Toluene is one of the most widely abused inhaled drugs due to its acute neurologic effects including euphoria and subsequent depression. However, dangerous metabolic abnormalities are associated to acute tolue...
Authors: Carlos Rodrigo Camara-Lemarroy, René Rodríguez-Gutiérrez, Roberto Monreal-Robles and José Gerardo González-González
In Oslo, the majority of patients with acute poisoning are treated in primary care, at an emergency outpatient clinic with limited diagnostic and treatment resources. We describe the poisonings currently seen ...
Authors: Odd Martin Vallersnes, Dag Jacobsen, Øivind Ekeberg and Mette Brekke
In Southern Ontario, climate change may have given rise to an increasing occurrence of heat waves since the year 2000, which can cause heat stress to the general public, and potentially have detrimental health...
Authors: Katherine E. Bishop-Williams, Olaf Berke, David L. Pearl and David F. Kelton
To determine the extent to which variations in monthly Mental Health Emergency Department (MHED) presentations in South Australian Public Hospitals are associated with the Australian Bureau of Statistics (ABS)...
Authors: Niranjan Bidargaddi, Tarun Bastiampillai, Geoffrey Schrader, Robert Adams, Cynthia Piantadosi, Jörg Strobel, Graeme Tucker and Stephen Allison
Self-harm is a significant public health concern in the UK. This is reflected in the recent addition to the English Public Health Outcomes Framework of rates of attendance at Emergency Departments (EDs) follow...
Authors: C. Polling, A. Tulloch, S. Banerjee, S. Cross, R. Dutta, D.M. Wood, P.I. Dargan and M. Hotopf
The Northern Police and Clinician Emergency Response (NPACER), a combined police and clinician second response team, was created to divert people in mental health crisis away from the hospital emergency depart...
Authors: Brian McKenna, Trentham Furness, Steve Brown, Mark Tacey, Andrew Hiam and Morgan Wise
Treatment with oral carbohydrate prior to trauma and hemorrhage confers a survival benefit in small animal models. The impact of fed states on survival in traumatically injured humans is unknown. This work use...
Authors: Elizabeth R. Lusczek, Tyrone Vincent, Daniel Lexcen, Vishwesh Kulkarni, Kristine Mulier and Greg Beilman
Major incidents are complex, dynamic and bewildering task environments characterised by simultaneous, rapidly changing events, uncertainty and ill-structured problems. Efficient management, communication, deci...
In November 2013, the Irish Regulator for emergency medical technicians (EMTs) introduced the first mandatory requirement for registrants to demonstrate evidence of continuous professional development (CPD)/co...
Authors: Shane Knox, Suzanne Dunne, Walter Cullen and Colum P Dunne
Road traffic injuries are the eighth leading cause of death globally, and the leading cause of death for young people. More than a million people die each year on the world’s roads, and the risk of dying as a ...
Authors: Mohammed Seid, Aklilu Azazh, Fikre Enquselassie and Engida Yisma
Although much is known about signs, symptoms, and management in the acute phase of crotaline snake envenomation, little is known about signs, symptoms, function, and quality of life during the recovery phase. ...
The pre-hospital assessment non-specific complaint (NSC) often applies to patients whose diagnosis does not match any other specific assessment correlating to particular symptoms or diseases, though some previ...
Authors: Maaret Castrén, Lisa Kurland, Sofia Liljegard and Therese Djärv
Acute appendicitis is one of the most common causes of acute abdomen in children. Late surgical intervention is often associated with increase morbidity and sometimes fatal outcome. We sought to determine the ...
Authors: Talabi O Ademola, Sowande A Oludayo, Olowookere A Samuel, Etonyeaku C Amarachukwu, Komolafe O Akinwunmi and Adejuyigbe Olusanya
Patient safety incident (PSI) discovery is an essential component of quality improvement. When submitted, incident reports may provide valuable opportunities for PSI discovery. However, little objective inform...
Authors: Martin A Reznek, Kevin A Kotkowski, Michael W Arce, Zachary K Jepson, Steven B Bird and Chad E Darling
Some patients visit a hospital’s emergency department (ED) for reasons other than an urgent medical condition. There is evidence that this practice may differ among patients from different backgrounds. The obj...
Authors: Ibrahim Mahmoud, Rob Eley and Xiang-Yu Hou
In the past decade, early treatment of cardiac arrest (CA) victims has been improved in several ways, leading to more optimistic over all prognoses. However, the global survival rate after out-of-hospital CA (...
