BMC Emergency Medicine最新文献

{"title":"Factors associated with hypothermia and its response to resuscitation among major trauma patients at St Francis Hospital Nsambya: a prospective observational study.","authors":"Patrick Akena, Ronald Kiweewa, Ronald Olum, Andrew Basenero, Rebecca Nabulya, Assumpta Nabawanuka, Didace Mugisa","doi":"10.1186/s12873-025-01254-4","DOIUrl":"https://doi.org/10.1186/s12873-025-01254-4","url":null,"abstract":"<p><strong>Background: </strong>Hypothermia, defined as a core body temperature below 35 °C, is a common yet underappreciated complication among trauma patients. It leads to coagulopathy, impaired immune response, and higher morbidity, with mortality rates rising by 25% after its onset among severely injured trauma patients. This study sought to determine the factors associated with hypothermia and its response to resuscitation among major trauma patients at St. Francis Hospital Nsambya.</p><p><strong>Methods: </strong>This was a prospective observational study among 99 adult major trauma patients admitted to the emergency department at St. Francis Hospital Nsambya between November 2022 and April 2023. Patients were consecutively enrolled upon arrival and their temperatures were taken using the Braun infrared tympanic thermometer. A pretested data abstraction tool collected information on demographics, injury characteristics, and pre-admission events. The primary outcome was the prevalence of hypothermia. Data analysis was conducted using STATA Version 17.0, employing multivariable logistic regression analysis to determine factors associated with hypothermia.</p><p><strong>Results: </strong>A total of 99 trauma patients were included in the study, of which 39(39%) were hypothermic on hospital arrival. The majority were males, 78(78.8%) aged 26 to 45 years, 49(49.5%) (range: 27-52). Blunt trauma was the most common mechanism of injury 9(86.9%), followed by penetrating injuries 9(9.1%). Hypothermia was associated with age (Adjusted Odds Ratios [AOR]: 19.94, CI: 1.6-248.65, p = 0.02), body region injured (AOR = 6.28, CI: 1.6-27.75, p = 0.015), ambient temperature (AOR = 0.09, CI: 0.01-0.6, p = 0.012), and warm clothing (AOR = 0.05, CI: 0.01-0.39, p = 0.004). After 30 min of resuscitation, most patients had transitioned from a hypothermic state to a normothermic state, according to initial temperature measurements. This resuscitation involved keeping the patients warm using blankets and external warming devices and administering heated intravenous fluids.</p><p><strong>Conclusion: </strong>Hypothermia affected 39% of major trauma patients, with advanced age and injured regions as key associations. Routine temperature monitoring, especially for older patients and those with extremity injuries, is essential. Hospitals should implement standardized hypothermia prevention protocols, ensure adequate warming equipment, and train healthcare providers in early detection and management. Further research is needed to optimize warming techniques and resuscitation strategies in trauma care.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"104"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The establishment of a clinical protocol for hostages returning from captivity.","authors":"Daniel Trotzky, Idit Segal, Ronit Koren, Orna Tal, Gal Pachys, Galina Goltzman, Karen Or, Margarita Alpro, Ronit Zaidenstein, Maayan Bachar, Baruch Berzon, Roni Enten Vissoker, Inbar Hartmann, Miri Avraham, Vered Shinar, Ada Azar, Osnat Levtzion Korach","doi":"10.1186/s12873-025-01257-1","DOIUrl":"https://doi.org/10.1186/s12873-025-01257-1","url":null,"abstract":"<p><strong>Background: </strong>As part of a hostage-prisoner exchange negotiation, 105 hostages were released to hospitals throughout Israel for treatment after being taken into captivity by Hamas to the Gaza Strip on October 7, 2023. The aim of this study is to describe the establishment of a clinical protocol for hostages returning from captivity.</p><p><strong>Method: </strong>The process of the creation of procedures for implementation of and the clinical protocol itself is described.</p><p><strong>Results: </strong>A total of 24 returning hostages arrived at Shamir Medical Center (SMC); all were foreign workers and all but one were from the same nationality. The majority group of 23 returning hostages from the same nationality received testing for Q-fever, Hepatitis B, and human immunodeficiency virus (HIV). Orthopedic, dermatological, and ear nose and throat (ENT) consultation, chest and limb X-rays, head and abdominal CT scans, and antibiotics were also utilized by the 23 returning hostages of the same nationality. The returning hostage from a different nationality of origin utilized consults with an ENT, underwent a hearing test, and tests for Q-fever, urine toxicology, Hepatitis B and HIV. Among the group of 23 hostages from the same nationality of origin, the mean percentage loss of body weight was 10%±10%. No correlation was found between age and change in weight (rho = -0.227; p = 0.350). In addition, 17.4% tested positive for Q fever, 30.4% tested positive for Hepatitis B and 13% tested positive for a sexually transmitted disease. They spent a mean of 5 ± 1 days hospitalized. The sole hostage of different nationality of origin lost 15% of his body weight, tested positive for Q fever and spent 3 days hospitalized. Consults with social workers and dietitians, translators and COVID-19 tests were used by all returning hostages.