International Journal of Emergency Medicine最新文献_第4页

Challenges in diagnosing and treating distal common bile duct adenocarcinoma: A case report with literature insights.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-03-03 DOI: 10.1186/s12245-025-00859-7

Sakhr Alshwayyat, Hamdah Hanifa, Yamen Alshwaiyat, Mustafa Alshwayyat, Hussein Alhussein, Malak Abu-Naja, Tala Abdulsalam Alshwayyat, Basil Alsaleh, Mohammad Shafa'a, Muhammad Fadi Alkurdi

{"title":"Challenges in diagnosing and treating distal common bile duct adenocarcinoma: A case report with literature insights.","authors":"Sakhr Alshwayyat, Hamdah Hanifa, Yamen Alshwaiyat, Mustafa Alshwayyat, Hussein Alhussein, Malak Abu-Naja, Tala Abdulsalam Alshwayyat, Basil Alsaleh, Mohammad Shafa'a, Muhammad Fadi Alkurdi","doi":"10.1186/s12245-025-00859-7","DOIUrl":"10.1186/s12245-025-00859-7","url":null,"abstract":"Background: Adenocarcinoma of the distal common bile duct (CBD) is a rare and aggressive malignancy that is often diagnosed at an advanced stage owing to nonspecific symptoms and delayed presentation. This case report details the diagnostic and therapeutic challenges associated with distal CBD adenocarcinoma and highlights the need for an effective multidisciplinary approach.Case presentation: A 54-year-old male with a significant smoking history presented with persistent right upper abdominal pain, dark urine, and scleral jaundice. Imaging studies revealed intrahepatic bile duct dilatation, a mass obstructing the common bile duct, and thickened gallbladder walls. Despite initial antibiotic therapy for suspected cholangitis, the patient underwent endoscopic retrograde cholangiopancreatography (ERCP) and subsequently a surgical procedure. The surgical resection of a common bile duct adenocarcinoma with lymphovascular invasion was successful, with subsequent restoration of bile flow through Roux-en-Y hepaticojejunostomy. Histopathological analysis confirmed tumor characteristics and clear surgical margins. Postoperatively, the patient demonstrated significant clinical improvement with normalized bilirubin levels and received appropriate management for his oncologic condition.Conclusion: This case highlights the diagnostic complexity of distal CBD adenocarcinoma, particularly in patients with delayed symptoms. Multimodal imaging approaches and timely surgical intervention are crucial for effective management of this malignancy. Enhanced awareness of atypical presentations and advancements in targeted therapies holds promise for improving outcomes in such challenging cases.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"43"},"PeriodicalIF":2.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541914","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

Aspirin increases the risk of acute kidney injury in critical patients with chest trauma: a retrospective cohort study.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-28 DOI: 10.1186/s12245-025-00835-1

Yu Huang, Hongchun Xu, Feng Xiang, Wei Feng, Yuchao Ma, Longyu Jin

{"title":"Aspirin increases the risk of acute kidney injury in critical patients with chest trauma: a retrospective cohort study.","authors":"Yu Huang, Hongchun Xu, Feng Xiang, Wei Feng, Yuchao Ma, Longyu Jin","doi":"10.1186/s12245-025-00835-1","DOIUrl":"10.1186/s12245-025-00835-1","url":null,"abstract":"Purpose: Non-steroidal anti-inflammatory drugs (NSAIDs) are increasingly utilized in trauma patients, particularly those with critical chest trauma who are susceptible to significant blood loss, leading to renal hypoperfusion. Acute kidney injury (AKI) is known to carry a poor prognosis in chest trauma patients. Therefore, investigating the potential association between NSAID use and AKI risk in critical patients with chest trauma is crucial.Methods: We selected patients admitted to the intensive care unit (ICU) with chest trauma from the Medical Information Mart for Intensive Care III (MIMIC-III) dataset (2001-2012) and the Medical Information Mart for Intensive Care IV (MIMIC-IV) dataset (2013-2019). Propensity score matching (PSM) was used to match patients receiving NSAIDs with those not receiving treatment. Logistic regression was employed to assess the association between different types of NSAIDs and AKI in these patients.Results: In MIMIC-IV, NSAID use significantly increased the risk of AKI in critical patients with chest trauma (OR 1.99; 95% CI 1.04 to 3.85). Subgroup analysis revealed that aspirin significantly increased AKI risk in both MIMIC-III (OR 1.81; 95% CI 1.02 to 3.2) and MIMIC-IV (OR 2.47; 95% CI 1.26 to 4.85). However, ibuprofen and ketorolac use were not associated with AKI in these patients.Conclusion: We observed a significant association between aspirin use and an elevated risk of AKI in critical patients with chest trauma. These findings suggest that pain management strategies involving ibuprofen and ketorolac may be more appropriate for this patient population.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"38"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531527","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

