Pub Date : 2022-11-30DOI: 10.35584/carejournal.v2i1.114
Poppy Farasari, Evita Widyawati, Friska Oktaviana, F. Farida, Yitno Yitno
Gangguan tidur merupakan kelainan pada pola tidur seseorang dimana akan menimbulkan penurunan kualitas tidur yang ber dampak pada kesehatan dan keselamatan penderitanya. Terapi non farmakologi gangguan tidur antara lain adalah melalui aktivitas sleep hygiene. Sleep hygiene merupakan teknik melatih perilaku dan lingkungan yang bertujuan untuk memberikan lingkungan dan kondisi yang kondusif untuk tidur. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh terapi sleep hygiene terhadap gangguan tidur pada anak Taman Kanak-Kanak Alhidayah Desa Jombok Kecamatan Pule Kabupaten Trenggalek. Penelitian ini dilakukan pada tanggal 25 Maret sampai dengan tanggal 25 April 2022 dengan menggunakan metode Quasi Experiment Design dan menggunakan pendekatan one group Pre Test dan Post Test design. Populasi pada penelitian ini adalah anak usia sekolah (4-6 tahun) yang mengalami gangguan pada tidur di Taman Kanak-Kanak berjumlah 50 anak, sampel diambil menggunakan teknik purposive sampling berjumlah 33 responden. Variabel independentnya adalah terapi sleep hygiene, variabel dependentnya adalah gangguan tidur pada anak. Pengolahan data dengan editing, coding, scoring dan tabulating, dengan menggunakan analisa data uji Wilcoxon signed rank. Pada Hasil penelitian ini didapatkan jika sebelum dilakukan terapi sleep hygiene sebagian besar responden yaitu sebanyak 21 responden (63,6%) mengalami gangguan pada tidur berat dan sesudah sleep hygiene sebagian besar responden yaitu sebanyak 17 responden (51,5%) tidak mengalami gangguan pada tidur. Hasil dengan uji wilcoxon didapatkan bahwa P Value = 0,000 < 0,05. Dari hasil penelitian ini menunjukkan bahwa terdapat pengaruh terapi sleep hygiene terhadap gangguan tidur, hal ini terbukti jika terapi sleep hygiene mampu mengubah pola tidur pada anak menjadi lebih baik, sehingga hasil penelitian ini dapat dijadikan pedoman salah satu penatalaksanaan gangguan tidur pada anak menggunakan terapi sleep hygiene.
{"title":"Terapi Gangguan Tidur pada Anak Tk dengan Sleep Hygiene","authors":"Poppy Farasari, Evita Widyawati, Friska Oktaviana, F. Farida, Yitno Yitno","doi":"10.35584/carejournal.v2i1.114","DOIUrl":"https://doi.org/10.35584/carejournal.v2i1.114","url":null,"abstract":"Gangguan tidur merupakan kelainan pada pola tidur seseorang dimana akan menimbulkan penurunan kualitas tidur yang ber dampak pada kesehatan dan keselamatan penderitanya. Terapi non farmakologi gangguan tidur antara lain adalah melalui aktivitas sleep hygiene. Sleep hygiene merupakan teknik melatih perilaku dan lingkungan yang bertujuan untuk memberikan lingkungan dan kondisi yang kondusif untuk tidur. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh terapi sleep hygiene terhadap gangguan tidur pada anak Taman Kanak-Kanak Alhidayah Desa Jombok Kecamatan Pule Kabupaten Trenggalek. Penelitian ini dilakukan pada tanggal 25 Maret sampai dengan tanggal 25 April 2022 dengan menggunakan metode Quasi Experiment Design dan menggunakan pendekatan one group Pre Test dan Post Test design. Populasi pada penelitian ini adalah anak usia sekolah (4-6 tahun) yang mengalami gangguan pada tidur di Taman Kanak-Kanak berjumlah 50 anak, sampel diambil menggunakan teknik purposive sampling berjumlah 33 responden. Variabel independentnya adalah terapi sleep hygiene, variabel dependentnya adalah gangguan tidur pada anak. Pengolahan data dengan editing, coding, scoring dan tabulating, dengan menggunakan analisa data uji Wilcoxon signed rank. Pada Hasil penelitian ini didapatkan jika sebelum dilakukan terapi sleep hygiene sebagian besar responden yaitu sebanyak 21 responden (63,6%) mengalami gangguan pada tidur berat dan sesudah sleep hygiene sebagian besar responden yaitu sebanyak 17 responden (51,5%) tidak mengalami gangguan pada tidur. Hasil dengan uji wilcoxon didapatkan bahwa P Value = 0,000 < 0,05. Dari hasil penelitian ini menunjukkan bahwa terdapat pengaruh terapi sleep hygiene terhadap gangguan tidur, hal ini terbukti jika terapi sleep hygiene mampu mengubah pola tidur pada anak menjadi lebih baik, sehingga hasil penelitian ini dapat dijadikan pedoman salah satu penatalaksanaan gangguan tidur pada anak menggunakan terapi sleep hygiene.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"442 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76053072","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}
