European Journal of Emergency Medicine最新文献

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Response to 'Prehospital versus emergency department noninvasive ventilation: oxygen, outcomes, and mediator' by Felhmann et al. Felhmann等人对“院前与急诊科无创通气:氧气、结果和介质”的反应。
IF 3.1 4区 医学
European Journal of Emergency Medicine Pub Date : 2025-02-01 Epub Date: 2024-12-23 DOI: 10.1097/MEJ.0000000000001188
Judith Gorlicki, Josep Masip, Òscar Miró
{"title":"Response to 'Prehospital versus emergency department noninvasive ventilation: oxygen, outcomes, and mediator' by Felhmann et al.","authors":"Judith Gorlicki, Josep Masip, Òscar Miró","doi":"10.1097/MEJ.0000000000001188","DOIUrl":"https://doi.org/10.1097/MEJ.0000000000001188","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"32 1","pages":"70-72"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Prehospital versus emergency department noninvasive ventilation: oxygen, outcomes, and mediator. 院前与急诊科无创通气:氧气、结局和中介。
IF 3.1 4区 医学
European Journal of Emergency Medicine Pub Date : 2025-02-01 Epub Date: 2024-12-23 DOI: 10.1097/MEJ.0000000000001157
Christophe A Fehlmann, Birgit Gartner, Stephan Von During, Thibaut Desmettre, Laurent Suppan
{"title":"Prehospital versus emergency department noninvasive ventilation: oxygen, outcomes, and mediator.","authors":"Christophe A Fehlmann, Birgit Gartner, Stephan Von During, Thibaut Desmettre, Laurent Suppan","doi":"10.1097/MEJ.0000000000001157","DOIUrl":"10.1097/MEJ.0000000000001157","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"32 1","pages":"69-70"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life beyond exams: the role of workplace-based assessments and observation in emergency medicine training. 考试之外的生活:基于工作场所的评估和观察在急诊医学培训中的作用。
IF 3.1 4区 医学
European Journal of Emergency Medicine Pub Date : 2025-02-01 Epub Date: 2024-10-28 DOI: 10.1097/MEJ.0000000000001192
Rosa McNamara
{"title":"Life beyond exams: the role of workplace-based assessments and observation in emergency medicine training.","authors":"Rosa McNamara","doi":"10.1097/MEJ.0000000000001192","DOIUrl":"10.1097/MEJ.0000000000001192","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"3-4"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Global emergency medicine research priorities: a mapping review. 全球急诊医学研究重点:绘图审查。
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2025-02-01 Epub Date: 2024-09-16 DOI: 10.1097/MEJ.0000000000001182
Erin Kim, Prashant Mahajan, Chris Barousse, Vijaya A Kumar, Shu-Ling Chong, Apoorva Belle, Dominik Roth
{"title":"Global emergency medicine research priorities: a mapping review.","authors":"Erin Kim, Prashant Mahajan, Chris Barousse, Vijaya A Kumar, Shu-Ling Chong, Apoorva Belle, Dominik Roth","doi":"10.1097/MEJ.0000000000001182","DOIUrl":"10.1097/MEJ.0000000000001182","url":null,"abstract":"<p><p>Recognizing and prioritizing research areas in emergency care is crucial for generating evidence and advancing research programs, aiming to enhance health outcomes for both individuals and populations. The objective of this review is to document global clinical and nonclinical research priorities. The Emergency Medicine Education and Research by Global Experts network, consisting of 22 sites across six continents, conducted a mapping review of publications on emergency medicine research priorities (2000-2022) across seven databases. We included studies with replicable methodologies for determining research priorities, excluding those limited to individual diseases. Three reviewers independently screened, selected, and categorized results into clinical and nonclinical topics. Discrepancies were resolved by an independent investigator and consensus. Outcomes measures and analysis include descriptive analysis of research priorities grouped into clinical and nonclinical topics, characteristics of publications including countries represented in the author list, target audience (such as researchers or policy makers), participants (e.g. patients), and methods (e.g. Delphi) of priority setting. Among 968 screened papers, 57 publications from all WHO regions were included. Most (36, 63%) had authors from only a single country, primarily in North America and Europe. Patient representatives were included in only 10 (18%). Clinical research priorities clustered into resuscitation, cardiology, central nervous system, emergency medical services, infectious disease, mental health, respiratory disease, and trauma. Distribution was broad in North America and Europe but focused on infectious diseases and resuscitation in Africa and Asia. Eleven nonclinical topics included access to care, health policy, screening/triage, social determinants of health, staffing, technology/simulation, shared decision making, cross-sectoral collaboration, education, patient-centered care, and research networks. Nonclinical topics were broad in Europe and America, focused on access to care and health screening in Africa, and mostly absent in other WHO regions. Published research priorities in emergency medicine are heterogeneous and geographically limited, mostly containing groups of authors from the same country. The majority of publications in global research priority setting stem from Western countries, covering a broad spectrum of clinical and nonclinical topics. Research priorities from Africa and Asia tend to focus on specific issues more prevalent in those regions of the world.</p>","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"12-21"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Traumatic brain injury consensus: is it enough? 脑外伤共识:够不够?
