BMC Emergency Medicine最新文献

{"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211487/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211649/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219050/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219893/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of prehospital tracheal intubation technique using initial direct laryngoscopy during videolaryngoscopy: randomized controlled simulated trial.","authors":"Cédric Cibotto, Mathieu Pasquier, Nicolas Beysard, Frédéric Rouyer, Olivier Grosgurin, Laurent Bourgeois, Elio Erriquez, Ely Braun, Birgit Andrea Gartner, Thibaut Desmettre, Laurent Suppan","doi":"10.1186/s12873-025-01266-0","DOIUrl":"10.1186/s12873-025-01266-0","url":null,"abstract":"<p><strong>Background: </strong>In critically ill patients, tracheal intubation may be required in the prehospital setting, where airway management presents unique technical and logistical challenges. While videolaryngoscopy has emerged as a potential alternative to direct laryngoscopy by providing a better and easier visualization of the glottis, the improved view of anatomical structures does not necessarily correlate with successful tracheal tube placement. Intubation may be harder because novice providers performing videolaryngoscopy may only look at the screen and only obtain a two-dimensional representation of the patient's airways. By directly visualizing the airways, these providers may obtain a better 3D apprehension and an improved mental visualization of the patient's anatomy. We compared the impact of an unrestricted videolaryngoscopy use with a sequence consisting in direct visualization of the airway followed by videolaryngoscopy (\"Direct Laryngoscopy-to-VideoLaryngoscopy sequence\" or \"DL-VL sequence\") on time to intubation among novice providers.</p><p><strong>Methods: </strong>This was a parallel group simulated randomized controlled superiority trial. Participants were medical students or junior residents with an experience of less than 10 intubations. After a presentation and workshop on direct laryngoscopy and videolaryngoscopy, participants were randomized in two groups. In the control group, participants were free to use of the videolaryngoscope as they intended. In the other group (DL-VL sequence), participants were told to perform an initial direct laryngoscopy without looking at the video screen until they reached the epiglottis. All intubations were conducted in a simulated prehospital environment, with a high-fidelity manikin placed supine on the floor. Each participant performed three intubations of increasing levels of difficulty. The primary outcome was the time to intubation. Secondary outcomes included first-pass success, time to ventilation, and number of intubation attempts. The chi-squared test was used to compare categorical variables while the t-test was used to compare continuous variables.</p><p><strong>Results: </strong>Time to intubation was shorter in the control group (22±8 s vs. 27±11 s, p < 0.001). This difference was consistent in all levels of difficulties. First-pass success rates were similar (99/111, 89% in the control group vs. 85/105, 81%, p = 0.089). Time to ventilation was significantly shorter in the control group (37±9 vs. 41±11 s, p = 0.008). The mean number of intubation attempts was similar between groups (p = 0.231).</p><p><strong>Conclusion: </strong>In this simulated study among novice providers, direct airway visualization prior to videolaryngoscopy did not improve time to intubation or to ventilation.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, Registration Number: NCT06918717, registered on April 8th, 2025. Retrospectively registered.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"112"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of positive expiratory pressure device versus non-invasive ventilation on outcomes in acute exacerbation of chronic obstructive pulmonary disease in the emergency department.","authors":"Emine Sarcan, Ahmet Burak Erdem, Merve Yazla, Şerife Büşra Uysal, Elif Çelikel","doi":"10.1186/s12873-025-01267-z","DOIUrl":"10.1186/s12873-025-01267-z","url":null,"abstract":"<p><strong>Background: </strong>Acute exacerbations of chronic obstructive pulmonary disease (COPD) are among the most common reasons for emergency department visits. In patients who develop hypercapnic respiratory failure, non-invasive mechanical ventilation (NIV) is generally the preferred treatment. However, in overcrowded emergency departments, the number of mechanical ventilation devices may be insufficient. In such situations, positive expiratory pressure (PEP) devices can be utilized. This study aims to evaluate the clinical efficacy of the PEP device (EzPAP^®) compared to NIV for the management of exacerbations of COPD in the emergency department.</p><p><strong>Methods: </strong>This prospective, randomized controlled study was conducted on 103 patients who presented to the emergency department with exacerbations of COPD and acute hypercapnic respiratory failure between November 2023 and April 2024. Patients were divided into two groups: EzPAP^® (E) and NIV (N). Spirometric parameters, arterial blood gas values, hospital admission rates, and 30-day mortality rates were compared before and after treatment in both groups.