Clinical and Experimental Emergency Medicine最新文献

Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review. 治疗顽固性非手术腹痛的脊柱后凸平面阻滞术（ESPB）：范围综述。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-03-15 DOI: 10.15441/ceem.23.171

Ashley Meyer, Campbell Belisle Haley, Eisa Razzak, Amanda Dos Santos, Kyle Dornhofer, Edmund Hsu, Soheil Saadat, John Christian Fox, Megan Guy

{"title":"Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review.","authors":"Ashley Meyer, Campbell Belisle Haley, Eisa Razzak, Amanda Dos Santos, Kyle Dornhofer, Edmund Hsu, Soheil Saadat, John Christian Fox, Megan Guy","doi":"10.15441/ceem.23.171","DOIUrl":"10.15441/ceem.23.171","url":null,"abstract":"Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized. Our scoping review aims to synthesize current knowledge on the safety and efficacy of ESPB in the management of patients experiencing intractable, nonsurgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for nonsurgical abdominal pain. A total of 14 journal articles were included: 12 case-based studies, one systematic review, and one narrative review. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and no complications were reported in any cases. This scoping review provides support for the use of ESPB to manage intractable, nonsurgical abdominal pain. ESPB has demonstrated efficacy in alleviating various conditions such as functional abdominal pain, renal colic, pancreatitis, herpetic pain, and cancer-related pain. Theoretical risks such as pneumothorax, bleeding, and infection are possible, although the studies reviewed did not report such complications.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"379-386"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140130868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multiple acute cerebral infarctions after blunt cerebrovascular injury. 钝性脑血管损伤后多发性急性脑梗塞病例。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI: 10.15441/ceem.24.276

Noriatsu Ohtsuka, Toshihiro Hatakeyama, Atsuki Hayamizu

引用次数: 0

Celebrating a decade of excellence: the 10th anniversary of Clinical and Experimental Emergency Medicine.

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-11-13 DOI: 10.15441/ceem.24.348

Adam J Singer, Kyuseok Kim

引用次数: 0

Characteristics of patients who return to the emergency department after an observation-unit assessment. 经过观察室评估后返回急诊科的患者特征。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.15441/ceem.24.192

Barry Hahn, Shannon Sunny, Patrick Kettyle, Jerel Chacko, Dimitre G Stefanov

{"title":"Characteristics of patients who return to the emergency department after an observation-unit assessment.","authors":"Barry Hahn, Shannon Sunny, Patrick Kettyle, Jerel Chacko, Dimitre G Stefanov","doi":"10.15441/ceem.24.192","DOIUrl":"10.15441/ceem.24.192","url":null,"abstract":"Objective: Emergency department observation units (EDOUs) transition patients from the ED to dedicated areas where they can receive continuous monitoring. Understanding patient return visits after EDOU discharge is important for optimizing healthcare. The objective of this study was to investigate the correlations between demographic and clinical features and the likelihood of returning to the ED within 30 days following an initial EDOU assessment.Methods: This retrospective, observational, cohort study of adult EDOU subjects was conducted between February 1, 2018, and January 31, 2023. Adult patients who were evaluated in an EDOU and returned to an ED within 30 days were compared with those who were assessed in the EDOU but did not return to the ED within 30 days. The analysis took into account multiple visits by the same subject and made adjustments for variables of sex, ethnicity, insurance status, primary diagnosis, and disposition using a generalized linear mixed model.Results: A total of 14,910 EDOU encounters was analyzed, and 2,252 patients (15%) returned to the ED within 30 days. The analysis took into account several variables that indicated a significant association with the likelihood of returning to the ED within 30 days. These were sex (P<0.001), ethnicity (P=0.005), race (P<0.001), insurance status (P<0.001), primary diagnosis (P<0.001), and disposition (P<0.001). Emergency severity index and length of stay were not associated with ED return.Conclusion: Understanding these factors may guide interventions, enhance EDOU care, and reduce resource strain. Further research should explore these associations and the long-term intervention impacts on improved outcomes.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"349-357"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The efficacy of hyperbaric oxygen therapy for skin perfusion following peripheral tissue injury due to usage of inotropes and vasopressors: a case report. 使用肌注剂和血管加压剂导致外周组织损伤后高压氧治疗后皮肤灌注疗效的病例报告。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-02-16 DOI: 10.15441/ceem.23.119

Nien Hsiu Suen, Chang Hae Pyo, Hyun Kyung Park, Keun Hong Park, Dongsun Choi

引用次数: 0

Short-term functional outcomes and treatment trends for branch atheromatous disease and lacunar infarction: a retrospective cohort study of a nationwide multicenter registry. 动脉粥样硬化性疾病与脑干梗死之间的短期功能结果和治疗趋势：全国多中心登记处的回顾性队列研究。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-07-19 DOI: 10.15441/ceem.24.220

