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 ...
Authors: Agnès Esiéné, Paul Owono Etoundi, Joel Noutakdie Tochie, Arlette Junette Mbengono Metogo and Jacqueline Ze Minkande
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 countr...
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 cent...
Authors: Emily Schmid, Kimberly Leeson, K. Tom Xu, Peter Richman, Crystal Nwosu and Lynn Carrasco
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 litig...
Authors: Aspasia Deliliga, Fotios Chatzinikolaou, Dimitrios Koutsoukis, Ioannis Chrysovergis and Polychronis Voultsos
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 s...
Authors: Nanyori J. Lucumay, Hendry R. Sawe, Amour Mohamed, Erasto Sylvanus, Upendo George, Juma A. Mfinanga and Ellen J. Weber
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 ...
Authors: Biita Muhanuzi, Hendry R. Sawe, Said S. Kilindimo, Juma A. Mfinanga and Ellen J. Weber
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 emer...
Authors: Mika Ukkonen, Esa Jämsen, Rainer Zeitlin and Satu-Liisa Pauniaho
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 o...
Authors: Femke Nawijn, Wietske H. W. Ham, Roderick M. Houwert, Rolf H. H. Groenwold, Falco Hietbrink and Diederik P. J. Smeeing
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 compre...
Authors: Sidi Driss El jaouhari, Nawfal Doghmi, Hamza Najout, Massine El hamouni, El hassane Kabiri, Hicham Bekkali, Jaafar Salim Lalaoui and Mustapha Bensghir
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 a...
Authors: Natalie Champagne, Leila Eadie, Luke Regan and Philip Wilson
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 oc...
Authors: Matthew Thomas, Sarah Voss, Jonathan Benger, Kim Kirby and Jerry P. Nolan
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 stud...
Authors: Müller M. Mundenga, Hendry R. Sawe, Michael S. Runyon, Victor G. Mwafongo, Juma A. Mfinanga and Brittany L. Murray
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. Pat...
Authors: Magnus Andersson Hagiwara, Carl Magnusson, Johan Herlitz, Elin Seffel, Christer Axelsson, Monica Munters, Anneli Strömsöe and Lena Nilsson
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 t...
Authors: Bjoern Hussmann, Carsten Schoeneberg, Pascal Jungbluth, Matthias Heuer, Rolf Lefering, Teresa Maek, Frank Hildebrand, Sven Lendemans and Hans-Christoph Pape
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, suffi...
Authors: Patrick Schober, Tessa Biesheuvel, Marcel A. de Leeuw, Stephan A. Loer and Lothar A. Schwarte
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 (L...
Authors: Erasto Sylvanus, Hendry R. Sawe, Biita Muhanuzi, Elly Mulesi, Juma A. Mfinanga, Ellen J. Weber and Said Kilindimo
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 o...
Authors: Alexandra Platon, Chloe Frund, Laura Meijers, Thomas Perneger, Elisabeth Andereggen, Minerva Becker, Alice Halfon Poletti, Olivier T. Rutschmann and Pierre-Alexandre Poletti
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...
Authors: Nathan Walzl, Jessica Jameson, John Kinsella and David J. Lowe
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,...
Authors: Marie-Josée Fleury, Marilyn Fortin, Louis Rochette, Guy Grenier, Christophe Huỳnh, Éric Pelletier and Helen-Maria Vasiliadis
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 ...
Authors: Marie E. Ward, Abel Wakai, Ronald McDowell, Fiona Boland, Eoin Coughlan, Moayed Hamza, John Browne, Ronan O’Sullivan, Una Geary, Fiona McDaid, Éidín Ní Shé, Frances J. Drummond, Conor Deasy and Eilish McAuliffe
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 patien...
Authors: Ilse van Beusekom, Ferishta Bakhshi-Raiez, Nicolette F. de Keizer and Dylan W. de Lange
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-di...
Authors: Odd Martin Vallersnes, Dag Jacobsen, Øivind Ekeberg and Mette Brekke
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 c...
Authors: S. Kepka, J. C. Dalphin, J. B. Pretalli, A. L. Parmentier, D. Lauque, G. Trebes, F. Mauny and T. Desmettre
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 Man...
Authors: Steffie H. A. Brouns, Lisette Mignot-Evers, Floor Derkx, Suze L. Lambooij, Jeanne P. Dieleman and Harm R. Haak
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 increasi...
Authors: Ararso Baru, Aklilu Azazh and Lemlem Beza
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...
