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  1. The number of Global Emergency Medicine (GEM) Fellowship training programs are increasing worldwide. Despite the increasing number of GEM fellowships, there is not an agreed upon approach for assessment of GEM...

    Authors: Haiko Kurt Jahn, James Kwan, Gerard O’Reilly, Heike Geduld, Katherine Douglass, Andrea Tenner, Lee Wallis, Janis Tupesis and Hani O. Mowafi

    Citation: BMC Emergency Medicine 2019 19:68

    Content type: Debate

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  2. Overcrowding in emergency departments (ED) is a major concern worldwide. To answer increasing health care demands, new models of care including advanced practice physiotherapists (APP) have been implemented in...

    Authors: E. Matifat, K. Perreault, J.-S. Roy, A. Aiken, E. Gagnon, M. Mequignon, V. Lowry, S. Décary, B. Hamelin, M. Ambrosio, N. Farley, D. Pelletier, L. Carlesso and F. Desmeules

    Citation: BMC Emergency Medicine 2019 19:67

    Content type: Research article

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  3. Majority burn mortality prognostic scores were developed and validated in western populations. The primary objective of this study was to evaluate and identify possible risk factors which may be used to predic...

    Authors: Henry Tan Chor Lip, Mohamad Azim Md. Idris, Farrah-Hani Imran, Tuan Nur’ Azmah, Tan Jih Huei and Mathew Thomas

    Citation: BMC Emergency Medicine 2019 19:66

    Content type: Research article

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  4. The Japan Coma Scale (JCS) score has been widely used to assess patients’ consciousness level in Japan. JCS scores are divided into four main categories: alert (0) and one-, two-, and three-digit codes based o...

    Authors: Tetsuya Yumoto, Hiromichi Naito, Takashi Yorifuji, Toshiyuki Aokage, Noritomo Fujisaki and Atsunori Nakao

    Citation: BMC Emergency Medicine 2019 19:65

    Content type: Research article

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  5. Dispatched citizen responders are increasingly involved in out-of-hospital cardiac arrest (OHCA) resuscitation which can lead to severe stress. It is unknown which psychological assessment tools are most appro...

    Authors: Astrid Rolin Kragh, Fredrik Folke, Linn Andelius, Emma Slebsager Ries, Rasmus Vedby Rasmussen and Carolina Malta Hansen

    Citation: BMC Emergency Medicine 2019 19:64

    Content type: Research article

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  6. To test if the 5-item compassion measure (a tool previously validated in the outpatient setting to measure patient assessment of clinician compassion) is a valid and reliable tool to quantify a distinct constr...

    Authors: Praveen Sabapathi, Michael B. Roberts, Brian M. Fuller, Michael A. Puskarich, Christopher W. Jones, J. Hope Kilgannon, Valerie Braz, Christina Creel-Bulos, Nathaniel Scott, Kristina L. Tester, Anthony Mazzarelli, Stephen Trzeciak and Brian W. Roberts

    Citation: BMC Emergency Medicine 2019 19:63

    Content type: Research article

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  7. Emergency Department (ED) overcrowding adversely affects patients’ health, accessibility, and quality of healthcare systems for communities. Several studies have addressed this issue. This study aimed to condu...

    Authors: Hamid Reza Rasouli, Ali Aliakbar Esfahani and Mohsen Abbasi Farajzadeh

    Citation: BMC Emergency Medicine 2019 19:62

    Content type: Research article

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  8. Hospitals must improve patient safety and quality continuously. Clinical quality registries can drive such improvement. Trauma registries code injuries according to the Abbreviated Injury Scale (AIS) and bench...

    Authors: Anna Bågenholm, Ina Lundberg, Bjørn Straume, Rune Sundset, Kristian Bartnes, Tor Ingebrigtsen and Trond Dehli

    Citation: BMC Emergency Medicine 2019 19:61

    Content type: Research article

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  9. In France, patients with acute coronary syndromes (ACS) are usually transferred from remote hospitals to percutaneous coronary intervention (PCI) centres in mobile intensive care units (MICUs) with on-board me...

