Articles

Emergency department admissions to the intensive care unit – a national retrospective study

Emergency departments (EDs) see a rising number of patients, but only a small fraction of ED patients need immediate intensive care. The characteristics of these patients are mostly unknown and there is reason...

Authors: Susanne B. Wilhelms and Daniel B. Wilhelms

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is widely recommended and taught in many resuscitation courses. This study assessed the adherence to the ABCDE algorithm and whethe...

Authors: Marjolein Linders, Mathijs Binkhorst, Jos M. T. Draaisma, Arno F. J. van Heijst and Marije Hogeveen

Barriers and facilitators to cardiopulmonary resuscitation within pre-hospital emergency medical services: a qualitative study

Out-of-hospital cardiopulmonary arrest is a common and fatal problem. Rescuing patients with this problem by pre-hospital emergency medical services is associated with various barriers and facilitators. Identi...

Authors: Nahid Dehghan-Nayeri, Hassan Nouri-Sari, Fatemeh Bahramnezhad, Fatemeh Hajibabaee and Mojtaba Senmar

Fair prioritization of casualties in disaster triage: a qualitative study

Disasters may result in mass casualties and an imbalance between health care demands and supplies. This imbalance necessitates the prioritization of the victims based on the severity of their condition. Contri...

Authors: Vahid Ghanbari, Ali Ardalan, Armin Zareiyan, Amir Nejati, Dan Hanfling, Alireza Bagheri and Leili Rostamnia

Determinants of time-to-disposition in patients who underwent CT for pulmonary embolism: a retrospective study

Pulmonary embolism (PE) is a common life-threatening medical emergency that needs prompt diagnosis and management. Providing urgent care is a key determinant of quality in the emergency department (ED) and tim...

Authors: Ali Hassan, Omran Al Dandan, Khaled Awary, Besma Bukhamsin, Reema Bukhamseen, Alaa Alzaki, Amal Al-Sulaibeekh and Hind S. Alsaif

Examining the association between paramedic transport to the emergency department and hospital admission: a population-based cohort study

Increasing hospitalization rates present unique challenges to manage limited inpatient bed capacity and services. Transport by paramedics to the emergency department (ED) may influence hospital admission decis...

Authors: Ryan P. Strum, Fabrice I. Mowbray, Andrew Worster, Walter Tavares, Matthew S. Leyenaar, Rebecca H. Correia and Andrew P. Costa

Fatal and nonfatal firearm injuries in the eastern Democratic Republic of Congo: a hospital-based retrospective descriptive cohort study assessing correlates of adult mortality

The Eastern Democratic Republic of Congo (DRC) has been the battleground for multiple armed conflicts, resulting in many fatal and nonfatal firearm injuries (F&NFFIs). Chronic insecurity has stressed the healt...

Authors: Paul Munguakonkwa Budema, Roméo Bujiriri Murhega, Tshibambe Nathanael Tshimbombu, Georges Kuyigwa Toha, Fabrice Gulimwentuga Cikomola, Paterne Safari Mudekereza, Léon-Emmanuel Mubenga, Ghislain Maheshe-Balemba, Darck Cubaka Badesire and Ulrick Sidney Kanmounye

EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety?

The safety of the Emergency Medical Service’s (EMS’s) non-conveyance decision was evaluated by EMS re-contacts, primary health care or emergency department (ED) visits, and hospitalization within 48 h. The sec...

Authors: Jani Paulin, Jouni Kurola, Mari Koivisto and Timo Iirola

Assessment of breathing in cardiac arrest: a randomised controlled trial of three teaching methods among laypersons

The aim of this trial was to compare a video- and a simulation-based teaching method to the conventional lecture-based method, hypothesizing that the video- and simulation-based teaching methods would lead to ...

Authors: Niklas Breindahl, Anders Granholm, Theo Walther Jensen, Annette Kjær Ersbøll, Helge Myklebust, Freddy Lippert and Anne Lippert

Abdominopelvic CT-scan in emergency departments for patients with suspected complications of Crohn’s disease: a single tertiary center experience

Crohn’s disease (CD) is a chronic disorder with frequent complications. The objective of this study was to assess the predictive factors of finding a complication of CD using abdominopelvic CT-scan in patients...

