Articles

Assessment of client satisfaction on emergency department services in Hawassa University Referral Hospital, Hawassa, Southern Ethiopia

Satisfaction refers to a state of pleasure or contentment with an action, event or service, especially one that was previously desired. Regarding to client, satisfaction is the level of happiness that clients ...

Authors: Mesfin Worku and Eskindir Loha

Reasons for encounter by different levels of urgency in out-of-hours emergency primary health care in Norway: a cross sectional study

Frequencies of reasons for encounter (RFEs) in emergency primary care out-of-hours (OOH) services are relevant for planning of capacities as well as to target the training of staff at casualty clinics. We aime...

Authors: Guttorm Raknes and Steinar Hunskaar

Development of an education campaign to reduce delays in pre-hospital response to stroke

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

Educational standards for training paramedics in ultrasound: a scoping review

Paramedic-performed out-of-hospital ultrasound is a novel skill that has gained popularity in some services in recent years. In this setting point-of care ultrasound (POCUS) can provide additional information ...

Authors: Ben Meadley, Alexander Olaussen, Ashleigh Delorenzo, Nick Roder, Caroline Martin, Toby St. Clair, Andrew Burns, Emma Stam and Brett Williams

Incidence and outcome of severe ante-partum hemorrhage at the Teaching Hospital Yalgado Ouédraogo in Burkina Faso

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

Emergency department use and barriers to wellness: a survey of emergency department frequent users

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

Management of potentially life-threatening emergencies at 74 primary level hospitals in Mongolia: results of a prospective, observational multicenter study

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

Developing quality indicators for the care of patients with musculoskeletal injuries in the Emergency Department: 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

Estimation of the severity of breathlessness in the emergency department: a dyspnea score

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

Prevalence and predictors of intra-abdominal hypertension and compartment syndrome in surgical patients in critical care units at Kenyatta National Hospital

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

Sepsis recognition in the emergency department – impact on quality of care and outcome?

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

The association of Emergency Department presentations in pregnancy with hospital admissions for postnatal depression (PND): a cohort study based on linked population data

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

Aerial medical evacuation of health workers with suspected Ebola virus disease in Guinea Conakry-interest of a negative pressure isolation pod-a case series

We report 4 cases of Health Workers (HW) suspected of having contracted Ebola Virus Disease (EVD), transported from the Alliance for International Medical Action (ALIMA) Ebola Treatment Centre (ETC) in N’Zerek...

Authors: Jean-Michel Dindart, Olivier Peyrouset, Romain Palich, Abdoul Bing, Richard Kojan, Solenne Barbe, Souley Harouna and Nikki Blackwell

Effectiveness of a community paramedic-led health assessment and education initiative in a seniors’ residence building: the Community Health Assessment Program through Emergency Medical Services (CHAP-EMS)

Seniors living in subsidized housing have lower income, poorer health, and increased risk for cardiometabolic diseases and falls. Seniors also account for more than one third of calls to Emergency Medical Serv...

Authors: G. Agarwal, R. Angeles, M. Pirrie, F. Marzanek, B. McLeod, J. Parascandalo and L. Dolovich

Improved recognition of ineffective chest compressions after a brief Crew Resource Management (CRM) training: a prospective, randomised simulation study

Chest compressions are a core element of cardio-pulmonary resuscitation. Despite periodic training, real-life chest compressions have been reported to be overly shallow and/or fast, very likely affecting patie...

Authors: Leopold Haffner, Moritz Mahling, Alexander Muench, Christoph Castan, Paul Schubert, Aline Naumann, Silke Reddersen, Anne Herrmann-Werner, Jörg Reutershan, Reimer Riessen and Nora Celebi

A review of enhanced paramedic roles during and after hospital handover of stroke, myocardial infarction and trauma patients

Ambulance paramedics play a critical role expediting patient access to emergency treatments. Standardised handover communication frameworks have led to improvements in accuracy and speed of information transfe...

Authors: Darren Flynn, Richard Francis, Shannon Robalino, Joanne Lally, Helen Snooks, Helen Rodgers, Graham McClelland, Gary A. Ford and Christopher Price

A nationwide survey of first aid training and encounters in Norway

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

Erratum to: Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

Authors: Joseph Kimuli Balikuddembe, Ali Ardalan, Davoud Khorasani-Zavareh, Amir Nejati and Stephen Kasiima

A qualitative study to identify barriers to deployment and student training in the use of automated external defibrillators in schools

Student training in use of automated external defibrillators and deployment of such defibrillators in schools is recommended to increase survival after out-of-hospital cardiac arrest. Low implementation rates ...

