Pub Date : 2021-01-01DOI: 10.29011/2475-5605.010110
{"title":"Oxygenation during Apnea: An Assessment of Six Methods Using an Ex Vivo Experimental Model","authors":"","doi":"10.29011/2475-5605.010110","DOIUrl":"https://doi.org/10.29011/2475-5605.010110","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":"69454309","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: 10.29011/2475-5605.010111
{"title":"Tunneled Central Venous Catheter Placement in the Emergency Department: Bringing Interventional Radiology Techniques to the Bedside","authors":"","doi":"10.29011/2475-5605.010111","DOIUrl":"https://doi.org/10.29011/2475-5605.010111","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454400","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: 10.29011/2475-5605.010107
{"title":"A Rare Cause of Severe Metabolic Alkalosis in the Emergency Room","authors":"","doi":"10.29011/2475-5605.010107","DOIUrl":"https://doi.org/10.29011/2475-5605.010107","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":"69454288","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 : 2020-08-18DOI: 10.21203/rs.3.rs-58763/v1
Maple Liu, Tanya R Holt, G. Hansen
Background: As the majority of severe pediatric traumatic brain injuries (TBI) are received and managed in the emergency department (ED), the ED trauma center is vital to optimizing management. This study aimed to evaluate current management guidelines, and to recognize other high-risk components of TBI management. Methods: A retrospective chart review was conducted solely at the Jim Pattison Children’s Hospital in Saskatoon, Canada. Data pertaining to emergency department metrics included transport to trauma center, injury severity, indicators for raised intracranial pressure, airway and breathing, circulation, disability/central nervous system, complications, and outcome scores. Results: A total of 56 charts were included in the study population. Mean age of patient population was 14.3 years of age, with 76% being male. Thirty four percent of patients received a blood gas within 15 minutes of admission, and 20% received intervention to correct PCO2. Of the seven patients who received hyperosmolar therapy, three were based on computed tomography (CT) findings and four were based clinically. For 95% of patients, the position of the bed was not documented, and just 4% of patients had head of bed elevated to 30 degrees. Sixty four percent of patients were accompanied by a physician with airway expertise during CT. Conclusions: Building on current TBI guidelines, timeliness of PCO2 retrieval and improvements for targeted hyperosmolar therapy were noted. Two other potential areas for improving management included deliberate considerations for head of bed positioning and personnel accompanying patients undergoing CT.
{"title":"Emergency Department Management Metrics for Severe Pediatric Traumatic Brain Injury","authors":"Maple Liu, Tanya R Holt, G. Hansen","doi":"10.21203/rs.3.rs-58763/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-58763/v1","url":null,"abstract":"\u0000 Background: As the majority of severe pediatric traumatic brain injuries (TBI) are received and managed in the emergency department (ED), the ED trauma center is vital to optimizing management. This study aimed to evaluate current management guidelines, and to recognize other high-risk components of TBI management. Methods: A retrospective chart review was conducted solely at the Jim Pattison Children’s Hospital in Saskatoon, Canada. Data pertaining to emergency department metrics included transport to trauma center, injury severity, indicators for raised intracranial pressure, airway and breathing, circulation, disability/central nervous system, complications, and outcome scores. Results: A total of 56 charts were included in the study population. Mean age of patient population was 14.3 years of age, with 76% being male. Thirty four percent of patients received a blood gas within 15 minutes of admission, and 20% received intervention to correct PCO2. Of the seven patients who received hyperosmolar therapy, three were based on computed tomography (CT) findings and four were based clinically. For 95% of patients, the position of the bed was not documented, and just 4% of patients had head of bed elevated to 30 degrees. Sixty four percent of patients were accompanied by a physician with airway expertise during CT. Conclusions: Building on current TBI guidelines, timeliness of PCO2 retrieval and improvements for targeted hyperosmolar therapy were noted. Two other potential areas for improving management included deliberate considerations for head of bed positioning and personnel accompanying patients undergoing CT.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45753331","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 : 2020-01-01DOI: 10.29011/2475-5605.010106
D. Krywko, Alex Kranc
We report two cases that presented to the emergency department (ED) with oral pain, fever, and malaise, with physical findings leading to the initial diagnosis of acute necrotizing ulcerative gingivitis (ANUG), also known as Vincent’s angina and trench mouth. Both cases on repeat exam, not only failed to improve, but required immediate admission. Both worsened rapidly despite appropriate antibiotic therapy, and both succumbed to their illness within a few days. In both cases, the underlying diagnosis was acute myelogenous leukemia (AML) in blast crisis. It is likely that the leukemic infiltrates seen in monocytic variants of AML contributed to the gingival morphology which lead to the misdiagnosis of ANUG.
