneva, 4 rue Gabrielle-Perret-Gentil, 1205, Geneva, Switzerland.

Background: Acute abdominal pain accounts for about 10% of emergency department visits and has progressively become the primary indication for CT scanning in most centers. The goal of our study is to identify biological or clinical variables able to predict or rule out significant pathology (conditions requiring urgent medical or surgical treatment) on abdominal CT in patients presenting to an emergency department with acute abdominal pain.

Methods: This was a retrospective cohort study performed in the emergency department of an academic center with an annual census of 60'000 patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0227-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339375PMC
January 2019
2 Reads

Ceilings of treatment: a qualitative study in the emergency department.

BMC Emerg Med 2019 01 17;19(1). Epub 2019 Jan 17.

School of Medicine, University of Glasgow, Wolfson Medical School Building, University Avenue, Glasgow, G128QQ, UK.

Background: Decision-making concerning the limitation of potentially life-prolonging treatments is often challenging, particularly in the Emergency Department (ED). Current literature in this area of Emergency Medicine is limited and heterogeneous. We seek to determine the factors that influence ceiling of treatment institution in the ED. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0225-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335704PMC
January 2019
2 Reads

Assessing quality indicators related to mental health emergency room utilization.

BMC Emerg Med 2019 01 15;19(1). Epub 2019 Jan 15.

Département des sciences de la santé communautaires, Université de Sherbrooke, Sherbrooke, QC, Canada.

Background: This descriptive study compared 2014-15 to 2005-06 data on the quality of mental health services (MHS) in relation to emergency room (ER) use to assess the impact of the 2005 Quebec MH reform regarding access, continuity and appropriateness of care for patients with mental illnesses (PMI).

Methods: Data emanated from the Quebec Integrated Chronic Disease Surveillance System (Quebec/Canada). Participants (865,255 for 2014-15; 817,395 for 2005-06) were age 12 or over, with at least one MI, including substance use disorders (SUD), diagnosed during an ER visit, outpatient treatment or hospitalization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-019-0223-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332534PMC
January 2019
2 Reads

Developing outcome, process and balancing measures for an emergency department longitudinal patient monitoring system using a modified Delphi.

BMC Emerg Med 2019 01 14;19(1). Epub 2019 Jan 14.

School of Nursing, Midwifery and Health Systems, C129, UCD Health Sciences Centre, University College Dublin, Belfield, Dublin, 4, Ireland.

Background: Early warning score systems have been widely recommended for use to detect clinical deterioration in patients. The Irish National Emergency Medicine Programme has developed and piloted an emergency department specific early warning score system. The objective of this study was to develop a consensus among frontline healthcare staff, quality and safety staff and health systems researchers regarding evaluation measures for an early warning score system in the Emergency Department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0220-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332627PMC
January 2019
1 Read

Mortality and repeated poisoning after self-discharge during treatment for acute poisoning by substances of abuse: a prospective observational cohort study.

BMC Emerg Med 2019 01 11;19(1). Epub 2019 Jan 11.

General Practice Research Unit (AFE), University of Oslo, Oslo, Norway.

Background: Though substance use is a known risk factor for self-discharge, patients self-discharging during treatment for acute poisoning have not previously been described. We charted characteristics of patients self-discharging during treatment for acute poisoning by substances of abuse looking for associations between self-discharge, repeated poisoning, and death.

Methods: All patients 12 years and older treated for acute poisoning by substances of abuse at an emergency outpatient clinic in Oslo, Norway, were included consecutively from October 2011 through September 2012. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0219-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329053PMC
January 2019
6 Reads

The healthcare costs of intoxicated patients who survive ICU admission are higher than non-intoxicated ICU patients: a retrospective study combining healthcare insurance data and data from a Dutch national quality registry.

BMC Emerg Med 2019 01 11;19(1). Epub 2019 Jan 11.

Dutch Poisons Information Center (DPIC), University Medical Center, University Utrecht, Utrecht, the Netherlands.

Background: The aim of this study was to describe the healthcare costs of intoxicated ICU patients in the year before and the year after ICU admission, and to compare their healthcare costs with non-intoxicated ICU patients and a population based control group.

Methods: We conducted a retrospective cohort study, combining a national health insurance claims database and a national quality registry database for ICUs. Claims data in the timeframe 2012 until 2014 were combined with the clinical data of patients who had been admitted to an ICU during 2013. Read More

View Article

Download full-text PDF

Source
https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-019-0224-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329083PMC
January 2019
6 Reads

How spontaneous pneumothorax is managed in emergency departments: a French multicentre descriptive study.

