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Clinical and Experimental Emergency Medicine最新文献

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Popular websites as a source of misinformation on first aid in foreign body airway obstruction. 作为异物气道阻塞急救错误信息来源的热门网站。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-04-05 DOI: 10.15441/ceem.23.176
Alexei A Birkun, A. Gautam
{"title":"Popular websites as a source of misinformation on first aid in foreign body airway obstruction.","authors":"Alexei A Birkun, A. Gautam","doi":"10.15441/ceem.23.176","DOIUrl":"https://doi.org/10.15441/ceem.23.176","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":"11 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739495","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
{"title":"Masturbation-Induced Presyncope: A Case of Painless Aortic Dissection in IgG4-Related Disease.","authors":"Charles Sanky, Nidhish Sasi","doi":"10.15441/ceem.23.182","DOIUrl":"https://doi.org/10.15441/ceem.23.182","url":null,"abstract":"<p><p>This case concerns a 59-year-old male with a past medical history of hypertension, chronic renal insufficiency, and autoimmune pancreatitis secondary to IgG4-related disease, on chronic steroids. The patient experienced acute onset of lightheadedness, a tingling sensation to both hands, and jaw tightness while masturbating. He was found to have a Type A aortic dissection. This is the first case of its kind to document an atypical, painless aortic dissection presentation in a patient with IgG4-related disease. This piece explores how fibroinflammatory sequelae of IgG4-related disease can result in aortic manifestations and discusses the importance of considering a broader differential including aortic syndrome when encountering patients presenting with atypical symptoms.</p>","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":"140130870","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 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
{"title":"A case report of point-of-care ultrasound directed thrombectomy: a reversible cause of cardiac arrest managed with extracorporeal membrane oxygenation cannulation.","authors":"Megan Hoffer, Salim Aziz, Keith Boniface, Jenna E Aziz, Ali Pourmand","doi":"10.15441/ceem.23.084","DOIUrl":"10.15441/ceem.23.084","url":null,"abstract":"<p><p>Extracorporeal membrane oxygenation (ECMO) has been increasingly employed in the emergency department for patients with a potentially reversible cause of cardiac arrest. We present the case of a young female patient with an in-hospital cardiac arrest who was found to have severe right heart strain on point-of-care ultrasound (POCUS), suggesting a massive pulmonary embolism. Rapid bedside diagnosis using ultrasound expedited bedside cannulation and initiation of ECMO as a bridge to surgical thrombectomy, and ultimately the patient survived with full neurologic function. With its ready availability and increasing acceptance by consultants, POCUS should be incorporated into cardiac arrest algorithms as the standard of care to rule in thrombotic and obstructive causes of cardiac arrest.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"100-105"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138451064","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
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
{"title":"Patient-reported outcome measures in emergency and acute care: looking beyond the emergency room.","authors":"Jason B Liu, David W Bates","doi":"10.15441/ceem.23.172","DOIUrl":"10.15441/ceem.23.172","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"1-5"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575284","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
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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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
{"title":"Calcific tendinitis of the longus colli muscle.","authors":"Daniel Vaccaro Sumi, Rafael Maffei Loureiro","doi":"10.15441/ceem.23.079","DOIUrl":"10.15441/ceem.23.079","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"115-116"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068806","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
A comparative study of intranasal desmopressin and intranasal ketamine for pain management in renal colic patients: a randomized double-blind clinical trial. 肾绞痛患者鼻内注射去氨加压素和鼻内注射氯胺酮止痛的比较研究：随机双盲临床试验。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2023-07-13 DOI: 10.15441/ceem.23.059
Farhad Heydari, Reza Azizkhani, Saeed Majidinejad, Majid Zamani, Aref Norouzian
{"title":"A comparative study of intranasal desmopressin and intranasal ketamine for pain management in renal colic patients: a randomized double-blind clinical trial.","authors":"Farhad Heydari, Reza Azizkhani, Saeed Majidinejad, Majid Zamani, Aref Norouzian","doi":"10.15441/ceem.23.059","DOIUrl":"10.15441/ceem.23.059","url":null,"abstract":"<p><strong>Objective: </strong>Urolithiasis is one of the most common urological diseases worldwide, usually presenting as renal colic that leads to severe pain that requires analgesic treatment. This study aimed to compare the efficacy of ketamine and desmopressin in the pain management of renal colic patients.</p><p><strong>Methods: </strong>This double-blind, randomized clinical trial was conducted on renal colic patients referred to the emergency department from June 2021 to July 2022. Patients were randomly assigned to three groups. In the desmopressin group, patients were treated with intranasal desmopressin and intravenous ketorolac. The ketamine group was treated with intranasal ketamine and ketorolac. The control group received ketorolac and an intranasal placebo. Vital signs were evaluated at baseline and 60 minutes; and pain scores were assessed at baseline, 10, 30, and 60 minutes after treatment.