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Biomarkers of COVID-19 short-term worsening: a multiparameter analysis within the prospective multicenter COVIDeF cohort. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-09-12 Marta Cancella de Abreu,Jacques Ropers,Nathalie Oueidat,Laurence Pieroni,Corinne Frère,Michaela Fontenay,Krystel Torelino,Anthony Chauvin,Guillaume Hekimian,Anne-Geneviève Marcelin,Beatrice Parfait,Florence Tubach,Pierre Hausfater,
BACKGROUND During a pandemic like COVID-19, hospital resources are constrained and accurate severity triage of the patients is required. OBJECTIVE The objective of this study is to estimate the predictive performances of candidate biomarkers for short-term worsening (STW) of COVID-19. DESIGN Prospective, multicenter (20 hospitals in Paris) cohort study of consecutive COVID-19 patients with systematic
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Videodistraction to reduce agitation in elderly patients in the emergency department: an open label parallel group randomized controlled trial. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-09-12 Enver Güvec,Uwe Koedel,Sophia Horster,Vera Pedersen,Stefanie Völk,Michaela Waldow,Florian Weber,Matthias Klein
BACKGROUND AND IMPORTANCE Agitation of elderly patients in the emergency department (ED) often complicates workup and therapy. OBJECTIVE In this study, we investigated if agitation in the ED can be reduced by showing calming video sequences in elderly agitated patients. DESIGNS Prospective randomized intervention study. SETTINGS AND PARTICIPANTS ED patients aged ≥65 years were screened for the risk
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Laryngeal mask vs. laryngeal tube trial in paediatric patients (LaMaTuPe): a single-blinded, open-label, randomised-controlled trial. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-09-12 Stephan Katzenschlager,Stefan Mohr,Nikolai Kaltschmidt,Franziska Peterstorfer,Frank Weilbacher,Patrick Günther,Markus Ries,Markus A Weigand,Erik Popp
BACKGROUND In hypoxemic children with difficult airway, or for minor elective procedures, the use of a supraglottic airway device may be preferred to endotracheal intubation, whether with a laryngeal mask or laryngeal tube. Second-generation laryngeal masks may offer a better safety profile. Whether they should be preferred to laryngeal tubes is unknown. This study aimed to compare the efficacy and
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Bedside-focused transthoracic echocardiography in acute atraumatic thoracic aortic syndrome: a systematic review and meta-analysis of diagnostic accuracy. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-28 Nick Mani,Nishant Cherian,Julia Burkert,Robert David Jarman
The objective of this review is to assess the diagnostic accuracy of bedside-focused transthoracic echocardiography (TTE) in acute atraumatic thoracic aortic syndrome in adults. We performed a systematic review and meta-analysis of publications that described the use of bedside-focused TTE on adults presenting to the emergency care setting with suspected atraumatic thoracic aortic syndrome. Studies
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Clinician suspicion of unintentional carbon monoxide exposure in emergency department attendees. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-27 Heather Jarman,Richard W Atkinson,Isabella Myers,Timothy W Gant,Tim Marczylo,Shirley Price
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Preventive anticoagulation in emergency department patients: insights from the CASTING randomized controlled trial. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-27 Delphine Douillet
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Involvement of relatives during end-of-life care in emergency departments: comparison between the perceptions of physicians and nurses. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-27 Mélanie Roussel,Claire Fourcade,Marion Douplat,Philippe Le Conte,Yonathan Freund,Jennifer Truchot
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Influence of sex on the dispatch decision for patients subsequently diagnosed with ST-elevation myocardial infarction. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-27 Bérénice Odin,Emmanuelle Thevenon,Sahal Miganeh-Hadi,Emilie Lesaine,Michel Galinski
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Artificial intelligence and the future of scientific publication. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-27 Howard Bauchner
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Hospital vulnerabilities to a changing climate: flood risks and devastating winds. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-23 Karin van Vuuren,Dennis G Barten,Pieter Jan Van Asbroeck,Derrick Tin,Luc Mortelmans
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High-flow nasal cannula oxygen therapy versus noninvasive ventilation in acute respiratory failure related to suspected or confirmed acute heart failure: a systematic review with meta-analysis. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-08-19 Nicolas Marjanovic,Raphael Couvreur,Jennifer Lamarre,Melyne Piton,Jérémy Guenezan,Olivier Mimoz