Hepatic portal venous gas associated with ischemic colitis: a case report.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-25 DOI: 10.1186/s12245-025-00837-z

Lian Lin, Qianqian Zhou, Junlong Gao, Hong Zhang

{"title":"Hepatic portal venous gas associated with ischemic colitis: a case report.","authors":"Lian Lin, Qianqian Zhou, Junlong Gao, Hong Zhang","doi":"10.1186/s12245-025-00837-z","DOIUrl":"10.1186/s12245-025-00837-z","url":null,"abstract":"Background: Cases of Hepatic portal venous gas (HPVG) have been associated with high mortality rates and frequently require emergency exploratory laparotomy. However, the widespread utilization of computed tomography (CT) scans has revealed that HPVG is often connected to benign conditions, as demonstrated by numerous studies. Given the intricate nature of the underlying causes of HPVG, there remains a lack of consensus regarding the necessity of emergency surgical exploration for patients with HPVG.Case report: An octogenarian female patient was admitted to the emergency department due to abdominal pain, accompanied by symptoms of nausea and vomiting. A CT scan of the abdomen and pelvis revealed a significant presence of radiolucency in the peripheral branching of the liver, indicating the existence of portal venous gas. Subsequently, the patient was transferred to the Emergency Intensive Care Unit for further management. Colonoscopy of the patient reveals features consistent with ischemic colitis, characterized by mucosal congestion, edema, erosion, ulcers, with some ulcers covered by pseudomembranes. After undergoing a series of conservative treatments, the patient's condition improved, as confirmed by a follow-up CT scan of the abdomen and pelvis conducted 8 days later, which showed complete absorption of the gas. Consequently, the patient was discharged from the hospital.Conclusions: The management of HPVG should take into account the pathophysiology and clinical manifestation, and should be tailored towards addressing the root cause. The selection of surgical or conservative intervention should be guided by the underlying etiology, while the prognosis and outcome of HPVG are contingent upon the underlying cause.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"37"},"PeriodicalIF":2.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501024","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

Impaired consciousness due to hypermagnesemia associated with stercoral colitis: report of a rare case.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-25 DOI: 10.1186/s12245-025-00838-y

Kana Yanagisawa, Daisuke Mizu, Hidenori Higashi, Masataka Miyamoto, Mika Nagatomo

{"title":"Impaired consciousness due to hypermagnesemia associated with stercoral colitis: report of a rare case.","authors":"Kana Yanagisawa, Daisuke Mizu, Hidenori Higashi, Masataka Miyamoto, Mika Nagatomo","doi":"10.1186/s12245-025-00838-y","DOIUrl":"10.1186/s12245-025-00838-y","url":null,"abstract":"Background: Hypermagnesemia is a rare electrolyte abnormality that is difficult to diagnose because its symptoms are nonspecific. In addition to magnesium administration, renal dysfunction is often a major risk factor associated with the condition; severe intestinal dysfunction is also a known risk factor. However, no cases of hypermagnesemia were observed in the absence of magnesium administration.Case presentation: A 75-year-old woman with cognitive impairment presented to the emergency department with impaired consciousness. The patient was comatose and hypotensive and had a markedly distended abdomen. Her blood pressure was stabilized with infusion; however, the improvement in consciousness was insufficient and somnolence continued. Abdominal computed tomography revealed marked colonic distension due to fecal impaction in the rectum, with wall thickening and pericolonic fat stranding. Blood tests revealed elevated levels of C-reactive protein (10.2 mg/dL), lactate (6.04 mmol/L), and magnesium (5.9 mg/dL). There was no history of ingestion of magnesium-containing preparations; thus, the patient was diagnosed with hypermagnesemia associated with stercoral colitis. Magnesium levels and consciousness improved with the administration of calcium preparations, diuretics, antibiotics, and defecation control.Conclusions: Severe bowel dysfunction can cause hypermagnesemia, even in the absence of magnesium administration.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"36"},"PeriodicalIF":2.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500690","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

Primary subdural lymphoma mimicking chronic subdural hematoma: a case report and a narrative review of some recent similar cases in the literature.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-25 DOI: 10.1186/s12245-025-00836-0

