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Emergency Department Treatment of Elevated Blood Pressure in the Headache Patient. 急诊科对头痛患者血压升高的治疗。
Acute Medicine Pub Date : 2024-01-01
Lauren Eberhardt, Michelle Jankowski, Brett Todd
{"title":"Emergency Department Treatment of Elevated Blood Pressure in the Headache Patient.","authors":"Lauren Eberhardt, Michelle Jankowski, Brett Todd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Headache accounts for 1 - 3% of emergency department (ED) visits globally and is associated with elevated blood pressure (BP). It is unclear if anti-hypertensive therapy provides benefits. This retrospective study assessed effects of anti-hypertensive therapy in ED headache patients on rescue analgesic need, hospital admissions, and length of stay (LOS). 1385 patients were included. 366 received anti-hypertensive therapy. The anti-hypertensive therapy cohort was older (p < 0.001) with increased odds of admission (p < 0.001) and 2.385 hrs longer ED LOS (p < 0.001). No difference in rescue analgesia was found (p < 0.429). Anti-hypertensive therapy in hypertensive ED headache patients is associated with increased hospital admission and ED LOS, but no difference in rescue analgesia utilization.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 2","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917697","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
Research in Acute Medicine. The results of a national survey of Society for Acute Medicine members. 急症医学研究。对急症医学会会员进行的全国性调查的结果。
Acute Medicine Pub Date : 2024-01-01 DOI: 10.52964/AMJA.0985
Suzy Gallier, James Hodson, Kum Loon Kwok, Lily Li, Charlotte Morgan, Benjamin Lewis, C Subbe, E Punj, C Atkin, E Sapey
{"title":"Research in Acute Medicine. The results of a national survey of Society for Acute Medicine members.","authors":"Suzy Gallier, James Hodson, Kum Loon Kwok, Lily Li, Charlotte Morgan, Benjamin Lewis, C Subbe, E Punj, C Atkin, E Sapey","doi":"10.52964/AMJA.0985","DOIUrl":"https://doi.org/10.52964/AMJA.0985","url":null,"abstract":"<p><strong>Background: </strong>Medical research improves patient outcomes, patient satisfaction, staff morale and retention. It is unclear what research opportunities and training staff in acute medicine had.</p><p><strong>Methods: </strong>The Society for Acute Medicine supported a survey to assess current research activity, training and perceived opportunities and barriers.</p><p><strong>Results: </strong>292 responses were received from diverse professional backgrounds. Few respondents had formal research qualifications or were undertaking research, but the majority valued research and wanted more research experience including formal training. Barriers included time constraints and perception that research in acute medicine was less valued by healthcare organisations. Preferred mechanisms to increase research included mentorship, advocacy, and increased opportunities.</p><p><strong>Conclusions: </strong>Strategies to increase research in acute medicine should consider these results in forward planning.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 3","pages":"107-117"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606675","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 - Emergency Departments Corridors are the new Acute Medical Units. 社论-急诊科走廊是新的急症医疗单位。
Acute Medicine Pub Date : 2024-01-01
Tim Cooksley
{"title":"Editorial - Emergency Departments Corridors are the new Acute Medical Units.","authors":"Tim Cooksley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The NHS and social care services remain under immense pressure. Each part of the system continues to experience demand beyond its capacity which exacerbates the problem. This is most vividly illustrated in urgent and emergency care. Once again, this winter, media is full of pictures of patients in corridors; long queues of ambulances outside of emergency departments and stories of horrific patient experiences: reflecting the appalling situation witnessed and practiced by acute medical teams daily.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 4","pages":"170-171"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721806","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
Crowned Dens Syndrome-Pseudogout of the Neck. 冠状沟综合征--颈部假性痛风。
Acute Medicine Pub Date : 2024-01-01
Benjamin Fox, Tom Jaconelli
{"title":"Crowned Dens Syndrome-Pseudogout of the Neck.","authors":"Benjamin Fox, Tom Jaconelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is a case report of a patient who presented with neck pain and intermittent pyrexia as a manifestation of pseudogout of the neck.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 2","pages":"95"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917696","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
