Journal of emergency and critical care medicine (Hong Kong, China)最新文献_第5页

A large multicenter evaluation of quick Sequential Organ Failure Assessment (qSOFA) and Systemic Inflammatory Response Syndrome (SIRS) performance among hospitalized US Emergency Department patients with suspected infection 美国急诊科疑似感染住院患者快速序贯器官衰竭评估（qSOFA）和全身炎症反应综合征（SIRS）表现的大型多中心评估

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/jeccm-21-56

M. Elie-Turenne, R. Seethala, I. Aisiku, A. Bihorac, T. Ozrazgat-Baslanti, K. Mark, N. George, B. Allen, S. Bozorgmehri, D. Meurer, Hasan Rasheed, C. Tzeng, P. Hou

引用次数: 0

The perils of beta-blockade and the promise of venoarterial extracorporeal membrane oxygenation in managing low-output heart failure in thyroid storm: a case report β -阻断的危险和静脉动脉体外膜氧合治疗甲状腺风暴低输出心力衰竭的前景:一个病例报告

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/JECCM-20-133

Jennifer Zacharia, T. May

{"title":"The perils of beta-blockade and the promise of venoarterial extracorporeal membrane oxygenation in managing low-output heart failure in thyroid storm: a case report","authors":"Jennifer Zacharia, T. May","doi":"10.21037/JECCM-20-133","DOIUrl":"https://doi.org/10.21037/JECCM-20-133","url":null,"abstract":"Thyroid storm is a rare endocrine emergency that requires prompt recognition and treatment to reduce the high morbidity and mortality associated with the disease. A subset of patients with thyroid storm develop the grave complication of thyrotoxicosis-induced low-output heart failure, the severity of which ranges from subclinical to life-threatening. These patients present a therapeutic challenge because the initiation of beta-adrenergic blockade, a cornerstone of therapy in thyroid storm, disrupts the hyperadrenergic state that plays a compensatory role in maintaining cardiac output and may lead to cardiogenic shock. We present a case of a young healthy man who presented to the emergency department in thyroid storm, which was his first clinical presentation of Graves’ disease. He was treated with beta-blockers prior to recognition of his subclinical low-output heart failure and he decompensated into cardiogenic shock necessitating inotropic and vasopressor support. He was ultimately treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO) for refractory cardiogenic shock which enabled him to recover normal left ventricular function while his thyroid hormone levels normalized. Screening for underlying thyrocardiac disease and cautious administration of rate controlling agents can prevent treatment-induced cardiogenic shock. Early intervention with VA-ECMO may provide the best clinical outcome for patients presenting with thyrotoxicosis-induced low-output heart failure.","PeriodicalId":73727,"journal":{"name":"Journal of emergency and critical care medicine (Hong Kong, China)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48378694","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: 1

False blood leak alarm from dialysate discoloration following vitamin B12 infusion: case report 维生素B12输注后透析液变色引起假漏血报警1例

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/jeccm-22-1

Benjamin O. Lawson, Peter Fahim, Jenny I. Shen, E. Lum

引用次数: 0

Case report of contrast transesophageal echocardiography to confirm extracorporeal membrane oxygenation (ECMO) catheter position in aortic dissection 经食管超声心动图造影证实主动脉夹层体外膜肺氧合（ECMO）导管位置的病例报告

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/JECCM-20-166

S. Au, K. Fong, Sai Kwong Yung, G. Ng

{"title":"Case report of contrast transesophageal echocardiography to confirm extracorporeal membrane oxygenation (ECMO) catheter position in aortic dissection","authors":"S. Au, K. Fong, Sai Kwong Yung, G. Ng","doi":"10.21037/JECCM-20-166","DOIUrl":"https://doi.org/10.21037/JECCM-20-166","url":null,"abstract":": Extracorporeal cardiopulmonary resuscitation (ECPR) is the initiation of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) during resuscitation. As a clinical emergency, ECPR is often initiated with limited background information, especially for those with out of hospital cardiac arrest. The underlying cause of cardiac arrest is often revealed after the VA-ECMO is established. If the original culprit turns out to be aortic dissection, in which peripheral VA-ECMO is relatively contra-indicated, the first question to answer is whether the arterial return catheter is perfusing the true lumen. If not, the high retrograde flow to the false lumen can otherwise result in further progression of the aortic dissection. While aortogram by computer tomography is still considered one of the gold standards to confirm the catheter position, the transport risk for an unstable patient immediately after ECPR is still high. This article suggests a novel bedside method of using microbubble contrast transesophageal echocardiography, injected through the return cannula, to check if the blood flow is directed towards the true or the false lumen. The test result allows the clinicians prompt decision making on whether to change the VA-ECMO configuration or for early VA-ECMO withdrawal. The image of such a diagnostic contrast echocardiography technique is presented in this case report.","PeriodicalId":73727,"journal":{"name":"Journal of emergency and critical care medicine (Hong Kong, China)","volume":"41 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41292132","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

