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

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. 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

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

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":"Objective: 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).Methods: 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.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 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.Conclusion: 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.","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

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

引用次数: 0

Pediatric Trauma Management in Switzerland: Insights from a Nationwide Survey. 瑞士的儿科创伤管理：一项全国性调查的启示。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.251

Leopold Simma

{"title":"Pediatric Trauma Management in Switzerland: Insights from a Nationwide Survey.","authors":"Leopold Simma","doi":"10.15441/ceem.24.251","DOIUrl":"https://doi.org/10.15441/ceem.24.251","url":null,"abstract":"Objective: To explore and analyze pediatric trauma care practices across designated pediatric trauma centers (PTCs) in Switzerland. The focus is on reception, trauma team activation (TTA), trauma team composition, patient volumes, and infrastructure.Methods: A national online survey was conducted among all eight PTCs in Switzerland with an 18- item questionnaire. The survey investigated organizational aspects, criteria for TTA, patient volume, and communication modalities in pediatric emergency departments (PEDs).Results: All PTCs responded, revealing varied methods of TTA, and with reception of major trauma either within PEDs or at adjacent adult trauma facilities. Trauma team composition and activation criteria also differ among centers, with nonsurgeons often leading the teams and anesthesia as a default for airway management. TTA criteria vary widely, with the most common being the request of prehospital crew (62.5%) and physician discretion (50%). Trauma resuscitation is predominantly led by PED attendings (75%).Conclusion: The survey provides insights into the state of pediatric trauma care in Switzerland and emphasizes the importance of multidisciplinary teams and the variability in trauma management practices, which are often tailored to local circumstances. Despite the limitations of self-reported data and the small sample size due to the country's size, the results suggest that a national trauma registry would help to evaluate and optimize pediatric trauma care protocols.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459487","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

Applications of ocular point-of-care ultrasound assessment in the emergency setting: a scoping review 眼科护理点超声波在急诊视神经鞘评估中的应用：系统回顾。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-06 DOI: 10.15441/ceem.24.249

Christopher D Yang, Christine K Kim, Melissa M Chang, Pooya Khosravi, Ajeet Pal Bayo Bhatia, Amanda Dos Santos, Kyle Dornhofer, Megan Guy, Edmund Hsu, Soheil Saadat, John C Fox

{"title":"Applications of ocular point-of-care ultrasound assessment in the emergency setting: a scoping review","authors":"Christopher D Yang, Christine K Kim, Melissa M Chang, Pooya Khosravi, Ajeet Pal Bayo Bhatia, Amanda Dos Santos, Kyle Dornhofer, Megan Guy, Edmund Hsu, Soheil Saadat, John C Fox","doi":"10.15441/ceem.24.249","DOIUrl":"10.15441/ceem.24.249","url":null,"abstract":"Objective: To evaluate the current body of literature pertaining to the use of ocular point-of-care ultrasound (POCUS) in the emergency department.Methods: A comprehensive literature search was conducted on SCOPUS, Web of Science, MEDLINE, and Cochrane CENTRAL. Inclusion criteria included studies written in English only and primary clinical studies involving ocular POCUS scans in an emergency department setting. Exclusion criteria included non-primary studies (e.g. reviews or case reports), studies written in a non-English language, non-human studies, studies performed in a non-emergency setting, studies involving non-POCUS ocular ultrasound modalities, or studies published outside of the last decade. Data extraction was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations.Results: The initial search yielded 391 results with 153 duplicates. Of the remaining 238 studies selected for retrieval and screening, 24 met inclusion criteria. These 24 included studies encompassed 2448 patients across prospective, retrospective, cross sectional, and case series study designs. We found that a majority of included studies focus on the use of POCUS in the emergency department to measure ONSD as a proxy for papilledema and metabolic aberrations, while a minority use ocular POCUS to assist in the diagnosis of orbital fractures or posterior segment pathology.Conclusion: The vast majority of articles investigating the use of ocular POCUS in recent years emphasize its utility in measuring ONSD and fluctuations in intracranial pressure, though additional outcomes of interest include posterior segment, orbit, and globe pathology.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139441","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 rapid non-invasive wearable device for assessing cardiac troponin. 用于评估心肌肌钙蛋白的快速无创可穿戴设备。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-06 DOI: 10.15441/ceem.24.294

William Franklin Peacock, Karina Melissa Soto-Ruiz, Allan S Jaffe, Brian R Tiffany, Simon A Mahler, Brian W Patterson, Alan Hb Wu, Robert Christenson

{"title":"A rapid non-invasive wearable device for assessing cardiac troponin.","authors":"William Franklin Peacock, Karina Melissa Soto-Ruiz, Allan S Jaffe, Brian R Tiffany, Simon A Mahler, Brian W Patterson, Alan Hb Wu, Robert Christenson","doi":"10.15441/ceem.24.294","DOIUrl":"https://doi.org/10.15441/ceem.24.294","url":null,"abstract":"Background: Chest pain, a common emergency department 35 (ED) presentation, requires rapid evaluation. Optical technology-based non-invasive wearable devices (Infrasensor, RCE, Carlsbad, CA) rapidly and transcutaneously assesses cardiac Troponin I (cTnI).Objectives: To perform a pilot study describing the performance of the Infrasensor in cTnI defined cohorts.Methods: This was a 10-hospital prospective observational study in healthy US subjects with a normal cTnI, and in patients with an elevated local cTnI. Healthy subjects were without disease, defined by a negative questionnaire and bloodwork, had a 3-minute Infrasensor measurement and blood samples for high-sensitivity cardiac troponin I (hs-cTnI), n-terminal pro-B-type natriuretic peptide (NTproBNP), creatinine, and glycosylated hemoglobin (HbA1c). Elevated cTnI's patients had the same Infrasensor and blood sample measurements. Using a cross validation technique, a cTnI based binary classification model that did, and did not, include age was trained with 80%, and validated on 20% (n=168; elevated hs-cTnI equally distributed across 5 folds) of the overall cohort.Results: Of 840 patients, 727 (87.5%) were non-elevated cTnI controls and the remainder, n=113, had elevated cTnI. Median (25th, 75th percentiles) age was 61 (52, 71) and 48 (32, 57) years for the elevated and healthy control cohorts, respectively. Overall, 50.5% were female, with 29.2% and 52.7% in the elevated and non-elevated troponin cohorts respectively. Overall, the sensitivity, specificity, negative and positive predictive values of the Infrasensor for identifying an elevated cTnI were 0.9, 0.7, 0.98 and 0.48 respectively, with a C-statistic of 0.90 (0.89-0.99).Conclusions: The Infrasensor identifies elevated cTnI within 3 minutes of application.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139440","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

Diffuse incidental dural calcifications. 弥漫性硬膜钙化

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-23 DOI: 10.15441/ceem.24.234

Emily Wusterbarth, Jenna Pederson, Michael Gottlieb

引用次数: 0