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A Randomized Study of Intravenous Hydromorphone Versus Intravenous Acetaminophen for Older Adult Patients with Acute Severe Pain Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-12 Shilpa Kolli, Benjamin W. Friedman, Alex Latev, Andrew K. Chang, Farnia Naeem, Carmen Feliciano, Freda Afrifa, Christopher Walker, Al Izzo, Eddie Irizarry
Study Objective We conducted a randomized study to compare the efficacy and adverse event profile of 1,000 mg of intravenous acetaminophen to that of 0.5 mg of intravenous hydromorphone among patients aged 65 years or more with acute pain of severity that was sufficient enough to warrant intravenous opioids. Methods This randomized comparative effectiveness study with 162 participants was conducted
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Implementation Trials That Change Practice: Evidence Alone Is Never Enough Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-12 Peter S. Dayan, Dustin W. Ballard, Rachel C. Shelton, Nathan Kuppermann
Abstract not available
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Female sex and prognosis following out-of-hospital cardiac arrest: does lack of statistical significance equal clinically insignificant? Resuscitation (IF 6.251) Pub Date : 2022-08-12 Jung-In Choi, Christopher B. Fordyce
Abstract not available
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Aortic occlusion during cardiac arrest - mechanical adrenaline? Resuscitation (IF 6.251) Pub Date : 2022-08-12 Jostein Rødseth Brede
Abstract not available
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Prehospital care for traumatic cardiac arrest in the US: A cross-sectional analysis and call for a national guideline Resuscitation (IF 6.251) Pub Date : 2022-08-12 Alexander J. Ordoobadi, Gregory A. Peters, Sean MacAllister, Geoffrey A. Anderson, Ashish R. Panchal, Rebecca E. Cash
Aim We describe emergency medical services (EMS) protocols and prehospital practice patterns related to traumatic cardiac arrest (TCA) management in the U.S. Methods We examined EMS management of TCA by 1) assessing variability in recommended treatments in state EMS protocols for TCA and 2) analyzing EMS care using a nationwide sample of EMS activations. We included EMS activations involving TCA in
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Use of torsades de pointes risk drugs among patients with out-of-hospital cardiac arrest and likelihood of shockable rhythm and return of spontaneous circulation: a nationwide study Resuscitation (IF 6.251) Pub Date : 2022-08-11 Johanna Krøll, Camilla H. B. Jespersen, Søren Lund Kristensen, Emil L. Fosbøl, Naja Emborg Vinding, Freddy Lippert, Kristian Kragholm, Christian Jøns, Steen M. Hansen, Lars Køber, Peter Karl Jacobsen, Jacob Tfelt-Hansen, Peter E. Weeke
Aim Treatment with certain drugs can augment the risk of developing malignant arrhythmias (e.g. torsades de pointes [TdP]). Hence, we examined the overall TdP risk drug use before out-of-hospital cardiac arrest (OHCA) and possible association with shockable rhythm and return of spontaneous circulation (ROSC). Methods Patients ≥18 years with an OHCA of cardiac origin from the Danish Cardiac Arrest Registry
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Diversity and ethics in trauma and acute care surgery teams: results from an international survey World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-08-10 Cobianchi, Lorenzo, Dal Mas, Francesca, Massaro, Maurizio, Biffl, Walter, Catena, Fausto, Coccolini, Federico, Dionigi, Beatrice, Dionigi, Paolo, Di Saverio, Salomone, Fugazzola, Paola, Kluger, Yoram, Leppäniemi, Ari, Moore, Ernest E., Sartelli, Massimo, Velmahos, George, Woltz, Sarah, Angelos, Peter, Ansaloni, Luca
Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. The article employs an international questionnaire promoted by the World Society of Emergency
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Failure of Crotalidae Immune F(ab’)2 Equine Antivenom to Achieve Control in a Southern Pacific Rattlesnake Envenomation Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-09 Michael Levine, Hannah Spungen, Anthony F. Pizon
Rattlesnake envenomation can result in significant cutaneous and hematologic toxicity. While Cotalidae polyvalent immune Fab (ovine) antivenom (marketed as CroFab) was available for years, it is associated with increased late hematologic toxicity compared with its predecessor. Consequently, Crotalidae Immune F(ab’)2 equine antivenom [marketed as Anavip; F(ab’)2AV] has been recently become available
