Kacper Dziedzic, M. Pruc, Mazlum Kilic, Rohat Ah, Murat Yildirim, Lukasz Szarpak, K. Safiejko, R. Khamisy-Farah, Francesco Chirico, Nicola Luigi Bragazzi
{"title":"Sex- and gender-specific differences in the inflammatory response to COVID-19: the role of the neutrophil-to-lymphocyte ratio","authors":"Kacper Dziedzic, M. Pruc, Mazlum Kilic, Rohat Ah, Murat Yildirim, Lukasz Szarpak, K. Safiejko, R. Khamisy-Farah, Francesco Chirico, Nicola Luigi Bragazzi","doi":"10.5603/demj.98191","DOIUrl":"https://doi.org/10.5603/demj.98191","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137410","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}
Weronika Szkudlarek, Magdalena Węglewska, T. Kłosiewicz, Magdalena Telec, Karol Bielski, Patryk Konieczka, M. Puślecki
{"title":"How has the COVID-19 pandemic affected patients with stroke? An emergency department perspective","authors":"Weronika Szkudlarek, Magdalena Węglewska, T. Kłosiewicz, Magdalena Telec, Karol Bielski, Patryk Konieczka, M. Puślecki","doi":"10.5603/demj.97116","DOIUrl":"https://doi.org/10.5603/demj.97116","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138135","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}
Miroslaw Dabkowski, M. Pruc, Francesco Chirico, Nicola Luigi Bragazzi, Lukasz Szarpak
{"title":"Exploring the power of prehospital dual sequential defibrillation in overcoming refractory cardiac arrest","authors":"Miroslaw Dabkowski, M. Pruc, Francesco Chirico, Nicola Luigi Bragazzi, Lukasz Szarpak","doi":"10.5603/demj.a2023.0027","DOIUrl":"https://doi.org/10.5603/demj.a2023.0027","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139956","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}
Adil E Gezer, Veysi Siber, Merve Yazla, Emine Sarcan, Tahir Şahin, Krzysztof Kurek, M. Pruc, Jacek Smereka, Burak Katipoğlu
{"title":"Compliance of the Turkish cardiopulmonary resuscitation videos on YouTube with the 2020 AHA Resuscitation Guidelines: cross-sectional analytical study","authors":"Adil E Gezer, Veysi Siber, Merve Yazla, Emine Sarcan, Tahir Şahin, Krzysztof Kurek, M. Pruc, Jacek Smereka, Burak Katipoğlu","doi":"10.5603/demj.97460","DOIUrl":"https://doi.org/10.5603/demj.97460","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137334","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}
Katarzyna Kiezun, S. Blek, Zofia Zadorozna, Olga Sitek, Janusz Patera
{"title":"The association between zinc levels and COVID-19 severity","authors":"Katarzyna Kiezun, S. Blek, Zofia Zadorozna, Olga Sitek, Janusz Patera","doi":"10.5603/demj.a2023.0030","DOIUrl":"https://doi.org/10.5603/demj.a2023.0030","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139895","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}
Farnoosh Hajihosseini, N. Jafari Varjoshani, M. Dinmohammadi
INTRODUCTION: Early diagnosis, control and management of hypothermia are decisive in the outcome of burns. Various factors play a role in creating or aggravating accidental hypothermia in these patients. This study was conducted with the aim of determining accidental hypothermia prevalence and related factors among burned patients referred to Shahid Motahhari Hospital in Tehran, Iran in 2021. MATERIAL AND METHODS: In this prospective observational study, 151 burn patients who were transferred to the emergency department by EMS were selected through available sampling from February 2021 to August 2021. Data was collected and recorded in three areas (pre-hospital, emergency ward, and burn center) through observation and interview of patients and their relations and review of records from admission to discharge. The ambient temperature and core body temperature (CBT) of the patients was measured by a calibrated tympanic thermometer at the time of arrival. Individual, clinical, environmental, and care variables were investigated as factors related to hypothermia. The research data were analyzed using descriptive and inferential statistics such as Pearson correlation, chi-score, and multiple linear regression by SPSS software version 22. A significance level of less than 0.05 was considered. RESULTS: Forty-seven percent of patients had a CBT of less than 36 degrees Celsius at arrival. Through multiple linear regression, 15 independent variables were entered with the backward model. Only the kind of airway management ( β = –0.296, p < 0.001), and volume of fluids received ( β = 0.144, p = 0.082) were as predicting factors for accidental hypothermia in burn patients. CONCLUSIONS: About half of the patients were hypothermic at the time of admission. Optimizing care in pre-hospital and burn departments and empowering the healthcare team in the assessment of burn patients, and early detection, prevention, and proper management of accidental hypothermia are highly expected.
