Emergency Medicine

Article Emergency Medicine

The role of point-of-care ultrasound in the assessment of pelvic urine leakage and diagnosis of urinoma

Asra Moradkhani, Mona Zangi, Mobin Azami, Mohammad Ghasemi-Rad, Abdolghader Pakniyat

Summary: This report presents two cases of urinoma likely caused by overdistention of the renal pelvis following excessive fluid intake and the presence of a ureteral stone. Point-of-care ultrasound played a pivotal role in identifying perinephric fluid and guiding further investigations, leading to definitive diagnoses and successful treatment.

INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Gender disparities in the mediating role of symptom knowledge level in reducing acute coronary syndrome (ACS) decision delay: Findings from a community-based study in China

Siyue Wang, Junxian Song, Chongyou Lee, Jin Jiang, Mengying Wang, Dongjing Liu, Zhuqing Wang, Yuan Yuan, Wenyong Li, Ren Zhou, Hongchen Zheng, Jianmin Wei, Yonghua Hu, Tao Wu, Zhenbiao Tian, Hong Chen

Summary: The study found that training programs on prodromal symptoms of ACS can reduce decision delay, with increased knowledge playing a mediating role. However, this effect was only observed in male participants and not in female participants. This suggests that mere transfer of knowledge may not be sufficient to mitigate decision delay in females. Further research is needed to confirm these findings and gain deeper insights into the gender-specific barriers encountered in this study.

BMC EMERGENCY MEDICINE (2023)

Article Emergency Medicine

The impact of clinical pharmacists' medication reconciliation upon patients' admission to reduce medication discrepancies in the emergency department: a prospective quasi-interventional study

Heba Othman Shaker, Ahmed Abdel Fattah Sabry, Asmaa Salah, Gilan Mohamed Ragab, Nahla Ahmed Sedik, Zahraa Ali, Doha Magdy, Asmaa Mohamed Alkafafy

Summary: Clinical pharmacists play a crucial role in medication reconciliation, being able to obtain patients' drug history with higher accuracy compared to emergency physicians. The establishment of a complete drug history list and physicians' discussion about the current treatment plan can significantly reduce medication errors.

INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE (2023)

Article Emergency Medicine

A streamlined Emergency Department approach to moderate risk chest pain in patients with no pre-existing coronary artery disease: A pilot study

Christopher L. Jones, Robyn Gallagher, Paddy Quinn, Nick S. R. Lan, David-Raj Thomas, Christopher Wood, Christopher Lau, Weng Man Sofia Chow, Vikram Raju, James M. Rankin, Abdul Rahman Ihdayhid, Glenn Arendts

Summary: This study suggests that patients without pre-existing CAD can be safely managed by emergency physicians through a streamlined approach, reducing length of stay in the emergency department.

EMERGENCY MEDICINE AUSTRALASIA (2023)

Article Emergency Medicine

A pickup for a case of hiccups: point-of-care ultrasonography detects a liver abscess in a 74-year-old gentleman

Lynette Yan Ee Chung, Yun Ying Ho, Sze Joo Juan

CANADIAN JOURNAL OF EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Completeness and accuracy of digital charting vs paper charting in simulated pediatric cardiac arrest: a randomized controlled trial

Alexandra St-Onge-St-Hilaire, Adam Cheng, Jennifer Davidson, Brandi Wan, Yiqun Lin

Summary: This study aims to determine if data collected through digital charting are more complete and accurate compared to traditional paper-based charting during simulated pediatric cardiac arrest.

CANADIAN JOURNAL OF EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Feasibility of non-operative management for patients sustained blunt splenic traumas with concomitant aortic injuries

Jen-Fu Huang, Chia-Cheng Wang, Shu-Yueh Shen, Chih-Yuan Fu, Chih-Po Hsu, Chi-Tung Cheng, Chien-An Liao, Ling-Wei Kuo, Chun-Hsiang Ou Yang, Chien-Hung Liao

Summary: This study aimed to elucidate the treatment approach for blunt splenic injuries concurrently involving the aorta. Patients with concurrent aortic and splenic injuries presented with more severe conditions, higher mortality rates, and extended hospital stays.

