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Mediterranean Journal of Emergency Medicine & Acute Care最新文献

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Point-of-Care Ultrasound Appearance of Cystic Ovarian Teratoma Causing Ovarian Torsion 引起卵巢扭转的囊肿性卵巢畸胎瘤的即时超声表现
Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(2)1003
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引用次数: 0
Outpatient Management of Cancer Patients During the COVID-19 Pandemic 新冠肺炎大流行期间癌症患者门诊管理
Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(2)1004
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引用次数: 0
ED Visits and Admission Profile pre- and during COVID-19 Pandemic 在COVID-19大流行之前和期间的急诊科就诊和入院情况
Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(2)3001
Introduction: COVID-19 pandemic has had catastrophic effects on the healthcare system. Emergency departments (EDs) are among the most affected areas. The purpose of our study is to explore the pandemic’s effect on patients’ ED visits and admissions.Methods: This was a retrospective study using data from medical record system of King Hamad University Hospital. We examined ED visits and hospital admissions over two 12-month time spans before and during the pandemic. Monthly visits were classified according to several parameters, and ED revisits within 72 hours were also compared between both periods.Results: There was an overall decrease of 11.05% in total ED visits during the pandemic. Disproportionate decrease was seen in visits by pediatric cases under 18 years (49.54%) and patients older than 65 years (1.41%). Conversely, there was a significant increase in visits among adults. Referrals from local health centers to the ED during the pandemic decreased significantly (23.92%), while ambulance visits increased by 13.35%. Patients triaged as levels 2 and 3 decreased. Total admission rate decreased by 8.39%. The decline in admission was noted in most specialties, the greatest being in pediatrics (51.81%), while increased highest in oncology admissions (6.9%). There was an increase in discharge against medical advice rate and a reduction in the ED 72-hour revisit rate.Conclusion: Our study reveals a clear decline in the total number of ED visits and hospitalizations during COVID-19 for both pediatric and elderly patients. Further studies are needed to explain as well as evaluate the effect of such changes.
导言:COVID-19大流行对医疗保健系统造成了灾难性影响。急诊科是受影响最严重的地区之一。我们研究的目的是探讨大流行对患者急诊科就诊和入院的影响。方法:采用哈马德国王大学医院病案系统资料进行回顾性研究。我们在大流行之前和期间的两个12个月时间跨度内检查了急诊科就诊和住院情况。根据几个参数对每月就诊进行分类,并比较两个时间段内72小时内的ED就诊情况。结果:疫情期间急诊科总访问量总体下降11.05%。18岁以下儿科病例(49.54%)和65岁以上患者(1.41%)的就诊比例不成比例地下降。相反,成年人的访问量显著增加。大流行期间,从地方卫生中心转诊到急诊科的人数显著减少(23.92%),而救护车访问量增加了13.35%。分级为2级和3级的患者减少。总录取率下降8.39%。大多数专科的住院人数均出现下降,儿科住院人数下降幅度最大(51.81%),肿瘤科住院人数上升幅度最大(6.9%)。不遵医嘱出院率增加,急诊科72小时复诊率降低。结论:我们的研究显示,在COVID-19期间,儿科和老年患者的急诊科就诊和住院总次数明显下降。需要进一步的研究来解释和评估这些变化的影响。
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引用次数: 0
Achenbach Syndrome: Minor Traumatic Injury as a Possible Etiology 阿肯巴赫综合征:可能的病因是轻微的外伤性损伤
Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(2)3002
Achenbach syndrome is a rare cause of acute bluish discoloration and swelling of one or more digits, of unknown etiology. The condition is self-limited and benign but is worrisome for both patients and healthcare providers due to its emulation of peripheral ischemia. Familiarity with the clinical features of Achenbach syndrome allows for rapid diagnosis and mitigation of costs and anxiety associated with unnecessary testing and referrals. We report a case of Achenbach syndrome associated with a puncture wound, which supports a traumatic etiology for this condition.
阿肯巴赫综合征是一种罕见的原因急性蓝色变色和肿胀的一个或多个指,病因不明。这种情况是自限性和良性的,但由于其模拟外周缺血,对患者和医疗保健提供者来说都是令人担忧的。熟悉阿肯巴赫综合征的临床特征可以快速诊断,减轻不必要的检查和转诊带来的费用和焦虑。我们报告一例阿肯巴赫综合征与穿刺伤口相关,这支持了这种情况的创伤病因学。
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引用次数: 0
Acute Management of Rape Survivors in Lebanon: Overview and Challenges 黎巴嫩强奸幸存者的紧急管理:概述和挑战
Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(2)3003
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引用次数: 0
Posterior Knee Dislocation Following a Knee Arthroplasty 膝关节置换术后膝关节后侧脱位
Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(2)1001
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引用次数: 0
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Mediterranean Journal of Emergency Medicine & Acute Care
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