Authors: Mikael Verdalle-Cazes, Cloé Charpentier, Coralie Benard, Luc-Marie Joly, Jean-Nicolas Dacher, Guillaume Savoye and Céline Savoye-Collet

A machine learning model to predict critical care outcomes in patient with chest pain visiting the emergency department

Currently, the risk stratification of critically ill patient with chest pain is a challenge. We aimed to use machine learning approach to predict the critical care outcomes in patients with chest pain, and sim...

Authors: Ting Ting Wu, Ruo Fei Zheng, Zhi Zhong Lin, Hai Rong Gong and Hong Li

Comparison of a metronome-guided prehospital medication infusion technique with standard calculation: a simulated randomized, controlled, cross-over study

Limited research regarding administration of timed medication infusions in the prehospital environment has identified wide variability with accuracy, timing, and overall feasibility. This study was a quality i...

Authors: Samuel M. Galvagno, James Cloepin, Jeannie Hannas, Kurt S. Rubach, Andrew Naumann and Jonathan Wendell

Starting ambulance care professionals and critical incidents: a qualitative study on experiences, consequences and coping strategies

Ambulance care professionals are regularly confronted with critical incidents that increase risks for mental health disorders. To minimize these risks, it is important that ambulance care professionals adequat...

Authors: Jorik Loef, Lilian C. M. Vloet, Peter-Hans Vierhoven, Leonie van der Schans, Yvonne Neyman-Lubbers, Christine de Vries-de Winter and Remco H. A. Ebben

Factors associated with hospital outcomes of patients with penetrating craniocerebral injuries in armed conflict areas of the Democratic Republic of the Congo: a retrospective series

Penetrating craniocerebral injuries (PCCI) are types of open head injuries caused by sharp objects or missiles, resulting in communication between the cranial cavity and the external environment. This conditio...

Authors: Paterne Safari Mudekereza, Gauthier Bahizire Murhula, Charles Kachungunu, Amani Mudekereza, Fabrice Cikomola, Leon-Emmanuel Mukengeshai Mubenga, Patrick Birindwa Balungwe, Paul Munguakonkwa Budema, Christian Molima, Erick Namegabe Mugabo and Hervé Monka Lekuya

Antibiotic prescription consistent with guidelines in emergency department is associated with 30-day survival in severe community-acquired pneumonia

The selection of initial empirical antibiotics is an important issue in the treatment of severe community-acquired pneumonia (CAP). This study aimed to investigate whether empirical antibiotic prescription con...

Authors: Seung Hyun Kang, You Hwan Jo, Jae Hyuk Lee, Dong-Hyun Jang, Yu Jin Kim and Inwon Park

Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment

The assessment and treatment of pediatric patients in the out-of-hospital environment often presents unique difficulties and stress for EMS practitioners.

Authors: Kevin A. Padrez, John Brown, Andy Zanoff, Carol C. Chen and Nicolaus Glomb

Differences in radiation dose for computed tomography of the brain among pediatric patients at the emergency departments: an observational study

Computed tomography (CT) is associated with a risk of cancer development. Strategies to reduce radiation doses vary between centers. We compared radiation doses of CT brain studies between pediatric and genera...

Authors: Xi Min Tan, Mohammad Taufik Bin Mohamed Shah, Shu-Ling Chong, Yong-Kwang Gene Ong, Peck Har Ang, Nur Diana Bte Zakaria, Khai Pin Lee and Jen Heng Pek

Impaired kidney function at ED admission: a comparison of bleeding complications of patients with different oral anticoagulants

Up to a fourth of patients at emergency department (ED) presentation suffer from acute deterioration of renal function, which is an important risk factor for bleeding events in patients on oral anticoagulation...

Authors: Martin Müller, Michaela Traschitzger, Michael Nagler, Spyridon Arampatzis, Aristomenis K. Exadaktylos and Thomas C. Sauter

Association between emergency medical service transport time and survival in patients with traumatic cardiac arrest: a Nationwide retrospective observational study

Patients with traumatic cardiac arrest (TCA) are known to have poor prognoses. In 2003, the joint committee of the National Association of EMS Physicians and the American College of Surgeons Committee on Traum...

Authors: Hiromichi Naito, Tetsuya Yumoto, Takashi Yorifuji, Tsuyoshi Nojima, Hirotsugu Yamamoto, Taihei Yamada, Kohei Tsukahara, Mototaka Inaba, Takeshi Nishimura, Takenori Uehara and Atsunori Nakao

Predictive value of qSOFA score for death in emergency department resuscitation room among adult trauma patients:a retrospective study

To explore the predictive value of the quick Sequential Organ Failure Assessment (qSOFA) score for death in the emergency department (ED) resuscitation room among adult trauma patients.