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY (2023)

Article Emergency Medicine

Recovery to normal vital functions and acid-base status after a severe trauma in Level I versus Level II Trauma Centres

Roos J. M. Havermans, Mariska A. C. de Jongh, Alexander H. van der Veen, Michael Edwards, Koen W. W. Lansink

Summary: The study showed that severely injured patients admitted to a Level I trauma center require less time to normalize their vital functions compared to Level II trauma centers. In Level I centers, patients also spend less time in the emergency department and until a CT scan, and have a lower complication rate.

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY (2023)

Article Emergency Medicine

Pre-hospital ECPR in an Australian metropolitan setting: a single-arm feasibility assessment-The CPR, pre-hospital ECPR and early reperfusion (CHEER3) study

S. A. C. Richardson, D. Anderson, A. J. C. Burrell, T. Byrne, J. Coull, A. Diehl, D. Gantner, K. Hoffman, A. Hooper, S. Hopkins, J. Ihle, P. Joyce, M. Le Guen, E. Mahony, S. McGloughlin, Z. Nehme, C. P. Nickson, P. Nixon, J. Orosz, B. Riley, J. Sheldrake, D. Stub, M. Thornton, A. Udy, V. Pellegrino, S. Bernard

Summary: This study investigates the safety and feasibility of pre-hospital deployed extracorporeal membrane oxygenation (ECMO) during cardiopulmonary resuscitation (ECPR) for refractory out of hospital cardiac arrest (OHCA) in metropolitan Australia. The results demonstrate that pre-hospital ECPR is feasible and shows promising overall survival in a highly selected group of patients.

SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Current Geriatric Emergency Medicine Education and Training in Australasia: How this relates to the global context and opportunities for the future

Rebecca Heath, Jay Banerjee, Katren R. Tyler, Tesni Pattiaratchi, Ellen Burkett

EMERGENCY MEDICINE AUSTRALASIA (2023)

Article Emergency Medicine

Witnessed prehospital traumatic arrest: predictors of survival to hospital discharge

Morgan Schellenberg, Natthida Owattanapanich, Chaiss Ugarte, Areg Grigorian, Jeffry Nahmias, Lydia Lam, Matthew J. Martin, Kenji Inaba

Summary: The purpose of this study was to investigate patients who experienced EMS-witnessed traumatic cardiac arrest and determine the factors associated with survival. The study found that survivors were more likely to be young, female, injured by blunt trauma, and have higher Glasgow Coma Scale scores and lower Injury Severity Scores. These findings have important implications for emergency department resuscitation and decision-making regarding termination of care.

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY (2023)

Article Emergency Medicine

Selective aortic arch perfusion: a first-in-human observational cadaveric study

Max Marsden, Jon Barratt, Helen Donald-Simpson, Tracey Wilkinson, Jim Manning, Paul Rees

Summary: For the first time using a perfused cadaveric model, we have demonstrated that a SAAP catheter can be easily and safely inserted and SAAP can be achieved using conventional endovascular techniques. The SAAP catheter allowed successful access to the proximal aorta and permitted retrograde perfusion of the coronary and cerebral circulation.

SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Development of early complications after treatment of trochanteric fractures with an intramedullary sliding hip screw in a geriatric population

Markus Wolfgang Robioneck, Miguel Pishnamaz, Nils Becker, Eftychios Bolierakis, Frank Hildebrand, Klemens Horst

Summary: This study investigated the complications associated with surgical treatment of trochanteric fractures in the geriatric population. The study found that postoperative surgical complications occur frequently, with difficult fracture reduction and implant positioning being the most common problems.

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY (2023)

Article Emergency Medicine

The burden and prognostic significance of suspected sepsis in the prehospital setting: A state-wide population-based cohort study

Richard Chatoor, Praba Sekhar, Emily Mahony, Emily Nehme, Shelley Cox, Daniel Cudini, Jeffrey Shao, Karen Smith, David Anderson, Ziad Nehme, Andrew Udy

Summary: Despite high in-hospital mortality, the epidemiology of prehospital suspected sepsis presentations is not well described. This retrospective cohort study aimed to quantify the burden of such adult presentations, and to determine whether a sepsis diagnosis was independently associated with longer-term mortality. Over 1.2 million patients were included, and the age-adjusted incidence rate of prehospital suspected sepsis was 65 cases per 100,000 person-years with a 35% higher likelihood of 6-month mortality.