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What Is the Role of Thrombolysis and Mechanical Thrombectomy for Patients With Acute Stroke? Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-09 Michael Gottlieb, Ashley Penington, Brit Long
Abstract not available
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How are Patient Order and Shift Timing Associated With Imaging Choices in the Emergency Department? Evidence From Niagara Health Administrative Data Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-09 Stephenson Strobel, Sabreena Moosa, Karyssa Hamann
Study objective We assessed whether the timing and order of patients over emergency shifts are associated with receiving diagnostic imaging in the emergency department and characterized whether changes in imaging are associated with changes in patients returning to the ED. Methods In this retrospective study, we used multivariate and instrumental variable regressions to examine how the timing and order
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Qualitative Evaluation of Quality Measurement Within Emergency Clinician–staffed Telehealth Programs Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 David C. Whitehead, Todd Jaffe, Emily Hayden, Kori S. Zachrison
Study Objective Emergency clinician–staffed telehealth programs seek to provide equitable, safe, efficient, effective, and patient-centered care. However, early studies show conflicting evidence on whether this aim is accomplished. Furthermore, how programs track the efficacy and safety of their programs remains largely unexplored. We sought to characterize ongoing quality monitoring among emergency
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Ambulances Required to Relieve Overcapacity Hospitals: A Novel Measure of Hospital Strain During the COVID-19 Pandemic in the United States Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 Kimon L.H. Ioannides, Annette M. Dekker, Michael E. Shin, David L. Schriger
Study objective One in 4 deaths from COVID-19 has been attributed to hospital crowding. We simulated how many ambulances would be required to rebalance hospital load through systematic interhospital transfers. We assessed the potential feasibility of such a strategy and explored whether transfer requirement was a helpful measure and visualization of regional hospital crowding during COVID-19 surges
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Community First Responders’ Contribution to Emergency Medical Service Provision in the United Kingdom Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 Vanessa Botan, Zahid Asghar, Elise Rowan, Murray D. Smith, Gupteswar Patel, Viet-Hai Phung, Ian Trueman, Robert Spaight, Amanda Brewster, Pauline Mountain, Roderick Orner, Aloysius Niroshan Siriwardena
Study objective We aimed to investigate community first responders’ contribution to emergency care provision in terms of number, rate, type, and location of calls and characteristics of patients attended. Methods We used a retrospective observational design analyzing routine data from electronic clinical records from 6 of 10 ambulance services in the United Kingdom during 2019. Descriptive statistics
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Patient Characteristics and Survival Outcomes of Cardiac Arrest in the Cardiac Catheterization Laboratory: Insights from Get with The Guidelines®-Resuscitation Registry Resuscitation (IF 6.251) Pub Date : 2022-08-06 Ahmed Elkaryoni, Andy T. Tran, Marwan Saad, Amir Darki, John J. Lopez, J. Dawn Abbott, Paul S. Chan
Background Characteristics and outcomes of patients with in-hospital cardiac arrest (IHCA) in the cardiac catheterization laboratory (CCL) have not been well-described. Thus, we compared the outcomes of patients with an IHCA in the CCL versus those in the intensive care unit (ICU) and operating rooms (OR). Methods Within the American Heart Association’s Get With the Guidelines®-Resuscitation registry
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Trends in EMS-attended Out-of-Hospital Cardiac Arrest Survival, United States 2015-2019 Resuscitation (IF 6.251) Pub Date : 2022-08-06 Erika Odom, Yuko Nakajima, Kimberly Vellano, Rabab Al-Araji, Sallyann Coleman King, Zefeng Zhang, Robert Merritt, Bryan McNally
Aim Everyday, nearly 1000 U.S. adults experience out-of-hospital cardiac arrest (OHCA). Survival to hospital discharge varies across many factors, including sociodemographics, location of arrest, and whether bystander intervention was provided. The current study examines recent trends in OHCA survival by location of arrest using a cohort of emergency medical service (EMS) agencies that contributed