Extracorporeal membrane oxygenation use in a 26-week pregnant female with a severe COVID-19 infection: case report 体外膜肺氧合用于一例26周妊娠合并严重新冠肺炎感染的女性：病例报告

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/jeccm-22-11

Nicolas A. LaPuma, Rishi Gonuguntla, R. Joseph

{"title":"Extracorporeal membrane oxygenation use in a 26-week pregnant female with a severe COVID-19 infection: case report","authors":"Nicolas A. LaPuma, Rishi Gonuguntla, R. Joseph","doi":"10.21037/jeccm-22-11","DOIUrl":"https://doi.org/10.21037/jeccm-22-11","url":null,"abstract":"Background: The SARS-COV-19 (COVID-19) pandemic has been an unprecedented global health crisis that has had far reaching implications and has exposed various susceptible patient populations including pregnant women. The effect of COVID-19 on pregnant women is an area of current research, with many studies focusing on maternal and fetal outcomes and maternal-fetal transmission of the virus. Current research suggests that COVID-19 presents similarly in both non-pregnant and pregnant women. Although COVID-19 is rarely vertically transmitted, it is currently unclear whether or not COVID-19 has an effect on the incidence of IUFD in pregnant patients. Case Description: Here, we report the case of a 23-year-old female approximately 26 weeks pregnant, recently diagnosed with COVID-19. The patient required intubation during evaluation in the emergency department (ED) and ultimately was placed on extracorporeal membrane oxygenation (ECMO) while in the intensive care unit (ICU). During the ICU stay intrauterine fetal demise (IUFD) was diagnosed and a spontaneous en caul vaginal delivery occurred. Conclusions: Currently, there is limited data available regarding the effect, or complications, of COVID-19 on the three trimesters of pregnancy. There is also limited data on the use of ECMO in pregnant patients with a COVID-19 infection. The case reported here is further evidence of the necessity of further research into the effects of COVID-19 on pregnant patients and the utilization of ECMO in these cases. © 2022 Laparoscopic Surgery.All right reserved.","PeriodicalId":73727,"journal":{"name":"Journal of emergency and critical care medicine (Hong Kong, China)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45169186","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

Acquired hemophilia A presenting as spontaneous hemorrhage following corpus luteum cyst rupture: a case report and review of the literature 获得性血友病A表现为黄体囊肿破裂后的自发性出血：一例报告和文献复习

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/JECCM-20-144

Alyssa J. Melo, J. Vadhan, Melanie Miller, Jose B. Melo

{"title":"Acquired hemophilia A presenting as spontaneous hemorrhage following corpus luteum cyst rupture: a case report and review of the literature","authors":"Alyssa J. Melo, J. Vadhan, Melanie Miller, Jose B. Melo","doi":"10.21037/JECCM-20-144","DOIUrl":"https://doi.org/10.21037/JECCM-20-144","url":null,"abstract":": Corpus luteum cyst rupture is a common cause of spontaneous hemoperitoneum discovered within the emergency department (ED) setting. It is extremely uncommon, however, to discover a rare underlying hematologic disorder such as acquired hemophilia in these cases. Early recognition of the condition is essential given the substantial risk of severe morbidity and mortality associated with increased time to diagnosis. We report a case of a 25-year-old female who presented to the ED with lower abdominal pain and a syncopal event, who was found to have spontaneous hemoperitoneum due to a ruptured corpus luteum cyst and was subsequently discovered to have acquired hemophilia A (AHA). Patients with AHA can present to the ED with a wide spectrum of symptoms, most commonly related to the inciting bleeding event. AHA should be considered in all patients who present with profound and prolonged bleeding episodes devoid of immediately identifiable causes within the emergency setting. A high index of suspicion for this condition is critical because surgical intervention in the absence of appropriate hemostatic and immunosuppressive treatment can result in catastrophic consequences.","PeriodicalId":73727,"journal":{"name":"Journal of emergency and critical care medicine (Hong Kong, China)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47167233","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: 1

Characterizing the burden of complications in traumatic brain injury: a retrospective study 创伤性脑损伤并发症负担特征的回顾性研究

