Adequate hospital staffing during and after a disaster is critical to meet increased health care demands and to ensure continuity of care and patient safety. However, when a disaster occurs, staff may become b...
Authors: Andrea M. Morris, Karen A. Ricci, Anne R. Griffin, Kevin C. Heslin and Aram Dobalian
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
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
Trauma is one of the top threats to population health globally. Several prediction models have been developed to supplement clinical judgment in trauma care. Whereas most models have been developed in high-inc...
Authors: Martin Gerdin, Nobhojit Roy, Monty Khajanchi, Vineet Kumar, Li Felländer-Tsai, Max Petzold, Göran Tomson and Johan von Schreeb
Hypoglycaemia is a common and potentially life threatening consequence of insulin and sulphonylurea treated Diabetes. Some severe hypoglycaemic events result in emergency ambulance attendance. Many of these pa...
Authors: Edward A. S. Duncan and David Fitzpatrick
Accurately predicting future frequent emergency department (ED) utilization can support a case management approach and ultimately reduce health care costs. This study assesses the feasibility of using routinel...
Authors: Jianmin Wu, Shaun J. Grannis, Huiping Xu and John T. Finnell
Although fatal opioid poisonings tripled from 1999 to 2008, data describing nonfatal poisonings are rare. Public health authorities are in need of tools to track opioid poisonings in near real time.
Authors: Joseph M. Reardon, Katherine J. Harmon, Genevieve C. Schult, Catherine A. Staton and Anna E. Waller
Estimating patient risk of future emergency department (ED) revisits can guide the allocation of resources, e.g. local primary care and/or specialty, to better manage ED high utilization patient populations an...
Authors: Bo Jin, Yifan Zhao, Shiying Hao, Andrew Young Shin, Yue Wang, Chunqing Zhu, Zhongkai Hu, Changlin Fu, Jun Ji, Yong Wang, Yingzhen Zhao, Yunliang Jiang, Dorothy Dai, Devore S. Culver, Shaun T. Alfreds, Todd Rogow…
9-1-1 dispatchers are often the first contact for bystanders witnessing an out-of-hospital cardiac arrest. In the time before Emergency Medical Services arrives, dispatcher identification of the need for, and ...
Authors: Hendrika Meischke, Ian Painter, Anne M. Turner, Marcia R. Weaver, Carol E. Fahrenbruch, Brooke R. Ike and Scott Stangenes
Pre-hospital endotracheal intubation is more difficult than in the operating room (OR). Therefore, enhanced airway management devices such as video laryngoscopes may be helpful to improve the success rate of p...
Authors: Sebastian G. Russo, Eike A. Nickel, Kay B. Leissner, Katrin Schwerdtfeger, Martin Bauer and Markus S. Roessler
Diabetic Ketoacidosis (DKA) is a potentially life-threatening emergency that requires prompt diagnosis and treatment. In paediatric populations an end tidal capnography value greater than 36 mmHg was found to ...
Head trauma affects millions of Americans each year and has significant morbidity and economic costs to society. The objective of this study is to describe the epidemiology of head traumas presenting to emerge...
Trauma-related mortality can be lowered by efficient prehospital care. Less is known about whether gender influences the prehospital trauma care provided. The aim of this study was to explore gender-related di...
Authors: Rebecka Rubenson Wahlin, Sari Ponzer, Hanna Lövbrand, Markus Skrivfars, Hans Morten Lossius and Maaret Castrén
Critical illness is a time-sensitive process which requires practitioners to process vast quantities of data and make decisions rapidly. We have developed a tool, the Checklist for Early Recognition and Treatm...
Authors: Aysen Erdogan, Yue Dong, Xiaomei Chen, Christopher Schmickl, Ronaldo A. Sevilla Berrios, Lisbeth Y. Garcia Arguello, Rahul Kashyap, Oguz Kilickaya, Brian Pickering, Ognjen Gajic and John C. O’Horo
Patients with a presumed diagnosis of acute coronary syndrome (ACS) or stroke may have had contact with several healthcare providers prior to hospital arrival. The aim of this study was to describe the various...
