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Management of syncope in the Emergency Department: a European prospective cohort study (SEED). Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-11-27 Matthew J Reed,Suvi Karuranga,David Kearns,Salma Alawiye,Ben Clarke,Martin Möckel,Mehmet Karamercan,Kelly Janssens,Luis Garcia-Castrillo Riesgo,Francisco Moya Torrecilla,Adela Golea,Juan Antonio Fernández Cejas,Eugenia Maria Lupan-Muresan,Edmond Zaimi,Alexander Nuernberger,Ondřej Rennét,Christian Skjaerbaek,Effie Polyzogopoulou,Judit Imecz,Paolo Groff,Rene Camilleri,Diana Cimpoesu,Miljan Jovic,Òscar
BACKGROUND AND IMPORTANCE In 2018, the European Society of Cardiology (ESC) produced syncope guidelines that for the first-time incorporated Emergency Department (ED) management. However, very little is known about the characteristics and management of this patient group across Europe. OBJECTIVES To examine the prevalence, clinical presentation, assessment, investigation (ECG and laboratory testing)
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The association between levosimendan and mortality in patients with sepsis or septic shock: a systematic review and meta-analysis. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-11-27 Zengzheng Ge,Yanxia Gao,Xin Lu,Shiyuan Yu,Mubing Qin,Chao Gong,Joseph Harold Walline,Huadong Zhu,Yi Li
BACKGROUND Levosimendan is increasingly being used in patients with sepsis or septic shock because of its potential to improve organ function and reduce mortality. We aimed to determine if levosimendan can reduce mortality in patients with sepsis or septic shock via meta-analysis. EVIDENCE SOURCES AND STUDY SELECTION We comprehensively searched the PubMed, Embase, Web of Science, and Cochrane Library
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Prehospital lactate-glucose interaction in acute life-threatening illnesses: metabolic response and short-term mortality. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-11-08 Ricardo Usategui-Martín,Daniel Zalama-Sánchez,Raúl López-Izquierdo,Juan F Delgado Benito,Carlos Del Pozo Vegas,Irene Sánchez Soberón,José L Martín-Conty,Ancor Sanz-García,Francisco Martín-Rodríguez
BACKGROUND AND IMPORTANCE Lactate is an already recognized biomarker for short-term mortality. However, how glycemia and diabetes affect the predictive ability of lactate needs to be revealed. OBJECTIVE To determine how hypoglycemia, normoglycemia, and hyperglycemia modify the predictive ability of lactate for short-term mortality (3 days). The secondary objective was to evaluate the predictive ability
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Identifying needs of older patients at the emergency department. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-24 Ana García-Martínez,Lourdes Artajona,Sira Aguiló
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Telemedicine for the management of patients calling an Emergency Medical Communication Center for dyspnea: a before-after study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-24 Nicolas Marjanovic,Mathieu Autin,Mathieu Violeau,Olivier Mimoz,Jérémy Guenezan
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Response to 'Identifying needs of older patients at the emergency department'. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-24 Mehmet A Karamercan,Defne Z Dündar
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Overview of quality and safety in emergency medicine. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-24 Abdelouahab Bellou,John Heyworth,
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Standard vs. modified vestibular/ocular motor screening for emergency department prediction of symptom persistence 1 week after minor head injury. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-24 Caroline E Thomas,Sameer A Pathan,Zain A Bhutta,Isma Qureshi,Stephen H Thomas
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Diagnosis of dilated cardiomyopathy with point-of-care ultrasound in patients with unexplained shortness of breath: a case series. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-24 Quentin Le Bastard,François Javaudin,Emmanuel Montassier,Philippe Pes,Philippe Le Conte
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Impact of junior doctor strikes on patient flow in the emergency department: a cross-sectional analysis. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-16 Svenja Ravioli,Raeesa Jina,Omar Risk,Fleur Cantle
