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Surge Capacity of Taipei’s Regional Emergency Medical System during COVID-19: A System Dynamics Approach Emerg. Med. Int. (IF 1.2) Pub Date : 2024-3-14 Chih Chang Chen, Su Ying Hung
Background. The community transmission of COVID-19 has caused the breakdown of the regional emergency medical system (REMS), impacting the rights and care of regional patients with acute and severe conditions. This study proposes a model for the surge capacity of REMS to plan for readiness and preparedness during challenging events that overload capacity. Methods. The surge capacity of REMS during
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The Predictive Role of Lactate in the Emergency Department in Patients with Severe Dyspnea Emerg. Med. Int. (IF 1.2) Pub Date : 2024-2-29 Maciej Niczewski, Szymon Gawęda, Paulina Kluszczyk, Mikołaj Rycerski, Daria Syguła, Anna Danel, Szymon Szmigiel, Konrad Mendrala, Aleksandra Oraczewska, Czarosław Kijonka, Monika Nowicka, Michał Wita, Tomasz Cyzowski, Grzegorz Brożek, Maciej Dyrbuś, Szymon Skoczyński
Objective. An accurate identification of patients at the need for prioritized diagnostics and care are crucial in the emergency department (ED). Blood gas (BG) analysis is a widely available laboratory test, which allows to measure vital parameters, including markers of ventilation and perfusion. The aim of our analysis was to assess whether blood gas parameters in patients with dyspnea at an increased
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Comparison of Clinical Characteristics, Therapy, and Short-Term Prognosis between Blunt and Penetrating Abdominal Trauma: A Multicentric Retrospective Cohort Study Emerg. Med. Int. (IF 1.2) Pub Date : 2024-2-13 Yi Liu, Yunhe Gao, Zhida Chen, Jianxin Cui, Wenquan Liang, Ze Wang, Linde Sun, Chuan Pang, Yuan Lv, Guoxiao Liu, Tingting Lu, Gan Zhang, Xiaoyu Dong, Hong Xu, Sheng Yao, Feng Liang, Gang Liu, Gang Chen, Jianmiao He, Wentong Xu, Bo Wei, Hongqing Xi, Lin Chen
Objective. Large-scale studies on the characteristics and management of abdominal trauma in megacities in China are lacking. The aim of this study was to analyze and present the clinical patterns and treatment status of abdominal trauma in regional medical centers. Methods. Cases of abdominal trauma treated at seven medical centers in Beijing from 2010 to 2021 were collected. Clinical information about
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Strategies for Oxygen Ecosystems in Middle-Income Countries: A Review and Case Study from Lebanon Emerg. Med. Int. (IF 1.2) Pub Date : 2024-2-2 Tim Baker, Claudio Gatti, Guido Rossini, Habtamu Tolla, Anne Detjen, Mulugeta Mideksa, Nadeen Hilal, Rima Shaya
The COVID-19 pandemic led to a surge of critically ill patients and a sudden increase in the need for oxygen treatment worldwide. Pre-existing gaps in oxygen systems became apparent, and governments, multilateral agencies, and other partners scrambled to increase the production, supply, and use of oxygen to meet this need. The importance of an oxygen ecosystem that is appropriate for the local context
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Our Surgical Results in Popliteal and Infrapopliteal Artery Injuries: 21 Cases without Amputation Emerg. Med. Int. (IF 1.2) Pub Date : 2024-1-24 Burak Tamteki̇n, Güler Gülsen Ersoy
Objectives. Popliteal and infrapopliteal artery injuries have significant morbidity and mortality rates, especially in terms of amputation. In our study, we aimed to evaluate patients who operated due to popliteal and infrapopliteal vascular injuries in our clinic. Patients and Methods. Between 2016 and 2023; 21 patients who were operated in our clinic due to popliteal and infrapopliteal artery injuries
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Point-of-Care Cardiac Ultrasound Training Programme: Experience from the University Hospital Hradec Králové Emerg. Med. Int. (IF 1.2) Pub Date : 2024-1-6 Petr Grenar, Jiří Nový, Karel Mědílek, Martin Jakl
Point-of-care ultrasound examinations performed by physicians of different specialties are a rapidly growing phenomenon, which has led to a worldwide effort to create a standardised approach to ultrasound examination training. The implementation of emergency echocardiography by noncardiologists is mainly aimed at the standardisation of the procedure, a structured training system, and an agreement on
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Clinical Features and Biomarkers for Early Prediction of Refractory Mycoplasma Pneumoniae Pneumonia in Children Emerg. Med. Int. (IF 1.2) Pub Date : 2024-1-5 Qin Chen, Tingting Hu, Ling Wu, Lumin Chen