Authors: Carine J. M. Doggen, Marlies Zwerink, Hanneke M. Droste, Paul J. A. M. Brouwers, Gert K. van Houwelingen, Fred L. van Eenennaam and Rolf E. Egberink
Poisoning remains an important public health problem contributing significantly to the global burden of disease. Evidence on the exact burden and pattern of acute poisoning in Zambia is limited. We aimed to ch...
Authors: Jessy Z’gambo, Yorum Siulapwa and Charles Michelo
Previous studies indicate that the introduction of high-sensitivity troponin T (HsTnT) as a diagnostic tool for chest pain patients in the emergency department (ED) creates a high rate of false-positive tests....
Authors: Catharina Borna, Katarina Lockman Frostred and Ulf Ekelund
Persistently elevated blood pressure (BP) is a leading risk factor for cardiovascular disease development, making effective hypertension management an issue of considerable public health importance. Hypertensi...
Authors: Julie Gleason-Comstock, Alicia Streater, Joel Ager, Allen Goodman, Aaron Brody, Laura Kivell, Aniruddha Paranjpe, Jasmine Vickers, LynnMarie Mango, Rachelle Dawood and Phillip Levy
Previous work has suggested that given a hospital’s need to admit more patients from the emergency department (ED), high inpatient bed occupancy may encourage premature hospital discharges that favor the hospi...
Authors: Mathias C. Blom, Karin Erwander, Lars Gustafsson, Mona Landin-Olsson, Fredrik Jonsson and Kjell Ivarsson
Point-of-care ultrasound (POCUS) can be used to provide rapid answers to specific and potentially life-threatening clinical questions, and to improve the safety of procedures. The rate of POCUS access and use ...
Authors: Pierre Léger, Richard Fleet, Julie Maltais- Giguère, Jeff Plant, Éric Piette, France Légaré and Julien Poitras
Drowning is a heavy burden on the health systems of many countries, including Pakistan. To date, no effective large-scale surveillance has been in place to estimate rates of drowning and near-drowning in Pakis...
Authors: Siran He, Jeffrey C Lunnen, Nukhba Zia, Uzma Rahim Khan, Khusro Shamim and Adnan A Hyder
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S4
Evidence-based decision making is essential for appropriate prioritization and service provision by healthcare systems. Despite higher demands, data needs for this practice are not met in many cases in low- an...
Authors: Mohammed Umer Mir, Abdulgafoor M Bachani, Haseeb Khawaja, Shiraz Qayoom Afridi, Sabir Ali, Muhammad Mujeeb Khan, Seemin Jamali, Fareed Ahmed Sumalani, Adnan A Hyder and Junaid A Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S1
In low- and middle-income countries, injuries are a leading cause of mortality in children. Much work has been done in the context of unintentional injuries but there is limited knowledge about intentional inj...
Authors: Uzma Rahim Khan, Butool Hisam, Nukhba Zia, Muhammad Umer Mir, Olakunle Alonge, Seemin Jamali, Adnan A Hyder and Junaid Abdul Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S6
Acute poisoning is one of the most common reasons for emergency department visits around the world. In Pakistan, the epidemiological data on poisoning is limited due to an under developed poison information su...
Authors: Nadeem Ullah Khan, Ricardo Pérez-Núñez, Nudrat Shamim, Uzma Rahim Khan, Naureen Naseer, Asher Feroze, Junaid Abdul Razzak and Adnan A Hyder
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S2
This study assessed factors associated with emergency care outcomes and out-of-pocket treatment costs in traumatic brain injury (TBI) patients in Pakistan.