</p><p><strong>Conclusion: </strong>In this study, no significant correlation was found between age and change in weight among returning hostages. This novel clinical protocol was successfully utilized in real-time and may serve as a framework for the complex and sensitive clinical management of returning hostages, in case of need.</p><p><strong>Clinical trial number: </strong>Not Applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"105"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-invasive hemodynamic monitoring and cardiac preload assessment in severely injured children in the emergency department.","authors":"Jing Chen, Jia Li, Xingpeng Wang, Kai Ma, Jie Xu, Huifang Zhang, Yufei Su, Hua Li","doi":"10.1186/s12873-025-01264-2","DOIUrl":"https://doi.org/10.1186/s12873-025-01264-2","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate cardiac preload and identify early predictors of severe trauma in pediatric patients using non-invasive hemodynamic monitoring in the pediatric emergency department.</p><p><strong>Methods: </strong>A prospective cohort study was conducted at Xi'an Children's Hospital (June 2022-October 2024) with 167 patients, divided into mild (84) and severe (83) trauma groups. Non-invasive monitoring began shortly after admission, collecting parameters alongside clinical and laboratory assessments.</p><p><strong>Results: </strong>No significant differences in demographics or injury characteristics were found between groups. The severe trauma group had higher blood transfusion requirements (TAR) (p < 0.01). Hemodynamic parameters showed reduced pre-ejection period (PEP), left ventricular ejection time, and thoracic fluid content (t = 5.655, z = -4.368, z = -3.702; p < 0.01), indicating insufficient preload. Elevated heart rate (t = -4.127; p < 0.01) compensated for this. Reduced stroke volume index (t = 2.339, p < 0.05) and higher cardiac index (z = -1.979; p < 0.05) suggested compensation for low hemoglobin. The severe group also had elevated white blood cells, blood glucose, lactate, interleukin-6, interleukin-10, ALT, and AST (p < 0.01), while hemoglobin, fibrinogen, and albumin were decreased (p < 0.01). Logistic regression identified PEP, albumin, interleukin-6, and TAR as independent risk factors for severe trauma (p < 0.05). PEP and interleukin-6 had the highest area under the curve values (> 0.70).</p><p><strong>Conclusions: </strong>Non-invasive hemodynamic monitoring can detect early signs of insufficient preload in severe pediatric trauma, and the combination of PEP and interleukin-6 aids in severity assessment and clinical decision-making.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"108"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic models for predicting patient arrivals in emergency departments: an updated systematic review and research agenda.","authors":"Luka Petravić, Kaja Gril Rogina, Tit Albreht, Andreja Kukec, Janez Žibert","doi":"10.1186/s12873-025-01250-8","DOIUrl":"https://doi.org/10.1186/s12873-025-01250-8","url":null,"abstract":"<p><strong>Background: </strong>Emergency departments (ED) are struggling with an increased influx of patients. One of the methods to help departments prepare for surges of admittance is time series forecasting (TSF). The aim of this study was to create an overview of current literature to help guide future research. Firstly, we aimed to identify external variables used. Secondly, we tried to identify TSF methods used and their performance.</p><p><strong>Methods: </strong>We included model development or validation studies that were forecasting patient arrivals to the ED and used external variables. We included studies on any forecast horizon and any forecasting methodology. Literature search was done through PubMed, Scopus, Web of Science, CINAHL and Embase databases. We extracted data on methods and variables used. The study is reported according to TRIPOD-SRMA guidelines. The risk of bias was assessed using PROBAST and authors' own dimensions.</p><p><strong>Results: </strong>We included 30 studies. Our analysis has identified 10 different groups of variables used in models. Weather and calendar variables were commonly used. We found 3 different families of TSF methods. However, none of the studies followed reporting guidelines and model code was seldom published.