Article
Emergency Medicine
Kristopher Bianconi, Wayne Zielinski, Scott Fischer, Jenna Ferlazzo, Matthew Steenberg, Navin Ariyaprakai
Summary: Brugada syndrome, an inherited genetic disorder, can cause various symptoms and ultimately lead to ventricular fibrillation and sudden cardiac death. The article presents a patient with witnessed seizure who was diagnosed with Brugada syndrome, along with multiple ventricular arrhythmias complicating the case.
PREHOSPITAL EMERGENCY CARE
(2023)
Article
Emergency Medicine
Mohammad Jafar Sepahvand, Kian Nourozi, Hamidreza Khankeh, Farahnaz Mohammadi-Shahboulaghi, Masoud Fallahi-Khoshknab
Summary: This study investigates the fears and concerns of bystanders when they decide to help in traffic accidents. The results show that fears and concerns are mainly related to a lack of information, legal issues, and previous experiences. Increasing bystanders' information, implementing laws to protect them, and providing relevant training can reduce their fears and concerns.
EMERGENCY MEDICINE INTERNATIONAL
(2023)
Article
Emergency Medicine
Mehdi Torabi, Ghazal Soleimani Mahani, Moghaddameh Mirzaee
Summary: This study aimed to investigate the role of certain factors, especially newly introduced vital signs, in predicting post-intubation cardiac arrest (PICA) in critically ill adult patients. The results showed that the reverse shock index (RSI) may be more accurate in predicting PICA compared to the shock index. Additionally, advanced age, hypoxia, and hyperbilirubinemia may increase the risk of PICA in patients admitted to the emergency department.
INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Trine Berglie Spjeldnaes, Kristine A. Vik Nilsen, Lars Myrmel, Jan-Oddvar Sornes, Guttorm Brattebo
Summary: The study aims to understand callers' actual experiences and how they perceive their interaction with the Emergency Medical Communications Center (EMCC). A combination of quantitative and qualitative methods, including an SMS survey and interviews, was used. The results showed that most people were satisfied with the EMCC's service, emphasizing the importance of being taken seriously and listened to by the dispatchers.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Wenjun Zhou, Hui Lv, Huan Zhang, Yong Ding, Jiawei Zhou, Huan Tong, Junkai Cui
Summary: This study analyzed the hemostatic effect of tranexamic acid (TXA) applied through different methods and at different time points in primary unilateral total hip arthroplasty. The results showed that local intraarticular application of TXA can reduce postoperative drainage, but the difference is not clinically significant. The application method and time point of TXA did not significantly affect intraoperative blood loss and total blood loss.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Review
Emergency Medicine
Han Soul Kim, Yong-Cheol Yoon, Sang-Jin Lee, Jae Ang Sim
Summary: The study found that retrograde intramedullary nailing (RIN) showed a shorter bone union time and lower infection rate compared to distal femoral plating (DFP) in the treatment of distal femoral fractures. However, there were no significant differences in other clinical parameters between the two treatment methods. Therefore, the choice of treatment should be based on the individual patient's condition and fracture pattern.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Emergency Medicine
Kari Heinonen, Markku Kuisma, Heli Salmi, Tuukka Puolakka
Summary: This study investigated the association between the non-conveyance decision of COVID-19 patients and the frequency of new EMS calls. The results showed that nearly half of the patients could be discharged at the scene, and approximately every sixth of these patients had a new EMS call and ambulance transport within the following 10 days.
BMC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Chaobin Lou, Tao Xu, Fangying Dong, Yangmiao Xu, Muhua Zhang, Shudong Xia, Yinchuan Xu, Chao Feng
Summary: This study found gender disparities in the management of acute myocardial infarction (AMI). Female patients took longer time from symptom onset to seeking medical help, consent to coronary angiography (CAG), and from hospital admission to treatment compared to male patients. Fewer female patients accepted CAG and coronary intervention/bypass grafting. More female patients preferred traditional Chinese medicine over evidence-based medicine. The reluctance of female patients in making critical decisions about AMI management and their poor adherence to evidence-based medicine were associated with an elevated risk of major adverse cardiac events (MACE).
EMERGENCY MEDICINE INTERNATIONAL
(2023)
Article
Emergency Medicine
Uvin Seneviratne, Kerry Mclaughlin, Jennifer Reilly, Carl Luckhoff, Paul Myles
Summary: In adults presenting to an Australian tertiary ED with radicular or low back pain, pharmacological management is more common than non-pharmacological management, with opioids frequently prescribed and NSAIDs potentially under-utilised. Post-discharge, additional investigations/referrals, reduction in discharge analgesia, and maintenance of non-pharmacological management are common. The initiation of opioids for LBP presentations signifies a potential gateway towards unintentional long-term use.
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Article
Emergency Medicine
Florian Dax, Heiko Trentzsch, Marc Lazarovici, Kathrin Hegenberg, Katharina Kneissl, Florian Hoffmann, Stephan Prueckner
Summary: This study examines the factors that influence patient transport rates in ambulance deployments in Bavaria. The study finds that the percentage of transported patients is dependent on the reason for deployment and whether the emergency occurs in an urban or rural area. Particularly low transport rates are observed when the ambulance is dispatched in connection with a fire department operation or a personal emergency medical alert button activation. The study also shows that on-scene time is increased for deployments without transport.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Hans-Joerg Busch, Wilhelm Behringer, Paul Biever, Bernd W. Boettiger, Philip Eisenburger, Katrin Fink, Harald Herkner, Uwe Kreimeier, Martin Pin, Sebastian Wolfrum
Summary: Approximately 60,000 adult patients in Germany and 5,000 in Austria suffer from out-of-hospital cardiac arrest each year. Only 10-15% of these patients survive without neurological damage. Hypothermic temperature control has been a central component of post-resuscitation treatment for decades, but its efficacy has recently been debated due to published studies.
