International Journal of Emergency Medicine最新文献

{"title":"Early neurological wake-up test in intubated patients with traumatic brain injury.","authors":"Meng Jiang, Chang-Li Li, Xiao-Peng Wu, Xing-Chen Lin, Yuan-Run Zhu, Li-Gang Xu, Xiao-Feng Yang","doi":"10.1186/s12245-025-00867-7","DOIUrl":"10.1186/s12245-025-00867-7","url":null,"abstract":"<p><strong>Background: </strong>Daily wake-up has been implemented widely in intensive care units (ICU) and could improve the patients' prognosis. However, little is known about the benefit of early neurological wake-up test (ENWT) in patients with acute traumatic brain injury (TBI). We aimed to investigate the role of ENWT as a clinical monitoring tool for TBI and its association with prognosis.</p><p><strong>Methods: </strong>This is an observational retrospective study included intubated and continuously sedated TBI in ICU, and all data were extracted from three tertiary hospitals from China. The main exposure of interest was ENWT, defined as cessation of sedation within 24 h after admission. The primary outcome was 28-day mortality. Propensity score matching (PSM) was performed at a 1:1 ratio. Multivariable analyses were further used to adjust for residual confounders.</p><p><strong>Results: </strong>The pre-matched and propensity score-matched cohorts included 1386 and 704 patients, respectively. In the PSM analysis, 28-day mortality was 24.7% (87/352) in the ENWT group and 37.2% (131/352) in the control group. ENWT was associated with lower 28-day mortality (hazard ratio [HR], 0.57; 95% CI, 0.44-0.76; P < 0.001). ENWT was also associated with lower in-hospital mortality (odds ratio [OR], 0.54; 95% CI, 0.38-0.77; P = 0.001), and higher discharge-home rate (OR, 1.83; 95% CI, 1.19-2.83; P = 0.006). A sensitivity analysis using the entire cohort also demonstrated lower 28-day mortality (HR, 0.58; 95% CI, 0.44-0.75; P < 0.001). However, it should be noted that ENWT was related to a higher rate of delirium during ICU stay (OR, 1.66; 95% CI, 1.21-2.26; P = 0.001). Further analysis demonstrated that tracheostomy during ICU stay led to a significant difference in 28-day mortality.</p><p><strong>Conclusion: </strong>ENWT was associated with a lower risk-adjusted 28-day mortality in acute TBI patients. A higher rate of tracheostomy may partly contribute to this relationship.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"63"},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752679","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}

{"title":"Posterior ischemic optic neuropathy following continuous renal replacement therapy: a case report.","authors":"Hiro Takefuji, Junpei Komagamine","doi":"10.1186/s12245-025-00872-w","DOIUrl":"https://doi.org/10.1186/s12245-025-00872-w","url":null,"abstract":"<p><strong>Background: </strong>Posterior ischemic optic neuropathy (PION) is a rare cause of acute vision loss in intensive care unit patients. PION following continuous renal replacement therapy (CRRT) hemodialysis has not ever been reported. Here, we report a case of bilateral nonarteritic PION following the initiation of CRRT.</p><p><strong>Case presentation: </strong>A 52-year-old man with hypertension and stage 4 chronic kidney disease was admitted due to metabolic acidosis, hyperkalemia, and acute exacerbation of CKD. CRRT caused transient hypotension upon initiation but corrected the metabolic acidosis and hyperkalemia six hours after initiation. Therefore, CRRT was stopped. However, several hours after the cessation of CRRT, the patient experienced sudden, painless vision loss in both eyes. Assessment of his visual acuity revealed the inability to perceive light in both eyes. There were no symptoms or signs of giant cell arteritis. An ophthalmological examination revealed no abnormalities. Magnetic resonance imaging of the brain revealed no compressive lesions or acute stroke, but magnetic resonance angiography revealed stenosis of both the bilateral carotid artery and the right middle cerebral artery. Administration of a high dose of corticosteroids did not reverse his vision loss. Thus, nonarteritic PION following CRRT was diagnosed.</p><p><strong>Conclusions: </strong>PION should be considered if a patient with multiple vascular risk factors complains of sudden painless vision loss without signs of optic disk edema after the initiation of CRRT. Preventing blood pressure drops during the initiation of CRRT in patients with multiple vascular risk factors may prevent PION.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"62"},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742818","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}

