Objectives The early identification of patients with Acute Heart Failure Syndrome (AHFS) among patients admitted to the Emergency Department (ED) with dyspnoea can facilitate the introduction of appropriate treatments. The objectives are to identify the predictive factors for AHFS diagnosis in patients with acute dyspnoea (primary objective) and the clinical ‘gestalt’ (secondary objective) in ED. Methods PREDICA is an observational, prospective, multicentre study. The enrolment of patients...
20h
Objective: Guidelines recommend Trendelenburg position for central venous cannulation. Critically ill patients in the emergency department often do not tolerate this positioning or have contraindications. Thirty-degree dorsal elevated position with positive end-expiratory pressure by noninvasive ventilation could pose an alternative. This is the first trial to investigate the feasibility of alternative for central venous cannulation in critically ill emergency department patients. Methods: ...
20h
Anthony Kopatsis, Vishaka K Chetram, Katherine Kopatsis, Nicholas Morin, Christine WagnerJournal of Emergencies, Trauma, and Shock 2019 12(3):192-197 Background: Nonagenarians represent a rapidly growing age group who often have functional limitations and multiple comorbidities, predisposing them to trauma. Aims: The purpose of this study was to identify patient characteristics, hospital complications, and comorbidities that predict in-hospital mortality in the nonagenarian population following...
4h
Radhikaraj C Govindaraju, Jagannath P KolwalkarJournal of Emergencies, Trauma, and Shock 2019 12(3):218-221 Missile embolism (ME) is a rare condition and was seen in 0.3% of gunshot wounds during the Vietnam War. It was first reported by Thomas Davis in 1834. ME occurs when a small caliber, slow velocity projectile penetrates a wall in the vasculature; loses its kinetic energy; and gets carried away along the bloodstream to occlude another vessel at a distant site. Civilian victims of low-velocity...
4h
Vivian Hsiao, Jacob Sim, Asha Zimmerman, Andrew StephenJournal of Emergencies, Trauma, and Shock 2019 12(3):168-172 Context: Current protocols for the management of abdominal stab wounds were established based on retrospective data from prior decades. Few have investigated whether higher body mass index (BMI) affects outcomes after these injuries. Aim: The aim was to determine the effects of obesity on outcomes in abdominal stab wound patients. Setting and Design: This was a retrospective cohort...
4h
Jessica Wentling, Scott P Krall, Afton McNierney, Kelly Dewey, Peter B Richman, Osbert BlowJournal of Emergencies, Trauma, and Shock 2019 12(3):203-208 Background: The aim of this study was to investigate the utility of early point-of-care (POC) lactate levels to help predict injury severity and ultimate emergency department (ED) disposition for trauma patients meeting Level II and III activation criteria. Methods: This was a blinded, prospective cohort study including a convenience sample of patients...
4h
Brandon Diaz, Adel Elkbuli, Rachel Wobig, Kelly McKenney, Daniella Jaguan, Dessy Boneva, Shaikh Hai, Mark McKenneyJournal of Emergencies, Trauma, and Shock 2019 12(3):173-175 Introduction: Traumatic intracranial hemorrhages (ICHs) are high priority injuries. Traumatic brain bleeds can be categorized as traumatic subarachnoid hemorrhage (SAH) versus non-SAH-ICH. Non-SAH-ICH includes subdural, epidural, and intraventricular hematomas and brain contusions. We hypothesize that awake patients with SAH...
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Amit AgrawalJournal of Emergencies, Trauma, and Shock 2019 12(3):167-167
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Shrimathy Vijayaraghavan, Parag Rishipathak, Anand HindujaJournal of Emergencies, Trauma, and Shock 2019 12(3):176-178 Introduction: Bradyarrhythmias are a common clinical finding yet can be life-threatening in certain situations. Accordingly, diagnosis and prompt intervention remain the cornerstone of effective management of bradyarrhythmia. The study compares the two methods by assessing improvement in knowledge acquisition using pretest, posttest, and satisfaction survey with the teaching pedagogy....
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Kundavaram Paul Prabhakar Abhilash, R Tephilah, Sharon Pradeeptha, Karthik Gunasekaran, Gina Maryann ChandyJournal of Emergencies, Trauma, and Shock 2019 12(3):198-202 Background: The geriatric population is more prone for injuries with complications due to their associated comorbidities. This study was done to understand the mode, severity, and outcome of injuries among geriatric patients presenting to the emergency department (ED). Materials and Methods: This retrospective study included all...