    Authors: Sebastien Cassan, Mihaela Rata, Claire Vallenet, Philippe Fromage, Frederic Champly, Patrick Broin, Guillaume Peribois, Valerie Sierra, Cedric Lutz, Lionel Mangin, Dominique Savary, François-Xavier Ageron and Loic Belle

    Citation: BMC Emergency Medicine 2019 19:60

    Content type: Research article

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  10. In disaster situations, the elderly are considered to be a particularly vulnerable population. Preparedness is the key to reduce post-disaster damage. There is limited research in middle-income countries on ho...

    Authors: Jiraporn Sri-on, Alissara Vanichkulbodee, Natchapon Sinsuwan, Rapeeporn Rojsaengroeng, Anucha Kamsom and Shan Woo Liu

    Citation: BMC Emergency Medicine 2019 19:58

    Content type: Research article

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  11. The emergency department (ED) sensitive hospital standardized mortality ratio (ED-HSMR) measures risk-adjusted mortality for patients admitted to hospital with conditions for which ED care may improve health o...

    Authors: Simon Berthelot, Eddy S. Lang, Hude Quan and Henry T. Stelfox

    Citation: BMC Emergency Medicine 2019 19:57

    Content type: Research article

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  12. Bleeding is an important cause of death in trauma victims. In 2010, the CRASH-2 study, a multicentre randomized control trial on the effect of tranexamic acid (TXA) administration to trauma patients with suspe...

    Authors: Alessandro Jachetti, Rose Berly Massénat, Nathalie Edema, Sophia C. Woolley, Guido Benedetti, Rafael Van Den Bergh and Miguel Trelles

    Citation: BMC Emergency Medicine 2019 19:56

    Content type: Research article

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  13. The aim of this study was to evaluate the reliability and accuracy of documentation in FinnHEMS database, which is a nationwide helicopter emergency service (HEMS) clinical quality registry.

    Authors: A. Heino, T. Iirola, L. Raatiniemi, J. Nurmi, A. Olkinuora, P. Laukkanen-Nevala, I. Virkkunen and M. Tommila

    Citation: BMC Emergency Medicine 2019 19:53

    Content type: Research article

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  14. Uncompleted emergency department care and against-medical-advice discharge represent relevant medical problems with impact on patient safety and potential medicolegal and socioeconomic consequences. They may a...

    Authors: Carolin Hoyer, Patrick Stein, Angelika Alonso, Michael Platten and Kristina Szabo

    Citation: BMC Emergency Medicine 2019 19:52

    Content type: Research article

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  15. Recently, road traffic injuries (RTIs) have become a major health problem affecting health systems in many low- and middle-income countries. Regardless of whether an ambulance is available for evacuation, poli...

    Authors: Gift G. Lukumay, Anne H. Outwater, Dickson A. Mkoka, Menti L. Ndile and Britt-Inger Saveman

    Citation: BMC Emergency Medicine 2019 19:51

    Content type: Research article

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  16. Recanalisation therapy in acute ischaemic stroke is highly time-sensitive, and requires early identification of eligible patients to ensure better outcomes. Thus, a number of clinical assessment tools have bee...

    Authors: Daria Antipova, Leila Eadie, Ashish Macaden and Philip Wilson

    Citation: BMC Emergency Medicine 2019 19:49

    Content type: Research article

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  17. Overcrowding in emergency departments (EDs) is internationally recognized as one of the greatest challenges to healthcare provision. Numerous studies have highlighted the ill-effects of overcrowding, including...

    Authors: Andrea Strada, Francesca Bravi, Giorgia Valpiani, Roberto Bentivegna and Tiziano Carradori

    Citation: BMC Emergency Medicine 2019 19:47

    Content type: Research article

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  18. Cardiopulmonary resuscitation (CPR) requires immediate start of manual chest compression (MCC) and defibrillation as soon as possible. During dental surgery, CPR could be started in the dental chair considerin...

    Authors: Norimasa Awata, Takashi Hitosugi, Yoichiro Miki, Masanori Tsukamoto, Yoshifumi Kawakubo and Takeshi Yokoyama

    Citation: BMC Emergency Medicine 2019 19:46

    Content type: Research article

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  19. Pain is the most frequent presenting complaint in patients consulting or admitted to the emergency department (ED). Thus, its acute management is often done by physicians working in the ED. These clinicians ar...

