Emergency medicine investigations最新文献

Unveiling the Uncommon: Angina as a Rare Symptom in Cardiac Myxomas Cardiac Myxoma and Angina 揭开不寻常的面纱：心绞痛是心脏肌瘤的罕见症状心脏肌瘤与心绞痛

Emergency medicine investigations Pub Date : 2024-04-04 DOI: 10.29011/2475-5605.110131

引用次数: 0

When Time is of the Essence: Comparison of the Resuscitation Time Frame Recommended by the Advanced Life Support Guidelines and Daily Practice 时间就是生命：高级生命支持指南》建议的复苏时间框架与日常实践的比较

Emergency medicine investigations Pub Date : 2024-02-14 DOI: 10.29011/2475-5605.110128

引用次数: 0

Idiopathic Spinal Cord Infarction Occurring in a Young Adult 发生在一名青壮年身上的特发性脊髓梗死

Emergency medicine investigations Pub Date : 2024-01-30 DOI: 10.29011/2475-5605.110126

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Association between Disparity by Gini Coefficient for the Population Covered by Emergency Medical Service Rapid Response and Neurological Outcomes in Patients with Out-of-Hospital Cardiac Arrest in Japan 日本急诊医疗服务快速反应覆盖人群基尼系数差异与院外心脏骤停患者神经系统结果的关系

Emergency medicine investigations Pub Date : 2023-05-17 DOI: 10.29011/2475-5605.010123

Kenji Narikawa, Kensuke Suzuki, Kenji Fujimoto, Satoshi Harada, M. Nakazawa, Shinnosuke Kitano, Ryotaro Suga, Satoo Ogawa

引用次数: 0

Managing Conventional Mass Casualty Incident during the COVID-19 Pandemic: Lessons Learned and Suggestions 在2019冠状病毒病大流行期间管理常规大规模伤亡事件:经验教训和建议

Emergency medicine investigations Pub Date : 2022-04-11 DOI: 10.29011/2475-5605.010120

引用次数: 0

Subdural Empyema Due to Poor Dentition 硬膜下脓胸，因牙列不良

Emergency medicine investigations Pub Date : 2022-03-11 DOI: 10.29011/2475-5605.010119

引用次数: 0

Emergency Medical Technicians' Long Term Retention Following Cardiopulmonary Resuscitation Training: A Follow Up Study 心肺复苏训练后急诊技术人员的长期保留：一项随访研究

Emergency medicine investigations Pub Date : 2022-03-03 DOI: 10.29011/24755605.010118

G. Sivrikaya, Sibel Kizilkar, Canan Oner, Ferhat Saribek, M. Gulsen, Emre Sukayar

{"title":"Emergency Medical Technicians' Long Term Retention Following Cardiopulmonary Resuscitation Training: A Follow Up Study","authors":"G. Sivrikaya, Sibel Kizilkar, Canan Oner, Ferhat Saribek, M. Gulsen, Emre Sukayar","doi":"10.29011/24755605.010118","DOIUrl":"https://doi.org/10.29011/24755605.010118","url":null,"abstract":"Background: Effective management of emergency critical situations in pre-hospital setting by healthcare providers working in 112 Ambulance Service as first responders has a vital importance, since it is directly associated with mortality and morbidity rates’ of these patients. The aim of this study was to evaluate Emergency Medical Technicians (EMTs)’s knowledge and cardiopulmonary resuscitation skills retention one year following of ACLS course and the factors can have an effect on retention. Methods: The course included lecture, skill training, team-based practice with 6 simulated arrest scenarios. First Evaluation (FE) was performed during course. After one year (retention evaluation) all participants performed the same scenarios (Second evaluation-SE). Resuscitation skills were assessed with a checklist. Participants knowledge was evaluated with Multiple Choice Questionnaire before (MCQ1), at the end of the course (MCQ2) and during retention evaluation (MCQ3). Results: 42 EMTs participated in this study. SE score was significantly higher in 32% EMTs, was similar or higher (not significant)in 25% EMTs than FE score. Correct answer percentage was 49.3% MCQ1, 82.8% MCQ2 and 69.4% MCQ3. Seventy three percent of the participants with higher SE score were experienced 2-5 years (versus experienced< 2 years) and 68% of them having an average number of 150 arrest patients in a year (versus<150 arrest patient/year). Conclusion: The results of this study showed that; knowledge and cardiopulmonary resuscitation skills improved after ACLS course including simulated scenarios. Nonetheless in a long term period (1 year) a significant decline in retention was observed in both knowledge and skills. Being more experienced than 2 years and having more than 150 arrest patients in a year seem to have a positive effect on this long-term retention.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49352034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Gripping Technique for Endotracheal Tube- Beedi vs Cigarette Grip, which is better? 气管插管夹持技术-比迪与香烟夹持，哪个更好？

Emergency medicine investigations Pub Date : 2021-12-24 DOI: 10.29011/2475-5605.010116

Rajadurai, Meenakshisundaram, Joshua, Vijay, Joseph, Prathap, Pancheti, D. Sampath, SM Nayyara Banu, Kaviarasu, Ravichandran