</p><p><strong>Conclusions: </strong>Our results identify the need for better reported results of model development and validation to better understand the role of external variables used in created models, as well as for more uniform reporting of results between different research groups and external validation of created models. Based on our findings, we also suggest a future research agenda for this field.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"106"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time-based tracking of temperature and humidity of emergency medical service rapid response vehicles in Qatar: a prospective observational study.","authors":"Nour Alhuda Alaghawani, Abrar Mohamed, Ahmed Makhlouf, Habib Kerkeni, Loua Al Shaikh, Guillaume Alinier, Alaaldin M Alkilany, Ousama Rachid","doi":"10.1186/s12873-025-01255-3","DOIUrl":"https://doi.org/10.1186/s12873-025-01255-3","url":null,"abstract":"<p><strong>Background: </strong>Paramedics working in emergency medical services (EMS) routinely administer life-saving medications to patients under urgent conditions. However, these medications are frequently subjected to undocumented fluctuations in environmental conditions, particularly temperature and humidity, which may lead to drug degradation and potentially compromise patient safety. In countries like the State of Qatar, known for its elevated temperatures and humidity, the environmental exposure of EMS medications stored in rapid response cars (RRCs) has not yet been systematically assessed. In this study, we aimed to evaluate the fluctuations in temperature and humidity experienced by ambulatory medications over a 12-month period.</p><p><strong>Methods: </strong>Six RRCs, each with three temperature and humidity loggers were utilized to collect real-life environmental data. Two loggers were placed in two paramedic bags stored at the back of the RRCs while a third logger was attached in the middle inside each car. Temperature and humidity readings were recorded at 10-minute intervals over 12 months for assessment. Data was then extracted using ElitechLog software, visualized using Python, and statistically analyzed. The mean kinetic temperature (MKT) was also calculated.</p><p><strong>Results: </strong>Temperature values reached 59.1 and 65.7 °C in the bags and inside the RRC, respectively. The MKT exceeded the United States Pharmacopeia recommendations of 30 °C, and in some instances, it exceeded 50 °C. Little to no difference was observed between the two bags in each car however, greater temperature values and MKT violations were reported by the centrally located sensor inside the RRCs.</p><p><strong>Conclusion: </strong>The reported MKT violations highlight the need to develop and implement improved storage strategies for EMS medications in emergency vehicles operating in extremely hot climates. However, given that medication bags are frequently exposed to high ambient temperatures when carried outside by paramedics, storage solutions alone are insufficient to fully prevent deviations from manufacturers' recommended conditions. This underscores the importance of specialized training for paramedics on stringent medication handling protocols to minimize temperature exposure and ensure drug safety and efficacy.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"98"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of the Lactate-to-Albumin ratio in predicting ICU admission and mortality in patients with UGIB presenting to the ED: a prospective observational study.","authors":"İlter Ağaçkıran, Merve Ağaçkıran","doi":"10.1186/s12873-025-01261-5","DOIUrl":"https://doi.org/10.1186/s12873-025-01261-5","url":null,"abstract":"<p><strong>Background: </strong>Upper gastrointestinal bleeding (UGIB) remains a common and potentially life-threatening condition frequently encountered in emergency departments (EDs). Early risk stratification tools are essential for predicting outcomes such as intensive care unit (ICU) admission and in-hospital mortality.</p><p><strong>Objectives: </strong>To evaluate the predictive performance of the serum lactate-to-albumin ratio (LAR) for ICU admission and in-hospital mortality in patients presenting to the ED with UGIB.</p><p><strong>Methods: </strong>This prospective observational study included 181 patients who presented to a university hospital ED with UGIB. Demographic characteristics, laboratory parameters, medication use, and clinical outcomes were recorded. The diagnostic performance of LAR, blood urea nitrogen (BUN) -to-albumin ratio (BAR), and AIMS65 scores for ICU admission and mortality was assessed using ROC analysis and multivariate logistic regression.