Gaku Fujiwara, Hideki Oka, Akihiro Fujii

{"title":"Short-term functional outcomes and treatment trends for branch atheromatous disease and lacunar infarction: a retrospective cohort study of a nationwide multicenter registry.","authors":"Gaku Fujiwara, Hideki Oka, Akihiro Fujii","doi":"10.15441/ceem.24.220","DOIUrl":"10.15441/ceem.24.220","url":null,"abstract":"Objective: Branch atheromatous disease (BAD) is a form of ischemic stroke that presents with imaging findings similar to those of lacunar infarction, but has a different pathogenesis and is known to cause progressive paralysis. Due to regional variations, the epidemiology of BAD is not well understood, and its relationship with the functional prognosis remains unclear. Using a comprehensive Japanese stroke database, we investigated its epidemiological characteristics and associations with functional outcomes.Methods: In this multicenter cohort study, we retrospectively analyzed data from 27 hospitals that contributed to the Saiseikai Stroke Database (2013-2021). We used multivariable logistic regression to calculate adjusted odds ratios (aORs) with 95% confidence intervals (CIs) of BAD compared with lacunar infarction (LI) for functional outcomes at discharge. Ischemic stroke caused by BAD or LI was included, and demographic characteristics and clinical data were evaluated and contrasted between BAD and LI.Results: Of the 5,966 analyzed patients, 1,549 (25.9%) had BAD and 4,434 (74.1%) had LI. BAD was associated with worse functional outcomes (aOR, 2.77; 95% CI, 2.42-3.17; relative to LI) and extended hospital stays (median 19 days for BAD vs. 13 days for LI). Moreover, aggressive treatment strategies, including the use of argatroban and dual antiplatelet therapy, were more common in BAD patients.Conclusion: BAD presented worse functional outcomes and longer hospital stays than LI, necessitating treatment plans that take into account its progression and prognosis.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"365-371"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wikipedia is a highly accessed although unreliable source of knowledge on cardiopulmonary resuscitation. 维基百科作为心肺复苏知识的来源，虽然不完善，但访问量很大。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.15441/ceem.24.223

Alexei Birkun

引用次数: 0

Assessment of organ failure in sepsis patients in the emergency department: clinical evaluation, Sequential Organ Failure Assessment (SOFA) score, and future perspectives.

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-11-18 DOI: 10.15441/ceem.24.330

Tae Gun Shin

引用次数: 0

Factors associated with parental knowledge and attitudes toward pediatric concussions in Korea. 大韩民国家长对脑震荡的认识和态度的相关因素。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-03-15 DOI: 10.15441/ceem.23.155

DongWon Son, Ki Ok Ahn, Hang A Park, Ju Ok Park

{"title":"Factors associated with parental knowledge and attitudes toward pediatric concussions in Korea.","authors":"DongWon Son, Ki Ok Ahn, Hang A Park, Ju Ok Park","doi":"10.15441/ceem.23.155","DOIUrl":"10.15441/ceem.23.155","url":null,"abstract":"Objective: This study investigated the status and evaluated factors associated with knowledge and attitudes regarding pediatric concussions among Korean parents of children aged 6 to 18 years.Methods: A cross-sectional online survey was employed to collect data from a panel of parents in Korea in 2023. To assess knowledge and attitudes regarding concussions, participants completed a validated questionnaire. The outcome variables of total knowledge score (range, 0-30) and total attitude score (range, 7-49) were categorized into tertiles. We conducted multivariable ordinal logistic regression analyses with participants and their children based on demographic information and characteristics as covariates.Results: A total of 260 parents responded to the survey and demonstrated moderate concussion-related knowledge (median total score, 21; interquartile range [IQR], 18-22.5). The respondents exhibited favorable attitudes toward concussions (median total score, 39; IQR, 34-43), except the attitude of the importance of reporting concussion. Multivariable ordinal regression analysis for outcomes revealed only career of healthcare provider (adjusted odds ratio, 3.15; 95% confidence interval, 1.13-8.75) to be associated with parental concussion-related knowledge. No factors exhibited a significant association with parental attitudes toward concussions.Conclusion: Our results confirmed the knowledge-attitude gap regarding pediatric concussions among Korean parents. Effective strategies are warranted to improve parental knowledge and attitudes.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"372-378"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140130869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct effect of lipid emulsion treatment on local anesthetic systemic toxicity.

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-12-24 DOI: 10.15441/ceem.24.326

Ju-Tae Sohn

引用次数: 0