Authors: Line Zinckernagel, Carolina Malta Hansen, Morten Hulvej Rod, Fredrik Folke, Christian Torp-Pedersen and Tine Tjørnhøj-Thomsen

Emergency department presentations for atrial fibrillation and flutter in Alberta: a large population-based study

Atrial fibrillation or flutter (AFF) are not infrequent presenting problems in Emergency Departments (ED); however, little is known of the pattern of these presentations. This study provides a description of A...

Authors: Rhonda J. Rosychuk, Michelle M. Graham, Brian R. Holroyd and Brian H. Rowe

Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

The Kampala Metropolitan Area (KMA) is the fastest developing region in Uganda. Over recent years, this has placed exponential demand on the road sector, which consequently has contributed to rapid growth in m...

Authors: Joseph Kimuli Balikuddembe, Ali Ardalan, Davoud Khorasani-Zavareh, Amir Nejati and Stephen Kasiima

Prehospital critical care for out-of-hospital cardiac arrest: An observational study examining survival and a stakeholder-focused cost analysis

Survival rates from out-of-hospital cardiac arrest (OHCA) remain low, despite remarkable efforts to improve care. A number of ambulance services in the United Kingdom (UK) have developed prehospital critical c...

Authors: Johannes von Vopelius-Feldt, Jane Powell, Richard Morris and Jonathan Benger

The Sydney Triage to Admission Risk Tool (START) to predict Emergency Department Disposition: A derivation and internal validation study using retrospective state-wide data from New South Wales, Australia

Disposition decisions are critical to the functioning of Emergency Departments. The objectives of the present study were to derive and internally validate a prediction model for inpatient admission from the Em...

Authors: Michael M. Dinh, Saartje Berendsen Russell, Kendall J. Bein, Kris Rogers, David Muscatello, Richard Paoloni, Jon Hayman, Dane R. Chalkley and Rebecca Ivers

Brief compression-only cardiopulmonary resuscitation training video and simulation with homemade mannequin improves CPR skills

Cardiopulmonary resuscitation (CPR) training has traditionally involved classroom-based courses or, more recently, home-based video self-instruction. These methods typically require preparation and purchase fe...

Authors: Gregory K. Wanner, Arayel Osborne and Charlotte H. Greene

Testing a videogame intervention to recalibrate physician heuristics in trauma triage: study protocol for a randomized controlled trial

Between 30 and 40 % of patients with severe injuries receive treatment at non-trauma centers (under-triage), largely because of physician decision making. Existing interventions to improve triage by physicians...

Authors: Deepika Mohan, Matthew R. Rosengart, Baruch Fischhoff, Derek C. Angus, Coreen Farris, Donald M. Yealy, David J. Wallace and Amber E. Barnato

Intranasal ketamine for acute traumatic pain in the Emergency Department: a prospective, randomized clinical trial of efficacy and safety

Ketamine has been well studied for its efficacy as an analgesic agent. However, intranasal (IN) administration of ketamine has only recently been studied in the emergency setting. The objective of this study w...

Authors: Shachar Shimonovich, Roy Gigi, Amir Shapira, Tal Sarig-Meth, Danielle Nadav, Mattan Rozenek, Debra West and Pinchas Halpern

Retrospective analysis of management of ingested foreign bodies and food impactions in emergency endoscopic setting in adults

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

Comparison of antimicrobial resistance patterns of ESBL and non ESBL bacterial isolates among patients with secondary peritonitis at Bugando Medical Centre, Mwanza – Tanzania

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

Dispatch guideline adherence and response interval—a study of emergency medical calls in Norway

The Emergency Medical Communication Centre (EMCC) operators in Norway report using the Norwegian Index for Medical Emergency Assistance (Index), a criteria-based dispatch guideline, in about 75 % of medical em...

Authors: Eirin N. Ellensen, Torben Wisborg, Steinar Hunskaar and Erik Zakariassen

Primary triage nurses do not divert patients away from the emergency department at times of high in-hospital bed occupancy - a retrospective cohort study

Emergency department (ED) overcrowding is frequently described in terms of input- throughput and output. In order to reduce ED input, a concept called primary triage has been introduced in several Swedish EDs....

Authors: Mathias C Blom, Karin Erwander, Lars Gustafsson, Mona Landin-Olsson, Fredrik Jonsson and Kjell Ivarsson

Outcomes associated with observation versus short-stay admission among chest pain patients in the Veterans Health Administration

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

Keep it simple: vascular risk factors and focal exam findings correctly identify posterior circulation ischemia in “dizzy” patients

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

Barriers in detecting elder abuse among emergency medical technicians

Elder abuse and neglect are highly under-reported in the United States. This may be partially attributed to low incidence of reporting among emergency medical technicians’ (EMTs), despite state-mandated report...