S. Genç, Omer Yusuf Erdurmus, Abdullah Erhan, Ahmet Burak Oğuz, A. Koca, Müge Günalp Eneyli, O. Polat
Bradycardia, renal failure, Atrioventricular (AV) nodal Blocker Drug Use, Shock, and Hyperkalemia (BRASH) syndrome is a clinical condition frequently seen in emergency services but with low diagnostic awareness. In cases of the syndrome, its cause was determined to be the synergistic effect of hyperkalemia due to renal failure and the use of AV nodal blocker drugs. The common features of patients diagnosed with BRASH syndrome are moderately elevated potassium levels and symptomatic bradycardia with various ECG findings (such as junctional bradycardia, atrioventricular block, and sinus bradycardia). Detection of these findings is very important in the diagnosis process. In this case report, we aimed to reveal the important points in the diagnosis of BRASH syndrome, ECG findings, and treatment approach.
{"title":"A case of unstable bradycardia requiring comprehensive management in the emergency department: BRASH syndrome","authors":"S. Genç, Omer Yusuf Erdurmus, Abdullah Erhan, Ahmet Burak Oğuz, A. Koca, Müge Günalp Eneyli, O. Polat","doi":"10.4081/ecj.2022.10566","DOIUrl":"https://doi.org/10.4081/ecj.2022.10566","url":null,"abstract":"Bradycardia, renal failure, Atrioventricular (AV) nodal Blocker Drug Use, Shock, and Hyperkalemia (BRASH) syndrome is a clinical condition frequently seen in emergency services but with low diagnostic awareness. In cases of the syndrome, its cause was determined to be the synergistic effect of hyperkalemia due to renal failure and the use of AV nodal blocker drugs. The common features of patients diagnosed with BRASH syndrome are moderately elevated potassium levels and symptomatic bradycardia with various ECG findings (such as junctional bradycardia, atrioventricular block, and sinus bradycardia). Detection of these findings is very important in the diagnosis process. In this case report, we aimed to reveal the important points in the diagnosis of BRASH syndrome, ECG findings, and treatment approach.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45174979","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}
M. Ragasa, T. Legesse, Birhanu Asrat Wudineh, Helina Abayneh
It is estimated that 1.35 million people die each year as a result of road traffic injuries worldwide, with Africa having the highest annual rate. Ethiopia has the highest fatality rate in road traffic accidents, at 79%. There is no well-established emergency medical system in Ethiopia to provide pre-hospital trauma care. A crosssectional study was conducted at selected public hospitals in Addis Ababa. Purposive sampling was used to select the victims who arrived at the emergency department by ambulance. Data was gathered through structured questionnaires administered by an interviewer and a review of victims’ medical records. SPSS Version 25 was used to analyze the data. In this study, 262 victims took part, with a 94% response rate. Patient positioning (50.8%) was the most commonly provided service, followed by bleeding control (43.5%). Within the first 24 hours, 8.4% of the victims died. The first 24-hours of injury-related death were significantly associated with head/neck/spine injury and total pre-hospital time. Action should be taken to increase the availability of necessary equipment in ambulances and the number of paramedic personnel.
