Ozgur Dikme, Ozlem Dikme, Erdem Kurt, Sila Sadillioglu, Mustafa Orfi Erdede
{"title":"Predictors of in-hospital mortality: after a methanol poisoning outbreak in Istanbul.","authors":"Ozgur Dikme, Ozlem Dikme, Erdem Kurt, Sila Sadillioglu, Mustafa Orfi Erdede","doi":"10.1186/s12873-026-01601-z","DOIUrl":"https://doi.org/10.1186/s12873-026-01601-z","url":null,"abstract":"<p><strong>Background: </strong>Methanol poisoning remains a major public health problem, particularly during outbreaks related to illicit alcohol consumption, and is associated with high mortality. Early identification of patients at high risk of death is critical to guide timely triage and aggressive management in the emergency department (ED).</p><p><strong>Objectives: </strong>To identify clinical and laboratory predictors of in-hospital mortality among patients with methanol poisoning during an outbreak and to evaluate the prognostic performance of key parameters using receiver operating characteristic (ROC) curve analysis and logistic regression.</p><p><strong>Methods: </strong>This retrospective observational cohort study was conducted in the ED of a tertiary-care hospital in Istanbul, Türkiye, during a methanol poisoning outbreak between December 1, 2024, and January 31, 2025. Adult patients (≥ 18 years) diagnosed with methanol poisoning were included. Demographic data, clinical findings, laboratory results, arterial blood gas parameters, and treatments were collected. The primary outcome was in-hospital mortality. ROC curve analyses and univariate and multivariable logistic regression models were performed.</p><p><strong>Results: </strong>A total of 55 patients were included (92.7% male; median age 46.0 years [IQR 38.5-55.0]). In-hospital mortality occurred in 25 patients (45.5%). Non-survivors had significantly lower arterial pH, bicarbonate, and base excess values and higher lactate levels and anion gap compared with survivors (all p < 0.001). Arterial pH demonstrated excellent prognostic performance (AUC 0.969), with an optimal cut-off value of ≤ 6.89 (92.0% sensitivity, 96.7% specificity). In multivariable analysis, arterial pH remained an independent predictor of mortality, with each 0.1-unit decrease associated with a 2.78-fold increase in the odds of death. In a model excluding arterial blood gas parameters, higher lactate levels and lower Glasgow Coma Scale scores were independently associated with mortality.</p><p><strong>Conclusions: </strong>During methanol poisoning outbreaks, arterial pH is the strongest predictor of in-hospital mortality. Serum lactate and neurological status provide additional prognostic value when arterial blood gas analysis is unavailable. These findings support the use of arterial pH as a decision-support tool for early escalation of care, including emergent hemodialysis and intensive care admission, and suggest that serum lactate and GCS may serve as actionable triage parameters in resource-limited or high-burden surge settings.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833298","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}
Giuseppe Dominijanni, Antonio F Caballero-Bermejo, Álvaro Pineda-Torcuato, Ana Sainz-Herrero, Rosa Capilla-Pueyo, Belén Ruiz-Antorán
{"title":"Comparative effectiveness and safety of vernakalant, flecainide, and amiodarone for atrial fibrillation cardioversion: a propensity score-matched analysis.","authors":"Giuseppe Dominijanni, Antonio F Caballero-Bermejo, Álvaro Pineda-Torcuato, Ana Sainz-Herrero, Rosa Capilla-Pueyo, Belén Ruiz-Antorán","doi":"10.1186/s12873-026-01604-w","DOIUrl":"https://doi.org/10.1186/s12873-026-01604-w","url":null,"abstract":"<p><strong>Background: </strong>Vernakalant is approved in Europe, Canada, and several Asian countries for the pharmacological cardioversion of recent-onset atrial fibrillation (AF), but remains unauthorized in the United States due to FDA safety concerns. Its role in emergency department (ED) management of AF requires further comparative evaluation against other agents.</p><p><strong>Methods: </strong>We conducted a retrospective observational study including all AF episodes treated with intravenous (iv) vernakalant, flecainide, or amiodarone in a single ED between January 2012 and December 2022. Clinical data were extracted from patient records. The primary outcome was sinus rhythm (SR) conversion during the ED stay. Secondary outcomes included time to SR, ED length of stay, AF recurrence, ED revisits, and rehospitalizations within 6 months, as well as adverse events (AEs) occurring during drug infusion or during the ED stay. Inverse probability of treatment weighting (IPTW) was applied to adjust for baseline confounding. Subgroup analyses explored the impact of demographic and clinical variables on treatment response and safety.