Clinical and Experimental Emergency Medicine最新文献_第3页

Urological emergencies: unmasking massive bladder hematomas. 泌尿科急诊：揭开巨大膀胱血肿的面纱。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-01 Epub Date: 2024-01-29 DOI: 10.15441/ceem.23.134

Ajay Pawar, Varsha Shinde

引用次数: 0

Current trends in emergency airway management: a clinical review. 紧急气道管理的当前趋势：临床回顾。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI: 10.15441/ceem.23.173

Sangun Nah, Yonghee Lee, Sol Ji Choi, Jeongwoo Lee, Soyun Hwang, Seongmi Lim, Inhye Lee, Young Soon Cho, Hyun Soo Chung

引用次数: 0

Update on the pathophysiology and management of acute trauma hemorrhage and trauma-induced coagulopathy based upon viscoelastic testing. 根据粘弹性测试（VET）更新急性创伤出血和创伤诱发凝血病（TIC）的病理生理学和治疗方法。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI: 10.15441/ceem.24.202

Marc Maegele

引用次数: 0

Evaluation of the quality of emergency department management for patients with chronic obstructive pulmonary disease. 慢性阻塞性肺病患者 ED 管理质量评估。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-23 DOI: 10.15441/ceem.24.197

Pascale J King, Lana Ramic, Janet Wilson, Shawn Aaron, Ian G Stiell

{"title":"Evaluation of the quality of emergency department management for patients with chronic obstructive pulmonary disease.","authors":"Pascale J King, Lana Ramic, Janet Wilson, Shawn Aaron, Ian G Stiell","doi":"10.15441/ceem.24.197","DOIUrl":"10.15441/ceem.24.197","url":null,"abstract":"Objective: Chronic obstructive pulmonary disease (COPD) is associated with exacerbations and high risk of serious outcomes. Our goal was to determine the appropriateness of the emergency department (ED) management of COPD exacerbations.Methods: This observational cohort study incorporated a health records review and included COPD exacerbation cases seen at two large academic EDs. We included all patients with the primary diagnosis of COPD exacerbation. From the electronic medical record, demographic and clinical data were abstracted, and the Ottawa COPD Risk Score (OCRS) was calculated for each. Short-term serious outcomes included intensive care unit admission, intubation, myocardial infarction, noninvasive positive pressure ventilation (NIV), and death at 30 days. Cases were judged for appropriateness of treatment according to explicit indications and standards developed a priori.Results: We enrolled 500 cases with mean age of 71.9 years, 51.2% female patients, 50.2% admitted, and 4.4% death. The calculated OCRS score was >2 for 70.8% of patients. The treatments provided were inhaled β-agonists (82.6%), inhaled anticholinergics (76.6%), corticosteroids (75.2%), antibiotics (71.0%), oxygen (63.8%), NIV (8.8%), and intubation (0.6%). Overall, 50.0% of cases were judged to have had inadequate management due to missing treatments. Specifically, the proportion of missing treatments were inhaled β-agonist (17.0%), inhaled anticholinergic (22.6%), corticosteroids (24.4%), antibiotics (12.8%), and NIV (2.0%).Conclusion: Adequate treatment of COPD exacerbation was lacking in 50.0% of patients in these two large academic EDs. Concerning were the number of patients not receiving corticosteroids or antibiotics. Implementation of explicit treatment standards should lead to improved patient care of this common and serious condition.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"268-275"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080701","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

Optimizing dispatcher-bystander dyadic collaboration in emergency medical communication to improve cardiac arrest response. 优化紧急医疗通信中调度员与旁观者之间的合作，改善心脏骤停响应。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-01 Epub Date: 2024-09-06 DOI: 10.15441/ceem.24.296

Guglielmo Imbriaco, Nicola Ramacciati

引用次数: 0

A multicenter retrospective cohort study on incidence and diagnostics in emergency department patients with acute vestibular syndrome. 一项关于急诊科急性前庭综合征患者发病率和诊断的多中心回顾性队列研究。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-07-19 DOI: 10.15441/ceem.24.225

Renske Eveline Henriëtte Maria Bijl, Domenique Wilhelmina Antonia Maria Zaunbrecher, Petra Mathilda de Muynck, Ryanne Eggink, Ronique Timmer, Evian Willems, Sam Koning, Marieke Saskia Sanders, Kim Ellis Jie

