World journal of emergency medicine最新文献

{"title":"<i>Cryptococcus</i> splenic abscess in primary biliary cholangitis: a case report.","authors":"Yuxin Dong, Qing Tang, Lijun Wang, Songtao Shou","doi":"10.5847/wjem.j.1920-8642.2024.066","DOIUrl":"https://doi.org/10.5847/wjem.j.1920-8642.2024.066","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 4","pages":"319-321"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of fluoroscopy for detecting hypertensive lung edema due to prosthetic valve dysfunction: a case report.","authors":"Yusuf Kantar, Necmi Baykan","doi":"10.5847/wjem.j.1920-8642.2024.053","DOIUrl":"https://doi.org/10.5847/wjem.j.1920-8642.2024.053","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 4","pages":"313-315"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pregnant patient with type II osteogenesis imperfecta pregnancy.","authors":"Chenyu Jiang, Chenyi Bao, Shujuan Shu","doi":"10.5847/wjem.j.1920-8642.2024.008","DOIUrl":"10.5847/wjem.j.1920-8642.2024.008","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 1","pages":"75-76"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10765072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum procalcitonin levels are associated with rhabdomyolysis following exertional heatstroke: an over 10-year intensive care survey.","authors":"Li Zhong, Feifei Shuai, Conglin Wang, Lipeng Han, Zhifeng Liu, Ming Wu","doi":"10.5847/wjem.j.1920-8642.2024.02.009","DOIUrl":"10.5847/wjem.j.1920-8642.2024.02.009","url":null,"abstract":"<p><strong>Background: </strong>Heatstroke has become a common emergency event in hospitals. Procalcitonin (PCT) is used as a biomarker of infection in the emergency department (ED), but its role in rhabdomyolysis (RM) following exertional heatstroke (EHS) remains unclear.</p><p><strong>Methods: </strong>A retrospective cohort study enrolled patients with EHS from the intensive care unit (ICU). We collected RM biomarkers, inflammation markers, critical disease scores at admission, 24 h, 48 h, and discharge, and 90-day mortality. Correlation analysis, linear regression and curve fitting were used to identify the relationship between PCT and RM.</p><p><strong>Results: </strong>A total of 162 patients were recruited and divided into RM (<i>n</i>=56) and non-RM (<i>n</i>=106) groups. PCT was positively correlated with myoglobin (Mb), acute hepatic injury, disseminated intravascular coagulation (DIC), Sequential Organ Failure Assessment (SOFA) score, and Acute Physiology and Chronic Health Evaluation II (APACHE II) score, with correlation coefficients of 0.214, 0.237, 0.285, 0.454, and 0.368, respectively (all <i>P</i><0.05). Interestingly, the results of curve fitting revealed a nonlinear relationship between PCT and RM, and a two-piecewise linear regression model showed that PCT was related to RM with an odds ratio of 1.3 and a cut-off of <4.6 ng/mL. Survival analysis revealed that RM was associated with higher mortality compared to non-RM cases (<i>P</i>=0.0093).</p><p><strong>Conclusion: </strong>High serum PCT concentrations are associated with RM after EHS in critically ill patients. Elevated PCT concentrations should be interpreted cautiously in patients with EHS in the ED.</p>","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 1","pages":"23-27"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10765085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for postpartum posttraumatic stress disorder after emergency admission.","authors":"Fengxia Du, Jun Zha, Yan Li, Lichao Fang, Shuyu Xia, Youjia Yu","doi":"10.5847/wjem.j.1920-8642.2024.013","DOIUrl":"10.5847/wjem.j.1920-8642.2024.013","url":null,"abstract":"<p><strong>Background: </strong>Postpartum posttraumatic stress disorder (PTSD) can occur in women who give birth after emergency admission. The identification of risk factors for this condition is crucial for developing effective preventive measures. This retrospective study aimed to explore the incidence and risk factors for postpartum PTSD in women who give birth after emergency admission.</p><p><strong>Methods: </strong>Medical records of women who gave birth after emergency admission were collected between March 2021 and April 2023. The patients' general conditions and perinatal clinical indicators were recorded. The puerperae were divided into PTSD group and control group based on symptom occurrence at six weeks postpartum. Multivariate logistic regression analysis was performed to identify risk factors.</p><p><strong>Results: </strong>A total of 276 puerperae were included, with a PTSD incidence of 20.3% at six weeks postpartum. Multivariate logistic regression analysis identified emergency cesarean section (odds ratio [<i>OR</i>]=2.102; 95% confidence interval [<i>CI</i>]: 1.114-3.966, <i>P</i>=0.022), admission to the emergency department after midnight (12:00 AM) (<i>OR</i>=2.245; 95%<i>CI</i>: 1.170-4.305, <i>P</i><0.001), and cervical dilation (<i>OR</i>=3.203; 95%<i>CI:</i> 1.670-6.141, <i>P</i>=0.039) as independent risk factors for postpartum PTSD. Analgesia pump use (<i>OR=</i> 0.500; 95%<i>CI:</i> 0.259-0.966, <i>P</i>=0.015) was found to be a protective factor against postpartum PTSD.