Article
Critical Care Medicine
Shu-Hsien Hsu, Chih-Wei Sung, Tsung-Chien Lu, Chih-Hung Wang, Eric H. Chou, Chia-Hsin Ko, Chien-Hua Huang, Chu -Lin Tsai
Summary: Emergency department cardiac arrest (EDCA) during emergency department (ED) visits in the U.S. is associated with high mortality rates and poor neurological outcomes. This retrospective cohort study analyzed data from the 2019 Nationwide Emergency Department Sample (NEDS) to investigate the incidence, risk factors, and causes of EDCA. The study found that certain demographic factors, comorbidities, hospital characteristics, and specific medical conditions were associated with a higher or lower risk of EDCA. Septicemia, acute myocardial infarction, respiratory failure, and drug overdose were identified as the predominant causes of EDCA.
RESUSCITATION PLUS
(2024)
Letter
Critical Care Medicine
Yosuke Homma
RESUSCITATION PLUS
(2024)
Article
Critical Care Medicine
Gareth Rooke, Paul Sharplin, Richard Buckley
Summary: A 31-year-old female suffered a right fibula fracture with deltoid ligament injury after falling while climbing on wet rocks. She had ORIF surgery and recovered well, but has developed vague pain and hardware sensation at the lateral ankle 6 months later. Her past medical history includes breast reduction surgery and vaginal delivery, and she has a social history of alcohol consumption and past recreational drug use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Jorge Mayor, Vera Birgel, Jan-Dierk Clausen, Goekmen Aktas, Stephan Sehmisch, Ann-Kathrin Einfeldt, Vasilis Giannoudis, Ahmed H. K. Abdelaal, Emmanouil Liodakis
Summary: This study provides a comprehensive overview of biomechanical research on the treatment of intertrochanteric fractures using cephalomedullary devices. Through a systematic literature search and synthesis analysis, the study highlights the need for standardization in biomechanical studies, and suggests strategies to enhance construct stability. The findings emphasize the importance of further research and meta-analyses to establish standardized protocols and enhance reliability.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Emergency Medicine
Adam J. Singer, Samita Heslin, Hal Skopicki, Chen On, Lisa B. Senzel, Mathew Tharakan, Henry C. Thode Jr, Frank Peacock
Summary: The study findings suggest that transitioning to high sensitivity troponin T (hs-cTnT) is significantly associated with reducing the emergency department length of stay for chest pain patients, without an increase in admission or coronary angiography rates.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Critical Care Medicine
Jeffrey Hayashi, Maveric Abella, Denise Nunez, Noah Alter, Jason Kim, Abigail Rosander, Adel Elkbuli
Summary: This study evaluates the rates of over-triage and under-triage in trauma patients nationwide, as well as the associated risk factors and outcomes. The findings suggest that Pacific Islander and American Indian patients, Medicare beneficiaries, and patients treated at level II and III trauma centers are more likely to be over-triaged. Hispanic patients and privately insured patients, on the other hand, have a higher risk of under-triage.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Emergency Medicine
Jiwoon Kim, Je Hyeok Oh, Kyeongil Min, Du Hwan Kim
Summary: The handedness of the rescuer does not significantly affect the chest compression depth (CCD) during vertical one-handed chest compression (OHCC), although using the dominant hand generates greater force.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Emergency Medicine
Tzu-Yao Hung, Cheng-Wei Tseng, Chung-Shiung Wen, Sheng-Han Yu, Hsin-Ling Chen, Chen-Wei Lee, Yung-Cheng Su, Chieh-Hung Lin
Summary: The study assessed the efficacy of Trachway video-stylet and Pentax AWS hyperangulated videolaryngoscope with channel compared to the standard geometric video-laryngoscope in simulating Ludwig's angina with cadavers. Results showed that the use of Trachway video-stylet and Pentax AWS hyperangulated videolaryngoscope with channel can improve intubation success rates and reduce intubation time.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Critical Care Medicine
Dong Wang, Shuo Diao, Xiaobin Zhou, Junlin Zhou, Yang Liu
Summary: This study discussed the role of fracture site tissue exosomes lncRNAs-mRNAs networks on post-injury adaptation (PIA) promoting bone mesenchymal stem cells (BMSCs) proliferation and migration. The results confirmed that PIA accelerated BMSCs proliferation and migration, and identified tissue exosomes as the key factor in this process. By analyzing the tissue exosomes lncRNAs-mRNAs networks, several hub genes, such as Akt1, Actb, and Uba52, were identified, and Kif11 was found to be a key gene in BMSCs regulated by tissue-derived exosomes of PIA treated rats.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli
Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Youngmin Kwon, Jihye Lim, Chunui Lee
Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Alejandro Alejandrez, Motasem Refaat, Yeng Vue
Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Emergency Medicine
Brit Long, Jessie Werner, Michael Gottlieb
Summary: Acute diverticulitis, a common condition in the emergency department, requires emergency medicine clinicians to be aware of the latest evidence for diagnosis and management. Diagnosis is based on history, examination, and laboratory testing, with imaging options also available. While most cases are uncomplicated, complications may occur and require surgical consultation. Antibiotics are not necessary for uncomplicated cases.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Review
Critical Care Medicine
Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng
Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li
Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy
Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Emergency Medicine
Maria J. Mathew, Pankaj Kundra, Stalin Vinayagam
Summary: The quality of CPR performed by rescuers wearing N95 masks appears to be superior when rescuers are rotated every 1 minute instead of every 2 minutes. More frequent rotation is also associated with less rescuer fatigue.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Critical Care Medicine
Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic
Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Emergency Medicine
Nancy Clemens, Paria M. Wilson, Matthew J. Lipshaw, Holly Depinet, Yin Zhang, Michelle Eckerle
Summary: This study compared clinical features and outcomes between pediatric sepsis patients with blood cultures positive versus negative for bacterial pathogens. The results showed that children with blood culture positive sepsis had higher rates of organ dysfunction, a larger base deficit, and higher procalcitonin levels.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Critical Care Medicine
Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer
Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