    Authors: Paul Owono Etoundi, Junette Arlette Metogo Mbengono, Ferdinand Ndom Ntock, Joel Noutakdie Tochie, Dominique Christelle Anaba Ndom, Francky Teddy Endomba Angong, Gérard Beyiha and Jacqueline Ze Minkande

    Citation: BMC Emergency Medicine 2019 19:45

    Content type: Research article

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  20. Some crucial decisions in treatment of hypothermic patients are closely linked to core body temperature. They concern modification of resuscitation algorithms and choosing the target hospital. Under- as well a...

    Authors: Paweł Podsiadło, Tomasz Darocha, Sylweriusz Kosiński, Tomasz Sanak and Robert Gałązkowski

    Citation: BMC Emergency Medicine 2019 19:44

    Content type: Research article

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  21. The prehospital care of patients with sepsis are commonly performed by the emergency medical services. These patients may be critically ill and have high in-hospital mortality rates. Unfortunately, few patient...

    Authors: Agnes Olander, Henrik Andersson, Annelie J. Sundler, Anders Bremer, Lars Ljungström and Magnus Andersson Hagiwara

    Citation: BMC Emergency Medicine 2019 19:43

    Content type: Research article

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  22. Crowding in emergency departments (EDs) is a challenge globally. To counteract crowding in day-to-day operations, better tools to improve monitoring of the patient flow in the ED is needed. The objective of th...

    Authors: Andreas Asheim, Lars P. Bache-Wiig Bjørnsen, Lars E. Næss-Pleym, Oddvar Uleberg, Jostein Dale and Sara M. Nilsen

    Citation: BMC Emergency Medicine 2019 19:42

    Content type: Research article

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  23. Patient satisfaction has become an increasingly important element in a service-oriented healthcare market. Although satisfaction is influenced by many factors, the waiting time to be seen by medical staff has ...

    Authors: Hervé Spechbach, Jessica Rochat, Jean-Michel Gaspoz, Christian Lovis and Frederic Ehrler

    Citation: BMC Emergency Medicine 2019 19:41

    Content type: Research article

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  24. The demand on Emergency Departments and acute medical services is increasing internationally, creating pressure on health systems and negatively influencing the quality of delivered care. Visible consequences ...

    Authors: Marjolein N. T. Kremers, Prabath W. B. Nanayakkara, Marcel Levi, Derek Bell and Harm R. Haak

    Citation: BMC Emergency Medicine 2019 19:40

    Content type: Debate

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  25. Injuries directly lead to 5 million deaths every year, accounting for 9% of all deaths worldwide. While knowledge of the pattern of injuries is essential to plan health interventions to reduce the incidence of...

    Authors: Paa-Kwesi Blankson, Joachim K. A. Amoako, Kwaku Asah-Opoku, Francis Odei-Ansong and Margaret Y. Lartey

    Citation: BMC Emergency Medicine 2019 19:39

    Content type: Research article

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  26. Despite the high sensitivity and negative predictive value of contemporary high-sensitivity troponin T assays (hsTnT), creatine kinase (CK) continues to be routinely tested for the diagnosis of acute coronary ...

    Authors: Evan J. Wiens, Jorden Arbour, Kristjan Thompson and Colette M. Seifer

    Citation: BMC Emergency Medicine 2019 19:37

    Content type: Research article

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  27. Early recognition of stroke symptoms results in a lower time period after stroke onset to treatment with a better outcome. This depends on the awareness of patients, family members, and the general public.

    Authors: Elyar Sadeghi-Hokmabadi, Samad Shams Vahdati, Reza Rikhtegar, Khazar Ghasempour and Aysa Rezabakhsh

    Citation: BMC Emergency Medicine 2019 19:36

    Content type: Research article

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  28. Rib fractures are common in ageing people after trauma and delirium is a complication often seen in acutely hospitalized elderly patients. For both conditions, elderly have an increased risk for institutionali...

    Authors: Ties L. Janssen, Elmand Hosseinzoi, Dagmar I. Vos, Eelco J. Veen, Paul G. H. Mulder, Adrianus M. van der Holst and Lijckle van der Laan

    Citation: BMC Emergency Medicine 2019 19:34

    Content type: Research article

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  29. In periarrest situations and during resuscitation it is essential to rule out reversible causes. Hyperkalemia is one of the most common, reversible causes of periarrest situations. Typical electrocardiogram (E...