Yibo Han, Bin Chen, Meiyu Zeng, Dong Liang, Yibao Wang, Yong Wang

{"title":"Primary subdural lymphoma mimicking chronic subdural hematoma: a case report and a narrative review of some recent similar cases in the literature.","authors":"Yibo Han, Bin Chen, Meiyu Zeng, Dong Liang, Yibao Wang, Yong Wang","doi":"10.1186/s12245-025-00836-0","DOIUrl":"10.1186/s12245-025-00836-0","url":null,"abstract":"Background: Chronic subdural hematoma (CSDH) is a common condition in elderly patients, typically diagnosed through neuroimaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI). Cases of subdural lymphoma mimicking chronic subdural hematoma are exceedingly rare and present significant diagnostic challenges for emergency physicians.Case presentation: A 71-year-old female patient with subdural lymphoma was initially diagnosed with CSDH based on her medical history, clinical presentation, and neuroimaging findings. However, postoperative pathology revealed diffuse subdural lymphoma. Although the patient's symptoms initially improved following standard lymphoma treatment, the disease recurred within 14 months of follow-up. The patient ultimately succumbed to malignant intracranial hypertension 15 months after discharge.Conclusions: This article discusses the neuroimaging findings, histological features, and treatment strategies of this case, while reviewing the limited number of similar cases reported since 2000. Based on the diagnostic and therapeutic experience of this case, it is recommended that when a patient's clinical presentation deviates from that of typical chronic subdural hematoma, supplementary MRI with diffusion-weighted imaging (DWI) should be considered to aid in differential diagnosis.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"35"},"PeriodicalIF":2.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500755","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

Pelvic extramedullary hematopoiesis with life-threatening hemorrhage: a case report.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-24 DOI: 10.1186/s12245-025-00834-2

Zainab Habbash, Ali Hassan, Sawsan Kadhem, Nawra Mujbel, Mahdi Aljawad

{"title":"Pelvic extramedullary hematopoiesis with life-threatening hemorrhage: a case report.","authors":"Zainab Habbash, Ali Hassan, Sawsan Kadhem, Nawra Mujbel, Mahdi Aljawad","doi":"10.1186/s12245-025-00834-2","DOIUrl":"10.1186/s12245-025-00834-2","url":null,"abstract":"Background: Thalassemia is an inherited blood disorder characterized by defective hemoglobin production, leading to chronic anemia and the necessity for lifelong blood transfusions. Extramedullary hematopoiesis is a compensatory mechanism in which blood-producing tissue forms outside the bone marrow. The occurrence of extramedullary hematopoiesis as a pelvic mass is rare.Case presentation: We report the case of a 44-year-old woman with β-thalassemia major who was found to have a pelvic fat-containing mass incidentally on imaging. A diagnostic laparotomy revealed a highly vascular mass. Complete resection was not feasible due to significant hemorrhage, necessitating postoperative embolization for hemostasis. Histopathological examination confirmed the diagnosis of extramedullary hematopoiesis. Postoperatively, the patient developed severe anemia, requiring frequent transfusions. To reduce transfusion dependency, splenic artery embolization was performed. CONCLUSION: This case underscores the rare presentation of extramedullary hematopoiesis as a pelvic mass. Accurate diagnosis is critical, as surgical removal can result in severe hemorrhage and worsening anemia. Splenic artery embolization provides a valuable therapeutic approach to managing transfusion burden in such cases.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"34"},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492088","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

The association between anion gap and prognosis in patients myocardial infarction with congestive heart failure: a retrospective analysis of the MIMIC-IV database.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-24 DOI: 10.1186/s12245-025-00828-0

Muzheng Li, Chenyang Li, Jihua Wang, Qinghua Yuan

{"title":"The association between anion gap and prognosis in patients myocardial infarction with congestive heart failure: a retrospective analysis of the MIMIC-IV database.","authors":"Muzheng Li, Chenyang Li, Jihua Wang, Qinghua Yuan","doi":"10.1186/s12245-025-00828-0","DOIUrl":"10.1186/s12245-025-00828-0","url":null,"abstract":"Background: Elevated serum anion gap at hospital admission is often linked to a poor prognosis in critically ill patients, but there is insufficient data on this correlation in patients with acute myocardial infarction accompanied by heart failure. In this study, we aimed to determine the relationship between serum admission AG and all-cause mortality in patients with acute myocardial infarction accompanied by heart failure.Methods: We conducted a retrospective analysis of data within the MIMIC-IV database. Serum AG was collected at ICU admission, and all-cause mortality after discharge was analyzed. Multivariable Cox proportional hazards regression models and Kaplan-Meier survival curve analyses were used to assess the relationship between serum AG and myocardial infarction accompanied by heart failure as well as all-cause mortality.Results: A total of 943 patients with acute myocardial infarction complicated by heart failure were included in the study. The all-cause mortality rate after discharge was 24.7% and 18.9%. Multivariable analysis, adjusted for potential confounders, indicated that compared to low serum AG levels (< 12 mmol/L), high serum AG levels (> 17 mmol/L) were associated with an increased risk of all-cause mortality. Similarly, Kaplan-Meier survival curves also indicated that patients with higher serum AG levels had lower survival rates. Stratified analysis further showed that the association between higher serum AG levels and in-hospital all-cause mortality was observed across different subgroups based on stratification variables.Conclusions: In patients with acute myocardial infarction complicated by heart failure, elevated serum AG levels at ICU admission are associated with an increased risk of all-cause mortality.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"33"},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492090","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

