Pub Date : 2022-06-01DOI: 10.4274/eajem.galenos.2022.21.2.1
S. Di Somma, Luca Crisanti
Sepsis and septic shock have an enormous burden on healthcare systems, having more than 30 million people worldwide suffering from those diseases. As emergency providers we must be able to immediately recognize the presence of sepsis to improve the management of this disease and reduce its burden on patient’s lives and on the emergency departments. Biomarkers can play an important role in this attempt. Laboratory tests could help both to identify the presence of sepsis at patients’ arrival and to stratify the risk of progression to septic shock. A new biomarker in that regard is represented by Bioactive Adrenomedullin (BioADM), which mirrors vascular integrity, and is able to detect the physio pathological deterioration of the patients with sepsis that will progress into septic shock. Now, thanks to point-of-care testing devices, we are able to measure BioADM in whole blood in less than twenty minutes, which will help the physician making faster and more adequate therapeutical decisions beside patient’s bed. The good news is that BioADM will also serve as a target for a monoclonal antibody that will counteract the vascular disfunction in septic shock. In conclusion, coupling BioADM with other biomarkers already routinely used such as procalcitonin and lactate we can immediately change patient’s management in Sepsis improving our decision making and patient outcome
{"title":"Can Acute Care Biomarkers Change Patient’s Management in Sepsis?","authors":"S. Di Somma, Luca Crisanti","doi":"10.4274/eajem.galenos.2022.21.2.1","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.21.2.1","url":null,"abstract":"Sepsis and septic shock have an enormous burden on healthcare systems, having more than 30 million people worldwide suffering from those diseases. As emergency providers we must be able to immediately recognize the presence of sepsis to improve the management of this disease and reduce its burden on patient’s lives and on the emergency departments. Biomarkers can play an important role in this attempt. Laboratory tests could help both to identify the presence of sepsis at patients’ arrival and to stratify the risk of progression to septic shock. A new biomarker in that regard is represented by Bioactive Adrenomedullin (BioADM), which mirrors vascular integrity, and is able to detect the physio pathological deterioration of the patients with sepsis that will progress into septic shock. Now, thanks to point-of-care testing devices, we are able to measure BioADM in whole blood in less than twenty minutes, which will help the physician making faster and more adequate therapeutical decisions beside patient’s bed. The good news is that BioADM will also serve as a target for a monoclonal antibody that will counteract the vascular disfunction in septic shock. In conclusion, coupling BioADM with other biomarkers already routinely used such as procalcitonin and lactate we can immediately change patient’s management in Sepsis improving our decision making and patient outcome","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47519079","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}
Pub Date : 2022-03-29DOI: 10.4274/eajem.galenos.2020.58672
Sadaf Sheikh
{"title":"Cough Syncope in the Times of COVID-19","authors":"Sadaf Sheikh","doi":"10.4274/eajem.galenos.2020.58672","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.58672","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43998201","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}
Pub Date : 2022-03-29DOI: 10.4274/eajem.galenos.2020.54771
İ. Aydın, M. K. Poyraz, Kasım Turgut, A. Algın, Nurettin Aktaş
{"title":"Investigation of the Usability of Serum Phospholipase A2, Neutrophil/Lymphocyte Ratio, Red Cell Distribution Width and Mean Platelet Volume Levels in the Grading of Scorpion Envenomation","authors":"İ. Aydın, M. K. Poyraz, Kasım Turgut, A. Algın, Nurettin Aktaş","doi":"10.4274/eajem.galenos.2020.54771","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.54771","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41785880","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}
Pub Date : 2022-03-29DOI: 10.4274/eajem.galenos.2021.27676
Mustafa Gökalp Ataman, Görkem Sarıyer
{"title":"Mode of Arrival Aware Models for Forecasting Flow of Patient and Length of Stay in Emergency Departments","authors":"Mustafa Gökalp Ataman, Görkem Sarıyer","doi":"10.4274/eajem.galenos.2021.27676","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.27676","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" 17","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41252438","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2021.94824
Kerim Yeşildağ, Önder Aydemir
{"title":"The Burden of Chronic Obstructive Lung Disease Disease on the Health System","authors":"Kerim Yeşildağ, Önder Aydemir","doi":"10.4274/eajem.galenos.2021.94824","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.94824","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49233631","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2020.87699
Hasan Sultanoğlu, M. Boğan, Guleser Akpinar, M. Demir
{"title":"Assessment of Patients Transferred from the Emergency Department to Home by Ambulance","authors":"Hasan Sultanoğlu, M. Boğan, Guleser Akpinar, M. Demir","doi":"10.4274/eajem.galenos.2020.87699","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.87699","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48692427","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2020.12599
F. Asgari, Latif Panahi, Somaye Pouy
Aim: The present study surveys the available evidence regarding the role and scope of nursing leadership in disaster and emergencies. Materials and Methods: This scoping review was carried out between 2010 and 2020 through a series of databases including Embase, Scopus, CINHAL, Web of Science, Cochrane Library, PubMed, ProQuest, and Google Scholar with keywords of "leadership," "nursing," "competency," "disaster," and "emergency". Results: Seven articles met the inclusion criteria of the scoping review. Three main research questions were addressed, relating to the role of nursing leadership in times of disaster, the skills required of a nursing leader, and the strategies recommended for promoting nursing leadership during a disaster or pandemic. Conclusion: This study shows that nurses are a vital part of the healthcare system in times of disaster and that nursing leaders provide valuable services for maintaining individual and community health. Given that there is no agreement in the existing research as to which competencies are required of nursing leaders in times of disaster, more researches must be developed to enhance the effectiveness of nursing leaders in future disasters and pandemics.
