International Journal of Emergency Medicine最新文献

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Telepsychiatry in the emergency department: a pilot study on remote psychiatric assessment in the Netherlands. 急诊部的远程精神病学:荷兰关于远程精神病评估的试点研究。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-29 DOI: 10.1186/s12245-025-00948-7
Jorn Eerhard, Heleen van 't Oever, Cherryl V S van Alst, Rosa L A de Vries, Dieuwke Douma-den Hamer, Sander Manders, Carine J M Doggen, Gert-Jan Mauritz
{"title":"Telepsychiatry in the emergency department: a pilot study on remote psychiatric assessment in the Netherlands.","authors":"Jorn Eerhard, Heleen van 't Oever, Cherryl V S van Alst, Rosa L A de Vries, Dieuwke Douma-den Hamer, Sander Manders, Carine J M Doggen, Gert-Jan Mauritz","doi":"10.1186/s12245-025-00948-7","DOIUrl":"10.1186/s12245-025-00948-7","url":null,"abstract":"<p><strong>Background: </strong>Emergency Departments (EDs) increasingly manage patients in acute psychiatric crisis, often facing delays due to limited on-site psychiatric specialists. Telepsychiatry offers a potential solution, but its feasibility and acceptance in Dutch EDs remain underexplored. This pilot study aimed to assess the feasibility, technical aspects, and acceptance of telepsychiatry consultations in a Dutch ED setting.</p><p><strong>Methods: </strong>This two-phase observational pilot study was conducted at a large hospital ED in the Netherlands. During a three-month baseline-phase (Aug-Oct 2024), eligible adult patients received standard in-person psychiatric consultations. In the subsequent three-month pilot-phase (Nov 2024-Jan 2025), patients were evaluated via secure video consultation with a remote psychiatrist. To assess feasibility and technical execution, lead times, including consult request and consult start time, time until disposition decision and ED length of stay, were recorded. To further evaluate technical execution and acceptance, patients and ED staff were asked to complete satisfaction questionnaires, after each telepsychiatry consult.</p><p><strong>Results: </strong>Eleven patients were included during the baseline-phase and 17 during the pilot-phase. All telepsychiatry consultations were completed successfully, with only minor technical issues. Patient satisfaction was high, and psychiatrists and ED staff rated the consultations as effective and efficient. Furthermore, mean time from consult request to disposition decision was about an hour less during the telepsychiatry phase (approximately 45 vs. 106 min in the baseline phase).</p><p><strong>Conclusion: </strong>Telepsychiatry in the ED appears feasible, technically reliable, and well accepted by both patients and ED staff. This pilot study supports further exploration of telepsychiatry as a tool to enhance emergency psychiatric care delivery in the Netherlands.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"137"},"PeriodicalIF":2.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742068","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
Barriers and facilitators for interaction in cardiopulmonary resuscitation teams: a qualitative study. 心肺复苏团队互动的障碍和促进因素:一项定性研究。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-28 DOI: 10.1186/s12245-025-00955-8
Abdolhosein Emami Sigaroudi, Nazila Javadi-Pashaki, Mohammad Ali Cheraghi, Yadolah Shirvani
{"title":"Barriers and facilitators for interaction in cardiopulmonary resuscitation teams: a qualitative study.","authors":"Abdolhosein Emami Sigaroudi, Nazila Javadi-Pashaki, Mohammad Ali Cheraghi, Yadolah Shirvani","doi":"10.1186/s12245-025-00955-8","DOIUrl":"10.1186/s12245-025-00955-8","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiac arrest is a life-threatening emergency whose outcome depends on immediate interventions, known as cardiopulmonary resuscitation (CPR). The quality of these interventions hinges on the performance and communication of the resuscitation team. Therefore, this study aimed to explore factors affecting interactions among CPR team members.</p><p><strong>Methods: </strong>This qualitative study employed a content analysis approach conducted in Iran over a 12-month period from December 2023 to December 2024. The study population included all CPR team members at academic medical centers. Researchers used purposive sampling and continued recruitment until data saturation. Data collection involved conducting in-depth, semi-structured interviews; all data were analyzed using MAXQDA software (version 20).