Frontiers in Emergency Medicine最新文献_第2页

Does emergency medicine clerkship change students' misconceptions towards this specialty? Pre- and post-clerkship perceptions 急诊医学实习是否改变了学生对该专业的误解?任职前和任职后的认知

Frontiers in Emergency Medicine Pub Date : 2023-05-23 DOI: 10.18502/fem.v7i2.12767

K. Almulhim, Ali O Mobarki, A. Aljasir, A. Almulhim, I. Almulhim

{"title":"Does emergency medicine clerkship change students' misconceptions towards this specialty? Pre- and post-clerkship perceptions","authors":"K. Almulhim, Ali O Mobarki, A. Aljasir, A. Almulhim, I. Almulhim","doi":"10.18502/fem.v7i2.12767","DOIUrl":"https://doi.org/10.18502/fem.v7i2.12767","url":null,"abstract":"Objective: This study aims to understand students' skills based on their self-assessment and their perceptions regarding emergency medicine (EM) physicians, EM patients, and choosing EM as a future career. \u0000Methods: This study employed prospective observational design. It was conducted from 2 October to 2 November 2022 in Saudi Arabia. The study participants were senior medical students at King Faisal University. Senior students who finished a four-week EM rotation were involved as post-cases, and senior students who had not finished their EM rotation were involved as pre-cases. An online survey was administrated to all students who met out criteria. \u0000Results: A total of 161 students were included in the study; 65.2% had not yet done their EM clerkship, while 34.8% had completed their EM clerkship. Among them, 48.4% were male, and 51.6% were female. On average, post-EM clerkship students showed greater confidence in their skills of conducting an initial assessment of a patient (p=0.027), developing a management plan (p=0.007), explaining the principles of EM to others (p<0.001), presenting patient cases formally (p=0.049), interpreting electrocardiogram (p=0.006), and applying medical resuscitation (p=0.041). No significant differences were found between the average confidence in the skills and abilities of male and female students. Post-EM clerkship and male students were more likely to choose EM as a career when compared with pre-EM clerkship (p<0.001) and female students (p=0.006). \u0000Conclusion: It seems that, after completing a four-week rotation, students exhibited significant advances in knowledge, illness management, and procedural skills. It is likely that the EM clerkship significantly improved students' perceptions of the EM specialty \u0000 ","PeriodicalId":385617,"journal":{"name":"Frontiers in Emergency Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127241859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The journey of Italian emergency medicine 意大利急诊医学之旅

Frontiers in Emergency Medicine Pub Date : 2023-05-23 DOI: 10.18502/fem.v7i2.12764

Ennio Licheri

引用次数: 0

Relationship of the systemic immuno-inflammation index and hematological inflammatory index with mortality and hospitalization in acute pancreatitis: a cross-sectional study 系统性免疫炎症指数和血液学炎症指数与急性胰腺炎死亡率和住院率的关系:一项横断面研究

Frontiers in Emergency Medicine Pub Date : 2023-05-23 DOI: 10.18502/fem.v7i2.12765

S. Özdemir, I. Altunok, A. Algın

{"title":"Relationship of the systemic immuno-inflammation index and hematological inflammatory index with mortality and hospitalization in acute pancreatitis: a cross-sectional study","authors":"S. Özdemir, I. Altunok, A. Algın","doi":"10.18502/fem.v7i2.12765","DOIUrl":"https://doi.org/10.18502/fem.v7i2.12765","url":null,"abstract":"Objective: This study was conducted to reveal the relationship of the hematological inflammatory index (HII) and systemic immuno-inflammation index (SII) with short-term and prolonged hospitalization in cases of acute pancreatitis. \u0000Methods: This single-center cross-sectional study was conducted in the emergency department (ED) of an educational hospital. The study population contained cases who untaken to the ED with acute pancreatitis between August 15, 2021, and May 15, 2022. Cases discharged from the ED, those referred to another center for hospitalization, and those with absent information were excluded from the study. The patients were grouped according to the length of hospital stay (expected and prolonged) and short-term mortality (survivor and died). We constructed a receiver operating characteristic (ROC) curve for short-term mortality and prolonged hospitalization and obtained the area under the curve (AUC) values for SII and HII. \u0000Results: One hundred seventy-seven patients were included in the study. There was no significant difference between the expected and prolonged hospitalization groups in the terms of SII and HII (P=0.649 and P=0.084, respectively). There was also no significant difference between the survivor and died groups in the terms of these indexes (P=0.070 for HII and P=0.138 for SII). The AUC values for the SII and HII in the prediction of 30-day mortality were 0.616 and 0.642, respectively. The AUC values for the SII and HII in the prediction of prolonged hospitalization were 0.580 and 0.642, respectively. \u0000Conclusion: The outcomes of the present study showed no significant difference among the expected and prolonged hospitalization groups or the survivor and died groups in the terms of SII and HII. We recommend the validation of our results in multicenter studies with larger samples.","PeriodicalId":385617,"journal":{"name":"Frontiers in Emergency Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128593850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The severity of mental health problems in healthcare professionals and its associated risk factors during COVID-19 pandemic COVID-19大流行期间卫生保健专业人员精神健康问题的严重程度及其相关风险因素

