Emergency最新文献_第9页

Rectus Muscle Hematoma as a Rare Differential Diagnosis of Acute Abdomen; a Case Report. 急性腹部直肌血肿的罕见鉴别诊断一份病例报告。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-05-01

Mohammadreza Maleki Verki, Hassan Motamed

引用次数: 0

Medical Errors in Emergency Department; a Letter to Editor. 急诊科医疗差错;给编辑的信。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-05-21

Payman Asadi, Ehsan Modirian, Nazanin Dadashpour

引用次数: 0

Glasgow Coma Scale and FOUR Score in Predicting the Mortality of Trauma Patients; a Diagnostic Accuracy Study. 格拉斯哥昏迷评分和FOUR评分在预测创伤患者死亡率中的应用诊断准确性研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-07-14

Parisa Ghelichkhani, Maryam Esmaeili, Mostafa Hosseini, Khatereh Seylani

{"title":"Glasgow Coma Scale and FOUR Score in Predicting the Mortality of Trauma Patients; a Diagnostic Accuracy Study.","authors":"Parisa Ghelichkhani, Maryam Esmaeili, Mostafa Hosseini, Khatereh Seylani","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Many scoring models have been proposed for evaluating level of consciousness in trauma patients. The aim of this study is to compare Glasgow coma scale (GCS) and Full Outline of UnResponsiveness (FOUR) score in predicting the mortality of trauma patients.Methods: In this diagnostic accuracy study trauma patients hospitalized in intensive care unit (ICU) of 2 educational hospitals were evaluated. GCS and FOUR score of each patient were simultaneously calculated on admission as well as 6, 12 and 24 hours after that. The predictive values of the two scores and their area under the receiver operating characteristics (ROC) curve were compared.Results: 90 patients were included in the present study (mean age 39.4±17.3; 74.4% male). Comparing the area under the ROC curve of GCS and FOUR score showed that these values were not different at any of the evaluated times: on admission (p=0.68), and 6 hours (p=0.13), 12 hours (p=0.18), and 24 hours (p=0.20) after that.Conclusion: The results of our study showed that, GCS and FOUR score have the same value in predicting the mortality of trauma patients. Both tools had high predictive power in predicting the outcome at the time of discharge.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e42"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/2b/emerg-6-e42.PMC6289152.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36814590","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

Regression to Middle Effect May Threaten Validity of Triage Scales; a Letter to Editor. 中效回归可能威胁分诊量表的效度给编辑的信。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-11-18

Amir Mirhaghi, Mohsen Ebrahimi

引用次数: 0

Awareness of Basic Life Support among Egyptian Medical Students; a Cross-Sectional Study. 埃及医科学生对基本生命支持的认识；一项横断面研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-06-16

Esraa Ghanem, Muhammad Elgazar, Khaled Oweda, Hussein Tarek, Fathy Assaf, Mostafa Wanees Ahmed El-Husseny, Ahmed Elgebaly, Abdelrahman Ibrahim Abushouk

{"title":"Awareness of Basic Life Support among Egyptian Medical Students; a Cross-Sectional Study.","authors":"Esraa Ghanem, Muhammad Elgazar, Khaled Oweda, Hussein Tarek, Fathy Assaf, Mostafa Wanees Ahmed El-Husseny, Ahmed Elgebaly, Abdelrahman Ibrahim Abushouk","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: It is important for all medical and paramedical staff to be aware of basic life support (BLS) maneuvers. In this study, we aimed to evaluate the level of BLS awareness among Egyptian medical students.Methods: The level of BLS knowledge was assessed using a validated questionnaire and the results were analyzed using an answer key, prepared from the Advanced Cardiac Life Support (ACLS) manual. We used the Student's t-test to analyze the association between awareness level and year of study, previous BLS training and practical experience.Results: A total of 823 medical students with the mean age of 20.3 ± 2.7 years, from Al-Azhar medical schools completed the questionnaire (463 and 360 in academic and clinical years, respectively). About 72% and 84% of students failed to recognize the proper point of chest compression in adults and infants, respectively. Moreover, the majority (80%) did not know how to give rescue breathing in infants. Only 18% of students correctly identified early signs of shock and only 22% knew how to help patients with myocardial infarction. Being in clinical years, previous BLS training or practical experience were significantly associated with higher BLS knowledge scores (p < 0.001).Conclusion: The level of BLS awareness among Egyptian medical students is generally poor. Introduction of regular BLS courses into the undergraduate curriculum is a must to increase the level of BLS knowledge among Egyptian future physicians.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e36"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/76/emerg-6-e36.PMC6036537.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36313212","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