</p><p><strong>Results: </strong>We analyzed 899 AF episodes (vernakalant: 262; flecainide: 151; amiodarone: 486). SR conversion rates were 76.7% (vernakalant), 69.5% (flecainide), and 67.3% (amiodarone). Median time to SR was significantly shorter with vernakalant (0.25 h), compared to flecainide (2.58 h) and amiodarone (8 h; p < 0.001). Vernakalant was associated with shorter ED stays. During follow-up, ED revisits and rehospitalizations occurred less frequently in vernakalant-treated patients than in amiodarone-treated patients, although these findings should be interpreted cautiously given baseline differences between groups. AEs occurred in 15.3% (vernakalant), 16.6% (flecainide), and 12.6% (amiodarone); flecainide showed a higher incidence of AEs of special interest. In patients with NYHA class I-II heart failure, vernakalant showed increased efficacy but also higher AE rates.</p><p><strong>Conclusions: </strong>Vernakalant showed comparable overall efficacy to amiodarone and flecainide for cardioversion of recent-onset AF, with faster SR conversion and shorter ED stays. However, given the retrospective design, non-random treatment allocation, and baseline differences between groups, these comparative findings should be interpreted with caution. Vernakalant may be a useful option in selected patients when rapid cardioversion is desired.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833267","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}
Mustafa Altun, Emre Kudu, Furkan Yakin, Mehmet Birkan Korgan, Sinan Karacabey, Erkman Sanri, Haldun Akoglu
{"title":"Reducing emergency department crowding through a transition ward: a pre-post observational study.","authors":"Mustafa Altun, Emre Kudu, Furkan Yakin, Mehmet Birkan Korgan, Sinan Karacabey, Erkman Sanri, Haldun Akoglu","doi":"10.1186/s12873-026-01603-x","DOIUrl":"https://doi.org/10.1186/s12873-026-01603-x","url":null,"abstract":"<p><strong>Background: </strong>Emergency department (ED) crowding is a persistent global issue, particularly in tertiary and university hospitals, where delayed admissions impair patient flow. This study aimed to evaluate the impact of implementing a transition ward (TW), established in May 2022 as a temporary inpatient care area to accommodate eligible admitted ED patients awaiting hospital beds, on ED crowding, focusing on reductions in boarding patient numbers and overall patient volume in ED.</p><p><strong>Methods: </strong>This prospective, observational, single-center study was conducted at the Adult ED of a tertiary hospital between April 23 and June 2, 2023. ED crowding data were collected six times per day, yielding a total of 216 data points. As a baseline reference, data from the identical period in 2021, before the implementation of the TW, were used for comparison. The primary outcomes were the number of boarding patients and the total number of ED patients. Secondary outcomes included the longest waiting time for admitted patients, and the longest waiting time for examination.</p><p><strong>Results: </strong>Following the implementation of TW, the median total number of ED patients decreased by 22.0% (from 41.0 to 32.0; median difference -9.0, 95% CI: -10.4 to -7.7), and the median number of boarding patients decreased by 25.0% (from 23.5 to 18.0; median difference -5.5, 95% CI: -6.7 to -4.3). The median longest examination waiting time decreased by 40.2% (from 66.0 minutes to 39.5 minutes; median difference -26.5, 95% CI: -36.9 to -16.1).</p><p><strong>Conclusions: </strong>The TW was associated with significant reductions in total ED patient volume and boarding patient volume, particularly in a high-volume tertiary care setting. These findings suggest that TWs can contribute to measurable improvements in ED patient flow and reductions in access block. Based on these positive outcomes, similar units may be extended to other inpatient specialties.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833300","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":"Magnitude and outcome of urologic emergencies: prospective cohort study.","authors":"Eyerusalem Fissehatsion Dejene, Ayalkibet Alemayehu Debele, Tilaneh Leyeh Demilow","doi":"10.1186/s12873-026-01608-6","DOIUrl":"https://doi.org/10.1186/s12873-026-01608-6","url":null,"abstract":"<p><strong>Background: </strong>Urological emergencies, which range from acute urinary retention to life-threatening malignancies, represent a significant source of morbidity and mortality. Despite their prevalence in routine clinical practice, the spectrum and overall burden of these conditions in developing countries remain poorly characterized.