Summary of Background Data.With the increasing incidence and mortality of refractory mycoplasma pneumonia (RMPP), the early diagnosis and treatment of RMPP have attracted more and more attention and have become a major concern in pediatrics. Objective. The study aimed to analyze the clinical characteristics of children with RMPP and to explore the biomarkers for the early prediction of RMPP, thus providing
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Prevalence, Risk Factors, and Mortality of Patients Presenting with Moderate and Severe Hyponatremia in Emergency Departments Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-31 Randa Farah, Nisreen Asha, Farah Mezher, Saja Maaitah, Fedaa Abu Al-Samen, Farah Abu Abboud, Salma Ajarmeh
Background. Hyponatremia is among the most common electrolyte disturbances encountered in clinical practice and is associated with a high rate of morbidity and mortality. However, there are very limited data on adult cases presenting to emergency departments with hyponatremia. Objectives. This study aimed to evaluate the frequency, clinical characteristics, and outcomes in hyponatremic patients presenting
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Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-26 Yi-Ling Zhang, Zhou Yang, Jie Cao, Yu-Long Bai, Chun-Yun Fang, Wei Wang
Background. Lung ultrasound score (LUS) is a clinical index used to measure lung injury, but its clinical value in patients after cardiopulmonary resuscitation (CPR) remains relatively unknown. The purpose of this study was to investigate the clinical value of LUS in patients after CPR. Methods. This retrospective study included a total of 34 patients older than 18 years with a nontraumatic cause of
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Fears and Concerns of Bystanders to Help People Injured in Traffic Accidents: A Qualitative Descriptive Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-7 Mohammad Jafar Sepahvand, Kian Nourozi, Hamidreza Khankeh, Farahnaz Mohammadi-Shahboulaghi, Masoud Fallahi-Khoshknab
In most traffic accidents, bystanders arrive at the scene before the rescuers. If they provide the right help, they can play an important and effective role in reducing the number of deaths and complications caused by these accidents. However, in many cases, fears and concerns prevent bystanders from providing assistance. This study aims to investigate and understand the fears and concerns of bystanders
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Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-6 Chaobin Lou, Tao Xu, Fangying Dong, Yangmiao Xu, Muhua Zhang, Shudong Xia, Yinchuan Xu, Chao Feng
Background. Previous studies showed that there are gender disparities in various respects of acute myocardial infarction (AMI), including risk factors, symptoms, and outcomes. However, few of them noticed the gender disparities in patients’ decision about the management of AMI, which might also be associated with the outcome. Aims. To identify gender disparities in patients’ decisions about the management
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Impact of Personal Protective Equipment on Cardiopulmonary Resuscitation and Rescuer Safety Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-30 Cheng-Hsin Cheng, Ya-Yun Cheng, Mei-Kang Yuan, Yow-Jer Juang, Xuan-Yu Zeng, Chung-Yu Chen, Ning-Ping Foo
Background. High-quality cardiopulmonary resuscitation (CPR) is a key element in the rescue of cardiac arrest patients but is difficult to achieve in circumstances involving aerosol transmission, such as the COVID-19 pandemic. Methods. This prospective randomized crossover trial included 30 experienced health care providers to evaluate the impact of personal protective equipment (PPE) on CPR quality
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Enhancing Emergency Nurses’ Disaster Nursing Ability and Psychological Resilience: A Randomized Controlled Trial Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-27 Lin Lan, Meichi Zhou, Ling Wang, Xiaoli Chen, Min Dai, Jianna Zhang
Objective. This study aimed to investigate emergency nurses’ disaster nursing ability and psychological resilience, validate the effectiveness of a training system for disaster nursing ability based on psychological resilience, and verify the relationship between psychological resilience and disaster nursing ability among emergency nurses. Methods. A training system was developed to enhance psychological