</p><p><strong>Results: </strong>Data analysis revealed one main category entitled \"The Complexity of Cardiopulmonary Resuscitation Interactions,\" along with 5 general categories and 11 subcategories: \"Consensus in Resuscitation\" (including \"Pre-resuscitation Coordination\" and \"Post-resuscitation Debriefing\"), \"Communication Clarity\" (comprising \"Regular Communication\" and \"Irregular Communication\"), \"Interaction in Team Rotation\" (with \"Normal Rotation\" and \"Abnormal Rotation\"), \"Personal Conflicts\" (featuring \"Pre-Resuscitation Conflicts\" and \"Intra-Resuscitation Conflicts\"), and \"Team Leadership Style\" (encompassing \"Autocratic Leadership,\" \"Laissez-faire Leadership,\" and \"Participatory Leadership\").</p><p><strong>Conclusion: </strong>The results demonstrated that CPR team interactions were influenced by multiple factors. Through careful planning to enhance facilitating factors - including consensus in resuscitation, regular communication, normal rotation, and participatory leadership - while addressing inhibiting factors - such as irregular communication, personal conflicts, abnormal rotation, and autocratic leadership - we can optimize team interactions to improve CPR outcomes.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"134"},"PeriodicalIF":2.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730347","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
Role of contrast enhanced computed tomography abdomen in the evaluation of elderly patients presenting to the emergency with acute abdomen- prospective observational study. 腹部增强计算机断层扫描在评估急腹症老年患者中的作用——前瞻性观察研究。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-28 DOI: 10.1186/s12245-025-00950-z
Takshak Shankar, Nagasubramanyam Vempalli, Parvathy Sasidharan, Konda Sireesha, Salva Ameena, Amrita Paul, Parina Tejpal, Devinder Kumar Lalotra, Aditya Sushant Mahalle
{"title":"Role of contrast enhanced computed tomography abdomen in the evaluation of elderly patients presenting to the emergency with acute abdomen- prospective observational study.","authors":"Takshak Shankar, Nagasubramanyam Vempalli, Parvathy Sasidharan, Konda Sireesha, Salva Ameena, Amrita Paul, Parina Tejpal, Devinder Kumar Lalotra, Aditya Sushant Mahalle","doi":"10.1186/s12245-025-00950-z","DOIUrl":"10.1186/s12245-025-00950-z","url":null,"abstract":"<p><strong>Background: </strong>India's elderly population is rapidly growing, with 149 million people aged 60 years and above in 2022, projected to double to 347 million by 2050. Diagnosing older adults with acute abdomen in the emergency is challenging due to atypical presentations and poorer outcomes. While Contrast Enhanced Computed Tomography (CECT) of the abdomen is the imaging test of choice, administration of radiocontrast agents may prove to be a hurdle. Thus, in this prospective observational study, we assessed the utility of CECT abdomen and pelvis in the evaluation of abdominal pain among geriatric patients presenting to the emergency department.</p><p><strong>Results: </strong>This study included 100 patients with a median age of 67 years. Although abdomino-pelvic CECT did not lead to a statistically significant change in diagnosis, it did help identify previously missed life-threatening conditions in some patients. The treatment plan was significantly altered following the CECT scan. While there was no statistically significant change in the overall disposition plan before and after the scan, a considerable proportion of patients (~ 73.7%) initially planned for discharge required admission after undergoing CECT.</p><p><strong>Conclusion: </strong>This study underscores the pivotal role of CECT of the abdomen and pelvis in evaluating geriatric patients presenting to the Emergency Department with acute abdominal symptoms.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"135"},"PeriodicalIF":2.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730348","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
Adapting a novel emergency triage tool to a resource-limited hospital in Nepal. 尼泊尔一家资源有限的医院采用一种新的紧急分诊工具。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-28 DOI: 10.1186/s12245-025-00961-w
Yael Weiner, Claire Therriault, Tina Duwal, Samjhana Basnet, Roshana Shrestha, Sanu Krishna Shrestha
{"title":"Adapting a novel emergency triage tool to a resource-limited hospital in Nepal.","authors":"Yael Weiner, Claire Therriault, Tina Duwal, Samjhana Basnet, Roshana Shrestha, Sanu Krishna Shrestha","doi":"10.1186/s12245-025-00961-w","DOIUrl":"10.1186/s12245-025-00961-w","url":null,"abstract":"<p><strong>Background: </strong>Effective triage is critical for prioritizing emergency care. However, many low- and middle-income countries lack standardized triage systems. Nepal has been working to introduce the WHO's Interagency Integrated Triage Tool (IITT) into emergency departments nationwide. Still, successful implementation requires context-specific adaptations to address operational realities and resource constraints.