Rafael Castro-Delgado, Eduardo Montero Viñuales, Rodrigo Escribano Balín
{"title":"Disasters: once again our common responsibility.","authors":"Rafael Castro-Delgado, Eduardo Montero Viñuales, Rodrigo Escribano Balín","doi":"10.55633/s3me/111.2024","DOIUrl":"https://doi.org/10.55633/s3me/111.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"64-66"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082889","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}
{"title":"Elderly frequent visitors to emergency departments: stories of frailty and comorbidity.","authors":"Paolo Bima, Fulvio Morello","doi":"10.55633/s3me/001.2025","DOIUrl":"https://doi.org/10.55633/s3me/001.2025","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082895","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}
Pedro Lopes-Garzón, Ana Gómez-Marco, Juan José Aguilón-Leiva, Eduardo Mir-Ramos, Pedro José Satústegui-Dordá, Fernando Urcola-Pardo
{"title":"Quality of nursing care reports for young patients attended by advanced life support ambulances in Aragon in 2020.","authors":"Pedro Lopes-Garzón, Ana Gómez-Marco, Juan José Aguilón-Leiva, Eduardo Mir-Ramos, Pedro José Satústegui-Dordá, Fernando Urcola-Pardo","doi":"10.55633/s3me/101.2024","DOIUrl":"https://doi.org/10.55633/s3me/101.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"69-71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082928","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}
Òscar Miró, María José Fortuny, Begoña Espinosa, Aitor Alquézar-Arbé, Javier Jacob, Joan Carles Trullàs, Oriol Aguiló, Víctor Gil, Andrea Bellido, Pere Llorens
Objective: To analyze the possible association between a finding of plasma alkalosis in patients diagnosed with acute heart failure (AHF) in the emergency department (ED) and in-hospital mortality.
Methods: Cases of AHF were identified in the registry for Epidemiology of Acute Heart Failure in Emergency Departments (EAHFE), which comprises entries for 24 248 episodes diagnosed in 53 Spanish EDs. Studied cases were those with registered plasma pH levels determined by analysis of acid-base equilibrium in the ED. Patients in the alkalosis group (AG) had a plasma pH greater than 7.45. Controls cases had a pH between 7.35 and 7.45. We gathered epidemiologic and comorbidity data, chronic medications, baseline status variables, and characteristics related to the decompensation episode and its severity. The outcome measure was in-hospital mortality from any cause. Logistic regression was used to analyze crude and adjusted associations between alkalosis and mortality, expressed as odds ratios (ORs) and 95% CIs.
Results: A total of 2522 AG cases and 8526 controls were studied. Betwee-group differences included age (AG patients were older), number of comorbidities and chronic medications (notably, more loop diuretics in AG patients), and multiple variables related to the AHF episode. In-hospital all-cause mortality was similar (AG, 7.5%; controls, 7.0%): crude and adjusted ORs, 1.062 (95% CI, 0.896-1.259) and 1.023 (95% CI, 0.854-1.225), respectively. In the AG, 676 patients had probable metabolic alkalosis (PCO2 > 40 mmHg) and 937 had probable respiratory alkalosis (PCO2 35 mmHg). Inhospital mortality was 9.3% in the probable metabolic alkalosis subgroup and 6.7% in the probable respiratory alkalosis subgroup: crude and adjusted ORs, 1.258 (95% CI, 0.942-1.681) and 0.919 (95% CI, 0.695-1.215), respectively.
Conclusions: This retrospective analysis of cases in the EAHFE registry found no association between alkalosis and higher in-hospital mortality after AHF. Nor were significant associations found when we analyzed mortality related to probable metabolic vs respiratory alkalosis.
