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Self-expanding metal stents versus decompression tubes as a bridge to surgery for patients with obstruction caused by colorectal cancer: a systematic review and meta-analysis World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-09-27 Wei Ma, Jian-Cheng Zhang, Kun Luo, Lu Wang, Chi Zhang, Bin Cai, Hua Jiang
Using self-expanding metal stents (SEMS) and decompression tubes (DT) as a bridge-to-surgery (BTS) treatment may avoid emergency operations for patients with colorectal cancer-caused obstructions. This study aimed to evaluate the efficacy and safety of the two approaches. We systematically retrieved literature from January 1, 2000, to May 30, 2023, from the PubMed, Embase, Web of Science, SinoMed,
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Suitability of Low-Volume Rural Emergency Departments to New Rural Emergency Hospital Designation Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-23 Tyler L. Malone, Susie Gurzenda, Kristin L. Reiter, George H. Pink, Margaret B. Greenwood-Ericksen
Abstract not available
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Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-23 Jeffrey Merz-Herrala, Nathaniel Leu, Erik Anderson, Alexandra Lambeck, Jamal Jefferson, Max Sobrero, Daniel Mantuani, Galaxy Mudda, Arun Nagdev
Study objective Emergency practitioners use ultrasound-guided nerve blocks to alleviate pain. This study represents the largest registry of single-injection ultrasound-guided nerve blocks performed in an emergency department (ED) to date. We wished to assess the safety and pain score reductions associated with ED-performed ultrasound-guided nerve blocks. The main outcomes of interest were ultrasound-guided
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Rapid response team activation prior to in-hospital cardiac arrest: Areas for improvements based on a national cohort study Resuscitation (IF 6.5) Pub Date : 2023-09-22 Anna Thorén, Martin Jonsson, Martin Spångfors, Eva Joelsson-Alm, Jan Jakobsson, Araz Rawshani, Thomas Kahan, Johan Engdahl, Arvid Jadenius, Erik Boberg von Platen, Johan Herlitz, Therese Djärv
Introduction Rapid response teams (RRTs) are designed to improve the “chain of prevention” of in-hospital cardiac arrest (IHCA). We studied the 30-day survival of patients reviewed by RRTs within 24 hours prior to IHCA, as compared to patients not reviewed by RRTs. Methods A nationwide cohort study based on the Swedish Registry of Cardiopulmonary Resuscitation, between January 1st, 2014, and December
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Pediatric Patients Discharged After Transfer to a Pediatric Emergency Department: Opportunities for Telehealth? Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-22 Emily M. Hayden, Margaret Samuels-Kalow, Sayon Dutta, Ari Cohen, K. Noelle Tune, Kori S. Zachrison
Study objective Interemergency department pediatric transfers can be costly, involve risk, and may be disruptive to patients and families. Telehealth could be a way to safely reduce the number of transfers. We made an estimate of the proportion of transfers of pediatric patients to our emergency department (ED) that may have been avoidable using telehealth. Methods This was a retrospective analysis
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Man With Dyspnea Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Jen-Yuan Lee, Jiunn-Wen Lin, Tou-Yuan Tsai
Abstract not available
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How confidently can we prognosticate survival when starting ECPR? Resuscitation (IF 6.5) Pub Date : 2023-09-19 Joseph E. Tonna
Abstract not available
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Artificial Intelligence’s Leap Into Emergency Medicine: The Promise and Pitfalls of ChatGPT: A look into what ChatGPT and other artificial intelligence applications mean for the future of the field. Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Fred Milgrim
Abstract not available
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A Pitfall in Measuring Heart Rates With Pulse Oximetry Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Takuya Chuman, Kazuki Iio, Shun Yanai, Yusuke Hagiwara, Jun Maeda
Abstract not available
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These Are Not the DEVICE(s) You Are Looking For: October 2023 Annals of Emergency Medicine Journal Club Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Rory J. Spiegel, Max Hockstein
Abstract not available
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An Electronic Medical Record Intervention to Increase Pharmacologic Prophylaxis for Venous Thromboembolism in Emergency Department Observation Patients Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Christopher W. Baugh, Rebecca E. Cash, David Meguerdichian, Lisette Dunham, Timothy Stump, Ronelle Stevens, Audrey Reust, Benjamin White, Sayon Dutta
