Articles

Predictive role of high sensitivity troponin T within four hours from presentation of acute coronary syndrome in elderly patients

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

Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol

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

The probability of readmission within 30 days of hospital discharge is positively associated with inpatient bed occupancy at discharge – a retrospective cohort study

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

A majority of rural emergency departments in the province of Quebec use point-of-care ultrasound: a cross-sectional survey

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

Characteristics of chest pain and its acute management in a low-middle income country: analysis of emergency department surveillance data from Pakistan

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

Emergency care of traumatic brain injuries in Pakistan: a multicenter study

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

The pediatric disease spectrum in emergency departments across Pakistan: data from a pilot surveillance system

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

How vital are the vital signs? a multi-center observational study from emergency departments of Pakistan

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

Ambulance use in Pakistan: an analysis of surveillance data from emergency departments in Pakistan

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

Dead on arrival in a low-income country: results from a multicenter study in Pakistan

This study assessed the characteristics of dead on arrival (DOA) patients in Pakistan.

Authors: Munawar Khursheed, Junaid Ahmad Bhatti, Fatima Parukh, Asher Feroze, Syed Saad Naeem, Haseeb Khawaja and Junaid Abdul Razzak

Bomb blast injuries: an exploration of patient characteristics and outcome using Pakistan National Emergency Departments Surveillance (Pak-NEDS) data

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

Uncovering the burden of intentional injuries among children and adolescents in the emergency department

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

Burn injury characteristics: findings from Pakistan National Emergency Department Surveillance Study

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

Pattern of presenting complaints recorded as near-drowning events in emergency departments: a national surveillance study from Pakistan

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

Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study

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

Intentional and unintentional poisoning in Pakistan: a pilot study using the Emergency Departments surveillance project

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

The Pakistan National Emergency Department Surveillance Study (Pak-NEDS): Introducing a pilot surveillance

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

Establishing a National Emergency Department Surveillance: an innovative study from Pakistan

Authors: Prasanthi Puvanachandra, Junaid A Razzak and Adnan A Hyder

Adding physical therapy services in the emergency department to prevent immobilization syndrome – a feasibility study in a university hospital

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

Emergency medical services transport delays for suspected stroke and myocardial infarction patients

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...

Authors: Ashley Pedigo Golden and Agricola Odoi

Physicians’ use of pain scale and treatment procedures among children and youth in emergency primary care - a cross sectional study

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

Prehospital triage accuracy in a criteria based dispatch centre

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

Assessing the association between occupancy and outcome in critically Ill hospitalized patients with sepsis

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

Sepsis in hemodialysis patients

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

Risk stratification by abbMEDS and CURB-65 in relation to treatment and clinical disposition of the septic patient at the emergency department: a cohort study

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

Reliability and validity of the Hospital Anxiety and Depression Scale in an emergency department in Saudi Arabia: a cross-sectional observational study

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

Screening of mental health and substance users in frequent users of a general Swiss emergency department

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

Are prehospital treatment or conveyance decisions affected by an ambulance crew’s ability to access a patient’s health information?

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

Use of emergency care services by immigrants—a survey of walk-in patients who attended the Oslo Accident and Emergency Outpatient Clinic

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 retrospective analysis of ethnic and gender differences in alcohol consumption among emergency department patients: a cross-sectional study

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

Prevalence, outcomes and factors associated with adult in hospital cardiac arrests in a low-income country tertiary hospital: a prospective observational study

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

Serum interleukin-6 level as an early marker of injury severity in trauma patients in an urban low-income setting: a cross-sectional study

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

Cross-checking to reduce adverse events resulting from medical errors in the emergency department: study protocol of the CHARMED cluster randomized study

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

Prevalence of injury and associated factors among patients visiting the Emergency Departments of Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study

Injury significantly affecting the health and well-being of the society.

Authors: Debrework Tesgera Bashah, Berihun Assefa Dachew and Bewket Tadesse Tiruneh

Acute toluene intoxication–clinical presentation, management and prognosis: a prospective observational study

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

Patients presenting with acute poisoning to an outpatient emergency clinic: a one-year observational study in Oslo, Norway

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

A spatial analysis of heat stress related emergency room visits in rural Southern Ontario during heat waves

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

Changes in monthly unemployment rates may predict changes in the number of psychiatric presentations to emergency services in South Australia

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

Using routine clinical and administrative data to produce a dataset of attendances at Emergency Departments following self-harm

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

Police and clinician diversion of people in mental health crisis from the Emergency Department: a trend analysis and cross comparison study

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

Metabolic networks in a porcine model of trauma and hemorrhagic shock demonstrate different control mechanism with carbohydrate pre-feed

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

Cardiac arrest centers – the future?

Authors: Christian Storm

Is fever good? What do we actually know?

Authors: Jonathan KJ Rhodes

Guidelines update

Authors: Oktay Demirkiran

Intra-arrest-cooling CON

Authors: Wilhelm Behringer

Shivering management during therapeutic hypothermia in patients with traumatic brain injury: protocol from the Eurotherm3235 trial

Authors: Jonathan KJ Rhodes, H Louise Sinclair, Claire G Battison, Bridget Harris and Peter JD Andrews

Side effect management

Authors: Tommaso Pellis

Targeted temperature management: a health economic perspective

Authors: Wilhelm Behringer

TTM 2.0

Authors: Christian Storm

Cooling methodology: to influence or to control the temperature?

Authors: Tommaso Pellis