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Arrhythmias Occurring in Children during HEMS Intervention: A Retrospective Cohort Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-23 Piotr Konrad Leszczyński, Arkadiusz Wejnarski, Patryk Rzońca, Angelika Gajowniczek, Robert Gałązkowski, Kryspin Mitura, Daryna Sholokhova
Background. Arrhythmias in patients during medical transport remain a challenge for medical personnel. Helicopter emergency medical service (HEMS) crews, as the only medical rescue teams in Poland to conduct rescue flights, keep detailed documentation of monitoring vital functions over short time intervals during the flight. Aims. The aim of this study was to determine the characteristics of cardiac
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Prediction Models for Return of Spontaneous Circulation in Patients with Cardiac Arrest: A Systematic Review and Critical Appraisal Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-21 Pengfei Cheng, Pengyu Yang, Hua Zhang, Haizhen Wang
Objectives. Prediction models for the return of spontaneous circulation (ROSC) in patients with cardiac arrest play an important role in helping physicians evaluate the survival probability and providing medical decision-making reference. Although relevant models have been developed, their methodological rigor and model applicability are still unclear. Therefore, this study aims to summarize the evidence
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Research Progress on the Mechanism and Management of Septic Cardiomyopathy: A Comprehensive Review Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-20 Xue-Bin Pei, Bo Liu
Sepsis is defined as a kind of life-threatening organ dysfunction due to a dysregulated host immune response to infection and is a leading cause of mortality in the intensive care unit. Sepsis-induced myocardial dysfunction, also called septic cardiomyopathy, is a common and serious complication in patients with sepsis, which may indicate a bad prognosis. Although efforts have been made to uncover
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Risk Factors for Predicting Mortality and Amputation of Patients with Necrotizing Soft-Tissue Infections: Retrospective Analysis of 111 Cases from a Single Medical Center Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-11 Hanghui Cen, Ronghua Jin, Jun Yin, Xingang Wang
Objective. Necrotizing soft-tissue infections (NSTIs) are rare clinical infections with surgical emergencies having a high mortality rate. This study aimed to investigate risk factors for mortality and amputation of patients with NSTI. Methods. We retrospectively analyzed critical factors for outcomes of 111 patients with NSTI hospitalized in our department from 1 January 1999 to 31 December 2018.
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Association between Red Blood Cell Distribution Width and Short-Term Mortality in Patients with Paralytic Intestinal Obstruction: Retrospective Data Analysis Based on the MIMIC-III Database Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-23 Xuelian Zhao, Xinhuan Wan, Chao Gu, Shanyu Gao, Jiahui Yin, Lizhu Wang, Longfang Quan
Objective. Elevated red cell distribution (RDW) has been reported to be associated with mortality in patients with acute pancreatitis and cholecystitis admitted to the intensive care unit (ICU). However, evidence for the relationship between RDW and paralytic intestinal obstruction is lacking. Therefore, the article aims to investigate the relationship between RDW and 28-day mortality of the patients
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Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-20 Meltem Songur Kodik, Ozlem Inci, Zeynep Dila Çetin, Emine Nihal Mete Gokmen, Funda Karbek Akarca
This study aimed to calculate the LACE index in patients who admitted to the emergency department (ED) with hereditary angioedema (HA) diagnosed and to predict recurrent admissions of patients. In this single-center study, patients aged 18 or higher who were admitted to the ED diagnosed with HA were included over a 12-year period. 35 patients diagnosed with code E88.0 were evaluated according to electronic
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Usefulness of the BIG Score in Predicting Massive Transfusion and In-Hospital Death in Adult Trauma Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-17 Sejun Park, Il Jae Wang, Seok-Ran Yeom, Sung-Wook Park, Suck Ju Cho, Wook Tae Yang, Wonwoong Tae, Up Huh, Chanhee Song, Yeaeun Kim, Jong-Hwan Park, Youngmo Cho