Study objective The role of venous thromboembolism (VTE) prophylaxis among patients receiving emergency department (ED) observation unit care is unclear. We investigated an electronic health record-based clinical decision support tool aimed at increasing pharmacologic VTE prophylaxis use among at-risk patients placed in ED observation units. Methods We conducted an interrupted time-series study of
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Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Rafael von Hellmann, Natalia Fuhr, Ian Ward A. Maia, Danielle Gerberi, Daniel Pedrollo, Fernanda Bellolio, Lucas Oliveira J. e Silva
The use of a bougie, a flexible endotracheal tube introducer, has been proposed to optimize first-attempt success in emergency department intubations. We aimed to evaluate the available evidence on the association of bougie use in the first attempt and success in tracheal intubations. This was a systematic review and meta-analysis of studies that evaluated first-attempt success between adults intubated
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Sudden Cardiac Death at Home: Potential Lives Saved With Fully Automated External Defibrillators Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Lawrence J. Gessman, Paul N. Schacknow, Ralph G. Brindis
Sudden cardiac death from ventricular arrhythmia kills about 350,000 people annually in the United States. This number has not improved since the widespread public availability of semi-automated external defibrillators (AEDs) and the teaching of nonbreathing cardiopulmonary resuscitation (CPR) procedures. When an out-of-hospital cardiac arrest occurs in a public space, lay witnesses do CPR in 40% of
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Is the Use of Computed Tomography Perfusion Versus Noncontrast Computed Tomography Associated With Improved Outcomes in Patients Presenting 6-24 hours After Symptom Onset With Large Vessel Occlusion Acute Ischemic Stroke Undergoing Endovascular Thrombectomy? Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Cayla Fappiano, Brit Long
Abstract not available
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Factors Associated With Physical Restraint in an Urban Emergency Department Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Aaron E. Robinson, Brian E. Driver, Jon B. Cole, James R. Miner, Andrea P. Dreyfuss, Aida W. Strom, Erik R. Brodt, Thomas E. Wyatt
Study objective To determine what patient characteristics were associated with the application of physical restraints in our emergency department (ED). Methods This was a retrospective analysis of encounters in the ED of an urban, Level I academic trauma center. We included ED encounters of adult patients (aged ≥18 years) during a 5-year period starting in 2017. We evaluated the independent association
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Home Therapies to Neutralize Button Battery Injury in a Porcine Esophageal Model Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Angela L. Chiew, Calvin S. Lin, Dan T. Nguyen, Felicity A.W. Sinclair, Betty S. Chan, Annalisa Solinas
Study objective Button battery ingestion can cause alkaline esophageal injury. There is interest in first-aid household products to neutralize the injury. The objective was to investigate which household products are effective at reducing button battery injury. Methods Two cadaveric porcine experiments were performed. Experiment 1 utilized esophageal mucosal segments. A button battery (3VCR2032) was
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Comparing Geriatric and Nongeriatric Emergency Departments: A First Step on a Critical Avenue of Research Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Maura Kennedy, Kevin Biese
Abstract not available
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External Validation of a Tool to Identify Low-Risk Patients With Isolated Subdural Hematoma and Preserved Consciousness Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Peter Pruitt, Richmond Castillo, Andrew Rogers, Shyam Prabhakaran, Kayla Muschong, Michael Scudder, Danielle M. McCarthy, Jane L. Holl, D. Mark Courtney, Pierre Borczuk, Andrew Naidech
Study objective The SafeSDH Tool was derived to identify patients with isolated (no other type of intracranial hemorrhage) subdural hematoma who are at very low risk of neurologic deterioration, neurosurgical intervention, or death. Patients are low risk by the tool if they have none of the following: use of anticoagulant or nonaspirin antiplatelet agent, Glasgow Coma Score (GCS) <14, more than 1 discrete
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ChatGPT Versus Human Performance on Emergency Medicine Board Preparation Questions Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-19 Zachary J. Jarou, Ali Dakka, Duncan McGuire, Leonard Bunting
Abstract not available
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Man With Proptosis Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Kelly-Ann Mungroo, Alexander Song, Josh Greenstein, Barry Hahn
Abstract not available