</p><p><strong>Results: </strong>Enrollment included 135 patients, the mean (standard deviation) age was 44.1±11.4 years, and 82 (60.7%) were men. The mean visual analog scale scores were significantly lower at 10, 30, and 60 minutes in the ketamine group (5.6±1.2, 3.0±1.1, and 0.9±0.9, respectively) compared to the control (8.2±1.1, 5.1±2.0, and 2.3±2.6, respectively) and desmopressin (6.7±1.8, 4.2±2.2, and 1.3±1.4, respectively) groups (P<0.05). Although patients in the desmopressin group had lower mean pain scores than the control group at 10, 30, and 60 minutes, this difference was only significant at 10 minutes after the intervention (P<0.05). No significant differences in vital signs were found at 60 minutes after treatment.</p><p><strong>Conclusion: </strong>Ketamine showed more favorable analgesic effects in renal colic patients than desmopressin, although desmopressin showed efficacy in the first minutes posttreatment.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"51-58"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132270","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
Point-of-care ultrasound for airway management in the emergency and critical care setting. 用于急诊和重症监护环境中气道管理的护理点超声波。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2023-11-25 DOI: 10.15441/ceem.23.094
Michael Gottlieb, James R O'Brien, Nicholas Ferrigno, Tina Sundaram
{"title":"Point-of-care ultrasound for airway management in the emergency and critical care setting.","authors":"Michael Gottlieb, James R O'Brien, Nicholas Ferrigno, Tina Sundaram","doi":"10.15441/ceem.23.094","DOIUrl":"10.15441/ceem.23.094","url":null,"abstract":"<p><p>Airway management is a common procedure within emergency and critical care medicine. Traditional techniques for predicting and managing a difficult airway each have important limitations. As the field has evolved, point-of-care ultrasound has been increasingly utilized for this application. Several measures can be used to sonographically predict a difficult airway, including skin to epiglottis, hyomental distance, and tongue thickness. Ultrasound can also be used to confirm endotracheal tube intubation and assess endotracheal tube depth. Ultrasound is superior to the landmark-based approach for locating the cricothyroid membrane, particularly in patients with difficult anatomy. Finally, we provide an algorithm for using ultrasound to manage the crashing patient on mechanical ventilation. After reading this article, readers will have an enhanced understanding of the role of ultrasound in airway management.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"22-32"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123569","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
Development and demonstration of the protective efficacy of a convertible respiratory barrier enclosure: a simulation study. 一种可转换呼吸屏障罩的开发和防护效果的论证:模拟研究。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2023-11-29 DOI: 10.15441/ceem.23.067
Min Ho Park, Ki Sub Sung, Ji Hoon Kim, Jinwoo Myung, Ju Young Hong
{"title":"Development and demonstration of the protective efficacy of a convertible respiratory barrier enclosure: a simulation study.","authors":"Min Ho Park, Ki Sub Sung, Ji Hoon Kim, Jinwoo Myung, Ju Young Hong","doi":"10.15441/ceem.23.067","DOIUrl":"10.15441/ceem.23.067","url":null,"abstract":"<p><strong>Objective: </strong>The efficacy of previously developed respiratory barrier enclosures to limit healthcare workers' exposure to aerosols from COVID-19 patients remains unclear; in addition, the design of these devices is unsuitable for transportation or other emergency procedures. Therefore, we developed a novel negative pressure respiratory isolator to improve protection from patient-generated aerosols and evaluated its protective effect in conversion to systemic isolator.</p><p><strong>Methods: </strong>This in vitro study simulated droplets by nebulizing 1% glycerol + 99% ethanol solution. We performed cardiopulmonary resuscitation (CPR) and converted a respiratory barrier enclosure into a systemic isolator with a respiratory barrier as well as a respiratory barrier with negative pressure generator (NPG), which were compared with control and room air. During the procedure, particles were counted for 30 seconds and the count was repeated 10 times.</p><p><strong>Results: </strong>During CPR, the total number of particles in the respiratory barrier with NPG (280,529; interquartile range [IQR], 205,263-359,195; P=0.970) was similar to that in the control (308,789; IQR, 175,056-473,276). Using NPG with a respiratory barrier reduced the number of particles to 27,524 (IQR, 26,703- 28,905; P=0.001). Particle number during conversion of the respiratory barrier into a systemic isolator was also lower than in the control (25,845; IQR, 19,391- 29,772; P=0.001).</p><p><strong>Conclusion: </strong>The novel isolator was converted to a systemic isolator without air leakage. The aerosol-blocking effect of the isolator was quantified using a particle counter during CPR. Further studies comparing the barrier effect of isolators within various pressure differentials are warranted.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"59-67"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138451006","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
Introduction and application of a metaverse platform used in Chosun University Hospital Metaverse. 基于 ZEP 的虚拟医院元数据平台（朝鲜大学医院元数据平台）的介绍和应用。
IF 1.9
Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2024-01-11 DOI: 10.15441/ceem.23.086
Mi Ra Kim, Hee Jeong Noh, Ji Yun Choi, Kyung Jong Kim, Yoseup Kim
{"title":"Introduction and application of a metaverse platform used in Chosun University Hospital Metaverse.","authors":"Mi Ra Kim, Hee Jeong Noh, Ji Yun Choi, Kyung Jong Kim, Yoseup Kim","doi":"10.15441/ceem.23.086","DOIUrl":"10.15441/ceem.23.086","url":null,"abstract":"","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"106-114"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139416541","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
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