The objective of this review is to compare high-flow nasal cannula (HFNC) oxygen (High flow oxygen) and noninvasive ventilation (NIV) for the management of acute respiratory failure secondary to suspected or confirmed acute heart failure (AHF). A comprehensive and relevant literature search of MEDLINE, Web of Science, and the Cochrane Library was conducted using Medical Subject Heading and Free text
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Association of early doses of diuretics and nitrates in acute heart failure with 30 days outcomes: ancillary analysis of ELISABETH study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-31 Judith Gorlicki,Célia Nekrouf,Òscar Miró,Gad Cotter,Beth Davison,Alexandre Mebazaa,Tabassome Simon,Yonathan Freund
AIMS The optimal dose of diuretics and nitrates for acute heart failure treatment remains uncertain. This study aimed to assess the association between intravenous nitrates and loop diuretics doses within the initial 4 h of emergency department presentation and the number of days alive and out of hospital (NDAOH) through 30 days. METHODS This was an ancillary study of the ELISABETH stepped-wedge cluster
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Hospital vulnerabilities to a changing climate: extreme heat, droughts, and wildfires. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-30 Dennis G Barten,Matteo Paganini,Amir Khorram-Manesh,Georgios Leledakis,Gregory Ciottone
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Sex and gender need to be integrated into emergency medicine. Recommendations for research and clinical practice. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-22 Blanca Coll-Vinent,Gisela Sugranyes
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Key factors for sustainable working conditions in emergency departments: an EUSEM-initiated, Europe-wide consensus survey. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-19 Matthias Weigl,Michael Lifschitz,Christoph Dodt
BACKGROUND AND IMPORTANCE Modern emergency medicine (EM) is a complex, demanding, and occasionally stressful field of work. Working conditions, provider well-being, and associated health and performance outcomes are key factors influencing the establishment of a sustainable emergency department (ED) working environment. OBJECTIVES This multinational European Delphi survey aimed to identify unequivocal
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Diagnostic accuracy of point-of-care cardiac ultrasound for acute coronary syndromes in patients presenting with chest pain to the emergency department: a single-center prospective study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-10 Paolo Bima,Ilya Agishev,Ilaria Fucile,Giuliano de Stefano,Fulvio Morello,Christian Mueller,Peiman Nazerian,
BACKGROUND AND IMPORTANCE The diagnostic accuracy of focused cardiac ultrasound (FoCUS) performed in patients presenting to the emergency department (ED) with chest pain is currently unknown. OBJECTIVE The objective of this study was to assess the diagnostic accuracy of regional wall motion abnormalities detected with FoCUS for non-ST-elevation acute coronary syndrome (NSTE-ACS) diagnosis. DESIGN A
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Lidocaine patch for treatment of acute localized pain in the emergency department: a systematic review and meta-analysis. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-10 Abdullah Felemban,Salsabeel Allan,Elias Youssef,Rajesh Verma,Shahriar Zehtabchi
OBJECTIVE Lidocaine patches are commonly prescribed for acute localized pain. Most of the existing evidence is, however, derived from postoperative or chronic pain. The objective of this study is to assess the efficacy and safety of lidocaine patch compared to placebo patch or nonsteroidal anti-inflammatory drugs (NSAIDs) for acute localized pain. METHODS Systematic review and meta-analysis of trials
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Association of intravenous digoxin use in acute heart failure with rapid atrial fibrillation and short-term mortality according to patient age, renal function, and serum potassium. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-08 Òscar Miró,Enrique Martín Mojarro,Pedro Lopez-Ayala,Pere Llorens,Víctor Gil,Aitor Alquézar-Arbé,Carlos Bibiano,José Pavón,Marta Massó,Ivo Strebel,Begoña Espinosa,Silvia Mínguez Masó,Javier Jacob,Javier Millán,Juan Antonio Andueza,Héctor Alonso,Pablo Herrero-Puente,Christian Mueller,
BACKGROUND Intravenous digoxin is still used in emergency departments (EDs) to treat patients with acute heart failure (AHF), especially in those with rapid atrial fibrillation. Nonetheless, many emergency physicians are reluctant to use intravenous digoxin in patients with advanced age, impaired renal function, and potassium disturbances due to its potential capacity to increase adverse outcomes.
