Eurasian Journal of Emergency Medicine最新文献_第6页

A Pilot Study of Inhaled Low-dose Methoxyflurane to Support Cunningham Reduction of Anterior Shoulder Dislocation 吸入低剂量甲氧基氟醚支持肩关节前脱位Cunningham复位术的初步研究

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI: 10.4274/eajem.galenos.2022.03206

Samuel Campbell, H. Wiemer, Ryan Fitzpatrick, C. Carriere, S. Teed, P. Hico, A. Snook

{"title":"A Pilot Study of Inhaled Low-dose Methoxyflurane to Support Cunningham Reduction of Anterior Shoulder Dislocation","authors":"Samuel Campbell, H. Wiemer, Ryan Fitzpatrick, C. Carriere, S. Teed, P. Hico, A. Snook","doi":"10.4274/eajem.galenos.2022.03206","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.03206","url":null,"abstract":"Aim: The Cunningham method allows for the reduction of anterior shoulder dislocations (ASD) without procedural sedation and analgesia (PSA) in some patients. This pilot study evaluates the feasibility of investigating whether the administration of inhaled methoxyflurane (I-MEOF) increases the success rate of Cunningham reduction of ASD. Materials and Methods: Twenty patients with uncomplicated ASD underwent reduction attempts using the Cunningham method supported by I-MEOF analgesia (Cunningham/I-MEOF). Outcomes included the success rate without the requirement for PSA, emergency department length of stay (LOS), and operator and patient satisfaction. Results: Of the patients enrolled. 80% were male, median age was 38.6 years (range 18-71) and 55% were the first dislocations. 35% (8/20 patients) were successfully reduced using Cunningham/I-MEOF. The remainder of patients proceeded to successful closed reduction under PSA. 60% of operators reported good to excellent satisfaction with the process. Operators identified the primary cause of failed initial reduction attempts as inadequate muscle relaxation. 80% of patients reported good to excellent satisfaction. Patients whose initial reduction attempt with Cunningham/I-MEOF was successful had an average LOS of 149 min, compared with 216 min for those who proceeded to reduction under PSA. Conclusion: Success with ASD reduction by the Cunningham technique was marginally increased with the use of I-MEOF, although 65% of patients still required PSA to facilitate reduction. Both providers and patients found the process generally satisfactory, suggesting that early administration of analgesia is appreciated.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41679511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mesenteric Cyst in a Child with Abdominal Pain: A Perspective from Emergency Department Attendance 肠系膜囊肿儿童腹痛:从急诊就诊的角度

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI: 10.4274/eajem.galenos.2022.81905

Sarah Mohammed Bin Hariz, Ahmed Hasan AlZaabi, Ghazy Habeeb Lutf, B. Tesfayohannes, Ayesha Almemari

引用次数: 1

Retrospective Analysis of Bicycle Accidents at a Referral Pediatric Emergency Department: Mechanisms, Outcomes and Perspectives 转诊儿科急诊科自行车事故的回顾性分析：机制、结果和展望

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI: 10.4274/eajem.galenos.2022.79446

L. Akcan Yıldız, A. Tagiyev, Ö. Tekşam

{"title":"Retrospective Analysis of Bicycle Accidents at a Referral Pediatric Emergency Department: Mechanisms, Outcomes and Perspectives","authors":"L. Akcan Yıldız, A. Tagiyev, Ö. Tekşam","doi":"10.4274/eajem.galenos.2022.79446","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.79446","url":null,"abstract":"Aim: We investigated the characteristics of patients involved in bicycle accidents, along with the mechanisms of accidents and clinical outcomes in children. Our secondary aim was to assess the characteristics of patients with serious clinical consequences, such as traumatic brain injury (TBI) and permanent neurological sequelae. Materials and Methods: Children admitted to the pediatric emergency department of a tertiary referral hospital during a four-year period due to bicycle accidents were included. The mechanism of the accident was classified into two groups; high-energy trauma and low-energy trauma. Statistical analyses were performed to recognize injury patterns and clinical outcomes associated with the mechanism of the accident. Results: Three hundred-sixty children were included. Two of the injured patients were using a bicycle helmet. Twenty-nine patients (8.1%) required surgery. Fourteen patients had clinically important TBI. Eighteen patients had handlebar trauma to the abdomen. Eight patients had permanent neurological sequelae (vision loss in three, hearing loss in three, spasticity and hemiparesis in two patients) and two patients had finger amputations. Abrasions/soft tissue injuries, scalp fractures, maxillofacial fractures and TBI were also significantly more common types of injury in high-energy trauma. Conclusion: Although the recommendation of using helmets while riding was made two decades ago, the rate of helmet use is still very low in our country. In this retrospective cohort with low rate and no obligatory regulation of helmet use, high-energy bicycle accidents have caused significant clinical outcomes, including maxillofacial-scalp fractures, TBI, permanent sensory (visual and hearing) or motor (spasticity and hemiparesis) disability.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45205541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A COVID-19 Patient Presenting with Acute Hepatitis 1例新冠肺炎患者急性肝炎

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI: 10.4274/eajem.galenos.2021.38247

M. Kaya, Simge Fidan Sarı

引用次数: 1

Religious Coping in the Parents of Critically Ill Children 危重儿童父母的宗教应对

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI: 10.4274/eajem.galenos.2022.29052

H. Çaksen

引用次数: 0

COVID-19 Pandemic-are the Biggest Challenge Yet? 新冠肺炎大流行是迄今为止最大的挑战吗？

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI: 10.4274/eajem.galenos.2021.03016

