Journal of Emergencies, Trauma, and Shock最新文献_第3页

A Case of Anabolic Steroid Demonstrating Efficacy in Improving Anorexia Associated with Severe Fever with Thrombocytopenia Syndrome. 合成代谢类固醇对改善伴有严重发热伴血小板减少综合征的厌食症有效一例。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_158_25

Youichi Yanagawa, Raiki Tokutsu, Noriko Tanaka, Masashi Kato, Hiroki Nagasawa

引用次数: 0

Spontaneous Splenic Rupture without Trauma: Clinical Insight from a Three-case Series. 自发性脾破裂无外伤：三例临床分析。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.4103/jets.jets_187_25

Riyaz Sogiawalla, Jeffrey Pradeep Raj, Firoze Sogiawalla

{"title":"Spontaneous Splenic Rupture without Trauma: Clinical Insight from a Three-case Series.","authors":"Riyaz Sogiawalla, Jeffrey Pradeep Raj, Firoze Sogiawalla","doi":"10.4103/jets.jets_187_25","DOIUrl":"10.4103/jets.jets_187_25","url":null,"abstract":"Atraumatic splenic rupture (ASR) is a rare but life-threatening event that usually occurs in diseased spleens and can complicate systemic infections. Among infectious causes, Epstein-Barr virus (EBV) is the most frequently implicated, with rupture recognized as one of the most serious complications of infectious mononucleosis. Although the incidence is estimated at only 0.1%-0.5%, mortality can reach 5%-10% if diagnosis and treatment are delayed. Patients often present with abdominal pain, hypotension, or shock, but symptoms may be subtle and mimic other acute conditions. We report three cases of ASR in older adults. Case 1 involved a 79-year-old man with sudden abdominal pain and hypotension; he deteriorated under conservative management and required emergency splenectomy. EBV serology was positive. Case 2 was a 67-year-old woman admitted with collapse and sepsis-like features; computed tomography (CT) confirmed rupture, and she underwent splenectomy followed by a complicated postoperative course. EBV polymerase chain reaction was positive. Case 3, a 73-year-old woman with recent pneumonia, presented with dizziness and abdominal/back pain; CT confirmed rupture, and she underwent splenectomy. EBV testing was not performed. Histopathology in all three showed capsular rupture with hemorrhage but no lymphoma or malignancy. Each patient received postsplenectomy vaccination and antibiotic prophylaxis. These cases highlight the variable presentation of ASR, including EBV-associated forms, and emphasise the pivotal role of CT in diagnosis and the frequent need for splenectomy in unstable patients. Vigilance, rapid imaging, and adherence to postsplenectomy prophylaxis are critical for improving survival in this uncommon but serious condition.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 2","pages":"103-106"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391119","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

What's New in Emergencies Trauma and Shock - The Helicopter Paradox in Trauma Care: Does Faster Transport Necessarily Improve Survival? 紧急情况下的新进展：创伤和休克——创伤护理中的直升机悖论：更快的运输是否一定能提高生存率？

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-04-01 Epub Date: 2026-06-24 DOI: 10.4103/jets.jets_128_26

Bikram Gupta, Alisha Chaudhury, Steve Kamm

引用次数: 0

Intravenous Drug Use and Retained Needle. 静脉注射药物使用和留置针头。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_112_25

Harpreet Singh, Ranjit Kaur, Vikas Suri, Ashish Bhalla

引用次数: 0

Airway Obstruction due to Retropharyngeal Hematoma Following Cervical Spine Fracture Resulting in Cardiac Arrest. 颈椎骨折后咽后血肿导致的气道阻塞导致心脏骤停。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_162_25

Riku Watanabe, Raiki Tokutsu, Hiromichi Ohsaka, Youichi Yanagawa

引用次数: 0

Psychosocial Risks among Emergency Medical Services Personnel. 紧急医疗服务人员的心理社会风险。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.4103/jets.jets_138_25

Elif Isik Demirarslan

{"title":"Psychosocial Risks among Emergency Medical Services Personnel.","authors":"Elif Isik Demirarslan","doi":"10.4103/jets.jets_138_25","DOIUrl":"10.4103/jets.jets_138_25","url":null,"abstract":"Introduction: Emergency medical services (EMS) personnel are frequently exposed to challenging working conditions that may contribute to psychosocial risks. Understanding these risks is critical for improving occupational health and developing preventive strategies. This study aimed to identify psychosocial risk factors among EMS personnel in Artvin, Turkey.Methods: A descriptive cross-sectional design was employed. Data were collected from 68 participants using a sociodemographic characteristics form and the Copenhagen Psychosocial Questionnaire. Nonparametric statistical tests, including the Mann-Whitney U- and Kruskal-Wallis H-tests, were used to analyze differences across groups.Results: Among the EMS personnel surveyed, 47.5% were found to be at high risk in at least one psychosocial domain. Statistically significant differences were observed based on gender and professional role. Specifically, female EMS workers reported higher levels of emotional demands (P = 0.013) and work-privacy conflict (P = 0.021) compared to males. Emergency medical technicians showed significantly higher stress scores compared to paramedics (P = 0.031), while personnel working 24-h shifts had elevated levels of exhaustion (P = 0.017). A moderate positive correlation was found between weekly working hours and stress levels (r = 0.284, P < 0.001). These findings highlight the need for tailored interventions based on specific risk factors.Conclusion: This study highlights the importance of addressing psychosocial risks in EMS settings. Factors such as professional role, working hours, and organizational support play a key role in shaping risk perception. Targeted interventions, including workload regulation, professional development, and supportive management strategies, are essential to enhance the well-being and resilience of EMS workers.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 2","pages":"77-84"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391123","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