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Factors associated with hospital revisitation within 7 days among patients discharged at triage: a case-control study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-04 Jari Ylä-Mattila,Teemu Koivistoinen,Henna Siippainen,Heini Huhtala,Sami Mustajoki
BACKGROUND AND IMPORTANCE Existing data are limited for determining the medical conditions best suited for an emergency department (ED) redirection strategy in a heterogeneous, nonurgent patient population. OBJECTIVE The aim was to establish factors associated with hospital revisits within 7 days among patients discharged or redirected by a triage team. DESIGN, SETTINGS, AND PARTICIPANTS An observational
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Leadership for quality in Emergency Medicine. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-07-01 Ian Higginson,Steve Photiou,Zoubir Boudi,
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Authors' response to comment on 'Acute heart failure in elderly patients admitted to the emergency department with acute dyspnea: a multimarker approach diagnostic study'. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-25 Omide Taheri,Frédéric Mauny,Patrick Ray,Thibaut Desmettre
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Effect of etomidate on systolic blood pressure in emergency department patients undergoing rapid sequence intubation with high and low shock index. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-25 Valerie Amedeo,Robert Seabury,Gregory Meola,Erica Barbay,Elizabeth Feldman
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Rethinking diuretics for congestion in acute heart failure: insight from the STRONG-HF trial. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-25 Anais Caillard,Kamilė Čerlinskaitė-Bajorė,Alexandre Mebazaa
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Navigating negative trials in acute heart failure: insights and implications. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-25 Yonathan Freund,Oscar Miró
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The syncope core management process in the emergency department: a consensus statement of the EUSEM syncope group. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-13 Martin Möckel,Kelly Ann Catherine Janssens,Samipa Pudasaini,Luis Garcia-Castrillo Riesgo,Francisco Moya Torrecilla,Adela Golea,Matthew J Reed,Mehmet Karamercan,Juan Antonio Fernández Cejas,Said Laribi,
The European Society of Cardiology issued updated syncope guidelines in 2018 which included recommendations for managing syncope in the emergency department (ED) setting. However, these guidelines lack detailed process-oriented instructions regarding the fact that ED syncope patients initially present with a transient loss of consciousness (TLOC), which can have a broad spectrum of causes. This study
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Performance of Manchester Acute Coronary Syndromes decision rules in acute coronary syndrome: a systematic review and meta-analysis. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-11 Shayan Roshdi Dizaji,Koohyar Ahmadzadeh,Hamed Zarei,Reza Miri,Mahmoud Yousefifard
Multiple decision-aiding models are available to help physicians identify acute coronary syndrome (ACS) and accelerate the decision-making process in emergency departments (EDs). This study evaluated the diagnostic performance of the Manchester Acute Coronary Syndrome (MACS) rule and its derivations, enhancing the evidence for their clinical use. A systematic review and meta-analysis was performed
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Effect of early initiation of noninvasive ventilation in patients transported by emergency medical service for acute heart failure. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-07 Judith Gorlicki,Josep Masip,Víctor Gil,Pere Llorens,Javier Jacob,Aitor Alquézar-Arbé,Eva Domingo Baldrich,María José Fortuny,Marta Romero,Marco Antonio Esquivias,Rocío Moyano García,Yelenis Gómez García,José Noceda,Pablo Rodríguez,Alfons Aguirre,M Pilar López-Díez,María Mir,Leticia Serrano,Marta Fuentes de Frutos,David Curtelín,Yonathan Freund,Òscar Miró,
BACKGROUND While the indication for noninvasive ventilation (NIV) in severely hypoxemic patients with acute heart failure (AHF) is often indicated and may improve clinical course, the benefit of early initiation before patient arrival to the emergency department (ED) remains unknown. OBJECTIVE This study aimed to assess the impact of early initiation of NIV during emergency medical service (EMS) transportation
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Providing urgent and emergency care to children and young people: training requirements for emergency medicine specialty trainees. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-06-03 Ruud G Nijman,Cornelia Schickerling,Zsolt Bognar,Ruth Brown