{"title":"Acute Myelogenous Leukemia Presenting with Primary Oral Lesions Initially Diagnosed as Acute Necrotizing Ulcerative Gingivitis","authors":"D. Krywko, Alex Kranc","doi":"10.29011/2475-5605.010106","DOIUrl":"https://doi.org/10.29011/2475-5605.010106","url":null,"abstract":"We report two cases that presented to the emergency department (ED) with oral pain, fever, and malaise, with physical findings leading to the initial diagnosis of acute necrotizing ulcerative gingivitis (ANUG), also known as Vincent’s angina and trench mouth. Both cases on repeat exam, not only failed to improve, but required immediate admission. Both worsened rapidly despite appropriate antibiotic therapy, and both succumbed to their illness within a few days. In both cases, the underlying diagnosis was acute myelogenous leukemia (AML) in blast crisis. It is likely that the leukemic infiltrates seen in monocytic variants of AML contributed to the gingival morphology which lead to the misdiagnosis of ANUG.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454284","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 : 2020-01-01DOI: 10.29011/2475-5605.010101
B. Gerber, A. Hollinger
The SARS-COV-2 (COVID-19) pandemic was labelled the defining global health crisis of our time by the United Nations Development Programme (UNPD) alongside with enormous negative socio-economic impact. At the beginning of the pandemic in Europe, Switzerland was among the countries with high prevalence of COVID-19. Dramatic upscaling of testing capabilities and facilities is encouraged. This recommendation was implemented by the CEO of a prospering company in a Swiss tourist hotspot in the heart of Switzerland.
{"title":"How COVID-19 Affected a Small Town in Switzerland: A Brief Report from a Swiss Tourist Hotspot","authors":"B. Gerber, A. Hollinger","doi":"10.29011/2475-5605.010101","DOIUrl":"https://doi.org/10.29011/2475-5605.010101","url":null,"abstract":"The SARS-COV-2 (COVID-19) pandemic was labelled the defining global health crisis of our time by the United Nations Development Programme (UNPD) alongside with enormous negative socio-economic impact. At the beginning of the pandemic in Europe, Switzerland was among the countries with high prevalence of COVID-19. Dramatic upscaling of testing capabilities and facilities is encouraged. This recommendation was implemented by the CEO of a prospering company in a Swiss tourist hotspot in the heart of Switzerland.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454227","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 : 2020-01-01DOI: 10.29011/2475-5605.010104
{"title":"A Therapeutically Challenging Case of an Electronic Cigarette (E-cig) Ingestion","authors":"","doi":"10.29011/2475-5605.010104","DOIUrl":"https://doi.org/10.29011/2475-5605.010104","url":null,"abstract":"","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69454246","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 : 2018-11-26DOI: 10.29011/2475-5605.001087
Rateb Abuzeid, Ahed Al Najjar, Nabeel Abdulqader
Background: Studies show that about 90% of accidents occur because of unsafe behavior and human errors. Even if workers do not have the right knowledge toward safety measures in a safe workplace, all efforts for an accident-free workplace will be in vain. Maintaining a safe working environment is reflected on a healthy worker. Some reasons for not implementing the safety policy by most developing countries is lack of basic professional training in occupational health and safety. Objective: The purpose of the study is to assess the impact of the Occupational Health Education Program on the worker’s knowledge. Methods: A quasi-experimental, nonequivalent control group pretest-posttest design was used to assess the impact of the Occupational Health Education Program (OHEP) on the worker knowledge. A convenience sample of a total of 38 workers participated in the study, with 20 in the experimental group and 18 in the control group. Results: The findings from the study indicate that OHEP did have significant positive impact on the Jordanian worker’s knowledge, but it didn’t have comparable impact on the Foreigner worker’s knowledge. A comparison of means for the Jordanian experimental group pretest (M =14.25) and posttest (M =18.60) revealed a significant improvement in mean scores (df = 9, Tukey a = 2.98), whereas the control group pretest (M = 14.40) and posttest (M = 14.90) did not statistically significantly (df = 9, t =.64). Findings shows that both the Jordanian and Foreigner experimental and control groups were comparable in relation to their occupational health knowledge before the implementation of the OHEP. Conclusion: The findings support the need for implementation of the OHEP within this population. This study shows that nurses can design, implement and evaluate Health Education Programs for targeted population.
