BMC Emergency Medicine最新文献

{"title":"Correction: Application of analgesics in emergency services in Germany: a survey of the medical directors.","authors":"Signe Vilcane, Olga Scharonow, Christian Weilbach, Maximilian Scharonow","doi":"10.1186/s12873-025-01221-z","DOIUrl":"https://doi.org/10.1186/s12873-025-01221-z","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"71"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976856","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":"Drinking water supply for communities affected by natural disaster emergencies: a qualitative study.","authors":"Saeid Bahramzadeh Gendeshmin, Seyed Hesam Seyedin, Mohsen Dowlati","doi":"10.1186/s12873-025-01225-9","DOIUrl":"https://doi.org/10.1186/s12873-025-01225-9","url":null,"abstract":"<p><strong>Background: </strong>Ensuring access to safe drinking water is vital for reducing health risks and strengthening disaster resilience. In water-scarce Iran, where natural disasters further strain resources, water supply experts play a key role in crisis management. Their firsthand experience across diverse regions provides valuable insights. Despite extensive research on emergency water management, this qualitative study explores key dimensions for optimizing drinking water provision to disaster-affected areas and centers by leveraging their expertise in real disaster scenarios.</p><p><strong>Methods: </strong>This study used a qualitative design with conventional content analysis. Data were collected through purposive sampling with maximum variation until saturation was reached, involving participants with academic and practical experience in water supply management during natural disasters. Data were collected through semi-structured interviews from March to September 2024 and analyzed using Graneheim and Lundman approach. The transcripts were processed using MAXQDA software (version 2020). To ensure the credibility and trustworthiness of the findings, the study followed Lincoln and Guba's criteria, including credibility, transferability, dependability, and confirmability.</p><p><strong>Results: </strong>After analyzing the interviews, 509 initial codes were extracted and grouped into 84 subcategories, 24 categories, and four main themes. These four themes include: prevention and reduction of water supply challenges, covering risk assessment, and legal requirements and standards; preparedness for an optimal response, involving planning, coordination and organization, and training and empowerment; reactive measures namely readiness and initial assessment, and emergency training for the public; and optimal recovery, which focuses on reconstruction, and knowledge management.</p><p><strong>Conclusions: </strong>This study identifies critical factors for enhancing emergency water supply during natural disasters. The proposed innovative measures in this study include equipping emergency water extraction taps on main pipelines, considering the social characteristics of geographic areas in emergency water supply planning, and the crucial role of community participation in water management before and after disasters. These findings can help policymakers and water resource managers develop effective regulations and training programs to enhance disaster preparedness and response.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"70"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974245","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":"Design and psychometric evaluation of the Emergency Medical Services Safe Care Scale (EMSSCS): a mixed-method study.","authors":"Fateme Mohammadi, Rasoul Salimi, Mohammadreza Shokouhi, Salman Khazaei, Mostafa Bijani","doi":"10.1186/s12873-025-01222-y","DOIUrl":"https://doi.org/10.1186/s12873-025-01222-y","url":null,"abstract":"<p><strong>Background: </strong>Providing safe care by emergency medical services (EMS) personnel at the stressful scene of an incident is one of the most crucial factors influencing the preservation and enhancement of patient health. However, culture, attitudes, and social norms can influence the provision of care at the scene of an accident. Consequently, evaluating safe care practices at incident scenes is imperative and necessitates a specialized assessment tool. Presently, there is a lack of reliable and valid instruments for measuring safe care practices among EMS personnel. Therefore, this study was designed and conducted to develop and psychometrically evaluate the Emergency Medical Services Safe Care Scale (EMSSCS).</p><p><strong>Methods: </strong>This investigation employed a mixed-methods design with a sequential exploratory approach, conducted from January 2024 onwards across the southwestern, western, and southeastern regions of Iran. The study was bifurcated into two distinct phases. In the initial phase, a conventional content analysis method was employed to scrutinize the narratives elicited from 41 EMS personnel. In the subsequent phase, the instrument's validity and reliability were rigorously assessed.