Emergency Medicine Journal最新文献

{"title":"Early calcium disturbances in trauma: prehospital measurement by a UK Helicopter Emergency Medical Service.","authors":"Owen Hibberd, James Price, Kate Lachowycz, Caroline Leech, Ed Benjamin Graham Barnard","doi":"10.1136/emermed-2025-215647","DOIUrl":"10.1136/emermed-2025-215647","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"661-662"},"PeriodicalIF":2.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917183","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":"Sex-based and gender-based details in accelerated diagnostic protocol implementation among emergency department patients presenting with chest pain: a systematic review.","authors":"Nana Owusu M Essel, Hafeez Nathoo, Nicholas Lesyk, Jason Ushko, Liz Dennett, Brian H Rowe","doi":"10.1136/emermed-2025-215652","DOIUrl":"10.1136/emermed-2025-215652","url":null,"abstract":"<p><strong>Background: </strong>Sex and gender influence how chest pain presents, how it is assessed and its outcomes, yet accelerated diagnostic protocols (ADPs) used in emergency departments (EDs) largely ignore these differences. This systematic review assesses the extent to which sex-based and gender-based factors are addressed in studies implementing ADPs in EDs for adult patients presenting with chest pain.</p><p><strong>Methods: </strong>Six electronic databases were searched from inception through 31 May 2024, for ED-based studies on ADP implementation in adults with suspected cardiac chest pain. Eligible study designs included randomised controlled trials, controlled clinical trials, cohort studies, before/after studies and observational studies. Two reviewers independently screened articles for relevance and inclusion, with disagreements resolved by third-party adjudication. The primary outcome was the proportion of studies providing sex-disaggregated or gender-disaggregated analyses for key ED outcomes; secondary outcomes included the accuracy of sex and gender reporting per Canadian Institutes of Health Research definitions.</p><p><strong>Results: </strong>From 19 455 records, 211 studies were included, predominantly prospective cohort designs (39%), with most data collected in ED settings (87%). While 95% reported participant sex, 76% did so appropriately; fewer than 20% considered sex or gender explicitly in their analyses or ADP applications. Gender was reported less frequently (37%) and reporting was largely inaccurate (92%). No studies presented sex-disaggregated or gender-disaggregated analyses for key ED outcomes (eg, length of stay, consultations, admissions, major adverse cardiac events). Regression analyses failed to identify significant increases in sex/gender reporting following major international sex-based and gender-based policy initiatives.</p><p><strong>Conclusion: </strong>Our findings highlight a critical need for improved and consistent integration of sex and gender in ED cardiac research. While most studies recognise the importance of sex differences, few explicitly addressed them, and even fewer considered the complexity of gender identities meaningfully. Future research should examine sex-specific and gender-specific troponin cut points, investigate at-risk groups and report disaggregated analyses of ED-relevant outcomes.</p><p><strong>Prospero registration number: </strong>CRD42022380813.</p>","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":"634-646"},"PeriodicalIF":2.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270694","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":"Quadruple respiratory viral point-of-care lateral flow testing in the emergency department: a single-centre service evaluation.","authors":"Paul O'Brien, Zaman Qazzafi","doi":"10.1136/emermed-2026-216052","DOIUrl":"https://doi.org/10.1136/emermed-2026-216052","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988721","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":"Journal update monthly top five.","authors":"Lydia Zioupos, Micha Fernandez, Hariprasath Velmurugan, Bernice L Sim, Matthew Thomas-Davies, Rebecca Jordache, Jared Charlton-Webb","doi":"10.1136/emermed-2026-216287","DOIUrl":"https://doi.org/10.1136/emermed-2026-216287","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988674","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":"Corticosteroids in community-acquired pneumonia: a reflection on current guidelines and practice.","authors":"Krishan Bansal, Cal Doherty, Fergus Hamilton, Edward Carlton, Jim Smit, David Arnold","doi":"10.1136/emermed-2026-216429","DOIUrl":"https://doi.org/10.1136/emermed-2026-216429","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988570","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":"Evaluation