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. ...
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
Alcohol misuse among youth is a major public health concern and numbers of adolescents admitted to the emergency department for acute alcoholic intoxication in Germany are recently growing. The emergency setti...
Authors: Silke Diestelkamp, Nicolas Arnaud, Peter-Michael Sack, Lutz Wartberg, Anne Daubmann and Rainer Thomasius
In the attempt to reduce waiting times in emergency departments, various national health services have used benchmarking and the optimisation of patient flows. The aim of this study was to examine staff attitu...
Emergency healthcare workers, including trainees and individuals in related occupations are at heightened risk of developing posttraumatic stress disorder (PTSD) and depression owing to work-related stressors.
Authors: Celine B Fjeldheim, Jani Nöthling, Karin Pretorius, Marina Basson, Keith Ganasen, Robin Heneke, Karen J Cloete and Soraya Seedat
There is a strong reciprocal association between two highly prevalent public health problems: intimate partner violence and heavy drinking, both of which remain major sources of morbidity and mortality. Brief ...
Authors: Karin V Rhodes, Melissa Rodgers, Marilyn Sommers, Alexandra Hanlon and Paul Crits-Christoph
Physicians assessing chest pain patients in the emergency department (ED) base the likelihood of acute coronary syndrome (ACS) mainly on ECG, symptom history and blood markers of myocardial injury. Among these...
Authors: Alexander Kamali, Martin Söderholm and Ulf Ekelund
While Canadian ED physicians discharge most syncope patients with no specific further follow-up, approximately 5% will suffer serious outcomes after ED discharge. The goal of this study is to prospectively ide...
Authors: Venkatesh Thiruganasambandamoorthy, Ian G Stiell, Marco LA Sivilotti, Heather Murray, Brian H Rowe, Eddy Lang, Andrew McRae, Robert Sheldon and George A Wells
Impalement injury is an uncommon presentation in the emergency department (ED), and penetrating thoraco-abdominal injuries demand immediate life-saving measures and prompt care. Massive penetrating trauma by i...
Authors: Gyanendra Malla, Bibhusan Basnet, Rais Vohra, Casey Herrforth, Shailesh Adhikari and Amit Bhandari
Advances in ultrasound imaging technology have made it more accessible to prehospital providers. Little is known about how ultrasound is being used in the prehospital environment and we suspect that it is not ...
Authors: John Taylor, Kyle McLaughlin, Andrew McRae, Eddy Lang and Andrew Anton
Major short-notice or sudden impact incidents, which result in a large number of casualties, are rare events. However health services must be prepared to respond to such events appropriately. In the United Kin...
Authors: Edward A S Duncan, Keith Colver, Nadine Dougall, Kevin Swingler, John Stephenson and Purva Abhyankar
In Japan, many carbon monoxide (CO) poisoning cases are transported to emergency settings, making treatment and prognostic assessment an urgent task. However, there is currently no reliable means to predict wh...
Ethiopia has fairly good coverage but very low utilization of health care services. Emergency medical care services require fast, correct and curious services to clients as they present with acute problems. In...
Cut throat injuries though rarely reported in literature pose a great therapeutic challenge because multiple vital structures are vulnerable to injuries in the small, confined unprotected area. A sudden increa...
Authors: Japhet M Gilyoma, Kiyeti A Hauli and Phillipo L Chalya
Skin and soft tissue infection (SSTIs) are commonly treated in emergency departments (EDs). While the precise role of antibiotics in treating SSTIs remains unclear, most SSTI patients receive empiric antibioti...
Authors: Chris Merritt, John P Haran, Jacob Mintzer, Joseph Stricker and Roland C Merchant
Stroke is difficult to diagnose when consciousness is disturbed. However few reports have discussed the clinical predictors of stroke in out-of-hospital emergency settings. This study aims to evaluate the asso...
As in other countries, the Irish Regulator for Pre-Hospital practitioners, the Pre-Hospital Emergency Care Council (PHECC), will introduce a Continuous Professional Competence (CPC) framework for all Emergency...
Authors: Shane Knox, Walter Cullen and Colum Dunne
Compared with younger people, older people have a higher risk of adverse health outcomes when presenting to emergency departments. As the population ages, older people will make up an increasing proportion of ...
Authors: Melinda Martin-Khan, Ellen Burkett, Linda Schnitker, Richard N Jones and Leonard C Gray
Teamwork is a critical component during critical events. Assessment is mandatory for remediation and to target training programmes for observed performance gaps.