据估计，全世界每年有135万人死于道路交通伤害，其中非洲的年死亡率最高。埃塞俄比亚的道路交通事故死亡率最高，为79%。埃塞俄比亚没有完善的急救医疗系统来提供院前创伤护理。在亚的斯亚贝巴选定的公立医院进行了一项横断面研究。采用有针对性的抽样方法来选择乘坐救护车到达急诊室的受害者。数据是通过访谈者进行的结构化问卷调查和对受害者医疗记录的审查收集的。采用SPSS Version 25对数据进行分析。在这项研究中，262名受害者参与其中，应答率为94%。患者定位（50.8%）是最常见的服务，其次是出血控制（43.5%）。在最初的24小时内，8.4%的受害者死亡。损伤相关死亡的前24小时与头部/颈部/脊椎损伤和总住院时间显著相关。应采取行动，增加救护车所需设备的可用性和护理人员的数量。
{"title":"The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia)","authors":"M. Ragasa, T. Legesse, Birhanu Asrat Wudineh, Helina Abayneh","doi":"10.4081/ecj.2022.10745","DOIUrl":"https://doi.org/10.4081/ecj.2022.10745","url":null,"abstract":"It is estimated that 1.35 million people die each year as a result of road traffic injuries worldwide, with Africa having the highest annual rate. Ethiopia has the highest fatality rate in road traffic accidents, at 79%. There is no well-established emergency medical system in Ethiopia to provide pre-hospital trauma care. A crosssectional study was conducted at selected public hospitals in Addis Ababa. Purposive sampling was used to select the victims who arrived at the emergency department by ambulance. Data was gathered through structured questionnaires administered by an interviewer and a review of victims’ medical records. SPSS Version 25 was used to analyze the data. In this study, 262 victims took part, with a 94% response rate. Patient positioning (50.8%) was the most commonly provided service, followed by bleeding control (43.5%). Within the first 24 hours, 8.4% of the victims died. The first 24-hours of injury-related death were significantly associated with head/neck/spine injury and total pre-hospital time. Action should be taken to increase the availability of necessary equipment in ambulances and the number of paramedic personnel.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44284864","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}
Idiopathic Out-Of-Hospital Cardiac Arrest (OHCA) requires urgent treatment. Early Computed Tomography (CT) imaging may be useful to aid diagnosis. We aimed to determine current CT imaging practice, safety, and diagnostic value in this patient population. This study was a single-centre, retrospective cohort study of patients presenting to the Emergency Department (ED) of the Royal Infirmary of Edinburgh with idiopathic non-traumatic OHCA and Return Of Spontaneous Circulation (ROSC). Between 1st January 2016 and 31st December 2019, 140 of 156 (90%) eligible patients underwent 195 CT scans identifying the cause of OHCA in 6 (4%). CT head diagnosed one ischaemic and three haemorrhagic strokes, and CT pulmonary angiogram diagnosed one acute coronary syndrome and one pulmonary embolism. CT head (134), CT pulmonary angiogram (25) and CT cervical spine (16) were the commonest scans. 68 of 195 (35%) CT scans showed important pathology, mostly secondary to OHCA. CT imaging was safe with no cases of contrast nephropathy, allergic reaction, or other complications. The diagnostic value of CT imaging in this patient population was limited. However, imaging was a valuable method of identifying other important secondary pathology.