Authors: Wenjuan Huang, Peng Yang, Feng Xu and Du Chen

Effects of the COVID-19 pandemic on trauma-related emergency medical service calls: a retrospective cohort study

The COVID-19 pandemic has had profound effects on the utilization of health care services, including Emergency Medical Services (EMS). Social distancing measures taken to prevent the spread of the disease have...

Authors: Michael Azbel, Mikko Heinänen, Mitja Lääperi and Markku Kuisma

Live video from bystanders’ smartphones to medical dispatchers in real emergencies

Medical dispatchers have limited information to assess the appropriate emergency response when citizens call the emergency number. We explored whether live video from bystanders’ smartphones changed emergency ...

Authors: Gitte Linderoth, Freddy Lippert, Doris Østergaard, Annette K. Ersbøll, Christian S. Meyhoff, Fredrik Folke and Helle C. Christensen

Laypeople perception and interpretation of simulated life-threatening bleeding: a controlled experimental study

First aid performed by immediate responders can be the difference between life and death in the case of trauma with massive bleeding. To develop effective training programs to teach bleeding control to laypers...

Authors: Erik Prytz, Rachel Phillips, Susanna Lönnqvist, Marc Friberg and Carl-Oscar Jonson

Correction to: Characteristics of visits and predictors of admission from a paediatric emergency room in Saudi Arabia

Authors: Mohammad H. Al-Qahtani, Abdullah A. Yousef, Bassam H. Awary, Waleed H. Albuali, Mohammed A. Al Ghamdi, Reem S. AlOmar, Nouf A. AlShamlan, Haneen A. Yousef, Sameerah Motabgani, Naheel A. AlAmer, Kawthar M. Alsawad, Fatimah Y. Altaweel, Kawther S. Altaweel, Roaya A. AlQunais, Fatima A. Alsubaie and Malak A. Al Shammari

Prehospital assessment and management of postpartum haemorrhage- healthcare personnel’s experiences and perspectives

Postpartum hemorrhage (PPH) is a serious obstetric emergency, and one of the top five causes of maternal mortality globally. The most common causes of PPH include uterine atony, placental disorders, birth trau...

Authors: Ann-Chatrin Linqvist Leonardsen, Ann Karin Helgesen, Linn Ulvøy and Vigdis Abrahamsen Grøndahl

The COVID-19 pandemic: the effect on airway Management in non-COVID emergency patients

During the COVID-19 outbreak, healthcare providers might have avoided droplet/aerosol-generating procedures, such as non-invasive ventilation (NIV) and high-flow nasal cannula (HFNC) due to the concern of them...

Authors: Onlak Ruangsomboon, Phetsinee Boonmee and Akarin Nimmannit

Impact of video quality when evaluating video-assisted cardiopulmonary resuscitation: a randomized, controlled simulation trial

Although not routinely established during cardiopulmonary resuscitation (CPR), video-assisted CPR has been described as beneficial in the communication with emergency medical service (EMS) authorities in out-o...

Authors: Christopher Plata, Martin Nellessen, Rebecca Roth, Hannes Ecker, Bernd W. Böttiger, Johannes Löser and Wolfgang A. Wetsch

Management of COVID-19-related challenges faced by EMS personnel: a qualitative study

As the first link in the chain of providing healthcare services in the frontline of the battle against COVID-19, emergency medical services (EMS) personnel are faced with various challenges, which affect their...

Authors: Fateme Mohammadi, Banafsheh Tehranineshat, Mostafa Bijani and Ali Asghar Khaleghi

Predicting surgical resource consumption and in-hospital mortality in resource-scarce conflict settings: a retrospective study

In armed conflicts, civilian health care struggles to cope. Being able to predict what resources are needed is therefore vital. The International Committee of the Red Cross (ICRC) implemented in the 1990s the ...

Authors: Måns Muhrbeck, Zaher Osman, Johan von Schreeb, Andreas Wladis and Peter Andersson

Identifying trauma patients with benefit from direct transportation to Level-1 trauma centers

Prehospital triage protocols typically try to select patients with Injury Severity Score (ISS) above 15 for direct transportation to a Level-1 trauma center. However, ISS does not necessarily discriminate betw...