目的：本研究调查了有关护理领导在灾害和紧急情况中的作用和范围的现有证据。材料和方法：这项范围界定审查是在2010年至2020年间通过一系列数据库进行的，包括Embase、Scopus、CINHAL、Web of Science、Cochrane Library、PubMed、ProQuest和Google Scholar，关键词为“领导力”、“护理”、“能力”、“灾难”和“紧急情况”。结果：7篇文章符合范围界定审查的纳入标准。讨论了三个主要的研究问题，涉及护理领导在灾难时期的作用、护理领导所需的技能，以及在灾难或疫情期间促进护理领导的建议策略。结论：本研究表明，在灾难时期，护士是医疗系统的重要组成部分，护理领导者为维护个人和社区健康提供了宝贵的服务。鉴于现有研究对灾难发生时护理领导者的能力要求没有达成一致，必须开展更多的研究，以提高护理领导者在未来灾难和流行病中的有效性。
{"title":"COVID-19: What Should We Do in Future Crises? The Leadership Role and Scope of Nurses in a Health Disaster: A Scoping Review","authors":"F. Asgari, Latif Panahi, Somaye Pouy","doi":"10.4274/eajem.galenos.2020.12599","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.12599","url":null,"abstract":"Aim: The present study surveys the available evidence regarding the role and scope of nursing leadership in disaster and emergencies. Materials and Methods: This scoping review was carried out between 2010 and 2020 through a series of databases including Embase, Scopus, CINHAL, Web of Science, Cochrane Library, PubMed, ProQuest, and Google Scholar with keywords of \"leadership,\" \"nursing,\" \"competency,\" \"disaster,\" and \"emergency\". Results: Seven articles met the inclusion criteria of the scoping review. Three main research questions were addressed, relating to the role of nursing leadership in times of disaster, the skills required of a nursing leader, and the strategies recommended for promoting nursing leadership during a disaster or pandemic. Conclusion: This study shows that nurses are a vital part of the healthcare system in times of disaster and that nursing leaders provide valuable services for maintaining individual and community health. Given that there is no agreement in the existing research as to which competencies are required of nursing leaders in times of disaster, more researches must be developed to enhance the effectiveness of nursing leaders in future disasters and pandemics.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43554666","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2021.89106
V. Elangovan, J. Pek
Cornual pregnancy, a rare and hazardous form of ectopic pregnancy, can cause massive hemorrhage and death. We present a 38-year old lady who was brought to our Emergency Department at 30+6 weeks of gestation for abdominal pain and hypotension due to uterine rupture as a result of left cornual pregnancy. Here, we highlight how cornual pregnancy can be confused with normal intrauterine pregnancy, as well as the catastrophic complications of uterine rupture and fetal demise associated with cornual pregnancy. This case report demonstrates the importance for an emergency physician to maintain the suspicion for ectopic pregnancy even at advanced gestational age.
{"title":"Cornual Pregnancy with Uterine Rupture: A Case Report","authors":"V. Elangovan, J. Pek","doi":"10.4274/eajem.galenos.2021.89106","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.89106","url":null,"abstract":"Cornual pregnancy, a rare and hazardous form of ectopic pregnancy, can cause massive hemorrhage and death. We present a 38-year old lady who was brought to our Emergency Department at 30+6 weeks of gestation for abdominal pain and hypotension due to uterine rupture as a result of left cornual pregnancy. Here, we highlight how cornual pregnancy can be confused with normal intrauterine pregnancy, as well as the catastrophic complications of uterine rupture and fetal demise associated with cornual pregnancy. This case report demonstrates the importance for an emergency physician to maintain the suspicion for ectopic pregnancy even at advanced gestational age.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44819998","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}
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