背景:研究表明，大约90%的事故是由于不安全的行为和人为错误造成的。即使工人对安全工作场所的安全措施没有正确的认识，所有为无事故工作场所所做的努力也会白费。保持安全的工作环境体现在健康的工人身上。大多数发展中国家不执行安全政策的一些原因是缺乏职业健康和安全方面的基本专业培训。目的:本研究旨在评估职业健康教育计划对劳工知识的影响。方法:采用准实验、非等效对照组前测后测设计，评估职业健康教育计划(OHEP)对工人知识的影响。为了方便起见，总共有38名员工参加了这项研究，其中20人在实验组，18人在对照组。结果:本研究发现OHEP对约旦工人的知识有显著的正向影响，但对外籍工人的知识没有可比性的影响。约旦试验组前测(M =14.25)和后测(M =18.60)的均数比较显示均数有显著改善(df = 9, Tukey A = 2.98)，而对照组前测(M = 14.40)和后测(M = 14.90)的均数无统计学意义(df = 9, t = 0.64)。结果表明，约旦人和外国人实验组和对照组在实施职业健康计划前的职业健康知识水平具有可比性。结论:研究结果支持在该人群中实施OHEP的必要性。本研究显示护士可以针对目标人群设计、实施和评估健康教育计划。
{"title":"Evaluating the Effect of Occupational Health Education on Workers Knowledge","authors":"Rateb Abuzeid, Ahed Al Najjar, Nabeel Abdulqader","doi":"10.29011/2475-5605.001087","DOIUrl":"https://doi.org/10.29011/2475-5605.001087","url":null,"abstract":"Background: Studies show that about 90% of accidents occur because of unsafe behavior and human errors. Even if workers do not have the right knowledge toward safety measures in a safe workplace, all efforts for an accident-free workplace will be in vain. Maintaining a safe working environment is reflected on a healthy worker. Some reasons for not implementing the safety policy by most developing countries is lack of basic professional training in occupational health and safety. Objective: The purpose of the study is to assess the impact of the Occupational Health Education Program on the worker’s knowledge. Methods: A quasi-experimental, nonequivalent control group pretest-posttest design was used to assess the impact of the Occupational Health Education Program (OHEP) on the worker knowledge. A convenience sample of a total of 38 workers participated in the study, with 20 in the experimental group and 18 in the control group. Results: The findings from the study indicate that OHEP did have significant positive impact on the Jordanian worker’s knowledge, but it didn’t have comparable impact on the Foreigner worker’s knowledge. A comparison of means for the Jordanian experimental group pretest (M =14.25) and posttest (M =18.60) revealed a significant improvement in mean scores (df = 9, Tukey a = 2.98), whereas the control group pretest (M = 14.40) and posttest (M = 14.90) did not statistically significantly (df = 9, t =.64). Findings shows that both the Jordanian and Foreigner experimental and control groups were comparable in relation to their occupational health knowledge before the implementation of the OHEP. Conclusion: The findings support the need for implementation of the OHEP within this population. This study shows that nurses can design, implement and evaluate Health Education Programs for targeted population.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45304303","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 : 2018-10-18DOI: 10.29011/2475-5605.001085
M. Bolognesi
Emergency departments must take care of people presenting physical trauma in a short time, especially where elderly patients are concerned. Otherwise unfortunate errors might be committed for many reasons. One of the main causes of diagnostic errors in the emergency department is the failure to correctly interpret radiographs, and the majority of diagnoses missed on X-ray imaging are fractures. Diagnostic errors potentially have important consequences for patients, clinicians and radiologists. Radiologists play a pivotal role in the diagnostic assessment of multi-traumatic patients, and key elements to reduce errors in the emergency setting are knowledge, experience and the correct application of imaging protocols. With this case report the author describes a typical situation which may happen in an emergency department of a small town with the aim of highlighting the causes of the spectrum of diagnostic errors in radiography in the emergency setting.
{"title":"Imaging Errors in the Emergency Department: A Case Report","authors":"M. Bolognesi","doi":"10.29011/2475-5605.001085","DOIUrl":"https://doi.org/10.29011/2475-5605.001085","url":null,"abstract":"Emergency departments must take care of people presenting physical trauma in a short time, especially where elderly patients are concerned. Otherwise unfortunate errors might be committed for many reasons. One of the main causes of diagnostic errors in the emergency department is the failure to correctly interpret radiographs, and the majority of diagnoses missed on X-ray imaging are fractures. Diagnostic errors potentially have important consequences for patients, clinicians and radiologists. Radiologists play a pivotal role in the diagnostic assessment of multi-traumatic patients, and key elements to reduce errors in the emergency setting are knowledge, experience and the correct application of imaging protocols. With this case report the author describes a typical situation which may happen in an emergency department of a small town with the aim of highlighting the causes of the spectrum of diagnostic errors in radiography in the emergency setting.","PeriodicalId":92630,"journal":{"name":"Emergency medicine investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43025736","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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