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Older age and risk for delayed abdominal pain care in the emergency department. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-05-27 Ben Bloom,Christie L Fritz,Shivani Gupta,Jason Pott,Imogen Skene,Raine Astin-Chamberlain,Mohammad Ali,Sarah A Thomas,Stephen H Thomas
BACKGROUND AND IMPORTANCE Suboptimal acute pain care has been previously reported to be associated with demographic characteristics. OBJECTIVES The aim of this study was to assess a healthcare system's multi-facility database of emergency attendances for abdominal pain, to assess for an association between demographics (age, sex, and ethnicity) and two endpoints: time delay to initial analgesia (primary
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Drug users coming to European emergency departments: general basic approach and recommendations for safe discharge. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-05-20 Guillermo Burillo-Putze,Òscar Miró
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The association between prehospital post-return of spontaneous circulation core temperature and survival after out-of-hospital cardiac arrest. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-05-15 Shadman Aziz,Molly Clough,Emma Butterfield,Zachary Starr,Kate Lachowycz,James Price,Ed B G Barnard,Paul Rees
BACKGROUND AND IMPORTANCE Following the return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA), a low body temperature on arrival at the hospital and on admission to the ICU is reportedly associated with increased mortality. Whether this association exists in the prehospital setting, however, is unknown. OBJECTIVE The objective of this study was to investigate whether
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Consensus paper on the assessment of adult patients with traumatic brain injury with Glasgow Coma Scale 13-15 at the emergency department: A multidisciplinary overview. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-05-14 Barbra E Backus,Farès Moustafa,Karoline Skogen,Vincent Sapin,Neil Rane,Francisco Moya-Torrecilla,Peter Biberthaler,Olli Tenovuo
Traumatic brain injury (TBI) is a common reason for presenting to emergency departments (EDs). The assessment of these patients is frequently hampered by various confounders, and diagnostics is still often based on nonspecific clinical signs. Throughout Europe, there is wide variation in clinical practices, including the follow-up of those discharged from the ED. The objective is to present a practical
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Increased mortality in elderly patients who spent the night in the emergency department: lessons from the 'No Bed Night' study? Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-30 Mélanie Roussel
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Comparison of mannitol and hypertonic saline solution for the treatment of suspected brain herniation during prehospital management of traumatic brain injury patients. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-30 Anais Codorniu,Emilie Charbit,Marie Werner,Arthur James,Jean-Luc Hanouz,Daniel Jost,Armelle Severin,Elodie Lang,Julien Pottecher,Malory Favreau,Emmanuel Weiss,Paer Selim Abback,Jean-Denis Moyer,
BACKGROUND AND IMPORTANCE Occurrence of mydriasis during the prehospital management of traumatic brain injury (TBI) may suggest severe intracranial hypertension (ICH) subsequent to brain herniation. The initiation of hyperosmolar therapy to reduce ICH and brain herniation is recommended. Whether mannitol or hypertonic saline solution (HSS) should be preferred is unknown. OBJECTIVES The objective of
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Comment on 'Subcutaneous versus intravenous tramadol for extremity injury with moderate pain in the emergency department a randomized controlled noninferiority trial'. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Amiya Kumar Barik,Chitta Ranjan Mohanty,Rakesh Vadakkethil Radhakrishnan,Aditya Vikram Prusty,Ijas Muhammed Shaji
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Authors' response to comments on 'Subcutaneous versus intravenous tramadol for extremity injury with moderate pain in the emergency department: a randomised controlled noninferiority trial'. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Aida Bustam,Khadijah Poh,Aliyah Zambri,Abdul Muhaimin Noor Azhar
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Subcutaneous versus intravenous tramadol: effects on emergency department flow and generalizability. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Adrienne Laura Fraczkowski,Leila Getto
