Secondary insults (SI), such as hypotension, hypoxia, and intracranial hypertension frequently occur after traumatic brain injury (TBI), and have a strong impact on patients’ clinical outcomes. The aim of this...
Authors: Paola Cristina Volpi, Chiara Robba, Matteo Rota, Alessia Vargiolu and Giuseppe Citerio
We aimed to describe diagnosed acute coronary syndrome (ACS) and its care management and outcomes in emergency departments (EDs) and to determine related cardiovascular risk factors (CVRFs).
Authors: Asma Sriha Belguith, Kaouthar Beltaief, Mohamed Amine Msolli, Wahid Bouida, Hela Abroug, Manel Ben Fredj, Imen Zemni, Mohamed Habib Grissa, Hamdi Boubaker, Mohamed Hsairi and Samir Nouira
A new generation of ear thermometers with preheated tips and several measurements points should allow a more precise temperature measurement. The aim of the study was to evaluate if the ear temperature measure...
Authors: Christian Backer Mogensen, Malene Bue Vilhelmsen, Johanne Jepsen, Lilian Keene Boye, Maiken Hjuler Persson and Florence Skyum
A surgical airway is usually unpredictable in trauma patients. The aim of this study was to develop a predictable scoring system to determine the need for a surgical airway by using a database from a large mul...
Authors: Kei Hayashida, Shokei Matsumoto, Mitsuhide Kitano and Junichi Sasaki
Improved trauma management can reduce the time between injury and medical interventions, thus decreasing morbidity and mortality. Triage at the emergency department is essential to ensure prioritization and ti...
Authors: Maria Lampi, Johan P. E. Junker, John S. Tabu, Peter Berggren, Carl-Oscar Jonson and Andreas Wladis
Emergency Care has previously been identified as an area of significant concern regarding the prevalence of Adverse Events (AEs). However, the majority of this focus has been on the in-hospital setting, with l...
Authors: Ian Howard, Bernard Pillay, Nicholas Castle, Loua Al Shaikh, Robert Owen and David Williams
The management of childhood intussusception in our sub-region is still via surgical intervention. Currently, the gold standard of treatment is non-operative reduction. We sought to assess the suitability of hy...
The availability of prehospital trauma care is an important means of reducing serious injuries and fatalities associated with road traffic injuries (RTIs). Lay responders such as traffic police play an importa...
Authors: Gift G. Lukumay, Menti L. Ndile, Anne H. Outwater, Dickson A. Mkoka, Mojgan Padyab, Britt-Inger Saveman and Susann Backteman-Erlanson
In 2013 the Scandinavian Neurotrauma Committee (SNC) published updated guidelines for the initial management of minimal, mild and moderate traumatic head injuries (MTHI) that included serum analysis of protein...
Authors: Arurann Ananthaharan, Gunnhild Kravdal and Truls Martin Straume-Naesheim
In this study, we hypothesized that point of care testing (POCT) would reduce length of stay (LOS) in emergency department (ED) when compared to central laboratory testing and be a factor in patient discharge ...
Authors: Meri Kankaanpää, Marika Holma-Eriksson, Sami Kapanen, Merja Heitto, Sari Bergström, Leila Muukkonen and Veli-Pekka Harjola
Paramedics work in a highly complex and unpredictable environment which is characterized by ongoing decision-making. Decisions made by paramedics in the prehospital setting have implications for patient safety...
Authors: Gudrun Reay, James A. Rankin, Lorraine Smith-MacDonald and Gerald C. Lazarenko
Hyponatremia is one of the most commonly encountered electrolyte disorders in emergency department (ED). Seasonal fluctuations of the prevalence of hyponatremia has been reported. We investigated the impact of...
Authors: Naohiko Imai, Kiyomi Osako, Nagayuki Kaneshiro and Yugo Shibagaki
Pain management in the Emergency Department has often been described as inadequate, despite proven benefits of pain treatment protocols. The aim of this study was to investigate the effectiveness of our curren...
Authors: Judith E. van Zanden, Susanne Wagenaar, Jozine M. ter Maaten, Jan C. ter Maaten and Jack J. M. Ligtenberg
Sepsis and septic shock are common problems in intensive care units (ICUs). The mortality of patients with sepsis or septic shock is high. We investigated if reduction in the serum concentration of the cytokin...
Authors: Pham Thi Ngoc Thao, Ton Thanh Tra, Nguyen Truong Son and Koji Wada
Blunt abdominal trauma in the setting of polycystic kidney disease is still scantly described in the literature and management guidelines of such patients are not well-established.
Authors: Karim Hajjar, Ralphe Bou Chebl, Mohammad Kanso and Gilbert Abou Dagher
Out-of-hospital cardiac arrest is a major cause of mortality worldwide. When basic life support techniques are implemented quickly, the chance of survival is doubled. Therefore, this study evaluated public awa...
Authors: Samiha Jarrah, Mahfuz Judeh and Mohannad Eid AbuRuz
Supplemental oxygen (O2) therapy in patients with chest pain has been a cornerstone in the treatment of suspected myocardial infarction (MI). Recent randomized controlled trials have, however, shown that suppleme...