</p><p><strong>Method: </strong>A prospective cohort study was conducted at a tertiary hospital between August 2024 and February 2025, among all adult patients with urologic emergencies who visited the emergency department during the study period. Data collected by 2 research assistants from patient interviews by structured questionnaire, medical record reviews, and patients followed until discharge or transfer out from the emergency department.</p><p><strong>Result: </strong>About 162 patients were included in the study, and urologic emergencies account for 12.2% (176/1446) of all surgical emergencies. The most common presentation of urologic emergency patients was flank pain, at 100 (61.7%), followed by urinary retention, at 23 (14.2%), and hematuria, at 12 (7.4%). Trauma related to the Genitourinary system, which is seen in 14(8.6%), is among the reasons for emergency visits during the study period. Urolithiasis accounts for 51.7% (77/149), followed by Benign prostatic hyperplasia (BPH), cervical cancer, and urethral stricture as the commonest underlying causes for non-traumatic causes. Emergency surgical intervention was done for (n = 151, 93%) of the patients, with the most common procedure performed for non-traumatic urologic emergencies being Ureteric stenting for 46 (30.5%), Percutaneous nephrostomy for 27(17.9%), transurethral catheterization for 23(15.2%), and stone extraction for (n = 19 12.5%). Patients who came within 1 month or less duration of symptoms have approximately 4.3 times higher odds of improved outcome when compared with those with duration of symptoms of >1month (AOR: 4,34; 95% CI: 1.45-12.99). Additionally, having increased abnormal creatinine at presentation has inversely affected improved outcome by an odds ratio of 0.1(95% CI: 0.01-0.82).</p><p><strong>Conclusion: </strong>Urological emergencies account for a significant proportion of all emergency surgery presentations. Renal colic with or without obstructive uropathy is the leading cause of surgical emergency admissions in this geographic area. Delayed presentation of over 1 month and abnormal creatinine level at presentation negatively affect the outcome of patients.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833304","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}
Majid Al Shamrani, Aiman El-Saed, Sarah Al-Fayez, Lolwah Almousa, Fatema K Alanazi, Mouafaq Alkhodairy, Faisal Almalki, Abdullah F Alanazi, Fatimah Akkam, Kassem Abou Yassine, Salman Alkhodairy, Husam Eid, Saad Almohrij
{"title":"Adherence to infection prevention and control best practices in emergency units at a tertiary care hospital, Riyadh.","authors":"Majid Al Shamrani, Aiman El-Saed, Sarah Al-Fayez, Lolwah Almousa, Fatema K Alanazi, Mouafaq Alkhodairy, Faisal Almalki, Abdullah F Alanazi, Fatimah Akkam, Kassem Abou Yassine, Salman Alkhodairy, Husam Eid, Saad Almohrij","doi":"10.1186/s12873-026-01598-5","DOIUrl":"https://doi.org/10.1186/s12873-026-01598-5","url":null,"abstract":"<p><strong>Background: </strong>Emergency department presents a distinctive challenge for implementation infection prevention and control (IPC), due to their complex and dynamic environment, diverse patient population, and unknown carrier status. The objective was to assess the compliance with a number of IPC practices among a group of healthcare workers (HCWs) working in the emergency department.</p><p><strong>Methods: </strong>An observational cross-sectional study was conducted at a large emergency department at a tertiary care hospital between 2018 and 2023. Data were gathered during observation sessions using a standardized IPC observation form. Observers were either experienced IPC professionals or trained medical students.</p><p><strong>Results: </strong>Out of 123,947 HCW-specific practices observed, 85,542 (69.0%) were compliant and out of 41,650 unit-specific practices observed, 38,355 (92.1%) were compliant. The compliance was highest in the competence of acute respiratory infection procedures (97.3%), followed by isolation precautions (97.0%), housekeeping (96.8%), disposal of sharps (96.8%), waste management (94.5%), donning and doffing of personal protective equipment (PPE, 72.9%), use of PPE (72.3%), hand hygiene (67.2%), patient sitters (64.1%), and disinfection of medical equipment (61.2%). Nurses across all units had much better compliance than other professions. There were > 10% differences in the compliance across the units, with higher compliance in mainly pediatric compared with adult units. The compliance was highest during the COVID-19 pandemic years.</p><p><strong>Conclusions: </strong>There is considerable variability in implementation of IPC at the emergency department, by practice, profession, unit, and pandemic time. The findings underscore the importance of strategies to improve disinfection of medical equipment, hand hygiene, and adherence of patient sitters.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833291","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}