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1097/MEJ.0000000000001169
Michal Pruc, Natasza Blek, Lukasz Szarpak
{"title":"Traumatic brain injury consensus: is it enough?","authors":"Michal Pruc, Natasza Blek, Lukasz Szarpak","doi":"10.1097/MEJ.0000000000001169","DOIUrl":"10.1097/MEJ.0000000000001169","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"31 6","pages":"442"},"PeriodicalIF":4.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Sex and gender need to be integrated into emergency medicine: recommendations for research and clinical practice. 急诊医学需要纳入性别和社会性别的内容。对研究和临床实践的建议。
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-07-22 DOI: 10.1097/MEJ.0000000000001162
Blanca Coll-Vinent, Gisela Sugranyes
{"title":"Sex and gender need to be integrated into emergency medicine: recommendations for research and clinical practice.","authors":"Blanca Coll-Vinent, Gisela Sugranyes","doi":"10.1097/MEJ.0000000000001162","DOIUrl":"10.1097/MEJ.0000000000001162","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"373-375"},"PeriodicalIF":4.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
High-flow nasal cannula oxygen therapy versus noninvasive ventilation in acute respiratory failure related to suspected or confirmed acute heart failure: a systematic review with meta-analysis. 在疑似或确诊急性心力衰竭相关的急性呼吸衰竭中,高流量鼻插管吸氧疗法与无创通气疗法的比较:系统综述与荟萃分析。
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-19 DOI: 10.1097/MEJ.0000000000001171
Nicolas Marjanovic, Raphael Couvreur, Jennifer Lamarre, Melyne Piton, Jérémy Guenezan, Olivier Mimoz
{"title":"High-flow nasal cannula oxygen therapy versus noninvasive ventilation in acute respiratory failure related to suspected or confirmed acute heart failure: a systematic review with meta-analysis.","authors":"Nicolas Marjanovic, Raphael Couvreur, Jennifer Lamarre, Melyne Piton, Jérémy Guenezan, Olivier Mimoz","doi":"10.1097/MEJ.0000000000001171","DOIUrl":"10.1097/MEJ.0000000000001171","url":null,"abstract":"<p><p>The objective of this review is to compare high-flow nasal cannula (HFNC) oxygen (High flow oxygen) and noninvasive ventilation (NIV) for the management of acute respiratory failure secondary to suspected or confirmed acute heart failure (AHF). A comprehensive and relevant literature search of MEDLINE, Web of Science, and the Cochrane Library was conducted using Medical Subject Heading and Free text terms from January 2010 to March 2024. All randomized clinical trials and observational retrospective and prospective studies reporting adult patients with acute respiratory failure due to suspected or confirmed AHF and comparing HFNC to NIV were included. Primary outcome included treatment failure, as a composite outcome including early termination to the allocated treatment, need for in-hospital intubation or mortality, or the definition used in the study for treatment failure if adequate. Secondary outcomes included change in respiratory rate and dyspnea intensity after treatment initiation, patient comfort, invasive mechanical ventilation requirement, and day-30 mortality. Six of the 802 identified studies were selected for final analysis, including 572 patients (221 assigned to high flow and 351 to NIV). Treatment failure rate was 20% and 13% in the high flow oxygen and NIV groups, respectively [estimated odds ratio (OR): 1.7, 95% confidence interval (95% CI): 0.9-3.1] in randomized studies and 34% and 16% in the high flow oxygen and NIV groups, respectively (OR: 3.1, 95% CI: 0.7-13.5), in observational studies. Tracheal intubation requirement was 7% and 5% of patients in the HFNC and NIV groups, respectively (OR: 1.4, 95% CI: 0.5-3.5) in randomized studies, and 20% and 9% in the high flow oxygen and NIV group, respectively (OR: 2.1, 95% CI: 0.5-9.4) in observational studies. Mortality was 13% and 8% in the high flow oxygen and the NIV groups, respectively (OR: 1.8, 95% CI: 0.8-1.1) in randomized studies and 14% and 9% in the high flow oxygen and the NIV groups, respectively (OR: 1.4, 95% CI: 0.5-3.7) in observational studies. Compared with NIV, high flow oxygen was not associated with a higher risk of treatment failure during initial management of patients with acute respiratory failure related to suspected or confirmed AHF.</p>","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"388-397"},"PeriodicalIF":4.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Bedside-focused transthoracic echocardiography in acute atraumatic thoracic aortic syndrome: a systematic review and meta-analysis of diagnostic accuracy. 急性创伤性胸主动脉综合征的床旁聚焦经胸超声心动图:诊断准确性的系统回顾和荟萃分析。