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11693

Melaku Getachew, Habtamu Tadesse, Natanim Degefu

{"title":"The severity of mental health problems in healthcare professionals and its associated risk factors during COVID-19 pandemic","authors":"Melaku Getachew, Habtamu Tadesse, Natanim Degefu","doi":"10.18502/fem.v7i1.11693","DOIUrl":"https://doi.org/10.18502/fem.v7i1.11693","url":null,"abstract":"Objective: This study assesses the severity of mental health problems in healthcare professionals (HCPs) and its associated risk factors during COVID-19 pandemic at a tertiary hospital in Harar, Eastern Ethiopia. \u0000Methods: An institutional-based cross-sectional study was done from November 01 to 15, 2020. Data was collected by using a web-based self-administered questionnaire. Descriptive statistical analysis, cross tabs, and logistic regressions were utilized. \u0000Results: Out of 238 HCPs, 54.6% of them had a mental health problem. The prevalence of depression, anxiety, and stress was 44.1%, 48.3%, and 29.0%, respectively. Cigarette smoking was the only factor associated with depression. Being female, a cigarette smoker, and previously diagnosed with COVID-19 were associated with anxiety, while cigarette smoking and previous COVID-19 suspect had a significant association with stress. \u0000Conclusion: The burden of mental health problems among HCPs is high. The Federal Ministry of Health should incorporate psychosocial support for healthcare professionals during pandemics. This study highlights the need for developing policies to decrease mental health problems among HCPs during the COVID-19 pandemic.","PeriodicalId":385617,"journal":{"name":"Frontiers in Emergency Medicine","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126169448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

General medicine interns’ attitude in continuing their education in emergency medicine residency programs 全科医学实习生在急诊医学住院医师培训中继续接受教育的态度

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11694

Ali Vafaye, K. Heydari, H. Mardanparvar, Ali Alizadeh Kaseb, Saeed Safari

{"title":"General medicine interns’ attitude in continuing their education in emergency medicine residency programs","authors":"Ali Vafaye, K. Heydari, H. Mardanparvar, Ali Alizadeh Kaseb, Saeed Safari","doi":"10.18502/fem.v7i1.11694","DOIUrl":"https://doi.org/10.18502/fem.v7i1.11694","url":null,"abstract":"Introduction: Emergency medicine (EM) is a relatively new medical specialty, which concerns patients who need vital and urgent medical care. This study aimed to evaluate the general medicine interns’ attitude in continuing their education in EM residency programs. \u0000Methods: This study is a prospective cross-sectional study, which was performed on 180 medical students during their internship using convenience sampling. Data were collected using a valid and reliable researcher-made questionnaire and analyzed using SPSS 26 software. \u0000Results: One hundred and eighty medical students in the internship period with the mean of 25.65 ± 2.72 (23 – 46) years were studied (53.3% male; 76.7% single). Only 33 (18.3%) interns indicated their interest in continuing their education in EM residency programs. 30 (16.66) cases were not interested in continuing their education in any residency program (61.1% of whom cited migration as the reason, 13% cited not working as a specialist, 14.8% indicated lack of economic justification, and 11.1% cited other reasons for not wanting to enter residency programs). The mean overall interest score to EM residency program was 59.61 ± 12.66 % (20 – 96.41%). The lowest and highest interest scores obtained in the economic status (47.91 ± 21.13%) and education status (70.59 ± 15.77%) of EM specialty, respectively. The mean overall interest score was not statistically different between male and female students (p = 0.366). There was a significant statistical correlation between gender and type of discipline chosen, and female mostly chose non-surgical disciplines (p = 0.001). \u0000Conclusion: The interest of general medicine interns in continuing their education in EM residency program was average. The economic field of EM has been one of the best factors in attracting students to continue their studies in this field.","PeriodicalId":385617,"journal":{"name":"Frontiers in Emergency Medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127260452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Personal protective equipment usage among Iranian police officers during COVID-19 pandemic; a cross-sectional study COVID-19大流行期间伊朗警察个人防护装备的使用情况横断面研究

