BMC Emergency Medicine最新文献

{"title":"Delirium in older adults in the emergency department: a scoping review of current research and identified knowledge gaps.","authors":"Siri Lerstøl Olsen, Marte Johanne Tangeraas Hansen, Elin Bø Lunde, Mathias Nikolai Petersen Hella, Anne Katrine Bergland","doi":"10.1186/s12873-026-01582-z","DOIUrl":"https://doi.org/10.1186/s12873-026-01582-z","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715961","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":"Physiotherapy in Nigerian emergency departments: a national survey of physiotherapists' perceptions of practice.","authors":"Oluwatoyin Adenike Adeniji, Davidson Okwudili John, Taofik Oluwasegun Afolabi","doi":"10.1186/s12873-026-01564-1","DOIUrl":"https://doi.org/10.1186/s12873-026-01564-1","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapy in emergency departments (EDs) is expanding globally, improving patients' access and outcomes. Although present in Sub-Saharan African countries like Nigeria, there is limited evidence on awareness or specific practices. In addition, there is limited evidence on physiotherapists' perceptions of these services, despite the importance of such perspectives in understanding their knowledge, engagement and potential contributions to effective physiotherapy service delivery within EDs in Nigeria.</p><p><strong>Study aim: </strong>To explore and understand physiotherapists' perceptions of ED practice in Nigeria, within the context of their knowledge and professional experience.</p><p><strong>Methods: </strong>Between March and August 2024, a nationwide survey was carried out among licensed physiotherapist clinicians domiciled in Nigeria across all geopolitical zones, with any level of experience in ED settings, to assess their knowledge and practice. Data were analysed using descriptive statistics, Chi-square tests assess healthcare setting and regional differences in practice. Alpha level was fixed at 0.05.</p><p><strong>Results: </strong>A total of 108 physiotherapists from six Nigerian regions participated in the survey, with 65% based in tertiary healthcare facilities. Of the eight items assessing knowledge, 48% disagreed that clear ED physiotherapy guidelines exist. In terms of practice, 69% operate under a secondary contact model, and 51% used referrals to schedule ED physiotherapy. Significant differences were found across healthcare settings and specific payment methods (p < 0.001), with a higher percentage of participants from the teaching hospitals reporting out-of-pocket payments (73%).</p><p><strong>Conclusion: </strong>This study demonstrates that secondary contact physiotherapy services are perceived to be predominantly provided in Nigerian EDs, typically accessed via referrals, with patients primarily paying out-of-pocket. These findings highlight gaps that may affect the integration, delivery, and utilisation of physiotherapy services within the ED setting in Nigeria.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715964","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":"Generational differences in perceptions and acceptance of violence in emergency rooms: a cross-sectional study in Thailand.","authors":"Laddawan Kiettikunwong, Pongmanut Deeod, Narong Kiettikunwong","doi":"10.1186/s12873-026-01585-w","DOIUrl":"https://doi.org/10.1186/s12873-026-01585-w","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688025","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":"Comparing emergency medical service and walk-in patients in German emergency departments: a prospective multicentre survey.","authors":"Sarah Oslislo, Kalina Witt, Edgar Steiger, Johannes Hagelskamp, Dominik von Stillfried, Gökhan Katipoglu, Christian Pfeiffer, Michael Dommasch, Matthias Klein, Rajan Somasundaram, Christian Wrede, Michael Bayeff-Filloff, Viktoria Bogner-Flatz, Steffen Herdtle, Markus Zimmermann","doi":"10.1186/s12873-026-01578-9","DOIUrl":"10.1186/s12873-026-01578-9","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"26 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687988","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 prognostic significance of the mechanism of mild to moderate alkalemia at emergency department admission.","authors":"Ivan Gur, Amichai Gutgold, Asaf Miller","doi":"10.1186/s12873-026-01551-6","DOIUrl":"https://doi.org/10.1186/s12873-026-01551-6","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687998","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":"Pediatric non-traumatic out-of-hospital cardiac arrest in a high-resource metropolitan area: epidemiology and outcomes.","authors":"Andrea Kornfehl, Mario Krammel, Daniel Grassmann, Roman Brock, Christoph Veigl, Veronique Firich, Felix Hofer, Thomas Hamp, Hans Domanovits, Patrick Aigner, Michael Girsa, Patrick Glaninger, Andreas Zajicek, Patrick Sulzgruber, Lorenz Sommer, Stefan Koller, Francesco Cardona, Gudrun Burda, Sebastian Schnaubelt","doi":"10.1186/s12873-026-01584-x","DOIUrl":"https://doi.org/10.1186/s12873-026-01584-x","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147670308","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":"Burnout among emergency department healthcare workers in Palestine and Türkiye: a cross-sectional comparative study.","authors":"Motasem Hamdan, Ramazan Erdem, Aynur Toraman, Havva Ceylan, Anan Rashed, Bilal Jawabreh","doi":"10.1186/s12873-026-01579-8","DOIUrl":"https://doi.org/10.1186/s12873-026-01579-8","url":null,"abstract":"<p><strong>Background: </strong>Burnout is a common concern among healthcare workers in hospital emergency departments (EDs). This study examines the level of burnout and associated factors among healthcare workers in EDs of Palestinian and Turkish hospitals. It also assessed the relationship between prevalence of burnout and workplace violence as well as with job turnover in EDs.