The base deficit (B), international normalized ratio (I), and Glasgow coma scale (GCS) (BIG) score is useful in predicting mortality in pediatric trauma patients; however, studies on the use of BIG score in adult patients with trauma are sparse. In addition, studies on the correlation between the BIG score and massive transfusion (MT) have not yet been conducted. This study aimed to evaluate the predictive
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Relationship between Nonhepatic Serum Ammonia Levels and Sepsis-Associated Encephalopathy: A Retrospective Cohort Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-12 Pei Wang, Jia Yan, Qiqing Shi, Fei Yang, Xuguang Li, Yuehao Shen, Haiying Liu, Keliang Xie, Lina Zhao
Objectives. Nonhepatic hyperammonemia often occurs in patients with sepsis. Ammonia plays an essential role in the occurrence of hepatic encephalopathy. However, the relationship between nonhepatic serum ammonia levels and sepsis-associated encephalopathy (SAE) remains unclear. Thus, we aimed to evaluate the association between serum ammonia levels and patients with SAE. Methods. Data of critically
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The Prevalence of Simultaneously Ordering Amylase and Lipase for Diagnosing Pancreatitis Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-27 Bader Alyahya, Abdulaziz Alalshaikh, Abdulaziz Altaweel, Gadah Alsaleh, Abdullah Alsaeed, Haneen Somily, Taif Alotaibi, Mohammed Alaqeel, Abdulaziz Al Mehlisi, Fahad Abuguyan, Fawaz Altuwaijri, Zuhair Alasiri
Background. The simultaneous measurement of serum amylase and lipase levels in the diagnosis of pancreatitis was deemed unnecessary in several studies. We aim at evaluating the prevalence of the simultaneous co-ordering of serum amylase and lipase. Methods. This retrospective chart review was conducted at King Saud University Medical City in Riyadh, Saudi Arabia, between January 2021 and January 2022
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Predictive Performance Neutrophil-to-Lymphocyte Ratio of Acute Tonsillitis with Deep Neck Space Infection in Adult Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-25 Sun Hwa Lee, Jong Seok Oh, Yun Hyung Choi, Ji Yeon Lim
The aim of this study was to examine the neutrophil-to-lymphocyte ratio (NLR) in patients diagnosed with a deep neck infection (DNI) to identify helpful indicators for the initial differential diagnosis. This study was conducted as a single-center, retrospective cohort study that utilized data from the electronic medical records of patients who visited the emergency department in a tertiary university
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Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-19 Weixue Huo, Mengwei He, Xianhao Bao, Ye Lu, Wen Tian, Jiaxuan Feng, Zhaoxiang Zeng, Rui Feng
Objective. The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023
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Prognostic Value of the Average Lung CT Number in Patients with Acute Paraquat Poisoning Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-12 Xinrui Jiang, Hengjun Liu, Geng Lu, Jiawei Zhou, Jun Wang, Binxia Shao, Peng Xu
Objective. The chest computed tomography (CT) examination is an important clinical examination in the diagnosis and monitoring of paraquat- (PQ-) induced lung injury. The aim of this study was to explore the prognostic value of the average lung CT number acquired by quantitative CT techniques in patients with acute paraquat poisoning in the early stages of the disease. Methods. 46 patients who suffered
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Patient and Provider Demographics and the Management of Genitourinary Tract Infections in the Emergency Department Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-11 Johnathan M. Sheele, Lanyu Mi, Jessica Monas, Michael Mohseni
Introduction. Urinary tract infections (UTIs) and sexually transmitted infections (STIs) can have overlapping signs, symptoms, and findings on urinalysis. Our objective was to determine if patient or provider demographics are associated with differences in the diagnosis and management of UTIs and STIs in the emergency department (ED). Methods. We analyzed 38,062 ED patient encounters from a single
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Evaluation of Platelet Distribution Width as an Early Predictor of Acute Kidney Injury in Extensive Burn Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-7 Ming Jiang, Qingrong Zhang, Chuwei Zhang, Zihan Li, Qiqi Li, Xun Qu, Yi Zhang, Kesu Hu