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Prevalence and Management of Invasive Bacterial Infections in Febrile Infants Ages 2 to 6 Months Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 Rebecca S. Green, Laura F. Sartori, Brian E. Lee, Alexandra R. Linn, Marissa R. Samuels, Todd A. Florin, Paul L. Aronson, James M. Chamberlain, Kenneth A. Michelson, Lise E. Nigrovic
Study objective Validated prediction rules identify febrile neonates at low risk for invasive bacterial infection. The optimal approach for older febrile infants, however, remains uncertain. Methods We performed a retrospective cohort and nested case-control study of infants 2 to 6 months of age presenting with fever (≥38.0 °C) to 1 of 5 emergency departments. The study period was from 2011 to 2019
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Emergency Department Visits During Pregnancy Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 Brittany A. Matenchuk, Rhonda J. Rosychuk, Brian H. Rowe, Amy Metcalfe, Radha Chari, Susan Crawford, Susan Jelinski, Jesus Serrano-Lomelin, Maria B. Ospina
Study objective Pregnant women often seek care in an emergency department (ED). We sought to describe the frequency, characteristics, and factors associated with increased ED visits during pregnancy. Methods We conducted a retrospective cohort study using administrative health data of all pregnancies resulting in a live birth at 20 or more weeks of gestation in Alberta, Canada, from 2011 to 2017. The
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A Neuropharmacological Model to Explain Buprenorphine Induction Challenges Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 Mark K. Greenwald, Andrew A. Herring, Jeanmarie Perrone, Lewis S. Nelson, Pouya Azar
Buprenorphine induction for treating opioid use disorder is being implemented in emergency care. During this era of high-potency synthetic opioid use, novel and divergent algorithms for buprenorphine induction are emerging to optimize induction experience, facilitating continued treatment. Specifically, in patients with chronic fentanyl or other drug exposures, some clinicians are using alternative
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Community First Responders: When Is the Juice Worth the Squeeze? Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 Theodore R. Delbridge, Timothy P. Chizmar
Abstract not available
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Principles of Screening for Disease and Health Risk Factors in the Emergency Department Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-06 William Weber, Alan Heins, Logan Jardine, Kimberly Stanford, Herbert Duber
The emergency department serves as a critical access point to the health system for many patients, especially those with limited resources. Screening for disease or risk factors for poor health outcomes can potentially improve both individual and population health. Screening initiatives should focus on evidence-based strategies and take local epidemiology and ED capacity into consideration. Initiatives
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Outcome of necrotizing fasciitis and Fournier's gangrene with and without hyperbaric oxygen therapy: a retrospective analysis over 10 years World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-08-05 Mladenov, Assen, Diehl, Katharina, Müller, Oliver, von Heymann, Christian, Kopp, Susanne, Peitsch, Wiebke K.
Necrotizing soft tissue infections (NSTI) require immediate radical debridement, broad-spectrum antibiotics and intensive care. Hyperbaric oxygen therapy (HBOT) may be performed adjunctively, but unequivocal evidence for its benefits is still lacking. We performed a retrospective single-center study including 192 patients with necrotizing fasciitis or Fournier's gangrene to assess in-hospital mortality
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Feasibility of handheld ultrasound to assess heart rate in newborn nursery Resuscitation (IF 6.251) Pub Date : 2022-08-06 Shabih Manzar, Ramachandra Bhat
Background and Objectives Heart rate (HR) assessment is important during neonatal resuscitation. The most reliable ways of assessing HR at birth are pulse oximetry (PO) and/or electrocardiograph (ECG). However, delayed recording time due to poor perfusion or probe and electrode placement has been a concern. Point-of-care ultrasound (POCUS) provides a real-time instant view of the heart. The aim of
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Understanding heterogeneity in mitochondrial injury after cardiac arrest using plasma metabolomics Resuscitation (IF 6.251) Pub Date : 2022-08-06 Cameron Dezfulian
Abstract not available