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 14 Palestinian hospital EDs in the West Bank and 3 hospitals in Isparta Province in Türkiye. All ED physicians, nurses, and other staff across the 17 hospitals (≈ 660 workers) were invited to participate in the study. A total of 377 completed the survey (Palestine 227; Türkiye 150). The Maslach Burnout Inventory- Human Services Survey for Medical Personnel was used to assess occupational burnout. Data collection was done between June and November 2024.</p><p><strong>Findings: </strong>A majority (70.0%) of the Palestinian participants experienced burnout associated with emotional exhaustion (score ≥ 27) compared to 48.7% in Türkiye (p < 0.001), 51.4% reported burnout related to depersonalization (score ≥ 10) compared to 43.3% in Türkiye (p = 0.282), and 53.3% reported burnout related to personal accomplishment (score ≤ 33) compared to 62.6% in Türkiye (p = 0.207). Unadjusted odds ratios indicate a significant prevalence of burnout, characterized by having high scores on the emotional exhaustion (≥ 27) and/ or depersonalization (≥ 10), especially among Palestinian compared to Turkish participants (OR 2.581; 95% CI 1.640-4.063; p < 0.001), among physicians (OR 3.718; 95% CI 1.946-7.103; p < 0.001) and nurses (OR 3.248; 95% CI 1.882-5.605; p < 0.001) compared to other ED workers, as well as among those exposed to any type of workplace violence (physical/non-physical) during the past year (OR 4.287; 95% CI 2.666-6.895; p < 0.001). The adjusted odds ratios showed that burnout is significantly associated with the job category, where physicians (OR 2.499; 95% CI 1.244-5.018; p = 0.01) and nurses (OR 2.147; 95% CI 1.135-4.059; p = 0.019) are more likely to experience burnout than other ED workers, as well as with exposure to workplace violence (OR 3.304; 95% CI 1.948-5.606; p < 0.001). The findings showed that burnout syndrome was associated with a higher intention to leave the EDs, with 57.8% of individuals experiencing burnout expressing a desire to quit EDs (p < 0.001).</p><p><strong>Conclusions: </strong>The study indicates a high prevalence of burnout among ED workers in both countries, particularly among physicians and nurses. Workplace violence is a significant factor associated with burnout and, subsequently, turnover from EDs. To reduce the risk of burnout on health workers and services, it is essential to adopt strategies such as providing counseling, skills development, maintaining adequate staffing, and mitigating violence against ED workers.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662072","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":"Comparison of nutritional and trauma scores in older trauma patients presenting to the emergency department.","authors":"Turkay Simsek, Akkan Avci, Yeliz Simsek, Ahmet Burak Urfalioglu, Alihan Kutur, Begum Seyda Avci, Adnan Kuvvetli, Saliha Dilek Oztoprak Hacioglu, Sadiye Yolcu, Mustafa Oğuz Tugcan, Fatma Ak, Erdem Aksay, Umit Unal, Mehmet Yildiz, Muhammet Oguz, Ramazan Guven","doi":"10.1186/s12873-026-01577-w","DOIUrl":"https://doi.org/10.1186/s12873-026-01577-w","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated trauma severity and nutritional status scores in older trauma patients aged ≥ 60 years presenting to the emergency department, comparing their ability to predict mortality and to evaluate the prognostic significance of malnutrition.</p><p><strong>Method: </strong>A retrospective cohort study was conducted including patients aged ≥ 60 years admitted to the ICU following trauma. Trauma severity was assessed using the Revised Trauma Score (RTS) and Injury Severity Score (ISS), while nutritional status was evaluated using the Nutritional Risk Score-2002 (NRS-2002), Geriatric Nutritional Risk Index (GNRI), and Controlling Nutritional Status (CONUT). Physiological severity was assessed using the Acute Physiology and Chronic Health Evaluation Score (APACHE II). Multivariate logistic regression and ROC curve analyses were performed to identify predictors of mortality and assess predictive accuracy.</p><p><strong>Results: </strong>The study included 304 patients; 34.9% were women, with a mean age of 71.9 ± 9.5 years. The overall mortality rate was 25.3%. Deceased patients had lower GNRI scores and higher NRS-2002 and APACHE II scores (p < 0.001, p < 0.001, p < 0.001, respectively). In terms of trauma severity, ISS was higher and RTS was lower in patients who died compared with survivors (p < 0.001, p < 0.001). In the multivariate analysis, APACHE II and ISS remained independent predictors of in-hospital mortality, whereas nutritional scores (GNRI), age, and sex were not independently associated with mortality. RTS showed the highest AUC (0.907) on ROC analysis, whereas APACHE II, NRS-2002, CONUT, ISS, and GNRI demonstrated lower discriminatory performance (all p < 0.05).</p><p><strong>Conclusion: </strong>Trauma severity significantly impacted in-hospital mortality in older trauma patients, whereas nutritional status did not demonstrate an independent association with mortality.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662165","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":"Video consultation in the prehospital stroke chain of care for suspected large vessel occlusion: a mixed-methods feasibility study.","authors":"Lise-Lotte Omran, Hanna Maurin Söderholm, Magnus Andersson Hagiwara, Bengt Arne Sjöqvist, Annika Nordanstig, Goran Puaca","doi":"10.1186/s12873-026-01575-y","DOIUrl":"10.1186/s12873-026-01575-y","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662114","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":"Early resuscitation priorities in two-provider EMS crews: an interpretive commentary.","authors":"Roman Sýkora, Jiří Chvojka, Nikola Kukačková, Viktorie Šimečková, Jiří Smetana","doi":"10.1186/s12873-026-01549-0","DOIUrl":"10.1186/s12873-026-01549-0","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"26 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653652","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}