</p><p><strong>Results: </strong>Safe care provided by EMS personnel was defined as the management of the incident scene, efficient clinical skills, and effective interaction aimed at delivering principled and safe patient care. Subsequently, based on the derived conceptual framework, a safe care instrument was designed with 44 items across three dimensions. During the qualitative and quantitative content validity 11 items, and face validity 3 items were deleted. Exploratory and confirmatory validity of this scale was approved in three dimensions: \"incident scene management\" (12 items), \"efficient clinical skills\" (10 items), and \"effective interaction\" (8 items). The scale's reliability was reported at 0.95 using Cronbach's alpha method.</p><p><strong>Conclusion: </strong>The Emergency Medical Services Safe Care Scale (EMSSCS), demonstrated acceptable psychometric properties. Consequently, senior managers in pre-hospital emergency services can utilize this instrument to evaluate safe care practices among pre-hospital emergency medical technicians. They can identify the most appropriate strategies, including educational interventions, to enhance safe care provision at incident scenes when necessary.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"67"},"PeriodicalIF":2.3,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968964","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 urgent need for patients' diagnoses and outcome feedback in Germany's emergency medical services - insights from a web-based survey.","authors":"Anika Kästner, Petra Lücker, Lutz Fischer, Timm Laslo, Berthold Henkel, Jennifer Ehleben, Wolfgang Hoffmann, Neeltje van den Berg","doi":"10.1186/s12873-025-01218-8","DOIUrl":"https://doi.org/10.1186/s12873-025-01218-8","url":null,"abstract":"<p><strong>Background: </strong>German Emergency Medical Services (EMS) face growing scrutiny due to regional disparities in quality of care. It is unclear if and how feedback in general is currently provided to EMS staff in Germany, and whether EMS staff receives feedback on patients' diagnoses and outcomes.</p><p><strong>Methods: </strong>A web-based survey was conducted from June to August 2024 among physician and non-physician EMS staff, focusing on current feedback reception and the perceived need for feedback systems.</p><p><strong>Results: </strong>A total of N = 428 EMS professionals participated in the survey. One-third of the participants reported receiving no feedback (n = 136, 31.8%), while over half of those who did, received feedback infrequently (n = 157, 55.5%). Informal feedback was the main source, with 95.4% of respondents desiring official feedback on the confirmed in-hospital diagnosis, e.g., to learn from previous cases. While 57.5% of emergency physicians occasionally or frequently receive information about the further course of treatment for patients after transport to the hospital, this was reported by only 14.3% (advanced emergency medical technicians) to 29.2% (emergency medical technicians) of non-physician EMS staff. More than 85% of the respondents stated that diagnosis feedback would improve the quality of EMS.</p><p><strong>Conclusion: </strong>Structured feedback mechanisms, essential for quality assurance and improvement, are largely absent for EMS staff in Germany, especially for non-physicians. A strong desire among EMS staff for structured feedback on patients' diagnoses and outcomes was found, which could improve quality of care and staff competence development. However, significant infrastructural and legal barriers persist, hindering the implementation of standardized digital feedback systems within Germany's federalized EMS structure.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"66"},"PeriodicalIF":2.3,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970086","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":"Barriers to recruitment of an observational SARS-CoV-2 emergency department cohort at Boston Medical Center.","authors":"Sarah J Thomson, Roxanne Mistry, Henry Bayly, Victoria Overbeck, Manish Sagar, Elissa M Schechter-Perkins, Laura F White, Karen R Jacobson, Tara C Bouton","doi":"10.1186/s12873-025-01224-w","DOIUrl":"https://doi.org/10.1186/s12873-025-01224-w","url":null,"abstract":"<p><strong>Background: </strong>Successful recruitment of study participants is a challenging component of research, and recruitment barriers are amplified in safety-net hospital (SNH) settings. However, engaging historically underrepresented groups in research is critically important to improve health disparities and outcomes. We summarize challenges we encountered while recruiting patients with COVID-19 from the emergency department (ED), actions to improve inclusivity, and implementation hurdles in an SNH setting.</p><p><strong>Methods: </strong>We conducted an observational study at the largest safety-net hospital in New England, recruiting patients in the ED with confirmed COVID-19. Investigators prioritized recruitment inclusivity through language translations of study materials, compensation (including transport and travel reimbursement), flexible sample delivery options, and clinical staff engagement. We identified and categorized major impediments to recruitment success.