{"title":"Successful outcome following intralipid emulsion and plasmapheresis in a patient with profound neurologic and cardiovascular manifestations due to nortriptyline poisoning: a case report.","authors":"Asma Ahmadinejad, Amir Saeed, Marzieh Davoodi","doi":"10.1186/s12245-025-00824-4","DOIUrl":"10.1186/s12245-025-00824-4","url":null,"abstract":"<p><strong>Objective: </strong>Tricyclic antidepressants (TCAs) are used to treat depression, but if abused or misused, they can cause poisoning, which can be fatal. The main treatment for TCA poisoning is administering sodium bicarbonate.</p><p><strong>Methods: </strong>We report a 16-year-old girl diagnosed with nortriptyline poisoning with a profound neurologic and cardiovascular manifestations, successfully treated using sodium bicarbonate, intralipid emulsion, and plasmapheresis.</p><p><strong>Conclusions: </strong>Plasmapheresis can be a good treatment modality for patients with TCA poisoning who do not respond well to classic treatments.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"61"},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730017","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}

{"title":"An original closed reduction technique for acute shoulder dislocation: the wrist-clamping and shoulder-lifting.","authors":"Wanwu Dai, Lei Liu, Shuang Zong, Yong Zhou, Jun Zheng, Xingyan Li","doi":"10.1186/s12245-025-00866-8","DOIUrl":"10.1186/s12245-025-00866-8","url":null,"abstract":"<p><strong>Background: </strong>Acute anterior shoulder dislocation is one of the most common injuries in emergency medicine and orthopaedics. The aim of this study is to introduce a new closed reduction technique: the wrist-clamping and shoulder-lifting, for manual reduction of acute anterior shoulder dislocation.</p><p><strong>Patients and methods: </strong>The patient is instructed to a sitting position, the doctor hold the wrist of the arm with both hands, slowly rotated the arm to 90-degree of abduction and 60-degree of external rotation with gentle strength. After the shoulder muscles were relaxed by continuous traction, the wrist of the arm was clamped with knee joints when the arm was in 45-degree of abduction and 60-degree of external rotation. Then place hands on axilla and lift shoulder upward until the reduction is complete.</p><p><strong>Results: </strong>Thirty-six dislocated shoulders were successfully reduced with this technique, without fracture and iatrogenic neurovascular complications. No sedation, anesthesia, or intra-articular injection were used in all patients. All reduction procedures were performed by a single operator without assistance, and meantime for reduction was 3 min (range 1-8 min).</p><p><strong>Conclusions: </strong>The wrist-clamping and shoulder-lifting technique is a safe, simple, effective, gentle, fast and single-operator for anterior shoulder dislocations. Without sedation, anaesthesia, or intra-articular injection. This closed reduction technique enables orthopedists and emergency physicians to reduce the anterior shoulder dislocation smoothly and quickly, and provide a reliable and alternative reduction technique.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"60"},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718814","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}

{"title":"Patients' attitude and information-seeking behaviour on intra-venous fluid therapy in emergency department for common cold: a cross-sectional study.","authors":"Abdollah Malekian, Shiv Kumar Mudgal, Nipin Kalal, Shima Zaghi, Zohreh Hosseini Marznaki, Seyyed Hamid Hoseini, Fatemeh Keshavarzi, Seyed Mohammad Hosseininejad","doi":"10.1186/s12245-025-00852-0","DOIUrl":"10.1186/s12245-025-00852-0","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine patients' attitude and information-seeking behaviour related to intra-venous (IV) fluid use for the common cold visited in emergency department.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted from January to May 2024. A total of 365 patients aged 18 years and older presenting with cold symptoms were surveyed using a validated questionnaire. The survey assessed demographic information, attitudes towards IV fluid therapy, and the sources of information patients used. Descriptive statistics, and one-sample t-tests were performed to compare mean perceptions against a neutral score (e.g., 3 on a 5-point Likert scale) using SPSS version 21.</p><p><strong>Results: </strong>The mean age of participants was 39.35 ± 15.48 years, with 48.5% women and 51.5% men. Nearly two-third (62.19%) of participants were agree or strongly agree that patient with cold must receive IV Fluid to get well. While the majority of participants disagreed that IV fluid therapy strengthens the body (mean = 2.08 ± 1.02) or boosts immunity (mean = 2.03 ± 0.98), many perceived it as effective in infection elimination (mean = 3.81 ± 1.24) and disease prevention (mean = 3.18 ± 1.09). The majority of participants-81.92%, 88.49%, and 89.04%-agreed that sneezing, runny nose, and mild fever, respectively, required IV fluids. Key information sources were specialists (mean = 4.17 ± 1.17) and medical journals (mean = 3.83 ± 1.18), while general practitioners (mean = 2.43 ± 1.21) and social networks (mean = 2.6 ± 1.33) were less utilized.</p><p><strong>Conclusions: </strong>The findings highlight the need for public health education on the natural course of the common cold and the appropriate use of ED services to reduce unnecessary IV fluid administration.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"59"},"PeriodicalIF":2.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669758","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}