Lidocaine-Midazolam-Fentanyl Combination in Controlling Pain for Reduction of Anterior Shoulder Dislocation; a Randomized Clinical Trial. 利多卡因-咪达唑仑-芬太尼联合治疗肩关节前脱位复位后疼痛的控制随机临床试验。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-04-16

Ali Arhami Dolatabadi, Aida Mohammadian, Hamid Kariman

{"title":"Lidocaine-Midazolam-Fentanyl Combination in Controlling Pain for Reduction of Anterior Shoulder Dislocation; a Randomized Clinical Trial.","authors":"Ali Arhami Dolatabadi, Aida Mohammadian, Hamid Kariman","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Finding a fast-acting compound with minimal side-effects to induce a safe and efficient analgesia with short or medium duration of action is of great interest in the emergency department. The present study has been designed with the aim of comparing the effect of midazolam + fentanyl + lidocaine combination with midazolam + fentanyl + placebo in pain management of anterior shoulder dislocation reduction.Methods: The present two-arm parallel double-blind randomized controlled trial was performed on patients who presented to emergency department with anterior shoulder dislocation. Patients were randomly allocated to the 2 treatment groups of midazolam + fentanyl + placebo (double-drug group) and midazolam + fentanyl + intravenous (IV) lidocaine (triple-drug group). Then outcomes such as treatment success rate and side-effects following prescription of drugs were compared between the 2 groups.Results: 100 patients were included in the present study (50 patients in each group; mean age of the studied patients 27.3±8.9 years; 93.0% male). Using the double-drug regimen led to 35 (70%) cases of complete analgesia, while this rate in the triple-drug group was 41 (82%) cases (p=0.16). The calculated number needed to treat was 9 cases. This means that about one in every 9 patients in treatment arm will benefit from the treatment. The most important side-effects observed included dysrhythmia (1 patient in double drug and 1 patient in triple-drug group), apnea (2 patients in each group) and SPO2<90% (2 patients in triple-drug group) (p=0.78). Number needed to harm was 25 cases. In other words, for each 25 patients treated with the triple drug regimen, 1 case of SPO2<90% is observed.Conclusion: Findings of the present study showed that adding IV lidocaine to IV midazolam + fentanyl drug combination does not provide additional analgesia in sedation for anterior shoulder reduction.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e24"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/4c/emerg-6-e24.PMC6036533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36311548","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

Examination of References in Rosen's Emergency Medicine Text Book, 8^th Edition; an Observational Study. 在罗森的急诊医学教科书参考文献的检查，第8版;观察性研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-06-16

Ramazan Güven

{"title":"Examination of References in Rosen's Emergency Medicine Text Book, 8th Edition; an Observational Study.","authors":"Ramazan Güven","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: This study aims to analyze the references that the authors and editors used during the writing of Rosen's Emergency Medicine, 8th edition.Methods: 15,209 references, which were used in 197 chapters of Rosen's Emergency Medicine, 8th edition, were examined regarding the distribution of countries, journals, publication year, and the department of the affiliation of the first author.Results: A total of 63.1% (n = 9591) of the references were led by authors from the United States (US). US-based journals were mostly used, and Annals of Emergency Medicine was the journal from which the references were most frequently extracted, with a percentage of 5.2% (n = 756). The studies conducted by emergency physicians have increased in recent years, and emergency physicians, with a percentage of 17.8% (n = 351), were the leading authors of studies conducted between 2010 and 2013, which were cited in the references of Rosen's Emergency Medicine, 8th edition.Conclusion: US-based studies make up a significantly bigger portion of the references used in Rosen's Emergency Medicine, 8th edition. If Europe and other countries give due importance to emergency medicine, they will have the capability to produce studies that can be used as references in textbooks as much as the US.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e37"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/42/emerg-6-e37.PMC6036535.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36313213","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