    Authors: Csaba Varga, Zsolt Kálmán, Alíz Szakáll, Kata Drubits, Márton Koch, Róbert Bánhegyi, Tibor Oláh, Éva Pozsgai, Norbert Fülöp and József Betlehem

    Citation: BMC Emergency Medicine 2019 19:33

    Content type: Research article

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  30. The substantial increase in cardiovascular diseases (CVD) in China over the last three decades warrants comprehensive preventive primary and secondary strategies. Prolonged prehospital delay (PHD) has been ide...

    Authors: Sophia Hoschar, Jiangqi Pan, Zhen Wang, Xiaoyan Fang, Xian’e Tang, Weiqi Shi, Rongxiang Tu, Peng Xi, Wenliang Che, Hongbao Wang, Yawei Li, Kurt Fritzsche, Xuebo Liu, Karl-Heinz Ladwig and Wenlin Ma

    Citation: BMC Emergency Medicine 2019 19:31

    Content type: Research article

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  31. Community Paramedics (CPs) require access to timely blood analysis in the field to guide treatment and transport decisions. Point of care testing (POCT), as opposed to laboratory analysis, may offer a solution...

    Authors: Ian E. Blanchard, Ryan Kozicky, Dana Dalgarno, Justin Simms, Stacy Goulder, Tyler S. Williamson, Susan Biesbroek, Lenore Page, Karen Leaman, Suzanne Snozyk, Lyle Redman, Keith Spackman, Christopher J. Doig, Eddy S. Lang and Gerald Lazarenko

    Citation: BMC Emergency Medicine 2019 19:30

    Content type: Research article

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  32. Female drug users report poorer physical and mental health than male drug users. We describe female and male patients treated for acute recreational drug toxicity, and look for gender differences in clinical s...

    Authors: Victoria Lykke Syse, Mette Brekke, Marit Mæhle Grimsrud, Per Sverre Persett, Fridtjof Heyerdahl, Knut Erik Hovda and Odd Martin Vallersnes

    Citation: BMC Emergency Medicine 2019 19:29

    Content type: Research article

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  33. The increasing burdens of trauma and time sensitive non-communicable disease in Addis Ababa necessitate a robust emergency medical care system. The objectives of this study were to assess the proportion of pat...

    Authors: Menbeu Sultan, Yonas Abebe, Assefu Welde Tsadik, Asmamaw Ababa, Alegnta Gebre Yesus and Nee-Kofi Mould-Millman

    Citation: BMC Emergency Medicine 2019 19:28

    Content type: Research article

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  34. In low- and middle-income countries emergency surgery represents a higher proportion of the total number of surgeries and is associated with greater morbidity/mortality. Study aims were to determine if emergen...

    Authors: Félix R. Montes, Skarlet Marcell Vásquez, Claudia Marcela Camargo-Rojas, Myriam V. Rueda, Lina Góez-Mogollón, Paula A. Alvarado, Danny J. Novoa and Juan Carlos Villar

    Citation: BMC Emergency Medicine 2019 19:27

    Content type: Research article

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  35. 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

    Citation: BMC Emergency Medicine 2019 19:26

    Content type: Case report

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  36. 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...

    Authors: Bewket Tadesse Tiruneh, Berhanu Boru Bifftu and Berihun Assefa Dachew

    Citation: BMC Emergency Medicine 2019 19:25

    Content type: Research article

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  37. 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

    Citation: BMC Emergency Medicine 2019 19:24

    Content type: Research article

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  38. 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

    Citation: BMC Emergency Medicine 2019 19:23

    Content type: Research article

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  39. 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

    Citation: BMC Emergency Medicine 2019 19:22

    Content type: Research article

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  40. 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

    Citation: BMC Emergency Medicine 2019 19:21

    Content type: Research article

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  41. 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

    Citation: BMC Emergency Medicine 2019 19:20

    Content type: Research article

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  42. 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

    Citation: BMC Emergency Medicine 2019 19:19

    Content type: Research article

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