</p><p><strong>Conclusion: </strong>Emergency cesarean section, admission to the emergency department after midnight, and cervical dilation were identified as independent risk factors for postpartum PTSD, while analgesic pump use was a protective factor. These findings provide insights for developing more effective preventive measures for women who give birth after emergency admission.</p>","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 2","pages":"121-125"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calcium carbonate-associated milk-alkali syndrome as a cause of altered mental status in the emergency department: a case report.","authors":"Rebecca Leff, Bo E Madsen","doi":"10.5847/wjem.j.1920-8642.2024.078","DOIUrl":"10.5847/wjem.j.1920-8642.2024.078","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 6","pages":"499-501"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of cardiac and ophthalmic manifestations of meningococcal septicemia.","authors":"Svetlana Rachina, Anastasia Shchendrygina, Heshan Radeesha de Silva, Svetlana Tarasenko, Nadezhda Mukhina, Irina Komarova, Ludmila Fedina, Elena Burmistrova, Elvira Martens, Sergey Sidorenko, Vladimir Gostev, Dmitry Polev, Alina Saitova, Lyudmila Kraeva, Nikita Goncharov, Irina Zvetkova","doi":"10.5847/wjem.j.1920-8642.2024.068","DOIUrl":"https://doi.org/10.5847/wjem.j.1920-8642.2024.068","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 4","pages":"328-330"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical variation in the internal jugular vein: potential risk factors for central venous catheterization - a case report.","authors":"Yidan Shan, Weijia Huang","doi":"10.5847/wjem.j.1920-8642.2024.056","DOIUrl":"https://doi.org/10.5847/wjem.j.1920-8642.2024.056","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 4","pages":"316-318"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary embolism secondary to acute anterior ST-elevation myocardial infarction: a case report.","authors":"Lin Yuan, Hong Li, Yuhong Mi, Ying Liang","doi":"10.5847/wjem.j.1920-8642.2024.017","DOIUrl":"10.5847/wjem.j.1920-8642.2024.017","url":null,"abstract":"","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 2","pages":"139-141"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10925528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of partial and complete resuscitative endovascular balloon occlusion of the aorta in the hemorrhagic shock model of liver injury.","authors":"Yi Shan, Yang Zhao, Chengcheng Li, Jianxin Gao, Guogeng Song, Tanshi Li","doi":"10.5847/wjem.j.1920-8642.2024.001","DOIUrl":"10.5847/wjem.j.1920-8642.2024.001","url":null,"abstract":"<p><strong>Background: </strong>Resuscitative endovascular balloon occlusion of the aorta (REBOA) can temporarily control traumatic bleeding. However, its prolonged use potentially leads to ischemia-reperfusion injury (IRI). Partial REBOA (pREBOA) can alleviate ischemic burden; however, its security and effectiveness prior to operative hemorrhage control remains unknown. Hence, we aimed to estimate the efficacy of pREBOA in a swine model of liver injury using an experimental sliding-chamber ballistic gun.</p><p><strong>Methods: </strong>Twenty Landrace pigs were randomized into control (no aortic occlusion) (<i>n</i>=5), intervention with complete REBOA (cREBOA) (<i>n</i>=5), continuous pREBOA (C-pREBOA) (<i>n</i>=5), and sequential pREBOA (S-pREBOA) (<i>n</i>=5) groups. In the cREBOA and C-pREBOA groups, the balloon was inflated for 60 min. The hemodynamic and laboratory values were compared at various observation time points. Tissue samples immediately after animal euthanasia from the myocardium, liver, kidneys, and duodenum were collected for histological assessment using hematoxylin and eosin staining.</p><p><strong>Results: </strong>Compared with the control group, the survival rate of the REBOA groups was prominently improved (all <i>P</i><0.05). The total volume of blood loss was markedly lower in the cREBOA group (493.14±127.31 mL) compared with other groups (<i>P</i><0.01). The pH was significantly lower at 180 min in the cREBOA and S-pREBOA groups (<i>P</i><0.05). At 120 min, the S-pREBOA group showed higher alanine aminotransferase (<i>P</i><0.05) but lower blood urea nitrogen compared with the cREBOA group (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>In this trauma model with liver injury, a 60-minute pREBOA resulted in improved survival rate and was effective in maintaining reliable aortic pressure, despite persistent hemorrhage. Extended tolerance time for aortic occlusion in Zone I for non-compressible torso hemorrhage was feasible with both continuous partial and sequential partial measures, and the significant improvement in the severity of acidosis and distal organ injury was observed in the sequential pREBOA.</p>","PeriodicalId":23685,"journal":{"name":"World journal of emergency medicine","volume":"15 1","pages":"10-15"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10765071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}