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Pediatric Procedural Sedation and Laryngospasm: How Much Should I Worry? Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-05 Maala Bhatt, Mark G. Roback
Abstract not available
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Assessment of intensive care unit-free and ventilator-free days as alternative outcomes in the pragmatic airway resuscitation trial Resuscitation (IF 6.251) Pub Date : 2022-08-05 Henry Wang, Ashish Panchal, J. Madison Hyer, Graham Nichol, Clifton W. Callaway, Tom Aufderheide, Michelle Nassal, Terry Vanden Hoek, Jing Li, Mohamud R. Daya, Matthew Hansen, Robert H. Schmicker, Ahamed Idris, Lai Wei
Objective We sought to evaluate the utility and validity of ICU-free days and ventilator-free days as candidate outcomes for OHCA trials. Methods We conducted a secondary analysis of the Pragmatic Airway Resuscitation Trial. We determined ICU-free (days alive and out of ICU during the first 30 days) and ventilator-free days (days alive and without mechanical ventilation). We determined ICU-free and
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Pre-arrest Prediction of Survival Following In-hospital Cardiac Arrest: A Systematic Review of Diagnostic Test Accuracy Studies Resuscitation (IF 6.251) Pub Date : 2022-08-04 Kasper G. Lauridsen, Therese Djärv, Jan Breckwoldt, Janice A. Tjissen, Keith Couper, Robert Greif
Aim To evaluate the test accuracy of pre-arrest clinical decision tools for in-hospital cardiac arrest survival outcomes. Methods We searched Medline, Embase, and Cochrane Library from inception through January 2022 for randomized and non-randomized studies. We used the Quality Assessment of Diagnostic Accuracy Studies framework to evaluate risk of bias, and Grading of Recommendations Assessment, Development
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The Perilous Prognostics of Emergency Medicine Workforce Planning Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-03 Brian J. Zink, Donald M. Yealy
Abstract not available
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Real-World Midazolam Use and Outcomes With Out-of-Hospital Treatment of Status Epilepticus in the United States Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-02 Elan L. Guterman, Karl A. Sporer, Thomas B. Newman, Remle P. Crowe, Daniel H. Lowenstein, S. Andrew Josephson, John P. Betjemann, James F. Burke
Study objective Guidelines recommend 10-mg intramuscular midazolam as the first-line treatment option for status epilepticus. However, in real-world practice, it is frequently administered intranasally or intravenously and is dosed lower. Therefore, we used conventional and instrumental variable approaches to examine the effectiveness of midazolam in a national out-of-hospital cohort. Methods This
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Machine learning-based prediction of emergency neurosurgery within 24 h after moderate to severe traumatic brain injury World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-08-03 Moyer, Jean-Denis, Lee, Patrick, Bernard, Charles, Henry, Lois, Lang, Elodie, Cook, Fabrice, Planquart, Fanny, Boutonnet, Mathieu, Harrois, Anatole, Gauss, Tobias
Rapid referral of traumatic brain injury (TBI) patients requiring emergency neurosurgery to a specialized trauma center can significantly reduce morbidity and mortality. Currently, no model has been reported to predict the need for acute neurosurgery in severe to moderate TBI patients. This study aims to evaluate the performance of Machine Learning-based models to establish to predict the need for
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Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival Resuscitation (IF 6.251) Pub Date : 2022-08-04 Johanna C. Moore, Paul E Pepe, Kenneth A. Scheppke, Charles Lick, Sue Duval, Joseph Holley, Bayert Salverda, Michael Jacobs, Paul Nystrom, Ryan Quinn, Paul J. Adams, Mack Hutchison, Charles Mason, Eduardo Martinez, Steven Mason, Armando Clift, Peter M. Antevy, Charles Coyle, José Labarère
Background Survival after out-of-hospital cardiac arrest (OHCA) remains poor. A physiologically distinct cardiopulmonary resuscitation (CPR) strategy consisting of (1) active compression-decompression CPR and/or automated CPR, (2) an impedance threshold device, and (3) automated controlled elevation of the head and thorax (ACE) has been shown to improve neurological survival significantly versus conventional
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Karl H. Lindner – A pioneer in vasopressin science Resuscitation (IF 6.251) Pub Date : 2022-08-04 Michael Baubin, Volker Wenzel, Barbara Sinner