Background. The extensive burns devastate trauma. The research was designed to analyse the predictive value of early platelet (PLT) indices on the development of acute kidney injury (AKI) after severe burns. Methods and Results. 186 patients with extensive burns (burn area ≥30%) were eventually involved. Multivariate analyses pointed out that platelet distribution width (PDW) in the first 24 h after
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Oblique Axis Rib Stretch and Curved Planar Reformats in Patients for Rib Fracture Detection and Characterization: Feasibility and Clinical Application Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-29 Jingzhi Ye, Hongyi Li, Meng Zhang, Fenghuan Lin, Jingfeng Liu, Jun Chen, Ye Peng, Mengqiang Xiao
Objective. To assess the use of CT with oblique axis rib stretch (OARS) and curved planar reformats (CPRs) for rib fracture detection and characterization. Methods. A total of 108 forensically diagnosed patients with rib fractures were evaluated retrospectively. OARS and CPRs were independently used during the diagnosis in two groups. In each group, the final diagnosis was made after a junior radiologist’s
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Retracted: Cohort Study on the Effect of Psychological Education for Nurses in Psychiatric Department. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-23 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/7394710.].
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Prehospital Predictors for Urgent Neurosurgical Intervention in the Head Trauma Patient: A 2-Year Multicenter Retrospective Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-18 Jakub Nożewski, Maja Kwiatkowska, Aleksandra Łosińska, Ewa Nowak, Anna Lackowska, Anna Rydzewska, Agnieszka Durma, Paweł Sokal
Background. Traumatic brain injury (TBI) is the main cause of disability in the world. Prehospital diagnosis of patients requiring rapid neurosurgical intervention and the earliest possible introduction of procedures preventing secondary brain injuries (SBI) are crucial. Methodology and Study Population. The authors of this paper assumed that certain age groups with specific injuries are more likely
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Effect of the Profit and Teaching Status of Hospitals on the Patterns and Outcomes of Abdominal Aorta and Inferior Vena Cava Injuries after Severe Abdominal Trauma Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-11 Nasser A. N. Alzerwi
Background. The inferior vena cava (IVC) and the abdominal aorta (AA) are two important blood vessels located in the abdomen. The outcomes of such injuries rely heavily on the experience, expertise, and resources available at the hospital where the patient is treated. However, our current understanding of the potential impact of the hospital profit and teaching status on surgical outcomes in the context
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The S-S.M.A.R.T: A New Prognostic Tool for Patients with Suspected Sepsis in the Emergency Department Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-10 Ye Jin Kim, Jong Won Kim, Kyeong Ryong Lee, Dae Young Hong, Sang O Park, Young Hwan Lee, Sin Young Kim
Background. The sepsis screening tool is essential because it enables the rapid identification of high-risk patients and facilitates prompt treatment. Quick Sequential Organ Failure Assessment (qSOFA) is a widely used screening tool for sepsis. However, it has limitations in predicting patient prognosis. We developed the S-S.M.A.R.T (sepsis evaluation with shock index, mental status, age, and ROX index
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A New Nomogram for Predicting 30-Day In-Hospital Mortality Rate of Acute Cholangitis Patients in the Intensive Care Unit Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-10 Li-Na Pan, Shen-Ao Pan, Guang-Liang Hong, Kun-Wei Chen
Purpose. Acute cholangitis (AC) is a widespread acute inflammatory disease and the main cause of septic shock, which has a high death rate in hospitals. At present, the prediction models for short-term mortality of AC patients are still not ideal. We aimed at developing a new model that could forecast the short-term mortality rate of AC patients. Methods. Data were extracted from the Medical Information
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Retracted: 3D Automatic Segmentation of Brain Tumor Based on Deep Neural Network and Multimodal MRI Images. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/5356069.].
