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Clinical and Experimental Emergency Medicine最新文献

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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
{"title":"The efficacy of hyperbaric oxygen therapy for skin perfusion following peripheral tissue injury due to usage of inotropes and vasopressors: a case report.","authors":"Nien Hsiu Suen, Chang Hae Pyo, Hyun Kyung Park, Keun Hong Park, Dongsun Choi","doi":"10.15441/ceem.23.119","DOIUrl":"10.15441/ceem.23.119","url":null,"abstract":"<p><p>Hyperbaric oxygen therapy (HBOT) has garnered significant attention as a therapeutic modality with potential benefits across a variety of medical conditions, ranging from wound healing and ischemic conditions to neurologic disorders and radiation-induced tissue damage. HBOT involves the administration of 100% oxygen at higher-than-atmospheric pressures, which increases the amount of oxygen dissolved in body fluids and tissues. Those elevated oxygen levels are proposed to facilitate tissue repair, reduce inflammation, and promote angiogenesis. This case report presents a compelling instance of the usefulness of HBOT in promoting skin perfusion and healing following peripheral tissue injury caused by administration of inotropic and vasopressor agents to a septic shock patient.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"387-391"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899497","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
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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>BAD presented worse functional outcomes and longer hospital stays than LI, necessitating treatment plans that take into account its progression and prognosis.</p>","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
{"title":"Wikipedia is a highly accessed although unreliable source of knowledge on cardiopulmonary resuscitation.","authors":"Alexei Birkun","doi":"10.15441/ceem.24.223","DOIUrl":"10.15441/ceem.24.223","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"392-395"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080668","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
Assessment of organ failure in sepsis patients in the emergency department: clinical evaluation, Sequential Organ Failure Assessment (SOFA) score, and future perspectives. 急诊科脓毒症患者器官衰竭的评估：临床评估、序贯器官衰竭评估（SOFA）评分和未来展望
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
{"title":"Assessment of organ failure in sepsis patients in the emergency department: clinical evaluation, Sequential Organ Failure Assessment (SOFA) score, and future perspectives.","authors":"Tae Gun Shin","doi":"10.15441/ceem.24.330","DOIUrl":"10.15441/ceem.24.330","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"11 4","pages":"327-330"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913867","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
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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Our results confirmed the knowledge-attitude gap regarding pediatric concussions among Korean parents. Effective strategies are warranted to improve parental knowledge and attitudes.</p>","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. 脂乳治疗对局麻全身毒性的直接影响。
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
{"title":"Direct effect of lipid emulsion treatment on local anesthetic systemic toxicity.","authors":"Ju-Tae Sohn","doi":"10.15441/ceem.24.326","DOIUrl":"https://doi.org/10.15441/ceem.24.326","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"11 4","pages":"399-401"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913869","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
Emergency department crowding: a national data report. 急诊部门拥挤：一份国家数据报告。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-12-30 DOI: 10.15441/ceem.24.337
Hansol Chang, Eunsil Ko, Jin-Hee Lee, Minha Kim, Taerim Kim, Tae Gun Shin, Seongjung Kim
{"title":"Emergency department crowding: a national data report.","authors":"Hansol Chang, Eunsil Ko, Jin-Hee Lee, Minha Kim, Taerim Kim, Tae Gun Shin, Seongjung Kim","doi":"10.15441/ceem.24.337","DOIUrl":"10.15441/ceem.24.337","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"11 4","pages":"331-334"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913870","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
Can left atrial diameter measured by computed tomography predict the presence and degree of left ventricular diastolic dysfunction? CT 测量的 LA 直径能否预测左心室舒张功能障碍的存在和程度？
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.15441/ceem.24.194
Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee
{"title":"Can left atrial diameter measured by computed tomography predict the presence and degree of left ventricular diastolic dysfunction?","authors":"Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee","doi":"10.15441/ceem.24.194","DOIUrl":"10.15441/ceem.24.194","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine whether the presence and degree of left ventricular diastolic dysfunction (LVDD) can be predicted by the simple computed tomography -measured left atrial diameter (CTLAD).</p><p><strong>Methods: </strong>Among adult patients who underwent both chest CT imaging and echocardiography in the emergency department from January 2020 to December 2021, a retrospective cross-sectional study enrolled patients in whom the time interval between the two tests was <24 hours. Receiver operating characteristic (ROC) curve analysis was used to evaluate the diagnostic power of CTLAD for echocardiographic LVDD.</p><p><strong>Results: </strong>In a study involving 373 patients, 192 (51.5%) had LVDD. Among them, 122 (63.5%) had grade 1, 61 (31.8%) had grade 2, and nine (4.7%) had ≥grade 3. Median CTLAD values were 4.1 cm for grade 1, 4.5 cm for grade 2, and 4.9 cm for ≥grade 3. The area under the ROC curve value of CTLAD in distinguishing ≥grade 1, ≥grade 2 (optimal cutoff ≥4.4 cm), and ≥grade 3 (optimal cutoff ≥4.5 cm) were 0.588, 0.657 (sensitivity, 61.4%; specificity, 66.0%, positive predictive value, 29.5%; negative predictive value, 88.1%; odds ratio, 3.1), and 0.834 (sensitivity, 88.9%; specificity, 70.1%; positive predictive value, 6.8%; negative predictive value, 99.6%, odds ratio, 18.7), respectively.</p><p><strong>Conclusion: </strong>CTLAD ≥4.4 cm can be used as a rough reference value to distinguish LVDD of ≥grade 2, while CTLAD ≥4.5 cm can reliably distinguish LVDD of ≥grade 3. CTLAD might be a useful parameter for predicting LVDD in situations where echocardiography is not available.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"358-364"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080657","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
Navigating healthcare priorities in treatable mortality. 在可治疗死亡率方面引导医疗保健优先事项。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-12-30 DOI: 10.15441/ceem.24.346
Kyuseok Kim
{"title":"Navigating healthcare priorities in treatable mortality.","authors":"Kyuseok Kim","doi":"10.15441/ceem.24.346","DOIUrl":"10.15441/ceem.24.346","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"11 4","pages":"325-326"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913871","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
A narrative review of contemporary lethal pesticides: unveiling the ongoing threat of pesticide poisoning. 当代致命农药叙事评论》：揭开农药中毒的持续威胁。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-01-29 DOI: 10.15441/ceem.23.167
Sangchun Choi, Gi Woon Kim, Hoon Lim
{"title":"A narrative review of contemporary lethal pesticides: unveiling the ongoing threat of pesticide poisoning.","authors":"Sangchun Choi, Gi Woon Kim, Hoon Lim","doi":"10.15441/ceem.23.167","DOIUrl":"10.15441/ceem.23.167","url":null,"abstract":"<p><p>Following the 2011 ban on paraquat sales, Korea has witnessed a significant reduction in the mortality rate associated with acute pesticide poisoning. Traditionally, paraquat and diquat, alongside several highly toxic organophosphates, carbamates, and organochlorine insecticides, have been recognized as culprits in causing fatalities among patients with acute pesticide poisoning. However, despite global efforts to curtail the use of these highly toxic pesticides, certain pesticides still exhibit a level of lethality surpassing their established clinical toxicity profiles. Understanding the clinical progression of these pesticides is paramount for physicians and toxicologists, as it holds the potential to enhance patient prognoses in cases of acute poisoning. This review aims to address the persistence of such highly lethal pesticides, which continue to pose a grave threat to victims of acute poisoning.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"335-348"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575116","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
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