{"title":"Oxygenation during Apnea: An Assessment of Six Methods Using an Ex Vivo Experimental Model","authors":"","doi":"10.29011/2475-5605.010110","DOIUrl":"https://doi.org/10.29011/2475-5605.010110","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454309","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}
{"title":"Tunneled Central Venous Catheter Placement in the Emergency Department: Bringing Interventional Radiology Techniques to the Bedside","authors":"","doi":"10.29011/2475-5605.010111","DOIUrl":"https://doi.org/10.29011/2475-5605.010111","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454400","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}
{"title":"A Rare Cause of Severe Metabolic Alkalosis in the Emergency Room","authors":"","doi":"10.29011/2475-5605.010107","DOIUrl":"https://doi.org/10.29011/2475-5605.010107","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454288","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}
{"title":"Emergency Department Management Metrics for Severe Pediatric Traumatic Brain Injury","authors":"Maple Liu, Tanya R Holt, G. Hansen","doi":"10.21203/rs.3.rs-58763/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-58763/v1","url":null,"abstract":"\u0000 Background: As the majority of severe pediatric traumatic brain injuries (TBI) are received and managed in the emergency department (ED), the ED trauma center is vital to optimizing management. This study aimed to evaluate current management guidelines, and to recognize other high-risk components of TBI management. Methods: A retrospective chart review was conducted solely at the Jim Pattison Children’s Hospital in Saskatoon, Canada. Data pertaining to emergency department metrics included transport to trauma center, injury severity, indicators for raised intracranial pressure, airway and breathing, circulation, disability/central nervous system, complications, and outcome scores. Results: A total of 56 charts were included in the study population. Mean age of patient population was 14.3 years of age, with 76% being male. Thirty four percent of patients received a blood gas within 15 minutes of admission, and 20% received intervention to correct PCO2. Of the seven patients who received hyperosmolar therapy, three were based on computed tomography (CT) findings and four were based clinically. For 95% of patients, the position of the bed was not documented, and just 4% of patients had head of bed elevated to 30 degrees. Sixty four percent of patients were accompanied by a physician with airway expertise during CT. Conclusions: Building on current TBI guidelines, timeliness of PCO2 retrieval and improvements for targeted hyperosmolar therapy were noted. Two other potential areas for improving management included deliberate considerations for head of bed positioning and personnel accompanying patients undergoing CT.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45753331","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}
{"title":"Acute Myelogenous Leukemia Presenting with Primary Oral Lesions Initially Diagnosed as Acute Necrotizing Ulcerative Gingivitis","authors":"D. Krywko, Alex Kranc","doi":"10.29011/2475-5605.010106","DOIUrl":"https://doi.org/10.29011/2475-5605.010106","url":null,"abstract":"We report two cases that presented to the emergency department (ED) with oral pain, fever, and malaise, with physical findings leading to the initial diagnosis of acute necrotizing ulcerative gingivitis (ANUG), also known as Vincent’s angina and trench mouth. Both cases on repeat exam, not only failed to improve, but required immediate admission. Both worsened rapidly despite appropriate antibiotic therapy, and both succumbed to their illness within a few days. In both cases, the underlying diagnosis was acute myelogenous leukemia (AML) in blast crisis. It is likely that the leukemic infiltrates seen in monocytic variants of AML contributed to the gingival morphology which lead to the misdiagnosis of ANUG.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454284","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}
{"title":"How COVID-19 Affected a Small Town in Switzerland: A Brief Report from a Swiss Tourist Hotspot","authors":"B. Gerber, A. Hollinger","doi":"10.29011/2475-5605.010101","DOIUrl":"https://doi.org/10.29011/2475-5605.010101","url":null,"abstract":"The SARS-COV-2 (COVID-19) pandemic was labelled the defining global health crisis of our time by the United Nations Development Programme (UNPD) alongside with enormous negative socio-economic impact. At the beginning of the pandemic in Europe, Switzerland was among the countries with high prevalence of COVID-19. Dramatic upscaling of testing capabilities and facilities is encouraged. This recommendation was implemented by the CEO of a prospering company in a Swiss tourist hotspot in the heart of Switzerland.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454227","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}
{"title":"A Therapeutically Challenging Case of an Electronic Cigarette (E-cig) Ingestion","authors":"","doi":"10.29011/2475-5605.010104","DOIUrl":"https://doi.org/10.29011/2475-5605.010104","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454246","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}
{"title":"Evaluating the Effect of Occupational Health Education on Workers Knowledge","authors":"Rateb Abuzeid, Ahed Al Najjar, Nabeel Abdulqader","doi":"10.29011/2475-5605.001087","DOIUrl":"https://doi.org/10.29011/2475-5605.001087","url":null,"abstract":"Background: Studies show that about 90% of accidents occur because of unsafe behavior and human errors. Even if workers do not have the right knowledge toward safety measures in a safe workplace, all efforts for an accident-free workplace will be in vain. Maintaining a safe working environment is reflected on a healthy worker. Some reasons for not implementing the safety policy by most developing countries is lack of basic professional training in occupational health and safety. Objective: The purpose of the study is to assess the impact of the Occupational Health Education Program on the worker’s knowledge. Methods: A quasi-experimental, nonequivalent control group pretest-posttest design was used to assess the impact of the Occupational Health Education Program (OHEP) on the worker knowledge. A convenience sample of a total of 38 workers participated in the study, with 20 in the experimental group and 18 in the control group. Results: The findings from the study indicate that OHEP did have significant positive impact on the Jordanian worker’s knowledge, but it didn’t have comparable impact on the Foreigner worker’s knowledge. A comparison of means for the Jordanian experimental group pretest (M =14.25) and posttest (M =18.60) revealed a significant improvement in mean scores (df = 9, Tukey a = 2.98), whereas the control group pretest (M = 14.40) and posttest (M = 14.90) did not statistically significantly (df = 9, t =.64). Findings shows that both the Jordanian and Foreigner experimental and control groups were comparable in relation to their occupational health knowledge before the implementation of the OHEP. Conclusion: The findings support the need for implementation of the OHEP within this population. This study shows that nurses can design, implement and evaluate Health Education Programs for targeted population.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45304303","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}
{"title":"Imaging Errors in the Emergency Department: A Case Report","authors":"M. Bolognesi","doi":"10.29011/2475-5605.001085","DOIUrl":"https://doi.org/10.29011/2475-5605.001085","url":null,"abstract":"Emergency departments must take care of people presenting physical trauma in a short time, especially where elderly patients are concerned. Otherwise unfortunate errors might be committed for many reasons. One of the main causes of diagnostic errors in the emergency department is the failure to correctly interpret radiographs, and the majority of diagnoses missed on X-ray imaging are fractures. Diagnostic errors potentially have important consequences for patients, clinicians and radiologists. Radiologists play a pivotal role in the diagnostic assessment of multi-traumatic patients, and key elements to reduce errors in the emergency setting are knowledge, experience and the correct application of imaging protocols. With this case report the author describes a typical situation which may happen in an emergency department of a small town with the aim of highlighting the causes of the spectrum of diagnostic errors in radiography in the emergency setting.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43025736","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}