4h
Seema Sachdeva, Nayer Jamshed, Praveen Aggarwal, Suman R KashyapJournal of Emergencies, Trauma, and Shock 2019 12(3):179-184 Background: Workplace violence (WPV) is a serious issue worldwide. Violence against emergency department (ED) staffs causes significant physical and mental distress which affects work productivity and patient care. Objective: We seek amount and type of WPV perceived by the emergency physicians and nurses, their reporting agencies, and impact of violence on them. Methods:...
4h
Hassan Al-Thani, Ayman El-Menyar, Mohammad Asim, Monira Mollazehi, Husham Abdelrahman, Ashok Parchani, Rafael Consunji, Nicholas Castle, Mohamed Ellabib, Ammar Al-Hassani, Ahmed El-Faramawy, Ruben PeraltaJournal of Emergencies, Trauma, and Shock 2019 12(3):209-217 Traumatic injuries accounted for substantial burden of morbidity and mortality (M and M) worldwide. Despite better socioeconomic conditions and living standards, the incidence of trauma is rising in the Eastern Mediterranean Region (EMR)....
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Alicia R Privette, Pamela L Ferguson, Jama Olsen, Sarah Gay, Lauren E RicheyJournal of Emergencies, Trauma, and Shock 2019 12(3):185-191 Background: A large number of patients live with undiagnosed HIV and/or hepatitis C despite broadened national screening guidelines. European studies, however, suggest many patients falsely believe they have been screened during a prior hospitalization. This study aims to define current perceptions among trauma and emergency general surgery (EGS) patients regarding...
4h
Farris Serio, Jonathon Choi, Andrew MccagueJournal of Emergencies, Trauma, and Shock 2019 12(3):222-224 Bilateral abducens nerve palsy due to closed head trauma is exceedingly rare. We present the case of a 51-year-old woman with posttraumatic bilateral abducens nerve palsy and persistent deficits at 1-year follow-up. This case demonstrates a rare example of cranial nerve palsy in the setting of a closed head injury without intracranial pathology.
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Abstract Purpose The aim of this study was to evaluate the clinical and radiological results of medial malleolar fractures, which were treated with fully threaded headless compression screws and to compare the clinical and radiological results of this screws and partially threaded cancellous lag screws. Methods Sixty-one patients who attended the final follow-up...
16h
Abstract Objective The clinical process for the diagnosis of intra-abdominal lesion due to blunt abdominal trauma in children is not consistent. The goal of the present study was to assess the efficiency of our institutional procedure to manage hemodynamically stable pediatric patients with benign abdominal trauma and to select patients who need a radiological examination in an emergency pediatric department. ...
16h
Toluene toxicity presenting with hypokalemia, profound weakness and U waves in the electrocardiogram
Publication date: Available online 27 August 2019Source: The American Journal of Emergency MedicineAuthor(s): Edgar Francisco Carrizales-Sepúlveda, Raymundo Vera-Pineda, Raúl Alberto Jiménez-Castillo, Karla Belén Treviño-García, Alejandro Ordaz-FaríasAbstractWe present the case of a 25-year-old man with progressive limb weakness. His electrocardiogram showed prominent U waves which made us consider hypokalemia. The final diagnosis was toluene intoxication with severe hypokalemia and metabolic acidosis....
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Publication date: Available online 27 August 2019Source: The American Journal of Emergency MedicineAuthor(s): Amberly R. Johnson, Casey R. Tak, Kathleen Anderson, Bradley Dahl, Cathie Smith, Barbara I. CrouchAbstractIntroductionPoison control centers (PCC) are an effective means to prevent unnecessary emergency department (ED) visits associated with poisoning exposures. However, not all patients with poison exposures utilize the PCC. The purpose of this study was to identify unintentional pediatric...
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Publication date: Available online 27 August 2019Source: The American Journal of Emergency MedicineAuthor(s): Kenneth V. Iserson, Nathan G. Allan, Joel M. Geiderman, Rebecca R. GoettAbstractEmergency physicians, organizations and healthcare institutions should recognize the value to clinicians and patients of HIPAA-compliant audiovisual recording in emergency departments (ED). They should promote consistent specialty-wide policies that emphasize protecting patient privacy, particularly in patient-care...
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