Burak Katipoğlu, M. Jaguszewski, M. Pruc, Dorota Sagan, L. Szarpak

引用次数: 1

Is the Hospital Anxiety and Depression Scale a Useful Tool for Evaluating Suicide Patients in Emergency Department? A Crosssectional Study 医院焦虑抑郁量表是评估急诊科自杀患者的有效工具吗?横断面研究

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-09-14 DOI: 10.4274/eajem.galenos.2021.26504

Volkan Çelebi, Adeviyye Karaca, R. Güven, M. N. Bozdemir, Mustafa Keşaplı, B. Kulaksızoğlu

引用次数: 0

Effects of Atmospheric Changes on Spontaneous Pneumothorax 大气变化对自发性胸腔积液的影响

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-09-14 DOI: 10.4274/eajem.galenos.2021.68725

M. Haberal, E. Akar, Özlem Şengören Dikiş, Muharrem Özkaya, M. Ay, H. Kaya, Melih Yüksel

{"title":"Effects of Atmospheric Changes on Spontaneous Pneumothorax","authors":"M. Haberal, E. Akar, Özlem Şengören Dikiş, Muharrem Özkaya, M. Ay, H. Kaya, Melih Yüksel","doi":"10.4274/eajem.galenos.2021.68725","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.68725","url":null,"abstract":"Aim: Inconsistent results were reported in studies on the relationship between pneumothorax and meteorological condition. We investigated whether meteorological variables increase the incidence of pneumothorax application in a region of Turkey with intense southwestern winds. Materials and Methods: The study was conducted retrospectively using the hospital records of patients diagnosed with spontaneous pneumothorax (SP) at the emergency department or thoracic surgery outpatient clinics between January 2016 and December 2018. The admissions were grouped according to the month and seasons. Meteorological data, including daily mean temperatures (°C), atmospheric pressure (millibars), moisture (%), and wind (m/s), were obtained from the local meteorological directorate. The meteorological data on the days with and without SP were compared. Results: ‎ Total 264 patients diagnosed as pneumothorax included to this study. Of the patients, 27 (10.2%) were female, and 237 (89.8%) were male. The mean age was 36.71±17.95 years (between 18-92). Of these patients, 185 (70.0%) had primary SP, while 79 (29.9%) had secondary SP (SSP). During the study period, lower atmospheric pressure, humidity and higher °C were detected in July, August and September (<0.05). SSP was significantly higher in August and September (p<0.05). While southwestern winds were recorded on 703 days (74.5%), there were 214 days (22.7%) without such winds. Regarding the daily number of pneumothorax patient admissions, there was no statistically significant relationship between southwestern winds and SP. Conclusion: SSP was significantly higher in August and September because of lower atmospheric pressure, humidity and higher °C.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42508362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HACOR Score in Predicting Non-invasive Ventilation Failure in Acute Decompensated Heart Failure and AECOAD Patients HACOR评分预测急性失代偿性心力衰竭和AECOAD患者无创通气衰竭的价值

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-09-14 DOI: 10.4274/eajem.galenos.2022.09734

Yong Hup Teh, Mohd Zahir Amin Mohd Nazri, Abdul Muhaimin Noor Azhar, Rabiha Mohd Alip

{"title":"HACOR Score in Predicting Non-invasive Ventilation Failure in Acute Decompensated Heart Failure and AECOAD Patients","authors":"Yong Hup Teh, Mohd Zahir Amin Mohd Nazri, Abdul Muhaimin Noor Azhar, Rabiha Mohd Alip","doi":"10.4274/eajem.galenos.2022.09734","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.09734","url":null,"abstract":"Aim: To compare the diagnostic accuracy of HACOR score in predicting non-invasive ventilation (NIV) failure among acute exacerbation of chronic obstructive airway disease and acute decompensated heart failure patients, and study the correlation of HACOR score with a length of stay and hospital mortality rate. Materials and Methods: A prospective observational study was conducted in the Emergency Department of Hospital Melaka. We enrolled patients who presented with acute respiratory distress and started them with NIV. The efficacy of the HACOR score is evaluated at several interval time points, before NIV initiation, 1 h, 2 h post NIV initiation. Results: HACOR score is much lower in NIV success subgroups and 100% NIV failure rate for the HACOR score more than 7 at 1 h and 2 h of NIV. With a cut-off value of more than 5 in 1 h of NIV, the diagnostic power is 86.27% with a sensitivity of 62.50% and specificity of 90.70%. While at 2 h of NIV the HACOR score of more than 5, its diagnostic power is 87.50% a sensitivity of 50% and specificity of 95%. In 0-2 hours of NIV, area under the curve for predicting NIV failure was 0.788, 0.868 and 0.925, respectively. Conclusion: The HACOR has good diagnostic accuracy when it is assessed at 1-2 h of NIV. It is convenient to use it to assess the efficacy of NIV especially for heart failure patients. However, HACOR score was a weak predictor of mortality in our study. The length of hospital stay was also found to be longer for those who failed to respond to NIV in our study.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47633583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Severe Pain on Transmyocardial Repolarization Parameters in Renal Colic Patients 剧烈疼痛对肾绞痛患者心肌复极参数的影响

IF 0.2

Eurasian Journal of Emergency Medicine Pub Date : 2022-09-14 DOI: 10.4274/eajem.galenos.2020.42275

M. Tandoğan, E. Emektar, Seda Dağar, Yücel Yüzbaşıoğlu, Handan Özen Olcay, Tuba Şafak, Y. Katırcı, Y. Çevik

引用次数: 0