{"title":"CT imaging in idiopathic out-of-hospital cardiac arrest: An assessment of current practice and diagnostic utility","authors":"Isla Harper, Kathryn Easterford, M. Reed","doi":"10.4081/ecj.2022.10669","DOIUrl":"https://doi.org/10.4081/ecj.2022.10669","url":null,"abstract":"Idiopathic Out-Of-Hospital Cardiac Arrest (OHCA) requires urgent treatment. Early Computed Tomography (CT) imaging may be useful to aid diagnosis. We aimed to determine current CT imaging practice, safety, and diagnostic value in this patient population. This study was a single-centre, retrospective cohort study of patients presenting to the Emergency Department (ED) of the Royal Infirmary of Edinburgh with idiopathic non-traumatic OHCA and Return Of Spontaneous Circulation (ROSC). Between 1st January 2016 and 31st December 2019, 140 of 156 (90%) eligible patients underwent 195 CT scans identifying the cause of OHCA in 6 (4%). CT head diagnosed one ischaemic and three haemorrhagic strokes, and CT pulmonary angiogram diagnosed one acute coronary syndrome and one pulmonary embolism. CT head (134), CT pulmonary angiogram (25) and CT cervical spine (16) were the commonest scans. 68 of 195 (35%) CT scans showed important pathology, mostly secondary to OHCA. CT imaging was safe with no cases of contrast nephropathy, allergic reaction, or other complications. The diagnostic value of CT imaging in this patient population was limited. However, imaging was a valuable method of identifying other important secondary pathology.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42056525","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}
A 38-year-old man presented to our emergency room with severe pain and inability to mobilize his right shoulder joint after a violent blunt trauma during his work. The humeral head was palpable anteriorly, with the loss of normal contour of the deltoid and acromion prominent posteriorly and laterally, as it occurs in the anterior shoulder dislocation. The shoulder was easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl and 0.5 mg/Kg intravenous midazolam sedation in the emergency room. After the procedure, he complained of pain at the right humeral head, so we performed an X-Ray.
{"title":"What lies behind the pain after shoulder dislocation?","authors":"Erika Poggiali, Elisa V. Biancalana","doi":"10.4081/ecj.2022.10691","DOIUrl":"https://doi.org/10.4081/ecj.2022.10691","url":null,"abstract":"A 38-year-old man presented to our emergency room with severe pain and inability to mobilize his right shoulder joint after a violent blunt trauma during his work. The humeral head was palpable anteriorly, with the loss of normal contour of the deltoid and acromion prominent posteriorly and laterally, as it occurs in the anterior shoulder dislocation. The shoulder was easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl and 0.5 mg/Kg intravenous midazolam sedation in the emergency room. After the procedure, he complained of pain at the right humeral head, so we performed an X-Ray.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42841108","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}
Valentina Poli, S. Spinelli, Manuela Toscano, F. Vitale, Alessandro Ranalli, M. Tonerini, C. Romei, A. De Liperi, G. Barbieri
The gold standard for SARS-CoV-2 pneumonia diagnosis is chest Computed Tomography (CT), but Lung Ultrasound (LUS) is also useful in differential diagnosis and in-hospital monitoring of patients with infection by new Coronavirus 2019 disease (COVID- 19). We present a case of a young man who was infected with SARS-CoV-2 pneumoniae and underwent five steps of chest imaging, including LUS aeration scorings and chest CT scans. Each decrease or increase in LUS scoring could accurately predict CT scan changes.
{"title":"A direct comparison between five lung-US and chest-CT-scans in a patient infected by SARS-CoV-2","authors":"Valentina Poli, S. Spinelli, Manuela Toscano, F. Vitale, Alessandro Ranalli, M. Tonerini, C. Romei, A. De Liperi, G. Barbieri","doi":"10.4081/ecj.2022.10492","DOIUrl":"https://doi.org/10.4081/ecj.2022.10492","url":null,"abstract":"The gold standard for SARS-CoV-2 pneumonia diagnosis is chest Computed Tomography (CT), but Lung Ultrasound (LUS) is also useful in differential diagnosis and in-hospital monitoring of patients with infection by new Coronavirus 2019 disease (COVID- 19). We present a case of a young man who was infected with SARS-CoV-2 pneumoniae and underwent five steps of chest imaging, including LUS aeration scorings and chest CT scans. Each decrease or increase in LUS scoring could accurately predict CT scan changes.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47067517","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}
F. Vallelonga, Francesco A Diella, M. Converso, G. de Filippi, F. Bosco, F. Panero, Franco Aprà, F. Elia
The goal was to characterize COVID-19 patients who needed treatment in Sub-Intensive Care Units (SICUs) for hypoxemic respiratory failure, describe their six-month mortality, and identify clinical and laboratory characteristics that were associated with death. Data from 216 consecutive patients admitted to the COVIDSICU of Turin’s San Giovanni Bosco Hospital were analyzed retrospectively. A total of 216 patients (24.5% of whom were female) were enrolled. The average age was 63±11.9 years. In the three waves, the six-month mortality rate was 32.8%, 35.1%, and 26.6%, respectively (p=0.52). The mortality rate was significantly higher in intubated patients compared to those not requiring intubation (60.8% versus 29.9%, p<0.01). On admission, deceased patients were older (69±7.7 versus 60.2±12.6 y.o., p<0.01), with a higher prevalence of dyslipidemia, coronary artery disease, chronic heart failure, and higher serum creatinine. However, only age was predictive of death at multivariate analysis (OR 5.29, p<0.01), with 63 years old as the best cut-point. At six months, mortality in COVID patients managed in a SICU is around 30%. Age is a significant negative prognostic factor, with 63 years of age being the best predicting cut-off.