{"title":"Gripping Technique for Endotracheal Tube- Beedi vs Cigarette Grip, which is better?","authors":"Rajadurai, Meenakshisundaram, Joshua, Vijay, Joseph, Prathap, Pancheti, D. Sampath, SM Nayyara Banu, Kaviarasu, Ravichandran","doi":"10.29011/2475-5605.010116","DOIUrl":"https://doi.org/10.29011/2475-5605.010116","url":null,"abstract":"Objective: To compare the efficacy of two manual grips for holding Endotracheal (ET) tube during confirmation, fixation and patient movement. Methods: We conducted a prospective observational study of adult patients undergoing endotracheal intubation and intubated patients undergoing shifting in the Emergency Department (ED) of a tertiary level hospital. This was done over a period of 14 months from August 2020 to September 2021. The method of holding the ET tube manually using Cigarette grip (holding with index and middle finger) vs Beedi grip (holding with thumb and index finger) prior to fixation and during patient movement was the variable taken into account and displacement of the ET tube if any was noted as outcome. Results: During the study period, a total of 134 intubations were done and among them 196 instances had intrahospital transfer from ED. Beedi grip method was used in 74 (55.2%) patients compared to cigarette grip for 60 (44.8%) patients during fixation of ET tube. The most common reason for intrahospital shifting was for radiological imaging 114 patients followed by intensive care shifting of 82 patients. None of the patients had complete dislodgement of ET tube but displacement was seen in 6 (10%) patients cigarette grip vs 2 (2.7%) patients beedi grip during fixation. During shifting 18 (20.5%) patients with cigarette grip had displacement of ET tube vs 4 (3.7%) patients with beedi grip. Conclusion: In spite of ET intubations being a very common procedure, user variations exist regarding proper holding of the ET tube manually. The Beedi grip used for fine holding provides a more stable method of holding the ET tube as compared to the cigarette method.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48650119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

D-dimer as an Indicator of Vertebral Artery Dissection: an observational study D-二聚体作为椎动脉夹层指标的观察研究

Emergency medicine investigations Pub Date : 2021-12-22 DOI: 10.29011/2475-5605.110115

Atsuyuki Watanabe, Hiroshi Ito, K. Maruo, J. Nakao, Tetsuya, Hoshino, Yuki, Enomoto, Aiki, Marushima, Nobutake, Shimojo, Y. Inoue

{"title":"D-dimer as an Indicator of Vertebral Artery Dissection: an observational study","authors":"Atsuyuki Watanabe, Hiroshi Ito, K. Maruo, J. Nakao, Tetsuya, Hoshino, Yuki, Enomoto, Aiki, Marushima, Nobutake, Shimojo, Y. Inoue","doi":"10.29011/2475-5605.110115","DOIUrl":"https://doi.org/10.29011/2475-5605.110115","url":null,"abstract":"Vertebral artery dissection (VAD) diagnoses are sometimes challenging. Associations between VAD and D-dimer has not yet been explored. We conducted a single-center retrospective study to evaluated the usefulness of D-dimer in VAD diagnoses. Methods All VAD cases received in the emergency department between January 2013 and June 2020 were reviewed. Comparing those cases to vertigo with benign etiologies, the correlation between VAD and D-dimer was analyzed. Using stepwise multivariate logistic regression, possible symptoms to suspect VAD were also determined from physical findings and laboratory data, including D-dimer. Results Eleven patients were included in the VAD group, and 59 patients were enrolled in the control (benign vertigo [BV]) group. The most common symptom in VAD patients was vertigo (N-11, 100%), followed by hemiplegia (N = 7, 63%) and cranial neuropathy (N = 7, 63%). Two patients (18%) were free from any symptoms except vertigo. D-dimer was not significantly different between the two groups at the positive cutoff value of 500 ng/mL (p = 1). By stepwise selection, age (odds ratio (OR): 0.92, [0.87-0.98], p < 0.01) and systolic blood pressure (sBP; OR: 1.06 [1.02-1.10], p < 0.01) were selected in the diagnostic model. In combination, age under 60 and sBP over 160 mmHg yielded 63.6% sensitivity, 98.3% specificity, and 37.5 positive likelihood ratio. Conclusions D-dimer was not found to be an effective indicator of VAD. By contrast, disproportionate hypertension (high blood pressure in young patients) can be a key factor to suspect VAD. Citation: Watanabe A, Ito H, Maruo K, Nakao J, Hoshino T, et al. (2021) D-dimer as an Indicator of Vertebral Artery Dissection: an observational study. Emerg Med Inves 10115. DOI: 10.29011/2688-9501.110115 2 Volume 07; Issue 01 Emerg Med Inves, an open access journal ISSN: 2475-5605","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49202774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of initial Decontamination on 1136 clinical exposures with highly corrosive chemicals 初步去污对1136例高腐蚀性化学品临床暴露的影响

Emergency medicine investigations Pub Date : 2021-01-01 DOI: 10.29011/2475-5605.010108

引用次数: 0