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Sgarbossa Negative With Concordant ST Depression—Occlusion Myocardial Infarction Diagnosed by the BARCELONA Algorithm Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Lisa M. Saffire, Joshua D. Niforatos, Jake Valentine, Paul L. Weygandt
Abstract not available
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Sinus Bradycardia With Nonconducted Atrial Bigeminy Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Melissa Templeton, David J. Carlberg, Jeffrey A. Tabas, Amal Mattu, William J. Brady, Jonathan E. Davis
Abstract not available
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Estimated Effectiveness of JYNNEOS Vaccine in Preventing Mpox: A Multijurisdictional Case-Control Study — United States, August 19, 2022–March 31, 2023 Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Michelle N. Huber, Stephen Lim
Abstract not available
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A Woman With Sudden Cardiac Arrest After Caesarean Delivery Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 I-Chen Lin, Yuh-Shin Kuo, Po-Wei Chiu
Abstract not available
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Man with an Abdominal Mass Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Yen-Chung Chen, Po-Yuan Chen, Po-Jen Yang
Abstract not available
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Failure of Tracheostomy Placement Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Graham E. Snyder, Aaron Byrd, Jordan Humphrey, Kevin Parrish, Christina Shenvi
Abstract not available
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Rapidly Enlarging Vascular Tumor in a 4-Month-Old Infant Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Theresa C. Barrett, Mioara D. Manole, Erika Friehling, Andrew McCormick
Abstract not available
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Girl With Abdominal Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Zhang-wei Song, Ling-ling Lin
Abstract not available
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State-Level Variability in the Number of Level 1 Trauma Centers Per Capita in the United States Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Aditya C. Shekhar, Brian A. Lewis
Abstract not available
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Death by a Thousand Screens: A Practical Role for Machine Learning in Emergency Medicine Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20 Neeraj Chhabra
Abstract not available
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Classified 2023 Advertising Rates & Information: New value-added feature-your ad online at no additional cost! Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-20
Abstract not available
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Post resuscitation ST-segment elevation: When a few minutes make the difference between a class I and a class III indication for immediate coronary angiography Resuscitation (IF 6.5) Pub Date : 2023-09-18 Simone Savastano, Enrico Baldi, Sebastian Schnaubelt, Angelo Auricchio
Abstract not available
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Virtual Reality, Augmented Reality, Augmented Virtuality, or Mixed Reality in cardiopulmonary resuscitation: Which Extended Reality am I using for teaching adult basic life support? Resuscitation (IF 6.5) Pub Date : 2023-09-18 Nino Fijačko, Špela Metličar, Jens Kleesiek, Jan Egger, Todd P Chang
Abstract not available
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Disparities within pediatric out-of-hospital cardiac arrest: a call to action Resuscitation (IF 6.5) Pub Date : 2023-09-16 Audrey L. Blewer, Masashi Okubo
Abstract not available
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The effects of mechanical versus bag-valve ventilation on gas exchange during cardiopulmonary resuscitation in emergency department patients: A randomized controlled trial (CPR-VENT) Resuscitation (IF 6.5) Pub Date : 2023-09-12 Thanat Tangpaisarn, Jirat Tosibphanom, Rutchanee Sata, Praew Kotruchin, Byron Drumheller, Pariwat Phungoen
Introduction Effective ventilation is crucial for successful cardiopulmonary resuscitation (CPR). Previous studies indicate that higher arterial oxygen levels (PaO2) during CPR increase the chances of successful resuscitation. However, the advantages of mechanical ventilators over bag-valve ventilation for achieving optimal PaO2 during CPR remain uncertain. Method We conducted a randomized trial involving
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Cardiovascular changes induced by targeted mild hypercapnia after out of hospital cardiac arrest. A sub-study of the TAME cardiac arrest trial Resuscitation (IF 6.5) Pub Date : 2023-09-15 Mathias Baumann Melberg, Arnljot Flaa, Geir Øystein Andersen, Kjetil Sunde, Rinaldo Bellomo, Glenn Eastwood, Theresa Mariero Olasveengen, Eirik Qvigstad
Aim Hypercapnia may elicit detrimental haemodynamic effects in critically ill patients. We aimed to investigate the consequences of targeted mild hypercapnia versus targeted normocapnia on pulmonary vascular resistance and right ventricular function in patients resuscitated from out-of-hospital cardiac arrest (OHCA). Methods Pre-planned, single-centre, prospective, sub-study of the Targeted Therapeutic
