Acute Medicine & Surgery最新文献

{"title":"Challenges for interprofessional simulation-based sedation training courses: Mini review","authors":"Nobuyasu Komasawa","doi":"10.1002/ams2.913","DOIUrl":"10.1002/ams2.913","url":null,"abstract":"<p>Sedation for invasive procedures is given for various clinical purposes to patients of all ages worldwide. However, sedation is a continuum to general anesthesia and contains severe inherent risks leading to mortality. Providing a simulation-based sedation training course (SEDTC) to various medical staff could be an effective strategy to improve patient and medical safety associated with sedation. The SEDTC generally includes basic airway management such as upper airway obstruction release or rapid response action toward excessive sedation, utilizing problem-based learning or simulators. However, participation alone in the SEDTC can only achieve Level 1 (reaction) or 2 (learning) in the Kirkpatrick model. A patient safety improvement of Level 3 (transfer) or 4 (result) of the Kirkpatrick model can be achieved when all members related to sedation undergo experiential learning and reach a consensus. Accordingly, in-hospital interprofessional SEDTC focusing on a resilience approach is essential to achieve effective sedation patient safety in Level 3 or 4 of the Kirkpatrick model.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139048070","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}

{"title":"Correction to “Aggressive surgery for incisional hernia with necrotizing soft tissue infection highlighting unique abdominal findings”","authors":"","doi":"10.1002/ams2.917","DOIUrl":"10.1002/ams2.917","url":null,"abstract":"<p>Tokumaru T, Kurata H, Nakaebisu R, Tomioka J. Aggressive surgery for incisional hernia with necrotizing soft tissue infection highlighting unique abdominal findings. Acute Med Surg. 2023;10(1):e907.</p><p>In the third paragraph 3 of the text “the plate count, 20,200/μL” was incorrect. This should have read: “the plate count, 202,000/μL.</p><p>We would like to apologize for any inconvenience caused. Aside from this, there are no other errors, and the modifications do not change the overall structure or the central thesis of the paper.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139039358","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}

{"title":"Arterial spin labeling hyperintensity at cerebellar nodulus: Possible indicator in downbeat nystagmus associated with hypomagnesemia","authors":"Yutaro Furukawa,&nbsp;Taketo Suzuki,&nbsp;Takeshi Shimazaki,&nbsp;Shunsuke Kudo","doi":"10.1002/ams2.915","DOIUrl":"10.1002/ams2.915","url":null,"abstract":"<p>A 69-year-old woman with a history of systemic sclerosis was admitted to the emergency department because of vertigo and nausea. She had been prescribed proton pump inhibitors for several years. Physical examination revealed downbeat nystagmus (DBN) in all gaze directions. Laboratory examination revealed hypomagnesemia with a critically low serum magnesium level of 0.1 mg/dL. Head magnetic resonance imaging showed no abnormalities on T1-, T2-, or diffusion-weighted imaging; however, arterial spin labeling (ASL) revealed hyperintensity in the cerebellar nodulus (Figure 1A). She received magnesium supplementation and the proton pump inhibitors were discontinued. After 5 months of follow-up, the DBN disappeared. The magnesium levels normalized to 1.8 mg/dL and hyperintensity improved by ASL imaging (Figure 1B).</p><p>Downbeat nystagmus is associated with central vertigo.<span>¹</span> It occurs due to impairments in the flocculus or nodulus of the cerebellum.<span>^{2, 3}</span> The underlying causes include congenital malformations, tumors, trauma, localized damage from encephalitis, and local functional issues, such as low magnesium levels.<span>^{1, 4}</span> A previous study has highlighted that in patients with paraneoplastic DBN, brain fluoro-<span>d</span>-glucose-positron emission tomography (FDG-PET) can identify increased metabolism in the cerebellar nodulus.<span>⁵</span> However, FDG-PET is not generally indicated for the diagnosis of DBN. Our case suggests that similar findings can be easily identified using ASL imaging, which is less invasive and more straightforward. Arterial spin labeling imaging should be considered for patients with DBN, even if other radiological investigations do not reveal any abnormalities.</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 from 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":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139039356","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}