Sheza Hassan, Ali Bin Abdul Jabbar, Shahmeer Raza, Sneha Bheesham, Michelle Demetres, Yasir Shafiq, Junaid Razzak
{"title":"Barriers to action: behavioral determinants of bystander intervention in medical emergencies - a scoping review.","authors":"Sheza Hassan, Ali Bin Abdul Jabbar, Shahmeer Raza, Sneha Bheesham, Michelle Demetres, Yasir Shafiq, Junaid Razzak","doi":"10.1186/s12873-026-01572-1","DOIUrl":"https://doi.org/10.1186/s12873-026-01572-1","url":null,"abstract":"<p><strong>Background: </strong>Bystander intervention at the scene of illness or injury can significantly impact the outcomes of emergencies. This scoping review aims to identify the determinants of bystander behavior in such scenarios.</p><p><strong>Methods: </strong>A comprehensive search was conducted across PubMed, Cochrane, Google Scholar, CINAHL, and grey literature, resulting in 3957 studies. After removing duplicates, 2499 studies were screened for titles and abstracts by two independent reviewers, with conflicts resolved by a third reviewer. A total of 257 articles were then subjected to full-text screening, leading to the inclusion of 42 studies for data extraction. Data were collected on various factors, including the type of emergency, region, area of study, setting, age group, gender, prior training, presence of bystander intervention, and determinants of behavior.</p><p><strong>Results: </strong>In studies presenting age‑stratified analyses, bystander intervention was reported in 75% of studies involving individuals aged ≤ 18 years and in 69% of studies focused on adults. Where training status was reported, 18% of adult‑oriented studies indicated prior training, with no such reporting among studies involving individuals ≤ 18 years. Cardiac arrest was the most common type of emergency (95%). Most studies were conducted in community settings (76%), with the remainder in institutional settings (24%). Negative determinants included lack of knowledge, skills, and self-efficacy, with variations between community and institutional settings. Motivators for intervention, though less frequently reported, included young age, education/training, and a supportive environment.</p><p><strong>Conclusion: </strong>The review highlights key barriers and motivators for bystander intervention, emphasizing the need for targeted education and training programs, as well as supportive environments to enhance bystander response in emergencies. These findings provide a foundation for developing multifaceted strategies to improve bystander behavior and emergency outcomes.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147810962","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":"Impact of automated dispensing cabinets on medication administration efficiency in the emergency department.","authors":"Cheng-Ying Chiang, Chia-I Cheng, Yen-Wen Chen, Jian-Heng Lee, Ya-Ni Yeh, Jih-Chun Lin, Hsin-Yi Yang, Chung-Hsien Liu, Ming-Jen Tsai","doi":"10.1186/s12873-026-01600-0","DOIUrl":"https://doi.org/10.1186/s12873-026-01600-0","url":null,"abstract":"<p><strong>Background: </strong>Timely medication administration in emergency departments (EDs) is essential for optimal patient outcomes. Automated Dispensing Cabinets (ADCs) may improve point-of-care medication access, yet their impact on administration timeliness is uncertain in ED settings.</p><p><strong>Objective: </strong>To evaluate the association between ADC implementation and the timeliness of stat medication administration in a high-volume ED in Taiwan.</p><p><strong>Methods: </strong>We conducted a retrospective observational study analyzing 16,450 adult ED visits from July-August 2019 (pre-ADC) and July-August 2020 (post-ADC). Order-to-administration (OTA) times for stat medications were compared. Multivariable logistic and linear regression analyses evaluated the association between ADC implementation and timely medication delivery. Sensitivity analyses, including a difference-in-differences model and survival analysis using Kaplan-Meier curves and multivariable Cox regression, were performed to evaluate the robustness of findings.</p><p><strong>Results: </strong>After adjusting for potential confounders, ADC implementation was independently associated with higher odds of achieving OTA times ≤ 30 min (adjusted odds ratio [aOR], 1.59; 95% confidence interval [CI], 1.42-1.78). Linear regression showed a mean reduction in OTA time of 3.09 min per prescription (β = - 3.09; 95% CI, - 3.58 to - 2.60). Subgroup analyses showed that ADC implementation was associated with higher odds of achieving OTA ≤ 30 min and shorter OTA times for antibiotics (aOR, 2.19; 95% CI, 1.54-3.12; β = - 4.99; 95% CI, - 7.03 to - 2.94), as well as during daytime (aOR, 1.87; 95% CI, 1.58-2.21; β = - 4.34; 95% CI, - 5.26 to - 3.41) and weekend shifts (aOR, 1.66; 95% CI, 1.34-2.05; β = - 3.48; 95% CI, - 4.30 to - 2.65). Findings from sensitivity analyses were consistent with the primary results.