{"title":"A multicenter retrospective cohort study on incidence and diagnostics in emergency department patients with acute vestibular syndrome.","authors":"Renske Eveline Henriëtte Maria Bijl, Domenique Wilhelmina Antonia Maria Zaunbrecher, Petra Mathilda de Muynck, Ryanne Eggink, Ronique Timmer, Evian Willems, Sam Koning, Marieke Saskia Sanders, Kim Ellis Jie","doi":"10.15441/ceem.24.225","DOIUrl":"https://doi.org/10.15441/ceem.24.225","url":null,"abstract":"Objective: Acute vestibular syndrome (AVS) is a common symptom presented by emergency department (ED) patients. Differentiating peripheral from central etiology poses a challenge and clinical practice lacks a uniform diagnostic approach. This study aims to provide insight on incidence and diagnostics in ED patients presenting with AVS in the Netherlands.Methods: A multicenter retrospective cohort study on ED patients presenting with AVS in two hospitals during 3 years. Primary endpoints are incidence, diagnostics and diagnosis at ED versus follow-up. A secondary endpoint includes therapy.Results: 500 AVS cases were included. The annual incidence was 0.1%. 85 ED patients (17.0%) were diagnosed with stroke, 285 (57.0%) with non-stroke and 130 (26.0%) with an unsure etiology. At follow-up, diagnosis was corrected in 145 patients (29.0%), with stroke missed in 29 (5.8%). A triad of clinical tests (HINTS) was reported in 106 (21.2%) patients, a CT in 342 (68.2%) and a MRI in 153 (30.6%). Antiplatelet therapy was prescribed in 135 cases. In 69% of these, initial diagnosis was corrected to non-stroke. For 8 patients who received thrombolysis, initial diagnosis was corrected in 3. Of those patients where stroke was initially not identified, 23 (79%) received suboptimal treatment in lieu of antiplatelet therapy.Conclusion: The annual incidence of AVS in Dutch ED patients is 0.1%. ED diagnosis is often uncertain, with one-third of diagnoses corrected. This study substantiates clinical practice lacks a uniform diagnostic pathway with an overuse of CT and underuse of HINTS. Further research on optimal diagnostic approach is warranted to improve treatment of AVS.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723138","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

Is Plasmalyte beneficial in resuscitation of diabetic ketoacidosis patients? A narrative review. 血浆蛋白对糖尿病酮症酸中毒患者的复苏有益吗？综述。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-07-19 DOI: 10.15441/ceem.24.209

Resshme Kannan Sudha, Kinza Moin, Falaah Abdul Hameed, Hamid Aizaz Chatha

引用次数: 0

Short-term Functional Outcomes and Treatment Trends between Branch Atheromatous Disease and Lacunar Infarction: Retrospective Cohort Study of the 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 : 2024-07-19 DOI: 10.15441/ceem.24.220

Gaku Fujiwara, Hideki Oka, Akihiro Fujii

{"title":"Short-term Functional Outcomes and Treatment Trends between Branch Atheromatous Disease and Lacunar Infarction: Retrospective Cohort Study of the Nationwide Multicenter Registry.","authors":"Gaku Fujiwara, Hideki Oka, Akihiro Fujii","doi":"10.15441/ceem.24.220","DOIUrl":"https://doi.org/10.15441/ceem.24.220","url":null,"abstract":"Background: 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 wellunderstood, and its relationship with 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 the Saiseikai Stroke Database (2013-2021) including 27 hospitals. We used multivariable logistic regression to calculate adjusted odds ratios (ORs) with 95% confidence intervals (CIs) of BAD compared with 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 (adjusted OR of 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.Conclusions: 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":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-19","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

Simulation intervention related to family presence during resuscitation for physicians and medical students: A scoping review. 为医生和医科学生提供与复苏期间家属在场相关的模拟干预：范围综述。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-07-19 DOI: 10.15441/ceem.24.224

Kyung Hye Park, Jannet J Lee-Jayaram, Melissa K Kahili-Heede, Benjamin W Berg

{"title":"Simulation intervention related to family presence during resuscitation for physicians and medical students: A scoping review.","authors":"Kyung Hye Park, Jannet J Lee-Jayaram, Melissa K Kahili-Heede, Benjamin W Berg","doi":"10.15441/ceem.24.224","DOIUrl":"https://doi.org/10.15441/ceem.24.224","url":null,"abstract":"Objective: Family presence during resuscitation (FPDR) is known as part of family-centered care. However, it is unknown or how physicians are educated for FPDR. We aim to review the current status of simulation related FPDR for physicians and medical students.Methods: A scoping review of literature published from 1999 to May 5 2023 and written in English was undertaken. The articles were searched for using keyword combinations of the following words; family, resuscitation, and simulation-related words.Results: Eight articles were included in the final review. This review of FPDR simulation for physicians and medical students revealed findings in three categories; measuring CPR quality, investigating participant responses after FPDR simulation, and extracting exemplar good communication elements. First, in four studies measuring resuscitation quality, physicians participated in adult resuscitation, and resuscitation quality was reduced with overt reaction family presence. Second, in three studies investigating the response to simulation training, interprofessional teams participating in pediatric resuscitation had negative responses to FPDR simulation. Third, in one study, good communication elements during FPDR were found in infant simulation, in which interprofessional teams participated. FPDR simulation training for medical students has not been reported.Conclusion: It highlighted a gap in FPDR simulations involving physicians and/or medical students. Physicians were more concerned with resuscitation quality than supporting families during resuscitation simulations. Medical students should be considered as the main participants for FPDR simulation. More high-evidence studies with interprofessional teams including physicians and/or medical students are needed to evaluate curriculum design and participant response changes following FPDR simulation.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723220","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

Mortality case due to minimal bentazone intoxication. 因轻度苯达松中毒而死亡的病例。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-07-19 DOI: 10.15441/ceem.24.217

Yumin Jeon, Sejoong Ahn, Jong-Hak Park, Hanjin Cho, Sungwoo Moon, Sukyo Lee

引用次数: 0