{"title":"A Case of Pulmonary Edema Due to Pentobarbital Poisoning.","authors":"Ayaka Tashiro, Raiki Tokutsu, Noriko Tanaka, Chihiro Maekawa, Yoshihiro Nagatake, Masashi Kato, Youichi Yanagawa","doi":"10.4103/jets.jets_58_25","DOIUrl":"10.4103/jets.jets_58_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 3","pages":"146-147"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149304","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 Case of Severe Fever with Thrombocytopenia Syndrome with Normal C-reactive Protein Levels and an Inverse Relationship between Lactate Dehydrogenase and C-reactive Protein in the Early Phase.","authors":"Youichi Yanagawa, Rino Isogai, Hiroki Nagasawa","doi":"10.4103/jets.jets_151_24","DOIUrl":"10.4103/jets.jets_151_24","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"94-95"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642725","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":"Analysis of Cases of Mild Head Trauma Resulting in Fatal Outcome from the Doctor Helicopter Registry Data.","authors":"Youichi Yanagawa, Hiroaki Taniguchi, Chihiro Maekawa, Noriko Tanaka, Kenji Kawai, Michika Hamada, Soichiro Ota, Hiroki Nagasawa","doi":"10.4103/jets.jets_87_24","DOIUrl":"10.4103/jets.jets_87_24","url":null,"abstract":"<p><strong>Introduction: </strong>In cases of mild head trauma, there have been no comprehensive studies on cases that resulted in death. This study aims to conduct a factor analysis of mild head trauma cases resulting in death. Patients with Glasgow Coma Scale (GCS) scores of 14 or 15 in the Japan Doctor Helicopter (DH) Registration System were studied.</p><p><strong>Methods: </strong>Variables included age, sex, DH request timing, vital signs at DH contact (GCS, blood pressure, heart rate, respiratory rate), head trauma severity, hospitalization, and 1-month outcomes (survival or death). Wilcoxon rank-sum test and median test were used.</p><p><strong>Results: </strong>Analysis involved 26 deaths and 2256 survivals. No significant differences were found in sex, request timing, pulse rate, systolic blood pressure, or AIS. The death group had higher mean age, respiratory rate and hospitalization rate, and lower GCS scores. Age and respiratory rate cutoffs for mortality were 78 years and 21 breaths/min, respectively. No deaths occurred below 21 breaths/min or at the age of 78 or younger. For those over 79 with 22 or more breaths per minute, 7.8% died.</p><p><strong>Conclusions: </strong>The study identifies increased mortality risk in elderly patients with mild head trauma, high respiratory rates, and GCS scores of 14 at the scene. This emphasizes the need for careful monitoring and prompt treatment in these cases.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"53-55"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642727","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":"What's New in Emergencies Trauma and Shock - Impact of Doctor Helicopter Emergency Medical Services on Outcomes in Traumatic Brain Injury.","authors":"Neeraj Kumar, Ashley Grant","doi":"10.4103/jets.jets_81_25","DOIUrl":"10.4103/jets.jets_81_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"51-52"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642734","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}
George Marc Nackley, Sagar Galwankar, Sangita Ranjitsinh Sawant
{"title":"A Fly Awry Precipitates Larva in the Eye.","authors":"George Marc Nackley, Sagar Galwankar, Sangita Ranjitsinh Sawant","doi":"10.4103/jets.jets_60_24","DOIUrl":"10.4103/jets.jets_60_24","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"90"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642726","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}
Fatimah Lateef, Yao Qun Yeong, Sagar Galwankar, Andrew Soxman, Steve Kamm
{"title":"Emergency Physicians: Creating Ripples, Expanding Domains, and Negotiating VUCA Situations.","authors":"Fatimah Lateef, Yao Qun Yeong, Sagar Galwankar, Andrew Soxman, Steve Kamm","doi":"10.4103/jets.jets_112_24","DOIUrl":"10.4103/jets.jets_112_24","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"69-73"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642729","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}
Sara Twadell, Anabelle N Taveras, William Benda, Scott M Alter
