Emergency Medicine Journal最新文献

{"title":"Paramedic perspectives on organ donation after out-of-hospital cardiac arrest.","authors":"Ben Lawson, Brett Williams","doi":"10.1136/emermed-2026-216227","DOIUrl":"https://doi.org/10.1136/emermed-2026-216227","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rhabdo-RRT score: development and external validation of an emergency department tool for predicting renal replacement therapy in rhabdomyolysis.","authors":"Ezgi Comoglu, Emin Gemcioglu, Burak Furkan Demir, Ibrahim Gurbuz, Seyit Ibrahim Akdag, Sanem Kayhan, Fatih Dede, Ihsan Ates","doi":"10.1136/emermed-2026-216273","DOIUrl":"https://doi.org/10.1136/emermed-2026-216273","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Counterfeit and unregulated GLP-1 receptor agonists: an unmeasured variable in emergency department procedural sedation risk.","authors":"Sidhant Ochani","doi":"10.1136/emermed-2026-216495","DOIUrl":"https://doi.org/10.1136/emermed-2026-216495","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prehospital 'Code Crimson' activation in paediatric trauma: a case series.","authors":"Christopher Luke Partyka, Natalie May, Sally Bath, Soundappan Soundappan, Susan Adams","doi":"10.1136/emermed-2026-216201","DOIUrl":"https://doi.org/10.1136/emermed-2026-216201","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of caregiver burden with the healthcare use and outcomes of older patients attending the ED.","authors":"Lisette Reijerse, Eline M Jagtenberg, Caroline M Van Heugten, Maryska Janssen-Heijnen, Petra Klijnsma, Lieve Knarren, Anita Lekx, Frits van Osch, Tessel Zaalberg, Simon P Mooijaart, Dennis Barten","doi":"10.1136/emermed-2025-215630","DOIUrl":"https://doi.org/10.1136/emermed-2025-215630","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving diagnostics upstream: prehospital blood gas analysis is associated with safe community care and improved patient selection for hospital admission.","authors":"Harald Lux, Johannes Roth, Stefanie Hemmer, Sebastian Lang, Jan-Christoph Lewejohann, Michael Bauer, Jonas Brock, Petra Dickmann","doi":"10.1136/emermed-2026-216096","DOIUrl":"https://doi.org/10.1136/emermed-2026-216096","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma teams in trauma units: are they fit for purpose?","authors":"Rory Carroll, John Chung Lee, James Raitt","doi":"10.1136/emermed-2026-216024","DOIUrl":"https://doi.org/10.1136/emermed-2026-216024","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149037044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol, drugs and self-harm emergencies in a national unscheduled care system: a retrospective observational study.","authors":"Lisa Schölin, Michael McStravick, Adam Lloyd, Jonathan Brett, Michael Eddleston, Chris Humphries","doi":"10.1136/emermed-2025-215639","DOIUrl":"https://doi.org/10.1136/emermed-2025-215639","url":null,"abstract":"<p><strong>Background: </strong>Alcohol, drugs and self-harm are important public health issues that often coincide with socioeconomic inequalities. While national policy frameworks highlight these as important issues, data describing their prevalence in unscheduled care are lacking.</p><p><strong>Aim: </strong>To conduct the first national-level description of the number, demographic characteristics and routes of care involving alcohol, drugs or self-harm emergencies across all unscheduled care services in Scotland.</p><p><strong>Methods: </strong>A retrospective cross-sectional study using linked data from all unscheduled care services in Scotland (NHS 24 telephone triage service; primary care out-of-hours; ambulance; emergency department (ED); acute admission and mental health admission). All continuous care episodes (defined as pathways) were analysed and within these, indicators for involvement of alcohol, drugs and/or self-harm were identified from service level 'flags' and clinical codes. Pathways from 1 April 2022 to 31 March 2023 were included. Descriptive analyses of characteristics, exploration of the top 30 most common pathways and top-down pathway-attributable-cost analyses were undertaken.</p><p><strong>Results: </strong>Of 2 721 120 pathways, 2.7% involved alcohol, drugs and/or self-harm-indicating considerable overlaps and complexity of care episodes. In 1.9% of all pathways only one of these indicators was identified. For the top 30 pathways (reflecting 79.0% of pathways involving only one indicator), the most common patient journey was ambulance to ED to acute admission, with an overall directly attributable cost to the National Health Service of approximately £216.9 million.</p><p><strong>Conclusion: </strong>Using current structured data, 1.9% of unscheduled care pathways in Scotland involve alcohol, drugs or self-harm and 2.7% involve one or several of these indicators. Ambulance services and EDs feature in most of these care pathways and are potential settings for intervention. Future work should explore these pathways in greater depth, refine case identification at service level and develop integrated care models within the ED to better serve this patient population and address health inequalities.</p>","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the optimal sodium correction rate in hyponatraemia and clinical outcome: a meta-analysis.","authors":"Ludwig Matrisch, Yannick Rau, Lars Graßhoff, Martin Nitschke","doi":"10.1136/emermed-2025-215189","DOIUrl":"10.1136/emermed-2025-215189","url":null,"abstract":"<p><strong>Background: </strong>Hyponatraemia is associated with greater mortality in emergency patients. Therefore, the correction of low serum sodium levels remains an important field in clinical practice.</p><p><strong>Methods: </strong>Eligible studies were searched through a literature query in PubMed and Web of Science in August 2024. Sodium correction rates and mortality data were extracted. The articles were grouped based on the threshold used to distinguish between slow and rapid correction. For each group, a random effects model was used for meta-analysis. The sodium correction rate thresholds were 8, 10 and 12 mmol/L/24 hours. Additionally, a random effects model was used to estimate the difference in osmotic demyelination syndrome (ODS) incidence.</p><p><strong>Results: </strong>11 retrospective studies with a total of 27 672 cases were included in the meta-analysis, each scoring at least 8* on the Newcastle-Ottawa quality assessment score. Mortality was significantly lower in the rapid correction group compared with the slow correction group for the 8 mmol/L/day threshold (OR: 0.398, p<0.001), for 10 mmol/L/day (OR: 0.489, p<0.001) and for 12 mmol/L/day (OR: 0.57, p<0.001). Overall incidence of ODS was low (0.085%), but it was higher in the rapid correction group (OR: 3.959, p=0.002).</p><p><strong>Conclusion: </strong>Within all three thresholds of sodium correction, rapid correction was associated with improved survival. Although no causal relation can be concluded, a more liberal approach to sodium correction rate in hyponatraemia may be beneficial. However, osmotic demyelination remains a serious, although very rare, issue.</p>","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"647-654"},"PeriodicalIF":2.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147835237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency front of neck access in the setting of paediatric trauma.","authors":"Roisin McDonald, Michael Coffey, Fiona Lecky, Susan Mclellan, Peter Cameron, Stephen Mullen","doi":"10.1136/emermed-2025-215688","DOIUrl":"10.1136/emermed-2025-215688","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"662-664"},"PeriodicalIF":2.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}