</p><p><strong>Results: </strong>LAR was significantly elevated in patients requiring ICU admission (p < 0.001). LAR showed a similar predictive value to AIM65 and a superior predictive value to BAR for both ICU admission and in-hospital mortality, compared to BAR and AIM65. The area under the curve (AUC) for LAR was 0.789 for ICU admission and 0.858 for mortality. Multivariate analysis identified LAR, underlying liver disease, and high AIMS65 score as independent predictors of in-hospital mortality.</p><p><strong>Conclusion: </strong>The lactate-to-albumin ratio is a simple, readily available, and effective biomarker for predicting adverse outcomes in UGIB patients. It may serve as a rapid and practical decision-making tool in emergency settings, complementing or potentially replacing existing scoring systems.</p><p><strong>Clinical trial number: </strong>not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"99"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in emergency department visit characteristics and resource utilization for persons with human immunodeficiency virus, 2018-2019 compared with 2009-2010.","authors":"Khairul A Siddiqi, Asma Alzahrani, Bankole A Olatosi, Delaney D Ding, Christopher L Bennett","doi":"10.1186/s12873-025-01269-x","DOIUrl":"https://doi.org/10.1186/s12873-025-01269-x","url":null,"abstract":"<p><strong>Background: </strong>Extended life expectancy and increased age-related comorbidities among people living with HIV (PWH) have implications for emergency healthcare in the United States (US). This study analyzes a nationally representative sample of emergency department (ED) visits to explore changes in patient characteristics and resource utilization for PWH from 2009 to 10 to 2018-19.</p><p><strong>Methods: </strong>We conducted a repeated cross-sectional, survey-weighted, and descriptive analysis of pooled ED visit-level data from the National Hospital Ambulatory Medical Care Survey (NHAMCS).</p><p><strong>Results: </strong>The proportion of ED visits increased for PWH aged 55+, males, Hispanics, Medicare recipients, and residents of the South. ED visits for PWH exhibited significant increases in higher acuity levels of care at the triage, hypertensive symptoms, imaging, CT scans, and the number of medications.</p><p><strong>Conclusions: </strong>EDs can benefit from training in HIV and aging and additional clinical staff and support services to adequately address the increased visit frequency and resource utilization associated with the aging of PWH.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"103"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the components of prehospital emergency preparedness in radiological and nuclear incidents: a scoping review.","authors":"Somayeh Yadollahifar, Mohsen Aminizadeh, Khadijeh Nasiriani, Abbas Ali Dehghani Tafti, Reyhane Sefidkar, Samaneh Mirzaei","doi":"10.1186/s12873-025-01258-0","DOIUrl":"https://doi.org/10.1186/s12873-025-01258-0","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the low probability of radiological and nuclear (RN) incidents, they can have severe consequences and require immediate response. Therefore, preparedness for them is important. In this regard, prehospital emergencies are important in reducing injuries and deaths from these accidents.</p><p><strong>Aim: </strong>This study aimed to identify the factors affecting prehospital emergency preparedness in RN incidents.</p><p><strong>Method: </strong>The study was conducted using a scoping review methodology. The research protocol followed the 2020 PRISMA-P checklist for systematic reviews and meta-analysis protocols. A search was conducted from 1970 to 2024 across PubMed, Scopus, Web of Science, ProQuest, Google Scholar, and Persian databases such as SID and Magiran using \"Medical Emergency Services,\" \"EMS,\" \"Preparedness,\" \"nuclear,\" and \"radiological\" as keywords. Of the 9,330 articles, 39 were selected according to the inclusion and exclusion criteria.</p><p><strong>Results: </strong>The study identified three main categories, 18 subcategories, and 125 codes for prehospital emergency preparedness in RN incidents. These include medical and non-medical care at the scene (triage, treatment surveillance, monitoring, decontamination, Psychosocial Support, and safety & Security), scene management aspects (command system & management, information & data management, documentation, communication, coordination, cooperation & collaboration, risk Assessment, evacuation, and surge capacity), resources and education (staff, equipment & stuff, finances, and training & exercises).</p><p><strong>Conclusion: </strong>The preparedness of the prehospital system in RN incidents is important in various aspects and includes various components addressed in this study. Paying attention to them can play a significant role in reducing the health effects of the mentioned accidents. These components include planning, resource provision, training and practice, and internal and external organizational coordination.