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Effect of first epinephrine administration time on cerebral perfusion pressure and cortical cerebral blood flow in a porcine cardiac arrest model Resuscitation (IF 6.5) Pub Date : 2023-09-15 Dong Hyun Choi, Ki Jeong Hong, Ki Hong Kim, Sang Do Shin, Kyoung Jun Song, Yoonjic Kim, Yoon Ha Joo, Jeong Ho Park, Young Sun Ro, Hyun Jeong Kang
Objective The optimal time for epinephrine administration and its effects on cerebral blood flow (CBF) and microcirculation remain controversial. This study aimed to assess the effect of the first administration of epinephrine on cerebral perfusion pressure (CePP) and cortical CBF in porcine cardiac arrest model. Methods After 4 min of untreated ventricular fibrillation, eight of 24 swine were randomly
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Sudden pediatric cardiac arrest with catecholaminergic polymorphic ventricular tachycardia: When epinephrin should be avoided Resuscitation (IF 6.5) Pub Date : 2023-09-15 Guillaume Mortamet, Emilien Maisonneuve, Isabelle Wroblewski, Stéphanie Douchin, Claire Massardier
Abstract not available
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Ventilatory improvement with mechanical ventilator versus bag in non-traumatic out-of-hospital cardiac arrest: SYMEVECA study, phase 1 Resuscitation (IF 6.5) Pub Date : 2023-09-12 Alberto Hernández-Tejedor, Vanesa González Puebla, Ervigio Corral Torres, Alicia Benito Sánchez, Rosario Pinilla López, María Dolores Galán Calategui
Aim To analyze differences in ventilatory parameters and outcome with different ventilatory methods during CPR. Methods Pragmatic prospective quasi-experimental study in out-of-hospital urban environment. Patients over 18 years of age in non-traumatic cardiac arrest, attended by an emergency medical service between April 2021 and September 2022, were included. Two groups were compared according to
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Confounders for prognostic accuracy of neuron-specific enolase after cardiac arrest: A retrospective cohort study Resuscitation (IF 6.5) Pub Date : 2023-09-06 Constanze Czimmeck, Martin Kenda, Noelle Aalberts, Christian Endisch, Christoph J. Ploner, Christian Storm, Jens Nee, Kaspar J. Streitberger, Christoph Leithner
Aim To evaluate neuron-specific enolase (NSE) thresholds for prediction of neurological outcome after cardiac arrest and to analyze the influence of hemolysis and confounders. Methods Retrospective analysis from a cardiac arrest registry. Determination of NSE serum concentration and hemolysis-index (h-index) 48–96 hours after cardiac arrest. Evaluation of neurological outcome using the Cerebral Performance
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ChatGPT and Generating a Differential Diagnosis Early in an Emergency Department Presentation Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-09 Hidde ten Berg, Bram van Bakel, Lieke van de Wouw, Kim E. Jie, Anoeska Schipper, Henry Jansen, Rory D. O’Connor, Bram van Ginneken, Steef Kurstjens
Abstract not available
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2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery World J. Emerg. Surg. (IF 8.0) Pub Date : 2023-09-09 Nicola de’Angelis, Carlo Alberto Schena, Francesco Marchegiani, Elisa Reitano, Belinda De Simone, Geoffrey Yuet Mun Wong, Aleix Martínez-Pérez, Fikri M. Abu-Zidan, Vanni Agnoletti, Filippo Aisoni, Michele Ammendola, Luca Ansaloni, Miklosh Bala, Walter Biffl, Graziano Ceccarelli, Marco Ceresoli, Osvaldo Chiara, Massimo Chiarugi, Stefania Cimbanassi, Federico Coccolini, Raul Coimbra, Salomone Di Saverio
Iatrogenic urinary tract injury (IUTI) is a severe complication of emergency digestive surgery. It can lead to increased postoperative morbidity and mortality and have a long-term impact on the quality of life. The reported incidence of IUTIs varies greatly among the studies, ranging from 0.3 to 1.5%. Given the high volume of emergency digestive surgery performed worldwide, there is a need for well-defined
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Usability study of using interactive 360° video-based virtual reality for teaching adult basic life support Resuscitation (IF 6.5) Pub Date : 2023-09-09 Nino Fijačko, Ruth Masterson Creber, Špela Metličar, Inja Dokl, Todd P. Chang
Abstract not available
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Back vs. chest ECG electrode placement in neonatal resuscitation: A pilot randomized controlled trial Resuscitation (IF 6.5) Pub Date : 2023-09-09 Rashmi Gulati, Lameace Sayegh, Cathy McCurley, Fabien Eyal, Michael Zayek
Background The recent Neonatal Resuscitation Program advises the early utilization of an electrocardiogram (ECG) for non-vigorous newborns in the delivery room. However, placing ECG electrodes on the chest may delay obtaining a reliable heart rate (HR) and could interfere with chest compressions. Our previous study showed that preset ECG electrodes, attached to the back of the newborn, are quicker