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Retracted: Application of Low-Intensity Laser in the Treatment of Skeletal Muscle Injury in Runners. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/1211602.].
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Retracted: Effects of Amiodarone and Esmolol for Heart Rate and Cardiovascular Changes. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/9197369.].
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Retracted: Analysis of the Effect of Quality Nursing on Recovery after Thoracic Surgery. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/6204832.].
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Retracted: Influence of Aerobic Exercise Load Intensity on Children's Mental Health. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/7827980.].
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Retracted: Study on the Influencing Factors of Osteoarthritis in Southern China. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/2482728.].
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Retracted: Clinical Evaluation of Unilateral Vertebroplasty for OVCF. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/2037185.].
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Retracted: Application of Image Processing Technology in Aerobics Injury Diagnosis. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/2553048.].
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Retracted: Effect of Bodybuilding and Fitness Exercise on Physical Fitness Based on Deep Learning. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/3891109.].
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Retracted: Font Design in Visual Communication Design of Genetic Algorithm. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-09 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/6897115.].
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An Evidenced-Based Review of the Prevention of Venous Thromboembolism in Traumatic Patients with Intermittent Pneumatic Compression Devices Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-7 Meng Zeng, Zhoupeng Wu
Objective. To search, evaluate, and summarize the best evidence of intermittent pneumatic compression devices to prevent venous thromboembolism in trauma patients. Method. Evidence retrieval was conducted from top to bottom according to the “6S” evidence model, including guidelines, clinical decision making, evidence summary, expert consensus, and systematic reviews. The retrieval time limit was from
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An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection Emerg. Med. Int. (IF 1.2) Pub Date : 2023-7-20 Hankui Hu, Zhoupeng Wu
Objective. To summarize the best evidence of emergency target blood pressure management for acute aortic dissection and provide guidance for evidence-based practice of emergency target blood pressure management. Methods. According to the “6S” evidence pyramid model, the evidence of emergency target blood pressure management of acute aortic dissection in various foreign databases and websites of professional
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Evaluation of the Potential for Improvement of Clinical Outcomes in Trauma Patients with Massive Hemorrhage by Maintaining a High Plasma-to-Red Blood Cell Ratio during the First Hour of Hospitalization Emerg. Med. Int. (IF 1.2) Pub Date : 2023-7-18 Junsik Kwon, Jayoung Yoo, Sora Kim, Kyoungwon Jung, In Kyong Yi
Several reports indicate that early plasma transfusion may promote survival and reduce the incidence of traumatic coagulopathy in situations of massive bleeding. Consequently, it is recommended to maintain a plasma and RBC transfusion ratio between 1 : 1 and 1 : 2 at the start of admission. This retrospective study examined the effect of an early high plasma : RBC ratio on mortality rates by adopting
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Early Prediction of Epilepsy after Encephalitis in Childhood Based on EEG and Clinical Features Emerg. Med. Int. (IF 1.2) Pub Date : 2023-7-13 Xiaojuan Sun, Jinhua Zhao, Chunyun Guo, Xiaoxiao Zhu
Objective. The present study was designed to establish and evaluate an early prediction model of epilepsy after encephalitis in childhood based on electroencephalogram (ECG) and clinical features. Methods. 255 patients with encephalitis were randomly divided into training and verification sets and were divided into postencephalitic epilepsy (PE) and no postencephalitic epilepsy (no-PE) according to
