Emergency Care Journal最新文献

Painful burning lesions on the chest wall of a patient with advanced breast cancer 晚期乳腺癌患者胸壁上的灼痛性病变

IF 0.5

Emergency Care Journal Pub Date : 2023-12-05 DOI: 10.4081/ecj.2023.12016

Erika Poggiali, Etilda Braho, Raffaella Bertè

引用次数: 0

What does a floating mass in a young patient's heart do? 年轻病人心脏里漂浮的肿块有什么用?

Emergency Care Journal Pub Date : 2023-10-31 DOI: 10.4081/ecj.2023.11717

Tommaso Sonnessa, Daniela Vaira

引用次数: 0

Estimated plasma volume status can help identify patients with sepsis at risk of death within 30 days in the emergency department 估计血浆容量状态可以帮助在急诊科确定30天内有死亡风险的败血症患者

Emergency Care Journal Pub Date : 2023-10-20 DOI: 10.4081/ecj.2023.11655

Gianni Turcato, Arian Zaboli, Serena Sibilio, Michael Mian, Francesco Brigo

引用次数: 0

A small lump in the abdomen 腹部的小肿块

Emergency Care Journal Pub Date : 2023-10-20 DOI: 10.4081/ecj.2023.11926

Massimo Barakat

引用次数: 0

A systematic review of the factors influencing retention or turnover intention among emergency personnel in epidemics 流行病中影响应急人员保留或离职意愿因素的系统综述

Emergency Care Journal Pub Date : 2023-10-20 DOI: 10.4081/ecj.2023.11644

Mohammad Kazem Rahimi, Edris Heidari, Razieh Montazeralfaraj, Tahmineh Farajkhoda

{"title":"A systematic review of the factors influencing retention or turnover intention among emergency personnel in epidemics","authors":"Mohammad Kazem Rahimi, Edris Heidari, Razieh Montazeralfaraj, Tahmineh Farajkhoda","doi":"10.4081/ecj.2023.11644","DOIUrl":"https://doi.org/10.4081/ecj.2023.11644","url":null,"abstract":"To maintain the performance of emergency personnel who are at disproportionate risk of infection on the front lines of outbreaks, it is beneficial to understand the factors that promote their willingness to stay or leave their job. This study aims to identify key factors related to emergency workers' willingness to retain. This study identifies key factors related to emergency workers' willingness to be retained or turnover intention during infectious disease pandemics. Following the PRISMA guidelines, a systematic review of the literature was conducted. To obtain the results, three databases, Scopus, PubMed Web of Science, and Google Scholar, were searched for English-speaking studies up to March 2022 that met the established inclusion criteria and were of high quality. Given the heterogeneity of the results, a qualitative synthesis of the results was also undertaken. A narrative synthesis was performed on 34 studies of high and medium quality. The studies examined different and multifaceted factors in three categories: retention, turnover decision, and factors that mediate between turnover intention and retention. The retention of frontline emergency workers during an epidemic is dependent on essential factors such as job satisfaction, organizational commitment, managerial support, psychological well-being, and resilience.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569259","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

Influence of bystander activation on pre-hospital emergency care response time: systematic review 旁观者激活对院前急救反应时间的影响:系统回顾

Emergency Care Journal Pub Date : 2023-10-12 DOI: 10.4081/ecj.2023.11568

Felistus Ndanu Musyoka, Wanja Tenambergen, Job Mapesa, Abdushakur Ndolo, George Agot, Joy China, Lucina Koyio, Carol Ngunu, Martin Mulonzi, Veronica Njeri

{"title":"Influence of bystander activation on pre-hospital emergency care response time: systematic review","authors":"Felistus Ndanu Musyoka, Wanja Tenambergen, Job Mapesa, Abdushakur Ndolo, George Agot, Joy China, Lucina Koyio, Carol Ngunu, Martin Mulonzi, Veronica Njeri","doi":"10.4081/ecj.2023.11568","DOIUrl":"https://doi.org/10.4081/ecj.2023.11568","url":null,"abstract":"This article presents a systematic review and analysis of grey literature to identify and address gaps in knowledge regarding the role and influence of bystander activation on pre-hospital emergency care (PEC) response time. We conducted a systematic search for full-text articles published since 2000 in Web of Science, PubMed, Science Direct, and Google Scholar databases. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using “pre-hospital emergency care response time” and “bystanders” as search keywords. The risk of bias was assessed using the ROBINS-I tool. Our analysis included forty-six relevant studies meeting the inclusion criteria. However, we observed that many studies were poorly reported, posing risks of selection and detection biases. Additionally, we identified methodological and study design weaknesses in five studies. Given the critical role of PEC services in saving lives and preventing medical complications, the timely provision of these services is paramount. Bystanders play a central role in activating emergency medical services (EMS) and providing cardiopulmonary resuscitation. Prompt calls to EMS by bystanders resulted in reduced PEC response times, improved survival chances, and better neurological outcomes, particularly among out-of-hospital cardiac arrest patients. There is substantial evidence that prompt bystander activation of EMS significantly reduces PEC response times, thereby saving lives and strengthening existing PEC systems. However, further research is necessary to accurately assess the impact of different interventions aimed at enhancing bystander activation of EMS and reducing PEC response times.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"166 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968441","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

