Acute Medicine最新文献

A National Survey of Geriatric Emergency Health Care: Insights into Current Practice. 全国老年紧急医疗保健调查：对当前实践的见解。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1013

Aude Mahaux, Camille Desender, Alexander Niset, Andrea Penaloza, Florence Dupriez, Alix Collard, Maud Vanderhofstadt, Françoise Steenebruggen

引用次数: 0

'Not All Swellings Are Angioedema' - An Overview And Systematic Approach For Acute Medical Physicians. “不是所有的肿胀都是血管性水肿”——急性内科医生的综述和系统方法。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1016

Kavitha Sooriyakumar, Sahar Ahmed, Leman Mutlu, Osama MohamedAhmed, Anjali Ekbote, Mamidipudi Thirumala Krishna, Omar E Mohamed

引用次数: 0

To LP or not to LP? A service evaluation investigating the prevalence of subarachnoid haemorrhage in patients undergoing a lumbar puncture in the acute medical setting. LP还是不LP？一项服务评估，调查在急性医疗环境中接受腰椎穿刺的患者蛛网膜下腔出血的患病率。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1009

Sophie Voase, Robert Stroud, Mae Upcott, Elin Foden, Sian Thomas, Danja Schulenburg-Brand, Jonathan Underwood

引用次数: 0

A Retrospective Analysis of Tranexamic Acid Use in Acute Undifferentiated Angioedema: Observations from a Pragmatic Lens. 氨甲环酸用于急性未分化血管性水肿的回顾性分析：从实用镜头观察。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1024

John Teijido, Jeffrey Yochum, Austin Tubbs, Matthew Treat, Beth Adams

{"title":"A Retrospective Analysis of Tranexamic Acid Use in Acute Undifferentiated Angioedema: Observations from a Pragmatic Lens.","authors":"John Teijido, Jeffrey Yochum, Austin Tubbs, Matthew Treat, Beth Adams","doi":"10.52964/AMJA.1024","DOIUrl":"https://doi.org/10.52964/AMJA.1024","url":null,"abstract":"Background: Angioedema is the development of non-pitting edema of the skin and mucosal tissues of the oropharynx, upper respiratory tract, and the gastrointestinal tract. Given the potential for airway compromise, the treatment strategy usually involves a broad approach by addressing multiple underlying possible pathologies simultaneously without knowing the exact mechanism. This is a common and often necessary approach when managing a critically ill patient with incomplete information. Although the current research on TXA use in angioedema centers on ACE-I induced mechanisms, the authors frequently see it used in undifferentiated angioedema.Methods: This is a retrospective comparative study evaluating the effect of intravenous TXA administration to treat acute angioedema when compared to usual treatment. Hospital admissions, repeat ED visits specifically related to angioedema within 30 days, 30-day all-cause mortality, and need for an advanced airway were assessed as outcomes.Results: After applying inclusion and exclusion criteria, 562 ED encounters were identified for chart review. Matched ED encounters comparing TXA use and no TXA use were well balanced. No statistically significant difference was identified when using TXA or not for angioedema when examining the outcome variables.Conclusion: No significant differences were seen between the groups when evaluating ED revisits related to angioedema, hospital admission, the need for an advanced airway, and 30-day all-cause mortality. Prospective analysis of TXA in angioedema is needed to clarify its role in acute treatment.","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"24 4","pages":"168-174"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473207","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

Ambient Voice Technology in Same Day Emergency Care: Enhancing Documentation Efficiency and Patient Flow. 环境语音技术在当天急诊护理：提高文件效率和病人流动。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1007

Maria Karavassilis, Sumin Youn, Dmitriy Chernov, Esh Tatla, Iftikhar Ahmed, Suhyun Youn, Devasenan Devendra

{"title":"Ambient Voice Technology in Same Day Emergency Care: Enhancing Documentation Efficiency and Patient Flow.","authors":"Maria Karavassilis, Sumin Youn, Dmitriy Chernov, Esh Tatla, Iftikhar Ahmed, Suhyun Youn, Devasenan Devendra","doi":"10.52964/AMJA.1007","DOIUrl":"10.52964/AMJA.1007","url":null,"abstract":"Background: Efficient documentation is essential in Same Day Emergency Care (SDEC) settings to maintain smooth patient flow. Manual typing, although reliable, is time-consuming and can negatively impact clinical efficiency.Objectives: This Service Improvement Pilot study evaluates the impact of Heidi Health's Ambient Voice Technology on documentation efficiency, clinician workload, and patient satisfaction during clinical consultations.Methods: An observational analysis was conducted on 100 case notes in an SDEC setting. Documentation times using Heidi Health's Ambient Voice Technology were recorded, while manual documentation times were estimated based on word counts and typical typing speeds. Clinician feedback was gathered on usability and administrative burden, and patient feedback focused on the consultation experience.Results: Ambient Voice Technology reduced documentation time by 85.8%, saving an average of 5.27 minutes (equivalent to 5 minutes 16 seconds) per case compared to manual typing (p < 0.001). Clinicians reported high usability scores (mean = 9.1/10), reduced administrative burden, and improved consultation flow. Additionally, 90% of patients reported an enhanced consultation experience.Conclusions: Ambient Voice Technology significantly improves documentation efficiency, reduces clinician workload, and enhances patient satisfaction in SDEC settings. Future research should explore its application across a variety of clinical environments.","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"24 1","pages":"49-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309627","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