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"100"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation of J-SPEED for the emergency department of a regional hospital in the Republic of Uzbekistan: retrospective analysis.","authors":"Olimjan Nazirkulov, Odgerel Chimed-Ochir, Yui Yumiya, Inn Kynn Khaing, Khasanjon Odilov, Hanako Ogawa, Ami Fukunaga, Khalilov Kobiljon, Mahamadjan Mirzahmedov, Sukurullaxon Fayzullaxonov, Khikmat Anvarov, Mutalov Boburjon, Ruzimurodov Nodirjon, Tatsuhiko Kubo","doi":"10.1186/s12873-025-01272-2","DOIUrl":"https://doi.org/10.1186/s12873-025-01272-2","url":null,"abstract":"<p><strong>Background: </strong>Analysis of demographic and clinical characteristics of patients admitted to emergency departments (EDs) can enhance patient outcomes and inform public health policies. However, EDs at regional hospitals in Uzbekistan still rely on handwritten journals, making data analysis challenging. This study adapted the Japan Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED) tool to develop UZ-SPEED for collecting and analyzing data from the ED at Almalyk Medical Association in the Tashkent region. The goal was to identify patterns in demographics and ED admissions while demonstrating the importance of an efficient data collection tool.</p><p><strong>Methods: </strong>Using UZ-SPEED, we retrospectively digitized one-year data from 31,489 handwritten records of trauma and non-trauma patients from 2022.</p><p><strong>Results: </strong>The analysis revealed that men accounted for 70.54% of trauma admissions, with 85.3% of these cases being minor injuries, suggesting potential misuse of emergency department services. Among non-trauma patients, hypertension (26%), neurological diseases (18.78%), and gastrointestinal diseases (10.48%) were the most common health events. Trauma incidents peaked from July to October.</p><p><strong>Conclusion: </strong>The UZ-SPEED tool significantly improved data management, enabling detailed analysis and automated reporting. It proved cost-effective and user-friendly, suitable for hospitals with limited resources. However, challenges such as data integrity and resistance to electronic records remain. Expanding UZ-SPEED implementation in other Uzbekistani EDs could further improve the efficiency of data management in the ED in Uzbekistan.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"113"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric emergencies: epidemiological analysis and healthcare professionals' experiences.","authors":"Selim Degirmenci, Nese Mercan","doi":"10.1186/s12873-025-01268-y","DOIUrl":"https://doi.org/10.1186/s12873-025-01268-y","url":null,"abstract":"<p><strong>Background: </strong>Emergency departments ensure the safety of patients with mental health disorders and initiate psychiatric treatment. However, emergency workers experience several challenges in approaching patients with mental health disorders. It is essential to describe the epidemiological characteristics of cases and determine healthcare workers' opinions to identify the conditions that affect interventions. This study aimed to examine the epidemiology of patients evaluated for psychiatric emergencies in the emergency department and reveal healthcare professionals' experiences with emergency psychiatric cases.</p><p><strong>Methods: </strong>The study comprised two parts. First, patients who attended Bilecik Training and Research Hospital's Emergency Department with psychiatric emergencies between January 1, 2022, and December 31, 2023, were retrospectively examined. Second, using a phenomenological design and qualitative methodology, healthcare professionals were interviewed about their experiences and opinions regarding approaching patients who attended the emergency department with psychiatric emergencies and their diagnosis, treatment, and outcome processes.</p><p><strong>Results: </strong>In the first part of the study, 1621 patients were evaluated during the study period: 163 were aged < 18 years and 1458 were aged ≥ 18 years, while 1079 were female (67.0%). In terms of diagnoses, 1417 (87.4%) were evaluated for anxiety and 74 (4.6%) for suicide attempts. In the second part, four themes and 11 categories emerged from the analysis of the interviews conducted with healthcare professionals. These themes were the path from fear to stigmatization, the necessity of therapeutic relationships, the necessity of change in intervention conditions, and the factors that change the meaning of the experience.</p><p><strong>Conclusions: </strong>This study stresses the importance of considering healthcare professionals' experiences and highlights the necessity for change in the emergency department. It is anticipated that fulfilling these needs will reduce acute distress and improve the safety and recovery of patients presenting with psychiatric emergencies.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"109"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}