Emergency Medicine Journal最新文献_第2页

Accuracy of self-reported disease severity and need for hospital admission. 自我报告疾病严重程度和住院需求的准确性。

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214408

Lars Ingmar Veldhuis, Merijn Kuit, Prabath W B Nanayakkara

引用次数: 0

Global health experience of staff working in UK emergency care: a reflexive thematic analysis. 联合王国紧急护理工作人员的全球健康经验：反思性专题分析。

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2023-213823

Silas Webb, Charlotte Ward, Claire Crichton-Iannone, Alexandra Taylor, Anisa Jabeen Nasir Jafar

{"title":"Global health experience of staff working in UK emergency care: a reflexive thematic analysis.","authors":"Silas Webb, Charlotte Ward, Claire Crichton-Iannone, Alexandra Taylor, Anisa Jabeen Nasir Jafar","doi":"10.1136/emermed-2023-213823","DOIUrl":"10.1136/emermed-2023-213823","url":null,"abstract":"Background and aims: There is growing recognition among practitioners worldwide of the benefits of practising emergency medicine in different countries and healthcare settings. A recent survey by the Royal College of Emergency Medicine found interest and experience in global health (GH) work among college members, but many struggled with barriers that limited their contribution to this work. This study aims to understand the role of GH experience by emergency care practitioners and how it interconnects with the National Health Service and UK practice.Methods: Anonymised semistructured interviews were conducted from August to November 2022 on a purposive sample of UK emergency care practitioners who had previously undertaken GH work. Reflexive thematic analysis was used to analyse and present their experiences in this field.Results: The three key themes from the analysis were that emergency care is a specialty well positioned to contribute to GH settings; practitioners feel this contribution confers benefits to both the individual and their healthcare system; and the current structure of UK emergency care training presents barriers to maximising the benefits of these experiences.Conclusion: The perceived benefits of GH involvement to the emergency care and base organisation are manifold; as are the skills offered by this practitioner group. Readily accessible funding, networks, mentorship and support from training programme leadership were all identified as ways of improving the quality and frequency of meaningful GH involvement.","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"435-441"},"PeriodicalIF":2.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729236","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}

引用次数: 0

In emergency settings, does the use of testicular pulse oximetry aid diagnosis of testicular torsions? 在紧急情况下，使用睾丸脉搏血氧仪是否有助于诊断睾丸扭转？

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2025-214936

Lauren Grace Edwards, Joshua William Feldman, Craig Ferguson

{"title":"In emergency settings, does the use of testicular pulse oximetry aid diagnosis of testicular torsions?","authors":"Lauren Grace Edwards, Joshua William Feldman, Craig Ferguson","doi":"10.1136/emermed-2025-214936","DOIUrl":"10.1136/emermed-2025-214936","url":null,"abstract":"Pulse oximetry is a non-invasive and inexpensive method of detecting oxygenation, which could help to reduce unnecessary scrotal exploration and expedite diagnosis if shown to be accurate in patients with suspected testicular torsion. A short systematic review was conducted to address the following three-part question: in emergency settings, can the use of testicular pulse oximetry aid the diagnosis of testicular torsion?The Medline, Embase and Cochrane databases were searched using the Ovid interface on 29 January 2025. The search included papers from 1946 on Medline, from 1974 on Embase and from 1998 on Cochrane. The search strategy yielded one study that directly answered the three-part question. Study information, participant group, relevant outcomes and study weaknesses were extracted.The only study identified was a case series including 16 participants. Results showed that oxygen saturation and pulse rate were undetectable in all torted testes but detectable in all unaffected testes. However, due to the small sample size, the results of this study cannot be reliably extrapolated to a wider population. This review excluded research articles where near-infrared spectroscopy was used rather than pulse oximetry to characterise testicular blood flow, though that technology may also show future promise.The clinical bottom line is that there is currently insufficient evidence for the use of pulse oximetry in this context. However, the evidence identified suggests that the technique shows promise, particularly for use in resource-poor environments.","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"476-477"},"PeriodicalIF":2.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623986","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}

