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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. During the recent outbreak of COVID-19 (coronavirus disease 2019), Lombardy was the most affected region in Italy, with 87,000 patients and 15,876 deaths up to May 26, 2020. Since February 22, 2020, well befor...

    Authors: Laura Castoldi, Monica Solbiati, Giorgio Costantino and Elena Casiraghi

    Citation: BMC Emergency Medicine 2021 21:59

    Content type: Research article

    Published on:

  2. Highly empiric use of carbapenem in pyogenic liver abscess (PLA) is widespread problem. However, few studies have examined the association between blood culture and carbapenem use in patients with PLA in China...

    Authors: Shuangjun He, Jie Yu, Hairong Wang, Lifeng Wang, Yi Chen and Wei Zhou

    Citation: BMC Emergency Medicine 2021 21:58

    Content type: Research article

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  3. While COVID-19 has had far-reaching consequences on society and health care providers, there is a paucity of research exploring frontline emergency medicine (EM) provider wellness over the course of a pandemic...

    Authors: Heather Kelker, Kyle Yoder, Paul Musey Jr, Madison Harris, Olivia Johnson, Elisa Sarmiento, Punit Vyas, Brooke Henderson, Zachary Adams and Julie Welch

    Citation: BMC Emergency Medicine 2021 21:36

    Content type: Research article

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  4. On October 17, 2018, the Cannabis Act decriminalized the recreational use of cannabis in Canada. This study seeks to determine how legalization of cannabis has impacted emergency department (ED) visits for acu...

    Authors: Robert Baraniecki, Puru Panchal, Danya Deepsee Malhotra, Alexandra Aliferis and Zaka Zia

    Citation: BMC Emergency Medicine 2021 21:32

    Content type: Research article

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  5. Bloodstream infection (BSI) is a common urgent condition at the emergency department (ED). However, current guidelines for diagnosis do not specify the juncture at which blood cultures should be taken. The dec...

    Authors: Pariwat Phungoen, Nunchalit Lerdprawat, Kittisak Sawanyawisuth, Verajit Chotmongkol, Kamonwon Ienghong, Sumana Sumritrin and Korakot Apiratwarakul

    Citation: BMC Emergency Medicine 2021 21:30

    Content type: Research article

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  6. We sought to describe the national characteristics of ED visits by patients with end-stage renal disease (ESRD) in the United States in order to improve the emergency treatment and screening of ESRD patients.

    Authors: Ningyuan Wang, Jiao Pei, Hui Fan, Yaseen Ali, Anna Prushinskaya, Jian Zhao and Xingyu Zhang

    Citation: BMC Emergency Medicine 2021 21:25

    Content type: Research article

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  7. Neutrophil-lymphocyte count ratio (NLCR) has been reported as better indicator of bacteremia than procalcitonin (PCT), and more precise predictor of mortality than C-reactive protein (CRP) under various medica...

    Authors: Tao Zhou, Nan Zheng, Xiang Li, Dongmei Zhu and Yi Han

    Citation: BMC Emergency Medicine 2021 21:24

    Content type: Research article

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  8. Becoming critically ill represents not just a great upheaval for the patient in question, but also for the patient’s closest family. In recent years, there has been a change in how the quality of the public he...

    Authors: Randi Olsson Haave, Hilde Hammerud Bakke and Agneta Schröder

    Citation: BMC Emergency Medicine 2021 21:20

    Content type: Research article

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  9. Long-term prescription of opioids by healthcare professionals has been linked to poor individual patient outcomes and high resource utilization. Supportive strategies in this population regarding acute healthc...