{"title":"Accidental hypothermia and related factors among burned patients","authors":"Farnoosh Hajihosseini, N. Jafari Varjoshani, M. Dinmohammadi","doi":"10.5603/demj.a2023.0020","DOIUrl":"https://doi.org/10.5603/demj.a2023.0020","url":null,"abstract":"INTRODUCTION: Early diagnosis, control and management of hypothermia are decisive in the outcome of burns. Various factors play a role in creating or aggravating accidental hypothermia in these patients. This study was conducted with the aim of determining accidental hypothermia prevalence and related factors among burned patients referred to Shahid Motahhari Hospital in Tehran, Iran in 2021. MATERIAL AND METHODS: In this prospective observational study, 151 burn patients who were transferred to the emergency department by EMS were selected through available sampling from February 2021 to August 2021. Data was collected and recorded in three areas (pre-hospital, emergency ward, and burn center) through observation and interview of patients and their relations and review of records from admission to discharge. The ambient temperature and core body temperature (CBT) of the patients was measured by a calibrated tympanic thermometer at the time of arrival. Individual, clinical, environmental, and care variables were investigated as factors related to hypothermia. The research data were analyzed using descriptive and inferential statistics such as Pearson correlation, chi-score, and multiple linear regression by SPSS software version 22. A significance level of less than 0.05 was considered. RESULTS: Forty-seven percent of patients had a CBT of less than 36 degrees Celsius at arrival. Through multiple linear regression, 15 independent variables were entered with the backward model. Only the kind of airway management ( β = –0.296, p < 0.001), and volume of fluids received ( β = 0.144, p = 0.082) were as predicting factors for accidental hypothermia in burn patients. CONCLUSIONS: About half of the patients were hypothermic at the time of admission. Optimizing care in pre-hospital and burn departments and empowering the healthcare team in the assessment of burn patients, and early detection, prevention, and proper management of accidental hypothermia are highly expected.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41318585","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. Matuszewski, Zofia Zadorozna, Svitlana Doan, L. Chabowski
ADDRESS FOR CORRESPONDENCE: Lukasz Chabowski, Department of Public Health, Odessa International Medical University, Valikhovs’kyi Ln, 2, 65000 Odesa, Ukraine e-mail: lukaszchabowski@ommu.edu.ua Received: 16.04.2023 Accepted: 17.04.2023 Early publication date: 9.05.2023 This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. VIDEOLARYNGOSCOPY: THE RELEVANCE IN PATIENTS WITH COVID-19
通讯地址:Lukasz Chabowski，敖德萨国际医科大学公共卫生系，Valikhovs 'kyi Ln, 2,65000敖德萨，乌克兰e-mail: lukaszchabowski@ommu.edu.ua收稿日期:16.04.2023收稿日期:17.04.20239.05.2023本文在Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0)许可下开放获取，允许下载文章并与他人分享，只要他们注明作者和出版商，但不得以任何方式更改或用于商业用途。视频喉镜检查:与COVID-19患者的相关性
{"title":"Videolaryngoscopy: the relevance in patients with COVID-19","authors":"M. Matuszewski, Zofia Zadorozna, Svitlana Doan, L. Chabowski","doi":"10.5603/demj.a2023.0019","DOIUrl":"https://doi.org/10.5603/demj.a2023.0019","url":null,"abstract":"ADDRESS FOR CORRESPONDENCE: Lukasz Chabowski, Department of Public Health, Odessa International Medical University, Valikhovs’kyi Ln, 2, 65000 Odesa, Ukraine e-mail: lukaszchabowski@ommu.edu.ua Received: 16.04.2023 Accepted: 17.04.2023 Early publication date: 9.05.2023 This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. VIDEOLARYNGOSCOPY: THE RELEVANCE IN PATIENTS WITH COVID-19","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42388634","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}