Authors: Ida Wibrandt, Kristine Norsted, Henrik Schmidt and Jens Schierbeck
There is an increasing global recognition of the role of emergency medical services in improving population health. Emergency medical services remain underdeveloped in many low income countries, particularly i...
Our aim was to estimate the degree of overtriage (Injury Severity Score [ISS] ≤ 15) of trauma call patients in Nordland Hospital Bodø, Norway. We also determined the transportation time from injury to hospital...
Authors: Harald Stordahl, Eva Passas, Andreas Hopland and Erik Waage Nielsen
Motor vehicle collisions (MVCs) are the second most common injury mechanism resulting in emergency department (ED) visits by older adults. MVCs result in substantial pain and psychological distress among young...
Authors: Gregory F Pereira, Samuel A McLean, Thomas J Tkacik, Robert A Swor, Jeffrey S Jones, David C Lee, David A Peak, Robert M Domeier, Niels K Rathlev, Phyllis L Hendry and Timothy F Platts-Mills
Early detection of compensated pediatric septic shock requires diagnostic tests that are sensitive and specific. Four physical exam signs are recommended for detecting pediatric septic shock prior to hypotensi...
Authors: Halden F Scott, Aaron J Donoghue, David F Gaieski, Ronald F Marchese and Rakesh D Mistry
We recently reported about the derivation of a diagnostic probability function for acute coronary syndrome (ACS). The present study aims to validate the probability function as a rule-out criterion in a new sa...
Authors: Lukas Zimmerli, Johann Steurer, Reto Kofmehl, Maria M Wertli and Ulrike Held
The analysis of patterns of trauma deaths may improve the evaluation of a trauma system and identify areas that may benefit from more resources. The objective of this study was to analyze the epidemiology of t...
Authors: Adriano D Trajano, Bruno M Pereira and Gustavo P Fraga
A proportion of deliberate self-poisoning (DSP) patients present repeatedly to the emergency department (ED). Understanding the characteristics of frequent DSP patients and their presentation is a first step t...
Authors: Catherine A Martin, Rose Chapman, Asheq Rahman and Andis Graudins
Alcohol is a major preventable cause of injury, disability and death in young people. Large numbers of young people with alcohol-related injuries and medical conditions present to hospital emergency department...
Authors: Leanne Hides, David J Kavanagh, Mark Daglish, Susan Cotton, Jason P Connor, Jan J Barendregt, Ross McD Young, Davina Sanders, Angela White and Lance Mergard
Emergency Department (ED) care has been reported to be prone to patient safety incidents (PSIs). Improving our understanding of PSIs is essential to prevent them. A standardized, peer review process was implem...
Authors: Zach K Jepson, Chad E Darling, Kevin A Kotkowski, Steven B Bird, Michael W Arce, Gregory A Volturo and Martin A Reznek
Acute asthma is a common reason for patients to seek care from ambulance services. Although better care of acute asthma can prevent avoidable morbidity and deaths, there has been little research into ambulance...
Authors: Deborah Shaw and Aloysius Niroshan Siriwardena
The effectiveness of helmets in reducing the risk of severe head injury in motorcyclists who were involved in a crash is well established. There is limited evidence however, regarding the extent to which helme...
Authors: Roszalina Ramli, Jennifer Oxley, Peter Hillard, Ahmad Farhan Mohd Sadullah and Roderick McClure
The Disaster Emergency Medical Personnel System (DEMPS) program provides a system of volunteers whereby active or retired Department of Veterans Affairs (VA) personnel can register to be deployed to support ot...
Authors: Nicole K Zagelbaum, Kevin C Heslin, Judith A Stein, Josef Ruzek, Robert E Smith, Tam Nyugen and Aram Dobalian
It is estimated that about 275,000 inhabitants experience an out-of-hospital cardiac arrest (OHCA) every year in Europe. Survival in out-of-hospital cardiac arrest is relatively low, generally between five per...
Authors: María F Jiménez-Herrera, Youcef Azeli, Eva Valero-Mora, Isaac Lucas-Guarque, Alfonso López-Gomariz, Elena Castro-Naval and Christer Axelsson
Road traffic injury (RTI) is a global problem causing some 1,2 million deaths annually and another 20–50 million people sustain non-fatal injuries. Pre-hospital entrapment is a risk factor for complications an...
Authors: Sabina Fattah, Anne Siri Johnsen, Jan Einar Andersen, Trond Vigerust, Terje Olsen and Marius Rehn