</p><p><strong>Results: </strong>Recruitment and retention efforts were largely unsuccessful (n = 4 enrolled of n = 113 eligible by electronic medical record (EMR) review). Barriers to recruitment success included clinical teams' perception of good candidacy, persistent language barriers, limited consent capacity, burden of participation, and ED discharge logistics.</p><p><strong>Conclusions: </strong>Despite efforts to improve opportunities to participate in research, SNH EDs present unique challenges for recruitment. Study teams should prioritize clinical staff engagement and work with institutions to promote inclusivity and community engagement efforts to improve research engagement in these settings.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"68"},"PeriodicalIF":2.3,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969890","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":"Triage decisions and health outcomes among oncology patients: a comparative study of medical and surgical cancer cases in emergency departments.","authors":"Anas Alsharawneh, Rami A Elshatarat, Ghaida Shujayyi Alsulami, Mahmoud H Alrabab'a, Majed S Al-Za'areer, Bandar Naffaa Alhumaidi, Wesam T Almagharbeh, Tahany Fareed Al Niarat, Khaled M Al-Sayaghi, Zyad T Saleh","doi":"10.1186/s12873-025-01191-2","DOIUrl":"https://doi.org/10.1186/s12873-025-01191-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Cancer-related emergencies are a significant challenge for healthcare systems globally, including Jordan. Effective triage is critical in ensuring timely and accurate prioritization of care, especially for surgical cancer patients requiring urgent intervention. However, under-triage-misclassification of high-acuity patients into lower urgency categories-can lead to significant delays and worsened outcomes. Despite the recognized importance of accurate triage, limited research has evaluated its impact on cancer patients in Jordan, particularly those requiring surgical care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This study aimed to evaluate the timeliness and prioritization of care for cancer patients admitted through the emergency department (ED) in Jordan. The specific objectives were to examine the association between under-triage and treatment delays and assess its impact on key outcomes, including time to physician assessment, time to treatment, and hospital length of stay.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective cohort design was used to analyze data from 481 cancer patients admitted through the ED in four governmental hospitals across Jordan. Two cohorts were established: surgical cancer patients requiring emergency interventions and non-surgical cancer patients presenting with other oncological emergencies. Triage accuracy was assessed using the Canadian Triage and Acuity Scale (CTAS), and under-triage was identified when patients requiring high urgency care (CTAS I-III) were misclassified into lower urgency categories (CTAS IV-V). Data were collected from electronic health records and analyzed using multiple linear regression to evaluate the association between under-triage and treatment outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The majority of patients were elderly, with a mean age of 62.6 years (± 10.7), and a significant proportion presented with advanced-stage cancer (83.4% in stages III and IV). Surgical patients frequently exhibited severe symptoms such as acute pain (51.6%) and respiratory discomfort (41.1%). Under-triage rates were 44.1% for surgical patients and 39.4% for non-surgical patients. Among surgical patients, under-triage significantly delayed time to physician assessment (β = 34.9 min, p &lt; 0.001) and time to treatment (β = 68.0 min, p &lt; 0.001). For non-surgical patients, under-triage delays were even greater, with prolonged physician assessment times (β = 48.6 min, p &lt; 0.001) and ED length of stay (β = 7.3 h, p &lt; 0.001). Both cohorts experienced significant increases in hospital length of stay (surgical: β = 3.2 days, p = 0.008; non-surgical: β = 3.2 days, p &lt; 0.001).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Under-triage in Jordanian EDs is strongly associated with significant delays in care for both surgical and non-surgical cancer patients, highlighting systemic gaps in acuity recognition and triage processes. These findings underscore the need for targeted interventions to improve triag","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"69"},"PeriodicalIF":2.3,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977989","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":"Translation and psychometric evaluation of the Witness Perceived Safety Scale of prehospital emergency care.","authors":"Farzad Vagrimogadam, Mansoore Karimollahi, Saeid Mehri","doi":"10.1186/s12873-025-01226-8","DOIUrl":"https://doi.org/10.1186/s12873-025-01226-8","url":null,"abstract":"<p><strong>Background: </strong>Timely, effective and safety out-of hospital care and transfer to hospital by prehospital emergency medical services significantly impacts patient outcomes. This study aimed at translation and psychometric evaluation of the witness perceived safety scale of prehospital emergency care.