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General emergency medicine

This section publishes articles on emergency medicine not covered by the other sections, including but not limited to: pediatric EM, neurological and psychiatric EM, toxicology and poisoning management, infection and sepsis, ultrasound, healthcare services research.

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  1. Content type: Case report

    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...

    Authors: Ashruta Patel and Gary Daniels

    Citation: BMC Emergency Medicine 2018 18:53

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  2. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2018 18:51

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  3. Content type: Research article

    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...

    Authors: Ademola Olusegun Talabi, Olusola Comfort Famurewa, Kayode Taiwo Bamigbola, Oludayo Adedapo Sowande, Babalola Ishmael Afolabi and Olusanya Adejuyigbe

    Citation: BMC Emergency Medicine 2018 18:46

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  4. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2018 18:40

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  5. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2018 18:39

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  6. Content type: Research article

    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

    Citation: BMC Emergency Medicine 2018 18:30

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  7. Content type: Case report

    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

    Citation: BMC Emergency Medicine 2018 18:29

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  8. Content type: Study protocol

    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

    Citation: BMC Emergency Medicine 2018 18:25

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  9. Content type: Research article

    There is little data describing pediatric emergencies in resource-poor countries, such as Pakistan. We studied the demographics, management, and outcomes of patients presenting to the highest-volume, public, p...

    Authors: Nadir Ijaz, Matthew Strehlow, N. Ewen Wang, Elizabeth Pirrotta, Areeba Tariq, Naseeruddin Mahmood and Swaminatha Mahadevan

    Citation: BMC Emergency Medicine 2018 18:22

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  10. Content type: Study protocol

    Although this has not been fully studied, videos and pictorial brochures might be equivalent methods of delivering HIV/AIDS and HIV testing information to emergency departments (ED) patients. It also is not kn...

    Authors: Roland C. Merchant, Tao Liu, Melissa A. Clark and Michael P. Carey

    Citation: BMC Emergency Medicine 2018 18:21

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  11. Content type: Research article

    Liberal use of oxygen in an emergency situation is common. Today, most health care professionals do not adjust the amount of oxygen given when a saturation of 100% or a PaO2 which exceeds the normal range is r...

    Authors: Anna S. M. Dobbe, Renate Stolmeijer, Jan C. ter Maaten and Jack J. M. Ligtenberg

    Citation: BMC Emergency Medicine 2018 18:17

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  12. Content type: Research article

    The aim of this study is to test the diagnostic value of baseline and early change of C-reactive protein (CRP) concentrations, evaluated separately or in combination with the modified Alvarado score (MAS), in ...

    Authors: Mohamed Amine Msolli, Kaouther Beltaief, Wahid Bouida, Nahla Jerbi, Mohamed Habib Grissa, Hamdi Boubaker, Riadh Boukef and Semir Nouira

    Citation: BMC Emergency Medicine 2018 18:15

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  13. Content type: Research article

    Since the 1990s, community-associated methicillin resistant staphylococcus aureus (CA-MRSA) has emerged as an important global cause of skin and soft tissue infections. Little is known about the epidemiology of t...

    Authors: Muna Al Jalaf, Hanan Fadali, Rasha Alanee, Firas Najjar, Zulfa Al Deesi, Rania M. Seliem and Eric J. Nilles

    Citation: BMC Emergency Medicine 2018 18:12

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  14. Content type: Research article

    Approximately 80% of patients presenting to emergency departments (ED) with chest pain do not have any true cardiopulmonary emergency such as acute coronary syndrome (ACS). However, psychological contributors ...

    Authors: Paul I. Musey Jr, John A. Lee, Cassandra A. Hall and Jeffrey A. Kline

    Citation: BMC Emergency Medicine 2018 18:10

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  15. Content type: Research article

    Studies investigating different medical conditions and settings have demonstrated mixed results regarding the weekend effect. However, data on the outcome of elderly patients hospitalised on weekends is scarce...

    Authors: Steffie H. A. Brouns, Joyce J. Wachelder, Femke S. Jonkers, Suze L. Lambooij, Jeanne P. Dieleman and Harm R. Haak

    Citation: BMC Emergency Medicine 2018 18:9

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  16. Content type: Research article

    Triage is used to prioritize the patients in the emergency department. The majority of the triage systems include the patients’ pain score to assess their level of acuity by using a combination of patient repo...

    Authors: Martin Høhrmann Hangaard, Brian Malling and Christian Backer Mogensen

    Citation: BMC Emergency Medicine 2018 18:8

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  17. Content type: Case report

    Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid ...