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Impact of discordant pain assessment between patients and physicians on patient outcomes: a prospective emergency department study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Yen-Kai Chen,Wei-Lun Wen,Hao-Ping Hsu,Chu-Lin Tsai,
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Rethinking the paradigm of Glasgow Coma Scale directed intubation in poisoned comatose patients: insights from the NICO randomized controlled trial. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Yonathan Freund
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The effect of race on receiving chemical restraints among patients visiting emergency department. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Ya-Hui Chang,Neal Handly,Yuan-Hsin Chen,David C Chang,Ya-Wen Chen
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Authors' response to correspondence on 'Internal jugular vein measurements: an alternative ultrasonic approach in estimating volume status of emergency department patients'. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Nik Azlan Nik Muhamad,Tan Chun Chau
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Improving resilience and reducing stress in emergency medicine physicians and residents by online training: a pilot study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 N Dorscheidt,B M Gerretsen,P Dobson,B Backus
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30 years of the European Society of Emergency Medicine - European Emergency Medicine's coming of age! Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-23 Jim Connolly
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Care of the critically ill begins in the emergency medicine setting. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-17
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Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-04-15 Mélanie Roussel,Héloïse Bannelier
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Testing the validity of three acute care assessment tools for assessing residents' performance during in situ simulation: the ACAT-SimSit study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-03-19 Anne-Laure Philippon,Antoine Lefevre-Scelles,Xavier Eyer,Carine Zumstein,Aiham Ghazali,Simon Audibert,Pierrick Le Borgne,Emmanuel Triby,Jennifer Truchot
BACKGROUND The assessment of technical and nontechnical skills in emergency medicine requires reliable and usable tools. Three Acute Care Assessment Tools (ACATs) have been developed to assess medical learners in their management of cardiac arrest (ACAT-CA), coma (ACAT-coma) and acute respiratory failure (ACAT-ARF). OBJECTIVE This study aims to analyze the reliability and usability of the three ACATs
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Redefining the role of emergency medicine in mass gatherings. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-03-08 Michiel Stiers,Pieter Jan Van Asbroeck,Olivier Hoogmartens,Joris Guldentops,Marc Sabbe
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Body-packing, a public health issue requiring more researches. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-27 Alexis Fremery,Jean Pujo,Alolia Aboikoni,Karim Hamiche,Timothée Bonifay
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Early intravenous decongestion improves outcomes in decompensated heart failure. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-27 Amit K J Mandal,Constantinos G Missouris
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Emergency department visits after chimeric antigen receptor T cell therapy: a retrospective observational study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-27 Abel Colomes,Sami Ellouze,Jean-Paul Fontaine,Catherine Thieblemont,Olivier Peyrony
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Association between emergency physicians' experience, clinical management and outcomes in the emergency department. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-27 Jacopo Davide Giamello,Salvatore D'Agnano,Jacopo Fornasiero,Giuseppe Lauria
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Comparison of recreational drug presentations to the emergency department in Europe, the Middle East and Northern Africa. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-27 Klara De Baerdemaeker,Alison M Dines,Thomas Nefau,Katerina Skapurova,Isabelle Giraudon,Djamel Alachaher,John R H Archer,Yedidia Bentur,Tharwat El Zahran,Jasmina Jovic-Stocic,Asaad Omary,Ait Mouhab Tahar,Hafedh Thabet,Esmeralda Thoma,Slavica Vucinic,David M Wood,Paul I Dargan
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Identification of causal diseases associated with the occurrence of out-of-hospital cardiac arrest in toilets. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-27 Yoshio Tanaka,Takahisa Kamikura,Hitoshi Owada,Hideo Inaba