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/jeccm-21-53

Anna R. Kimata, Wael Asaad

引用次数: 0

Use of high flow oxygen (HFO) for difficult airway management in Jael syndrome: a case report 应用高流量氧(HFO)治疗Jael综合征气道困难1例

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/JECCM-20-47

C. Browne, A. Mujitaba, R. Pilkington, G. Putnam, L. Barberis

{"title":"Use of high flow oxygen (HFO) for difficult airway management in Jael syndrome: a case report","authors":"C. Browne, A. Mujitaba, R. Pilkington, G. Putnam, L. Barberis","doi":"10.21037/JECCM-20-47","DOIUrl":"https://doi.org/10.21037/JECCM-20-47","url":null,"abstract":": Jael Syndrome is defined as an intentional craniofacial stab injury. There are few cases in the medical literature describing such facial impalements with the presence of the instrument in the face. Such cases present a complex challenge, involving many specialities, and in particular requires cautious considerations in the immediate preoperative management and intubation of such patients. The use of High Flow Oxygen (HFO) has an increasingly popular role in anaesthetic and intensive care practices, with numerous studies supporting its efficacy in preoxygenation and increasing the safe apnoea time prior to intubation. We report the case of a 20 years old man who presented with facial impalement with a kitchen knife following an altercation. Imaging confirmed that the knife passed through the nasopharynx and was embedded in his right occipital condyle. He was transferred to theatre, where prior to the removal of the implement and haemostasis control, he was preoxygenated using (HFO) and his airway secured with video laryngoscopy. Post operatively, he was kept sedated and ventilation in the Intensive Care Unit (ICU) prior to being successfully extubated and transferred to the ward. He was subsequently discharged form hospital with only mild sensory loss secondary to the injury. This case highlights the technical difficulties associated with the preoxygenation and intubation in patients presenting with facial impalement, and in particular use of HFO in providing for an extended safe apnoea time prior to securing a difficult airway in the context of maxillofacial trauma.","PeriodicalId":73727,"journal":{"name":"Journal of emergency and critical care medicine (Hong Kong, China)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44115198","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

Triple threat: bilateral renal artery thrombosis and heparin induced thrombocytopenia in a patient with COVID-19, a case report 三重威胁:新冠肺炎患者双侧肾动脉血栓形成和肝素性血小板减少1例

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/jeccm-21-41

Elizabeth J. Benge, Yi Mcwhorter

{"title":"Triple threat: bilateral renal artery thrombosis and heparin induced thrombocytopenia in a patient with COVID-19, a case report","authors":"Elizabeth J. Benge, Yi Mcwhorter","doi":"10.21037/jeccm-21-41","DOIUrl":"https://doi.org/10.21037/jeccm-21-41","url":null,"abstract":"The thrombotic sequelae of COVID-19 are thought to be caused by the excessive inflammation, platelet activation, and endothelial dysfunction induced by the virus. Roughly half of patients diagnosed with COVID-19 experience coagulopathy. Here, we highlight a unique case of a healthy 44-year-old man who presented to the emergency department with sudden onset severe, diffuse abdominal pain with concurrent onset of lower extremity numbness and tingling. He was found to have bilateral renal artery thrombosis and tested positive for COVID-19. During the course of his hospitalization, he developed acute renal failure;requiring dialysis. He also developed thrombocytopenia after receiving heparin therapy. His heparin induced thrombocytopenia (HIT) antibody optical density was elevated to 1.960, consistent with a diagnosis of heparin-induced thrombocytopenia. His platelet nadir was 115×103/uL. The patient’s anticoagulation regimen was then transitioned from heparin to apixaban. To our knowledge, this is the only case of a patient with concurrent bilateral renal artery thrombosis, an active COVID-19 infection and heparin induced thrombocytopenia. Overall, this case demonstrates the importance of fully evaluating hematologic abnormalities in patients with COVID-19 infections, as the presence of the virus does not exclude the presence of other treatable bleeding disorders. It also emphasizes the array of clinical findings that can accompany COVID-19. © Journal of Emergency and Critical Care Medicine. All rights reserved.","PeriodicalId":73727,"journal":{"name":"Journal of emergency and critical care medicine (Hong Kong, China)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43721716","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: 1

Trends of emergency department visits for gunshot victims in the United States 美国枪击受害者急诊就诊趋势

Journal of emergency and critical care medicine (Hong Kong, China) Pub Date : 2021-01-01 DOI: 10.21037/jeccm-21-114

Ateequr Rahman, Monica Yanni, Lejla Cukovic, Liam Herrebout, Kirstin Krzyzewski, Yelena Sahakian

引用次数: 0