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11695

Seyedmohammadmehdi Samimiardestani, Meisam Sharifi, Mehri Farhange Ranjbar

{"title":"Personal protective equipment usage among Iranian police officers during COVID-19 pandemic; a cross-sectional study","authors":"Seyedmohammadmehdi Samimiardestani, Meisam Sharifi, Mehri Farhange Ranjbar","doi":"10.18502/fem.v7i1.11695","DOIUrl":"https://doi.org/10.18502/fem.v7i1.11695","url":null,"abstract":"Objective: Due to the important role of police during COVID-19 pandemics and lack of previous studies on the impact of personal protective equipment (PPE) in reduction of COVID-19 infection among police officers, we aimed to investigate the role of using PPE in prevention of COVID-19 infection among Iranian police personnel. \u0000Methods: This cross-sectional survey was conducted in Tehran, Iran during January 2021 to November 2022. The study sample consisted of police personnel who were active in field operations. Demographics (age, height, weight, gender, marital status, number of children and underlying diseases) and job characteristics such as frequency and type of operations, involvement of colleagues with COVID-19, and COVID-19 infection history, using PPE, types of used PPE (mask, face shield, gloves, etc), protective strategies (such as social distancing) and COVID-19 vaccination were recorded. Statistical analysis was performed with IBM SPSS Statistics for Windows, version 25. \u0000Results: Totally, 340 participants were analyzed (33.54±9.74 years old, 91.2% males), of whom, 150 participants (44.1%) reported at least one episode of confirmed COVID-19 infection. The most common component of PPE used both during operations and daily life was face mask (44.7% and 75%, respectively). The most popular measure with higher adherence compared to others was social distancing with 70% popularity and an adherence score of 5.85±3.74. Three hundred subjects (88.2%) had received at least one dose of COVID-19 vaccine. Among PPE items, using face mask, washing hands with soap, social distancing and vaccination were significantly different between patients with and without prior COVID-19 infection (p>0.05). \u0000Conclusion: The findings showed that use of PPE is significantly efficacious in reduction of COVID-19 infection among police officers. Therefore, despite difficulties of using PPE among police forces, it is strongly recommended for virus spread control in this population.","PeriodicalId":385617,"journal":{"name":"Frontiers in Emergency Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122011332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reviewing brachial plexus injury in a trauma registry center 回顾创伤登记中心的臂丛损伤

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11692

Payman Salamati, M. Zafarghandi

引用次数: 0

Probable abdominal compartment syndrome in an 8-month-old child 8个月大的婴儿可能有腹膜隔室综合征

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11701

Sakher Awadalla, A. Mohamed

引用次数: 0

Intraoperative administration of methadone reduced postoperative pain and opioid consumption following cadaveric renal transplantation: a randomized controlled trial 术中给予美沙酮可减少尸体肾移植术后疼痛和阿片类药物的消耗:一项随机对照试验

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11696

M. Khajavi, Sanaz Kharazmi, Hossein Dialameh, Azam Biderafsh

{"title":"Intraoperative administration of methadone reduced postoperative pain and opioid consumption following cadaveric renal transplantation: a randomized controlled trial","authors":"M. Khajavi, Sanaz Kharazmi, Hossein Dialameh, Azam Biderafsh","doi":"10.18502/fem.v7i1.11696","DOIUrl":"https://doi.org/10.18502/fem.v7i1.11696","url":null,"abstract":"Objective: In this randomized clinical trial study, the impact of prophylactic administration of methadone during surgery on postoperative pain and analgesic requirement following cadaveric renal transplantation was assessed. \u0000Methods: Ninety patients were randomized to receive either methadone 0.15 mg/kg or 0.15mg/kg morphine after tracheal intubation. Both groups were treated with acetaminophen 1 gr before extubation. Protocol of anesthesia was the same in both groups and the anesthetist was blinded to the study groups. The primary outcome was defined as total opioid consumption during recovery and first day after surgery. Secondary outcomes were pain scores and level of patients’ sedation during the recovery period and first postoperative day as well as opioid-related complications. \u0000Results: Data of eighty-five eligible patients were analyzed. The mean pain and sedation scores were lower in the methadone group compared to the morphine group during recovery and the first 24 hours after surgery. The time of first rescue analgesic requirement was later in the methadone group (10.4 vs 6.3 hours). Also, postoperative morphine consumption was significantly less in the methadone group compared to patients receiving morphine (3.5 vs. 6.9 mg; P < 0.001). \u0000Conclusion: Intraoperative administration of methadone decreased postoperative pain scores, reduced opioid consumption after surgery and improved level of sedation during the first 24 hours after surgery.","PeriodicalId":385617,"journal":{"name":"Frontiers in Emergency Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124919698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Removing a pin from the urethra of a 14-year-old male patient: a case report 从14岁男性患者尿道取出一根针:一例报告

Frontiers in Emergency Medicine Pub Date : 2023-01-16 DOI: 10.18502/fem.v7i1.11699

Adem Tunçekin, M. Demir, I. Yağmur, Eyyup Sabri Pelit, B. Kati, H. Çiftçi

引用次数: 0