Emergency Care Journal最新文献_第6页

Fluids and vasopressors in septic shock: basic knowledge for a first approach in the emergency department 脓毒性休克中的液体和血管加压剂:急诊科第一入路的基本知识

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.10810

D. Coen

引用次数: 0

Hypocapnia as a predictor of the need for non-invasive mechanical ventilation in subjects with SARS-CoV-2 related pneumonia 低碳酸血症作为严重急性呼吸系统综合征冠状病毒2型相关肺炎患者无创机械通气需求的预测指标

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11237

S. De Vuono, Sokol Berisha, L. Settimi, P. Cianci, Alessandra Lignani, Gianmarco Lanci, M. Taliani, P. Groff

{"title":"Hypocapnia as a predictor of the need for non-invasive mechanical ventilation in subjects with SARS-CoV-2 related pneumonia","authors":"S. De Vuono, Sokol Berisha, L. Settimi, P. Cianci, Alessandra Lignani, Gianmarco Lanci, M. Taliani, P. Groff","doi":"10.4081/ecj.2023.11237","DOIUrl":"https://doi.org/10.4081/ecj.2023.11237","url":null,"abstract":"Background: SARS-CoV-2 related pneumonia is characterized by moderate-to severe hypoxemia often associated with hypocapnia the prognostic role of which is poorely documented. \u0000Aims: evaluate if hypocapnia can predict the need for non-invasive mechanical ventilation (NIMV) in this setting. \u0000Materials and methods: we prospectively studied 52 subjects with moderate-severe SARS-CoV-2 related pneumonia. All the following data were collected at admission to the Emergency Department and processed by univariate and multivariate analysis: clinical and laboratory data, blood gas analysis in room air and lung ultrasound. \u0000Results: 33/52 subjects (63,4%) underwent NIMV. At univariate analysis PaCO2 was inversely associated to the need for NIMV (OR 0,82, CI 95% 0,689-0,976, p .025). At multivariate analysis PaCO2 predicted the need for NIMV independently from age, gender, number of comorbidities, d-dimer, CRP, PaO2 and LUS SCORE (OR 0,838, CI 95% 0,710-0,988, p .035). \u0000Conclusions: our data suggest that hypocapnia could be an early predictor of clinical worsening in these patients independently from other known predictors of unfavourable outcome, reflecting the occurrence of a deep and frequent respiratory pattern possibly related to the generation of excessive transpulmonary pressure swings leading to a self-induced lung injury (P-SILI). Further studies are needed for validating these data on greater populations.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44910060","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

A rapidly progressive painful skin lesion 一种迅速发展的皮肤损伤

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11046

Erika Poggiali, Giovanni Santilli, A. Vercelli

引用次数: 0

Emergency department nurses’ perceptions of caring for patients with intentional self-poisoning: a qualitative study 急诊科护士对故意自我中毒患者护理的认知：一项定性研究

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11220

Salar Sharifi, S. Valiee

{"title":"Emergency department nurses’ perceptions of caring for patients with intentional self-poisoning: a qualitative study","authors":"Salar Sharifi, S. Valiee","doi":"10.4081/ecj.2023.11220","DOIUrl":"https://doi.org/10.4081/ecj.2023.11220","url":null,"abstract":"Nurses have an important role in caring for patients with intentional self-poisoning. This study was attempted to explore the emergency department nurses' perception of caring for patients with intentional self-poisoning. The present qualitative study was performed using phenomenological method. This study was done on 14 emergency department nurses with experience in caring for patients with intentional self-poisoning. Data were collected through semi-structured interviews and transcribed verbatim. Data were analyzed using Colaizzi's method. Following data analysis, two themes and five sub-themes were extracted, which included being reluctant to provide care for patients with intentional self-poisoning (discomfort in providing care, and lack of desire to care for these patients) and comprehensive patient support (providing complete care and emotional support). Given that emergency department nurses are the first medical staff who face with intentional self-poisoning patients and play an important role in the care and treatment of these patients, it is necessary to improve their understanding of caring for these patients. In addition, their comprehensive support for these patients should be strengthened. Psychological support for nurses and training them on how to communicate with intentional self-poisoning patients and their families are also recommended.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47508316","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

Psychiatric ward admissions during the COVID-19 pandemic in Canton of Ticino (Swiss Confederation) and the province of Como (Italy): a comparison between two different systems of care and outbreak response strategies 新冠肺炎大流行期间，提契诺州（瑞士联邦）和科莫省（意大利）的精神病病房入院情况：两种不同护理系统和疫情应对策略之间的比较

