Journal of the American College of Emergency Physicians open最新文献

{"title":"Video Review of Cardiac Arrest: A Scoping Review.","authors":"Micah Wolfsohn, Mohamed Ali, Rahul Ramraj, Timmy Li, Jaclyn Morales, Ghania Haddad, Elizabeth Young, Lance Becker, Daniel Rolston, Daniel Jafari","doi":"10.1016/j.acepjo.2026.100407","DOIUrl":"10.1016/j.acepjo.2026.100407","url":null,"abstract":"<p><strong>Objectives: </strong>As there is no published review of video review use in cardiac arrest (CA) research, we set out to perform a scoping review to describe the demographics, settings, interventions, and outcomes in the literature.</p><p><strong>Methods: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework for scoping reviews, we queried PubMed, Scopus, EMBASE, and Cochrane Library from inception through April 22, 2024, and then updated the query to cover publications through March 7, 2025, including adult CA studies using video-derived data from prehospital, emergency department, or intensive care settings, excluding pediatric and simulation studies. Independent screening and data extraction were both performed by 2 of the reviewers, with a third reviewer and principal investigator resolving discrepancies, respectively. Extracted data encompassed study aims, setting, patient demographics, video review reliability, and detailed information on outcomes, metrics (eg, chest compression fraction), and interventions (eg, intubation).</p><p><strong>Results: </strong>From 3081 identified publications, 76 were included, with 64.5% being manuscripts. They originated from the USA (48.7%), Asia (31.6%), and Europe (19.7%). Studies were predominantly single center (98.7%), from urban settings (82.9%), with retrospective (47.4%) or prospective (31.6%) observational designs. There was marked heterogeneity in reporting methodologies. The median number of patients enrolled was 71. Interrater reliability was reported in only 12 studies. Common reported patient outcomes included return of spontaneous circulation (39.5%), key metrics such as duration of interruptions (52.6%), and time-to-events (51.3%). Frequently reported interventions included mechanical compression device use (36.8%), defibrillation (34.2%), and intubation (28.9%). Publication volume significantly increased over the last 2 decades.</p><p><strong>Conclusions: </strong>Video review enables a precise, multidomain assessment of resuscitation performance of CA that conventional data sources cannot provide. Future work should prioritize consensus definitions and establishing minimum reporting standards.</p>","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100407"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13158408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935909","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":"Impact of Cardiopulmonary Resuscitation Health Care Workers' Physical Health Parameters on Cardiopulmonary Resuscitation Performance Quality in Simulated Manikin-Based Settings-A Systematic Review.","authors":"Prabha Prakash, Kirtana R Nayak, Abraham S Babu, Elsa S Devi, Souvik Chaudhuri, Dinker R Pai, Vimal Krishnan S","doi":"10.1016/j.acepjo.2026.100395","DOIUrl":"10.1016/j.acepjo.2026.100395","url":null,"abstract":"<p><strong>Objectives: </strong>The physical fitness of health care workers also influences the quality of cardiopulmonary resuscitation (CPR). With the recent conceptualization of \"pit-crew\" in hospitals to ensure sustained, seamless, high-quality CPR, the physical fitness parameters of CPR health care workers that affect CPR quality must be systematically studied. This systematic review aimed to synthesize findings from the current literature on the physical health parameters of CPR health care workers that are essential to ensuring high-quality CPR.</p><p><strong>Methods: </strong>PubMed, Scopus, and the Cochrane databases were reviewed to identify relevant articles published in English from inception to February 2025. Studies were included if they reported any physical health parameter of CPR health care workers and their association with high-quality CPR, including chest compression rate, depth, timing, or overall CPR quality. The risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool by 2 independent reviewers.</p><p><strong>Results: </strong>After screening of 11,895 articles, 22 studies published between 2002 and 2024 were included, with 2492 CPR participants in manikin studies. Age, gender, height, weight, body mass index, physical exercise frequency, handgrip or upper-body strength, anaerobic power, maximum heart rate during CPR, muscle strength, fatigue or endurance, body composition, and ventilation threshold were various parameters that were found to be significantly associated with high-quality CPR. Due to differences in the presentation of physical fitness parameters across the studies, a meta-analysis could not be carried out as planned.