{"title":"Tattoo-associated Uveitis Presenting to the Emergency Department.","authors":"Sara Twadell, Anabelle N Taveras, William Benda, Scott M Alter","doi":"10.4103/jets.jets_52_24","DOIUrl":"10.4103/jets.jets_52_24","url":null,"abstract":"<p><p>Eye complaints are common presentations to the emergency department that require prompt diagnosis and appropriate care to prevent visual impairment. Uveitis is a serious cause of visual problems needing urgent treatment. An uncommon etiology of uveitis is secondary to a systemic autoimmune reaction to dermal tattoos, whereby tattoo ink serves as an antigenic trigger that targets the eye. In this case, we describe a 22-year-old male who presented with 2 weeks of eye pain and blurred vision. Physical examination revealed conjunctival injection with decreased visual acuity bilaterally and skin peeling with elevation exactly along the lines of his tattoos. Based on these unusual but concomitant findings, a diagnosis of tattoo-associated uveitis was made. The patient received an emergency ophthalmology consultation and was treated with topical steroids. When presented with clinical findings of uveitis, physicians should ask about and inspect tattoos as a possible etiology of systemic inflammation, which may be overlooked.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"91-93"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642732","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}
Milin J Kurup, Amit Agrawal, Sarah R Temple, Sagar Galwankar
{"title":"Updated Review of Neurologic Concussion Biomarkers for Time-sensitive Point-of-care Testing.","authors":"Milin J Kurup, Amit Agrawal, Sarah R Temple, Sagar Galwankar","doi":"10.4103/jets.jets_76_24","DOIUrl":"10.4103/jets.jets_76_24","url":null,"abstract":"<p><p>As traumatic brain injuries (TBIs) continue to rise annually, scientists are continuing to improve point-of-care (POC) testing, involved in TBI diagnosis. TBIs, having various levels of severity, are often misdiagnosed or overlooked, especially in acute mild TBI or concussion scenarios. At the POC, currently, medical professionals utilize neuroimaging, cognitive scales, and biomarker assays to diagnose concussions and other forms of TBI. However, many of these parameters hinder diagnostic value due to accessibility and time-sensitive restraints. After analyzing the profuse research surrounding time sensitive concussion biomarkers kinetics, in the National Institute of Health National Library of Medicine database, this review aims to compile all published research on concussion POC biomarkers, screened between 2022 and 2023. Commonly studied concussion POC biomarkers include ubiquitin C-terminal hydrolase L1, glial fibrillary acidic protein, visinin-like protein-1, S100 calcium-binding protein B, tau, and neurofilament light chain. Each neurologic biomarker has various implications and limitations when characterizing TBI. Novel biomarkers and multimodal paired concussion parameter models are continuously being evaluated for their respective diagnostic strengths and weaknesses.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"74-89"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642733","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}
Fatimah Lateef, Francesca Lim, Liew Yee Kent, M Ng Ya Genevieve, Mohamed Ridzuan Bin Sulaiman, Sagar Galwankar, Rose V Goncalves, Danielle Glaze, Michael Lai
{"title":"STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment - Strengthening the \"Stroke-Trauma\" Chain of Survival.","authors":"Fatimah Lateef, Francesca Lim, Liew Yee Kent, M Ng Ya Genevieve, Mohamed Ridzuan Bin Sulaiman, Sagar Galwankar, Rose V Goncalves, Danielle Glaze, Michael Lai","doi":"10.4103/jets.jets_92_24","DOIUrl":"10.4103/jets.jets_92_24","url":null,"abstract":"<p><strong>Introduction: </strong>In clinical practice, it is common to see stroke and trauma simultaneously in the same patient. When such a patient presents to the emergency department (ED), rapid assessment must be done to adequately manage both conditions. As the assessment will cover a significant number of steps and tasks to be accomplished, it may prove challenging, especially for a novice practitioner. As a result, key diagnostic signs may be missed or overlooked. This may cause nondiagnosis, misdiagnosis, or delay in the handling of time-dependent diagnoses (e.g. thrombolytic therapy decision for stroke and recognition of early shock in trauma). Therefore, the need for a comprehensive approach to the management of the patient who has simultaneous acute stroke and trauma is needed.</p><p><strong>Methods: </strong>We propose the Stroke-Trauma (STRAUMA) Code framework for use in the ED and by first-line healthcare staff. We used a trans-continental approach by testing our proposed STRAUMA framework at two centers: in the Department of Emergency Medicine at Singapore General Hospital in Singapore and in the Emergency Care Center at Sarasota Memorial Hospital in Sarasota, Florida, USA.</p><p><strong>Results: </strong>Both teams agreed that the new proposed STRAUMA Code framework is systematic, structured, and organized thus making it easier to apply in the clinical setting.</p><p><strong>Conclusion: </strong>A structured approach to manage the more complex cases presenting to the ED is useful so as not to miss important and often critical information and steps which will affect patient management as well as outcomes.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"18 2","pages":"56-61"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642731","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}