P. Buczkowski, M. Puślecki, Michał Rodzki, M. Dąbrowski, S. Stefaniak, J. Kulesza, R. Juszkat, B. Perek, M. Jemielity
INTRODUCTION: Implementation of emergency endovascular aortic repair provides an opportunity to treat complicated acute aortic syndromes involving descending aorta. CASE REPORT: A 40-year-old man with a history of aortic coarctation surgical repair as a child and an anastomosis aneurysm repair with a double endovascular stent graft implantation with hemi-arch transposition was urgently admitted with intensifying shortness of breath and hoarseness. A computed tomography study confirmed a blood leak into an aneurysm sac in proximal landing zones of implanted stent grafts (Type I endoleak). Therefore, he qualified for hybrid surgery. First, the ascending aorta brachiocephalic trunk was anastomosed with a 12 mm vascular prosthesis from an upper mini-sternotomy. In the next step, normother - mic extracorporeal circulation was necessary to prevent cerebral circulation. Finally, a GORE stent graft (Gore Medical, Flagstaff, AZ, USA) was implanted with a proximal landing zone directly behind the anastomosis site of the vascular prosthesis and ascending aorta. The hospital course was uncomplicated, and the patient was discharged home 5 days after the procedure. CONCLUSIONS: Complicated aortic pathologies requiring emergent interventions can be treated by a hybrid approach utilizing multistep surgical and endovascular techniques achieving optimal results.
急诊血管内主动脉修复术的实施为治疗累及降主动脉的复杂急性主动脉综合征提供了机会。病例报告:一名40岁男性，儿童时期主动脉缩窄手术修复史，吻合动脉瘤修复合并双血管内支架植入半弓转位，因呼吸急促和声音嘶哑加剧而紧急入院。一项计算机断层扫描研究证实，在植入的支架着陆点近端动脉瘤囊内有血液泄漏(I型内漏)。因此，他有资格进行混合手术。首先，将上升主动脉头臂干与上部小胸骨切开术的12毫米血管假体吻合。在下一步，正常体外循环是必要的，以防止脑循环。最后，植入GORE支架(GORE Medical, Flagstaff, AZ, USA)，其近端着落区直接位于血管假体和升主动脉吻合部位的后面。住院过程并不复杂，患者在手术后5天出院。结论:需要紧急干预的复杂主动脉病变可以通过多步骤手术和血管内技术的混合方法治疗，获得最佳效果。
{"title":"Re-hybrid thoracic stent graft implantation with total aortic arch debranching in urgent procedure: case report","authors":"P. Buczkowski, M. Puślecki, Michał Rodzki, M. Dąbrowski, S. Stefaniak, J. Kulesza, R. Juszkat, B. Perek, M. Jemielity","doi":"10.5603/demj.a2023.0018","DOIUrl":"https://doi.org/10.5603/demj.a2023.0018","url":null,"abstract":"INTRODUCTION: Implementation of emergency endovascular aortic repair provides an opportunity to treat complicated acute aortic syndromes involving descending aorta. CASE REPORT: A 40-year-old man with a history of aortic coarctation surgical repair as a child and an anastomosis aneurysm repair with a double endovascular stent graft implantation with hemi-arch transposition was urgently admitted with intensifying shortness of breath and hoarseness. A computed tomography study confirmed a blood leak into an aneurysm sac in proximal landing zones of implanted stent grafts (Type I endoleak). Therefore, he qualified for hybrid surgery. First, the ascending aorta brachiocephalic trunk was anastomosed with a 12 mm vascular prosthesis from an upper mini-sternotomy. In the next step, normother - mic extracorporeal circulation was necessary to prevent cerebral circulation. Finally, a GORE stent graft (Gore Medical, Flagstaff, AZ, USA) was implanted with a proximal landing zone directly behind the anastomosis site of the vascular prosthesis and ascending aorta. The hospital course was uncomplicated, and the patient was discharged home 5 days after the procedure. CONCLUSIONS: Complicated aortic pathologies requiring emergent interventions can be treated by a hybrid approach utilizing multistep surgical and endovascular techniques achieving optimal results.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45261076","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. Karim, Maral Eidizadeh, Maryam Kazemi, Sanaz Rustaee, A. Dehghan, M. Bijani