Severe hypertension after atropine administration a case report.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-24 DOI: 10.1186/s12245-025-00832-4

Sara Timerga, Aynalem Befkadu

引用次数: 0

Adjusting EWS scores for altitude above sea level: is it necessary to predict sepsis mortality in the emergency room?

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-20 DOI: 10.1186/s12245-024-00761-8

German Devia Jaramillo, Lilia Erazo Guerrero

{"title":"Adjusting EWS scores for altitude above sea level: is it necessary to predict sepsis mortality in the emergency room?","authors":"German Devia Jaramillo, Lilia Erazo Guerrero","doi":"10.1186/s12245-024-00761-8","DOIUrl":"10.1186/s12245-024-00761-8","url":null,"abstract":"Background: Sepsis mortality can be significantly reduced with early diagnosis and appropriate treatment. It is crucial to have tools that enable the early identification of patients at high risk of sepsis mortality from the triage stage. The National Early Warning Score (NEWS) and recently the International Early Warning Score (IEWS), are widely used for this purpose. However, its oxygenation parameters are primarily validated in populations at sea level. Given that patient oxygenation varies with altitude, there is a need to investigate the applicability of this scores at different altitudes. The purpose of this study is to compare the discriminatory capacity of sepsis mortality in emergency departments between the standard NEWS and IEWS scale and a NEWS and IEWS scale adjusted for barometric pressure in Bogotá, a city located 2600 m above sea level. A prospective recruitment was conducted in the triage area of the emergency department, including all patients with suspected sepsis. The scales under evaluation were calculated. Subsequently, the sensitivity, specificity, predictive values, and areas under the curve (AUC) of each scale were assessed for mortality prediction.Results: A total of 304 patients were recruited. The overall mortality rate was 19.4% and the septic shock mortality rate was 59.3%. The AUC for the standard NEWS was 0.78 (95% CI: 0.72-0.83), and for the standard IEWS was 0.81(95% CI: 0.75-0.87), altitude-adjusted NEWS, it was 0.79(95% CI: 0.73-0.84), and for the altitude-adjusted IEWS was 0.82(95% CI: 0.76-0.88).Conclusions: Adjustment of oxygen saturation for altitude above sea level in NEWS (NEWSa) does not improve its predictive capacity for mortality in patients with sepsis in the emergency department, however, this same adjustment in the IEWS value significantly improves the predictive capacity compared to NEWS and NEWSa.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"30"},"PeriodicalIF":2.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468066","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

Point of care ultrasound in rapid diagnosis of acute cholangitis and emphysematous cholecystitis: a case report.

IF 2

International Journal of Emergency Medicine Pub Date : 2025-02-20 DOI: 10.1186/s12245-025-00823-5

Min Seok Chae, Olga A Kravchuk

{"title":"Point of care ultrasound in rapid diagnosis of acute cholangitis and emphysematous cholecystitis: a case report.","authors":"Min Seok Chae, Olga A Kravchuk","doi":"10.1186/s12245-025-00823-5","DOIUrl":"10.1186/s12245-025-00823-5","url":null,"abstract":"Background: Emphysematous cholecystitis is a rare and rapidly progressive disease that requires prompt diagnosis and intervention. Point of care ultrasound (POCUS) is a useful diagnostic imaging tool in the emergency department that can help expedite diagnosis and management of biliary etiology.Case presentation: In our case, we describe an 85 year old female with a history of diabetes mellitus with a presentation consistent with undifferentiated cholecystitis. Point of care ultrasound performed in the emergency department showed a characteristic \"champagne sign\", along with other findings including dilated common bile duct and pericholecystic fluid. These findings ultimately led to the diagnosis of emphysematous cholecystitis and acute cholangitis. The use of ultrasound expedited the patient's cholecystostomy tube placement and subsequent endoscopic retrograde cholangiopancreatography, proving to be a life-saving tool in the management of this patient.Conclusion: POCUS can be an important tool for the diagnosis of undifferentiated biliary etiology, expediting the management of these patients.","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"29"},"PeriodicalIF":2.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468122","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