{"title":"Alkalosis during emergency department evaluation of acute heart failure: Is there an association with mortality?","authors":"Òscar Miró, María José Fortuny, Begoña Espinosa, Aitor Alquézar-Arbé, Javier Jacob, Joan Carles Trullàs, Oriol Aguiló, Víctor Gil, Andrea Bellido, Pere Llorens","doi":"10.55633/s3me/003.2025","DOIUrl":"https://doi.org/10.55633/s3me/003.2025","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the possible association between a finding of plasma alkalosis in patients diagnosed with acute heart failure (AHF) in the emergency department (ED) and in-hospital mortality.</p><p><strong>Methods: </strong>Cases of AHF were identified in the registry for Epidemiology of Acute Heart Failure in Emergency Departments (EAHFE), which comprises entries for 24 248 episodes diagnosed in 53 Spanish EDs. Studied cases were those with registered plasma pH levels determined by analysis of acid-base equilibrium in the ED. Patients in the alkalosis group (AG) had a plasma pH greater than 7.45. Controls cases had a pH between 7.35 and 7.45. We gathered epidemiologic and comorbidity data, chronic medications, baseline status variables, and characteristics related to the decompensation episode and its severity. The outcome measure was in-hospital mortality from any cause. Logistic regression was used to analyze crude and adjusted associations between alkalosis and mortality, expressed as odds ratios (ORs) and 95% CIs.</p><p><strong>Results: </strong>A total of 2522 AG cases and 8526 controls were studied. Betwee-group differences included age (AG patients were older), number of comorbidities and chronic medications (notably, more loop diuretics in AG patients), and multiple variables related to the AHF episode. In-hospital all-cause mortality was similar (AG, 7.5%; controls, 7.0%): crude and adjusted ORs, 1.062 (95% CI, 0.896-1.259) and 1.023 (95% CI, 0.854-1.225), respectively. In the AG, 676 patients had probable metabolic alkalosis (PCO2 > 40 mmHg) and 937 had probable respiratory alkalosis (PCO2 35 mmHg). Inhospital mortality was 9.3% in the probable metabolic alkalosis subgroup and 6.7% in the probable respiratory alkalosis subgroup: crude and adjusted ORs, 1.258 (95% CI, 0.942-1.681) and 0.919 (95% CI, 0.695-1.215), respectively.</p><p><strong>Conclusions: </strong>This retrospective analysis of cases in the EAHFE registry found no association between alkalosis and higher in-hospital mortality after AHF. Nor were significant associations found when we analyzed mortality related to probable metabolic vs respiratory alkalosis.</p>","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082746","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}
Santiago Nogué-Xarau, Montserrat Amigó-Tadin, José Ríos-Guillermo
{"title":"Authors' reply.","authors":"Santiago Nogué-Xarau, Montserrat Amigó-Tadin, José Ríos-Guillermo","doi":"10.55633/s3me/085.2024","DOIUrl":"https://doi.org/10.55633/s3me/085.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"79-80"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082821","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}
{"title":"Don't go to the ER, Don Quixote!","authors":"Antonio Juan Pastor","doi":"10.55633/s3me/107.2024","DOIUrl":"https://doi.org/10.55633/s3me/107.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"67-68"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082890","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}
François Saget, Etienne Paulhet, Yanis Berkane, Cédric Gangloff, Alexandre Tanneau, Louis Soulat
{"title":"Nitric oxide for pain management in renal colic: the before-after NEPHROPAIN study.","authors":"François Saget, Etienne Paulhet, Yanis Berkane, Cédric Gangloff, Alexandre Tanneau, Louis Soulat","doi":"10.55633/s3me/102.2024","DOIUrl":"https://doi.org/10.55633/s3me/102.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082921","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}
Enrique Torres Rodríguez, Alberto Iglesias Sigüenza, Elena Méndez
{"title":"Care of hospital emergency department patients with suspected chemical submission and toxicology results.","authors":"Enrique Torres Rodríguez, Alberto Iglesias Sigüenza, Elena Méndez","doi":"10.55633/s3me/097.2024","DOIUrl":"https://doi.org/10.55633/s3me/097.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"77-78"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082826","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}
Manuel Pons Claramonte, Germán Mauricio Azcárraga Hurtado, María Asunción Pérez Martínez, Pere Herrera de Pablo
{"title":"Inclusion of formal debriefing after mass casualty incidents: the Valencia Debriefing Model.","authors":"Manuel Pons Claramonte, Germán Mauricio Azcárraga Hurtado, María Asunción Pérez Martínez, Pere Herrera de Pablo","doi":"10.55633/s3me/088.2024","DOIUrl":"https://doi.org/10.55633/s3me/088.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082916","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}
{"title":"Recomendaciones de derecho penal sanitario para facultativos en los casos de fallecimientos posteriores al alta de urgencias.","authors":"Christian Conal Fuertes","doi":"10.55633/s3me/069.2024","DOIUrl":"https://doi.org/10.55633/s3me/069.2024","url":null,"abstract":"","PeriodicalId":93987,"journal":{"name":"Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias","volume":"37 1","pages":"76-77"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082959","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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