Authors: Charlie A. Sewalt, Benjamin Y. Gravesteijn, Daan Nieboer, Ewout W. Steyerberg, Dennis Den Hartog and David Van Klaveren

Does Case Management Provide Support for Staff Facing Frequent Users of Emergency Departments? A Comparative Mixed-Method Evaluation of ED Staff Perception

Frequent users of emergency departments (FUED) account for a disproportionate number of emergency department (ED) visits and contribute to a wide range of challenges for ED staff. While several research has do...

Authors: Michael von Allmen, Véronique S. Grazioli, Miriam Kasztura, Oriane Chastonay, Joanna C. Moullin, Olivier Hugli, Jean-Bernard Daeppen and Patrick Bodenmann

Emergency medical staffs’ knowledge and attitude about organ donation after circulatory determined death (DCD) and its related factors

Adverse attitudes and insufficient knowledge about organ donation after Circulatory Determined Death (DCD) among emergency staff can have important consequences for the proper identification of potential DCD d...

Authors: Jafar Kondori, Rouzbeh Rajaei Ghafouri, Vahid Zamanzadeh, Ahmad Mirza Aghazadeh Attari, Stephen R. Large and Zahra Sheikhalipour

Comparison of the novel VieScope with conventional and video laryngoscope in a difficult airway scenario – a randomized, controlled simulation trial

Endotracheal intubation continues to be the gold standard for securing the airway in emergency situations. Difficult intubation is still a dreadful situation when securing the airway.

Authors: Hannes Ecker, Simone Kolvenbach, Sebastian Stranz, Holger Herff and Wolfgang A. Wetsch

Hemogram-derived ratios as prognostic markers of ICU admission in COVID-19

The vast impact of COVID-19 call for the identification of clinical parameter that can help predict a torpid evolution. Among these, endothelial injury has been proposed as one of the main pathophysiological m...

Authors: Sara Velazquez, Rodrigo Madurga, José María Castellano, Jesús Rodriguez-Pascual, Santiago Ruiz de Aguiar Diaz Obregon, Sara Jimeno, Juan Ignacio Montero, Paula Sol Ventura Wichner and Alejandro López-Escobar

Effect of COVID-19 on epidemiological characteristics of road traffic injuries in Suzhou: a retrospective study

To present the new trends in epidemiology of road traffic injuries (RTIs) during the Coronavirus disease 2019 (COVID-19) pandemic in Suzhou.

Authors: Wenjuan Huang, Qi Lin, Feng Xu and Du Chen

Validity and risk factor analysis for helicopter emergency medical services in Japan: a pilot study

Some emergency departments use triage scales, such as the Canadian Triage and Acuity Scale and Japan Urgent Stroke Triage Score, to detect life-threatening situations. However, these protocols have not been us...

Authors: Noriaki Yamada, Yuichiro Kitagawa, Takahiro Yoshida, Sho Nachi, Hideshi Okada and Shinji Ogura

Pre-operative fluid resuscitation in the emergency general surgery septic patient: does it really matter?

Emergency general surgery (EGS) patients presenting with sepsis remain a challenge. The Surviving Sepsis Campaign recommends a 30 mL/kg fluid bolus in these patients, but recent studies suggest an association ...

Authors: Benjamin Moran, Erin Major, Joseph A. Kufera, Samuel A. Tisherman and Jose Diaz

A first-aid fast track channel for rescuing critically ill children with airway foreign bodies: our clinical experience

To explore the role of a first-aid fast track channel in rescuing children with airway foreign bodies and to analyse and summarize the experience and lessons of the first-aid fast track channel in rescuing air...

Authors: Yong-chao Chen, Zhi-xiong Xian, Sai-hong Han, Lan Li and Yi-shu Teng

Predicting mortality among septic patients presenting to the emergency department–a cross sectional analysis using machine learning

Sepsis is a life-threatening condition, causing almost one fifth of all deaths worldwide. The aim of the current study was to identify variables predictive of 7- and 30-day mortality among variables reflective...

Authors: Adam Karlsson, Willem Stassen, Amy Loutfi, Ulrika Wallgren, Eric Larsson and Lisa Kurland

Data from emergency medicine palliative care access (EMPallA): a randomized controlled trial comparing the effectiveness of specialty outpatient versus telephonic palliative care of older adults with advanced illness presenting to the emergency department

The Emergency Medicine Palliative Care Access (EMPallA) trial is a large, multicenter, parallel, two-arm randomized controlled trial in emergency department (ED) patients comparing two models of palliative car...

