Journal of acute medicine最新文献_第2页

The Effect of a Separate Flow of Patients With Small Traumatic Injuries on Consult Time and Patient Satisfaction: A Retrospective Cohort Study During COVID-19 in the Emergency Department. 小创伤患者分流对就诊时间和患者满意度的影响：急诊科 COVID-19 期间的回顾性队列研究。

IF 0.8

Journal of acute medicine Pub Date : 2024-09-01 DOI: 10.6705/j.jacme.202409_14(3).0003

Poorvi Narwade, Loes Walraven, Djoke Douma-Den Hamer

{"title":"The Effect of a Separate Flow of Patients With Small Traumatic Injuries on Consult Time and Patient Satisfaction: A Retrospective Cohort Study During COVID-19 in the Emergency Department.","authors":"Poorvi Narwade, Loes Walraven, Djoke Douma-Den Hamer","doi":"10.6705/j.jacme.202409_14(3).0003","DOIUrl":"10.6705/j.jacme.202409_14(3).0003","url":null,"abstract":"Background: With emergency department (ED) crowding and high workloads burdening healthcare, efficient patient flow management becomes increasingly crucial. A significant portion of this crowding is attributed to patients with minor traumatic injuries. The objective of this study is to investigate to what extent a separate patient flow for patients with small traumatic injuries influences consult times and patient satisfaction.Methods: During COVID-19, patients with small traumatic injuries in the ED were redirected to an outpatient clinic (the Fracture Clinic). The Fracture Clinic was maintained for seven weeks during which the consult time and patient satisfaction were recorded for every individual. Retrospectively, the same procedure was followed for the seven weeks prior to the outbreak of COVID, with the regular procedure in place.Results: In total, 922 patients were included in the research: 415 patients in the intervention group (Fracture Clinic) and 507 patients in the control group (ED group). The consult time in the Fracture Clinic (median = 30 min) is significantly lower compared to the ED group (median = 86 min) (U = 25,147.500, z = 19.9, p < 0.001). The overall consult in terms of patient satisfaction scored higher for the Fracture Clinic Group than the ED group (T[df] = -4.449 [479], p < 0.001).Conclusions: The Fracture Clinic resulted in shorter consult times and an increased patient satisfaction compared to the usual patient flow for patients with small traumatic injuries in the ED. These patients could be redirected to an outpatient clinical setting to improve efficiency in patient flow, while avoiding a negative impact from the triage system in which they usually are the lowest priority.","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"14 3","pages":"116-124"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125789","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

Woman With Recurrent Syncope. 反复晕厥的妇女

IF 0.8

Journal of acute medicine Pub Date : 2024-09-01 DOI: 10.6705/j.jacme.202409_14(3).0006

Chee-Seong Phan, Sai-Wai Ho

引用次数: 0

Fatality Rates After Infection With the Omicron Variant (B.1.1.529): How Deadly has it been? A Systematic Review and Meta-Analysis. 感染奥密克龙变种（B.1.1.529）后的死亡率：死亡率有多高？系统回顾与元分析》。

IF 0.6

Journal of acute medicine Pub Date : 2024-06-01 DOI: 10.6705/j.jacme.202406_14(2).0001

Suhaib Js Ahmad, Jason R Degiannis, Joseph Borucki, Sjaak Pouwels, David Laith Rawaf, Anil Lala, Graham S Whiteley, Marion Head, Angharad Simpson, Rami Archid, Ahmed R Ahmed, J Agustin Soler, Doerte Wichmann, Mohanarangam Thangavelu, Mohamed Abdulmajed, Mahmoud Elmousili, Yan-Ren Lin, Edgar Gelber, Aristomenis K Exadaktylos

