Pub Date : 2024-04-04DOI: 10.29011/2475-5605.110131
{"title":"Unveiling the Uncommon: Angina as a Rare Symptom in Cardiac Myxomas Cardiac Myxoma and Angina","authors":"","doi":"10.29011/2475-5605.110131","DOIUrl":"https://doi.org/10.29011/2475-5605.110131","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140742321","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 : 2024-02-14DOI: 10.29011/2475-5605.110128
{"title":"When Time is of the Essence: Comparison of the Resuscitation Time Frame Recommended by the Advanced Life Support Guidelines and Daily Practice","authors":"","doi":"10.29011/2475-5605.110128","DOIUrl":"https://doi.org/10.29011/2475-5605.110128","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1144 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456714","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 : 2024-01-30DOI: 10.29011/2475-5605.110126
{"title":"Idiopathic Spinal Cord Infarction Occurring in a Young Adult","authors":"","doi":"10.29011/2475-5605.110126","DOIUrl":"https://doi.org/10.29011/2475-5605.110126","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"45 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480591","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}
Association between Disparity by Gini Coefficient for the Population
人口基尼系数差异之间的联系
{"title":"Association between Disparity by Gini Coefficient for the Population Covered by Emergency Medical Service Rapid Response and Neurological Outcomes in Patients with Out-of-Hospital Cardiac Arrest in Japan","authors":"Kenji Narikawa, Kensuke Suzuki, Kenji Fujimoto, Satoshi Harada, M. Nakazawa, Shinnosuke Kitano, Ryotaro Suga, Satoo Ogawa","doi":"10.29011/2475-5605.010123","DOIUrl":"https://doi.org/10.29011/2475-5605.010123","url":null,"abstract":"Association between Disparity by Gini Coefficient for the Population","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47307957","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 : 2022-04-11DOI: 10.29011/2475-5605.010120
{"title":"Managing Conventional Mass Casualty Incident during the COVID-19 Pandemic: Lessons Learned and Suggestions","authors":"","doi":"10.29011/2475-5605.010120","DOIUrl":"https://doi.org/10.29011/2475-5605.010120","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45570772","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 : 2022-03-11DOI: 10.29011/2475-5605.010119
{"title":"Subdural Empyema Due to Poor Dentition","authors":"","doi":"10.29011/2475-5605.010119","DOIUrl":"https://doi.org/10.29011/2475-5605.010119","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42504457","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 : 2022-03-03DOI: 10.29011/24755605.010118
G. Sivrikaya, Sibel Kizilkar, Canan Oner, Ferhat Saribek, M. Gulsen, Emre Sukayar
Background: Effective management of emergency critical situations in pre-hospital setting by healthcare providers working in 112 Ambulance Service as first responders has a vital importance, since it is directly associated with mortality and morbidity rates’ of these patients. The aim of this study was to evaluate Emergency Medical Technicians (EMTs)’s knowledge and cardiopulmonary resuscitation skills retention one year following of ACLS course and the factors can have an effect on retention. Methods: The course included lecture, skill training, team-based practice with 6 simulated arrest scenarios. First Evaluation (FE) was performed during course. After one year (retention evaluation) all participants performed the same scenarios (Second evaluation-SE). Resuscitation skills were assessed with a checklist. Participants knowledge was evaluated with Multiple Choice Questionnaire before (MCQ1), at the end of the course (MCQ2) and during retention evaluation (MCQ3). Results: 42 EMTs participated in this study. SE score was significantly higher in 32% EMTs, was similar or higher (not significant)in 25% EMTs than FE score. Correct answer percentage was 49.3% MCQ1, 82.8% MCQ2 and 69.4% MCQ3. Seventy three percent of the participants with higher SE score were experienced 2-5 years (versus experienced< 2 years) and 68% of them having an average number of 150 arrest patients in a year (versus<150 arrest patient/year). Conclusion: The results of this study showed that; knowledge and cardiopulmonary resuscitation skills improved after ACLS course including simulated scenarios. Nonetheless in a long term period (1 year) a significant decline in retention was observed in both knowledge and skills. Being more experienced than 2 years and having more than 150 arrest patients in a year seem to have a positive effect on this long-term retention.