</p><p><strong>Results: </strong>A total of 103 patients were included in the study (N: 49, E: 54). In Group N, no statistically significant increase was observed in FEV₁ and FVC after treatment (p = 0.120). A statistically significant increase in FEV₁ and FVC was detected in the EzPAP group (p < 0.001). An increase in oxygen saturation and an improvement in PaCO₂ and lactate levels were observed in both groups (p < 0.001). The difference in blood gas values before and after treatment (delta = Δ) was not statistically significant between the two groups. However, ΔFEV₁ and ΔFVC were significantly higher in the EzPAP group compared to the NIV group (p = 0.007, p = 0.022). The hospital admission rate was higher in the NIV group than in the EzPAP^® group (p = 0.04).</p><p><strong>Conclusion: </strong>EzPAP^® may be a suitable option for use in overcrowded emergency departments, as it demonstrates efficacy comparable to NIV in the management of exacerbations in COPD. Additionally, it can also be considered as a treatment alternative in situations where the number of mechanical ventilation devices for NIV is insufficient, such as during a pandemic.</p><p><strong>Trial registration: </strong>ClinicalTrials Number: NCT06561464 Registration Date: 07/08/2024.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"110"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modelling the potential clinical benefit of mobile stroke units in England.","authors":"Anna Laws, Michael Allen, Jason Scott, Lisa Moseley, Kerry Pearn, Gary A Ford, Chris Price, Phil White, Graham McClelland, Lisa Shaw, Daniel Phillips, Dave Wilson, Peter McMeekin, Martin James","doi":"10.1186/s12873-025-01242-8","DOIUrl":"10.1186/s12873-025-01242-8","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Intravenous thrombolysis (IVT) and mechanical thrombectomy (MT) are well-established emergency reperfusion treatments for stroke caused by clots. Both reduce disability but effectiveness is highly time-dependent, declining in the first few hours after stroke onset. Mobile stroke units (MSUs) have been proposed as a way of improving outcomes after stroke. MSUs enable on-scene brain imaging and delivery of IVT, and can allow for better choice of destination hospital. The primary objective of the study was to model the likely effect of MSUs on clinical outcomes (the ability to live independently, modified Rankin Scale 0-2) across all of England assuming no resource restrictions during deployment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We used modelling of times to treatment and outcomes. Modelling was performed for Lower Super Output Areas (LSOAs) in England. Admission numbers were based on Hospital Episode Statistics and travel times estimated from data from Open Street Map. Outcomes were predicted based on times to IVT and MT; we report outcomes as utility or the proportion of patients able to live independently at 3-6 months after stroke. We assumed MSUs and stroke units all had the same propensity to use IVT.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;For every 100 patients suitable for IVT or MT, there will likely be 1-3 more people who can live independently following MSU care. The benefit comes from both earlier IVT and the direct transfer of patients likely to benefit from MT to their closest MT-centre by avoiding inter-hospital transfers that would be used in usual care. If, as is likely, about 1 in 5 stroke patients are suitable candidates for IVT or MT, an MSU would need to attend approximately 250 stroke patients for every one extra independent-living outcome. If about half of the patients to whom an MSU is dispatched are actual strokes (the others being stroke mimics), an MSU would need to attend approximately 500 patients for every one extra independent-living outcome. Some areas, furthest from where MSUs are based, will receive no benefit from MSU care, whereas other areas may have up to 4 additional independent-living outcomes for every 100 patients suitable for IVT or MT. Quick MSU dispatch and fast on-scene treatment are crucial to achieving the benefit of MSUs, otherwise use of MSUs may have no overall benefit, or worse outcomes, than usual care. The above benefits do not include any other possible benefits unrelated to earlier IVT or MT.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study suggests that the overall benefit of MSU care if deployed across all of England is likely to be modest. Selective use of MSUs in specific areas is likely to be more effective than widespread implementation. Rapid dispatch, fast on-scene treatment of patients, and careful selection of which patients to dispatch the MSU to (by location and confidence in that person being a confirmed stroke patient), are all critical for maximising benefit","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"111"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of return of spontaneous circulation prediction scores in patients with cardiac arrest during ambulance transport.","authors":"Neslihan Ergün Süzer, Gülbin Aydoğdu Umaç, Süleyman Alpar, Sarper Yılmaz","doi":"10.1186/s12873-025-01265-1","DOIUrl":"10.1186/s12873-025-01265-1","url":null,"abstract":"<p><strong>Background: </strong>Cardiac arrest during ambulance transport is a complex situation that has features of both in-hospital cardiac arrest (IHCA) and out-of-hospital cardiac arrest (OHCA) but lacks a clear classification. This study aimed to evaluate the diagnostic performance of prehospital and in-hospital ROSC prediction tools in patients experiencing cardiac arrest during ambulance transport.