{"title":"Fatality Rates After Infection With the Omicron Variant (B.1.1.529): How Deadly has it been? A Systematic Review and Meta-Analysis.","authors":"Suhaib Js Ahmad, Jason R Degiannis, Joseph Borucki, Sjaak Pouwels, David Laith Rawaf, Anil Lala, Graham S Whiteley, Marion Head, Angharad Simpson, Rami Archid, Ahmed R Ahmed, J Agustin Soler, Doerte Wichmann, Mohanarangam Thangavelu, Mohamed Abdulmajed, Mahmoud Elmousili, Yan-Ren Lin, Edgar Gelber, Aristomenis K Exadaktylos","doi":"10.6705/j.jacme.202406_14(2).0001","DOIUrl":"10.6705/j.jacme.202406_14(2).0001","url":null,"abstract":"Background: Since late 2019, the global community has been gripped by the uncertainty surrounding the SARS-CoV-2 pandemic. In November 2021, the emergence of the Omicron variant in South Africa added a new dimension. This study aims to assess the disease's severity and determine the extent to which vaccinations contribute to reducing mortality rates.Methods: A systematic review and meta-analysis of the epidemiological implications of the omicron variant of SARS-CoV-2 were performed, incorporating an analysis of articles from November 2021that address mortality rates.Results: The analysis incorporated data from 3,214,869 patients infected with omicron, as presented in 270 articles. A total of 6,782 deaths from the virus were recorded (0.21%). In the analysed articles, the pooled mortality rate was 0.003 and the pooled in-house mortality rate was 0.036. Vaccination is an effective step in preventing death (odds ratio: 0.391, p < 0.01).Conclusion: The mortality rates for the omicron variant are lower than for the preceding delta variant. mRNA vaccination affords secure and effective protection against severe disease and death from omicron.","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"14 2","pages":"51-60"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11153312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296096","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

Left Shoulder Pain After a Motorcycle Accident. 摩托车事故后的左肩痛

IF 0.6

Journal of acute medicine Pub Date : 2024-06-01 DOI: 10.6705/j.jacme.202406_14(2).0006

Hao-Hsuan Wang, Choon-Bing Chua

引用次数: 0

Fenitrothion (Sumithion) Poisoning-Related Fasciculations Successfully Managed With Levetiracetam: A Case Report. 使用左乙拉西坦成功治疗与杀螟硫磷（Sumithion）中毒有关的筋膜炎：病例报告。

IF 0.6

Journal of acute medicine Pub Date : 2024-06-01 DOI: 10.6705/j.jacme.202406_14(2).0004

Hiroshi Ito, Toshiya Nakashima, Satoshi Kobanawa, Jura Oshida, Taisuke Kodama, Sayato Fukui, Daiki Kobayasi

{"title":"Fenitrothion (Sumithion) Poisoning-Related Fasciculations Successfully Managed With Levetiracetam: A Case Report.","authors":"Hiroshi Ito, Toshiya Nakashima, Satoshi Kobanawa, Jura Oshida, Taisuke Kodama, Sayato Fukui, Daiki Kobayasi","doi":"10.6705/j.jacme.202406_14(2).0004","DOIUrl":"10.6705/j.jacme.202406_14(2).0004","url":null,"abstract":"Fenitrothion is one of the most globally used organophosphorus pesticides, which can cause neurological symptoms, including involuntary movements. However, due to the limited number of case report, information on its treatment is also scarce. Here we presented a 74-year-old Japanese woman who was admitted to our hospital due to a persistent nausea and vomiting after ingesting 200 mL of 50% fenitrothion for a suicidal attempt. She received continuous intravenous infusion of atropine and 2-pyridine aldoxime methiodide under mechanical ventilation and continuous hemodiafiltration. However, she developed fasciculations of the face and right arm on day 11, which raised suspicions of delayed neuropathy associated with organophosphorus poisoning. To reduce the risk of respiratory depression, she received intravenous levetiracetam at a dosage of 1,000 mg/day. However, as her fasciculations persisted, the levetiracetam dosage was adjusted to 2,000 mg/day on day 14. On the following day, her fasciculations subsided. Neurologic symptoms of lipid-soluble organophosphorus poisoning, including fenitrothion, can sometimes delay following ingestion. Temporary administration of levetiracetam may prove effective in alleviating fasciculations.","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"14 2","pages":"90-93"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11153314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296097","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