{"title":"COVID-19 in sub-intensive care unit: An italian single-center experience along the three epidemic waves","authors":"F. Vallelonga, Francesco A Diella, M. Converso, G. de Filippi, F. Bosco, F. Panero, Franco Aprà, F. Elia","doi":"10.4081/ecj.2022.10648","DOIUrl":"https://doi.org/10.4081/ecj.2022.10648","url":null,"abstract":"The goal was to characterize COVID-19 patients who needed treatment in Sub-Intensive Care Units (SICUs) for hypoxemic respiratory failure, describe their six-month mortality, and identify clinical and laboratory characteristics that were associated with death. Data from 216 consecutive patients admitted to the COVIDSICU of Turin’s San Giovanni Bosco Hospital were analyzed retrospectively. A total of 216 patients (24.5% of whom were female) were enrolled. The average age was 63±11.9 years. In the three waves, the six-month mortality rate was 32.8%, 35.1%, and 26.6%, respectively (p=0.52). The mortality rate was significantly higher in intubated patients compared to those not requiring intubation (60.8% versus 29.9%, p<0.01). On admission, deceased patients were older (69±7.7 versus 60.2±12.6 y.o., p<0.01), with a higher prevalence of dyslipidemia, coronary artery disease, chronic heart failure, and higher serum creatinine. However, only age was predictive of death at multivariate analysis (OR 5.29, p<0.01), with 63 years old as the best cut-point. At six months, mortality in COVID patients managed in a SICU is around 30%. Age is a significant negative prognostic factor, with 63 years of age being the best predicting cut-off.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48278089","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}
In this issue of Emergency Care Journal we publish a letter from some young colleagues from CoSMEU (the Italian association of Emergency Medicine, EM).1 They express great concern on the several aspects the EM situation in Italy.2 The first issue is the collapse of the Emergency Departments (ED)2,3 caused by crowding/boarding combined with low available resources, particularly regarding EM physicians. The logical consequence is that EM is no longer attractive neither for “older” (indeed, not so much) physicians who are leaving their careers in great number, or “younger” doctors who are not attracted by the EM specialization,4 despite growing available access (up to 1000 training positions) in the recent years. [...]
{"title":"Emergency medicine residents: Don’t give up!","authors":"L. Ghiadoni","doi":"10.4081/ecj.2022.10891","DOIUrl":"https://doi.org/10.4081/ecj.2022.10891","url":null,"abstract":"In this issue of Emergency Care Journal we publish a letter from some young colleagues from CoSMEU (the Italian association of Emergency Medicine, EM).1 \u0000They express great concern on the several aspects the EM situation in Italy.2 The first issue is the collapse of the Emergency Departments (ED)2,3 caused by crowding/boarding combined with low available resources, particularly regarding EM physicians. The logical consequence is that EM is no longer attractive neither for “older” (indeed, not so much) physicians who are leaving their careers in great number, or “younger” doctors who are not attracted by the EM specialization,4 despite growing available access (up to 1000 training positions) in the recent years. [...]","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48430133","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}
A. Breglia, Marco Stefano Ruggeri, Pietro Pettenella, R. Ippolito, Claudio Fossa, M. Zanatta
The novel coronavirus disease 2019 (COVID-19) outbreak affected the epidemiology and the outcomes of Out-Of Hospital Cardiac Arrest (OHCA). We performed a retrospective observational study in the Western district of Vicenza (Veneto, Italy) to evaluate patients affected by non-traumatic OHCA and we analyzed epidemiological and clinical characteristics associated with sustained Return Of Spontaneous Circulation (ROSC). We collected 114 cases from January 2019 to May 2021 and we compared data of the pre-pandemic period (2019) with the pandemic one (2020-2021). During the pandemic we found an increase of bystander CPR, of OHCA with a cardiac cause and of shockable presenting rhythms. All these observations weren’t associated with an increase of sustained ROSC, which could be determined by both the reorganization of the health care system with the reduction of medical screenings and by the interruption of training courses reducing the efficacy of cardiopulmonary resuscitation. On the other hand, the higher percentage of presenting shockable rhythm reinforces the importance of bystander rule and of short time to start CPR.