EMERGENCY MEDICINE AUSTRALASIA (2023)

Review Emergency Medicine

Frostbite treatment: a systematic review with meta-analyses

Ivo B. Regli, Rosmarie Oberhammer, Ken Zafren, Hermann Brugger, Giacomo Strapazzon

Summary: This study conducted a systematic review and meta-analyses to assess the effectiveness of frostbite treatments. The results showed that patients treated with thrombolytics within 24 hours had better outcomes compared to other treatment modalities. Additionally, the prostacyclin analog iloprost was found to be beneficial in severe frostbite cases.

SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Telemedicine-Only in emergency cases?: Examples of use in acute and emergency medicine

Miriam Hertwig, Christian Huebel, Jenny Unterkofler, Joerg Christian Brokmann

Summary: Telemedicine, including teleconsultations, tele-case conferences, and telemonitoring, has become increasingly popular in emergency medicine, relieving the burden on practices and emergency departments. It shows great potential in supporting new forms of care services in the future.

NOTFALL & RETTUNGSMEDIZIN (2023)

Review Emergency Medicine

Suspension syndrome: a scoping review and recommendations from the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

Simon Rauch, Raimund Lechner, Giacomo Strapazzon, Roger B. Mortimer, John Ellerton, Sven Christjar Skaiaa, Tobias Huber, Hermann Brugger, Mathieu Pasquier, Peter Paal

Summary: This study reviewed the epidemiological and medical data related to suspension syndrome and found that suspension syndrome is a rare condition. The pathophysiology may be related to a neurocardiogenic reflex and other factors such as pain, trauma, and accidental hypothermia. Preventive measures include using a well-fitting sit harness and activating the muscle pump of the legs. Swift rescue and immediate initiation of standard advanced life support are crucial in managing suspension syndrome.

SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE (2023)

Article Emergency Medicine

Dream one, do one, teach one: a mental practice script for bougie assisted cricothyrotomy

Jamie Riggs, Melissa Mcgowan, Christopher Hicks

Summary: This study integrates interview-derived sensory cues with procedural steps into a script, aiming to support mental practice and skill improvement in low-occurrence procedures.

CANADIAN JOURNAL OF EMERGENCY MEDICINE (2023)

Review Emergency Medicine

Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma

Giacomo Sermonesi, Brian W. C. A. Tian, Carlo Vallicelli, Fikri M. Abu-Zidan, Dimitris Damaskos, Michael Denis Kelly, Ari Leppaeniemi, Joseph M. Galante, Edward Tan, Andrew W. Kirkpatrick, Vladimir Khokha, Oreste Marco Romeo, Mircea Chirica, Manos Pikoulis, Andrey Litvin, Vishal Girishchandra Shelat, Boris Sakakushev, Imtiaz Wani, Ibrahima Sall, Paola Fugazzola, Enrico Cicuttin, Adriana Toro, Francesco Amico, Francesca Dal Mas, Belinda De Simone, Michael Sugrue, Luigi Bonavina, Giampiero Campanelli, Paolo Carcoforo, Lorenzo Cobianchi, Federico Coccolini, Massimo Chiarugi, Isidoro Di Carlo, Salomone Di Saverio, Mauro Podda, Michele Pisano, Massimo Sartelli, Mario Testini, Andreas Fette, Sandro Rizoli, Edoardo Picetti, Dieter Weber, Rifat Latifi, Yoram Kluger, Zsolt Janos Balogh, Walter Biffl, Hans Jeekel, Ian Civil, Andreas Hecker, Luca Ansaloni, Francesca Bravi, Vanni Agnoletti, Solomon Gurmu Beka, Ernest Eugene Moore, Fausto Catena

Summary: The laparoscopic approach in emergency abdominal surgery for general surgery emergencies and abdominal trauma has demonstrated several benefits and improved outcomes in stable patients. However, appropriate patient selection, surgeon experience, and rigorous minimally invasive surgical training are crucial factors for increasing the adoption of laparoscopy in emergency general surgery and abdominal trauma.

WORLD JOURNAL OF EMERGENCY SURGERY (2023)

Article Emergency Medicine

Supraglottic airway devices

G. Jansen, R. Abels, M. Deslandes, J. Persson, J. Hinkelbein

Summary: Introduced in the early 1980s, supraglottic airway devices (SGA) have revolutionized airway management in prehospital and in-hospital settings. They are particularly beneficial for users with limited airway management experience. However, despite their advantages, the use of SGAs should not be taken lightly as complications can arise.

NOTFALL & RETTUNGSMEDIZIN (2023)