Unraveling the intricacies of acute temporomandibular joint dislocation in emergency department: a multidimensional exploration of reduction techniques and success rate by emergency physicians 急诊科解开急性颞下颌关节脱位的复杂性:急诊医生复位技术和成功率的多维探索

Emergency Care Journal Pub Date : 2023-10-10 DOI: 10.4081/ecj.2023.11643

S S Vijay Kumar, Shabbir Shekhli, Anila Jose

{"title":"Unraveling the intricacies of acute temporomandibular joint dislocation in emergency department: a multidimensional exploration of reduction techniques and success rate by emergency physicians","authors":"S S Vijay Kumar, Shabbir Shekhli, Anila Jose","doi":"10.4081/ecj.2023.11643","DOIUrl":"https://doi.org/10.4081/ecj.2023.11643","url":null,"abstract":"Temporomandibular joint (TMJ) dislocation is a distressing condition that requires prompt management in the emergency setting. This retrospective study aimed to assess the success rate of TMJ reduction performed by emergency physicians (EPs) and evaluate the commonly used reduction techniques and sedative choices. The EPs achieved an overall success rate of 86.29% in reducing the dislocations. Among the successful reductions, 68.21% were accomplished in the first attempt, with only 7.29% requiring three or more attempts. Procedural sedation and analgesia were commonly employed, with midazolam (34.44%) and fentanyl (21.85%) being the most frequently used in successful cases. The Classic intraoral technique (29.14%) was the preferred method for successful reductions. No significant differences were observed in drug utilization or reduction techniques between the groups of successful and failed reductions. The findings demonstrate the high competence of EPs in managing acute TMJ dislocations in the emergency department. The study provides valuable insights into the commonly employed reduction techniques and sedative choices, offering important guidance for emergency medical practice.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358330","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

Shared psychotic disorder: a case report in Switzerland 共享性精神障碍:瑞士一例报告

Emergency Care Journal Pub Date : 2023-10-06 DOI: 10.4081/ecj.2023.11599

Daniele Mastromo, Aldo De Pietra

引用次数: 0

Concomitant high-risk pulmonary embolism and subdural hematoma: endo-vascular system thrombolysis as a possible solution to a difficult challenge 并发高风险肺栓塞和硬膜下血肿:血管内系统溶栓作为一个可能的解决方案，以一个困难的挑战

Emergency Care Journal Pub Date : 2023-10-05 DOI: 10.4081/ecj.2023.11558

Vincenza Clelia Alvich, Marco Valentini, Debora Monti, Stefano Perlini, Francesco Salinaro

引用次数: 0

Precision medicine in hemostasis: a review of prothrombin complex concentrates and the role of viscoelastic tests in tailoring therapy 精准医学在止血:凝血酶原复合物浓缩物的回顾和粘弹性试验在剪裁治疗中的作用

Emergency Care Journal Pub Date : 2023-10-03 DOI: 10.4081/ecj.2023.11500

Iacopo Cappellini, Franco Lai, Simone Magazzini, Guglielmo Consales

{"title":"Precision medicine in hemostasis: a review of prothrombin complex concentrates and the role of viscoelastic tests in tailoring therapy","authors":"Iacopo Cappellini, Franco Lai, Simone Magazzini, Guglielmo Consales","doi":"10.4081/ecj.2023.11500","DOIUrl":"https://doi.org/10.4081/ecj.2023.11500","url":null,"abstract":"This review explores the role of precision medicine in the management of bleeding disorders and anticoagulation therapy, with a focus on the use of visco-elastic tests such as Thromboelastography (TEG) and Rotational Thromboelastometry (ROTEM). These tests provide real-time, dynamic insight into a patient's coagulation status, guiding the choice between three-factor prothrombin complex concentrate (PCC3) and four-factor PCC (PCC4), as well as the use of activated four-factor PCC (FEIBA). The specific ROTEM tests, INTEM and EXTEM, further enhance our understanding of the intrinsic and extrinsic coagulation pathways. Moreover, the use of tranexamic acid (TXA) and fibrinogen, guided by these visco-elastic tests, has shown promise in trauma patients. TXA has been associated with survival benefit when administered immediately or within 3 hours of injury. Fibrinogen, a key factor in clot formation, can be monitored and supplemented as needed to optimize hemostasis. In conclusion, the practice of precision medicine, with the aid of TEG and ROTEM, offers the potential to enhance the safety and efficacy of PCC therapy, TXA administration, and fibrinogen supplementation. These tools are invaluable in tailoring therapy to the specific needs of each patient, potentially optimizing patient outcomes and minimizing the risk of adverse events.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135738821","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