</p><p><strong>Objective: </strong>This study aimed to collaboratively adapt the IITT for use in the Dhulikhel Hospital Emergency Department by incorporating frontline staff insights to develop a feasible, sustainable triage workflow.</p><p><strong>Methods: </strong>Five focus groups composed of doctors, nurses, and paramedics were conducted. Through semi-structured discussions, we explored staff perceptions of areas for improvement in the existing triage processes. Participants then generated site-specific workflow models through iterative brainstorming sessions, progressively refining the design into a final consensus-based model.</p><p><strong>Results: </strong>Participants, representing over 80% of clinical staff, identified key barriers to effective triage, including inconsistent communication, unclear handoff responsibilities, and insufficient training. The final triage workflow addressed many critical challenges raised in discussion sessions, provided a standardized and customized triage process, and resulted in high reported confidence in its utility.</p><p><strong>Conclusion: </strong>This study demonstrates the value of a bottom-up, staff-centered approach to triage system development and implementation. Our focus group design offers a practical, replicable framework for low-resource emergency departments seeking to implement the IITT or similar protocols into their ED operations. Future efforts should focus on validating the workflow's impact on patient outcomes and triage efficiency and investing in thorough and longitudinal training to support sustained adoption.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"136"},"PeriodicalIF":2.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730346","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
Acute unilateral visual loss as a first presentation of mixed phenotype acute leukaemia. 急性单侧视力丧失是混合表型急性白血病的首要表现。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-17 DOI: 10.1186/s12245-025-00938-9
Chelsea Tse Woon Ong, Huiling Huang, Choon Peng Jeremy Wee
{"title":"Acute unilateral visual loss as a first presentation of mixed phenotype acute leukaemia.","authors":"Chelsea Tse Woon Ong, Huiling Huang, Choon Peng Jeremy Wee","doi":"10.1186/s12245-025-00938-9","DOIUrl":"10.1186/s12245-025-00938-9","url":null,"abstract":"<p><p>Central retinal artery occlusion is typically a thromboembolic phenomenon associated with atherosclerotic disease. This case presentation describes a rare case of CRAO in a young male secondary to hyperviscosity syndrome as a first symptom ofMixed Phenotype Acute Leukaemia. It is imperative for emergency physicians to recognise an atypical presentation of painless vision loss and evaluate such patients thoroughly, ensuring timely and vision sparing interventions.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"133"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659160","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
A "mass-forming" variant of ischemic colitis following COVID infection: a case report and review. COVID感染后缺血性结肠炎的“团块形成”变体:病例报告和回顾
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-15 DOI: 10.1186/s12245-025-00936-x
Jiuyu Shi, Linghua Cong, Qi Lin
{"title":"A \"mass-forming\" variant of ischemic colitis following COVID infection: a case report and review.","authors":"Jiuyu Shi, Linghua Cong, Qi Lin","doi":"10.1186/s12245-025-00936-x","DOIUrl":"10.1186/s12245-025-00936-x","url":null,"abstract":"<p><p>Ischemic bowel disease is a common disease of bleeding in the lower digestive tract. There are many risk factors for ischemic bowel disease. Abdominal pain, bloody stool and diarrhea were often the triad of clinical manifestations. The endoscopic appearance included colonic mucosal edema and erosion; submucosal hemorrhage, mucosal necrosis, mucosal shedding, ulcer formation et al. But in rare cases its manifestations are highly variable, which makes clinical diagnosis challenging. Colonoscopy and pathology are the keys to diagnosis. We present a case of \"mass-forming\" variant of ischemic colitis following COVID infection.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"130"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642522","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
Public health response to disasters and crises: setting the agenda for effective action. 公共卫生应对灾害和危机:制定有效行动议程。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-15 DOI: 10.1186/s12245-025-00953-w
Krzysztof Goniewicz
{"title":"Public health response to disasters and crises: setting the agenda for effective action.","authors":"Krzysztof Goniewicz","doi":"10.1186/s12245-025-00953-w","DOIUrl":"10.1186/s12245-025-00953-w","url":null,"abstract":"","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"132"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642524","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
