Clinical and Experimental Emergency Medicine最新文献_第10页

Predictability of the emergency department triage system during the COVID-19 pandemic. COVID-19 大流行期间急诊科分诊系统的可预测性。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-06-01 Epub Date: 2024-01-29 DOI: 10.15441/ceem.23.107

Se Young Oh, Ji Hwan Lee, Min Joung Kim, Dong Ryul Ko, Hyun Soo Chung, Incheol Park, Jinwoo Myung

{"title":"Predictability of the emergency department triage system during the COVID-19 pandemic.","authors":"Se Young Oh, Ji Hwan Lee, Min Joung Kim, Dong Ryul Ko, Hyun Soo Chung, Incheol Park, Jinwoo Myung","doi":"10.15441/ceem.23.107","DOIUrl":"10.15441/ceem.23.107","url":null,"abstract":"Objective: Emergency department (ED) triage systems are used to classify the severity and urgency of emergency patients, and Korean medical institutions use the Korean Triage and Acuity Scale (KTAS). During the COVID-19 pandemic, appropriate treatment for emergency patients was delayed due to various circumstances, such as overcrowding of EDs, lack of medical workforce resources, and increased workload on medical staff. The purpose of this study was to evaluate the accuracy of the KTAS in predicting the urgency of emergency patients during the COVID-19 pandemic.Methods: This study retrospectively reviewed patients who were treated in the ED during the pandemic period from January 2020 to June 2021. Patients were divided into COVID-19-screening negative (SN) and COVID-19-screening positive (SP) groups. We compared the predictability of the KTAS for urgent patients between the two groups.Results: From a total of 107,480 patients, 62,776 patients (58.4%) were included in the SN group and 44,704 (41.6%) were included in the SP group. The odds ratios for severity variables at each KTAS level revealed a more evident discriminatory power of the KTAS for severity variables in the SN group (P<0.001). The predictability of the KTAS for severity variables was higher in the SN group than in the SP group (area under the curve, P<0.001).Conclusion: During the pandemic, the KTAS had low accuracy in predicting patients in critical condition in the ED. Therefore, in future pandemic periods, supplementation of the current ED triage system should be considered in order to accurately classify the severity of patients.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"195-204"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Femoral nerve blocks versus standard pain control for hip fractures: a retrospective comparative analysis. 股神经阻滞与髋部骨折的标准止痛方法：回顾性对比分析

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-06-01 Epub Date: 2024-01-29 DOI: 10.15441/ceem.23.112

Solomon Geizhals, You Shou, Simone Rudnin, Maria Tama, Josh Greenstein, Barry Hahn, Jerel Chacko, Joseph Basile, Joseph Marino

{"title":"Femoral nerve blocks versus standard pain control for hip fractures: a retrospective comparative analysis.","authors":"Solomon Geizhals, You Shou, Simone Rudnin, Maria Tama, Josh Greenstein, Barry Hahn, Jerel Chacko, Joseph Basile, Joseph Marino","doi":"10.15441/ceem.23.112","DOIUrl":"10.15441/ceem.23.112","url":null,"abstract":"Objective: Pain control for hip fractures is often achieved via intravenous opioids. However, opioids can have dangerous adverse effects, including respiratory depression and delirium. Peripheral nerve blockade is an alternative option for pain control that reduces the need for opioid analgesia. The purpose of this study was to compare the use of femoral nerve blocks versus standard pain control for patients with hip fractures.Methods: This retrospective study included adult patients presenting to the emergency department with isolated hip fractures between April 2021 and September 2022. The intervention group included all patients who received a femoral nerve block during this time. An equivalent number of patients who received standard pain control during that period was randomly selected to represent the control group. The primary outcome was preoperative opioid requirement, assessed by morphine milligram equivalents (MMEs).Results: During the study period, 90 patients were included in each group. Mean preoperative MME was 10.3 (95% confidence interval [CI], 7.4-13.2 MME) for the intervention group and 14.0 (95% CI, 10.2-17.8 MME) for the control group (P=0.13). Patients who received a femoral nerve block also had shorter time from emergency department triage to hospital discharge (7.2 days; 95% CI, 6.2-8.0 days) than patients who received standard care (8.6 days; 95% CI, 7.210.0 days). However, this difference was not statistically significant (P=0.09).Conclusion: Femoral nerve blockade is a safe and effective alternative to opioids for pain control in patients with hip fractures.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"181-187"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epinephrine induced lactic acidosis during the management of anaphylactic shock: a case report. 过敏性休克治疗过程中肾上腺素诱发的乳酸酸中毒：病例报告。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-05-23 DOI: 10.15441/ceem.24.239

Hyo Suk Oh, Chi Ryang Chung, Chi-Min Park, Gee Young Suh, Ryoung-Eun Ko

引用次数: 0

Management of organophosphorus poisoning and the role of magnesium sulfate: A scoping review of literature. 有机磷中毒的处理和硫酸镁的作用：文献综述。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-04-05 DOI: 10.15441/ceem.23.179

Z. Nekoukar, Homa Talabaki, Z. Zakariaei, Mahdi Mesri, Hossein Azadeh

引用次数: 0

Comparison of Dual-Dispatch Protocols on Return of Spontaneous Circulation in Patients with Out-of-Hospital Cardiac Arrest: A Nationwide Observational Study. 院外心脏骤停患者恢复自主循环的双调度方案比较：一项全国性观察研究。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-04-05 DOI: 10.15441/ceem.23.177