{"title":"Clinical parameter-guided initial resuscitation in adult patients with septic shock: A systematic review and network meta-analysis","authors":"Tetsuya Yumoto,&nbsp;Tomoki Kuribara,&nbsp;Kohei Yamada,&nbsp;Takehito Sato,&nbsp;Shigeru Koba,&nbsp;Kenichi Tetsuhara,&nbsp;Masahiro Kashiura,&nbsp;Masaaki Sakuraya","doi":"10.1002/ams2.914","DOIUrl":"10.1002/ams2.914","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify the most useful tissue perfusion parameter for initial resuscitation in sepsis/septic shock adults using a network meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched major databases until December 2022 for randomized trials comparing four tissue perfusion parameters or against usual care. The primary outcome was short-term mortality up to 90 days. The Confidence in Network Meta-Analysis web application was used to assess the quality of evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen trials were identified. Lactate-guided therapy (risk ratios, 0.59; 95% confidence intervals [0.45–0.76]; high certainty) and capillary refill time-guided therapy (risk ratios, 0.53; 95% confidence intervals [0.33–0.86]; high certainty) were significantly associated with lower short-term mortality compared with usual care, whereas central venous oxygen saturation-guided therapy (risk ratio, 1.50; 95% confidence intervals [1.16–1.94]; moderate certainty) increased the risk of short-term mortality compared with lactate-guided therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Lactate or capillary refill time-guided initial resuscitation for sepsis/septic shock patients may decrease short-term mortality. More research is essential to personalize and optimize treatment strategies for septic shock resuscitation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139039357","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}

{"title":"Effect of prehospital advanced airway management on out-of-hospital cardiac arrest due to asphyxia: A JAAM-OHCA registry-based observational study in Japan","authors":"Naofumi Bunya,&nbsp;Ohnishi Hirofumi,&nbsp;Yutaka Igarashi,&nbsp;Tatsuya Norii,&nbsp;Yoichi Katayama,&nbsp;Takehiko Kasai,&nbsp;Keigo Sawamoto,&nbsp;Eichi Narimatsu","doi":"10.1002/ams2.912","DOIUrl":"https://doi.org/10.1002/ams2.912","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the relationship between prehospital advanced airway management (AAM) and neurological outcomes in patients with asphyxia-related out-of-hospital cardiac arrest (OHCA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively analyzed data from the Japanese Association for Acute Medicine OHCA registry between June 2014 and December 2017. Patients with asphyxia-related cardiac arrest aged ≥18 years were included. The primary outcome was a 1-month favorable neurological outcome (cerebral performance category [CPC] 1–2).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 34,754 patients in the 2014–2017 JAAM-OHCA Registry, 1956 were included in our analysis. Cerebral performance category 1–2 was observed in 31 patients (1.6%), while CPC 3–5 was observed in 1925 patients (98.4%). Although prehospital AAM was associated with unfavorable neurological outcomes (odds ratio [OR], 0.269; 95% confidence interval [CI], 0.114–0.633; <i>p</i> = 0.003) in the univariate analysis, the association was not significant in the multivariate analysis. Compared with the AAM group, the non-AAM group showed increased rates of cardiac arrest after emergency medical service contact (4.3 vs. 7.2%, <i>p</i> = 0.009) and Glasgow Coma Scale ≥4 at hospital admission (1.9% vs. 4.7%, <i>p</i> = 0.004). Among the 903 patients for whom the time to return of spontaneous circulation (ROSC) could be calculated, the time from witnessed cardiac arrest to ROSC was significantly shorter (median, 8.5 vs. 37.0 min; <i>p</i> &lt; 0.001) for those with favorable neurological outcomes than for those without.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Prehospital AAM is not associated with improved neurological outcomes among those with asphyxia-related OHCA. However, the time from cardiac arrest to the first ROSC was significantly shorter among those with favorable outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.912","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139047485","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}