Recurrent CT imaging is believed to significantly increase lifetime malignancy risk. We previously reported that high acuity, admitted trauma patients who received a whole-body CT in the emergency department (...
Authors: Mary Matthews, Peter Richman, Scott Krall, Kimberly Leeson, K Tom Xu, Albert L Gest and Osbert Blow
Every year, about 1.2 million people die through road traffic crashes worldwide. Majority of these deaths occur in Africa where most of their emergency medical services are underdeveloped. In 2004, Ghana estab...
Authors: Mohammed-Najeeb Mahama, Ernest Kenu, Delia Akosua Bandoh and Ahmed Nuhu Zakariah
Socioeconomic inequalities in cardiovascular morbidity have been previously reported showing direct associations between socioeconomic disadvantage and worse health outcomes. However, disagreement remains rega...
Authors: George Mnatzaganian, Janet E Hiller, Jason Fletcher, Mark Putland, Cameron Knott, George Braitberg, Steve Begg and Melanie Bish
Platelet variables, including platelet distribution width (PDW) and mean platelet volume (MPV), have been associated with outcome in critically ill patients. We evaluated these variables in patients after card...
Authors: Antonella Cotoia, Federico Franchi, Chiara De Fazio, Jean-Louis Vincent, Jacques Creteur and Fabio Silvio Taccone
Acute poisoning is a common chief complaint leading to emergency department visits and hospital admissions in developing countries such as Iran. Data describing the epidemiology of different poisonings, charac...
Authors: Omid Mehrpour, Ayob Akbari, Firoozeh Jahani, Alireza Amirabadizadeh, Elaheh Allahyari, Borhan Mansouri and Patrick C. Ng
Smuggling of illegal drugs by hiding them inside one’s own body, also called body packing, is a worldwide phenomenon. Cocaine is the most frequently transported drug. Body packing is a potentially lethal pract...
Authors: Miriam Luginbühl, Timo Junker and Dagmar I. Keller
Physician-staffed helicopter emergency services (HEMS) can provide benefit through the delivery of specialist competence and equipment to the prehospital scene and through expedient transport of critically ill...
Authors: Daniel Kornhall, Robert Näslund, Cecilia Klingberg, Regina Schiborr and Mikael Gellerfors
Falls are a common cause of hospitalization, morbidity, and mortality among the elderly in the United States. Evidence-based imaging recommendations for evaluation of delayed intracranial hemorrhage (DICH) are...
Authors: Nolan Mann, Kellen Welch, Andrew Martin, Michael Subichin, Katherine Wietecha, Lauren E. Birmingham, Tiffany D. Marchand and Richard L. George
Primary care patients are often cited as a cause of Emergency Department overcrowding (ED). The aim of this study was to evaluate a physician led redirection procedure of selected patients towards an out of ho...
Authors: Charles Morin, Jacques Choukroun and Jean-Christophe Callahan
The association between burnout and patient safety has been analyzed in many studies for nurses, physicians, and residents. However, studies concerning prehospital emergency medical services (EMS) workers are ...
Authors: Natalie Baier, Karsten Roth, Susanne Felgner and Cornelia Henschke
Multiresistant bacteria (MRB) is an increasing problem. Early identification of patients with MRB is mandatory to avoid transmission and to target the antibiotic treatment. The emergency department (ED) is a k...
Authors: Christian B. Mogensen, Helene Skjøt-Arkil, Annmarie T. Lassen, Isik S. Johansen, Ming Chen, Poul Petersen, Karen V. Andersen, Svend Ellermann-Eriksen, Jørn M. Møller, Marc Ludwig, David Fuglsang-Damgaard, Finn Nielsen, Dan B. Petersen, Ulrich S. Jensen and Flemming S. Rosenvinge
Medical professionals together with other first responder teams are the first to attend an emergency or disaster. Knowledge and training in emergency and disaster preparedness are important in responding effec...
There is little data describing pediatric emergencies in resource-poor countries, such as Pakistan. We studied the demographics, management, and outcomes of patients presenting to the highest-volume, public, p...
Authors: Nadir Ijaz, Matthew Strehlow, N. Ewen Wang, Elizabeth Pirrotta, Areeba Tariq, Naseeruddin Mahmood and Swaminatha Mahadevan
Although this has not been fully studied, videos and pictorial brochures might be equivalent methods of delivering HIV/AIDS and HIV testing information to emergency departments (ED) patients. It also is not kn...
Authors: Roland C. Merchant, Tao Liu, Melissa A. Clark and Michael P. Carey
Extracorporeal membrane oxygenation (ECMO) is increasingly used in resuscitation of critically ill patients with documented improved survival. Few studies describe ECMO use in cardiogenic shock. This study exa...
Authors: Rayan El Sibai, Rana Bachir and Mazen El Sayed
The use of big data and machine learning within clinical decision support systems (CDSSs) has the potential to transform medicine through better prognosis, diagnosis and automation of tasks. Real-time applicat...