    Authors: Jean Deschamps, James Gilbertson, Sebastian Straube, Kathryn Dong, Frank P. MacMaster, Christina Korownyk, Lori Montgomery, Ryan Mahaffey, James Downar, Hance Clarke, John Muscedere, Katherine Rittenbach, Robin Featherstone, Meghan Sebastianski, Ben Vandermeer, Deborah Lynam…

    Citation: BMC Emergency Medicine 2021 21:17

    Content type: Research article

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  10. Failed airway management is the major contributor for anaesthesia-related morbidity and mortality. Cannot-intubate-cannot-ventilate scenarios are the most critical emergency in airway management, and belong to th...

    Authors: H. Herff, W. A. Wetsch, S. Finke, F. Dusse, T. Mitterlechner, P. Paal, V. Wenzel and D. C. Schroeder

    Citation: BMC Emergency Medicine 2021 21:12

    Content type: Research article

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  11. A variety of evidence-based algorithms and decision rules using D-Dimer testing have been proposed as instruments to allow physicians to safely rule out a pulmonary embolism (PE) in low-risk patients.

    Authors: Leila Salehi, Prashant Phalpher, Hubert Yu, Jeffrey Jaskolka, Marc Ossip, Christopher Meaney, Rahim Valani and Mathew Mercuri

    Citation: BMC Emergency Medicine 2021 21:10

    Content type: Research article

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  12. Frequent users of emergency departments (FUEDs) (≥5 ED visits/year) represent a vulnerable population with complex needs accounting for a significant number of emergency department (ED) consultations, thus con...

    Authors: Oriane J. Chastonay, Melissa Lemoine, Véronique S. Grazioli, Marina Canepa Allen, Miriam Kasztura, Joanna C. Moullin, Jean-Bernard Daeppen, Olivier Hugli and Patrick Bodenmann

    Citation: BMC Emergency Medicine 2021 21:4

    Content type: Research article

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  13. The progression of biomarkers over time is considered an indicator of disease progression and helps in the early detection of disease, thereby reducing disease-related mortality. Their ability to predict outco...

    Authors: Jaechul Yoon, Dohern Kym, Jun Hur, Jae Hee Won, Haejun Yim, Yong Suk Cho and Wook Chun

    Citation: BMC Emergency Medicine 2021 21:1

    Content type: Research article

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  14. Typical lung ultrasound (LUS) findings in patients with a COVID-19 infection were reported early on. During the global SARS-CoV-2 pandemic, LUS was propagated as a useful instrument in triage and monitoring. W...

    Authors: Bonaventura Schmid, Doreen Feuerstein, Corinna N. Lang, Katrin Fink, Rebecca Steger, Marina Rieder, Daniel Duerschmied, Hans-Jörg Busch and Domagoj Damjanovic

    Citation: BMC Emergency Medicine 2020 20:96

    Content type: Research article

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  15. The so called ABCDE approach (Airway-Breathing-Circulation-Disability-Exposure) is a golden standard of patient assessment. The efficacy of using cognitive aids (CA) in resuscitation and peri-arrest situations...

    Authors: David Peran, Jiri Kodet, Jaroslav Pekara, Lucie Mala, Anatolij Truhlar, Patrik Christian Cmorej, Kasper Glerup Lauridsen, Ferenc Sari and Roman Sykora

    Citation: BMC Emergency Medicine 2020 20:95

    Content type: Research article

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  16. Although the shock index is known to predict mortality and other severe outcomes, deriving it requires complex calculations. Subtracting the systolic blood pressure from the heart rate may produce a simple sho...

    Authors: Yohei Kamikawa and Hiroyuki Hayashi

    Citation: BMC Emergency Medicine 2020 20:87

    Content type: Research article

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  17. The aim of the emergency department (ED) triage is to recognize critically ill patients and to allocate resources. No strong evidence for accuracy of the current triage instruments, especially for the older ad...

    Authors: Kirsi Kemp, Janne Alakare, Veli-Pekka Harjola, Timo Strandberg, Jukka Tolonen, Lasse Lehtonen and Maaret Castrén

    Citation: BMC Emergency Medicine 2020 20:83

    Content type: Research article

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  18. Emergency department personnel routinely bear witness to traumatic experiences and critical incidents that can affect their own well-being. Peer support through debriefing has demonstrated positive impacts on ...