BACKGROUND AND IMPORTANCE Healthcare worker strikes are a global phenomenon. Mortality and morbidity seem to be unaffected by doctor strikes, but there is little evidence on the impact on emergency department (ED) flow and patient characteristics. In March and April 2023, two consecutive UK junior doctor strikes occurred. OBJECTIVES This study investigated the impact of junior doctor strikes on ED
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Training approaches and devices utilization during endotracheal intubation in French Emergency Departments: a nationwide survey. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-09 Pierrick Le Borgne,Karine Alamé,Aline Chenou,Anne Hoffmann,Véronique Burger,Sabrina Kepka,Pascal Bilbault,Quentin Le Bastard,Maelle Martin,Jean-Baptiste Lascarrou
BACKGROUND AND IMPORTANCE Endotracheal intubation is a lifesaving procedure that is reportedly associated to a significant risk of adverse events. Recent trials have reported that the use of videolaryngoscope and of a stylet might limit this risk during emergency intubation. OBJECTIVES The objective of this study was to provide a national description of intubation practices in French Emergency Departments
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Out of hospital cardiac arrest and organ donation: the innovative approach for emergency physicians. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-06 Chiara Lazzeri,Bonizzoli Manuela,Adriano Peris
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Research methods in quality and safety in emergency medicine. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-06 Said Hachimi-Idrissi,Jochen Bergs,Dionyssios Tsilimingras,
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Eligibility of cardiac arrest patients for extracorporeal cardiopulmonary resuscitation and their clinical characteristics: a retrospective two-centre study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-06 Rob J C G Verdonschot,Floor I Buissant des Amorie,Seppe S H A Koopman,Wim J R Rietdijk,Sindy Y Ko,Upasna R U Sharma,Marc Schluep,Corstiaan A den Uil,Dinis Dos Reis Miranda,Loes Mandigers
BACKGROUND AND IMPORTANCE Sudden cardiac arrest has a high incidence and often leads to death. A treatment option that might improve the outcomes in refractory cardiac arrest is Extracorporeal Cardiopulmonary Resuscitation (ECPR). OBJECTIVES This study investigates the number of in-hospital cardiac arrest (IHCA) and out-of-hospital cardiac arrest (OHCA) patients eligible to ECPR and identifies clinical
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Sequence of administration of anesthetic agents during rapid sequence induction for emergency intubation: a French survey on current practices. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-05 Pierre Catoire,Mélanie Roussel,Dorian Teissandier
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Sex- and age-related patterns in the use of analgesics in older patients in the emergency department. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-04 Òscar Miró,Gina I Osorio,Aitor Alquézar-Arbé,Sira Aguiló,Cesáreo Fernández,Guillermo Burillo,Javier Jacob,F Javier Montero-Pérez,E Jorge García-Lamberechts,Pascual Piñera,Celia Rodríguez Valles,Elena Carrasco Fernández,Laura Molina,Esther Ruescas,Fátima Fernández Salgado,Amparo Fernández-Simón Almela,María Ángeles de Juan Gómez,Sandra Guiu Martí,Nieves López-Laguna,Jacinto García Acosta,María Teresa
BACKGROUND Treatment of acute pain in older patients is a common challenge faced in emergency departments (EDs). Despite many studies that have investigated chronic analgesic use in the elderly, data on patterns of acute use, especially in EDs, of analgesics according to patient characteristics is scarce. OBJECTIVE To investigate sex- and age-related patterns of analgesic use in the Spanish EDs and
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Ambulance response times and 30-day mortality: a Copenhagen (Denmark) registry study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-02 Alexander Andrew Matthew Mills,Elisabeth Helen Anna Mills,Stig Nikolaj Fasmer Blomberg,Helle Collatz Christensen,Amalie Lykkemark Møller,Gunnar Gislason,Lars Køber,Kristian Hay Kragholm,Freddy Lippert,Frederik Folke,Mikkel Porsborg Andersen,Christian Torp-Pedersen
BACKGROUND AND IMPORTANCE Ensuring prompt ambulance responses is complicated and costly. It is a general conception that short response times save lives, but the actual knowledge is limited. OBJECTIVE To examine the association between the response times of ambulances with lights and sirens and 30-day mortality. DESIGN A registry-based cohort study using data collected from 2014-2018. SETTINGS AND