</p><p><strong>Methods: </strong>A retrospective study was conducted with patients experiencing cardiac arrest during transport. Demographic, clinical, and treatment data were collected, including pre-arrest consciousness, arrest rhythm, and cardiopulmonary resuscitation duration. Four ROSC prediction scores (Prehospital-ROSC, the ROSC after cardiac arrest, Utstein-Based ROSC, and The Cardiac Arrest Survival Post-Resuscitation In-Hospital scores) were used to assess the patients. The AUROCs of the scores were compared to evaluate their diagnostic accuracy.</p><p><strong>Results: </strong>Patients were categorized into two groups based on ROSC: No-ROSC (n = 248, 75.2%) and ROSC (n = 82, 24.8%). The ROSC group had significantly more shockable rhythms (81.7% vs. 22.2%, p < 0.001) and a higher proportion of cardiac etiology (p = 0.015) compared to the No-ROSC group. The time for the ambulance to reach the patient did not significantly differ between groups (p = 0.140), but the time spent in the ambulance before arrest was significantly shorter in the ROSC group (p = 0.026). The prehospital-ROSC score had the highest diagnostic performance (AUROC 0.791), followed by The ROSC after cardiac arrest score (0.754) and The Utstein-Based ROSC score (0.716). The Cardiac Arrest Survival Post-Resuscitation In-Hospital score had the lowest performance (0.658). Prehospital-ROSC score outperformed the Utstein-Based ROSC score (p = 0.005), and the Cardiac Arrest Survival Post-Resuscitation In-Hospital score was significantly lower than both ROSC after cardiac arrest score (p = 0.031) and the prehospital-ROSC score (p < 0.001).</p><p><strong>Conclusion: </strong>Prehospital-ROSC score was the most accurate predictor of ROSC in patients experiencing cardiac arrest during ambulance transport, while the Cardiac Arrest Survival Post-Resuscitation In-Hospital score demonstrated lower predictive accuracy.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"107"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of VExUS scores for predicting mortality among patients followed up in the emergency department due to congestive heart failure: a prospective cross-sectional study.","authors":"Fatih Burak Senay, Murtaza Kaya, Sahinde Atlanoglu, Mehmed Ulu","doi":"10.1186/s12873-025-01271-3","DOIUrl":"10.1186/s12873-025-01271-3","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"101"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of media on surge capacity in emergency departments: a study on rabies vaccination uptake.","authors":"Suleyman Alpar, Figen Unal Colak, Bulent Kaya, Sarper Yilmaz","doi":"10.1186/s12873-025-01270-4","DOIUrl":"10.1186/s12873-025-01270-4","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the influence of media coverage on rabies vaccination practices and emergency department (ED) visits in Turkey, a country characterized by a substantial volume of patient admissions to EDs. Additionally, the study examines the impact of media-driven public concern on ED surge capacity, highlighting the challenges emergency physicians face in managing sudden patient influxes.</p><p><strong>Methods: </strong>This retrospective, descriptive, cross-sectional study was conducted at a single center. To assess the influence of media on vaccination practices in EDs and its effect on ED surge capacity, the Causal Impact package and interrupted time-series analysis using autoregressive integrated moving average (ARIMA) modeling were employed.</p><p><strong>Results: </strong>A total of 27,293 rabies vaccinations were administered at the study center within one year, with distribution as follows: 37.3% for the first dose, 33.4% for the second dose, and 29.2% for the third dose. Following rabies-related news, there was an average increase in the daily number of administered doses. The applied model indicated variances of 41.8%, 39.4%, and 38.5% for the respective doses, corresponding to daily increases of 7.73, 10.25, and 9.07 vaccinations. In the absence of rabies news, the expected daily doses would have been approximately 29 ± 1.7, 27 ± 1.4, and 24 ± 1.4, respectively. Rabies-related news resulted in absolute effects of 11 ± 1.7, 9 ± 1.4, and 9 ± 1.4 vaccinations and relative effects of 38 ± 8%, 35 ± 7.3%, and 38 ± 8.5% for the first, second, and third doses, respectively.</p><p><strong>Conclusion: </strong>The presence of a rabies-related news story, coupled with an increase in rabies-related Google searches, was associated with a significant rise in rabies vaccinations administered in EDs. Media coverage of attention-captivating events can contribute to increased ED visits. Media plays a significant role in influencing ED utilization.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"102"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}