</p><p><strong>Methods: </strong>The methodological design was utilized to verify the validity and reliability of the Witness Perceived Safety Scale across two phases: the translation process and an assessment of its validity and reliability. Construct validity was assessed using confirmatory factor analysis. The convergent validity, discriminant validity, and reliability of the scale were also evaluated.</p><p><strong>Results: </strong>The Witness Perceived Safety Scale comprises 10 items that were retained following cross-cultural translation. Both face and content validity were deemed acceptable. The fit indices from the confirmatory factor analysis supported the model's appropriate fit (χ²/df = 2.41; IFI = 0.96; CFI = 0.96; RMSEA = 0.075). Cronbach's α coefficient for the total scale was 0.899.</p><p><strong>Conclusion: </strong>The Persian version of the Witness Perceived Safety Scale provides a reliable assessment of witnesses' perceptions of safety during emergency assistance and transfers.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"65"},"PeriodicalIF":2.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962137","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":"Trauma referral audit impact assessment on the outcomes of injured patients via an interrupted time-series analysis: an 11-year before-and-after study of trauma cases at the Maharaj Nakorn Chiang Mai hospital, Thailand.","authors":"Patrinee Traisathit, Kaweesak Chittawatanarat, Kamtone Chandacham, Pimwarat Srikummoon, Areerat Kittikhunakon, Chalermrat Nontapa, Narain Chotirosniramit","doi":"10.1186/s12873-025-01220-0","DOIUrl":"https://doi.org/10.1186/s12873-025-01220-0","url":null,"abstract":"<p><strong>Background: </strong>Overcrowding in emergency departments (EDs) due to injured patients who do not need urgent treatment can lead to less efficacious healthcare outcomes for those that do. The trauma referral audit (TRA) was developed to support medical staff and ensure that the injured receive treatment timely and efficiently.</p><p><strong>Methods: </strong>Data on 14,399 injured patients referred to Maharaj Nakorn Chiang Mai Hospital between 2007 and 2017 were analyzed to examine the impact of the full TRA program implemented at the end of 2010. Injury severity was measured by using the injury severity score (ISS) whereby a score > 9 points infers severe injury. The impact of the establishment of TRA was examined using the trend of referrals and an interrupted time-series analysis of monthly mortality among patients with severe injury.</p><p><strong>Results: </strong>The median ISS of the patients in 2010 was 9 [4-18] and slightly increased to the highest score of 16 [8-25] in 2017. The proportion of patients with less severe injuries (ISS ≤ 9) decreased after the full implementation of TRA (55.4% in 2010 compared to 42.3% in 2017). Overall mortality was 6% (5.5% vs. 6.2% for the pre- and post-full TRA periods, respectively), and the mortality rate tended to increase from 4.77% in 2011 to 7.59 in 2017. The monthly mortality rate was estimated at 7.22% [95% confidence interval (CI) = 5.89-8.56%] with a significant increase of mortality in the post-full TRA period by 1.57% [0.16-2.98%] and in the annual trend of 0.11% [0.05-0.16%]. However, when considering severely injured patients only, the level and trend of the mortality rate were no different.</p><p><strong>Conclusions: </strong>Although the TRA program could help reduce patient overcrowding in EDs, it does not reduce the risk of mortality. Revision of the referral and in-hospital care guidelines accounting for these relevant factors might lead to a decrease in mortality.</p><p><strong>Trial registration: </strong>Clinical trial number: Not applicable.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"64"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952969","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":"CT imaging in post-resuscitation care of non-traumatic resuscitation room patients in German hospitals.","authors":"Akvile Juskeviciute, Milda Aleknonyte Resch, Bernhard Kumle, Hans Jörg Busch, Uwe Janssens, Guido Michels, Lars Roman Herda, Martin Faber, Sabine Merz, Michael Reindl, Christoph Wasser, Stefan Kornstaedt, Patrick Langguth, Kevin Schulte, Michael Bernhard, Martin Pin, Domagoj Schunk","doi":"10.1186/s12873-025-01216-w","DOIUrl":"https://doi.org/10.1186/s12873-025-01216-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The procedures and locations where patients are admitted to hospitals and subsequently diagnosed after out-of-hospital cardiac arrest (OHCA) in Germany exhibit considerable heterogeneity. Specifically, advanced imaging diagnostic methods via computed tomography (CT) show significant variation in both timing and execution. However, echocardiography (ECHO) is not an alternative to CT in this setting, as both modalities serve distinct diagnostic purposes. This study aimed to comprehensively analyze the status quo analysis of current procedures in German emergency departments (EDs) regarding early-phase (within the first six hours) CT imaging diagnostics after resuscitation and the treatment of critically ill patients in the ED resuscitation room.