Toxic Epidermal Necrolysis After COVID-19 Vaccination: A Case Report and Review of Literature. 接种 COVID-19 疫苗后的中毒性表皮坏死症：病例报告和文献综述。

IF 0.6

Journal of acute medicine Pub Date : 2024-06-01 DOI: 10.6705/j.jacme.202406_14(2).0005

Sachin Wali, Shreyas Gutte, Gaurav Pandey, Ajit Kumar, Mohan Gurjar, Jitendra Singh Chahar

{"title":"Toxic Epidermal Necrolysis After COVID-19 Vaccination: A Case Report and Review of Literature.","authors":"Sachin Wali, Shreyas Gutte, Gaurav Pandey, Ajit Kumar, Mohan Gurjar, Jitendra Singh Chahar","doi":"10.6705/j.jacme.202406_14(2).0005","DOIUrl":"10.6705/j.jacme.202406_14(2).0005","url":null,"abstract":"Following vaccination for COVID-19, various cutaneous adverse reactions (CARs) are reported. Here is an Asian male in late 50's who developed necrotic skin with mucosal involvement 10 days following booster dose of ChAdOx1 nCov-19 vaccination. Based on disease course and morphology, toxic epidermal necrolysis (TEN) was suspected. The patient developed respiratory distress and was intubated, intravenous immunoglobulin (IVIG) administered at 2 g/kg body weight following which skin lesions healed in fourth week, the patient was discharged after 50 days of intensive care unit (ICU) stay. Severe CARs are rare following vaccination, of two components in ChAdOx1nCoV-19 adenoviral vector vaccine, virotopes cause T-cell mediated granulysin and granzyme B release leading to epidermal detachment and mucosal involvement of conducting airways causing respiratory failure. CARs can also occur in whom first and second dose was uneventful. Supportive therapy and prevention of sepsis are mainstay of management. Though the use of IVIG has shown conflicting results, our case was successfully managed with IVIG.","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"14 2","pages":"94-97"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11153313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296100","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 the Emergency Department: Training, Perceptions, Applications, and Barriers from Different Healthcare Professionals. 急诊科护理点超声波：不同医护人员的培训、认知、应用和障碍。

IF 0.6

Journal of acute medicine Pub Date : 2024-06-01 DOI: 10.6705/j.jacme.202406_14(2).0003

Jack Healy, Ching-Fang Tiffany Tzeng, Jon Wolfshohl, Andrew Shedd, Judy Lin, Chinmay Patel, Eric H Chou

{"title":"Point-of-Care Ultrasound in the Emergency Department: Training, Perceptions, Applications, and Barriers from Different Healthcare Professionals.","authors":"Jack Healy, Ching-Fang Tiffany Tzeng, Jon Wolfshohl, Andrew Shedd, Judy Lin, Chinmay Patel, Eric H Chou","doi":"10.6705/j.jacme.202406_14(2).0003","DOIUrl":"10.6705/j.jacme.202406_14(2).0003","url":null,"abstract":"Background: Point-of-care ultrasound (POCUS) is a valuable tool that assists in diagnosis and management of patients in the emergency department (ED) while being cost-efficient and without the use of ionizing radiation. To discern the opinions and perceptions of ED staff about POCUS applications and barriers, we conducted a cross-sectional survey of employees of 12 EDs in North Texas.Methods: Participants completed a 20-item online survey about POCUS with questions pertaining to four domains: (1) employee and training information, (2) perceived benefits, (3) common applications, and (4) barriers to use. Out of 805 eligible ED employees, 103 completed the survey (16.1% response rate).Results: The results indicated a generally positive perception of POCUS among all employee types. Physician had significant exposure and training of POCUS than non-physician group ( p < 0.001). Physicians tend to find cardiac assessments more useful for clinical management than non-physicians (47% vs. 23%, p = 0.01), while non-physicians find soft tissue/abscess assessments more useful (27% vs. 9%, p = 0.01).Conclusion: The most significant barriers to POCUS use were time constraints for physicians and a lack of training for non-physician employees. Our study provides valuable insights into the perceptions of multiple ED professionals, serving as a foundation for promoting POCUS use in the ED.","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"14 2","pages":"74-89"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11163417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300720","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