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Emergency Department Crowding After Coronavirus Disease 2019: Time to Change the Hospital Paradigm Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-06 Gillian R. Schmitz, Peter Viccellio, Eugene Litvak
Abstract not available
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Not Your Typical Sore Throat–A Case Report on Delayed Complications From Cervical Spinal Surgery Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-09-06 Emma Ivanauskas, Kerin A. Jones
Esophageal perforation is an uncommon illness with a mortality rate as high as 50%. It is most frequently caused by iatrogenic instrumentation for both diagnostic and therapeutic purposes. Noniatrogenic spontaneous ruptures account for 15% of cases, followed by traumatic injury and rupture secondary to a foreign body.1 Sore throat is a common emergency medicine complaint with an array of causes and
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Decoding the cardiac arrest dilemma: Innovation, awareness, and political commitment for improving survival Resuscitation (IF 6.5) Pub Date : 2023-09-06 Federico Semeraro
Abstract not available
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A two-point strategy to clarify prognosis in >80 year olds experiencing out of hospital cardiac arrest Resuscitation (IF 6.5) Pub Date : 2023-09-06 Elizabeth D. Paratz, Emily Nehme, Natalie Heriot, Kenneth Bissland, Stephanie Rowe, Louise Fahy, David Anderson, Dion Stub, Andre La Gerche, Ziad Nehme
Background The global population is aging, with the number of ≥80-year-olds projected to triple over the next 30 years. Rates of out-of-hospital cardiac arrest (OHCA) are also increasing within this age group. Methods The Victorian Ambulance Cardiac Arrest Registry was utilised to identify OHCAs in patients aged ≥80 years between 2002–2021. Predictors of survival to discharge were defined and a prognostic
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Cellular and molecular mechanisms in vascular repair after traumatic brain injury: a narrative review Burns Trauma (IF 5.3) Pub Date : 2023-09-05 Zi-Ai Zhao, Lingli Yan, Jing Wen, Senthil Kumaran Satyanarayanan, Feng Yu, Jiahong Lu, Yong U Liu, Huanxing Su
Traumatic brain injury (TBI) disrupts normal brain function and is associated with high morbidity and fatality rates. TBI is characterized as mild, moderate or severe depending on its severity. The damage may be transient and limited to the dura matter, with only subtle changes in cerebral parenchyma, or life-threatening with obvious focal contusions, hematomas and edema. Blood vessels are often injured
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Agency Factors Associated with First Response Systems that Improve Out-of-Hospital Cardiac Arrest Outcomes Resuscitation (IF 6.5) Pub Date : 2023-09-01 Ryan Huebinger, Mary Spring, Brian McNally, Amanda Humphries, David Persse, Dominique Diggs, Eric Boerwinkle, Bentley Bobrow
Background Data are conflicting regarding the association between first responder (FR) intervention and improved outcomes after out-of-hospital cardiac arrest (OHCA). We evaluated characteristics of agencies that have positive associations between FR interventions and outcomes. Methods We analyzed the 2016-2021 national Cardiac Arrest Registry to Enhance Survival (CARES). We defined the exposures as
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Development and Validation of a Novel Score to Predict Brain Death After Out-of-Hospital Cardiac Arrest Resuscitation (IF 6.5) Pub Date : 2023-09-01 Eva Kitlen, Noah Kim, Alexandra Rubenstein, Caitlyn Keenan, Gabriella Garcia, Akhil Khosla, Jennifer Johnson, P. Elliot Miller, Charles Wira, David Greer, Emily J. Gilmore, Rachel Beekman
Background and objectives Brain death (BD) occurs in 9-24% of successfully resuscitated out-of-hospital cardiac arrests (OHCA). To predict BD after OHCA, we developed a novel brain death risk (BDR) score. Methods We identified independent predictors of BD after OHCA in a retrospective, single academic center cohort between 2011-2021. The BDR score ranges from 0-7 points and includes: non-shockable
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Early and late withdrawal of life-sustaining treatment after out-of-hospital cardiac arrest in the United Kingdom: institutional variation and association with hospital mortality Resuscitation (IF 6.5) Pub Date : 2023-09-01 Savvas Vlachos, Gordon Rubenfeld, David Menon, David Harrison, Kathryn Rowan, Ritesh Maharaj
Aim Frequency and timing of Withdrawal of Life-Sustaining Treatment (WLST) after Out-of-Hospital Cardiac Arrest (OHCA) vary across Intensive Care Units (ICUs) in the United Kingdom (UK) and may be a marker of lower healthcare quality if instituted too frequently or too early. We aimed to describe WLST practice, quantify its variability across UK ICUs, and assess the effect of institutional deviation