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;An anonymized cross-sectional study was conducted from November 28, 2023, to February 18, 2024, using an online survey platform ( https://www.surveymonkey.de ) with a standardized questionnaire. The survey targeted 994 medical directors of German EDs and was distributed through the mailing lists of the German Society for Interdisciplinary Emergency and Acute Medicine (DGINA) and the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI). The Medical Faculty of Christian-Albrechts-University Kiel granted ethical approval (D 586/22). An expert panel reviewed the questionnaire to ensure validity and minimize bias. All statistical analyses, including both descriptive and inferential statistics, were conducted using R software.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Out of 994 hospitals contacted, 182 hospitals from 15 German federal states participated, yielding a response rate of 18.3%. The overall completion rate for the whole questionnaire was 12.2% (n = 121/994). In the survey, 9.6% (n = 15/157) of hospitals reported having CT within the resuscitation room, while 70.1% (n = 119/157) had CT within a range of 50 m of the resuscitation room. A standard operating procedure (SOP)/postresuscitation protocol for patients suffering from OHCA was available for 61.1% (n = 88 yes, n = 56 no) of the hospitals. A specific postresuscitation CT protocol (postrCT protocol) was used by 30.0% (n = 48 yes, n = 93 no) of the hospitals, with 59.2% (n = 29) receiving a head-to-pelvis CT (whole-body CT). In hospitals without a CT protocol (n = 84), echocardiography (82.1%, n = 69), abdominal ultrasound (61.9%, n = 52), and non-contrast CT of the head (47.6%, n = 40) are used for distinctive diagnostics. Cardiac Arrest Center (CAC)-certified hospitals were significantly more likely to have a SOP/postresuscitation protocol (91.9 vs. 49.0%, p &lt; 0.001) and a specific postrCT protocol (63.2 vs. 22.1%, p &lt; 0.001) than noncertified hospitals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Currently, there is no nationwide standardized protocol for imaging diagnosis in patients after OHCA in German EDs. Protocols are more often used in CAC hospitals in Germany th","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"63"},"PeriodicalIF":2.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062112","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":"Prevalence and determinant of poor treatment outcome of poisoning in Ethiopia: systematic review and meta-analysis.","authors":"Gemechu Gelana Ararame, Birbirsa Sefera Senbeta, Alex Ayenew Chereka","doi":"10.1186/s12873-025-01223-x","DOIUrl":"https://doi.org/10.1186/s12873-025-01223-x","url":null,"abstract":"<p><strong>Background: </strong>Acute poisoning is a medical emergency that can be caused by exposure to significant levels of any chemical and has toxic consequences that typically manifest within hours of exposure, leading to significant morbidity and mortality.</p><p><strong>Objectives: </strong>This study aims to determine the pooled prevalence and determinant of poor treatment outcomes of poisoning in Ethiopia.</p><p><strong>Methods: </strong>The searches were conducted in electronic databases such as PubMed, MEDLINE, EMBASE, Science Direct, Web of Science, and Google Scholar. Original studies were selected and published until the end of December 2024, addressing the prevalence and determinant of poor treatment outcomes (death and disability) among patients. Endnote X-8 reference manager software was used to collect and organize the search outcomes and remove duplicate articles. Important data were extracted from the included studies using a format prepared in Microsoft Excel and exported to STATA 17.0 software for outcome measure analyses. The Higgins I² test statistics were used to examine heterogeneity, and a random-effects model was used to analyze the pooled prevalence and determinant of poor treatment outcomes.</p><p><strong>Result: </strong>Eleven research articles and 10,089 poisoned patients were included in the final analysis. This study finding showed that the pooled prevalence of poor treatment outcomes among poisoned patients was 16.13% (95% CI: 9.20, 23.05). This meta-analysis study revealed that patients living in rural areas (AOR: 2.79, 95% CI: 1.44, 5.42) and delayed time to arrival (AOR = 6.15, 95%CI: 2.46, 15.34) were determinant factors of poor treatment outcome for poisoned patients in hospitals.</p><p><strong>Conclusion and recommendation: </strong>This study findings stated that the pooled prevalence of poor treatment outcomes among patients was high. Patients living in rural areas and delayed time to arrival at health facilities were independent determinants of poor treatment outcomes.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"25 1","pages":"62"},"PeriodicalIF":2.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963484","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}