    Authors: Laura Cantu and Listy Thomas

    Citation: BMC Emergency Medicine 2020 20:82

    Content type: Research article

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  19. The aim of this review is to elucidate the efficacy and side effects of ketofol in comparison to other anaesthetic agents during procedural sedation and analgesia.

    Authors: Tze Yong Foo, Norhayati Mohd Noor, Mohd Boniami Yazid, Mohd Hashairi Fauzi, Shaik Farid Abdull Wahab and Mohammad Zikri Ahmad

    Citation: BMC Emergency Medicine 2020 20:81

    Content type: Research article

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  20. Sepsis-associated encephalopathy (SAE) is a common complication of sepsis that may result in worse outcomes. This study was designed to determine the epidemiology, clinical features, and risk factors of SAE.

    Authors: Jiayi Chen, Xiaobei Shi, Mengyuan Diao, Guangyong Jin, Ying Zhu, Wei Hu and Shaosong Xi

    Citation: BMC Emergency Medicine 2020 20:77

    Content type: Research article

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  21. More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely...

    Authors: Fiona E. Lecky, Teri Reynolds, Olubukola Otesile, Sara Hollis, Janette Turner, Gordon Fuller, Ian Sammy, Jean Williams-Johnson, Heike Geduld, Andrea G. Tenner, Simone French, Ishtar Govia, Julie Balen, Steve Goodacre, Sujan B. Marahatta, Shaheem DeVries…

    Citation: BMC Emergency Medicine 2020 20:68

    Content type: Research article

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  22. People living in rural areas usually suffer comparatively disadvantaged emergency health care than those living in urban areas, reasons including long transit time due to geographic factors. As for many time c...

    Authors: Xing Fu, Philip Wilson and Wing Sun Faith Chung

    Citation: BMC Emergency Medicine 2020 20:65

    Content type: Research article

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  23. Selecting stroke patients with large vessel occlusion (LVO) based on prehospital stroke scales could provide a faster triage and transportation to a comprehensive stroke centre resulting a favourable outcome. ...

    Authors: Gabor Tarkanyi, Peter Csecsei, Istvan Szegedi, Evelin Feher, Adam Annus, Tihamer Molnar and Laszlo Szapary

    Citation: BMC Emergency Medicine 2020 20:64

    Content type: Research article

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  24. Syncope is a frequent reason for referral to the emergency department. After excluding a potentially life-threatening condition, the second objective is to find the cause of syncope. The objective of this stud...

    Authors: Veera K. van Wijnen, Reinold O. B. Gans, Wouter Wieling, Jan C. ter Maaten and Mark P. M. Harms

    Citation: BMC Emergency Medicine 2020 20:59

    Content type: Research article

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  25. Malnutrition often occurs in acute stroke patients receiving enteral tube feeding (ETF). Unless malnutrition is improved, their clinical outcome is poor. However, strategies to improve malnutrition in these pa...

    Authors: Takahisa Mori and Kazuhiro Yoshioka

    Citation: BMC Emergency Medicine 2020 20:56

    Content type: Research article

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    The Correction to this article has been published in BMC Emergency Medicine 2020 20:99

  26. Massive infusions of crystalloids into bleeding hypotensive patients can worsen the outcome. Military experience suggests avoiding crystalloids using early damage control resuscitation with blood components in...

    Authors: Pauli Vuorinen, Joonas-Eemeli Kiili, Piritta Setälä, Antti Kämäräinen and Sanna Hoppu

    Citation: BMC Emergency Medicine 2020 20:55

    Content type: Research article

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  27. No study to date has looked at the gender of emergency medicine (EM) physicians in the United States in relation to admission rates. This study seeks to investigate admission rates of adult patients treated by...