BMC Emerg Med 2019 01 11;19(1). Epub 2019 Jan 11.

UMR 6249 Chronoenvironnement/University of Franche Comté, La Bouloie - UFR Sciences et Techniques, 16 route de Gray, 25030, Besançon cedex, France.

Background: Management of spontaneous pneumothorax (SP) is still subject to debate. Although encouraging results of recent studies about outpatient management with chest drains fitted with a one-way valve, no data exist concerning application of this strategy in real life conditions. We assessed how SP are managed in Emergency departments (EDs), in particular the role of outpatient management, the types of interventions and the specialty of the physicians who perform these interventions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0213-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329130PMC
January 2019
2 Reads

Performance of the Manchester triage system in older emergency department patients: a retrospective cohort study.

BMC Emerg Med 2019 01 7;19(1). Epub 2019 Jan 7.

Department of Internal Medicine, Máxima Medical Centre, 5600, BM, Eindhoven/Veldhoven, the Netherlands.

Background: Studies on the reliability of the MTS and its predictive power for hospitalisation and mortality in the older population have demonstrated mixed results. The objective is to evaluate the performance of the Manchester Triage System (MTS) in older patients (≥65 years) by assessing the predictive ability of the MTS for emergency department resource utilisation, emergency department length of stay (ED-LOS), hospitalisation, and in-hospital mortality rate. The secondary goal was to evaluate the performance of the MTS in older surgical versus medical patients. Read More

View Article

Download full-text PDF

Source
https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-018-0217-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322327PMC
January 2019
2 Reads

Effects of work conditions on provider mental well-being and quality of care: a mixed-methods intervention study in the emergency department.

BMC Emerg Med 2019 01 3;19(1). Epub 2019 Jan 3.

Institute and Clinic for Occupational, Social, and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany.

Background: Emergency departments (EDs) are highly dynamic and stressful care environments that affect provider and patient outcomes. Yet, effective interventions are missing. This study evaluated prospective effects of a multi-professional organizational-level intervention on changes in ED providers' work conditions and well-being (primary outcomes) and patient-perceived quality of ED care (secondary outcome). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0218-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318954PMC
January 2019
1 Read

Injury severity levels and associated factors among road traffic collision victims referred to emergency departments of selected public hospitals in Addis Ababa, Ethiopia: the study based on the Haddon matrix.

BMC Emerg Med 2019 01 3;19(1). Epub 2019 Jan 3.

Department of Emergency Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Globally, about 1.25 million people die annually from road trafficcollisions. Evidence from global safety report shows a decreasing trend of road traffic injury indeveloped countries while there is an increasing trend in many developing countriesincluding Ethiopia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0206-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318925PMC
January 2019
2 Reads

Emergency department charges may be associated with mortality in patients with severe sepsis and septic shock: a cohort study.

BMC Emerg Med 2018 12 29;18(1):62. Epub 2018 Dec 29.

Department of Epidemiology, University of Iowa College of Public Health, S441A CPHB, Iowa City, IA, 52246, USA.

Background: Sepsis severity of illness is challenging to measure using claims, which makes sepsis difficult to study using administrative data. We hypothesized that emergency department (ED) charges may be associated with hospital mortality, and could be a surrogate marker of severity of illness for research purposes. The objective of this study was to measure concordance between ED charges and mortality in admitted patients with severe sepsis or septic shock. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0212-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310923PMC
December 2018
2 Reads

A real life evaluation of non invasive ventilation in acute cardiogenic pulmonary edema: a multicenter, perspective, observational study for the ACPE SIMEU study group.

BMC Emerg Med 2018 12 29;18(1):61. Epub 2018 Dec 29.

Emergency Medicine Department, ASST Papa Giovanni XIII, Bergamo, Italy.

Background: During the past three decades conflicting evidences have been published on the use of non-invasive ventilation (NIV) in patients with acute cardiogenic pulmonary edema (ACPE). The aim of this study is to describe the management of acute respiratory failure (ARF) due to ACPE in twelve Italian emergency departments (EDs). We evaluated prevalence, characteristics and outcomes of ACPE patients treated with oxygen therapy, continuous positive airway pressure (CPAP) or Bi-level positive airway pressure (BiPAP) on admission to the EDs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0216-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310941PMC
December 2018
3 Reads

Point-of-care ultrasound findings in unselected patients in an emergency department -results from a prospective observational trial.

BMC Emerg Med 2018 12 27;18(1):60. Epub 2018 Dec 27.

Research Center for Emergency Medicine, Aarhus University Hospital, Palle Juul-Jensens Blvd. 161, 8200, Aarhus, Denmark.

