Acute Medicine & Surgery最新文献

筛选
英文 中文
Were you a family member, or a COVID-19 patient? 您是 COVID-19 患者的家庭成员吗?
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-30 DOI: 10.1002/ams2.947
Nobuyuki Nosaka, Kenji Wakabayashi
{"title":"Were you a family member, or a COVID-19 patient?","authors":"Nobuyuki Nosaka,&nbsp;Kenji Wakabayashi","doi":"10.1002/ams2.947","DOIUrl":"https://doi.org/10.1002/ams2.947","url":null,"abstract":"<p>We have read with great interest the study by Shirasaki et al.<span><sup>1</sup></span> recently published in <i>Acute Medicine and Surgery</i>, where the authors studied the long-term outcomes of psychiatric disorders in families of COVID-19 patients admitted to the intensive care unit (ICU) of a single hospital in Tokyo, Japan. They described that as high as 39% of families suffered from anxiety and/or depression even more than a year after the patient's discharge. Notably, this is a valuable study that presents data on long-term post-intensive care syndrome—family (PICS-F) in Japan.</p><p>In the context of the prolonged COVID-19 pandemic, the high transmissibility of SARS-CoV-2 may pose an additional discussion in assessing the long-term psychological outcomes of family members of COVID-19 patients. According to the Japanese Ministry of Health, Labour, and Welfare, the prevalence of SARS-CoV-2 antibodies among Japanese adult population is as high as 56.4%, as of November 2023.<span><sup>2</sup></span> The fact suggests that many family members may have contracted COVID-19 themselves during the epidemic.</p><p>A crucial aspect to consider is the prevalence of “long COVID,” a condition characterized by persistent sequelae including psychiatric disorders, in a significant number of COVID-19 survivors.<span><sup>3</sup></span> Notably, around 30% of COVID-19 patients who required mechanical ventilation in Japan exhibited symptoms of psychiatric disorders after discharge.<span><sup>4</sup></span></p><p>Furthermore, while the Hospital Anxiety and Depression Scale (HADS) is a widely recognized tool for assessing anxiety and depression symptoms in PICS-F,<span><sup>5</sup></span> it does not specifically determine whether these symptoms are directly linked to the ICU admission of a family member. As a result, the depressive and anxious symptoms described in this study could be attributed not only to PICS-F but also to the impacts of long COVID or post-intensive care syndrome (PICS) experienced by the patients themselves. Therefore, we feel it is essential to adopt a more nuanced approach to understand the complex effects of these conditions on the mental health of families affected by COVID-19.</p><p>Again, we would applaud the authors for performing such an important study, which suggests the need for support for both patient-centered and family-centered care during the remote period after the patient's discharge from the ICU.</p><p>The authors declare no conflicts of interest.</p><p>Approval of the research protocol: N/A.</p><p>Informed consent: N/A.</p><p>Registry and the registration no. of the study/trial: N/A.</p><p>Animal studies: N/A.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140329020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between lung contusion volume and acute changes in fibrinogen levels: A single-center observational study 肺挫伤量与纤维蛋白原水平急性变化之间的关系:单中心观察研究
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-28 DOI: 10.1002/ams2.945
Ryosuke Nobe, Shunichiro Nakao, Yuko Nakagawa, Hiroshi Ogura, Takeshi Shimazu, Jun Oda
{"title":"Association between lung contusion volume and acute changes in fibrinogen levels: A single-center observational study","authors":"Ryosuke Nobe,&nbsp;Shunichiro Nakao,&nbsp;Yuko Nakagawa,&nbsp;Hiroshi Ogura,&nbsp;Takeshi Shimazu,&nbsp;Jun Oda","doi":"10.1002/ams2.945","DOIUrl":"https://doi.org/10.1002/ams2.945","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Organ tissue damage, including the lungs, may lead to acute coagulopathy. This study aimed to evaluate the association between lung contusion volume and serum fibrinogen level during the acute phase of trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an observational study using electronic medical records at a tertiary-care center between January 2015 and December 2018. We included patients with lung contusions on hospital arrival. We used three-dimensional computed tomography to calculate lung contusion volumes. The primary outcome was the lowest fibrinogen level measured within 24 h of hospital arrival. We evaluated the association between lung contusion volume and outcome with multivariable linear regression analysis. Also, we calculated the sensitivity and specificity of lung contusion volume in patients with a serum fibrinogen level of ≤150 mg/dL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 124 eligible patients. Their median age was 43.5 years, and 101 were male (81.5%). The median lung contusion volume was 10.9%. The median lowest fibrinogen level within 24 h from arrival was 188.0 mg/dL. After adjustment, lung contusion