{"title":"Remifentanil use in critically Ill patients requiring mechanical ventilation is associated with increased delirium-free days: a retrospective study.","authors":"Junpei Haruna, Aki Sasaki, Satoshi Kazuma","doi":"10.1186/s12245-025-00846-y","DOIUrl":"10.1186/s12245-025-00846-y","url":null,"abstract":"<p><p>Intraoperative remifentanil reduces postoperative delirium incidence, unlike other opioids; however, its efficacy in medical emergencies with organ failure is unknown. We hypothesized that remifentanil use in nonoperative intensive care unit (ICU) patients requiring ventilatory management would improve delirium outcomes. This retrospective study included 95 nonoperative patients with unplanned ICU admissions requiring ventilatory opioids. Delirium was assessed using the Intensive Care Delirium Screening Checklist. Patients were divided into remifentanil and non-remifentanil groups; statistical adjustments were made using propensity score matching and inverse probability weighting. After matching, the remifentanil group had significantly more delirium-free days (DFDs) within 14 days than the non-remifentanil group (8 [5-11] vs. 5 [3-9], p < .001). Adjusted multivariate analysis showed that DFD was significantly increased in the remifentanil group (Odds ratio = 2.639 [95% CI 1.279-5.445]; p = 0.009). Remifentanil use in nonoperative ventilated ICU patients may reduce delirium duration.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"58"},"PeriodicalIF":2.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663411","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}

{"title":"Comprehensive management evaluation of anaphylactic shock in dental clinics across developing countries.","authors":"Maryam Kazempour, Fariba Shokri, Mehdi Shokri","doi":"10.1186/s12245-025-00840-4","DOIUrl":"10.1186/s12245-025-00840-4","url":null,"abstract":"<p><p>Anaphylaxis shock is defined as a sudden, severe allergic reaction that can be life-threatening and typically occurs within minutes to a few hours following exposure to a triggering substance. While anaphylaxis shock can be a rare side effect of dental treatments, including sedation and anesthesia, dentists must be prepared to respond promptly and appropriately to prevent complications such as airway obstruction and cardiac issues. In developing countries, managing anaphylactic shock presents challenges, often due to low awareness among dentists and a lack of necessary equipment. Immediate diagnosis and management are crucial in a dental setting when anaphylaxis shock occurs. Therefore, dental practitioners must be trained to diagnose and manage such situations effectively. A lack of comprehensive understanding of allergy testing, diagnosis, and management can have serious consequences.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"57"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11916972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648263","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}

{"title":"Impact of physician group practice in the operations, quality of care, and service satisfaction in the non-urgent section of an emergency department in a tertiary hospital in the Philippines: a mixed methods study.","authors":"Ma Lourdes Concepcion D Jimenez, Mark B Carascal, Marlouie D Figueras, John Q Wong, Roemer D Tanghal, Veincent Christian F Pepito, Rafael Manzanera","doi":"10.1186/s12245-025-00822-6","DOIUrl":"10.1186/s12245-025-00822-6","url":null,"abstract":"<p><strong>Background: </strong>The Emergency Department (ED) is a primary source of healthcare services for patients with non-urgent conditions in the Philippines. The adaptation of physician group practice (GP) in the ED has gained popularity in the country due to its potential advantage to patient management and physicians compared to independent consultancy (IC). This study aimed to determine the impacts of GP in a non-urgent ED setting in terms of operations, quality of care, and service satisfaction compared to IC.</p><p><strong>Methods: </strong>Historical data collection focusing on operations, service costs, patient outcomes, and satisfaction was performed between 2021 and 2022 at a tertiary for-profit private hospital in Metro Manila, Philippines. In addition, patient surveys on demographics, perception, ED accessibility, and descriptive satisfaction ratings were also administered in 2023 (n = 310). These aspects were compared between patients managed by GP and IC quantitatively using univariate descriptive statistics, Mann-Whitney U tests, and ANCOVA to compare operational metrics, financial data, and patient outcomes. Qualitative data from patient surveys were analyzed using a sequential-explanatory approach.</p><p><strong>Results: </strong>Our analysis of the historical data showed high rates of positive outcomes for non-urgent ED patients in both GP and IC. Total (PhP587,812 vs. PhP379,699; p < 0.001) and per patient (PhP1,801 vs. PhP554; p < 0.001) operational costs were higher for the GPs. However, GPs incurred shorter mean length of stay (165.5 vs. 214.2 min; p < 0.001). There appears to be no difference in service satisfaction and overall patient outcomes between patients managed by GP or IC, although patients of GP physicians assessed the level of care of the ED to be higher (5 vs. 4; p-value = 0.019). In the quantitative and qualitative ratings, most patients provided positive citations on ED service quality, staff, structure, system, physician competency and compassion.</p><p><strong>Conclusions: </strong>While GPs were associated with higher operational costs, they improved the ED efficiency and perceived quality of care without compromising patient outcomes. These findings support GP as a viable alternative model for improving ED operations. However, more research is needed to examine its long-term impacts.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"56"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633455","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}

