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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Blunt abdominal trauma in the setting of polycystic kidney disease is still scantly described in the literature and management guidelines of such patients are not well-established.
Authors: Karim Hajjar, Ralphe Bou Chebl, Mohammad Kanso and Gilbert Abou Dagher
Out-of-hospital cardiac arrest is a major cause of mortality worldwide. When basic life support techniques are implemented quickly, the chance of survival is doubled. Therefore, this study evaluated public awa...
Authors: Samiha Jarrah, Mahfuz Judeh and Mohannad Eid AbuRuz
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 ...
Authors: Diane L. Lorenzetti, Hude Quan, Kelsey Lucyk, Ceara Cunningham, Deirdre Hennessy, Jason Jiang and Cynthia A. Beck
Supplemental oxygen (O2) therapy in patients with chest pain has been a cornerstone in the treatment of suspected myocardial infarction (MI). Recent randomized controlled trials have, however, shown that suppleme...
Recurrent CT imaging is believed to significantly increase lifetime malignancy risk. We previously reported that high acuity, admitted trauma patients who received a whole-body CT in the emergency department (...
Authors: Mary Matthews, Peter Richman, Scott Krall, Kimberly Leeson, K Tom Xu, Albert L Gest and Osbert Blow
Every year, about 1.2 million people die through road traffic crashes worldwide. Majority of these deaths occur in Africa where most of their emergency medical services are underdeveloped. In 2004, Ghana estab...
Authors: Mohammed-Najeeb Mahama, Ernest Kenu, Delia Akosua Bandoh and Ahmed Nuhu Zakariah
Socioeconomic inequalities in cardiovascular morbidity have been previously reported showing direct associations between socioeconomic disadvantage and worse health outcomes. However, disagreement remains rega...
Authors: George Mnatzaganian, Janet E Hiller, Jason Fletcher, Mark Putland, Cameron Knott, George Braitberg, Steve Begg and Melanie Bish
Platelet variables, including platelet distribution width (PDW) and mean platelet volume (MPV), have been associated with outcome in critically ill patients. We evaluated these variables in patients after card...
Authors: Antonella Cotoia, Federico Franchi, Chiara De Fazio, Jean-Louis Vincent, Jacques Creteur and Fabio Silvio Taccone
Acute poisoning is a common chief complaint leading to emergency department visits and hospital admissions in developing countries such as Iran. Data describing the epidemiology of different poisonings, charac...
Authors: Omid Mehrpour, Ayob Akbari, Firoozeh Jahani, Alireza Amirabadizadeh, Elaheh Allahyari, Borhan Mansouri and Patrick C. Ng
Smuggling of illegal drugs by hiding them inside one’s own body, also called body packing, is a worldwide phenomenon. Cocaine is the most frequently transported drug. Body packing is a potentially lethal pract...
Authors: Miriam Luginbühl, Timo Junker and Dagmar I. Keller
Physician-staffed helicopter emergency services (HEMS) can provide benefit through the delivery of specialist competence and equipment to the prehospital scene and through expedient transport of critically ill...
Authors: Daniel Kornhall, Robert Näslund, Cecilia Klingberg, Regina Schiborr and Mikael Gellerfors
Falls are a common cause of hospitalization, morbidity, and mortality among the elderly in the United States. Evidence-based imaging recommendations for evaluation of delayed intracranial hemorrhage (DICH) are...
Authors: Nolan Mann, Kellen Welch, Andrew Martin, Michael Subichin, Katherine Wietecha, Lauren E. Birmingham, Tiffany D. Marchand and Richard L. George
Primary care patients are often cited as a cause of Emergency Department overcrowding (ED). The aim of this study was to evaluate a physician led redirection procedure of selected patients towards an out of ho...
Authors: Charles Morin, Jacques Choukroun and Jean-Christophe Callahan
The association between burnout and patient safety has been analyzed in many studies for nurses, physicians, and residents. However, studies concerning prehospital emergency medical services (EMS) workers are ...
Authors: Natalie Baier, Karsten Roth, Susanne Felgner and Cornelia Henschke
Multiresistant bacteria (MRB) is an increasing problem. Early identification of patients with MRB is mandatory to avoid transmission and to target the antibiotic treatment. The emergency department (ED) is a k...
Authors: Christian B. Mogensen, Helene Skjøt-Arkil, Annmarie T. Lassen, Isik S. Johansen, Ming Chen, Poul Petersen, Karen V. Andersen, Svend Ellermann-Eriksen, Jørn M. Møller, Marc Ludwig, David Fuglsang-Damgaard, Finn Nielsen, Dan B. Petersen, Ulrich S. Jensen and Flemming S. Rosenvinge
Medical professionals together with other first responder teams are the first to attend an emergency or disaster. Knowledge and training in emergency and disaster preparedness are important in responding effec...