    Authors: Hisham Valiuddin, Hope Ring, Michelle Fallon and Yaser Valiuddin

    Citation: BMC Emergency Medicine 2020 20:54

    Content type: Research article

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  29. Acute appendicitis is a global disease and a very common indication for emergency surgery worldwide. The need for hospital resources is therefore constantly high. The administration in Kanta-Häme Central Hospi...

    Authors: Artur Ojakäär, Martin Purdy, Aristotelis Kechagias, Ulla Järvelin and Ari Palomäki

    Citation: BMC Emergency Medicine 2020 20:45

    Content type: Research article

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  30. Sepsis is a common problem encountered in the emergency room which needs to be intervened early. Predicting prognosis is always a difficult task in busy emergency rooms using present scores, which has several ...

    Authors: Rajan Ghimire, Yogendra Man Shakya, Tirtha Man Shrestha and Ram Prasad Neupane

    Citation: BMC Emergency Medicine 2020 20:43

    Content type: Research article

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  31. Suspected urinary tract infection (UTI) syndromes are a common reason for empirical antibiotics to be prescribed in the Emergency Department (ED), but differentiating UTI from other conditions with a similar p...

    Authors: Laura J. Shallcross, Patrick Rockenschaub, David McNulty, Nick Freemantle, Andrew Hayward and Martin J. Gill

    Citation: BMC Emergency Medicine 2020 20:40

    Content type: Research article

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  32. Abdominal pain is one of the most common complaints among patients admitted to the Emergency Department (ED). Diagnosis and management of abdominal pain may be a challenge and there are patients who require ad...

    Authors: Artur Kacprzyk, Tomasz Stefura, Katarzyna Chłopaś, Kaja Trzeciak, Aleksandra Załustowicz, Mateusz Rubinkiewicz, Michał Pędziwiatr, Kazimierz Rembiasz and Piotr Major

    Citation: BMC Emergency Medicine 2020 20:37

    Content type: Research article

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  33. In recent years, researchers and clinicians have been developing prognostic prediction tools (PPTs) as a way of identifying patients at risk of deterioration. The use of PPTs in the clinical environment not on...

    Authors: Claire O’Neill, Hayley A. Hutchings, Zoe Abbott and Ceri Battle

    Citation: BMC Emergency Medicine 2020 20:36

    Content type: Research article

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  34. Obstetric and gynecological (OBGY) diseases are among the most important differential diagnoses for young women with acute abdominal pain. However, there are few established clinical prediction rules for scree...

    Authors: Asami Okada, Yohei Okada, Hiroyuki Fujita and Ryoji Iiduka

    Citation: BMC Emergency Medicine 2020 20:35

    Content type: Research article

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  35. Applying excessive force during endotracheal intubation (ETI) is associated with several complications, including dental trauma and hemodynamic alterations. A gum-elastic bougie (GEB), a type of tracheal tube ...

    Authors: Yuko Ono, Kazuaki Shinohara, Jiro Shimada, Shigeaki Inoue and Joji Kotani

    Citation: BMC Emergency Medicine 2020 20:34

    Content type: Research article

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  36. Examination of serum lactate level and its changes, as an indicator of tissue oxygenation, as well as level of creatine kinase (CK) inhibitors, as a factor of mortality which partially expresses heart, brain, ...

    Authors: Alireza Golaghaei, Hossein Hassanian-Moghaddam, Shahin Shadnia, Nasim Zamani and Fatemeh Amraei

    Citation: BMC Emergency Medicine 2020 20:32

    Content type: Research article

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  37. To report on prevalence of gout flare in emergency departments and to report the quality of gout care in emergency departments and causes of admission at emergency departments.