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Impact of emergency department length of stay on in-hospital mortality: a retrospective cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-02 Frederic Balen,Simon Routoulp,Sandrine Charpentier,Olivier Azema,Charles-Henri Houze-Cerfon,Xavier Dubucs,Dominique Lauque
BACKGROUND AND IMPORTANCE Emergency Department (ED) workload may lead to ED crowding and increased ED length of stay (LOS). ED crowding has been shown to be associated with adverse events and increasing mortality. We hypothesised that ED-LOS is associated with mortality. OBJECTIVE To study the relationship between ED-LOS and in-hospital mortality. DESIGN Observational retrospective cohort study. SETTINGS
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Association between mortality and phone-line waiting time for non-urgent medical care: a Danish registry-based cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-10-02 Elisabeth Helen Anna Mills,Amalie Lykkemark Møller,Filip Gnesin,Nertila Zylyftari,Britta Jensen,Helle Collatz Christensen,Stig Nikolaj Blomberg,Kristian Hay Kragholm,Gunnar Gislason,Lars Køber,Thomas Gerds,Fredrik Folke,Freddy Lippert,Christian Torp-Pedersen,Mikkel Porsborg Andersen
BACKGROUND AND IMPORTANCE Telephone calls are often patients' first healthcare service contact, outcomes associated with waiting times are unknown. OBJECTIVES Examine the association between waiting time to answer for a medical helpline and 1- and 30-day mortality. DESIGN, SETTING AND PARTICIPANTS Registry-based cohort study using phone calls data (January 2014 to December 2018) to the Capital Region
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Status of the specialty Emergency Medicine in Europe. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-09-21 Wilhelm Behringer,Ruth Brown
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Feasibility of a selective targeted strategy of HIV testing in emergency departments: a before-after study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-09-20 Juan González Del Castillo,Emília Mirò,Iria Miguens,Patricia Trenc,Begoña Espinosa,Lourdes Piedrafita,María Jesús Pérez Elías,Santiago Moreno,Federico García,Alberto Villamor,Míriam Carbó,Emili Gené,Òscar Mirò,
BACKGROUND AND IMPORTANCE The rates of hidden infection and late diagnosis of HIV still remain high in Western countries. Missed diagnostic opportunities represent the key point in changing the course of the epidemic. OBJECTIVE To evaluate the feasibility and results of implementation of a selective strategy to test for HIV in the emergency department (ED) in patients with six pre-defined medical situations:
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How should we train emergency physicians for quality and safety activities? Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-09-20 Ruth Brown,Lisa Kurland,Carlos Lojo Rial,
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Global emergency care: a quality and safety perspective. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-09-20 Giles N Cattermole,Vijaya Arun Kumar,Stig Walravens,
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Epidemiology and prehospital medical management of railroad victims in Paris and its suburbs: a retrospective study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-29 Christophe Thiery,Daniel Jost,Marine Scannavino,Frédéric Lemoine,Stéphane Travers
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COVID epidemic and witnessed cardiopulmonary resuscitation: 10 years back. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-29 Paul-Georges Reuter,Jean-Marc Agostinucci,Brice Leclere,Tomislav Petrovic,Frédéric Lapostolle
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Prehospital extracorporeal cardiopulmonary resuscitation: a retrospective French regional centers experience. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-29 Pierre Le Balc'h,Sonia Isslame,Pierre Fillatre,Erwan Flecher,Yoann Launey
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Internal jugular vein measurements: an alternative ultrasonic approach in estimating volume status of emergency department patients. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-29 Tan Chun Chau,Nik Azlan Nik Muhamad