Authors: Jennifer M. Reingle Gonzalez, M. Brad Cannell, Katelyn K. Jetelina and Sepeadeh Radpour

Heart Fatty Acid Binding Protein and cardiac troponin: development of an optimal rule-out strategy for acute myocardial infarction

Improved ability to rapidly rule-out Acute Myocardial Infarction (AMI) in patients presenting with chest pain will promote decongestion of the Emergency Department (ED) and reduce unnecessary hospital admissio...

Authors: Joanna M. Young, John W. Pickering, Peter M. George, Sally J. Aldous, John Wallace, Chris M. Frampton, Richard W. Troughton, Mark A. Richards, Jaimi H. Greenslade, Louise Cullen and Martin P. Than

The incorporation of focused history in checklist for early recognition and treatment of acute illness and injury

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

Early prediction of outcome after severe traumatic brain injury: a simple and practical model

Traumatic brain injury (TBI) is a heterogeneous syndrome with a broad range of outcome. We developed a simple model for long-term outcome prognostication after severe TBI.

Authors: Sandro Rizoli, Ashley Petersen, Eileen Bulger, Raul Coimbra, Jeffrey D. Kerby, Joseph Minei, Laurie Morrison, Avery Nathens, Martin Schreiber and Airton Leonardo de Oliveira Manoel

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

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

Prospective evaluation of an automated method to identify patients with severe sepsis or septic shock in the emergency department

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

Saudi SCD patients’ symptoms and quality of life relative to the number of ED visits

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

Mortality among head trauma patients taking preinjury antithrombotic agents: a retrospective cohort analysis from a Level 1 trauma centre

Bleeding represents the most well-known and the most feared complications caused by the use of antithrombotic agents. There is, however, limited documentation whether pre-injury use of antithrombotic agents af...

Authors: Sigrid Narum, Odd Brørs, Olav Stokland and Marianne K. Kringen

Epidemiology and outcomes of out-of-hospital cardiac arrest in a developing country-a multicenter cohort study

Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death and disability worldwide. Overall survival after an OHCA has been reported to be poor and limited studies have been conducted in deve...

Authors: Minaz Mawani, Muhammad Masood Kadir, Iqbal Azam, Amber Mehmood, Bryan McNally, Kent Stevens, Rozina Nuruddin, Mohammad Ishaq and Junaid Abdul Razzak

Screening for frailty among older emergency department visitors: Validation of the new FRESH-screening instrument

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

Prediction of 90-day mortality in older patients after discharge from an emergency department: a retrospective follow-up study

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

Assessing the completeness of coded and narrative data from the Victorian Emergency Minimum Dataset using injuries sustained during fitness activities as a case study

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

The CPR outcomes of online medical video instruction versus on-scene medical instruction using simulated cardiac arrest stations

Non-traumatic cardiac arrest is a fatal emergency condition. Its survival rate and outcomes may be better with quick and effective cardiopulmonary resuscitation (CPR). Telemedicine such as telephone or real ti...

Authors: Chaiyaporn Yuksen, Sorravit Sawatmongkornkul, Jarupol Tuangsirisup, Kittisak Sawanyawisuth and Yuwares Sittichanbuncha

Carotid artery dissection and motor vehicle trauma: patient demographics, associated injuries and impact of treatment on cost and length of stay

Blunt carotid arterial injury (BCI) is a rare injury associated with motor vehicle collision (MVC). There are few population based analyses evaluating carotid injury associated with blunt trauma and their asso...

Authors: Jared E. Kray, Viktor Y. Dombrovskiy and Todd R. Vogel

Is it a matter of urgency? A survey of assessments by walk-in patients and doctors of the urgency level of their encounters at a general emergency outpatient clinic in Oslo, Norway

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

A generic method for evaluating crowding in the emergency department

Crowding in the emergency department (ED) has been studied intensively using complicated non-generic methods that may prove difficult to implement in a clinical setting. This study sought to develop a generic ...

Authors: Andreas Halgreen Eiset, Mogens Erlandsen, Anders Brøns Møllekær, Julie Mackenhauer and Hans Kirkegaard

Influence of alcohol and other substances of abuse at the time of injury among patients in a Norwegian emergency department

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

Towards the development of a screening tool to enhance the detection of elder abuse and neglect by emergency medical technicians (EMTs): a qualitative study

To develop a screening tool to enhance elder abuse and neglect detection and reporting rates among emergency medical technicians (EMTs). Our primary aim was to identify the most salient indicators of elder abu...

Authors: M. Brad Cannell, Katelyn K. Jetelina, Matt Zavadsky and Jennifer M. Reingle Gonzalez