Authors: Junaid Ahmad Bhatti, Kent Stevens, Muhammad Umer Mir, Adnan A Hyder and Junaid Abdul Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S12
Vital signs play a critical role in prioritizing patients in emergency departments (EDs), and are the foundation of most triage methods and disposition decisions. This study was conducted to determine the freq...
Authors: Amber Mehmood, Siran He, Waleed Zafar, Noor Baig, Fareed Ahmed Sumalani and Juanid Abdul Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S10
The utilization of ambulances in low- and middle-income countries is limited. The aim of this study was to ascertain frequency of ambulance use and characteristics of patients brought into emergency department...
Authors: Nukhba Zia, Hira Shahzad, Syed Muhammad Baqir, Shahab Shaukat, Haris Ahmad, Courtland Robinson, Adnan A Hyder and Junaid Abdul Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S9
Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective of this study was to explore the characteristics and outcome of patients presenting to the emergency department...
Authors: Irum Qamar Khan, Nadeem Ullah Khan, Rubaba Naeem, Salima Kerai, Kate Allen, Nukhba Zia, Sana Shahbaz, Shiraz Qayoom Afridi, Emaduddin Siddiqui, Uzma Rahim Khan, Adnan A Hyder and Junaid A Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S7
Burn injury is an important yet under-researched area in Pakistan. The objective of this study was to determine the characteristics and associated outcomes of burn injury patients presenting to major emergency...
Authors: Emaduddin Siddiqui, Nukhba Zia, Asher Feroze, Safia Awan, Arifa Liaquat Ali, Junaid Abdul Razzak, Adnan A Hyder and Asad Latif
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S5
We aimed to analyse the frequency and patterns of fall-related injuries presenting to the emergency departments (EDs) across Pakistan.
Authors: Jabeen Fayyaz, Shirin Wadhwaniya, Hira Shahzad, Asher Feroze, Nukhba Zia, Mohammed Umer Mir, Uzma Rahim Khan, Sumera Iram, Sabir Ali, Junaid Abdul Razzak and Adnan A Hyder
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S3
Chest pain is one of the most frequent causes of emergency department (ED) visits in high-income countries. Little is known about chest pain patients presenting to EDs of low- and middle-income countries (LMIC...
Authors: Nino Paichadze, Badar Afzal, Nukhba Zia, Rakshinda Mujeeb, Muhammad Mujeeb Khan and Junaid A Razzak
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S13
There is an increasing number of urgently ill and injured children being seen in emergency departments (ED) of developing countries. The pediatric disease burden in EDs across Pakistan is generally unknown. Ou...
Authors: Huba Atiq, Emaduddin Siddiqui, Surriya Bano, Asher Feroze, Ghazala Kazi, Jabeen Fayyaz, Shivam Gupta, Juanid A Razzak, Adnan A Hyder and Asad I Mian
Citation:BMC Emergency Medicine
2015
15(Suppl 2):S11
Prehospital delays in receiving emergency care for suspected stroke and myocardial infarction (MI) patients have significant impacts on health outcomes. Use of Emergency Medical Services (EMS) has been shown t...
The association between the functional decline occurring with bedrest and hospitalization in older persons is well-known. A long wait in the emergency department (ED), where patients can be bedridden, is a ris...
Authors: Yannick Tousignant-Laflamme, Ann-Marie Beaudoin, Anne-Marie Renaud, Stephanie Lauzon, Marie-Catherine Charest-Bossé, Louise Leblanc and Maryse Grégoire
Pain is a common symptom in children and youth attending casualty centres and emergency departments. The aim of this study was to acquire more knowledge about how pain in children is measured and handled by em...
Authors: Svein-Denis Moutte, Christina Brudvik and Tone Morken
Priority dispatch accuracy is a key issue in optimizing the match between patients’ medical needs and pre-hospital resources. This study measures the accuracy of a Criteria Based Dispatch (CBD) system, by eval...