volume had a statistically significant association with the lowest fibrinogen level within 24 h from arrival (coefficient −1.6, 95% confidence interval −3.16 to −0.07). When a lung contusion volume of 20% was used as the cutoff, the sensitivity and specificity to identify fibrinogen depletion were 0.27 and 0.95, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Lung contusion volume was associated with the lowest fibrinogen level measured within 24 h from hospital arrival. Measuring lung contusion volume may help to identify patients with a progression of fibrinogen depletion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors for the need for advanced care among prescription and over-the-counter drug overdose patients 处方药和非处方药过量患者需要高级护理的风险因素
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-18 DOI: 10.1002/ams2.942
Chie Tanaka, Takashi Tagami, Makihiko Nagano, Fumihiko Nakayama, Junya Kaneko, Masamune Kuno
{"title":"Risk factors for the need for advanced care among prescription and over-the-counter drug overdose patients","authors":"Chie Tanaka,&nbsp;Takashi Tagami,&nbsp;Makihiko Nagano,&nbsp;Fumihiko Nakayama,&nbsp;Junya Kaneko,&nbsp;Masamune Kuno","doi":"10.1002/ams2.942","DOIUrl":"https://doi.org/10.1002/ams2.942","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Prescription drug and over-the-counter (OTC) drug overdose is a major problem in emergency departments in Japan, and some need advanced care which is more than observation. We aimed to identify the prehospital risk factors for the need of advanced care among overdose patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a single-center retrospective cohort study. We included overdoses patients of prescription drugs or OTC drugs, who admitted to our hospital between 2016 and 2021. We grouped them into advanced care and non-advanced care. The main outcome was the need for advanced care. We performed a multiple logistic regression analysis, calculated the PAV score (<b>P</b>aracetamol use, <b>A</b>lcohol use, abnormal <b>V</b>ital signs on scene) and performed a receiver operating characteristic (ROC) analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 229 subjects. The logistic regression analysis revealed that alcohol, paracetamol, and the abnormal vital signs on scene were associated with advanced care (alcohol-odds ratio [OR]: 2.95; 95% confidence interval [CI]: 1.29–6.75; paracetamol-OR: 5.47; 95% CI: 2.18–13.71; abnormal vital signs-OR: 4.61, 95% CI: 2.07–10.27). The rate of advanced care in the high PAV score (2 and 3) group was statistically higher than that in the low PAV score (0–1) group (<i>p</i> = 0.04). Area under the ROC curve of the PAV score was 0.72 (95% CI, 0.65–0.80).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Alcohol, paracetamol use and abnormal vital signs on scene might be risk factors for advanced care among prescription drugs or OTC drugs overdose patients, and the PAV score may predict the need for advanced care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.942","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elective surgery for liver injury and misinserted tube into the inferior vena cava associated with chest tube replacement: A case report 因肝脏损伤而进行的择期手术,以及与胸管置换术相关的误将管道插入下腔静脉:病例报告
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-18 DOI: 10.1002/ams2.943
Hiroshi Homma, Kenichiro Uchibori, Fumimasa Kobori, Kentaro Kawai, Kazunari Azuma, Shoji Suzuki, Kotaro Uchida, Jun Oda
{"title":"Elective surgery for liver injury and misinserted tube into the inferior vena cava associated with chest tube replacement: A case report","authors":"Hiroshi Homma,&nbsp;Kenichiro Uchibori,&nbsp;Fumimasa Kobori,&nbsp;Kentaro Kawai,&nbsp;Kazunari Azuma,&nbsp;Shoji Suzuki,&nbsp;Kotaro Uchida,&nbsp;Jun Oda","doi":"10.1002/ams2.943","DOIUrl":"https://doi.org/10.1002/ams2.943","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Several reports on organ injury and death due to incorrect chest tube insertion exist; however, reports on the chest tube penetrating the liver and reaching the inferior vena cava are limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 79-year-old man presented with a clamped tube because of massive bleeding from the tube following right chest tube replacement in the hospital of origin. The tube entered the inferior vena cava from the hepatic parenchyma via the right hepatic vein and was removed 15 h later because his hemodynamics stabilized. A ruptured pseudoaneurysm necessitated further transcatheter arterial embolism on the second hospitalization day, and the patient was transferred back to the referring hospital on day 17.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Liver injury caused by an inferior vena cava misinsertion-associated chest tube can be treated with elective surgery in anticipation of the tube's tamponade effect. However, due to the risk of rebleeding, imaging follow-up is necessary soon after surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thyrohyoidotomy: A complication of cricothyroidotomy 甲状腺切除术:环甲膜切除术的并发症
