Clinical and Experimental Emergency Medicine最新文献_第6页

Wikipedia as a highly accessed though imperfect 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 : 2024-05-23 DOI: 10.15441/ceem.24.223

Alexei A Birkun

引用次数: 0

Can CT measured LA diameter predict the presence and the degree of LV 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 : 2024-05-23 DOI: 10.15441/ceem.24.194

Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee

{"title":"Can CT measured LA diameter predict the presence and the degree of LV Diastolic Dysfunction?","authors":"Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee","doi":"10.15441/ceem.24.194","DOIUrl":"https://doi.org/10.15441/ceem.24.194","url":null,"abstract":"Objective: This study was conducted to determine whether the presence and the degree of left ventricular diastolic dysfunction (LVDD) can be predicted by the simple LA diameter measured on computed tomography (CTLAD).Methods: Among adult patients who underwent both chest CT and echocardiography in the emergency department from January 2020 to December 2021, a retrospective cross-sectional study was conducted on patients in whom the time interval between the two tests was less than 24 hours. Receiver operating characteristic curve analysis was used to evaluate the diagnostic power of CTLAD for echocardiographic LVDD.Results: 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 9 (4.7%) had ≥grade 3 LVDD. Median CTLAD values were 4.1cm for grade 1, 4.5cm for grade 2, and 4.9cm for ≥grade 3 LVDD. The AUC value of CTLAD in distinguishing LVDD of ≥grade 1, ≥grade 2 (optimal cutoff ≥4.4cm), and ≥grade 3 (optimal cutoff ≥4.5cm) were 0.588, 0.657 (with sensitivity 61.4%, specificity 66.0%, positive predictive value [PPV] 29.5%, negative predictive value [NPV] 88.1%, odds ratio [OR] 3.1), and 0.834 (with sensitivity 88.9%, specificity 70.1%, PPV 6.8%, NPV 99.6%, OR 18.7), respectively.Conclusion: CTLAD ≥4.4cm can be used as a rough reference value to distinguish LVDD of ≥grade 2, and CTLAD ≥4.5cm can be very reliably distinguish LVDD of ≥grade 3. CTLAD might be very useful parameter in predicting LVDD in environments where echocardiography is not available.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-23","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}

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Sex and Age Differences in Atypical Chief Complaints for Acute Decompensated Heart Failure in Emergency Department Visits. 急诊科就诊的急性失代偿性心力衰竭患者非典型主诉的性别和年龄差异。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-05-23 DOI: 10.15441/ceem.24.226

Matthew L Regan, Jason J Bischof, Montika Bush, Anna E Waller, Timothy F Platts-Mills, Martin F Casey, Michelle L Meyer

{"title":"Sex and Age Differences in Atypical Chief Complaints for Acute Decompensated Heart Failure in Emergency Department Visits.","authors":"Matthew L Regan, Jason J Bischof, Montika Bush, Anna E Waller, Timothy F Platts-Mills, Martin F Casey, Michelle L Meyer","doi":"10.15441/ceem.24.226","DOIUrl":"https://doi.org/10.15441/ceem.24.226","url":null,"abstract":"Objectives: Around one million United States emergency department (ED) visits annually are due to acute decompensated heart failure (ADHF) symptoms. Characterizing ED symptom presentation of ADHF patients may improve clinical care, yet sex and age differences in ED chief complaints have not been thoroughly investigated. This paper aims to describe differences in chief complaints and comorbid conditions for ED patients with a ADHF diagnosis, stratified by sex and age.Methods: Retrospective analysis of adults presenting to North Carolina EDs in NC DETECT, a statewide syndromic surveillance system, between 2010 and 2016 with a diagnosis of ADHF. Frequencies of chief complaint categories for ED visits and comorbid conditions, stratified by sex and age, were evaluated and standardized differences computed.Results: Top chief complaints were dyspnea (19.1%), chest pain (13.5%), and other respiratory complaints (13.4%). In the 18-44 age group, females when compared to males reported more nausea/vomiting (6.7% versus 4.1%) and headache (4.2% versus 2.0%). In those 45-64 and 65+ years old, complaints were similar by sex. When stratified by age group alone, the 18-44 and 45-64 age groups had more complaints of chest pain, whereas balance issues, weakness, and confusion were more common in the 65+ age group.Conclusion: Sex and age differences in atypical ADHF symptoms were seen in in ED patients with ADHF. Characterizing variation of ADHF symptoms in ED patients can inform the identification of ED patients with ADHF and the management of ADHF-related symptoms.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080666","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

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

Erector spinae plane block (ESPB) for intractable, non-surgical 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 : 2024-03-15 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 (ESPB) for intractable, non-surgical 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":"https://doi.org/10.15441/ceem.23.171","url":null,"abstract":"Abdominal pain is one of the most common presenting chief complaints in the emergency department (ED). 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 non-surgical abdominal pain has not yet been characterized. Our scoping review aims to review the current literature on the safety and efficacy of ESPB in the management of patients experiencing intractable, non-surgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for non-surgical abdominal pain. Reviewers screened 30 titles and abstracts that met the predefined inclusion and exclusion criteria. Following initial screening, 24 articles underwent full-text review. Two reviewers also screened references included in each study. A total of 14 journal articles were reviewed, including 12 case-based studies, one systematic review, and one narrative review of ESPB in the treatment of non-surgical abdominal pain. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and each case reported no complications. This scoping review provides support for ESPB in the management of intractable, non-surgical abdominal pain. ESPB demonstrates 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":""},"PeriodicalIF":1.9,"publicationDate":"2024-03-15","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

Factors associated with Parental Knowledge and Attitudes towards Concussions in the Republic of 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 : 2024-03-15 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 towards Concussions in the Republic of Korea.","authors":"DongWon Son, Ki Ok Ahn, Hang A Park, Ju Ok Park","doi":"10.15441/ceem.23.155","DOIUrl":"https://doi.org/10.15441/ceem.23.155","url":null,"abstract":"Background: This study investigated the status and evaluated factors associated with knowledge and attitudes regarding concussions among Korean parents of children aged 6-18 years.Methods: A cross-sectional online survey was employed to collect data from a panel of parents in the Republic of Korea in 2023. To assess knowledge and attitudes regarding concussions, participants completed a validated questionnaire. The outcome variables of the total knowledge and total attitude scores, which ranged from 0 to 30 and 7 to 49, respectively, were categorized into three levels based on approximately 33% increments. We conducted multivariable ordinal logistic regression analyses with the participants' and their children's demographics and characteristics as covariates.Results: A total of 260 parents responded to the survey and demonstrated moderate concussion-related knowledge (median total score, (Inter Quartile Range (IQR) 18-22.5)). The respondents exhibited favorable attitudes toward concussions (median total score, 39 (IQR 34-43)). Multivariate ordinal regression analysis for outcomes revealed that, except for the careers of healthcare providers (adjusted odds ratio (AOR) 3.15, 95% confidence interval (CI), 1.13-8.75), no factors were associated with parental concussion-related knowledge. Among the factors, none exhibited a statistically significant association with concussion-related parental attitudes.Conclusion: Our results confirmed the knowledge-attitude gap regarding concussions among Korean parents and novel strategies are warranted to improve parental knowledge and attitudes.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-03-15","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

Masturbation-Induced Presyncope: A Case of Painless Aortic Dissection in IgG4-Related Disease. 手淫诱发的预震：IgG4相关疾病中的一例无痛性主动脉夹层

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-15 DOI: 10.15441/ceem.23.182

Charles Sanky, Nidhish Sasi

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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