Authors: Fabrice Dami, Christel Golay, Mathieu Pasquier, Vincent Fuchs, Pierre-Nicolas Carron and Olivier Hugli
Sepsis has a high prevalence, mortality-rate and cost. Sepsis patients usually enter the hospital through the Emergency Department (ED). Process or structural issues related to care may affect outcome.
Authors: Dean W. Yergens, William A. Ghali, Peter D. Faris, Hude Quan, Rachel J. Jolley and Christopher J. Doig
Bacterial infections are very common in End Stage Renal Disease (ESRD) patients. The diagnosis of sepsis in such patients is often challenging and requires a high index of suspicion. The aim of this study is t...
Authors: Gilbert Abou Dagher, Elie Harmouche, Elsy Jabbour, Rana Bachir, Dina Zebian and Ralphe Bou Chebl
Sepsis leads to high mortality, therefore risk stratification is important. The abbMEDS (abbreviated Mortality Emergency Department Sepsis) score assesses sepsis severity and predicts mortality. In community-a...
Authors: Asselina A. Roest, Jan Tegtmeier, Joris J. Heyligen, Jeanette Duijst, Andrea Peeters, Hella F. Borggreve, Astrid ML Oude Lashof, Coen DA Stehouwer and Patricia M. Stassen
Depression and anxiety are prevalent psychiatric comorbidities that are known to have a negative impact on a patient’s general prognosis. But screening for these potential comorbidities in a hospital’s acciden...
Authors: Zohair A. Al Aseri, M. Owais Suriya, Hosam A. Hassan, Mujtaba Hasan, Shaffi Ahmed Sheikh, Adel Al Tamimi, Mashhoor Alshathri and Najeeb Khalid
The objectives of this study were to determine the proportions of psychiatric and substance use disorders suffered by emergency departments’ (EDs’) frequent users compared to the mainstream ED population, to e...
Authors: Francis Vu, Jean-Bernard Daeppen, Olivier Hugli, Katia Iglesias, Stephanie Stucki, Sophie Paroz, Marina Canepa Allen and Patrick Bodenmann
The Oslo Accident and Emergency Outpatient Clinic (OAEOC) experienced a 5–6 % annual increase in patient visits between 2005 and 2011, which was significantly higher than the 2–3 % annual increase among regist...
Authors: Sven Eirik Ruud, Ruth Aga, Bård Natvig and Per Hjortdahl
A shift from a predominantly emergency service, towards one where a wide range of conditions are managed and treated on scene presents numerous challenges for ambulance services and clinicians. The effective m...
Authors: Ollie Zorab, Maria Robinson and Ruth Endacott
Previous studies of alcohol use have recognized several trends in consumption patterns among gender and age yet few have examined ethnic differences. This study examines the intra- and inter-ethnic differences...
Authors: Shahram Lotfipour, Victor Cisneros, Uzor C. Ogbu, Christopher Eric McCoy, Cristobal Barrios, Craig L. Anderson, Wirachin Hoonpongsimanont, Kristin Alix and Bharath Chakravarthy
Research on cardiac arrest and cardiopulmonary resuscitation (CPR) has considerably increased in recent decades, and international guidelines for resuscitation have been implemented and have undergone several ...
Authors: Davidson Ocen, Sam Kalungi, Joseph Ejoku, Tonny Luggya, Agnes Wabule, Janat Tumukunde and Arthur Kwizera
Trauma is still the leading cause of death in many regions of the world. Severity scores have been developed to assist in management of trauma victims. Immune response to trauma has been known to positively co...
Authors: Paul K. Okeny, Peter Ongom and Olivia Kituuka
Medical errors and preventable adverse events are a major cause of concern, especially in the emergency department (ED) where its prevalence has been reported to be roughly of 5–10 % of visits. Due to a short ...
Authors: Yonathan Freund, Alexandra Rousseau, Laurence Berard, Helene Goulet, Patrick Ray, Benjamin Bloom, Tabassome Simon and Bruno Riou