{"title":"Emergency Medical Technicians' Long Term Retention Following Cardiopulmonary Resuscitation Training: A Follow Up Study","authors":"G. Sivrikaya, Sibel Kizilkar, Canan Oner, Ferhat Saribek, M. Gulsen, Emre Sukayar","doi":"10.29011/24755605.010118","DOIUrl":"https://doi.org/10.29011/24755605.010118","url":null,"abstract":"Background: Effective management of emergency critical situations in pre-hospital setting by healthcare providers working in 112 Ambulance Service as first responders has a vital importance, since it is directly associated with mortality and morbidity rates’ of these patients. The aim of this study was to evaluate Emergency Medical Technicians (EMTs)’s knowledge and cardiopulmonary resuscitation skills retention one year following of ACLS course and the factors can have an effect on retention. Methods: The course included lecture, skill training, team-based practice with 6 simulated arrest scenarios. First Evaluation (FE) was performed during course. After one year (retention evaluation) all participants performed the same scenarios (Second evaluation-SE). Resuscitation skills were assessed with a checklist. Participants knowledge was evaluated with Multiple Choice Questionnaire before (MCQ1), at the end of the course (MCQ2) and during retention evaluation (MCQ3). Results: 42 EMTs participated in this study. SE score was significantly higher in 32% EMTs, was similar or higher (not significant)in 25% EMTs than FE score. Correct answer percentage was 49.3% MCQ1, 82.8% MCQ2 and 69.4% MCQ3. Seventy three percent of the participants with higher SE score were experienced 2-5 years (versus experienced< 2 years) and 68% of them having an average number of 150 arrest patients in a year (versus<150 arrest patient/year). Conclusion: The results of this study showed that; knowledge and cardiopulmonary resuscitation skills improved after ACLS course including simulated scenarios. Nonetheless in a long term period (1 year) a significant decline in retention was observed in both knowledge and skills. Being more experienced than 2 years and having more than 150 arrest patients in a year seem to have a positive effect on this long-term retention.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49352034","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 : 2021-12-24DOI: 10.29011/2475-5605.010116
Rajadurai, Meenakshisundaram, Joshua, Vijay, Joseph, Prathap, Pancheti, D. Sampath, SM Nayyara Banu, Kaviarasu, Ravichandran
Objective: To compare the efficacy of two manual grips for holding Endotracheal (ET) tube during confirmation, fixation and patient movement. Methods: We conducted a prospective observational study of adult patients undergoing endotracheal intubation and intubated patients undergoing shifting in the Emergency Department (ED) of a tertiary level hospital. This was done over a period of 14 months from August 2020 to September 2021. The method of holding the ET tube manually using Cigarette grip (holding with index and middle finger) vs Beedi grip (holding with thumb and index finger) prior to fixation and during patient movement was the variable taken into account and displacement of the ET tube if any was noted as outcome. Results: During the study period, a total of 134 intubations were done and among them 196 instances had intrahospital transfer from ED. Beedi grip method was used in 74 (55.2%) patients compared to cigarette grip for 60 (44.8%) patients during fixation of ET tube. The most common reason for intrahospital shifting was for radiological imaging 114 patients followed by intensive care shifting of 82 patients. None of the patients had complete dislodgement of ET tube but displacement was seen in 6 (10%) patients cigarette grip vs 2 (2.7%) patients beedi grip during fixation. During shifting 18 (20.5%) patients with cigarette grip had displacement of ET tube vs 4 (3.7%) patients with beedi grip. Conclusion: In spite of ET intubations being a very common procedure, user variations exist regarding proper holding of the ET tube manually. The Beedi grip used for fine holding provides a more stable method of holding the ET tube as compared to the cigarette method.
{"title":"Gripping Technique for Endotracheal Tube- Beedi vs Cigarette Grip, which is better?","authors":"Rajadurai, Meenakshisundaram, Joshua, Vijay, Joseph, Prathap, Pancheti, D. Sampath, SM Nayyara Banu, Kaviarasu, Ravichandran","doi":"10.29011/2475-5605.010116","DOIUrl":"https://doi.org/10.29011/2475-5605.010116","url":null,"abstract":"Objective: To compare the efficacy of two manual grips for holding Endotracheal (ET) tube during confirmation, fixation and patient movement. Methods: We conducted a prospective observational study of adult patients undergoing endotracheal intubation and intubated patients undergoing shifting in the Emergency Department (ED) of a tertiary level hospital. This was done over a period of 14 months from August 2020 to September 2021. The method of holding the ET tube manually using Cigarette grip (holding with index and middle finger) vs Beedi grip (holding with thumb and index finger) prior to fixation and during patient movement was the variable taken into account and displacement of the ET tube if any was noted as outcome. Results: During the study period, a total of 134 intubations were done and among them 196 instances had intrahospital transfer from ED. Beedi grip method was used in 74 (55.2%) patients compared to cigarette grip for 60 (44.8%) patients during fixation of ET tube. The most common reason for intrahospital shifting was for radiological imaging 114 patients followed by intensive care shifting of 82 patients. None of the patients had complete dislodgement of ET tube but displacement was seen in 6 (10%) patients cigarette grip vs 2 (2.7%) patients beedi grip during fixation. During shifting 18 (20.5%) patients with cigarette grip had displacement of ET tube vs 4 (3.7%) patients with beedi grip. Conclusion: In spite of ET intubations being a very common procedure, user variations exist regarding proper holding of the ET tube manually. The Beedi grip used for fine holding provides a more stable method of holding the ET tube as compared to the cigarette method.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48650119","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 : 2021-12-22DOI: 10.29011/2475-5605.110115