Authors: Abigail M. Schmucker, Mara Flannery, Jeanne Cho, Keith S. Goldfeld and Corita Grudzen

Factors influencing paramedics’ and emergency medical technicians’ level of knowledge about the 2015 basic life support guidelines

This study aimed to determine the cardiopulmonary resuscitation (CPR) knowledge level and factors affecting the current CPR knowledge level among EMTs and paramedics working in the Kayseri 112 emergency health...

Authors: Celal Levent Kayadelen, Ayşe Nilgün Kayadelen and Polat Durukan

Study of C-reactive protein, procalcitonin, and immunocyte ratios in 194 patients with sepsis

Evidence suggests that C-reactive protein (CRP), procalcitonin (PCT), and immune cells can predict sepsis severity in adult patients. However, the specific values of these indicators are not consistent in pred...

Authors: Tian Tian, Bing Wei and Junyu Wang

Comparison of base excess, lactate and pH predicting 72-h mortality of multiple trauma

To compare the predictive values of base excess (BE), lactate and pH of admission arterial blood gas for 72-h mortality in patients with multiple trauma.

Authors: Junfang Qi, Long Bao, Peng Yang and Du Chen

Incidence of in-hospital cardiac arrest at general wards before and after implementation of an early warning score

In order to reduce the incidence of in-hospital cardiac arrest (IHCA) at general wards, medical emergency teams (MET) were implemented in the Capital Region of Denmark in 2012 as the efferent part of a track a...

Authors: Andreas Creutzburg, Dan Isbye and Lars S. Rasmussen

Prehospital time and mortality in polytrauma patients: a retrospective analysis

The time from injury to treatment is considered as one of the major determinants for patient outcome after trauma. Previous studies already attempted to investigate the correlation between prehospital time and...

Authors: E. Berkeveld, Z. Popal, P. Schober, W. P. Zuidema, F. W. Bloemers and G. F. Giannakopoulos

Factors associated with survival in adult patients with traumatic arrest: a retrospective cohort study from US trauma centers

Traumatic arrests increasingly affect young adults worldwide with low reported survival rates. This study examines factors associated with survival (to hospital discharge) in traumatic arrests transported to U...

Authors: Abdel-Badih Ariss, Rana Bachir and Mazen El Sayed

Ultrasonography indicators for predicting difficult intubation: a systematic review and meta-analysis

Ultrasonography (US) is recently used frequently as a tool for airway assessment prior to intubation (endotracheal tube (ETT) placement), and several indicators have been proposed in studies with different rep...

Authors: Mehran Sotoodehnia, Hosein Rafiemanesh, Hadi Mirfazaelian, Arash Safaie and Alireza Baratloo

Incidence rate and topography of intra-pelvic arterial lesions associated with high-energy blunt pelvic ring injuries: a retrospective cohort study

The aim of this study was to determine the rate and topography of intra-pelvic arterial lesions associated with high-energy blunt pelvic ring injuries (PRI).

Authors: Anna-Eliane Abboud, Sana Boudabbous, Elisabeth Andereggen, Michaël de Foy, Alexandre Ansorge and Axel Gamulin

Emergency department reorganisation to cope with COVID-19 outbreak in Milan university hospital: a time-sensitive challenge

In March 2020 we faced a huge spread of the epidemic of SARS-CoV2 in northern Italy; the Emergency Departments (ED) and the Emergency Medical Services (EMS) were overwhelmed by patients requiring care. The hos...

Authors: A. Jachetti, G. Colombo, B. Brignolo-Ottolini, J. Franchi, M. Solbiati, M. Pecorino Meli, P. Bosco and G. Costantino

Characteristics of visits and predictors of admission from a paediatric emergency room in Saudi Arabia

The Emergency Room (ER) is one of the most used areas in healthcare institutions. Problems with over utilisation and overcrowding have been reported worldwide. This study aims at examining the characteristics ...

Authors: Mohammad H. Al-Qahtani, Abdullah A. Yousef, Bassam H. Awary, Waleed H. Albuali, Mohammed A. Al Ghamdi, Reem S. AlOmar, Nouf A. AlShamlan, Haneen A. Yousef, Sameerah Motabgani, Naheel A. AlAmer, Kawthar M. Alsawad, Fatimah Y. Altaweel, Kawther S. Altaweel, Roaya A. AlQunais, Fatima A. Alsubaie and Malak A. Al Shammari