NOTFALL & RETTUNGSMEDIZIN
(2023)
Article
Emergency Medicine
Huijuan Chen, Libing Sun, Xiangyan Kong
Summary: This study aims to describe the prevalence of DVT in patients with multiple trauma and compare the predictive power of different risk assessment tools. The incidence of DVT was relatively high, particularly in postoperative and bilateral lower extremity cases. We found no significant differences in the predictive power of the different risk assessment tools.
BMC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Petter Nystrom, Martin Nordberg, Lennart Bostrom
Summary: There was no significant difference in the risk of postoperative complications, readmission, and death regardless of when acute appendectomy was performed. However, performing the surgery during evening and night was associated with a shorter hospital stay as compared to daytime surgery.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Emergency Medicine
Mostafa Bijani, Saeed Abedi, Azam Zare, Ziba Tavacol, Fozieh Abadi, Abdulhakim Alkamel
Summary: This qualitative study explored the challenges faced by pre-hospital emergency care personnel in Southern Iran when using telecardiology. Professional barriers, medical equipment and telecommunication barriers, and organizational management barriers were identified as the main obstacles affecting the optimal use of telemedicine in providing care for cardiac patients.
BMC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Arne Diehl, Andrew C. Read, Timothy Southwood, Hergen Buscher, Mark Dennis, Vinodh Bhagyalakshmi Nanjayya, Aidan J. C. Burrell
Summary: This study compared the impact of commonly used selection criteria on survival rates and utilization in an Australian ECPR cohort, and found that different criteria had an impact on both the survival rate and the total number of survivors. The commonly used selection criteria may not be suitable for selecting IHCA ECPR patients.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Jonathon Stewart, Samuel Freeman, Ege Eroglu, Nicole Dumitrascu, Juan Lu, Adrian Goudie, Peter Sprivulis, Hamed Akhlaghi, Viet Tran, Frank Sanfilippo, Antonio Celenza, Martin Than, Daniel Fatovich, Katie Walker, Girish Dwivedi
Summary: This qualitative study found that emergency clinicians in Australia and New Zealand were generally optimistic about the use of AI-enabled decision support tools in EDs. However, there are several issues that need to be addressed, such as skill loss, algorithmic bias, patient privacy, and ethical concerns.
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Review
Emergency Medicine
Jamie W. Scriven, Emir Battaloglu
Summary: Little is known about the utility of dynamic subcutaneous lactate monitoring, and this review highlights a clear gap in current literature. Novel subcutaneous lactate monitors are in development, and the literature describing the prototype experimentation has been summarized. These studies demonstrate device accuracy, which shows a close correlation with venous lactate while providing dynamic readings without significant lag times. Their availability and cost remain barriers to implementation at present. This represents a clear target for future feasibility studies to be conducted into the clinical use of dynamic subcutaneous lactate monitoring in trauma and resuscitation.
PREHOSPITAL AND DISASTER MEDICINE
(2023)
Article
Emergency Medicine
Sierra Beck, Haziq Aziz Shamri, Sean Coffey, Megan Anakin, Gillian Whalley
Summary: The study assessed the image quality and technical limitations of cardiac point-of-care ultrasound performed in a New Zealand emergency department. The results showed that low image quality was common, but the impact of image quality on diagnostic interpretation was rarely documented in the medical record. The study suggests that efforts should be made to improve image quality, particularly in off-axis imaging and artifact management, and to encourage standardized documentation of image quality that may affect diagnostic accuracy.
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Article
Emergency Medicine
Korakot Apiratwarakul, Lap Woon Cheung, Chatkhane Pearkao, Dhanu Gaysonsiri, Kamonwon Ienghong
Summary: The study compares the response times of EMS between traditional phone calls and the utilization of smart emergency call points on university campuses. It also provides insights into the characteristics of smart emergency call points.
PREHOSPITAL AND DISASTER MEDICINE
(2023)
Article
Emergency Medicine
Mat Goebel, Lauren M. Westafer, Stephanie A. Ayala, El El Ragone, Scott J. Chapman, Masood R. Mohammed, Marc R. Cohen, James T. Niemann, Marc Eckstein, Stephen Sanko, Nichole Bosson
Summary: Early detection of ST-segment elevation myocardial infarction (STEMI) is crucial for improving patient outcomes. This study proposes an algorithm to increase the specificity of STEMI diagnosis in the prehospital setting. By applying four criteria including heart rate, QRS length, verification of ST-segment elevation, and absence of artifact, prehospital ECGs with a high probability of true STEMI can be accurately identified. This approach can reduce false-positive field activations and minimize the reliance on physician over-read, thereby having significant clinical and quality implications for Emergency Medical Services (EMS) systems.
PREHOSPITAL AND DISASTER MEDICINE
(2023)