Authors: Anna Schneider, Markus Wehler and Matthias Weigl
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...
Authors: Nicholas M. Mohr, Ryan Dick-Perez, Azeemuddin Ahmed, Karisa K. Harland, Dan Shane, Daniel Miller, Christine Miyake, Levi Kannedy, Brian M. Fuller and James C. Torner
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 descr...
Authors: Stefano Aliberti, Valentina Diana Rosti, Chiara Travierso, Anna Maria Brambilla, Federico Piffer, Giuseppina Petrelli, Chiara Minelli, Daniele Camisa, Antonio Voza, Giovanna Guiotto and Roberto Cosentini
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 ...
Authors: Jesper Weile, Christian B. Laursen, Christian A. Frederiksen, Ole Graumann, Erik Sloth and Hans Kirkegaard
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 stud...
Authors: Julia Ellbrant, Jonas Åkeson, Jenny Eckner and Pia Karlsland Åkeson
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...
Authors: Hon Lon Tam, Siu Fung Chung and Chi Kin Lou
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 descr...
Authors: Lisa N. Sharwood, Shelly Dhaliwal, Jonathon Ball, Brian Burns, Oliver Flower, Anthony Joseph, Ralph Stanford and James Middleton
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 broa...
Authors: Jorge César Correia, Olivia Braillard, Christophe Combescure, Eric Gerstel and Hervé Spechbach
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 da...
Authors: Niclas Skyttberg, Rong Chen and Sabine Koch
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 pri...
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...
Authors: Paola Cristina Volpi, Chiara Robba, Matteo Rota, Alessia Vargiolu and Giuseppe Citerio
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 measure...
Authors: Christian Backer Mogensen, Malene Bue Vilhelmsen, Johanne Jepsen, Lilian Keene Boye, Maiken Hjuler Persson and Florence Skyum
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).
Authors: Asma Sriha Belguith, Kaouthar Beltaief, Mohamed Amine Msolli, Wahid Bouida, Hela Abroug, Manel Ben Fredj, Imen Zemni, Mohamed Habib Grissa, Hamdi Boubaker, Mohamed Hsairi and Samir Nouira
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 ti...
Authors: Maria Lampi, Johan P. E. Junker, John S. Tabu, Peter Berggren, Carl-Oscar Jonson and Andreas Wladis
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 mul...
Authors: Kei Hayashida, Shokei Matsumoto, Mitsuhide Kitano and Junichi Sasaki
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 l...
Authors: Ian Howard, Bernard Pillay, Nicholas Castle, Loua Al Shaikh, Robert Owen and David Williams
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 hy...
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 importa...
Authors: Gift G. Lukumay, Menti L. Ndile, Anne H. Outwater, Dickson A. Mkoka, Mojgan Padyab, Britt-Inger Saveman and Susann Backteman-Erlanson
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...
Authors: Arurann Ananthaharan, Gunnhild Kravdal and Truls Martin Straume-Naesheim
In this study, we hypothesized that point of care testing (POCT) would reduce length of stay (LOS) in emergency department (ED) when compared to central laboratory testing and be a factor in patient discharge ...
Authors: Meri Kankaanpää, Marika Holma-Eriksson, Sami Kapanen, Merja Heitto, Sari Bergström, Leila Muukkonen and Veli-Pekka Harjola
Paramedics work in a highly complex and unpredictable environment which is characterized by ongoing decision-making. Decisions made by paramedics in the prehospital setting have implications for patient safety...
Authors: Gudrun Reay, James A. Rankin, Lorraine Smith-MacDonald and Gerald C. Lazarenko
Hyponatremia is one of the most commonly encountered electrolyte disorders in emergency department (ED). Seasonal fluctuations of the prevalence of hyponatremia has been reported. We investigated the impact of...
Authors: Naohiko Imai, Kiyomi Osako, Nagayuki Kaneshiro and Yugo Shibagaki
Pain management in the Emergency Department has often been described as inadequate, despite proven benefits of pain treatment protocols. The aim of this study was to investigate the effectiveness of our curren...
Authors: Judith E. van Zanden, Susanne Wagenaar, Jozine M. ter Maaten, Jan C. ter Maaten and Jack J. M. Ligtenberg
Sepsis and septic shock are common problems in intensive care units (ICUs). The mortality of patients with sepsis or septic shock is high. We investigated if reduction in the serum concentration of the cytokin...
Authors: Pham Thi Ngoc Thao, Ton Thanh Tra, Nguyen Truong Son and Koji Wada