    Authors: Patapong Towiwat, Pariwat Phungoen, Kitti Tantrawiwat, Pavita Laohakul, Duangkamol Aiewruengsurat, Chokchai Thanadetsuntorn, Nopparat Ruchakorn, Passagorn Sangsawangchot and Bodin Buttham

    Citation: BMC Emergency Medicine 2020 20:27

    Content type: Research article

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  38. The definition of sepsis is regularly updated; however, there is no standard diagnostic test. To improve diagnosis and prognostic prediction, the aim of this study was to determine the predictive value of circ...

    Authors: Lifeng Wang, Wei Zhou, Kaiwen Wang, Shuangjun He and Yi Chen

    Citation: BMC Emergency Medicine 2020 20:25

    Content type: Research article

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  40. Patients in need of acute health care do not always contact the most suitable health care service provider. Contacting out-of-hours primary care for an urgent problem may delay care, whereas contacting emergen...

    Authors: Linda Huibers, Anders H. Carlsen, Grete Moth, Helle C. Christensen, Ingunn S. Riddervold and Morten B. Christensen

    Citation: BMC Emergency Medicine 2020 20:20

    Content type: Research article

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  41. Fever is a common symptom when patients present to Emergency Departments. It is unclear if the febrile response of bacteremic hemodialysis-dependent patients differs from bacteremic patients not receiving hemo...

    Authors: Sarah L. Weatherall, Alison B. Chambers and Leonard A. Mermel

    Citation: BMC Emergency Medicine 2020 20:2

    Content type: Research article

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  42. The Irish ambulance services have traditionally transported all patients following an emergency (112/999) call, regardless of acuity, to an emergency department (ED). A proposal to introduce Treat and Referral...

    Authors: Brian Power, Gerard Bury and John Ryan

    Citation: BMC Emergency Medicine 2019 19:81

    Content type: Research article

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  44. Diagnostic error occurs more frequently in the emergency department than in regular in-patient hospital care. We sought to characterise the nature of reported diagnostic error in hospital emergency departments...

    Authors: Faris Hussain, Alison Cooper, Andrew Carson-Stevens, Liam Donaldson, Peter Hibbert, Thomas Hughes and Adrian Edwards

    Citation: BMC Emergency Medicine 2019 19:77

    Content type: Research article

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  45. Sepsis is a potential life threatening dysregulated immune response to an infection, which can result in multi-organ failure and death. Unfortunately, good prognostic markers are lacking in patients with suspe...

    Authors: Jan Willem Uffen, Patrick Oomen, Marieke de Regt, Jan Jelrik Oosterheert and Karin Kaasjager

    Citation: BMC Emergency Medicine 2019 19:76

    Content type: Research article

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  46. Sepsis is a leading cause of death worldwide and a major challenge for physicians to predict and manage. Proenkephalin A 119–159 (penKid) is a reliable surrogate marker for the more unstable endogenous opioid ...

    Authors: Mari Rosenqvist, Kevin Bronton, Oliver Hartmann, Andreas Bergmann, Joachim Struck and Olle Melander

    Citation: BMC Emergency Medicine 2019 19:75

    Content type: Research article

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  47. The diagnosis of pediatric pancreatitis has been increasing over the last 15 years but the etiology of this is uncertain. The population of pre-adolescent patients with pancreatitis in the emergency department...

    Authors: Melanie M. Randall, Sarah McDaniels, Kristina Kyle, Meina Michael, Julia Giacopuzzi and Lance A. Brown

    Citation: BMC Emergency Medicine 2019 19:71

    Content type: Research article

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  48. Occult hemorrhagic shock secondary to uterine rupture represents a true obstetric emergency and can result in significant morbidity and mortality for both the patient and the fetus. Multiparity and prior cesar...

    Authors: Baruch Berzon, Michael Gleenberg, Joseph Offenbacher and Debra West

    Citation: BMC Emergency Medicine 2019 19:70

    Content type: Case report

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    The Correction to this article has been published in BMC Emergency Medicine 2020 20:4

  49. 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

    Published on:

  50. 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

    Published on:

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BMC Emergency Medicine

ISSN: 1471-227X

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