of structured feedback provision from a cardiac arrest centre to helicopter emergency medical service personnel: implementation metrics and clinician-perceived learning.","authors":"Marco Mion, Rupert F G Simpson, Adam Pitcairn, Gareth Grier, Uzma Sajjad, Sinead Keane, Gui Movio, Thomas R Keeble, Matthew Snowsill","doi":"10.1136/emermed-2026-216174","DOIUrl":"https://doi.org/10.1136/emermed-2026-216174","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988588","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":"Incidence of biphasic anaphylaxis: an 8-year single centre health records review.","authors":"Nicholas Tilbury, Andrew Tabner, Thomas Selina, Alice Oatham, Sunil Francis, Jennie Gane, Jacqueline Beckhelling, Graham D Johnson","doi":"10.1136/emermed-2026-215986","DOIUrl":"https://doi.org/10.1136/emermed-2026-215986","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988657","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":"Whiff of doubt: is inhaled isopropyl alcohol (alcohol wipes) an effective treatment for acute nausea in the emergency department?","authors":"Joshua Khamesi, Rasha Dabis","doi":"10.1136/emermed-2026-216455","DOIUrl":"https://doi.org/10.1136/emermed-2026-216455","url":null,"abstract":"<p><p>A short evidence review was conducted to evaluate whether inhaled isopropyl alcohol (IPA) is an effective non-pharmacological treatment for acute nausea in adults presenting to the emergency department (ED). MEDLINE, EMBASE and the Cochrane Library were searched from database inception to the date of search using controlled subject headings and free-text terms. Following screening, six relevant studies were identified, comprising two systematic reviews/meta-analyses, two randomised controlled trials and two implementation studies. Current evidence suggests that inhaled IPA provides rapid short-term relief of acute nausea and may reduce the need for conventional antiemetics. Implementation studies further demonstrate that IPA can be administered rapidly, reduce treatment costs and integrate effectively as a simple, self-directed intervention within ED care pathways. Importantly, no included study evaluated nausea and vomiting of pregnancy or hyperemesis gravidarum, and several studies explicitly excluded pregnant patients. Although inhaled IPA appears to be an inexpensive, readily available and well-tolerated intervention for acute nausea in the ED, its efficacy and safety during pregnancy remain unknown. Well-designed pregnancy-specific randomised controlled trials are required before its use can be recommended in pregnancy.</p>","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905507","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":"Incidence of acute coronary syndrome assessment among adult emergency department presentations: a multicentre study.","authors":"Jaimi H Greenslade, Laura Stephensen, William Parsonage, Louise Cullen","doi":"10.1136/emermed-2026-216302","DOIUrl":"https://doi.org/10.1136/emermed-2026-216302","url":null,"abstract":"","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905483","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":"Use of point-of-care ultrasound in predicting difficult intubations in the emergency department.","authors":"Long Him Angus Chan, Cheran Saravanan","doi":"10.1136/emermed-2026-216137","DOIUrl":"https://doi.org/10.1136/emermed-2026-216137","url":null,"abstract":"<p><p>Point-of-care ultrasound (POCUS) is increasingly used in airway assessment, but its role in predicting difficult intubation in the emergency department remains unclear. A short systematic review of MEDLINE and EMBASE identified four prospective observational studies that met the inclusion criteria and underwent analysis. The studies evaluated ultrasound-derived airway parameters including hyomental distance, tongue thickness and anterior neck soft tissue thickness, and correlated these measurements with Cormack-Lehane grading. Several POCUS parameters demonstrated fair to excellent diagnostic accuracy for predicting difficult laryngoscopy. However, variability in study populations, measurement techniques and diagnostic thresholds limits the generalisability of the findings. The bottom line is that while POCUS is promising, it should not be used alone for difficult airway assessment. Further research with larger, diverse populations is needed.</p>","PeriodicalId":11532,"journal":{"name":"Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905409","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}