Background: Point-of-care ultrasound (POCUS) can improve patient management in the emergency department (ED). However, previous studies have focused only on selected groups of patients, such as trauma, shock, dyspnea, or critically ill patients, or patients with an already known diagnosis. Most patients seen in the ED do not match these criteria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0211-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307264PMC
December 2018
1 Read

Influence of social characteristics on use of paediatric emergency care in Sweden - a questionnaire based study.

BMC Emerg Med 2018 12 27;18(1):59. Epub 2018 Dec 27.

Department of Clinical Sciences Malmö, Paediatrics, Lund University, Skåne University Hospital, SE-20502, Malmö, Sweden.

Background: Parental social characteristics influence the use of emergency departments (ED) in the USA, but less is known about paediatric ED care-seeking in countries with national health insurance. This prospective study was designed to evaluate associations between parental care-seeking and social characteristics, with emphasis on impact of non-native origin, at a paediatric ED in Sweden, a European country providing paediatric healthcare free of charge.

Methods: Parents attending a paediatric ED at a large urban university hospital filled out a questionnaire on social characteristics and reasons for care-seeking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0210-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307227PMC
December 2018
1 Read

A review of triage accuracy and future direction.

BMC Emerg Med 2018 12 20;18(1):58. Epub 2018 Dec 20.

City University of Macau, Avenida Padre Tomás Pereira Taipa, Macau, S.A.R., China.

Background: In the emergency department, it is important to identify and prioritize who requires an urgent intervention in a short time. Triage helps recognize the urgency among patients. An accurate triage decision helps patients receive the emergency service in the most appropriate time. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0215-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302512PMC
December 2018
1 Read

Emergency and acute care management of traumatic spinal cord injury: a survey of current practice among senior clinicians across Australia.

BMC Emerg Med 2018 12 20;18(1):57. Epub 2018 Dec 20.

John Walsh Centre for Rehabilitation Research, Kolling Institute, Northern Clinical School, Sydney Medical School, University of Sydney, Reserve Road, St Leonards, NSW, 2065, Australia.

Background: To describe pre-hospital, emergency department and acute care assessment and management practices of senior clinicians for patients with acute traumatic spinal cord injury (TSCI) across Australia; and to describe clinical practice variation.

Methods: We used a descriptive, cross-sectional study design to survey senior clinicians (greater than 10 years practice in this field) caring for patients with acute TSCI. The assessment, management and referral practices of prehospital, emergency department/trauma and surgical expert clinicians, across prehospital, early hospital care, diagnostic imaging and haemodynamic management were surveyed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0207-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300889PMC
December 2018
2 Reads

Strategies for improving physician documentation in the emergency department: a systematic review.

BMC Emerg Med 2018 10 25;18(1):36. Epub 2018 Oct 25.

Department of Psychiatry, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N4N1, Canada.

Background: Physician chart documentation can facilitate patient care decisions, reduce treatment errors, and inform health system planning and resource allocation activities. Although accurate and complete patient chart data supports quality and continuity of patient care, physician documentation often varies in terms of timeliness, legibility, clarity and completeness. While many educational and other approaches have been implemented in hospital settings, the extent to which these interventions can improve the quality of documentation in emergency departments (EDs) is unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0188-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297955PMC
October 2018
1 Read

Man vs machine in emergency medicine - a study on the effects of manual and automatic vital sign documentation on data quality and perceived workload, using observational paired sample data and questionnaires.

BMC Emerg Med 2018 12 13;18(1):54. Epub 2018 Dec 13.

Department of Learning, Informatics, Management and Ethics, Health Informatics Centre, 171 77, Stockholm, Sweden.

Background: Emergency medicine is characterized by a high patient flow where timely decisions are essential. Clinical decision support systems have the potential to assist in such decisions but will be dependent on the data quality in electronic health records which often is inadequate. This study explores the effect of automated documentation of vital signs on data quality and workload. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0205-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293611PMC
December 2018
1 Read

Admission rates in emergency departments in Geneva during tennis broadcasting: a retrospective study.

BMC Emerg Med 2018 12 13;18(1):56. Epub 2018 Dec 13.

Division of Primary Care, Department of Community Medicine, Primary and Emergency Care, Geneva University Hospitals, 1205, Geneva, Switzerland.

Background: Literature provides mixed results regarding the influence of large-scale sporting events on emergency department attendance. To contribute to the research on the subject, we sought to evaluate whether the broadcasting of major tennis tournaments, one of the most popular sports in Switzerland, has an impact on patient admission rates in emergency units in Geneva including 1) type of match 2) the role of a Swiss player, 3) degree of triage, 4) reason of attendance and 5) age of patients.

