European Journal of Emergency Medicine最新文献

{"title":"Intranasal analgesia as an alternative to intravenous therapy for acute pain in adult emergency department patients: a systematic review.","authors":"Christèle Asmar, Raphaël Asmar, Ryan Hindy, Alain El Asmar, Joëlle Khadra Eid","doi":"10.1097/MEJ.0000000000001341","DOIUrl":"10.1097/MEJ.0000000000001341","url":null,"abstract":"<p><strong>Background: </strong>Analgesia in the emergency department (ED) is often delayed by the need for intravenous (i.v.) access. Intranasal (i.n.) analgesics offer rapid, needle-free delivery, but their effectiveness relative to i.v. therapy in adults remains uncertain.</p><p><strong>Methods: </strong>A descriptive systematic review was conducted in accordance with PRISMA guidelines, searching electronic databases from inception through December 2025. Randomized and observational studies enrolling adults with acute ED pain were included if they compared i.n. and i.v. analgesics. Outcomes included pain intensity or change within 60 min, time to analgesia, rescue analgesia, and adverse events.</p><p><strong>Results: </strong>Eighteen studies involving 1950 patients were included. I.v. analgesics produced faster pain reduction at early timepoints (≤5-10 min). I.n. analgesics, including ketamine and opioids, achieved clinically meaningful pain relief within 15-30 min, with similar pain control to i.v. therapy by 30-60 min. Both rescue analgesia and adverse event rates were comparable between routes.</p><p><strong>Conclusions: </strong>I.n. analgesia is an effective and safe option for selected adult ED patients, particularly when i.v. access is delayed or unnecessary. These findings support the selective use of i.n. analgesics as part of ED pain management strategies.</p>","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"313-323"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671717","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}

{"title":"Adding age and sex to improve adverse outcome prediction in suspected infection: validation of a modified National Early Warning Score in the emergency department.","authors":"Oren Turgman, Catalien M Boelens, Michiel Schinkel, Willem Joost Wiersinga, Tom van der Poll","doi":"10.1097/MEJ.0000000000001363","DOIUrl":"10.1097/MEJ.0000000000001363","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"33 5","pages":"362-364"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839586","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}

{"title":"Corridor care, responsibility and red lines.","authors":"Tom Roberts, Ryan McHenry","doi":"10.1097/MEJ.0000000000001322","DOIUrl":"10.1097/MEJ.0000000000001322","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"301-302"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282956","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}

{"title":"Incidence of hypothermia in trauma patients in tropical environments: the HypoTrop Study.","authors":"Alexis Fremery, Nicolas Higel, Jean-Marc Pujo, Frédéric Lapostolle","doi":"10.1097/MEJ.0000000000001325","DOIUrl":"https://doi.org/10.1097/MEJ.0000000000001325","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"33 5","pages":"356-358"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839629","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}

{"title":"Associations between physician work practices and productivity in emergency departments: a systematic review.","authors":"Malgorzata Kopaczek-Styczen, Ellinor Berglund, Martin Nordberg, Jenny Liu, Li Jin Yang, Kristian Ängeby","doi":"10.1097/MEJ.0000000000001352","DOIUrl":"10.1097/MEJ.0000000000001352","url":null,"abstract":"<p><strong>Background and importance: </strong>Emergency department operation depends on system-level efficiency and individual physician productivity. Although organizational interventions are well described, evidence on modifiable, clinician-level work practices remain limited.</p><p><strong>Objective: </strong>To identify and synthesize evidence on individual work practices associated with higher levels of physician productivity in emergency departments, and to assess their potential transferability through training.</p><p><strong>Design: </strong>Systematic review conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines and registered in PROSPERO.</p><p><strong>Settings and participants: </strong>Primary studies involving physicians working in adult or pediatric emergency departments.</p><p><strong>Intervention or exposure: </strong>Budget-neutral, modifiable work practices attributable to individual physicians' behavior.</p><p><strong>Outcome measures and analysis: </strong>Studies were required to report a quantifiable productivity outcome per unit time (eg, patients per hour or relative value units per hour). Heterogeneity in methods and outcomes precluded meta-analysis. Findings were synthesized narratively and supplemented by an inductive process applied to extracted study findings to categorize and integrate heterogenous evidence.</p><p><strong>Main results: </strong>Ten studies met the inclusion criteria: three direct observational studies, six retrospective observational studies, and one interventional study, all conducted in the United States. Two domains of productive work practices clearly emerged in the literature: controlled multitasking (nonlinear association with productivity) and team communication (consistent positive association with productivity). The only interventional study reported no measurable improvement in productivity following a lecture on evidence-based work practices.</p><p><strong>Conclusion: </strong>Controlled multitasking and team communication practices show the strongest associations with productivity across studies. However, evidence remains limited, underscoring the need for further investigation.</p>","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"304-312"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147867314","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}

{"title":"Association of early non-opioid analgesic use with emergency department length of stay in acute abdominal pain.","authors":"Katsuhiro Ogawa, Shunsuke Sasao, Masaaki Iwatsuki, Hiroki Irie","doi":"10.1097/MEJ.0000000000001324","DOIUrl":"https://doi.org/10.1097/MEJ.0000000000001324","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"33 5","pages":"365-366"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839570","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}

{"title":"Gender disparities in analgesia for acute abdominal pain - a call to action for emergency medicine.","authors":"Charlotte Grace Underwood, Rebecca Mawson","doi":"10.1097/MEJ.0000000000001333","DOIUrl":"10.1097/MEJ.0000000000001333","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":" ","pages":"303"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632944","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}

{"title":"Resuscitative thoracotomy for traumatic cardiac arrest in settings where penetrating injury is uncommon: insights from the Austrian multi-society consensus.","authors":"Martin W Dünser, Daniel Grassmann, Mario Krammel, Paul Puchwein","doi":"10.1097/MEJ.0000000000001364","DOIUrl":"https://doi.org/10.1097/MEJ.0000000000001364","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"33 5","pages":"297-300"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839606","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}

{"title":"A review issue - in a journal for all of emergency medicine, and only emergency medicine.","authors":"Yonathan Freund","doi":"10.1097/MEJ.0000000000001368","DOIUrl":"https://doi.org/10.1097/MEJ.0000000000001368","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"33 5","pages":"295-296"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839655","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}

{"title":"Response to: Before glial fibrillary acidic protein and ubiquitin C-terminal hydrolase-L1 can be recommended for identifying cerebral lesions in mild traumatic brain injury, all influencing factors must be taken into account.","authors":"Lara Milevoj Kopcinovic, Nora Nikolac Gabaj","doi":"10.1097/MEJ.0000000000001332","DOIUrl":"https://doi.org/10.1097/MEJ.0000000000001332","url":null,"abstract":"","PeriodicalId":11893,"journal":{"name":"European Journal of Emergency Medicine","volume":"33 5","pages":"368-369"},"PeriodicalIF":5.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839573","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}