{"title":"Purpura due to deep venous thrombosis","authors":"Junpei Komagamine,&nbsp;Satsuki Yoshihara","doi":"10.1002/ams2.916","DOIUrl":"10.1002/ams2.916","url":null,"abstract":"<p>An 81-year-old woman presented with swelling and purpuric rash on her right leg lasting for 1 month. She reported no fever or dyspnea but complained of right leg pain. She had hypertension and dyslipidemia. On presentation, her vital signs were not significant. On examination, her right lower limb was swollen with a slightly dark-colored skin and nontender, nonpalpable purpura over her right lower leg (Figure 1A). Laboratory tests showed normal platelet counts and elevated D-dimer levels. Subsequent contrast-enhanced computed tomography revealed venous thrombosis from the right femoral vein to the right popliteal vein but no pulmonary embolism. Intravenous heparin improved her limb swelling and purpura within 7 days (Figure 1B). Then, she was discharged after switching from heparin to apixaban.</p><p>Purpura is a clinical manifestation of blood extravasation into the mucosa or skin due to vessel wall damage, vascular occlusion, or coagulopathy.<span>¹</span> Features of purpura in this case suggest a congestion of the anterior accessory great saphenous vein, which drains into the femoral vein.<span>²</span> Given that purpura is an unusual presentation of deep vein thrombosis,<span>^{1, 3}</span> in addition to venous occlusion by thrombosis, locally incompetent valves and a weakened venous wall, particularly in older women,<span>⁴</span> might cause purpura at the proximal lower limb.</p><p>None.</p><p>The authors declare that they have no conflicts of interest.</p><p>Approval of the research protocol: N/A.</p><p>Informed consent: Informed consent was obtained from 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":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139039359","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}

{"title":"Torsades de pointes due to oral sitafloxacin","authors":"Yugo Wakayama,&nbsp;Satoshi Yoshimura,&nbsp;Katsuyuki Hanabusa,&nbsp;Nobuhiro Ikeda,&nbsp;Nobuhiro Miyamae,&nbsp;Yasuyuki Sumida","doi":"10.1002/ams2.910","DOIUrl":"10.1002/ams2.910","url":null,"abstract":"<p>A woman aged in her 80s had multiple comorbidities with congestive heart failure, aortic stenosis, and chronic renal failure. The QTc interval 6 months before admission was normal (454 ms) (Figure 1A). Three days pre-admission, the maximum dose of sitafloxacin was prescribed to treat urinary tract infections. She presented with convulsions, a complete atrioventricular block, a prolonged QTc interval (538 ms) (Figure 1B), and recurrent torsade de pointes (TdP) (Figure 1C). Treatment involved 2 g magnesium sulfate infusion, noninvasive positive pressure ventilation, and emergency pacing. After the heart failure management with discontinuation of sitafloxacin, the QTc interval was improved by 501 and 466 ms on day 7 and 20, respectively (Figure 1D,E). She remained healthy at 6-month follow-up. Oral quinolones are commonly prescribed antibiotics in clinical settings<span>¹</span>; it could induce QT prolongation as <i>hERG</i> gene class effects on potassium channels and causes TdP, especially in the elderly.<span>¹</span> Treatments are as follows<span>^{2, 3}</span>: external defibrillation, deep sedation with intubation, mechanical circulatory support, eliminating causes, intravenous magnesium sulfate irrelevant to the renal dysfunction, correct serum potassium level, isoproterenol infusion, and temporary overdrive pacing.<span>^{2, 3}</span> The dosage of quinolones should be adjusted according to renal function,<span>¹</span> and should be prescribed based on age and comorbidities.</p><p>The authors have no conflict of interest to declare.</p><p>Approval of the research protocol: N/A.</p><p>Informed consent: We obtained the informed consent from the patient for the publication of the report.</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":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138822604","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}

{"title":"Visible negative pressure wound therapy for open abdominal management: A single-center retrospective study","authors":"Jumpei Takamatsu,&nbsp;Yuichi Yasue,&nbsp;Aya Fukuhara,&nbsp;Jinkoo Kang,&nbsp;Masatoshi Nakata,&nbsp;Hajime Nakajima,&nbsp;Jun Oda","doi":"10.1002/ams2.909","DOIUrl":"https://doi.org/10.1002/ams2.909","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to compare open abdominal management (OAM) between visible negative pressure wound therapy (NPWT) and commercial NPWT to determine whether NPWT can detect intestinal ischemia in its early stages without causing complications or worsening prognosis, and to determine whether the actual visualization results in early detection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients were divided into two groups: those who underwent OAM with visible NPWT (A: 32 patients) and those who underwent OAM with commercial NPWT (B: 12 patients). We compared background factors, disease severity, vital signs, blood test values, and 28-day outcomes between the two groups. We also checked the records to determine how many visualized cases were detected early and operated on. We then examined the weaknesses of this method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No differences were observed in the background factors or disease severity between the two groups. The duration of the open abdomen and intensive care unit stay were significantly shorter for group A than for group B. The groups showed no significant differences in lactate levels, 28-day outcomes, complications during OAM, or other factors. After a review of the medical records, ischemic progression was detected early, and surgery could be performed in seven cases in the visible NPWT group. The progression of ischemia was confirmed at the time of the second-look operation in two cases in the ascending colon.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The visualization device allowed us to gain insights into the intra-abdominal cavity and determine the appropriate time for closing the abdomen without worsening the prognosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.909","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138578257","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}