</p><p><strong>Conclusion: </strong>Physical health and fitness parameters of CPR health care workers are crucial to ensure high-quality CPR. Achieving adequate depth and sustained frequency of chest compressions requires both strength and endurance among CPR health care workers.</p>","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100395"},"PeriodicalIF":1.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847234","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":"A Man With Neck Pain and Swelling.","authors":"Joshua M Perez-Cruet, Summer Ghaith, Bryan Cortez, John L Kendall, Timothy J Batchelor","doi":"10.1016/j.acepjo.2026.100408","DOIUrl":"10.1016/j.acepjo.2026.100408","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100408"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847156","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":"Elderly Female With Vomiting and Diarrhea.","authors":"Kyohei Nishioka, Atsushi Jinno, Nobuaki Sugihara, Kai Takao, Yusuke Iwamoto, Yoshihisa Tsuji","doi":"10.1016/j.acepjo.2026.100405","DOIUrl":"10.1016/j.acepjo.2026.100405","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100405"},"PeriodicalIF":1.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824488","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":"A Woman With a Rash and Abdominal Pain.","authors":"Christopher Millman, Stefan Balestra","doi":"10.1016/j.acepjo.2026.100406","DOIUrl":"10.1016/j.acepjo.2026.100406","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100406"},"PeriodicalIF":1.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824452","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":"A 24-Year-Old Woman With Acute Lower Abdominal Pain.","authors":"Adrianna Salah, Jami Zajicek, Naofal da Silva, Alexandra Jackson, Joseph Pepe","doi":"10.1016/j.acepjo.2026.100402","DOIUrl":"10.1016/j.acepjo.2026.100402","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100402"},"PeriodicalIF":1.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824476","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":"Development of Mind-Body Interventions for the Emergency Department.","authors":"Tiffany R Glynn, DaMarcus Baymon, Kei Ouchi, Timothy B Erickson, Peter R Chai","doi":"10.1016/j.acepjo.2026.100404","DOIUrl":"10.1016/j.acepjo.2026.100404","url":null,"abstract":"<p><p>Emergency department (ED) visits are a common experience that most individuals will have across their lifetime. ED-based evaluation for acute complaints can be fraught with anxiety and stress due to diagnostic uncertainty, long waiting and boarding times, and the harsh, stimulating environment of the ED. Modulating the physical ED environment can be time consuming, expensive and given regulations, at times nearly impossible. Increased patient stress and anxiety is associated with persistent hypertension, inflammation, and worsening patient experience. Mind-body interventions (MBIs) are nonpharmacologic interventions that leverage the bidirectional relationship between physiological and psychological processes to address universal distress, pain and other commonalities among the ED experience. Many of these interventions like music, mindfulness and acupuncture have been successfully deployed in other clinical settings to mitigate components of stress and improve the patient experience. These interventions have the potential to address the commonalities surrounding ED distress. In this concepts piece we describe MBIs, their potential application in the ED and future directions for research on MBIs in the emergency department.</p>","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100404"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791272","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":"Acute Diplopia in a 67-Year-Old Man.","authors":"Ryota Inokuchi, Goro Kido","doi":"10.1016/j.acepjo.2026.100400","DOIUrl":"10.1016/j.acepjo.2026.100400","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100400"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791318","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 Crowding and Diagnostic Safety: An Underrecognized Risk to Clinical Decision Making.","authors":"Rita Sangtani","doi":"10.1016/j.acepjo.2026.100403","DOIUrl":"10.1016/j.acepjo.2026.100403","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100403"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791344","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":"Elderly Woman With Abdominal Pain and Distension.","authors":"Brian Quach, Andrew Eyre","doi":"10.1016/j.acepjo.2026.100398","DOIUrl":"10.1016/j.acepjo.2026.100398","url":null,"abstract":"","PeriodicalId":73967,"journal":{"name":"Journal of the American College of Emergency Physicians open","volume":"7 3","pages":"100398"},"PeriodicalIF":1.8,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791306","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}