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI: 10.1097/MEJ.0000000000001174
Nick Mani, Nishant Cherian, Julia Burkert, Robert David Jarman
{"title":"Bedside-focused transthoracic echocardiography in acute atraumatic thoracic aortic syndrome: a systematic review and meta-analysis of diagnostic accuracy.","authors":"Nick Mani, Nishant Cherian, Julia Burkert, Robert David Jarman","doi":"10.1097/MEJ.0000000000001174","DOIUrl":"10.1097/MEJ.0000000000001174","url":null,"abstract":"<p><p>The objective of this review was to assess the diagnostic accuracy of bedside-focused transthoracic echocardiography (TTE) in acute atraumatic thoracic aortic syndrome in adults. We performed a systematic review and meta-analysis of publications that described the use of bedside-focused TTE on adults presenting to emergency care settings with suspected atraumatic thoracic aortic syndrome. Studies were identified using keyword and MeSH on relevant databases as well as grey literature, followed by abstract screening and study selection by two independent reviewers. Sixteen studies over six decades were included in the meta-analysis ( n  = 4569 patients). The prevalence of type A thoracic aortic dissection was 11% (range 1.4-45.7%) and type B dissection was 7% (range 1.8-30.55%). Pooled sensitivity and specificity for type A dissection (through direct TTE visualisation of an intimal flap) were 89% [95% confidence interval (CI), 82-94%] and 92% (95% CI, 88-95%), respectively. For type B dissection, pooled sensitivity was 65% (95% CI, 45-80%) and specificity was 100% (95% CI, 0.69-100%). Regarding indirect TTE signs, pooled sensitivities and specificities were 64% (5.2-98.2%) and 94% (92-96.1%), respectively for aortic valve regurgitation, 92% (54-99.2%) and 87% (62-97%) for thoracic aortic aneurysm and 39% (33.8-45%) and 94% (92-95%) for pericardial effusion. In this systematic review and meta-analysis, bedside-focused TTE has high specificity for type A and B dissection, a moderate to high sensitivity for type A but poor for type B, and unclear diagnostic accuracy for intramural haematoma and penetrating aortic ulcer.</p>","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"398-412"},"PeriodicalIF":4.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Hospital vulnerabilities to a changing climate: climate-adaptive strategies in emergency care. 医院在不断变化的气候中的脆弱性:急诊护理中的气候适应战略。
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-08 DOI: 10.1097/MEJ.0000000000001186
Krzysztof Goniewicz, Renske W J Kusters, Trudy van Dijken, Fredrik Granholm, Attila J Hertelendy
{"title":"Hospital vulnerabilities to a changing climate: climate-adaptive strategies in emergency care.","authors":"Krzysztof Goniewicz, Renske W J Kusters, Trudy van Dijken, Fredrik Granholm, Attila J Hertelendy","doi":"10.1097/MEJ.0000000000001186","DOIUrl":"10.1097/MEJ.0000000000001186","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"385-387"},"PeriodicalIF":4.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Breaking the ceiling: considering gender disparity in emergency care. 打破天花板:考虑急诊护理中的性别差异。
IF 4.2 4区 医学
European Journal of Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1097/MEJ.0000000000001195
Derek A Robinett, Lauren A Walter
{"title":"Breaking the ceiling: considering gender disparity in emergency care.","authors":"Derek A Robinett, Lauren A Walter","doi":"10.1097/MEJ.0000000000001195","DOIUrl":"10.1097/MEJ.0000000000001195","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"31 6","pages":"371-372"},"PeriodicalIF":4.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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