Clinical and Experimental Emergency Medicine最新文献_第9页

The hidden expense of stethoscope hygiene versus the real costs of failure. 听诊器卫生的隐性开支与失败的实际成本。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2024-01-11 DOI: 10.15441/ceem.23.161

William Frank Peacock

引用次数: 0

Trends in emergency department visits for emergency care-sensitive conditions before and during the COVID-19 pandemic: a nationwide study in Korea, 2019-2021. COVID-19大流行之前和期间急诊科急诊就诊趋势：2019-2021年韩国全国性研究。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2024-03-21 DOI: 10.15441/ceem.23.087

Seonji Kim, Ho Kyung Sung, Jeehye Lee, Eunsil Ko, Seong Jung Kim

{"title":"Trends in emergency department visits for emergency care-sensitive conditions before and during the COVID-19 pandemic: a nationwide study in Korea, 2019-2021.","authors":"Seonji Kim, Ho Kyung Sung, Jeehye Lee, Eunsil Ko, Seong Jung Kim","doi":"10.15441/ceem.23.087","DOIUrl":"10.15441/ceem.23.087","url":null,"abstract":"Objective: Emergency care systems worldwide have been significantly affected by the COVID-19 pandemic. This study investigated the trend of emergency department (ED) visits for emergency care-sensitive conditions (ECSCs) in Korea before and during the pandemic.Methods: We performed a longitudinal study using the national ED database in Korea from January 2019 to December 2021. We calculated the number and incidence rate of visits for ECSCs per 100,000 ED visits, and the incidence rate ratio of 2021 relative to the value in 2019. The selected ECSCs were intracranial injury, ischemic heart disease, stroke, and cardiac arrest.Results: The number of ED visits for all causes decreased by about 23% during the pandemic. The number of ED visits for intracranial injuries decreased from 166,695 in 2019 to 133,226 in 2020 and then increased to 145,165 in 2021. The number of ED visits for ischemic heart disease and stroke decreased in 2020 but increased to 2019 levels in 2021. In contrast, the number of ED visits for cardiac arrest increased from 23,903 in 2019 to 24,344 in 2020 and to 27,027 in 2021. The incidence rate and incidence rate ratio of these four ECSCs increased from 2019 to 2021, suggesting increasing relative proportions of ECSCs in total ED visits.Conclusion: During the COVID-19 pandemic, the number of cardiac arrests seen in the EDs increased, but that of other ECSCs decreased. The decrease in ED visits for ECSCs was not as pronounced as the decrease in ED visits for all causes during the pandemic. Further studies are needed to determine clinical outcomes in patients with ECSC during the pandemic.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"88-93"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139416544","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 Successful Airway Resuscitation of Life-threatening Subglottic Foreign body in an infant: A case report. 成功抢救危及生命的婴儿声门下异物：病例报告。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-02-16 DOI: 10.15441/ceem.23.178

Moon Ki Shim, Min Ji Park

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Role of point-of-care ultrasound in critical care and emergency medicine: update and future perspective 护理点超声波在重症监护和急诊医学中的作用：最新进展与未来展望

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-29 DOI: 10.15441/ceem.23.101

Wookjin Choi, Young Soon Cho, Young Rock Ha, Jehyeok Oh, Heekyung Lee, Bo Seung Kang, Yong Won Kim, Chan Young Koh, Ji Han Lee, Euigi Jung, Youdong Sohn, Han Bit Kim, Su Jin Kim, Hohyun Kim, Dongbum Suh, Dong Hyun Lee, J. Hong, Won Woong Lee

引用次数: 0

Explainable artificial intelligence in emergency medicine: an overview. 急诊医学中可解释的人工智能:综述。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-28 DOI: 10.15441/ceem.23.145