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11000

M. Beghi, A. Alamia, Maddalena Alippi, R. Colombo, C. Fraticelli

{"title":"Psychiatric ward admissions during the COVID-19 pandemic in Canton of Ticino (Swiss Confederation) and the province of Como (Italy): a comparison between two different systems of care and outbreak response strategies","authors":"M. Beghi, A. Alamia, Maddalena Alippi, R. Colombo, C. Fraticelli","doi":"10.4081/ecj.2023.11000","DOIUrl":"https://doi.org/10.4081/ecj.2023.11000","url":null,"abstract":"The aim of the study was to estimate the effect of the COVID- 19 pandemic and response policies on the psychiatric ward admissions in the hospitals referring to the ASST Lariana (province of Como, Italy) and the Hospital of Mendrisio (Canton of Ticino, Switzerland), two similar territories that belong to countries that dealt differently with the pandemic. We compared the two territories for type of admission (voluntary vs. compulsory), the Stringency Index (SI) and the country’s number of admission in Intensive Care Units (ICU). We found a significant reduction in the psychiatric ward admission in the lockdown period in both territories, even in periods with milder lockdown measures. The admission rate’s reduction in the ASST Lariana was significantly associated with the ICU admissions (p<0.001). In the Hospital of Mendrisio, admissions included a weekly seasonality, were significantly correlated with SI (p=0.001) and period (pre-pandemic and pandemic; p<0.001) and we observed also a significant reduction of compulsory admission that is influenced both by the stringency index (p<0.001) and period (p<0.001). The differences between the two territories seem influenced by the different mental health systems.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45004301","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

A case of retinal detachment resulting from air bag deployment 气囊展开致视网膜脱离1例

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11039

F. Yılmaz, Bora Baltacıoğlu, Erdi Akça, Y. Yavuz

引用次数: 1

The esophageal rapunzel syndrome: a case of a trichobezoar in the esophagus 食道莴苣综合征:食道毛状息肉一例

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11145

M. Ağar, M. Çelik, H. Ulutas, İlham Gülçek, M. Kalkan

引用次数: 0

High flow nasal cannula combined with non-invasive ventilation versus high flow nasal cannula alone in patients with acute hypoxemic respiratory failure due to pneumonia: a randomized controlled trial 高流量鼻插管联合无创通气与单用高流量鼻套管治疗肺炎急性低氧血症性呼吸衰竭的随机对照试验

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11088

L. Ghezzi, Francesca Graziano, Giulia Bottani, G. Marullo, N. Capsoni, E. Forni, F. Vincenti, P. Rebora, A. Bellone

{"title":"High flow nasal cannula combined with non-invasive ventilation versus high flow nasal cannula alone in patients with acute hypoxemic respiratory failure due to pneumonia: a randomized controlled trial","authors":"L. Ghezzi, Francesca Graziano, Giulia Bottani, G. Marullo, N. Capsoni, E. Forni, F. Vincenti, P. Rebora, A. Bellone","doi":"10.4081/ecj.2023.11088","DOIUrl":"https://doi.org/10.4081/ecj.2023.11088","url":null,"abstract":"In this monocentric, open label, randomized controlled trial we aimed to compare the efficacy of combined High Flow Nasal Cannula (HFNC) and Non invasive Ventilation (NIV) versus HFNC alone in acute hypoxemic respiratory failure (hARF) in patients affected by Community Acquired Pneumonia (CAP). We enrolled 49 patients affected by CAP with moderate to severe hypoxemic respiratory failure (P/F < 300). The patients were randomized into two groups: one has been treated with HFNC alone (group A) while the other received NIV alternated to HFNC every 3 hours (group B). The primary outcome was P/F change from baseline to 21 hours. Secondary outcomes included variation of pH and pCO2, need to continue HFNC or NIV/HFNC after 45 hours, orotracheal intubation, mortality rate, and the devices comfort. Not statistical significant differences between the two arms were shown in the P/F change at 21 hours since baseline, in pCO2 and pH variation, mortality at hospital and at follow-up. We emphasize the importance of combined HFNC with NIV as a first step for severe pneumonia treatment whereas HFNC might represent as the first step treatment in less severe patients and during the NIV intervals.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48648511","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

Takuo Aoyagi, inventor of pulse oximetry: the great scientist passed away three years ago, in the middle of the first wave of COVID-19 pandemic 脉搏血氧仪的发明者青木卓夫:这位伟大的科学家三年前在第一波COVID-19大流行期间去世

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11307

G. Cervellin

引用次数: 0

Ultrasound assessment of diaphragmatic dysfunction and its improvement with levosimendan in patients with chronic obstructive pulmonary disease 慢性阻塞性肺疾病患者膈功能障碍的超声评价及左西孟旦对其改善作用

IF 0.5

Emergency Care Journal Pub Date : 2023-03-28 DOI: 10.4081/ecj.2023.11248

Clarissa Anna De Rosa, G. Cristiano, Mario Guarino

引用次数: 0