Multi-Organ Systems Involvement in COVID-19 is Associated With a Worse Prognosis. COVID-19的多器官系统参与与较差的预后有关。

IF 0.6

Journal of acute medicine Pub Date : 2024-06-01 DOI: 10.6705/j.jacme.202406_14(2).0002

Eric Lam, Sandra Gomez-Paz, Luis Fernando Gonzalez-Mosquera, Steven Mirabella, Diana Cardenas-Maldonado, Joshua Fogel, Sofia Rubinstein

{"title":"Multi-Organ Systems Involvement in COVID-19 is Associated With a Worse Prognosis.","authors":"Eric Lam, Sandra Gomez-Paz, Luis Fernando Gonzalez-Mosquera, Steven Mirabella, Diana Cardenas-Maldonado, Joshua Fogel, Sofia Rubinstein","doi":"10.6705/j.jacme.202406_14(2).0002","DOIUrl":"10.6705/j.jacme.202406_14(2).0002","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has multiple organ system involvement but the association of organ system involvement with disease prognosis has not been reported. We study the association of organ systems involved with in-hospital mortality and hospital length of stay (LOS) in COVID-19.Methods: Retrospective study of 808 consecutive patients with confirmed-laboratory diagnosis of COVID-19 in a New York hospital from March 1-May 15, 2020.Results: Increased number of organs systems involved was associated with increased odds for in-hospital mortality (odds ratio [OR]: 1.36, 95% confidence interval [CI]: 1.11-1.66, p < 0.01) and increased LOS (B = 0.02, SE = 0.01, p < 0.05). Increased platelet count was associated with decreased odds for mortality (OR: 0.996, 95% CI: 0.994-0.998, p < 0.001). Increased white blood cell count was associated with increased odds for mortality (OR: 14.00, 95% CI: 3.41-57.38, p < 0.001). Increased creatinine and glucose were each associated with increased LOS (B = 0.11, SE = 0.04, p < 0.01, and B = 0.12, SE = 0.05, p < 0.05, respectively). Increased odds for mortality were also found in high FiO2 oxygen requirement (OR: 11.63, 95% CI: 3.90-34.75, p < 0.001) and invasive mechanical ventilation (OR: 109.93, 95% CI: 29.44-410.45, p < 0.001).Conclusion: Multiple organ systems involvement in COVID-19 is associated with worse prognosis. Clinical/laboratory values corresponding to each organ system may be used as prognostic tools in clinical settings to tailor treatments for COVID-19 patients.","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"14 2","pages":"61-73"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11153311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296099","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

Urgent Management of Penetrating Ocular Injury: A Case Report and Review of the Literature. 眼外伤的紧急处理：病例报告和文献综述。

IF 0.6

Journal of acute medicine Pub Date : 2024-03-01 DOI: 10.6705/j.jacme.202403_14(1).0005

Chang-Han Wu, Chi-Wei Chen, Liang-Chi Kuo

引用次数: 0

Overdrive Pacing for Persistent Torsades de Pointes and Pulseless Ventricular Tachycardia. 超速起搏治疗持续性室性心动过速和无脉性室性心动过速。

IF 0.8

Journal of acute medicine Pub Date : 2024-03-01 DOI: 10.6705/j.jacme.202403_14(1).0006

Ewe Jin Koh, Xiao Qi Yee, Ming Lee Chin, Nisa Liyana Bt Abdul Latib

引用次数: 0