    Authors: Hiromu Okano, Kohji Uzawa, Kunitaro Watanabe, Akira Motoyasu, Joho Tokumine, Alan Kawarai Lefor and Tomoko Yorozu

    Citation: BMC Emergency Medicine 2018 18:5

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  18. Content type: Research article

    Clinical handover is an important process for the transition of patient-care responsibility to the next healthcare provider, but it may divert the attention of the team away from active patients. This is chall...

    Authors: Sami Alsolamy, Atheer Al-Sabhan, Najla Alassim, Musharaf Sadat, Eman Al Qasim, Hani Tamim and Yaseen M Arabi

    Citation: BMC Emergency Medicine 2018 18:3

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  19. Content type: Case report

    Pneumocephalus, illustrated by air in the cranial vault is relatively infrequent and generally associated with neurosurgery, trauma, meningitis and barotrauma. However cases of spontaneous non-traumatic pneumo...

    Authors: Abdus Samad Ansari, Brittany B. Dennis, Dilip Shah and Winfred Baah

    Citation: BMC Emergency Medicine 2018 18:2

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  20. Content type: Research article

    While emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blend...

    Authors: Madeleine Huei Tze Kho, Keng Sheng Chew, Muhaimin Noor Azhar, Mohd Lotfi Hamzah, Kee Man Chuah, Aida Bustam and Hiang Chuan Chan

    Citation: BMC Emergency Medicine 2018 18:1

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  21. Content type: Research article

    The early warning score (EWS) was developed to identify deteriorating patients early. It is a track-and-trigger system based on vital signs designed to direct appropriate clinical responses based on the seriou...

    Authors: John Asger Petersen, Lars S. Rasmussen and Susan Rydahl-Hansen

    Citation: BMC Emergency Medicine 2017 17:36

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  22. Content type: Research article

    As many as 12% of acute coronary syndrome (ACS) patients screen positive for post-traumatic stress disorder (PTSD) symptoms due to their cardiac event, and emergency department (ED) factors such as overcrowdin...

    Authors: Beatrice Konrad, David Hiti, Bernard P. Chang, Jessica Retuerto, Jacob Julian and Donald Edmondson

    Citation: BMC Emergency Medicine 2017 17:33

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  23. Content type: Research article

    Sepsis management in the Emergency Department remains a daily challenge. The Surviving Sepsis Campaign (SSC) has released three-hour bundle. The implementation of these bundles in European Emergency Department...

    Authors: Philippe Le Conte, Séverin Thibergien, Jean Batiste Obellianne, Emmanuel Montassier, Gilles Potel, Pierre Marie Roy and Eric Batard

    Citation: BMC Emergency Medicine 2017 17:27

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  24. Content type: Study protocol

    Overuse of antibiotics is a major public health problem, contributing to growing antibiotic resistance. Procalcitonin has been reported to be commonly elevated in bacterial, but not viral infection. Multiple E...

    Authors: David T. Huang, Derek C. Angus, Chung-Chou H. Chang, Yohei Doi, Michael J. Fine, John A. Kellum, Octavia M. Peck-Palmer, Francis Pike, Lisa A. Weissfeld, Jonathan Yabes and Donald M. Yealy

    Citation: BMC Emergency Medicine 2017 17:25

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  25. Content type: Research article

    Systematic reviews call for well-designed trials with clearly described intervention components to support the effectiveness of educational campaigns to reduce patient delay in stroke presentation. We herein d...

    Authors: Caterina Caminiti, Peter Schulz, Barbara Marcomini, Elisa Iezzi, Silvia Riva, Umberto Scoditti, Andrea Zini, Giovanni Malferrari, Maria Luisa Zedde, Donata Guidetti, Enrico Montanari, Mario Baratti and Licia Denti

    Citation: BMC Emergency Medicine 2017 17:20

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  26. Content type: Research article

    Hemorrhage is the main cause of maternal death during pregnancy. This study aims to evaluate incidence and outcomes of Severe Ante Partum Hemorrhage (SAPH) during the third trimester of pregnancy prior to deli...

    Authors: Martin Lankoande, Papougnezambo Bonkoungou, Sosthène Ouandaogo, Marcelin Dayamba, Ali Ouedraogo, Francis Veyckmans and Nazinigouba Ouédraogo

    Citation: BMC Emergency Medicine 2017 17:17

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  27. Content type: Research article

    There is no common understanding of how needs of emergency department (ED) frequent users differ from other patients. This study sought to examine how to best serve this population. Examinations of why ED freq...