What does a job in Acute Medicine look like? Insights from the RCP 2023 Workforce Census. 急症医学的工作是什么样的？来自RCP 2023劳动力普查的见解。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1018

Kai Jones-White, Bethan Griffith, Gordon McKinnon, Nicholas Smallwood

引用次数: 0

Acute Toxicity Following Occupational Exposure to Anti-Fouling Marine Paints: A Case Series of Five Adult Patients. 职业性接触防污船用涂料后的急性毒性：5例成人患者的病例系列。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1022

Obaidullah Ahmadzai, BüŞra Demirci Samedov, Elif Sena Güvenç

{"title":"Acute Toxicity Following Occupational Exposure to Anti-Fouling Marine Paints: A Case Series of Five Adult Patients.","authors":"Obaidullah Ahmadzai, BüŞra Demirci Samedov, Elif Sena Güvenç","doi":"10.52964/AMJA.1022","DOIUrl":"10.52964/AMJA.1022","url":null,"abstract":"Introduction: Anti-fouling marine paints contain toxic components such as copper-based biocides, organotin compounds, and volatile organic solvents. Acute occupational exposure may result in respiratory, gastrointestinal, hepatic, and neurological manifestations; however, clinical data in emergency medicine regarding such exposures remain limited.Case presentation: Five male shipyard workers aged 23-39 years presented to the emergency department following acute occupational exposure during anti-fouling paint application. Three patients experienced inhalational exposure and presented with dyspnoea and throat irritation requiring supplemental oxygen therapy. One patient presented with nausea and vomiting and was found to have a two-fold elevation in aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels. Another patient reported dizziness, throat burning, and palpitations. Other laboratory parameters were within normal limits. All patients were hospitalised for close observation and received supportive treatment, including oxygen therapy, intravenous fluids, and symptomatic management. No severe systemic toxicity or organ failure developed. Clinical and laboratory findings improved within 72 hours, and all patients were discharged without complications.Conclusion: Acute exposure to anti-fouling marine paints may cause heterogeneous clinical presentations, including respiratory compromise and transient hepatic enzyme elevation. Emergency physicians should recognise this occupational hazard and consider extended observation and supportive management when clinically indicated.","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"24 4","pages":"160-163"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473255","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

Yield of Follow-up Chest X-rays for Infection-associated Changes in Same Day Emergency Care. 当天急诊中感染相关变化的胸部x线随访率

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1001

Ojoma Emeje, Rand Alkaissy, Richard De Butts, Mridula Rajwani, Christopher A O'Callaghan, Michael E Reschen

{"title":"Yield of Follow-up Chest X-rays for Infection-associated Changes in Same Day Emergency Care.","authors":"Ojoma Emeje, Rand Alkaissy, Richard De Butts, Mridula Rajwani, Christopher A O'Callaghan, Michael E Reschen","doi":"10.52964/AMJA.1001","DOIUrl":"https://doi.org/10.52964/AMJA.1001","url":null,"abstract":"Introduction: Patients with respiratory infection-associated changes on chest X-ray often have follow-up chest X-rays (CXRs) to exclude malignancy. In the UK, same day emergency care (SDEC) units have been developed to manage patients needing urgent hospital care on an ambulatory basis. The yield of findings and benefit from follow-up CXRs in this population is unknown. We report the non-malignant and malignant findings from our cohort of SDEC patients.Methods: We performed a retrospective service evaluation of CXRs for adult patients who attended our SDEC between 6/1/2020 and 25/9/2023, identifying CXRs arranged as follow-up for infection-related findings and assessing outcomes stratified by lung malignancy-associated risk factors.Results: Of 27,336 CXR requests from our SDEC unit, we identified 419 follow-up CXRs. From these, 341 follow-up CXRs were done to assess resolution of infection-related changes; 304 (89%) showed resolution and 37 (11%) showed persistent changes. Further investigation of persistent changes identified two malignancies and several non-malignant conditions including 7 cases of interstitial lung disease, 2 requiring ongoing respiratory follow up. Both patients with cancer were over 50 with risk factors.Conclusions: The small number of malignancies detected in follow-up CXRs in SDEC patients support risk factor-based targeting of CXRs although non-malignant findings may benefit some patients.","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"24 1","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309545","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

Editorial - Differential attainment in training in the United Kingdom. 编辑-英国培训中的差异成就。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1014

Ascanio Tridente

引用次数: 0

Editorial - The "To LP or not to LP" conundrum. An example of the two phases of peer review and the importance of post-publication discourse. 社论-“录音还是不录音”的难题。同行评议的两个阶段和出版后话语的重要性的一个例子。

Acute Medicine Pub Date : 2025-01-01 DOI: 10.52964/AMJA.1020

Ascanio Tridente

引用次数: 0