Intraosseous vs. intravenous access in out-of-hospital cardiac arrest: a systematic review and meta-analysis of clinical outcomes. 院外心脏骤停的骨内与静脉通路:临床结果的系统回顾和荟萃分析
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-15 DOI: 10.1186/s12245-025-00927-y
Emmanuel Kokori, Nawaf Al-Hashemi, Ziad Sad Aldeen, Ravi Patel, Nicholas Aderinto, Gbolahan Olatunji, Iyanuloluwa S Ojo, Israel Charles Abraham, Hafeez Shaka
{"title":"Intraosseous vs. intravenous access in out-of-hospital cardiac arrest: a systematic review and meta-analysis of clinical outcomes.","authors":"Emmanuel Kokori, Nawaf Al-Hashemi, Ziad Sad Aldeen, Ravi Patel, Nicholas Aderinto, Gbolahan Olatunji, Iyanuloluwa S Ojo, Israel Charles Abraham, Hafeez Shaka","doi":"10.1186/s12245-025-00927-y","DOIUrl":"10.1186/s12245-025-00927-y","url":null,"abstract":"<p><strong>Background: </strong>Out-of-hospital cardiac arrest (OHCA) is a critical emergency with low survival rates despite advancements in prehospital care. Timely vascular access for medication administration is essential, with intravenous (IV) and intraosseous (IO) access as primary strategies. While IO offers rapid and reliable access under challenging conditions, its effectiveness compared to IV access remains uncertain. This systematic review and meta-analysis evaluate the comparative outcomes of IO versus IV access in OHCA.</p><p><strong>Methods: </strong>A systematic search of PubMed, Embase, SCOPUS, and other databases was conducted up to November 2024, following PRISMA guidelines. Studies were included comparing IO and IV access in OHCA and reporting outcomes such as return of spontaneous circulation (ROSC), 30-day survival, and neurological outcomes. Meta-analyses were performed using random-effects models to calculate pooled odds ratios (ORs) and mean differences. Heterogeneity was assessed using the I² statistic, and sensitivity analyses were conducted to evaluate the robustness.</p><p><strong>Results: </strong>Nineteen studies involving ~ 140,000 observations (7 randomized controlled trials, 12 retrospective/observational) were analyzed. IO access was associated with significantly lower odds of ROSC (OR 0.75, 95% CI 0.65-0.85, p = 0.0003; 17 studies) and FNO at hospital discharge (OR 0.53, 95% CI 0.35-0.80, p = 0.0058; 12 studies) compared to IV access. The 30-day survival showed a non-significant trend favoring IV access (OR 0.59, 95% CI 0.28-1.21, p = 0.1088; 5 studies). Subgroup analyses revealed stronger IV advantages for shorter emergency medical services (EMS) response times (< 10 min; FNO: OR 0.55, ROSC: OR 0.75) and shockable rhythms (FNO: OR 0.53, ROSC: OR 0.75).</p><p><strong>Conclusion: </strong>While IO access is a viable alternative when IV access is challenging, this study highlights its association with poorer survival and neurological outcomes in OHCA. The findings show the importance of prioritizing IV access. Further high-quality research is needed to refine recommendations for OHCA management.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"131"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642523","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
Suspected stonefish (Synanceia verrucosa) envenomation on Reunion Island. 留尼旺岛疑似石鱼中毒。
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-14 DOI: 10.1186/s12245-025-00940-1
Adrien Maillot, Adrien Marteau, Gaël Le Roux, Flore Weisse, Luc de Haro, Olivier Maillard, Férial Abi Nader
{"title":"Suspected stonefish (Synanceia verrucosa) envenomation on Reunion Island.","authors":"Adrien Maillot, Adrien Marteau, Gaël Le Roux, Flore Weisse, Luc de Haro, Olivier Maillard, Férial Abi Nader","doi":"10.1186/s12245-025-00940-1","DOIUrl":"10.1186/s12245-025-00940-1","url":null,"abstract":"<p><strong>Introduction: </strong>Envenomations induced by stonefish (Synanceia verrucosa) stings are among the most painful envenomations in the marine environment. Reunion Island in the Indian Ocean is not spared from these envenomations. The aim of this series is to characterize suspected cases of stonefish envenomation and to describe the associated clinical management.</p><p><strong>Methods: </strong>This is a retrospective observational series of suspected stonefish envenomations recorded into the database of the Indian Ocean toxicovigilance Department between 1 January 2020 and 2 June 2024 on Reunion Island. Data on clinical characteristics were obtained from the patients' electronic medical records, and additional information was obtained during telephone conversations with the victims if necessary.