{"title":"A comparison of SIEVE, SORT, and START triage training effectiveness between immersive interactive 3D learning materials using virtual reality (VR-SSST) and traditional methods in mass casualty incidents.","authors":"Kritsada Chumvanichaya, Chaiyaporn Yuksen, Promphet Nuanprom, Kasamon Aramvanitch","doi":"10.1186/s12245-025-00850-2","DOIUrl":"10.1186/s12245-025-00850-2","url":null,"abstract":"<p><strong>Introduction: </strong>Disaster triage is a crucial competency for paramedics. Traditional training methods, such as lectures and tabletop exercises (TTx), may not provide immersive and high-pressure experience necessary for optimal skill development. Virtual reality (VR) is innovative, allowing trainees to engage in realistic triage simulations in a controlled, interactive environment.</p><p><strong>Objective: </strong>The study aimed to compare the effectiveness of VR-based triage training and traditional methods by assessing knowledge, learner motivation, and practical skills through pre-and post-tests, the ARCS model, and live simulations.</p><p><strong>Methods: </strong>This method-oriented, randomized study was conducted over a 2-week intervention among 83 paramedic students and compared traditional lecture-based (n = 41) with VR-based (n = 42) training for MCI triage education among paramedic students at the Faculty of Medicine, Ramathibodi Hospital, Mahidol University. Both groups attended lectures. Knowledge was assessed through validated pre- and post-tests in four domains: memory, comprehension, application and analysis. Learner motivation was evaluated using the ARCS model (Attention, Relevance, Confidence, Satisfaction), and practical skills were measured during live simulations, assessing time use and a validated accuracy score that included triage steps, proper sequencing, and the correctness of triage judgment.</p><p><strong>Results: </strong>Both groups demonstrated significant improvements in post-test knowledge scores. The VR group scored higher across all ARCS model dimensions: attention (4.78 vs. 4.17, p < 0.001), relevance (4.79 vs. 4.37, p < 0.001), confidence (4.74 vs. 4.24, p < 0.001), and satisfaction (4.71 vs. 4.34, p < 0.001). In the practical triage assessment, the VR group achieved higher accuracy in SORT triage (14.39 vs. 12.09, p = 0.001) than the traditional group.</p><p><strong>Conclusion: </strong>Both training methods effectively improved disaster triage knowledge and skills. However, the VR-based method significantly enhanced learner motivation and SORT triage accuracy, suggesting that VR may be a valuable alternative to traditional TTx in disaster triage training.</p><p><strong>Clinical trial number: </strong>TCTR20241105003. Registration Site: Thai Clinical Trials Registry. URL: https://www.thaiclinicaltrials.org/show/TCTR20241105003 .</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"55"},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624555","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}

{"title":"A survey of emergency medicine physicians' knowledge, attitude, and practice towards esophagogastric variceal bleeding.","authors":"Zhenzhen Gao, Yusong Gao, Shuai Ma, Tianpeng Zhang, Junyuan Wu, Shubin Guo, Xue Mei","doi":"10.1186/s12245-025-00849-9","DOIUrl":"10.1186/s12245-025-00849-9","url":null,"abstract":"<p><strong>Background: </strong>Esophageal-gastric variceal bleeding (EVB) is one of the leading causes of mortality in patients with cirrhotic portal hypertension. Rapid, accurate, and effective emergency care is crucial for successful patient outcomes.</p><p><strong>Aims: </strong>This study aims to evaluate the knowledge, attitudes, and practices of Chinese emergency physicians regarding EVB, with the goal of improving the diagnosis and treatment of gastrointestinal bleeding in emergency settings.</p><p><strong>Methods: </strong>A self-designed questionnaire based on clinical guidelines was developed to assess EVB knowledge, attitudes, and practices of Chinese emergency physicians in treating EVB. An online survey was conducted among emergency physicians nationwide. Data were analyzed using descriptive statistics and correlation analysis.</p><p><strong>Results: </strong>The knowledge score for EVB was 11.2 ± 3.5 (total score was 22), indicating a relatively low level of understanding. Statistically significant differences in knowledge scores were observed across hospital grades, educational backgrounds, years of experience, professional titles, and participation in relevant training programs (P < 0.05). The mean attitude score for EVB was above 4 (total score was 5), reflecting a generally positive attitude among physicians. In terms of practices, the score for treatment behavior of EVB was 2.7 ± 1.2, and behavior was positively correlated with knowledge and attitude (P < 0.05).</p><p><strong>Conclusion: </strong>Chinese emergency physicians demonstrate a low level of knowledge about EVB treatment, although their attitudes remain positive. Their clinical practices in EVB management are also insufficient. Enhancing education on EVB and standardizing treatment protocols are necessary to improve patient outcomes.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"54"},"PeriodicalIF":2.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624556","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}