Authors: Warren M. Perry, Rubayet Hossain and Richard A. Taylor
Management of stable patients with abdominal stab wound remains controversial, particularly for those with no clear indications for explorative laparotomy. We evaluated the risk of intra-abdominal injury in st...
Authors: Igor Jeroukhimov, Itay Wiser, Yehuda Hershkovitz, Zahar Shapira, Kobi Peleg, Ricardo Alfici, Adi Givon and Boris Kessel
Liberal use of oxygen in an emergency situation is common. Today, most health care professionals do not adjust the amount of oxygen given when a saturation of 100% or a PaO2 which exceeds the normal range is r...
Authors: Anna S. M. Dobbe, Renate Stolmeijer, Jan C. ter Maaten and Jack J. M. Ligtenberg
Poor communication during patient handover is recognised internationally as a root cause of a significant proportion of preventable deaths. Data used in handover is not always easily recorded using ambulance b...
Authors: David Fitzpatrick, Douglas Maxwell and Alan Craigie
The aim of this study is to test the diagnostic value of baseline and early change of C-reactive protein (CRP) concentrations, evaluated separately or in combination with the modified Alvarado score (MAS), in ...
Traumatic injuries continue to be an important cause of morbidity and mortality in the developing world. Despite the high burden of injury in Ethiopia, the occurrence and health impact have not received due at...
Authors: Abel Negussie, Andarge Getie, Elias Manaye and Tamrat Tekle
Helicopter emergency medical services (HEMS) are popular rescue systems despite inconsistent evidence in the scientific literature to support their use for primary interventions, as well as for inter-facility ...
Authors: Damien Di Rocco, Mathieu Pasquier, Eric Albrecht, Pierre-Nicolas Carron and Fabrice Dami
Since the 1990s, community-associated methicillin resistant staphylococcus aureus (CA-MRSA) has emerged as an important global cause of skin and soft tissue infections. Little is known about the epidemiology of t...
Authors: Muna Al Jalaf, Hanan Fadali, Rasha Alanee, Firas Najjar, Zulfa Al Deesi, Rania M. Seliem and Eric J. Nilles
In Mozambique, and other low-income countries (LICs), there is little information on the burden of child maltreatment (CM). Emergency care services (ECS) play an important role in recognizing, treating, and in...
Authors: Liliana Pinto, Adriana Lein, Raquel Mahoque, David W. Wright, Scott M. Sasser and Catherine A. Staton
Approximately 80% of patients presenting to emergency departments (ED) with chest pain do not have any true cardiopulmonary emergency such as acute coronary syndrome (ACS). However, psychological contributors ...
Authors: Paul I. Musey Jr, John A. Lee, Cassandra A. Hall and Jeffrey A. Kline
Studies investigating different medical conditions and settings have demonstrated mixed results regarding the weekend effect. However, data on the outcome of elderly patients hospitalised on weekends is scarce...
Authors: Steffie H. A. Brouns, Joyce J. Wachelder, Femke S. Jonkers, Suze L. Lambooij, Jeanne P. Dieleman and Harm R. Haak
Triage is used to prioritize the patients in the emergency department. The majority of the triage systems include the patients’ pain score to assess their level of acuity by using a combination of patient repo...
Authors: Martin Høhrmann Hangaard, Brian Malling and Christian Backer Mogensen
Africa accounts for one sixth of global road traffic deaths—most in the pre-hospital setting. Ambulance transport is expensive relative to other modes of pre-hospital transport, but has advantages in time-sens...
Authors: Yonas Abebe, Tolesa Dida, Engida Yisma and David M. Silvestri
The original article [1] contains an error whereby all authors’ names were mistakenly interchanged. The original article has now been corrected to present the authors’ names correctly.
Authors: Sophie Hardy, Sabina Fattah, Torben Wisborg, Lasse Raatiniemi, Trine Staff and Marius Rehn
Citation:BMC Emergency Medicine
2018
18:6
Published on: 9 February 2018
The
original article was published in BMC Emergency Medicine
2018
18:4
Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid ...
Authors: Hiromu Okano, Kohji Uzawa, Kunitaro Watanabe, Akira Motoyasu, Joho Tokumine, Alan Kawarai Lefor and Tomoko Yorozu
Major incidents affect us globally, and are occurring with increasing frequency. There is still no evidence-based standard regarding the best medical emergency response to major incidents. Currently, reports o...
Authors: Sophie Hardy, Sabina Fattah, Torben Wisborg, Lasse Raatiniemi, Trine Staff and Marius Rehn
Clinical handover is an important process for the transition of patient-care responsibility to the next healthcare provider, but it may divert the attention of the team away from active patients. This is chall...
Authors: Sami Alsolamy, Atheer Al-Sabhan, Najla Alassim, Musharaf Sadat, Eman Al Qasim, Hani Tamim and Yaseen M Arabi
Pneumocephalus, illustrated by air in the cranial vault is relatively infrequent and generally associated with neurosurgery, trauma, meningitis and barotrauma. However cases of spontaneous non-traumatic pneumo...
Authors: Abdus Samad Ansari, Brittany B. Dennis, Dilip Shah and Winfred Baah