INTRODUCTION: The COVID-19 pandemic, as the most important health challenge in the world today, has made numerous irretrievable damages to the social, economic
简介：新冠肺炎大流行作为当今世界最重要的健康挑战，对社会和经济造成了许多无法弥补的损害
{"title":"Risk factors related to COVID-19 survival and mortality: a cross-sectional-descriptive study in regional COVID-19 registry in Fasa, Iran","authors":"S. Karim, Maral Eidizadeh, Maryam Kazemi, Sanaz Rustaee, A. Dehghan, M. Bijani","doi":"10.5603/demj.a2023.0017","DOIUrl":"https://doi.org/10.5603/demj.a2023.0017","url":null,"abstract":"INTRODUCTION: The COVID-19 pandemic, as the most important health challenge in the world today, has made numerous irretrievable damages to the social, economic","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46233674","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}
INTRODUCTION: This study aims to compare conventional radiography (X-ray) and computed tomography (CT) on diagnosis, operation plan, and hospitalization of patients with isolated extremity trauma admitted to the emergency department (ED). MATERIAL AND METHODS: This study was designed retrospectively. Patients with trauma involving extremities presenting to a tertiary ED between January 2019 and 2020 for twelve months who underwent both extremity CT and X-ray imaging were included in the study. The sensitivity, specificity, PPV, NPV, and Kappa coefficients were calculated on the CT reports. RESULTS: A total of 1306 patients were included in the study. Extremity fractures were detected in 620 (47.6%) and 775 (59.3%) patients evaluated with X-ray, and CT scans respectively. The diagnostic accuracy of the X-ray of all extremity fractures by anatomical region was evaluated. For the shoulder region compared with CT, X-ray had a sensitivity of 95%, specificity of 98%, PPV 98%, and NPV 96% [AUC: 0.969, 95% CI 0.935 to 1.000) in
{"title":"Comparison of conventional radiography and computed tomography in patients admitted to the emergency department with extremity trauma — a retrospective study","authors":"Burak Üstün, M. Korkut, S. Söyüncü","doi":"10.5603/demj.a2023.0016","DOIUrl":"https://doi.org/10.5603/demj.a2023.0016","url":null,"abstract":"INTRODUCTION: This study aims to compare conventional radiography (X-ray) and computed tomography (CT) on diagnosis, operation plan, and hospitalization of patients with isolated extremity trauma admitted to the emergency department (ED). MATERIAL AND METHODS: This study was designed retrospectively. Patients with trauma involving extremities presenting to a tertiary ED between January 2019 and 2020 for twelve months who underwent both extremity CT and X-ray imaging were included in the study. The sensitivity, specificity, PPV, NPV, and Kappa coefficients were calculated on the CT reports. RESULTS: A total of 1306 patients were included in the study. Extremity fractures were detected in 620 (47.6%) and 775 (59.3%) patients evaluated with X-ray, and CT scans respectively. The diagnostic accuracy of the X-ray of all extremity fractures by anatomical region was evaluated. For the shoulder region compared with CT, X-ray had a sensitivity of 95%, specificity of 98%, PPV 98%, and NPV 96% [AUC: 0.969, 95% CI 0.935 to 1.000) in","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44852043","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：