Yohei Okada, Yilin Ning, Marcus Eng Hock Ong

{"title":"Explainable artificial intelligence in emergency medicine: an overview.","authors":"Yohei Okada, Yilin Ning, Marcus Eng Hock Ong","doi":"10.15441/ceem.23.145","DOIUrl":"10.15441/ceem.23.145","url":null,"abstract":"Artificial intelligence (AI) and machine learning (ML) have potential to revolutionize emergency medical care by enhancing triage systems, improving diagnostic accuracy, refining prognostication, and optimizing various aspects of clinical care. However, as clinicians often lack AI expertise, they might perceive AI as a \"black box,\" leading to trust issues. To address this, \"explainable AI,\" which teaches AI functionalities to end-users, is important. This review presents the definitions, importance, and role of explainable AI, as well as potential challenges in emergency medicine. First, we introduce the terms explainability, interpretability, and transparency of AI models. These terms sound similar but have different roles in discussion of AI. Second, we indicate that explainable AI is required in clinical settings for reasons of justification, control, improvement, and discovery and provide examples. Third, we describe three major categories of explainability: pre-modeling explainability, interpretable models, and post-modeling explainability and present examples (especially for post-modeling explainability), such as visualization, simplification, text justification, and feature relevance. Last, we show the challenges of implementing AI and ML models in clinical settings and highlight the importance of collaboration between clinicians, developers, and researchers. This paper summarizes the concept of \"explainable AI\" for emergency medicine clinicians. This review may help clinicians understand explainable AI in emergency contexts.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"354-362"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444111","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

Relationships between trauma death, disability, and geographic factors: a systematic review. 外伤死亡、残疾与地理因素之间的关系：系统回顾。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-08-01 DOI: 10.15441/ceem.23.009

Bona Hwang, Taewook Jeong, Jiyeon Jo

{"title":"Relationships between trauma death, disability, and geographic factors: a systematic review.","authors":"Bona Hwang, Taewook Jeong, Jiyeon Jo","doi":"10.15441/ceem.23.009","DOIUrl":"10.15441/ceem.23.009","url":null,"abstract":"Objective: Trauma is a global health problem. The causes of trauma-related deaths are diverse and may depend in part on socioeconomic and geographical factors; however, there have been few studies addressing such relationships. The aim of this study was to investigate the relationships between trauma and geographical factors in order to support policy recommendations to reduce trauma-related deaths and disability.Methods: In accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we searched international and Korean databases to retrieve relevant literature published between 2000 and 2020.Results: Thirty-two studies showed a positive relationship between the outcomes of major trauma and geographical factors. The study investigated regional factors including economic factors such as size of urban areas, gross domestic product, and poverty rate, as well as hospital parameters, such as presence of trauma centers and number of hospital beds. There was a tendency toward higher mortality rates in rural and low-income areas, and most of the studies reported that the presence of trauma centers reduced trauma-related mortality rates.Conclusion: Our study showed that geographic factors influence trauma outcomes. The findings suggest geographical considerations be included in care plans to reduce death and disability caused by trauma.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"426-437"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9908321","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 case report of furosemide extravasation in the hand: a rare cause of compartment syndrome. 手部呋塞米外渗病例报告：引起隔室综合征的罕见病因。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2022-11-22 DOI: 10.15441/ceem.22.325

Sertaç Güler, Dilber Üçöz Kocaşaban

引用次数: 0

Perinatal carbon monoxide poisoning with fetal and maternal carboxyhemoglobin measurements. 围产期一氧化碳中毒与胎儿和母亲的碳氧血红蛋白测量。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-28 DOI: 10.15441/ceem.23.097

Dean T Odegard, Michael E Mullins

引用次数: 0

An expert consensus–based checklist for quality appraisal of educational resources on adult basic life support: a Delphi study 基于专家共识的成人基本生命支持教育资源质量评估清单:德尔菲研究。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-08-25 DOI: 10.15441/ceem.23.049