Acute Medicine Trainee Survey 2024. 急性医学培训生调查2024。
Acute Medicine Pub Date : 2024-01-01
G McKinnon, C Mathewson, L R Rahman
{"title":"Acute Medicine Trainee Survey 2024.","authors":"G McKinnon, C Mathewson, L R Rahman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The training of Acute Physicians is crucial for future delivery of high-quality urgent care. The 2024 Acute Medicine Trainee Survey gathered 124 responses, assessing training satisfaction, challenges, and progress since the 2022 curriculum update. Most trainees (66.2%) reported satisfaction, with access to training in Point-of-Care Ultrasound (POCUS) improving (74.7% vs. 63% in 2023). Disparities in training provision and burnout remain significant concerns, with 29.1% experiencing burnout and 40% feeling at risk of this. Key challenges included patient flow issues, rota gaps, and limited respect from colleagues. Despite this, trainee satisfaction is rising, with the majority (88.7%) recommending a career in Acute Medicine. Continued efforts are essential to ensure equitable access to training opportunities and supporting well-being in this demanding specialty.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 4","pages":"191-194"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721800","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
Should respiratory rate be measured on admission over a few seconds by a smartphone application or over 15 minutes by a piezoelectric device? A prospective observational pilot study of acutely ill medical patients admitted to a low-resource Ugandan hospital. 入院时应使用智能手机应用程序测量几秒钟的呼吸频率，还是使用压电设备测量 15 分钟的呼吸频率？一项针对乌干达一家资源匮乏医院急诊病人的前瞻性观察试验研究。
Acute Medicine Pub Date : 2024-01-01 DOI: 10.52964/AMJA.0986
Franck Katembo Sikakulya, Immaculate Nakitende, Joan Nabiryo, Sylivia Namuleme, Alfred Lumala, John Kellett
{"title":"Should respiratory rate be measured on admission over a few seconds by a smartphone application or over 15 minutes by a piezoelectric device? A prospective observational pilot study of acutely ill medical patients admitted to a low-resource Ugandan hospital.","authors":"Franck Katembo Sikakulya, Immaculate Nakitende, Joan Nabiryo, Sylivia Namuleme, Alfred Lumala, John Kellett","doi":"10.52964/AMJA.0986","DOIUrl":"10.52964/AMJA.0986","url":null,"abstract":"<p><strong>Background: </strong>the optimal period over which respiratory rate should be measured is uncertain.</p><p><strong>Setting: </strong>medical ward of low resource Ugandan hospital, Methods: comparison of the first respiratory rates measured on admission over seconds using a smartphone application with measurements over 15 minutes using a piezoelectric device.</p><p><strong>Results: </strong>There was a poor correlation between respiratory rates measured by the piezoelectric device and rates measured by a smartphone application. Although the discrimination for mortality of piezoelectric respiratory rates were slightly higher than those derived from the application, there were not statistically significant differences.</p><p><strong>Conclusion: </strong>this study could not demonstrate potential clinical benefits that justify measuring the first respiratory rate after admission over 15 minutes by a device.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 3","pages":"118-126"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606678","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
Optimising Cardiology Ambulatory Care Pathways: A Comprehensive Approach to Admission Avoidance and Timely Intervention in a Post-Pandemic Healthcare Landscape. 优化心脏病非住院治疗路径：在大流行后的医疗保健环境中避免入院和及时干预的综合方法。
Acute Medicine Pub Date : 2024-01-01
Ken Teh, Claire MacLeod, Ross T Campbell, David Murdoch, Kenneth Mangion, Faheem Ahmad
{"title":"Optimising Cardiology Ambulatory Care Pathways: A Comprehensive Approach to Admission Avoidance and Timely Intervention in a Post-Pandemic Healthcare Landscape.","authors":"Ken Teh, Claire MacLeod, Ross T Campbell, David Murdoch, Kenneth Mangion, Faheem Ahmad","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular diseases are a substantial burden on healthcare systems, contributing significantly to avoidable hospital admissions. We propose a Cardiology Ambulatory Care Pathway.</p><p><strong>Methods: </strong>Conducted a 1 month study redirecting admission streams from primary and emergency care, into a Cardiology Ambulatory Care Hub providing triage in Hot Clinic, and access to a Multi-Modal Testing Platform.</p><p><strong>Results: </strong>98 patients were referred to the Ambulatory Care Hub, 91 of which avoided admission. 52 patients received care in the cardiology hub, 38 of which required further testing.</p><p><strong>Conclusion: </strong>We successfully streamlined various service streams, reducing admissions, and improving patient outcomes. Outpatient CTCA, ambulatory ECG, and echocardiography proved instrumental. We project a cost saving of £53,379 per month in bed days (£640,556 annual saving).</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 2","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917700","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
