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  1. Content type: Research article

    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

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  2. Content type: Research article

    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

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  3. Content type: Research article

    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

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  4. Content type: Research article

    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

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  5. Content type: Research article

    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

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  6. Content type: Research article

    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

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  7. Content type: Research article

    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

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  8. Content type: Research article

    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

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  9. Content type: Research article

    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

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  10. Content type: Research article

    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

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  11. Content type: Debate

    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

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  12. Content type: Research article

    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

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  13. Content type: Research article

    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

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  14. Content type: Research article

    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

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  15. Content type: Research article

    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

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  16. Content type: Research article

    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

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  17. Content type: Research article

    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

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  18. Content type: Research article

    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

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  19. Content type: Research article

    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

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  20. Content type: Research article

    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

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  21. Content type: Research article

    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

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  22. Content type: Case report

    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

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  23. Content type: Research article

    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

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  24. Content type: Research article

    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

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  25. Content type: Research article

    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

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  26. Content type: Research article

    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

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  27. Content type: Research article

    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

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  28. Content type: Research article

    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

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  29. Content type: Research article

    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

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  30. Content type: Case report

    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

    Citation: BMC Emergency Medicine 2019 19:18

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  31. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:17

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  32. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:16

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  33. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:15

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  34. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:14

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  35. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:13

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  36. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:12

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  37. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:11

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  38. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:10

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  39. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:9

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  40. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:8

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  41. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:7

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  42. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:6

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  43. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:5

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  44. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:4

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  45. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2019 19:3

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