Seung Hyo Lee, Young Su Kim, Jeseong Park, H. Lim, Won Pyo Hong

{"title":"Comparison of Dual-Dispatch Protocols on Return of Spontaneous Circulation in Patients with Out-of-Hospital Cardiac Arrest: A Nationwide Observational Study.","authors":"Seung Hyo Lee, Young Su Kim, Jeseong Park, H. Lim, Won Pyo Hong","doi":"10.15441/ceem.23.177","DOIUrl":"https://doi.org/10.15441/ceem.23.177","url":null,"abstract":"Objective\u0000In South Korea, the National Fire Agency (NFA) conducted a pilot project on the advanced life support (ALS) protocol, including epinephrine administration, to improve the survival rate of out-of hospital cardiac arrest (OHCA). Therefore, this study aimed to evaluate the effect of the ALS protocol of NFA on prehospital return of spontaneous circulation (PROSC) in patients with OHCA.\u0000\u0000\u0000Methods\u0000This study was conducted on patients with adult-presumed cardiac arrest between January and December 2020. The main factor of interest was ambulance type according to the ALS protocol, which was divided into dedicated ALS(DA), smartphone-based ALS(SALS), and non-dedicated ALS(Non-DA), and the main analysis factor was PROSC. Multivariate logistic regression analysis was performed.\u0000\u0000\u0000Results\u0000During the study period, a total of 18,031 adult patients with OHCA were treated by the emergency medical service (EMS), including 7,520 (41.71 %) DA, 2,622 (14.54 %) SALS, and 7,889 (43.75 %) Non-DA. The prehospital ROSC ratio was 13.19% for the DA, 11.17% for the SALS, and 7.91% for the Non-DA ambulance (P < 0.01). Compared with that of the DA group, the odds ratio (95% confidence interval [CI]) for PROSC ratio in the SALS and Non-DA groups were 0.97 (0.82-1.15) and 0.57 (0.50-0.65), respectively. It was shown that the PROSC ratio of the DA group was higher than that of the Non-DA group and was not lower than that of the SALS group.\u0000\u0000\u0000Conclusion\u0000ALS protocol intervention was associated with difference in PROSC rates. Therefore, continuous efforts on the systemic implementation of the ALS protocol to improve OHCA outcomes are necessary.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"39 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736886","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

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-04-05 DOI: 10.15441/ceem.23.176

Alexei A Birkun, A. Gautam

引用次数: 0

A case report of point-of-care ultrasound directed thrombectomy: a reversible cause of cardiac arrest managed with extracorporeal membrane oxygenation cannulation. 急诊超声定向取栓一例报告:心脏骤停可逆原因处理体外膜氧合插管。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2023-11-05 DOI: 10.15441/ceem.23.084

Megan Hoffer, Salim Aziz, Keith Boniface, Jenna E Aziz, Ali Pourmand

引用次数: 0

Patient-reported outcome measures in emergency and acute care: looking beyond the emergency room. 急诊和急性病护理中的患者报告结果衡量标准--超越急诊室。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-28 DOI: 10.15441/ceem.23.172

Jason B Liu, David W Bates

引用次数: 0

Characteristics of fall-from-height patients: a retrospective comparison of jumpers and fallers using a multi-institutional registry. 高空坠落患者的特征:采用多机构注册对跳楼者和坠落者进行回顾性比较。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2023-11-29 DOI: 10.15441/ceem.23.074

Jinhae Jun, Ji Hwan Lee, Juhee Han, Sun Hyu Kim, Sunpyo Kim, Gyu Chong Cho, Eun Jung Park, Duk Hee Lee, Ju Young Hong, Min Joung Kim

{"title":"Characteristics of fall-from-height patients: a retrospective comparison of jumpers and fallers using a multi-institutional registry.","authors":"Jinhae Jun, Ji Hwan Lee, Juhee Han, Sun Hyu Kim, Sunpyo Kim, Gyu Chong Cho, Eun Jung Park, Duk Hee Lee, Ju Young Hong, Min Joung Kim","doi":"10.15441/ceem.23.074","DOIUrl":"10.15441/ceem.23.074","url":null,"abstract":"Objective: Fall from height (FFH) is a major public health problem that can result in severe injury, disability, and death. This study investigated how the characteristics of jumpers and fallers differ.Methods: This was a retrospective study of FFH patients enrolled in an Emergency Department-based Injury In-depth Surveillance (EDIIS) registry between 2011 and 2018. Depending on whether the injury was intentional, FFH patients who had fallen from a height of at least 1 m were divided into two groups: jumpers and fallers. Patient characteristics, organ damage, and death were compared between the two groups, and factors that significantly affected death were identified using multivariable logistic analysis.Results: Among 39,419 patients, 1,982 (5.0%) were jumpers. Of the jumpers, 977 (49.3%) were male, while 30,643 (81.9%) of fallers were male. The jumper group had the highest number of individuals in their 20s, with the number decreasing as age increased. In contrast, the number of individuals in the faller group rose until reaching their 50s, after which it declined. More thoracoabdominal, spinal, and brain injuries were found in jumpers. The in-hospital mortality of jumpers and fallers was 832 (42.0%) and 1,268 (3.4%), respectively. Intentionality was a predictor of in-hospital mortality, along with sex, age, and fall height, with an odds ratio of 7.895 (95% confidence interval, 6.746-9.240).Conclusion: Jumpers and fallers have different epidemiological characteristics, and jumpers experienced a higher degree of injury and mortality than fallers. Differentiated prevention and treatment strategies are needed for jumpers and fallers to reduce mortality in FFH patients.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"79-87"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138451066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Calcific tendinitis of the longus colli muscle. 领长肌钙化性腱鞘炎

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-21 DOI: 10.15441/ceem.23.079

Daniel Vaccaro Sumi, Rafael Maffei Loureiro

引用次数: 0