Methods: Admission rates between periods with tennis matches regarding the semi-finals and finals of 3 major tennis tournaments were compared to equivalent periods without matches from May 2013 to August 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0209-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293595PMC
December 2018
1 Read

Public knowledge of emergency medicine in Beirut, Lebanon.

BMC Emerg Med 2018 12 13;18(1):55. Epub 2018 Dec 13.

Department of Internal Medicine, Clinical Research Institute, Residency Research Program, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Introduction: To examine the public's level of knowledge and expectations of Emergency Medicine (EM) in Beirut, Lebanon.

Methods: A nested cross-sectional study was conducted exploring participants' knowledge and expectations of EM; the skillset, role and scope of practice of the emergency physician, and the dynamics of the Emergency Department (ED).

Results: A majority understand EM physicians perform minor procedures (83%), have specialized training (79%) and that they should be treated by a specialized EM physician (74%). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0204-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293540PMC
December 2018
2 Reads

Hypoglycemia secondary to factitious hyperinsulinism in a foster care adolescent - a case report of munchausen syndrome in a community hospital emergency department setting.

BMC Emerg Med 2018 12 11;18(1):53. Epub 2018 Dec 11.

Northeast Georgia Medical Center Barrow, 316 N Broad St, Winder, GA, 30680, USA.

Background: Factitious disorder causing hypoglycemia is a psychiatric condition in which patients deliberately use blood sugar lowering medications to cause severe symptoms for the purposes of hospitalization or other primary gains.

Case Presentation: We report a case of factitious hypoglycemia in a 19-year-old foster care adolescent female who presented to the Emergency Department with recurrent hypoglycemic episodes, to the degree that the patient required large amounts of dextrose and further management by intensive care unit hospitalization. Further inquiry revealed that the patient intentionally injected herself with large doses of insulin for the purposes of seeking hospital admission. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0208-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288932PMC
December 2018
3 Reads

Trajectories of early secondary insults correlate to outcomes of traumatic brain injury: results from a large, single centre, observational study.

BMC Emerg Med 2018 12 5;18(1):52. Epub 2018 Dec 5.

School of Medicine and Surgery, University of Milan-Bicocca, Via Cadore 48, 20900, Monza, MB, Italy.

Background: Secondary insults (SI), such as hypotension, hypoxia, and intracranial hypertension frequently occur after traumatic brain injury (TBI), and have a strong impact on patients' clinical outcomes. The aim of this study is to examine the trajectories of SI from the early phase of injury in the prehospital setting to hospital admission in a cohort of TBI patients.

Methods: This is a retrospective, observational, single centre study on consecutive patients admitted from 1997 to 2016 to the Neuro Intensive Care Unit (NICU) at San Gerardo Hospital, in Monza, Italy. Read More

View Article

Download full-text PDF

Source
https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-018-0197-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280374PMC
December 2018
4 Reads

Ear measurement of temperature is only useful for screening for fever in an adult emergency department.

BMC Emerg Med 2018 12 3;18(1):51. Epub 2018 Dec 3.

Emergency Department, Sygehus Sønderjylland, Kresten Philipsensvej 15, 6200, Aabenraa, Denmark.

Background: A new generation of ear thermometers with preheated tips and several measurements points should allow a more precise temperature measurement. The aim of the study was to evaluate if the ear temperature measured by this ear thermometer can be used to screen for fever and whether the thermometer is in agreement with the rectal temperature and if age, use of hearing devices or time after admission influences the temperature measurements.

Methods: Open cross-sectional clinical single site study patients, > 18 years old, who were acutely admitted to the short stay unit at the ED. Read More

View Article

Download full-text PDF

Source
https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-018-0202-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276133PMC
December 2018
3 Reads

Management of acute coronary syndrome in emergency departments: a cross sectional multicenter study (Tunisia).

BMC Emerg Med 2018 12 3;18(1):50. Epub 2018 Dec 3.

Research Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.

Background: We aimed to describe diagnosed acute coronary syndrome (ACS) and its care management and outcomes in emergency departments (EDs) and to determine related cardiovascular risk factors (CVRFs).

Methods: We conducted a cross sectional multicenter study that included 1173 adults admitted to EDs for acute chest pain (ACP) in 2015 at 14 sites in Tunisia. Data included patients' baseline characteristics, diagnosis, treatment and output. Read More

View Article

Download full-text PDF

Source
https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-018-0201-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276213PMC
December 2018
5 Reads

Potential benefits of triage for the trauma patient in a Kenyan emergency department.