Abstract not available
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Post-cardiac arrest PCI is underutilized among cancer patients: Machine learning augmented nationally representative case-control study of 30 million hospitalizations Resuscitation (IF 6.251) Pub Date : 2022-08-04 Jin wan Kim, Dominique Monlezun, Jong kun Park, Siddharth Chauhan, Dinu Balanescu, Efstratios Koutroumpakis, Nicolas Palaskas, Peter Kim, Saamir Hassan, Gregory Botz, John Crommett, Dereddi Reddy, Mehmet Cilingiroglu, Konstantinos Marmagkiolis, Cezar Iliescu
Background Cancer patients are less likely to undergo percutaneous coronary intervention (PCI) after cardiac arrest, although they demonstrate improved mortality benefit from the procedure. We produced the largest nationally representative analysis of mortality of cardiac arrest and PCI for patients with cancer versus non-cancer. Methods Propensity score adjusted multivariable regression for mortality
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Early withdrawal of life sustaining therapy in extracorporeal cardiopulmonary resuscitation (ECPR): Results from the Extracorporeal Life Support Organization registry Resuscitation (IF 6.251) Pub Date : 2022-08-04 Julia M. Carlson, Eric Etchill, Glenn Whitman, Bo Soo Kim, Chun Woo Choi, Joseph E. Tonna, Romergryko Geocadin, Sung-Min Cho
Aims Although extracorporeal cardiopulmonary resuscitation (ECPR) improves survival outcomes in refractory cardiac arrest, morbidity and mortality remain significantly high. Information on causes of death in ECPR is limited; however, some evidence suggests withdrawal of life sustaining therapy (WLST) is a major factor in ECPR-associated mortality. We sought to describe the patients experiencing WLST
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Racial/ethnic and gender disparities of the impact of the COVID-19 pandemic in out-of-hospital cardiac arrest (OHCA) in Texas Resuscitation (IF 6.251) Pub Date : 2022-08-03 Summer Chavez, Ryan Huebinger, Hei Kit Chan, Kevin Schulz, Micah Panczyk, Normandy Villa, Renee Johnson, Robert Greenberg, Veer Vithalani, Rabab Al-Araji, Bentley Bobrow
Introduction Prior research shows a greater disease burden, lower BCPR rates, and worse outcomes in Black and Hispanic patients after OHCA. Female OHCA patients have lower rates of BCPR compared to men and other survival outcomes vary. The influence of the COVID-19 pandemic on OHCA incidence and outcomes in different health disparity populations is unknown. Methods We used data from the Texas Cardiac
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ECPR may be the most effective intervention for refractory cardiac arrest—ever Resuscitation (IF 6.251) Pub Date : 2022-08-03 Anna L. Ciullo, Joseph E. Tonna
Abstract not available
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Patient-important outcomes following in-hospital cardiac arrest: Using frailty to move beyond prediction off immediate survival Resuscitation (IF 6.251) Pub Date : 2022-08-03 Eric Mercier, Fabrice I. Mowbray
Abstract not available
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Stability of Drugs Stored in Helicopters for Use by Emergency Medical Services: A Prospective Observational Study Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-01 Urs Pietsch, Johannes Moeckel, Joachim Koppenberg, Dario Josi, Arne Jungwirth, Wolf E. Hautz, Volker Wenzel, Stephan Strecke, Roland Albrecht
Study objective Drugs stored in rescue helicopters may be subject to extreme environmental conditions. The aim of this study was to measure whether drugs stored under the real-life conditions of a Swiss helicopter emergency medical service (HEMS) would retain their potency over the course of 1 year. Methods A prospective, longitudinal study measuring the temperature exposure and concentration of drugs
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A Systematic Review of Interventions to Reduce Computed Tomography Usage in the Emergency Department Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-01 Cody L. Dunne, Jason L. Elzinga, Allen Vorobeichik, Sanjana Sudershan, Diana Keto-Lambert, Eddy Lang, Shawn Dowling
Study objective Unnecessary computed tomography (CT) scans burden the health care system, leading to increased emergency department (ED) wait times and lengths of stay, costing almost a billion dollars annually. This study aimed to describe ED-based interventions that are most effective at reducing CT imaging while maintaining diagnostic accuracy and patient safety. Methods Adhering to the Preferred