    Authors: Lauren E. Birmingham, Thaddeus Cochran, Jennifer A. Frey, Kirk A. Stiffler and Scott T. Wilber

    Citation: BMC Emergency Medicine 2017 17:16

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  28. Content type: Research article

    While the capacities to care for and epidemiology of emergency and critically ill patients have been reported for secondary and tertiary level hospitals in Mongolia, no data exist for Mongolian primary level h...

    Authors: Naranpurev Mendsaikhan, Davaa Gombo, Ganbold Lundeg, Christian Schmittinger and Martin W. Dünser

    Citation: BMC Emergency Medicine 2017 17:15

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  29. Content type: Study protocol

    Musculoskeletal injuries are a common presentation to the Emergency Department (ED). The quality of care provided is important to the patients, clinicians, organisations and purchasers of care. In the context ...

    Authors: Kirsten Strudwick, Anthony Bell, Trevor Russell and Melinda Martin-Khan

    Citation: BMC Emergency Medicine 2017 17:14

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  30. Content type: Research article

    Dyspnea is a frequent complaint in emergency departments (ED). It has a significant amount of subjective and affective components, therefore the dyspnea scores, based on the patients’ rating, can be ambiguous....

    Authors: Tibor Gondos, Viktor Szabó, Ágnes Sárkány, Adrienn Sárkány and Gábor Halász

    Citation: BMC Emergency Medicine 2017 17:13

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  31. Content type: Research article

    Intra-abdominal hypertension (IAH) affects almost every organ sytem.If it is not detected early and corrected, mortality would be high. The prevalence of IAH and abdominal compartment syndrome (ACS) at Kenyatt...

    Authors: A. Muturi, P. Ndaguatha, Daniel Ojuka and A. Kibet

    Citation: BMC Emergency Medicine 2017 17:10

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  32. Content type: Research article

    Appropriate and timely recognition of sepsis is a prerequisite for starting goal-directed therapy bundles. We analyzed the appropriateness of sepsis recognition and documentation with regard to adequacy of the...

    Authors: Marius Morr, Alexander Lukasz, Eva Rübig, Hermann Pavenstädt and Philipp Kümpers

    Citation: BMC Emergency Medicine 2017 17:11

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  33. Content type: Research article

    To investigate the impact of presenting to an Emergency Department (ED) during pregnancy on postnatal depression (PND) in women in New South Wales (NSW), Australia.

    Authors: Fenglian Xu, Elizabeth A. Sullivan, Roberto Forero and Caroline S. E. Homer

    Citation: BMC Emergency Medicine 2017 17:12

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  34. Content type: Research article

    Bystander first aid can improve survival following out-of-hospital cardiac arrest or trauma. Thus, providing first aid education to laypersons may lead to better outcomes. In this study, we aimed to establish ...

    Authors: Håkon Kvåle Bakke, Tine Steinvik, Johan Angell and Torben Wisborg

    Citation: BMC Emergency Medicine 2017 17:6

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  35. Content type: Research article

    Ingestion of foreign bodies and food impaction represent the second most common endoscopic emergency after bleeding. The aim of this paper is to report the management and the outcomes in 67 patients admitted f...

    Authors: Girolamo Geraci, Carmelo Sciume’, Giovanni Di Carlo, Antonino Picciurro and Giuseppe Modica

    Citation: BMC Emergency Medicine 2016 16:42

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  36. Content type: Research article

    Secondary peritonitis is a common surgical emergence with deadly outcomes when not timely and promptly intervened. The emergence of Extended spectrum beta lactamase producing bacteria (ESBL) poses treatment ch...

    Authors: Jeremiah Seni, Enock Sweya, Amri Mabewa, Stephen E. Mshana and Japhet M. Gilyoma

    Citation: BMC Emergency Medicine 2016 16:41

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  37. Content type: Research article

    To determine the extent to which 30- and 90-day hospital readmission and mortality rates differ as a function of whether a chest pain patient is placed in observation status or admitted to the hospital for a s...

    Authors: Brad Wright, Amy M. J. O’Shea, Justin M. Glasgow, Padmaja Ayyagari and Mary Vaughan-Sarrazin

    Citation: BMC Emergency Medicine 2016 16:38

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  38. Content type: Research article

    Dizziness is a common chief complaint of patients presenting to the Emergency Department (ED). Physicians must quickly and accurately identify patients whose etiology is most likely ischemia. Additional tools ...

    Authors: Karen Chen, Andrea L. C. Schneider, Rafael H. Llinas and Elisabeth B. Marsh

    Citation: BMC Emergency Medicine 2016 16:37

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  39. Content type: Research article

    Diagnostic error and delay are critical impediments to the safety of critically ill patients. Checklist for early recognition and treatment of acute illness and injury (CERTAIN) has been developed as a tool th...

