BMC Emergency Medicine最新文献

{"title":"Live video versus audio-only emergency calls in simulated emergency medical dispatch: a randomized mixed-methods study.","authors":"Mario Krammel, Benedikt Degischer, Florian Kahlfuss, Josef Michael Lintschinger, Lena Reischmann, Mojca Hriberšek, Andreas Gleiss, Daniel Grassmann, Thomas Hamp, Alexander Lagara, Patrick Glaninger, Sebastian Schnaubelt, Christina Hafner","doi":"10.1186/s12873-026-01557-0","DOIUrl":"https://doi.org/10.1186/s12873-026-01557-0","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607821","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":"Structural empowerment of triage nurses in the redirection of low-acuity patients in a Swiss emergency department: a mixed-methods convergent pilot study.","authors":"Youcef Guechi, Yoann Noire, Thomas Castelain, Romain D'Agostino, Vincent Ribordy, Anne-Laure Feral-Pierssens","doi":"10.1186/s12873-026-01562-3","DOIUrl":"https://doi.org/10.1186/s12873-026-01562-3","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607910","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":"Crush injury syndrome in earthquakes: a systematic review and meta-analysis on its frequency and complications.","authors":"Parisa Rostami, Asghar Jafari Rouhi, Reyhaneh Hajebrahimi, Gholamreza Faridaalaee, Reza Mostafaei Yonjali, Kavous Shahsavarinia, Hanieh Salehi-Pourmehr","doi":"10.1186/s12873-026-01516-9","DOIUrl":"https://doi.org/10.1186/s12873-026-01516-9","url":null,"abstract":"<p><strong>Background: </strong>Crush syndrome is a life-threatening systemic complication of traumatic rhabdomyolysis and a leading cause of morbidity and mortality following earthquakes. Despite its clinical significance, a comprehensive synthesis of its global epidemiology, management, and outcomes is lacking. This systematic review and meta-analysis aimed to consolidate the evidence on CS in earthquake victims.</p><p><strong>Methods: </strong>We conducted a systematic review in accordance with PRISMA guidelines (PROSPERO: CRD420251177534). Electronic databases (PubMed/MEDLINE, Web of Science, CINAHL) were searched from inception through January 2024 for observational studies of earthquake casualties with CS. Outcomes included mortality, dialysis requirement, acute kidney injury (AKI), and other complications. Data were pooled using random-effects meta-analysis.</p><p><strong>Results: </strong>Fifty studies (1988-2023), primarily from Turkey, Iran, and China, were included. Substantial heterogeneity was observed, largely due to inconsistent definitions of CS. The pooled proportion of patients requiring dialysis was 0.49 (95% CI 0.40-0.58; I²=96.95%, 38 studies). The overall pooled mortality was 0.08 (95% CI 0.06-0.10; I²=93.0%, 39 studies), with significant regional variation (1% to 26%). AKI was the most frequent complication (pooled proportion 0.49; 95% CI 0.38-0.59). Marked creatine kinase elevation and metabolic derangements were consistently reported.</p><p><strong>Conclusions: </strong>CS following earthquakes carries a high burden of renal failure, with nearly half of affected patients requiring dialysis. Mortality is significant and influenced by geographic context and response capabilities. The profound heterogeneity in definitions and reported outcomes underscores an urgent need for standardized diagnostic criteria. Preparedness planning must prioritize early volume resuscitation, surge capacity for renal replacement therapy, and the development of context-adapted, evidence-based clinical guidelines.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607833","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":"Artificial intelligence-driven cluster analysis for identifying clinical phenotypes in suspected sepsis patients in the emergency department.","authors":"Daun Jeong, Jong Rul Park, Seung Jin Maeng, Jung Won Choi, Gun Tak Lee, Sung Yeon Hwang, Chulhong Kim, Jong Eun Park, Tae Gun Shin","doi":"10.1186/s12873-026-01566-z","DOIUrl":"https://doi.org/10.1186/s12873-026-01566-z","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607857","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":"Patient safety and predictors for subsequent healthcare contact after self-care referral from Swedish ambulance services: a retrospective cohort study.","authors":"Cecilia Fager, Håkan Johansson, Andreas Rantala, Anders Svensson, Mats Holmberg, Kristoffer Wibring, Anders Bremer","doi":"10.1186/s12873-026-01561-4","DOIUrl":"10.1186/s12873-026-01561-4","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607899","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":"Prognostic value of severe hypocalcemia in predicting mortality and transfusion in moderate-to-severe trauma.","authors":"Kudret Selki, Mehmet Cihat Demir, Erdinç Şengüldür","doi":"10.1186/s12873-026-01476-0","DOIUrl":"10.1186/s12873-026-01476-0","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":"26 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589697","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":"Review of radiological and clinical interpretation of anterior group shoulder dislocations and testing of a novel radiological measurement to distinguish between subcoracoid and subglenoid subtypes.","authors":"Devin Adams, Andrew Long, Sam Freeman, Hamed Akhlaghi, Neil James Cunningham","doi":"10.1186/s12873-026-01563-2","DOIUrl":"https://doi.org/10.1186/s12873-026-01563-2","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589705","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":"Initiatives to reduce ambulance offload delays in emergency departments: a scoping review.","authors":"Alice Svikers, Lorna Martin, Liam Hemingway, Damien F Gaumont, Niamh M Cummins, Kelly-Ann Bowles","doi":"10.1186/s12873-026-01555-2","DOIUrl":"10.1186/s12873-026-01555-2","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147580238","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 prediction of renal replacement therapy within 24 hours after septic shock recognition in the emergency department using machine learning: a retrospective analysis of a prospectively collected multicenter registry.","authors":"Sangun Nah, Tae Ho Lim, Sung Phil Chung, Gil Joon Suh, Sung-Hyuk Choi, Woon Yong Kwon, Won Young Kim, Kyuseok Kim, Sangchun Choi, Je Sung You, Han Sung Choi, Tae Gun Shin, Sangsoo Han","doi":"10.1186/s12873-026-01558-z","DOIUrl":"10.1186/s12873-026-01558-z","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147526798","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":"Use and effectiveness of the Valsalva maneuver for supraventricular tachycardia in prehospital emergency care: a retrospective cohort study.","authors":"Przemysław Żuratyński, Tomasz Bytner, Ewa Teresa Kamińska, Marta Janowska-Zientara, Anna Małgorzata Burak","doi":"10.1186/s12873-026-01559-y","DOIUrl":"10.1186/s12873-026-01559-y","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147526786","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}