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Annals of emergency medicine最新文献

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Commentary 评论。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.10.007
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引用次数: 0
Patients’ Preferred Data in the Emergency Department 急诊科患者首选数据
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.08.006
Jose Reyes MD, Lum Rizvanolli BS, Dhara P. Amin MD
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引用次数: 0
Pericapsular Nerve Group Versus Fascia Iliaca Compartment Block: Concerns About Integrity of Results From a Network Meta–Analysis 囊包神经组与髂筋膜间室阻滞:对网络荟萃分析结果完整性的关注。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.07.028
Santi Di Pietro MD, PhD, Clarissa Elisabeth Centurioni MD, Stefano Perlini MD, PhD, Regional Anesthesia in Emergency Medicine Research Group (RAEM)
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引用次数: 0
Heat Stroke Management Updates: A Description of the Development of a Novel In-Emergency Department Cold-Water Immersion Protocol and Guide for Implementation 中暑管理更新:关于制定新的急诊科冷水浸泡方案和实施指南的说明。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.07.013
Geoffrey Comp DO , Paul Pugsley MD , David Sklar MD , Murtaza Akhter MD , Megan McElhinny MD , Ethan Erickson MD , Bryan Feinstein MD , Molly Enenbach DO , Lindsay Williams DO , Jacquelyn Pearlmutter DO , Jeffrey R. Stowell MD
The growing prevalence of heat stroke as a public health issue, exacerbated by climate change and increasing global temperatures, demands an immediate and strategic response to prevent weather-related morbidity and mortality. Heat stroke results from the body’s inability to cope with excessive heat, leading to systemic inflammatory responses, cellular apoptosis, and potential multiorgan dysfunction or failure. However, little information explicitly outlines how to perform cold-water immersion in the emergency department (ED), including potential patient selection, how much water or ice to use, target temperatures, when to stop, and complications or challenges with the process. This narrative explores implementing a comprehensive protocol for total-body cold-water immersion developed in an ED setting, a method proven effective in rapidly reducing core body temperatures, with the goal of reducing mortality and morbidity rates associated with heat-related illnesses. The protocol involves immediate temperature assessment, followed by cold-water immersion for patients with altered mental status and core temperatures above 40 °C. Discussion about the development of the process and results from applying the protocol during the summer of 2023, including cooling rates and patient outcomes, is also included. Additionally, the article addresses challenges and lessons learned during the protocol’s implementation, emphasizing the importance of multidisciplinary collaboration, staff education, and the adaptation of ED infrastructure to support this lifesaving treatment based on its use during the last 3 years. The successful resolution of the presented cases, along with the protocol’s potential for widespread adoption, illustrates the critical role of cold-water immersion in enhancing ED responses to heat stroke, offering a blueprint for future research and the development of similar protocols across health care settings. This work contributes to the evolving landscape of emergency medicine and aligns with the global effort to combat the adverse health effects of climate change.
中暑是一个日益普遍的公共卫生问题,气候变化和全球气温升高加剧了这一问题,因此需要立即采取战略性应对措施,预防与天气有关的发病率和死亡率。中暑是由于机体无法应对过高的热量,导致全身炎症反应、细胞凋亡以及潜在的多器官功能障碍或衰竭。然而,很少有信息明确概述如何在急诊科(ED)进行冷水浸泡,包括可能的患者选择、使用多少水或冰块、目标温度、何时停止以及过程中的并发症或挑战。这种方法被证明能有效快速降低核心体温,从而降低与热相关疾病相关的死亡率和发病率。该方案包括立即进行体温评估,然后对精神状态改变且核心体温超过 40 °C 的患者进行冷水浸泡。文章还讨论了这一过程的发展以及在 2023 年夏季应用该方案的结果,包括降温率和患者疗效。此外,文章还讨论了协议实施过程中遇到的挑战和汲取的经验教训,强调了多学科合作、员工教育和调整急诊室基础设施的重要性,以便根据过去 3 年的使用情况支持这一救命疗法。所介绍病例的成功解决,以及该方案被广泛采用的潜力,说明了冷水浸泡在加强急诊室应对中暑方面的关键作用,为未来的研究和在各种医疗机构开发类似方案提供了蓝图。这项工作为不断发展的急诊医学做出了贡献,并与全球应对气候变化对健康的不利影响的努力相一致。
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引用次数: 0
Sugammadex Should Be Used to Reverse Rocuronium in Emergency Department Patients With Neurologic Injuries 神经系统损伤的急诊科患者应使用苏加麦角来逆转罗库溴铵。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.04.015
Megan A. Rech PharmD, MS, Michael Gottlieb MD
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引用次数: 0
A Man With Chest Tightness and Worsening Dyspnea 男性胸闷,呼吸困难加重。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.07.006
Yi-Fan Mai MD , Ming-Jen Lu MD
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引用次数: 0
Let a Million Monkeys With Typewriters Do Your Quality Measure Reporting 让一百万只猴子用打字机来衡量你的质量报告:2025年1月急诊医学杂志俱乐部年报。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.11.009
Ryan P. Radecki MD, MS (Guest Contributor)
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引用次数: 0
Information for Readers 读者资讯
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/S0196-0644(24)01228-9
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引用次数: 0
Pigtail Catheters Are Effective and Provide Added Benefits in Traumatic Hemothorax Management 辫子导管在创伤性血气胸治疗中效果显著,并能带来更多益处。
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.06.021
Oluwafemi P. Owodunni MD, MPH, Sarah A. Moore MD, Allyson M. Hynes MD
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引用次数: 0
Global Research Highlights 全球研究亮点
IF 5 1区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.annemergmed.2024.11.005
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引用次数: 0
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Annals of emergency medicine
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