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-13 DOI: 10.1002/ams2.937
Haruka Taira, Masahiro Kashiura, Takashi Moriya
{"title":"Thyrohyoidotomy: A complication of cricothyroidotomy","authors":"Haruka Taira,&nbsp;Masahiro Kashiura,&nbsp;Takashi Moriya","doi":"10.1002/ams2.937","DOIUrl":"https://doi.org/10.1002/ams2.937","url":null,"abstract":"<p>A computed tomography (CT) image of the patient's neck after a cricothyroidotomy was performed due to upper airway obstruction. The CT revealed that the tracheostomy tube was inserted into the thyrohyoid membrane, not the cricothyroid ligament.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Splenic injury caused by cardiopulmonary resuscitation in a full stomach with hematoma after hemorrhagic shock due to bleeding duodenal ulcer: A case report 十二指肠溃疡出血导致失血性休克后,心肺复苏术在全胃血肿患者中造成脾脏损伤:病例报告
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-13 DOI: 10.1002/ams2.940
Daisuke Fujimori, Tomohide Koyama, Satomi Ooki, Masaaki Ito, Yasutaka Yoshiike, Satoshi Nakamura, Ryuhei Yoshida, So Sakamoto, Chikao Ito, Miyuki Kasuya, Kyoji Oe, Isao Takahashi
{"title":"Splenic injury caused by cardiopulmonary resuscitation in a full stomach with hematoma after hemorrhagic shock due to bleeding duodenal ulcer: A case report","authors":"Daisuke Fujimori,&nbsp;Tomohide Koyama,&nbsp;Satomi Ooki,&nbsp;Masaaki Ito,&nbsp;Yasutaka Yoshiike,&nbsp;Satoshi Nakamura,&nbsp;Ryuhei Yoshida,&nbsp;So Sakamoto,&nbsp;Chikao Ito,&nbsp;Miyuki Kasuya,&nbsp;Kyoji Oe,&nbsp;Isao Takahashi","doi":"10.1002/ams2.940","DOIUrl":"https://doi.org/10.1002/ams2.940","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cardiopulmonary resuscitation is essential for cardiopulmonary arrest, but complications from chest compressions warrant monitoring. Although rib and sternal fractures are common, abdominal injuries are rare, and splenic injuries are much rarer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 74-year-old man was admitted to the emergency room with a hemorrhagic duodenal ulcer. During hospitalization, the patient went into cardiopulmonary arrest due to hemorrhagic shock. Spontaneous circulation returned after 7 min of cardiopulmonary resuscitation. He underwent transcatheter arterial embolization to stop the bleeding from the duodenal ulcer. The next day, a close examination of the patient's progressive anemia revealed splenic injury; transcatheter arterial embolization was performed to save his life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is important to consider the complication of splenic injury in patients with cardiopulmonary arrest who have undergone appropriate cardiopulmonary resuscitation. A possible mechanism—especially in patients with a full stomach—is the squeezing of the spleen by the diaphragm, abdominal wall, and stomach.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Takotsubo cardiomyopathy triggered by frequent psychogenic nonepileptic seizures: A case report 频繁的精神性非癫痫发作引发的塔克次博心肌病:病例报告
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-13 DOI: 10.1002/ams2.941
Daichi Yomogida, Hiroyuki Kuwano, Tatsuya Miyakoshi, Shiori Mizuta, Shinjiro Horikawa, Yoshinao Koshida
{"title":"Takotsubo cardiomyopathy triggered by frequent psychogenic nonepileptic seizures: A case report","authors":"Daichi Yomogida,&nbsp;Hiroyuki Kuwano,&nbsp;Tatsuya Miyakoshi,&nbsp;Shiori Mizuta,&nbsp;Shinjiro Horikawa,&nbsp;Yoshinao Koshida","doi":"10.1002/ams2.941","DOIUrl":"https://doi.org/10.1002/ams2.941","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coexistence of Takotsubo cardiomyopathy and psychogenic nonepileptic seizures has rarely been reported. Herein, we report a case of Takotsubo cardiomyopathy triggered by psychogenic nonepileptic seizures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 50-year-old woman with a 22-year history of dissociative and panic disorders and a 7-year history of seizures increasing in frequency was admitted due to cardiogenic shock. Based on the left ventriculography and electroencephalography findings, she was diagnosed with Takotsubo cardiomyopathy and psychogenic nonepileptic seizures. Seizures were controlled using antipsychotic agents, resulting in improved cardiac function, and she was discharged. However, she died of cardiopulmonary arrest 9 days after discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Since controlling psychogenic epileptic seizures is difficult, Takotsubo cardiomyopathy triggered by psychogenic nonepileptic seizures may have poor prognosis, requiring careful management and close monitoring.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postintensive care syndrome family: A comprehensive review 重症监护后综合征家庭:全面回顾
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-11 DOI: 10.1002/ams2.939
Kasumi Shirasaki, Toru Hifumi, Nobuto Nakanishi, Nobuyuki Nosaka, Kyohei Miyamoto, Miyuki H. Komachi, Junpei Haruna, Shigeaki Inoue, Norio Otani