</p><p><strong>Results: </strong>Between January 2020 and June 2024, 135 stonefish envenomations were recorded. Most victims were male, with a median age of 31.5 years. January recorded the highest number of cases. The majority of envenomations occurred on beaches, notably l'Ermitage (66 cases) and Saint-Pierre (39 cases), with the foot being the most affected area (94.8%). The pain was intense for most cases (Visual Analogue Scale 8-10), and skin symptoms included localized and extensive oedema, as well as necrotic halos in some instances. General symptoms like hypertension and paresthesia were rare. No fatalities occurred. Treatment involved opioids, paracetamol, and hot water immersion. Our findings demonstrated a statistically significant correlation between the number of stings and the extent of edema (p < 0.00003). However, no significant relationship was found between the number of stings and pain intensity (p = 0.86).</p><p><strong>Conclusions: </strong>On Reunion Island, approximately 30 suspected stonefish stings occur annually, with a peak in January and frequent locations including l'Ermitage and Saint-Pierre. These envenomations mainly affect the foot and cause intense pain, sometimes accompanied by significant oedema correlated with the number of stings. While no deaths were recorded, emergency care is often necessary. In the absence of official guidelines, locoregional anaesthesia appears to be an effective strategy for pain relief.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"129"},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636977","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
Comparison of the effects of inhalant furosemide, oxygen therapy, and placebo in patients with acute dyspnea referred to emergency departments by EMS in various hospitals in Tehran. 吸入速尿、氧疗和安慰剂治疗德黑兰多家医院急诊急诊急性呼吸困难患者的效果比较
IF 2
International Journal of Emergency Medicine Pub Date : 2025-07-14 DOI: 10.1186/s12245-025-00931-2
Mahdi Rezai, Danyal Yarahmadi, Mojde Mirkheshti, Mehrad Aghili, Reza Mosadegh, Kourosh Javdani Esfehani, Saeed Abbasi, Fatemeh Naseri Rad
{"title":"Comparison of the effects of inhalant furosemide, oxygen therapy, and placebo in patients with acute dyspnea referred to emergency departments by EMS in various hospitals in Tehran.","authors":"Mahdi Rezai, Danyal Yarahmadi, Mojde Mirkheshti, Mehrad Aghili, Reza Mosadegh, Kourosh Javdani Esfehani, Saeed Abbasi, Fatemeh Naseri Rad","doi":"10.1186/s12245-025-00931-2","DOIUrl":"10.1186/s12245-025-00931-2","url":null,"abstract":"<p><strong>Background: </strong>Acute dyspnea is a common presentation in emergency departments (EDs), which is one of the main complaints of the patients. There is an urgent need for an effective treatment plan for dyspnea. This study aims to compare the efficacy of inhalant furosemide, oxygen therapy, and placebo in patients with acute dyspnea referred to EDs in Tehran by Emergency Medical Services (EMS).</p><p><strong>Methods: </strong>This randomized clinical trial included patients aged 18 to 75 who experienced acute dyspnea and were delivered to the ED by EMS during 2021 and 2022. Participants were randomly assigned to one of three groups: inhalant furosemide, oxygen therapy, or placebo (distilled water) which every group received the medication before entering EDs in a prehospital setting.</p><p><strong>Results: </strong>The mean age of patients was 52.63 ± 20.48 years including 124 women (47.7%) and 136 men (52.3%). Our finding indicates that dyspnea intensity, heart rate, blood pressure, and oxygen saturation showed no significant differences among the groups (p-value). However, these parameters significantly improved in both the treatment and placebo groups (p-value). The mean degree of dyspnea in the furosemide group was lower than that in the other two groups, although the difference was not statistically significant. Hospitalization duration was significantly shorter in the furosemide group compared to the oxygen therapy and placebo groups. Conversely, ICU admission duration was significantly shorter in the oxygen therapy group than in the other two groups. Patient satisfaction levels did not differ significantly across groups.</p><p><strong>Conclusion: </strong>The main effect of inhalant Furosemide in this study was reducing the patient's length of hospitalization. It seems that Furosemide can have positive effects and can be used as a cure according to its low side effects, also this drug isn't expensive and its mechanism of action, side effects, and pharmacokinetics have been shown and understood.</p><p><strong>Trial registration: </strong>This study was registered with the IUMS Ethics Committee, receiving the ethical code (IR.IUMS.REC.1399.632), it was also listed in the Iranian Registry of Clinical Trails (IRCT20151003024317N12) on November the 10th, 2020.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"128"},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636976","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
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