ORF disease: a case report with images. ORF 病：附图片的病例报告。
Acute Medicine Pub Date : 2024-01-01 DOI: 10.52964/AMJA.0973
Lamis Elyamani, Yousef Almheirat, Kaoutar Belharti, Nassiba Zerrouki, Nada Zizi, Siham Dikhaye
{"title":"ORF disease: a case report with images.","authors":"Lamis Elyamani, Yousef Almheirat, Kaoutar Belharti, Nassiba Zerrouki, Nada Zizi, Siham Dikhaye","doi":"10.52964/AMJA.0973","DOIUrl":"https://doi.org/10.52964/AMJA.0973","url":null,"abstract":"<p><p>This article presents the case of a 25-year-old Moroccan male who contracted Orf disease (Ecthyma contagiosum), a common zoonotic viral infection in sheep and goats. The disease, caused by a parapoxvirus, can be transmitted to humans through contact with infected animals. The patient developed painful lesions on his fingers after interacting with a sheep during the Feast of Sacrifice. Diagnosis was clinically established considering exposure history and lesion characteristics. Treatment involved local antiseptics and 2% fusidic acid cream. The lesions resolved spontaneously over a few weeks without functional impairment.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 1","pages":"50-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872756","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
Guest Editorial - Shifting Dynamics: ICU Admissions in Denmark during the First Wave of the COVID-19 Pandemic. 特邀编辑 - 动态变化：COVID-19 大流行第一波期间丹麦重症监护病房的收治情况。
Acute Medicine Pub Date : 2024-01-01
Christian P Subbe, John Welch, Ramani Moonesinghe
{"title":"Guest Editorial - Shifting Dynamics: ICU Admissions in Denmark during the First Wave of the COVID-19 Pandemic.","authors":"Christian P Subbe, John Welch, Ramani Moonesinghe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The advent of the SARS-CoV-2 pandemic brought unprecedented challenges to healthcare systems worldwide. As the virus spread across continents, hospitals faced a surge in patient admissions, particularly to intensive care units (ICUs). Understanding the impact of the pandemic on the sickest patients admitted to hospital is crucial for enhancing preparedness for future outbreaks. In this edition of the journal, authors from Denmark report on a register-based national observational study that sheds light on the changes in ICU admission rates and demographic profiles of patients during the initial phase of the pandemic.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 2","pages":"56-57"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917699","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 effect of antipyretic medication on the relationship between heart rate, respiratory rate and temperature in acutely admitted medical patients: A retrospective study. 退热药物对急性住院患者心率、呼吸频率和体温关系的影响：一项回顾性研究。
Acute Medicine Pub Date : 2024-01-01
S Sværke, A V Krusenstjerna-Hafstrøm, M Brabrand
{"title":"The effect of antipyretic medication on the relationship between heart rate, respiratory rate and temperature in acutely admitted medical patients: A retrospective study.","authors":"S Sværke, A V Krusenstjerna-Hafstrøm, M Brabrand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Research has shown an association between body temperature, heart rate and respiratory rate. We speculated that antipyretics could influence this. We performed this study with the aim of clarifying the association. We included 1,612 acutely admitted medically ill patients and registered their use of antipyretics. We performed crude and adjusted linear regression analyses. In adjusted analysis, we found that heart rate increased with 7.3 (95% CI: 4.5, 10.1) beats/min/°C in patients who were not on antipyretics and 10.0 (95% CI: 6.2, 13.9) beats/min/°C in patients who were. Respiratory rate increased 0.4 (95% CI: -0.2, 0.9) and 1.5 (95% CI: 0.6, 2.3), respectively. Our data shows that use of antipyretics affect the association between temperature, heart rate and respiratory rate positively.</p>","PeriodicalId":39743,"journal":{"name":"Acute Medicine","volume":"23 4","pages":"176-180"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721837","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
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