Full and Modified Glasgow-Blatchford Bleeding Score in Predicting the Outcome of Patients with Acute Upper Gastrointestinal Bleeding; a Diagnostic Accuracy Study. 格拉斯哥-布拉奇福德出血评分与修正评分对急性上消化道出血预后的预测诊断准确性研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-05-17

Ali Shahrami, Saba Ahmadi, Saeed Safari

{"title":"Full and Modified Glasgow-Blatchford Bleeding Score in Predicting the Outcome of Patients with Acute Upper Gastrointestinal Bleeding; a Diagnostic Accuracy Study.","authors":"Ali Shahrami, Saba Ahmadi, Saeed Safari","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Screening of high risk patients and accelerating their treatment measures can reduce the burden of the disease caused by acute upper gastrointestinal (GI) bleeding. This study aimed to compare the full and modified Glasgow-Blatchford Bleeding Score (GBS and mGBS) in prediction of in-hospital outcomes of upper GI bleeding.Methods: In the present retrospective cross-sectional study, the accuracy of GBS and mGBS models were compared in predicting the outcome of patients over 18 years of age with acute upper GI bleeding confirmed via endoscopy, presenting to the emergency departments of 3 teaching hospitals during 4 years.Results: 330 cases with the mean age of 59.07 ± 19.00 years entered the study (63.60% male). Area under the curve of GBS and mGBS scoring systems were 0.691 and 0.703, respectively, in prediction of re-bleeding (p = 0.219), 0.562 and 0.563 regarding need for surgery (p = 0.978), 0.549 and 0.542 for endoscopic intervention (p = 0.505), and 0.767 and 0.770 regarding blood transfusion (p = 0.753). Area under the ROC curve of GBS scoring system regarding need for hospitalization in intensive care unit (0.589 vs. 0.563; p = 0.035) and mortality (0.597 vs. 0.564; p = 0.011) was better but the superiority was not clinically significant.Conclusion: GBS and mGBS scoring systems have similar accuracy in prediction of the probability of re-bleeding, need for blood transfusion, surgery and endoscopic intervention, hospitalization in intensive care unit, and mortality of patients with acute upper GI bleeding.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e31"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/e0/emerg-6-e31.PMC6036534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36313802","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

Introducing a Device for Measuring Pain Intensity; a Letter to Editor. 介绍一种测量疼痛强度的装置给编辑的信。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-05-17

Keshvad Hedayatyanfard, Shahin Mohammad Sadeghi, Iman Habibi

引用次数: 0

Methamphetamine-Induced Cardiomyopathy (MACM) in a Middle-Aged Man; a Case Report. 甲基苯丙胺诱发的中年男性心肌病(MACM)一份病例报告。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-01-20

Zulfiqar Qutrio Baloch, Muhammad Hussain, Shabber Agha Abbas, Jorge L Perez, Muhammad Ayyaz

{"title":"Methamphetamine-Induced Cardiomyopathy (MACM) in a Middle-Aged Man; a Case Report.","authors":"Zulfiqar Qutrio Baloch, Muhammad Hussain, Shabber Agha Abbas, Jorge L Perez, Muhammad Ayyaz","doi":"","DOIUrl":"","url":null,"abstract":"The development of methamphetamine-associated cardiomyopathy (MACM) represents a severe complication of chronic methamphetamine abuse. MACM-induced irreversible structural and functional changes in the heart can eventually lead to decompensated heart failure, ultimately requiring heart transplantation. In this case report we present a 47-year old male with a previous history of chronic amphetamine abuse who presented to the emergency room with severe dyspnea at rest associated with mild substernal non-radiating chest pain. He denied any previous cardiac history but had a positive urinary toxicology for methamphetamine. A complete cardiac workup ruled out all other etiologies. The patient required a 3-week intensive pharmacotherapy intervention to stabilize acute heart failure symptoms. At discharge he was classified as having New York Association Class III (NYHA-III) heart failure. His medical symptoms did not improve and he was considered for heart transplantation. With the increase in availability and abuse of methamphetamine, case of MACM such as ours are more frequently being encountered in the emergency departments. In addition to raising awareness, our case provides an outline of how MACM patients likely may present and the subsequent morbid sequela. Clinicians should maintain a high degree of suspicion when assessing all patients with a history of methamphetamine abuse. Early cardiac evaluation can help identify ventricular compromise in asymptomatic patients providing an opportunity to intervene prior to the development of irreversible MACM.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35882087","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