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Machine Learning-Based Models for Prediction of Critical Illness at Community, Paramedic, and Hospital Stages Emerg. Med. Int. (IF 1.2) Pub Date : 2023-6-26 Sijin Lee, Hyun Ji Park, Jumi Hwang, Sung Woo Lee, Kap Su Han, Won Young Kim, Jinwoo Jeong, Hyunggoo Kang, Armi Kim, Chulung Lee, Su Jin Kim
Overcrowding of emergency department (ED) has put a strain on national healthcare systems and adversely affected the clinical outcomes of critically ill patients. Early identification of critically ill patients prior to ED visits can help induce optimal patient flow and allocate medical resources effectively. This study aims to develop ML-based models for predicting critical illness in the community
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Progress Report on Interventional Treatment for Bronchopleural Fistula Emerg. Med. Int. (IF 1.2) Pub Date : 2023-6-22 Pei Zhao
Objectives. Bronchopleural fistula (BPF) is a serious and life-threatening complication. Following the advent of interventional radiology, subsequent treatment methods for BPF have gradually diversified. Therefore, this article provides an overview of the present scenario of interventional treatment and research advancements pertaining to BPF. Methods. Relevant published studies on the interventional
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Association between Changes in Plasma Metabolism and Clinical Outcomes of Sepsis Emerg. Med. Int. (IF 1.2) Pub Date : 2023-6-13 Xin Li, Zhongnan Yin, Wei Yan, Meng Wang, Chun Chang, Chenglin Guo, Lixiang Xue, Qingtao Zhou, Yongchang Sun
Current prognostic biomarkers for sepsis have limited sensitivity and specificity. This study aimed to investigate dynamic lipid metabolomics and their association with septic immune response and clinical outcomes of sepsis. This prospective cohort study included patients with sepsis who met the Sepsis 3.0 criteria. On hospitalization days 1 (D1) and 7 (D7), plasma samples were collected, and patients
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Association of Chest Anteroposterior Radiography with Computed Tomography in Patients with Blunt Chest Trauma Emerg. Med. Int. (IF 1.2) Pub Date : 2023-6-6 Young Un Choi, Chang Whan Kim, JiHye Lim, Il Hwan Park, Chun Sung Byun
Background. In cases of chest trauma, computed tomography (CT) can be used alongside chest anteroposterior (AP) radiography and physical examination during initial evaluation. Performing a CT scan may be difficult if a patient has unstable vital signs. In contrast, radiography may not always reliably diagnose nonmarked pneumothorax or extensive subcutaneous emphysema. Objectives. This study aimed to
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Patient Involvement in Decisions regarding Emergency Department Discharge: A Multimethod Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-6-6 Marie Louise Thise Rasmussen, Kirsten Lomborg, Kasper Karmark Iversen, Hanne Konradsen
Background. Unmet care needs and more than one reasonable discharge solution have been identified among patients in the emergency department. Less than half of the patients attending emergency care have reported being involved in decisions to the degree they have wanted. Having a person-centered approach, such as involving patients in decisions regarding their discharge, has been reported as being
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The Addition of the Geriatric Nutritional Risk Index to the Prognostic Scoring Systems Did Not Improve Mortality Prediction in Trauma Patients in the Intensive Care Unit Emerg. Med. Int. (IF 1.2) Pub Date : 2023-5-31 Cheng-Shyuan Rau, Ching-Hua Tsai, Sheng-En Chou, Wei-Ti Su, Shiun-Yuan Hsu, Ching-Hua Hsieh
Background. Malnutrition is prevalent among critically ill patients and has been associated with a poor prognosis. This study sought to determine whether the addition of a nutritional indicator to the various variables of prognostic scoring models can improve the prediction of mortality among trauma patients in the intensive care unit (ICU). Methods. This study’s cohort included 1,126 trauma patients
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Evaluation of the Canadian Clinical Practice Guidelines Risk Prediction Tool for Acute Aortic Syndrome: The RIPP Score Emerg. Med. Int. (IF 1.2) Pub Date : 2023-5-25 Robert Ohle, Sarah McIsaac, Madison Van Drusen, Aaron Regis, Owen Montpellier, Mackenzie Ludgate, Oluwadamilola Bodunde, David W. Savage, Krishan Yadav