</p><p><strong>Conclusion: </strong>ADC implementation In the ED was associated with modest but operationally meaningful improvements in medication administration timeliness. These findings may be context-dependent and warrant confirmation across diverse workflows and with patient-centered and safety outcomes.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811011","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":"Challenges and opportunities in designing innovative emergency-evacuation equipment for bed-dependent hospital patients: a scoping review with a focus on evacuation mattresses and stretchers.","authors":"Rasoul Fattahipour, Fatemeh Teymouri, Simintaj Sharififar, Hamid Reza Khankeh, Maryam Azizi","doi":"10.1186/s12873-026-01526-7","DOIUrl":"https://doi.org/10.1186/s12873-026-01526-7","url":null,"abstract":"<p><strong>Background and aim: </strong>Bed-dependent patients are highly vulnerable during emergencies because of restricted mobility, and their rapid evacuation presents a significant challenge for hospitals. This study aimed to identify innovative strategies and the key challenges involved in designing and manufacturing emergency evacuation devices for bed-dependent patients, with a focus on evacuation mattresses and stretchers.</p><p><strong>Methods: </strong>This study was conducted on the basis of the five-stage framework proposed by Arksey and O'Malley and in accordance with the Joanna Briggs Institute (JBI) guidelines for scoping reviews. Initially, the research question was clearly defined. A comprehensive literature search was subsequently performed without time restrictions, considering the limited number of product-oriented studies. The search utilized the keywords bed-bound patients, emergency evacuation, hospital, design, manufacture, and evacuation mattress across multiple databases, including Scopus, ProQuest, PubMed, Web of Science, and ScienceDirect, as well as the search engines Google Scholar and Google Patents. National databases such as SID and MagIran were also included. Both English and Persian keywords were finalized. Out of a total of 654 retrieved studies, after removing duplicates and irrelevant records, 28 articles met the inclusion criteria and were analyzed.</p><p><strong>Results: </strong>The findings indicated that design requirements for hospital evacuation equipment can be classified into seven principal categories and 18 subcategories: technical-functional requirements, clinical requirements, environmental requirements, legal and standard requirements, operational barriers, design-related barriers, and technological complexity and innovation.</p><p><strong>Conclusion: </strong>This study demonstrates that designing hospital evacuation equipment, with a focus on mattresses and stretchers, constitutes a multidimensional and complex challenge that necessitates an integrated and innovative approach. Prototypes should be refined through analyzing and adapting, incorporating locally available materials and ergonomic principles. Prioritizing user-centered and context-adaptive innovations enhances health system capacity and ensures safer, more efficient transfer of bed-dependent patients in emergencies.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147810942","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}
Inhae Heo, Hohyung Jung, Seulgi Jeong, Yo Huh, Kyoungwon Jung
{"title":"Association between prehospital time and mortality in severe trauma: a restricted cubic spline analysis from a physician-staffed helicopter emergency medical service.","authors":"Inhae Heo, Hohyung Jung, Seulgi Jeong, Yo Huh, Kyoungwon Jung","doi":"10.1186/s12873-026-01599-4","DOIUrl":"https://doi.org/10.1186/s12873-026-01599-4","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761449","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}
Ertuğ Günsoy, Fatma Selman, Behnan Gülünay, Ahmet Aykut, Cem Yıldırım, Çağlar Kuas
{"title":"Readiness for prehospital point-of-care ultrasound among EMS personnel in a system where ultrasound is not yet implemented: a national cross-sectional survey.","authors":"Ertuğ Günsoy, Fatma Selman, Behnan Gülünay, Ahmet Aykut, Cem Yıldırım, Çağlar Kuas","doi":"10.1186/s12873-026-01594-9","DOIUrl":"https://doi.org/10.1186/s12873-026-01594-9","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761356","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}