Authors: Martin Stocker, Lynda Menadue, Suzan Kakat, Kumi De Costa, Julie Combes, Winston Banya, Mary Lane, Ajay Desai and Margarita Burmester
Therapeutic hypothermia (TH, 32-34°C) has been shown to improve neurological outcome in comatose survivors of out-of-hospital cardiac arrest (OHCA) with ventricular tachycardia or fibrillation. Earlier initiat...
Authors: Per Nordberg, Fabio Silvio Taccone, Maaret Castren, Anatolij Truhlár, Didier Desruelles, Sune Forsberg, Jacob Hollenberg, Jean-Louis Vincent and Leif Svensoon
Traumatic brain injury (TBI) is commonly accompanied by intracranial bleeding which can worsen after hospital admission. Tranexamic acid (TXA) has been shown to reduce bleeding in elective surgery and there is...
Acute musculoskeletal trauma, including strains, sprains or contusions, occur frequently. Pain management is a crucial component of treatment. However, there is no convincing evidence which drug is superior in...
Authors: Milan L Ridderikhof, Philipp Lirk, Niels W Schep, Anneke Hoeberichts, Wilhelmina T Goddijn, Jan SK Luitse, E Marleen Kemper, Marcel G W Dijkgraaf, Markus W Hollmann and J Carel Goslings
Over one third of stroke patients have cognitive or language deficits such that they require surrogate consent for acute stroke treatment or enrollment into acute stroke trials. Little is known about the agree...
Authors: Jessica Bryant, Lesli E Skolarus, Barbara Smith, Eric E Adelman and William J Meurer
Internationally, emergency departments are struggling with crowding and its associated morbidity, mortality, and decreased patient and health-care worker satisfaction. The objective was to evaluate the additio...
Authors: Ivy Cheng, Jacques Lee, Nicole Mittmann, Jeffrey Tyberg, Sharon Ramagnano, Alex Kiss, Michael Schull, Fergus Kerr and Merrick Zwarenstein
The population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this populat...
Authors: Joseph W Frank, Christina M Andrews, Traci C Green, Aaron M Samuels, T Tony Trinh and Peter D Friedmann
Appendicitis is one of the most common surgical emergencies and is also a time-sensitive condition. Delays in treatment increase the risk of appendiceal perforation (AP), and thus AP rates have been used as a ...
Authors: Milton Steinman, Patrícia S Rogeri, Lia L Lenci, Clara C Kirschner, José Carlos Teixeira, Paulo David S Gonçalves, Nelson Akamine and Silvio Possa
Goal-directed therapy guidelines for pediatric septic shock resuscitation recommend fluid delivery at speeds in excess of that possible through use of regular fluid infusion pumps. In our experience, syringes ...
Authors: Greg Harvey, Gary Foster, Asmaa Manan, Lehana Thabane and Melissa J Parker
As demand for Emergency Department (ED) services continues to exceed increases explained by population growth, strategies to reduce ED presentations are being explored. The concept of ambulance paramedics prov...
Authors: Judith C Finn, Daniel M Fatovich, Glenn Arendts, David Mountain, Hideo Tohira, Teresa A Williams, Peter Sprivulis, Antonio Celenza, Tony Ahern, Alexandra P Bremner, Peter Cameron, Meredith L Borland, Ian R Rogers and Ian G Jacobs
Uncontrolled hemorrhagic shock is a significant factor in death of severe multiple trauma patients. The acute management of injured bleeding in emergency department (ED) may improve patient outcomes. The medic...
Authors: Yin Wen, Huang Yang, Wang Wei and Liu shan-shou
Citation:BMC Emergency Medicine
2013
13(Suppl 1):S6
To explore the diagnostic procedure of acute fatal chest pain in emergency department (ED) in order to decrease the misdiagnosis rate and shorten the definite time to diagnosis. The ultimate aim is to rescue t...
Authors: Yang Yang, Wei Zhang, Ming Peng, Lianying Tong and Shouyu Lin
Citation:BMC Emergency Medicine
2013
13(Suppl 1):S4
To study the clinical effect of body mass index (BMI) in the optimal time of weaning from sequential invasive-noninvasive mechanical ventilation (MV) by treating severity chronic obstructive pulmonary disease ...
Authors: Sun Li-dong, Guo Chang-sheng and Zhao Zi-yu
Citation:BMC Emergency Medicine
2013
13(Suppl 1):S1