    Authors: Namita Jayaprakash, Rashid Ali, Rahul Kashyap, Courtney Bennett, Alexander Kogan and Ognjen Gajic

    Citation: BMC Emergency Medicine 2016 16:35

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  40. Content type: Research article

    Psychological distress in medical patients admitted to the emergency department (ED) is not well studied. Our aim was to investigate the extent of psychological distress in a broad and unselected medical patie...

    Authors: Lukas Faessler, Alexander Kutz, Sebastian Haubitz, Beat Mueller, Pasqualina Perrig-Chiello and Philipp Schuetz

    Citation: BMC Emergency Medicine 2016 16:33

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  41. Content type: Research article

    Sepsis is an often-fatal syndrome resulting from severe infection. Rapid identification and treatment are critical for septic patients. We therefore developed a probabilistic model to identify septic patients ...

    Authors: Samuel M. Brown, Jason Jones, Kathryn Gibb Kuttler, Roger K. Keddington, Todd L. Allen and Peter Haug

    Citation: BMC Emergency Medicine 2016 16:31

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  42. Content type: Research article

    Individuals living with sickle cell disease (SCD) have significantly increased emergency department (ED) use compared to the general population. In Saudi Arabia, health care is free for all individuals and the...

    Authors: Anwar E. Ahmed, Ahmed S. Alaskar, Donna K. McClish, Yosra Z. Ali, Mohammed H. Aldughither, Ahmad M. Al-Suliman and Hafiz M. Malhan

    Citation: BMC Emergency Medicine 2016 16:30

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  43. Content type: Research article

    The identification of frail older persons in different health care settings is widely seen as an important step in improving the healthcare system. Screening at an emergency department (ED) should be handled i...

    Authors: Eklund Kajsa, Wilhelmson Katarina, Landahl Sten and Ivanoff-Dahlin Synneve

    Citation: BMC Emergency Medicine 2016 16:27

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  44. Content type: Research article

    Older people frequently attend the emergency department (ED) and have a high risk of poor outcome as compared to their younger counterparts. Our aim was to study routinely collected clinical parameters as pred...

    Authors: Susanna E. Hofman, Jacinta A. Lucke, Noor Heim, Jelle de Gelder, Anne J. Fogteloo, Christian Heringhaus, Bas de Groot, Anton J. M. de Craen, Gerard Jan Blauw and Simon P. Mooijaart

    Citation: BMC Emergency Medicine 2016 16:26

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  45. Content type: Research article

    Injury surveillance systems support the ongoing systematic collection, analysis and interpretation of health information vital to the prevention, planning and evaluation of injury prevention strategies. One ke...

    Authors: Shannon E. Gray and Caroline F. Finch

    Citation: BMC Emergency Medicine 2016 16:24

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  46. Content type: Research article

    Emergency room (ER) use is increasing in several countries. Variability in the proportion of non-urgent ER visits was found to range from 5 to 90 % (median 32 %). Non-urgent emergency visits are considered an ...

    Authors: Sven Eirik Ruud, Per Hjortdahl and Bård Natvig

    Citation: BMC Emergency Medicine 2016 16:22

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  47. Content type: Research article

    The presence of alcohol or other substances of abuse in blood or urine from injured patients is often used as a proxy for substance influence at the time of injury. The aim of this study was to obtain an estim...

    Authors: Eirin Bakke, Stig Tore Bogstrand, Per Trygve Normann, Øivind Ekeberg and Liliana Bachs

    Citation: BMC Emergency Medicine 2016 16:20

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  48. Content type: Study protocol

    Fever is a common symptom in the emergency department(ED). Fever can be caused by bacterial infections, which are treated with antibiotics. Often, bacterial infections cannot be ruled out in the ED using stand...

    Authors: Yuri van der Does, Maarten Limper, Stephanie C. E. Schuit, Marten J. Poley, Joost van Rosmalen, Christian Ramakers, Peter Patka, Eric C. M. van Gorp and Pleunie P. M. Rood

    Citation: BMC Emergency Medicine 2016 16:17

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  49. Content type: Technical advance

    The emergency department (ED) increasingly acts as a gateway to the evaluation and treatment of acute illnesses. Consequently, it has also become a key testing ground for systems that monitor and identify outb...

    Authors: Samantha F. Bordonaro, Daniel C. McGillicuddy, Francesco Pompei, Dmitriy Burmistrov, Charles Harding and Leon D. Sanchez

    Citation: BMC Emergency Medicine 2016 16:16

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