{"title":"Postintensive care syndrome family: A comprehensive review","authors":"Kasumi Shirasaki,&nbsp;Toru Hifumi,&nbsp;Nobuto Nakanishi,&nbsp;Nobuyuki Nosaka,&nbsp;Kyohei Miyamoto,&nbsp;Miyuki H. Komachi,&nbsp;Junpei Haruna,&nbsp;Shigeaki Inoue,&nbsp;Norio Otani","doi":"10.1002/ams2.939","DOIUrl":"https://doi.org/10.1002/ams2.939","url":null,"abstract":"<p>Families of critically ill patients are predisposed to tremendous burdens when their relatives are admitted to the intensive care unit (ICU). Postintensive care syndrome family (PICS-F) can be described as a devastated life, encompassing psychological, physical, and socioeconomical burdens that begin with the emotional impact experienced by the family when the patient is admitted to the ICU. PICS-F was primarily proposed as a clinically significant psychological impairment, but it needs to be extended beyond the psychological impairment of the family to include physical and socioeconomical impairments in the future. The prevalence of physiological problems including depression, anxiety and post-traumatic syndrome is 20–40%, and that of non-physiological problems including fatigue is 15% at 6 months after the ICU stay. Assessment of PICS-F was frequently conducted at 3- or 6-month points, although the beginning of the evaluation was based on different assessment points among each of the studies. Families of ICU patients need to be given and understand accurate information, such as the patient's diagnosis, planned care, and prognosis. Prevention of PICS-F requires a continuous bundle of multifaceted and/or multidisciplinary interventions including providing a family information leaflet, ICU diary, communication facilitators, supportive grief care, and follow-up, for the patient and families from during the ICU stay to after discharge from the ICU. This is the first comprehensive review of PICS-F to address the concept, risk factors, assessment tools, prevalence, and management to prevent PICS-F to facilitate acute care physicians' understanding of PICS-F.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140104330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Very mild bilateral ptosis following snakebite 被蛇咬伤后双侧上睑下垂非常轻微
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-11 DOI: 10.1002/ams2.935
Yoshihiro Aoki, Rustan Arrieta, Grace Joy B. Aquino, Chris Smith, Lourdes C. Agosto
{"title":"Very mild bilateral ptosis following snakebite","authors":"Yoshihiro Aoki,&nbsp;Rustan Arrieta,&nbsp;Grace Joy B. Aquino,&nbsp;Chris Smith,&nbsp;Lourdes C. Agosto","doi":"10.1002/ams2.935","DOIUrl":"https://doi.org/10.1002/ams2.935","url":null,"abstract":"<p>A 22-year-old male construction worker in Eastern Samar, Philippines, was bitten on his right leg by a black and yellow snake in the coastal area. Despite receiving a local remedy, he was later brought to the emergency department. Twelve hours post-bite, careful examination revealed mild bilateral ptosis, with the patient struggling to keep his eyes open, especially during upward gaze (Figure 1A). The bite site showed mild swelling, tenderness, and two fang marks. Although the snake responsible was not conclusively identified, based on the geographical distribution, snake description, and clinical signs, <i>Naja samarensis</i> envenomation was suspected. Intravenous administration of Purified Cobra Antivenom (Research Institute for Tropical Medicine)<span><sup>1</sup></span> significantly improved eye-opening ability within 30 min: the patient could open his eyes fully and sustain eye-opening (Figure 1B).</p><p>Although the literature reports a limited number of cases, <i>Naja samarensis</i>, Samar cobra, is a WHO category I venomous snake in the Philippines.<span><sup>2</sup></span> Often, snakebite envenomation diagnosis depends on clinical observations due to limited diagnostic tools.<span><sup>3</sup></span> As demonstrated in our image of the probable <i>Naja samarensis</i> case, detection of bilateral ptosis is crucial in recognizing neurological snakebite envenomation. This sign is vital to identify neurotoxic envenomation from various snakes globally, including exotic species.</p><p>The authors declare no conflicts of interest.</p><p>Approval of the research protocol: N/A.</p><p>Informed Consent: Informed consent was obtained by the patient.</p><p>Registry and the Registration No. of the study/trial: N/A.</p><p>Animal studies: N/A.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.935","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140104331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scalloped tongue: A useful indicator in diagnosing tongue swelling 扇形舌诊断舌头肿胀的有用指标
IF 1.6
Acute Medicine & Surgery Pub Date : 2024-03-08 DOI: 10.1002/ams2.933
Natsumi Hata, Takateru Ihara
{"title":"Scalloped tongue: A useful indicator in diagnosing tongue swelling","authors":"Natsumi Hata,&nbsp;Takateru Ihara","doi":"10.1002/ams2.933","DOIUrl":"https://doi.org/10.1002/ams2.933","url":null,"abstract":"<p>\u0000 \u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure>\u0000 </p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.933","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信