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Emergency Department Adverse Events Detected Using the Emergency Department Trigger Tool Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-08-01 Richard T. Griffey, Ryan M. Schneider, Alexandre A. Todorov
Study objective The Emergency Department Trigger Tool (EDTT) is a novel approach to adverse event detection in the ED. We previously described the derivation, validation, and high-level performance of this tool. Here we further detail adverse events detected to demonstrate the utility of the EDTT and how it might be used for quality improvement. Methods This is a secondary analysis of data from a retrospective
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A pilot study of methods for prediction of poor outcome by head computed tomography after cardiac arrest Resuscitation (IF 6.251) Pub Date : 2022-08-02 Margareta Lang, Niklas Nielsen, Susann Ullén, Kasim Abul-Kasim, Mikael Johnsson, Raimund Helbok, Christoph Leithner, Tobias Cronberg, Marion Moseby-Knappe
Introduction In Sweden, head computed tomography (CT) is commonly used for prediction of neurological outcome after cardiac arrest, as recommended by guidelines. We compare the prognostic ability and interrater variability of routine and novel CT methods for prediction of poor outcome. Methods Retrospective study including patients from Swedish sites within the Target Temperature Management after out-of-hospital
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Collagen triple helix repeat containing-1 promotes functional recovery of sweat glands by inducing adjacent microvascular network reconstruction in vivo. Burns Trauma (IF 5.711) Pub Date : 2022-08-02 Xingyu Yuan,Xianlan Duan,Zhao Li,Bin Yao,Enhejirigala,Wei Song,Yi Kong,Yuzhen Wang,Fanliang Zhang,Liting Liang,Shijun Zhu,Mengde Zhang,Chao Zhang,Sha Huang,Xiaobing Fu
Background Sweat glands (SGs) have low regenerative potential after severe burns or trauma and their regeneration or functional recovery still faces many obstacles. In practice, restoring SG function requires not only the structural integrity of the gland itself, but also its neighboring tissues, especially blood vessels. Collagen triple helix repeat containing-1 (CTHRC1) was first identified in vascular
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Neurological Pupil Index and its association with other prognostic tools after cardiac arrest: A post hoc analysis Resuscitation (IF 6.251) Pub Date : 2022-07-30 Lorenzo Peluso, Mauro Oddo, Andrea Minini, Giuseppe Citerio, Janneke Horn, Eugenio Di Berardini, Malin Rundgren, Alain Cariou, Jean-Francois Payen, Christian Storm, Pascal Stammet, Claudio Sandroni, Fabio Silvio Taccone
Introduction We evaluated the concordance of the Neurological pupil Index (NPi) with other predictors of outcome after cardiac arrest (CA). Methods Post hoc analysis of a prospective, international, multicenter study including adult CA patients. Predictors of unfavorable outcome (UO, Cerebral Performance Category of 3-5 at 3 months) included: a) worst NPi ≤2; b) presence of discontinuous encephalography
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Early risk stratification for progression to death by neurological criteria following out-of-hospital cardiac arrest Resuscitation (IF 6.251) Pub Date : 2022-07-29 Patrick J. Coppler, Katharyn L. Flickinger, Joseph M. Darby, Ankur Doshi, Francis X. Guyette, John Faro, Clifton W. Callaway, Jonathan Elmer
Background Some patients resuscitated from out-of-hospital cardiac arrest (OHCA) progress to death by neurological criteria (DNC). We hypothesized that initial brain imaging, electroencephalography (EEG), and arrest characteristics predict progression to DNC. Methods We identified comatose OHCA patients from January 2010 to February 2020 treated at a single quaternary care facility in Western Pennsylvania
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Effect of calcium vs. placebo on long-term outcomes in patients with out-of-hospital cardiac arrest Resuscitation (IF 6.251) Pub Date : 2022-07-30 Mikael Fink Vallentin, Asger Granfeldt, Carsten Meilandt, Amalie Ling Povlsen, Birthe Sindberg, Mathias J. Holmberg, Bo Nees Iversen, Rikke Mærkedahl, Lone Riis Mortensen, Rasmus Nyboe, Mads Partridge Vandborg, Maren Tarpgaard, Charlotte Runge, Christian Fynbo Christiansen, Thomas H. Dissing, Christian Juhl Terkelsen, Steffen Christensen, Hans Kirkegaard, Lars W. Andersen
Objective The Calcium for Out-of-hospital Cardiac Arrest (COCA) trial was a randomized, placebo-controlled, double-blind trial of calcium for out-of-hospital cardiac arrest. The primary and secondary outcomes have been reported previously. This article describes the long-term outcomes of the trial. Methods Patients aged ≥18 years were included if they had a non-traumatic out-of-hospital cardiac arrest