Introduction. Acute aortic syndrome (AAS) is a rare clinical syndrome with a high mortality rate. The Canadian clinical practice guideline for the diagnosis of AAS was developed in order to reduce the frequency of misdiagnoses. As part of the guideline, a clinical decision aid was developed to facilitate clinician decision-making (RIPP score). The aim of this study is to validate the diagnostic accuracy
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A Severity Score and Outcome Prediction in Patients that Suffered an Ischemic Stroke Emerg. Med. Int. (IF 1.2) Pub Date : 2023-5-22 Corina Roman-Filip, Maria-Gabriela Catană (Vlădoiu), Mădălina Văleanu, Romeo-Gabriel Mihăilă
Background. Stroke is the main cause of disability and exitus worldwide. The prediction of mortality of this pathology represents a major challenge. More than that, the infection with the SARS-CoV-2 virus is a challenge for every clinician worldwide, and hypercoagulability is one of its biggest concerns that can lead to stroke. Objective. Our aim was to develop a severity stroke index for both SARS-CoV-2
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Advance in the Correlation between Diabetic Nephropathy and Abnormal Serum Thyroid Hormone Levels in Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-5-8 Zhiqiu Liu
This study was developed to explore the correlation between diabetic nephropathy (DN) and abnormal serum thyroid hormone (TH) levels in patients, which can provide a reference for disease prevention and control in patients with DN. DN is the most serious complication of diabetes. The mortality rate of diabetic patients with DN is approximately 30 times higher than that of diabetic patients without
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Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 Emerg. Med. Int. (IF 1.2) Pub Date : 2023-5-8 Marta Komarowska, Małgorzata Kowalska, Kamil Grubczak, Alicja Pawelczyk, Adam Hermanowicz, Wojciech Debek, Ewa Matuszczak
Purpose. To assess whether the COVID-19 pandemic had an influence on presentation of testicular torsion and/or increase in the frequency of orchiectomy. Patients and Methods. This retrospective study included boys under 18 years of age with testicular torsion divided in two groups: pre-COVID operated in 2019 vs. COVID-19 group from 2020. We compared demographic data as well as local and general symptoms
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Association of Training in Basic Life Support with the Evolution of Cardiopulmonary Resuscitation Performed by Firefighters Emerg. Med. Int. (IF 1.2) Pub Date : 2023-5-5 Marcelo Donizeti Silva, Ricardo Augusto Barbieri, Yan Figueiredo Foresti, Jônatas Augusto Cursiol, Fernando Antônio Viana, Ednei Fernando dos Santos, Karine Pereira Rodrigues, Guilherme da Silva Rodrigues, Juliana da Silva Garcia Nascimento, Maria Celia Barcellos Dalri
Introduction. This study aimed to compare the results of professional technical and anthropometric anamnesis data with the transmission of external chest compressions performed by military firefighters at different execution times. Objective. The objective was to evaluate the performance and perceived effort of the sequence of external chest compressions performed in two minutes, as well as the evolution
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Effects of Deep Hyperthermia Combined with Intraperitoneal Chemotherapy on Liver-Kidney Function, Immune Function, and Long-Term Survival in Patients with Abdominal Metastases Emerg. Med. Int. (IF 1.2) Pub Date : 2023-4-21 Yan Zhang, Xiaomin Lu, Haoming Ji, Liangfeng Zheng, Guodong Chen, Ye Qian
Objectives. To analyze the effects of deep hyperthermia combined with intraperitoneal chemotherapy on liver-kidney function, immune function, and long-term survival in patients with abdominal metastases. Methods. A total of 88 patients with abdominal metastases confirmed in the hospital were enrolled as the research objects between August 2018 and August 2021. They were randomly divided into control
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Exploring Primary Care Streaming Pathway in Emergency Departments in Saudi Arabia: A Qualitative Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-4-21 Marwah Hawsawi, Bayan Alilyyani
Background. Due to significant emergency department overcrowding, some hospitals implemented a system of directing certain patients who were deemed not in need of emergency care to other facilities called triage away. Pathways were developed as ways to stream patient from emergency departments to primary healthcare who is presenting with less urgent or nonurgent conditions. Thus, the purpose of this