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Using case vignettes to study the presence of outcome, hindsight, and implicit bias in acute unplanned medical care: a cross-sectional study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-16 Patricia Plaum,Laura N Visser,Bas de Groot,Marlies E B Morsink,Wilma L J M Duijst,Bart G J Candel
BACKGROUND AND IMPORTANCE Various biases can impact decision-making and judgment of case quality in the Emergency Department (ED). Outcome and hindsight bias can lead to wrong retrospective judgment of care quality, and implicit bias can result in unjust treatment differences in the ED based on irrelevant patient characteristics. OBJECTIVES First, to evaluate the extent to which knowledge of an outcome
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Risk factors and effect of dyspnea inappropriate treatment in adults' emergency department: a retrospective cohort study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-16 Frederic Balen,Sebastien Lamy,Léa Froissart,Thomas Mesnard,Benjamin Sanchez,Xavier Dubucs,Sandrine Charpentier
Dyspnea is a frequent symptom in adults' emergency departments (EDs). Misdiagnosis at initial clinical examination is common, leading to early inappropriate treatment and increased in-hospital mortality. Risk factors of inappropriate treatment assessable at early examination remain undescribed herein. The objective of this study was to identify clinical risk factors of dyspnea and inappropriate treatment
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Dynamic monitoring tools for patients admitted to the emergency department with circulatory failure: narrative review with panel-based recommendations. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-16 Ivor S Douglas,Mohammed H Elwan,Marta Najarro,Stefano Romagnoli
Intravenous fluid therapy is commonly administered in the emergency department (ED). Despite the deleterious potential of over- and under-resuscitation, professional society guidelines continue to recommend administering a fixed volume of fluid in initial resuscitation. Predicting whether a specific patient will respond to fluid therapy remains one of the most important, but challenging questions that
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High-flow nasal cannula oxygen versus noninvasive ventilation for the management of acute cardiogenic pulmonary edema: a randomized controlled pilot study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-16 Nicolas Marjanovic,Melyne Piton,Jennifer Lamarre,Camille Alleyrat,Raphael Couvreur,Jérémy Guenezan,Olivier Mimoz,Jean-Pierre Frat
BACKGROUND Whether high-flow nasal oxygen can improve clinical signs of acute respiratory failure in acute heart failure (AHF) is uncertain. OBJECTIVE To compare the effect of high-flow oxygen with noninvasive ventilation (NIV) on respiratory rate in patients admitted to an emergency department (ED) for AHF-related acute respiratory failure. DESIGN, SETTINGS AND PARTICIPANTS Multicenter, randomized
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A vending machine coffee in an emergency department waiting room. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-15 Robert Leach
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Impact of the presence of a mediator on patient violent or uncivil behaviours in emergency departments: a cluster randomised crossover trial. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-02-07 Sandrine Touzet,Karine Buchet-Poyau,Angélique Denis,Pauline Occelli,Laurent Jacquin,Véronique Potinet,Alain Sigal,Marine Delaroche-Gaudin,Florence Fayard-Gonon,Karim Tazarourte,Marion Douplat
BACKGROUND AND IMPORTANCE Several studies reported that violent behaviours were committed by patients against healthcare professionals in emergency departments (EDs). The presence of mediators could prevent or resolve situations of tension. OBJECTIVE To evaluate whether the presence of mediators in EDs would have an impact on violent behaviours committed by patients or their relatives against healthcare
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The association between regional guidelines compliance and mortality in severe trauma patients: an observational, retrospective study. Eur. Emerg. Med. (IF 3.1) Pub Date : 2024-01-23 Gary Duclos,Fouzia Heireche,Manon Siroutot,Louis Delamarre,Max-Antoine Sartorius,Celine Mergueditchian,Lionel Velly,Julien Carvelli,Aurelia Bordais,Estelle Pilarczyk,Marc Leone
BACKGROUND AND IMPORTANCE Trauma is a major cause of mortality and morbidity. Regional trauma systems are the cornerstones of healthcare systems, helping to improve outcomes and avoid preventable deaths in severe trauma patients. OBJECTIVES The goal of this study was to evaluate the association between compliance with the guidelines of a regional trauma management system and survival at 28 days of