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Riding the ETCO2 wave Resuscitation (IF 6.251) Pub Date : 2022-07-30 Nicolas Segal
Abstract not available
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Time is running out for manual pulse checks as ultrasound races past Resuscitation (IF 6.251) Pub Date : 2022-07-29 Daniel M. Rolston
Abstract not available
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Mechanical chest compression: Special devices for special situations – As simple as that? Resuscitation (IF 6.251) Pub Date : 2022-07-27 Sean Selim Scholz, Karl-Christian Thies
Abstract not available
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Multifunctional chitosan/gelatin@tannic acid cryogels decorated with in situ reduced silver nanoparticles for wound healing Burns Trauma (IF 5.711) Pub Date : 2022-07-27 Na Xu, Yucheng Yuan, Liangping Ding, Jiangfeng Li, Jiezhi Jia, Zheng Li, Dengfeng He, Yunlong Yu
Background Most traditional wound dressings only partially meet the needs of wound healing because of their single function. Patients usually suffer from the increasing cost of treatment and pain resulting from the frequent changing of wound dressings. Herein, we have developed a mutifunctional cryogel to promote bacterial infected wound healing based on a biocompatible polysaccharide. Methods The
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Investigation of sudden cardiac arrest: Time to put guidelines into practice Resuscitation (IF 6.251) Pub Date : 2022-07-26 Jonathan R Skinner, Saurabh Kumar
Abstract not available
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Continuous heart rate dynamics preceding in-hospital pulseless electrical activity or asystolic cardiac arrest of respiratory etiology Resuscitation (IF 6.251) Pub Date : 2022-07-26 Rongzi Shan, Jason Yang, Alan Kuo, Randall Lee, Xiao Hu, Noel G. Boyle, Duc H. Do
Introduction Respiratory failure is a common cause of pulseless electrical activity (PEA) and asystolic cardiac arrest, but the changes in heart rate (HR) pre-arrest are not well described. We describe HR dynamics prior to in-hospital cardiac arrest (IHCA) among PEA/asystole arrest patients with respiratory etiology. Methods In this retrospective study, we evaluated 139 patients with 3–24 hours of
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The LIFE TRIAD of emergency general surgery World J. Emerg. Surg. (IF 8.165) Pub Date : 2022-07-25 Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Osipov, Aleksei, Cui, Yunfeng, Beka, Solomon Gurmu, Kirkpatrick, Andrew, Sall, Ibrahima, Moore, Ernest E., Biffl, Walter L., Litvin, Andrey, Pisano, Michele, Magnone, Stefano, Picetti, Edoardo, de Angelis, Nicola, Stahel, Philip, Ansaloni, Luca, Tan, Edward, Abu-Zidan, Fikri, Ceresoli, Marco, Hecker, Andreas, Chiara, Osvaldo, Sganga, Gabriele,
Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice
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Resuscitative endovascular occlusion of the aorta (REBOA) as a mechanical method for increasing the coronary perfusion pressure in non-traumatic out-of-hospital cardiac arrest patients Resuscitation (IF 6.251) Pub Date : 2022-07-21 Dong-Hyun Jang, Dong Keon Lee, You Hwan Jo, Seung Min Park, Young Taeck Oh, Chang Woo Im
Aim of the study Resuscitative endovascular balloon occlusion of the aorta (REBOA), originally designed to block blood flow to the distal part of the aorta by placing a balloon in trauma patients, has recently been shown to increase coronary perfusion in cardiac arrest patients. This study evaluated the effect of REBOA on aortic pressure and coronary perfusion pressure (CPP) in non-traumatic out of-hospital
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What's Coming in Annals - September 2022 Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-07-20
Abstract not available
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Annals of Emergency Medicine and the Birth of Emergency Department Procedural Sedation Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-07-20 Steven M. Green
Abstract not available
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Man With Right Shoulder Pain Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-07-20 Chih-Jung Chang, Che-Ming Yeh, Chun-Yen Huang, Sheng-En Chu, Jen-Tang Sun
Abstract not available
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Woman With Dysmenorrhea Ann. Emerg. Med. (IF 6.762) Pub Date : 2022-07-20 Katie McRae, Rohith Bhargavan, Robert Saona, Frank X. Scheuermeyer
Abstract not available