{"title":"Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy","authors":"A. Breglia, Marco Stefano Ruggeri, Pietro Pettenella, R. Ippolito, Claudio Fossa, M. Zanatta","doi":"10.4081/ecj.2022.10436","DOIUrl":"https://doi.org/10.4081/ecj.2022.10436","url":null,"abstract":"The novel coronavirus disease 2019 (COVID-19) outbreak affected the epidemiology and the outcomes of Out-Of Hospital Cardiac Arrest (OHCA). We performed a retrospective observational study in the Western district of Vicenza (Veneto, Italy) to evaluate patients affected by non-traumatic OHCA and we analyzed epidemiological and clinical characteristics associated with sustained Return Of Spontaneous Circulation (ROSC). We collected 114 cases from January 2019 to May 2021 and we compared data of the pre-pandemic period (2019) with the pandemic one (2020-2021). During the pandemic we found an increase of bystander CPR, of OHCA with a cardiac cause and of shockable presenting rhythms. All these observations weren’t associated with an increase of sustained ROSC, which could be determined by both the reorganization of the health care system with the reduction of medical screenings and by the interruption of training courses reducing the efficacy of cardiopulmonary resuscitation. On the other hand, the higher percentage of presenting shockable rhythm reinforces the importance of bystander rule and of short time to start CPR.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45024369","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}
A 23-year-old man presented to our emergency department with a new onset of low-grade fever associated with diffuse itching urticarial rash localized to his trunk and upper limbs. He denied respiratory and gastrointestinal symptoms. Peripheral oxygen saturation was 98% at room ambient. His past medical history was unremarkable, and he was not taking any medications. No history of allergies was reported. He denied traveling abroad, contact with animals, ingesting raw meat or fish, or taking medicine. Laboratory results showed leukopenia with lymphocytopenia and normal C-reactive protein value. Eosinophils were normal. Hepatic and renal tests were all within the normal range. He was vaccinated with 3 doses of Comirnaty vaccine with no adverse reactions. Lung ultrasound showed A pattern without pleural effusion. The patient was discharged with oral steroids (prednisone 25 mg for three days with a progressive reduction in 10 days) and oral antihistamine (bilastine 10 mg daily for 10 days), and acetaminophen 1 gr if fever above 37.5°C, with complete resolution of the rash without sequelae in 10 days.
{"title":"Fever and acute urticaria in a young male patient","authors":"G. Borio, F. Farolfi","doi":"10.4081/ecj.2022.10742","DOIUrl":"https://doi.org/10.4081/ecj.2022.10742","url":null,"abstract":"A 23-year-old man presented to our emergency department with a new onset of low-grade fever associated with diffuse itching urticarial rash localized to his trunk and upper limbs. He denied respiratory and gastrointestinal symptoms. Peripheral oxygen saturation was 98% at room ambient. His past medical history was unremarkable, and he was not taking any medications. No history of allergies was reported. He denied traveling abroad, contact with animals, ingesting raw meat or fish, or taking medicine. Laboratory results showed leukopenia with lymphocytopenia and normal C-reactive protein value. Eosinophils were normal. Hepatic and renal tests were all within the normal range. He was vaccinated with 3 doses of Comirnaty vaccine with no adverse reactions. Lung ultrasound showed A pattern without pleural effusion. The patient was discharged with oral steroids (prednisone 25 mg for three days with a progressive reduction in 10 days) and oral antihistamine (bilastine 10 mg daily for 10 days), and acetaminophen 1 gr if fever above 37.5°C, with complete resolution of the rash without sequelae in 10 days.","PeriodicalId":51984,"journal":{"name":"Emergency Care Journal","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42539182","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：