{"title":"Identifying subgroup characteristics of adult ambulance users with nonurgent medical conditions in Japan: A population-based observational study","authors":"Keiko Ueno,&nbsp;Chie Teramoto,&nbsp;Hiroyuki Sawatari,&nbsp;Kazuaki Tanabe","doi":"10.1002/ams2.911","DOIUrl":"https://doi.org/10.1002/ams2.911","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In Japan, approximately 60% of adult ambulance users are diagnosed with minor injuries or diseases in the emergency department and thus do not require hospitalization. This study aimed to determine the distinct subgroup (segment) characteristics of adult ambulance users with nonurgent medical conditions by interpreting quantitatively derived segments through the segmentation approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This population-based observational study used the ambulance transportation and request call records databases of the Higashihiroshima Fire Department, Japan, between January 1, 2016, and December 31, 2020. The participants were ambulance users aged 18–64 years diagnosed with minor injuries or diseases in the emergency department (defined as adult ambulance users with nonurgent medical conditions). A soft clustering method was used to divide the participants based on 13 variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This analysis included 5,982 adult ambulance users. Six segments were obtained: (1) “users with neurological diseases or other injuries occurring late at night on weekdays”; (2) “users injured or involved in fire accidents, with increased on-scene time and multiple hospital inquiries”; (3) “users transferred between hospitals”; (4) “users with acute illnesses and transported from home”; (5) “users involved in motor vehicle accidents”; and (6) “users transferred to hospitals outside of the area during the daytime on weekdays.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings indicate that adult ambulance users with nonurgent medical conditions can be divided into distinct segments using population-based ambulance records. Further research is warranted to address the ambulance user needs of each segment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138578256","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}

{"title":"Emergency department activities at the Athletes' Village during the Tokyo 2020 Olympic and Paralympic Games","authors":"Norihiro Kuroki,&nbsp;Kazuyoshi Yagishita,&nbsp;Keiki Shimizu,&nbsp;Sachiko Okuaki,&nbsp;Yuuri Doi,&nbsp;Yuki Arakawa,&nbsp;Tomotsugu Nakano,&nbsp;Takao Akama","doi":"10.1002/ams2.905","DOIUrl":"https://doi.org/10.1002/ams2.905","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>More than 15,000 elite athletes participated in the Tokyo 2020 Olympic and Paralympic Games. Providing adequate medical services to these elite athletes was a priority. Hence, a polyclinic was established in the Athletes' Village. Visitors were triaged at the emergency department of the polyclinic to enable early treatment of critical illnesses or injuries in the emergency room (ER) and to identify patients suspected of having coronavirus disease as early as possible. No reports of emergency department activities at large sporting events in the pandemic era are available. Here, we aim to summarize the activities at the emergency department of the polyclinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected using an electronic medical record system, nursing records, and questionnaires administered during triage from July 13 to September 8, 2021. Polyclinic data involving accredited athletes and team members were summarized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the Olympic Games, 12,318 triage cases were reported, of which 75 were treated in the ER. During the Paralympic Games, 8398 triage cases were reported, of which 94 were treated in the ER. During the Olympic Games, musculoskeletal issues (26 patients) were the most common. During the Paralympic Games, ear, nose, and throat issues were the most common (21 patients). Two patients experienced cardiopulmonary arrest in the Athletes' Village and were transported to the hospital postresuscitation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>During the study period, many critically ill patients were triaged and treated at the emergency department. Our data can be used to improve medical care and infection prevention at future international sporting events.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.905","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138439827","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}