引用次数: 0

Survey of major incident preparedness in English type 1 emergency departments. 英语一级急诊科重大事故准备情况调查。

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214317

Robert Hywel James, Rhiannon Jones, Anthony Kelly, Simon Horne

引用次数: 0

A survey of major incident preparedness in English type 1 emergency departments. 英国一级急诊科重大事件准备情况调查。

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214843

Adrian A Boyle, Atasi Bhattacharjee

引用次数: 0

Can digital stethoscopes improve auscultation in aircraft cabins? 数字听诊器能改善机舱听诊吗？

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214364

Abílio Tiago Barros Oliveira

引用次数: 0

Management of low back pain in Australian emergency departments for culturally and linguistically diverse populations from 2016 to 2021: a further analysis. 2016年至2021年澳大利亚急诊科对不同文化和语言人群腰痛的管理：进一步分析

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214672

Qiuzhe Chen, Chris G Maher, Gustavo Machado

引用次数: 0

Best evidence topic report: in emergency settings, can an absent cremasteric reflex be used to aid diagnosis of testicular torsions? 最佳证据主题报告：在紧急情况下，没有勃起反射可以用来帮助诊断睾丸扭转吗？

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214797

Lauren Grace Edwards, Craig Ferguson

引用次数: 0

Contact with emergency departments and hospitals in England before suicide death: a retrospective cohort study. 自杀死亡前与英国急诊科和医院的联系：一项回顾性队列研究

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-214440

Frances Healey, Janine Gower, Matthew Fogarty, Gina Winter-Bates, Aidan Fowler

引用次数: 0

Designing acceptable services to better serve lower-acuity presenters to emergency departments: a latent class analysis of a discrete choice experiment in Australia. 设计可接受的服务，以更好地为急诊部门的低敏锐度演示者服务：澳大利亚离散选择实验的潜在类别分析。

IF 2.7 3区医学

Emergency Medicine Journal Pub Date : 2025-06-19 DOI: 10.1136/emermed-2024-213996

Viola Korczak, Stephen Jan, Thomas Lung, Michael M Dinh, Radhika Seimon, Paul M Middleton, Blake Angell

{"title":"Designing acceptable services to better serve lower-acuity presenters to emergency departments: a latent class analysis of a discrete choice experiment in Australia.","authors":"Viola Korczak, Stephen Jan, Thomas Lung, Michael M Dinh, Radhika Seimon, Paul M Middleton, Blake Angell","doi":"10.1136/emermed-2024-213996","DOIUrl":"10.1136/emermed-2024-213996","url":null,"abstract":"Objectives: Presentations to ED are growing, worsening pressure on the health system. A discrete choice experiment (DCE) was undertaken to determine the factors that influence why patients choose the ED over primary care for low-acuity presentations.Methods: A DCE was carried out at two tertiary hospital EDs between October 2022 and February 2023 in adult patients with lower triage scores. Attributes included waiting time, cost, facility, care type and provider. Participant preferences were estimated using mixed multinomial logit (MMNL) and latent class models. Willingness to pay and policy simulations were also carried out.Results: 281 participants were recruited. The MMNL model revealed that patients preferred care with 30 min waiting times (β=0.75, 95% CI 0.59 to 0.91), no out-of-pocket payments (β=1.18, 95% CI 0.97 to 1.39), in-person delivery (β=0.62, 95% CI 0.51 to 0.73) and the availability of on-site investigations (β=0.83, 95% CI 0.68 to 0.98). A latent class analysis revealed three distinct cohorts of patients: those who would choose the ED regardless of other options (26% of the sample), those swayed largely by cost (29%) and those who would go elsewhere if another option was offered (45%).Conclusion: The study showed patient preferences for various health service options and the strength of those preferences. A latent class analysis showed distinct subgroups within this cohort, each likely to respond differently to various policy scenarios and health service options. There was heterogeneity within the responses, which should be a target for policy. This information could be used to design services that more adequately meet patient preferences.","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"451-459"},"PeriodicalIF":2.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983980","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}

引用次数: 0