BMC Emerg Med 2018 11 29;18(1):49. Epub 2018 Nov 29.

Center for Disaster Medicine and Traumatology, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.

Background: Improved trauma management can reduce the time between injury and medical interventions, thus decreasing morbidity and mortality. Triage at the emergency department is essential to ensure prioritization and timely assessment of injured patients. The aim of the present study was to investigate how a lack of formal triage system impacts timely intervention and mortality in a sub-Saharan referral hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0200-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267912PMC
November 2018
1 Read

Predictive value of quick surgical airway assessment for trauma (qSAT) score for identifying trauma patients requiring surgical airway in emergency room.

BMC Emerg Med 2018 11 29;18(1):48. Epub 2018 Nov 29.

Department of Emergency and Critical Care Medicine, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Background: A surgical airway is usually unpredictable in trauma patients. The aim of this study was to develop a predictable scoring system to determine the need for a surgical airway by using a database from a large multicenter trauma registry.

Methods: We obtained data from the nationwide trauma registry in Japan for adult blunt trauma patients who were intubated in the emergency department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0203-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267875PMC
November 2018
10 Reads

Application of the emergency medical services trigger tool to measure adverse events in prehospital emergency care: a time series analysis.

BMC Emerg Med 2018 11 26;18(1):47. Epub 2018 Nov 26.

Department: Improvement Capability, Institution: Institute for Healthcare Improvement, Cambridge, USA.

Background: Emergency Care has previously been identified as an area of significant concern regarding the prevalence of Adverse Events (AEs). However, the majority of this focus has been on the in-hospital setting, with little understanding of the identification and incidence of AEs in the prehospital environment.

Method: The early development and testing of Emergency Medical Services (EMS) specific triggers for the identification of AEs and Harm has been previously described. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0195-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258398PMC
November 2018
2 Reads

Sonographic guided hydrostatic saline enema reduction of childhood intussusception: a prospective study.

BMC Emerg Med 2018 11 21;18(1):46. Epub 2018 Nov 21.

Department of Surgery, Obafemi Awolowo University, P. O. BOX 5538, Ile-Ife, Osun State, Nigeria.

Background: The management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hydrostatic (saline) reduction of intussusception in children in our institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0196-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249894PMC
November 2018
5 Reads

Provision of post-crash first aid by traffic police in Dar es Salaam, Tanzania: a cross-sectional survey.

BMC Emerg Med 2018 11 20;18(1):45. Epub 2018 Nov 20.

Umeå University, Umeå, Sweden.

Background: The availability of prehospital trauma care is an important means of reducing serious injuries and fatalities associated with road traffic injuries (RTIs). Lay responders such as traffic police play an important role in the provision of prehospital trauma care to RTI victims, especially where there is no established prehospital care system. Therefore, the objective of the present study was to investigate knowledge, self-reported practice, and attitudes toward post-crash first aid among traffic police officers in Tanzania. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0199-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247529PMC
November 2018
2 Reads

Utility and effectiveness of the Scandinavian guidelines to exclude computerized tomography scanning in mild traumatic brain injury - a prospective cohort study.

BMC Emerg Med 2018 11 20;18(1):44. Epub 2018 Nov 20.

Clinic of Orthopedic Surgery, Akershus University Hospital, Lørenskog, Norway.

Background: In 2013 the Scandinavian Neurotrauma Committee (SNC) published updated guidelines for the initial management of minimal, mild and moderate traumatic head injuries (MTHI) that included serum analysis of protein S100B as a marker for brain tissue damage. This study reviews the effectiveness of the new guidelines in a clinical setting.

Methods: For all patients admitted to Akershus University Hospital (AHUS) from June 30th 2014 to December 15th 2014 with MTHI a separate form was filled in recording the time, indication and result of any S100B sampling and/or head computer tomography (CT) examinations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-018-0193-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245911PMC
November 2018
13 Reads

Erratum.

Authors:

Emerg Med Clin North Am 2019 Feb;37(1):xv

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.emc.2018.10.001DOI Listing
February 2019
3 Reads

Ear, Nose, and Throat Emergencies.

Emerg Med Clin North Am 2019 Feb;37(1):xiii-xiv

Clinical Emergency Medicine, Keck School of Medicine, University of Southern California, 1975 Zonal Avenue, Los Angeles, CA 90033, USA. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.emc.2018.10.002DOI Listing
February 2019
4 Reads

Ears, Nose, and Throat Emergencies.

Authors:
Amal Mattu

Emerg Med Clin North Am 2019 Feb;37(1):xi-xii

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.emc.2018.10.003DOI Listing
February 2019
2 Reads