Atsuyuki Watanabe, Hiroshi Ito, K. Maruo, J. Nakao, Tetsuya, Hoshino, Yuki, Enomoto, Aiki, Marushima, Nobutake, Shimojo, Y. Inoue
Vertebral artery dissection (VAD) diagnoses are sometimes challenging. Associations between VAD and D-dimer has not yet been explored. We conducted a single-center retrospective study to evaluated the usefulness of D-dimer in VAD diagnoses. Methods All VAD cases received in the emergency department between January 2013 and June 2020 were reviewed. Comparing those cases to vertigo with benign etiologies, the correlation between VAD and D-dimer was analyzed. Using stepwise multivariate logistic regression, possible symptoms to suspect VAD were also determined from physical findings and laboratory data, including D-dimer. Results Eleven patients were included in the VAD group, and 59 patients were enrolled in the control (benign vertigo [BV]) group. The most common symptom in VAD patients was vertigo (N-11, 100%), followed by hemiplegia (N = 7, 63%) and cranial neuropathy (N = 7, 63%). Two patients (18%) were free from any symptoms except vertigo. D-dimer was not significantly different between the two groups at the positive cutoff value of 500 ng/mL (p = 1). By stepwise selection, age (odds ratio (OR): 0.92, [0.87-0.98], p < 0.01) and systolic blood pressure (sBP; OR: 1.06 [1.02-1.10], p < 0.01) were selected in the diagnostic model. In combination, age under 60 and sBP over 160 mmHg yielded 63.6% sensitivity, 98.3% specificity, and 37.5 positive likelihood ratio. Conclusions D-dimer was not found to be an effective indicator of VAD. By contrast, disproportionate hypertension (high blood pressure in young patients) can be a key factor to suspect VAD. Citation: Watanabe A, Ito H, Maruo K, Nakao J, Hoshino T, et al. (2021) D-dimer as an Indicator of Vertebral Artery Dissection: an observational study. Emerg Med Inves 10115. DOI: 10.29011/2688-9501.110115 2 Volume 07; Issue 01 Emerg Med Inves, an open access journal ISSN: 2475-5605
{"title":"D-dimer as an Indicator of Vertebral Artery Dissection: an observational study","authors":"Atsuyuki Watanabe, Hiroshi Ito, K. Maruo, J. Nakao, Tetsuya, Hoshino, Yuki, Enomoto, Aiki, Marushima, Nobutake, Shimojo, Y. Inoue","doi":"10.29011/2475-5605.110115","DOIUrl":"https://doi.org/10.29011/2475-5605.110115","url":null,"abstract":"Vertebral artery dissection (VAD) diagnoses are sometimes challenging. Associations between VAD and D-dimer has not yet been explored. We conducted a single-center retrospective study to evaluated the usefulness of D-dimer in VAD diagnoses. Methods All VAD cases received in the emergency department between January 2013 and June 2020 were reviewed. Comparing those cases to vertigo with benign etiologies, the correlation between VAD and D-dimer was analyzed. Using stepwise multivariate logistic regression, possible symptoms to suspect VAD were also determined from physical findings and laboratory data, including D-dimer. Results Eleven patients were included in the VAD group, and 59 patients were enrolled in the control (benign vertigo [BV]) group. The most common symptom in VAD patients was vertigo (N-11, 100%), followed by hemiplegia (N = 7, 63%) and cranial neuropathy (N = 7, 63%). Two patients (18%) were free from any symptoms except vertigo. D-dimer was not significantly different between the two groups at the positive cutoff value of 500 ng/mL (p = 1). By stepwise selection, age (odds ratio (OR): 0.92, [0.87-0.98], p < 0.01) and systolic blood pressure (sBP; OR: 1.06 [1.02-1.10], p < 0.01) were selected in the diagnostic model. In combination, age under 60 and sBP over 160 mmHg yielded 63.6% sensitivity, 98.3% specificity, and 37.5 positive likelihood ratio. Conclusions D-dimer was not found to be an effective indicator of VAD. By contrast, disproportionate hypertension (high blood pressure in young patients) can be a key factor to suspect VAD. Citation: Watanabe A, Ito H, Maruo K, Nakao J, Hoshino T, et al. (2021) D-dimer as an Indicator of Vertebral Artery Dissection: an observational study. Emerg Med Inves 10115. DOI: 10.29011/2688-9501.110115 2 Volume 07; Issue 01 Emerg Med Inves, an open access journal ISSN: 2475-5605","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49202774","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 : 2021-01-01DOI: 10.29011/2475-5605.010108
{"title":"Effect of initial Decontamination on 1136 clinical exposures with highly corrosive chemicals","authors":"","doi":"10.29011/2475-5605.010108","DOIUrl":"https://doi.org/10.29011/2475-5605.010108","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454294","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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