Alexei Birkun, Adhish Gautam, Bernd W. Böttiger

{"title":"An expert consensus–based checklist for quality appraisal of educational resources on adult basic life support: a Delphi study","authors":"Alexei Birkun, Adhish Gautam, Bernd W. Böttiger","doi":"10.15441/ceem.23.049","DOIUrl":"10.15441/ceem.23.049","url":null,"abstract":"Objective: Given the lack of a unified tool for appraising the quality of educational resources for lay-rescuer delivery of adult basic life support (BLS), this study aimed to develop an appropriate evaluation checklist based on a consensus of international experts.Methods: In a two-round Delphi study, participating experts completed questionnaires to rate each item of a predeveloped 72-item checklist indicating agreement that an item should be utilized to evaluate the conformance of an adult BLS educational resource with resuscitation guidelines. Consensus on item inclusion was defined as a rating of ≥7 points from ≥75% of experts. Experts were encouraged to add anonymous suggestions for modifying or adding new items.Results: Of the 46 participants, 42 (91.3%) completed the first round (representatives of 25 countries with a median of 16 years of professional experience in resuscitation) and 40 (87.0%) completed the second round. Thirteen of 72 baseline items were excluded, 55 were included unchanged, four were included after modification, and four new items were added. The final checklist comprises 63 items under the subsections “safety” (one item), “recognition” (nine items), “call for help” (four items), “chest compressions” (12 items), “rescue breathing” (12 items), “defibrillation” (nine items), “continuation of CPR” (two items), “choking” (10 items) and “miscellaneous” (four items).Conclusions: The produced checklist is a ready-to-use expert consensus–based tool for appraising the quality of educational content on lay-rescuer provision of adult BLS. The checklist gives content developers a tool to ensure educational resources comply with current resuscitation knowledge, and may serve as a component of a prospective standardized international framework for quality assurance in resuscitation education.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"400-409"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068802","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

Expert opinion on evidence after the 2020 Korean Cardiopulmonary Resuscitation Guidelines: a secondary publication. 2020年韩国心肺复苏指南》发布后的专家证据意见：二次出版。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2023-12-01 Epub Date: 2023-08-25 DOI: 10.15441/ceem.23.102

Sung Phil Chung, Youdong Sohn, Jisook Lee, Youngsuk Cho, Kyoung-Chul Cha, Ju Sun Heo, Ai-Rhan Ellen Kim, Jae Guk Kim, Han-Suk Kim, Hyungoo Shin, Chiwon Ahn, Ho Geol Woo, Byung Kook Lee, Yong Soo Jang, Yu Hyeon Choi, Sung Oh Hwang

{"title":"Expert opinion on evidence after the 2020 Korean Cardiopulmonary Resuscitation Guidelines: a secondary publication.","authors":"Sung Phil Chung, Youdong Sohn, Jisook Lee, Youngsuk Cho, Kyoung-Chul Cha, Ju Sun Heo, Ai-Rhan Ellen Kim, Jae Guk Kim, Han-Suk Kim, Hyungoo Shin, Chiwon Ahn, Ho Geol Woo, Byung Kook Lee, Yong Soo Jang, Yu Hyeon Choi, Sung Oh Hwang","doi":"10.15441/ceem.23.102","DOIUrl":"10.15441/ceem.23.102","url":null,"abstract":"Considerable evidence has been published since the 2020 Korean Cardiopulmonary Resuscitation Guidelines were reported. The International Liaison Committee on Resuscitation (ILCOR) also publishes the Consensus on CPR and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR) summary annually. This review provides expert opinions by reviewing the recent evidence on CPR and ILCOR treatment recommendations. The authors reviewed the CoSTR summary published by ILCOR in 2021 and 2022. PICO (patient, intervention, comparison, outcome) questions for each topic were reviewed using a systemic or scoping review methodology. Two experts were appointed for each question and reviewed the topic independently. Topics suggested by the reviewers for revision or additional description of the guidelines were discussed at a consensus conference. Forty-three questions were reviewed, including 15 on basic life support, seven on advanced life support, two on pediatric life support, 11 on neonatal life support, six on education and teams, one on first aid, and one related to COVID-19. Finally, the current Korean CPR Guideline was maintained for 28 questions, and expert opinions were suggested for 15 questions.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"382-392"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068805","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