Tension Pneumoperitoneum from High-pressure Air Insufflation: An Unusual Paraphilic Injury. 高压充气引起的张力性气腹：一种不寻常的性冷淡损伤。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-01-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_140_25

C K Amith, Satyendra Meena, Amarinder Singh Malhi, Sanjeev Bhoi

引用次数: 0

Training the Obstetrician on Point-of-care Ultrasound Assessment for Emergencies in Maternal Care. 对产科医生进行急诊超声评估培训。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-01-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_153_25

Anish Keepanasseril, Anusha Cherian, Balamurugan Nathan, S Manu Ayyan

引用次数: 0

Factors Influencing the Time to Fibrinolysis in ST-elevation Myocardial Infarction: A Retrospective Observational Study. 影响st段抬高型心肌梗死纤溶时间的因素：一项回顾性观察研究。

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-01-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_98_25

Thejas Rao, Ezhilkugan Ganessane, Aashish S Raman, S Manu Ayyan, K Kalaivani, Anas Mohammed Muthanikkatt

{"title":"Factors Influencing the Time to Fibrinolysis in ST-elevation Myocardial Infarction: A Retrospective Observational Study.","authors":"Thejas Rao, Ezhilkugan Ganessane, Aashish S Raman, S Manu Ayyan, K Kalaivani, Anas Mohammed Muthanikkatt","doi":"10.4103/jets.jets_98_25","DOIUrl":"10.4103/jets.jets_98_25","url":null,"abstract":"Introduction: Timely reperfusion is critical for managing ST-elevation myocardial infarction (STEMI). We aimed to quantify treatment delays and identify factors associated with delayed fibrinolysis in STEMI patients.Methods: We conducted a retrospective observational study of 174 consecutive adult patients with STEMI who received fibrinolysis at a tertiary academic emergency department in Southern India between May 2023 and January 2024. Data were abstracted from medical records, and detailed prehospital information was obtained through structured telephone interviews. Multivariable logistic regression was used to identify independent predictors of late arrival (>6 h after symptom onset) and delayed door-to-needle (D2N) time (>30 min).Results: The median time from symptom onset to fibrinolysis was 320 min (interquartile range [IQR]: 210-480), driven primarily by a median prehospital delay of 300 min (IQR: 195-464). In contrast, the median D2N time was 15 min (IQR: 10-25), with 82.2% of patients achieving a D2N time of ≤30 min. Independent predictors of late arrival were lack of formal education (adjusted odds ratio [AOR]: 2.31; 95% confidence interval [CI]: 1.21-4.41) and unemployment (AOR: 1.98; 95% CI: 1.04-3.77). Independent predictors of delayed D2N time were a chief complaint other than chest pain (AOR: 8.98; 95% CI: 1.18-68.10), prior coronary artery disease (AOR: 4.86; 95% CI: 1.68-14.09), and consent time >5 min (AOR: 9.51; 95% CI: 2.65-34.16).Conclusions: Despite excellent inhospital performance metrics, the total ischemic time in STEMI patients remains high due to substantial prehospital delays associated with socioeconomic factors.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 1","pages":"20-29"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592218","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

Outcomes of Prehospital versus Emergency Department Intubation in Patients Managed by Emergency Medical Services. 急诊医疗服务管理的患者院前插管与急诊插管的结果

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Journal of Emergencies, Trauma, and Shock Pub Date : 2026-01-01 Epub Date: 2026-02-02 DOI: 10.4103/jets.jets_156_25

Yaowapha Siripakarn, Jiraporn Singthep, Winchana Srivilaithon

{"title":"Outcomes of Prehospital versus Emergency Department Intubation in Patients Managed by Emergency Medical Services.","authors":"Yaowapha Siripakarn, Jiraporn Singthep, Winchana Srivilaithon","doi":"10.4103/jets.jets_156_25","DOIUrl":"10.4103/jets.jets_156_25","url":null,"abstract":"Introduction: Prehospital endotracheal intubation (ETI) is a critical intervention in emergency care; however, its benefit compared to ETI performed in the emergency department (ED) remains uncertain. This study aims to compare survival to hospital discharge between patients who underwent ETI in the prehospital setting versus those intubated in the ED, all managed by a single emergency medical services (EMS) system.Methods: This retrospective cohort study included adult patients treated by the EMS team of Thammasat University Hospital from January 2019 to June 2021 who received ETI either at the scene or within 1 h of ED arrival. Both prehospital and ED ETIs were performed by physicians. The primary outcome was survival to hospital discharge. The secondary outcome was length of hospital stay. Multivariable and propensity score-matched analyses were performed.Results: Of 219 included patients, 106 underwent prehospital intubation, and 113 underwent ED intubation. Survival to hospital discharge was higher in the ED group than in the prehospital group (65% vs. 26%; P < 0.001). After multivariable adjustment, this difference remained significant (adjusted risk difference [RD], 28.7%; 95% confidence interval [CI], 11.1-46.6). However, after propensity score matching, the difference was no longer statistically significant (RD, 3.5%; 95%CI, -22.6 to 29.7; P = 0.789).Conclusion: Among EMS-managed patients requiring ETI, ED intubation was associated with higher crude and adjusted survival; however, this association did not persist after propensity score matching. These findings suggest that baseline differences may partly explain the observed effect and underscore the need for prospective studies to clarify the comparative effectiveness of prehospital airway strategies.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 1","pages":"3-8"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592255","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