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Decision-making process of withholding or withdrawing life-sustaining treatments in French emergency departments during COVID-19 outbreak. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-29 Severin Rambaud,Antoine Gavoille,Guillaume Economos,Karim Tazarourte,Marion Douplat
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Diagnosis and practical management of digoxin toxicity: a narrative review and consensus. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-25 Paul Andrews,Kurt Anseeuw,Dipak Kotecha,Frédéric Lapostolle,Ruben Thanacoody
There are currently no universally accepted guidelines for the management of digoxin toxicity. In the absence of clinical practice guidelines, a set of consensus recommendations for management of digoxin toxicity in the clinical setting were developed through a modified Delphi approach. The recommendations highlight the importance of early recognition of signs of potentially life-threatening toxicity
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Immigration bias among medical students: a randomized controlled trial. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-25 Jürgen Grafeneder,Andjela Baewert,Henri Katz,Anita Holzinger,Jan Niederdoeckl,Dominik Roth
BACKGROUND AND IMPORTANCE Racial bias is found in both physicians and medical students. Immigrants in many parts of the world face challenges similar to racial minorities. Identification of immigrants might however be more subtle than identification by race, and currently, no data are available on a possible bias against the large minority group of migrants in Europe. DESIGN Randomized control trial
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Effect of early ultrasound-guided femoral nerve block on preoperative opioid consumption in emergency patients with hip fracture: a randomized trial. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-25 Camille Gerlier,Rami Mijahed,Audrey Fels,Samir Bekka,Romain Courseau,Anne-Lyse Singh,Olivier Ganansia,Gilles Chatellier
BACKGROUND AND IMPORTANCE Ultrasound-guided femoral nerve block (FNB) could be used as part of a multimodal preoperative pain management for patients with hip fracture. Evidence of the effects of its early implementation in the emergency room as an immediate alternative to intravenous morphine titration is sparse. OBJECTIVE To investigate the effect of an early ultrasound-guided FNB performed by emergency
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A prospective intervention study to identify drug-related emergency department visits comparing a standard care group and a pharmaceutical care group. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-25 Benjamin J Hellinger,André Gries,Susanne Schiek,Yvonne Remane,Thilo Bertsche
BACKGROUND AND IMPORTANCE Adverse drug reactions impose a major burden. Those adverse drug reactions might lead to hospitalization but are often not correctly identified in the emergency department (ED). Clinical pharmacists, although not routinely implemented, can help identify adverse drug reactions. OBJECTIVE The primary objective was to examine the drug association of ED visits in a pharmaceutical
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Acute heart failure in elderly patients admitted to the emergency department with acute dyspnea: a multimarker approach diagnostic study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-18 Omide Taheri,Frédéric Mauny,Patrick Ray,Marc Puyraveau,Alain-Eric Dubart,Camille Chenevier-Gobeaux,Marie-France Seronde,Alexandre Mebazaa,Bérenger Martin,Jean-Baptiste Pretalli,Thibaut Desmettre,
BACKGROUND AND IMPORTANCE Diagnosing acute heart failure (AHF) is difficult in elderly patients presenting with acute dyspnea to the emergency department. OBJECTIVES To assess the diagnostic accuracy of NT-proBNP, high-sensitivity cardiac troponin-I (Hs-cTnI), soluble ST2 (ST2), galectin-3 and CD146 alone and in combination for diagnosing AHF in elderly patients presenting with acute dyspnea to the
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Out of hospital extracorporeal cardiopulmonary resuscitation: Maybe. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-17 Casey T Carr,Torben K Becker
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Using emergency department triage for machine learning-based admission and mortality prediction. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-14 Thomas Tschoellitsch,Philipp Seidl,Carl Böck,Alexander Maletzky,Philipp Moser,Stefan Thumfart,Michael Giretzlehner,Sepp Hochreiter,Jens Meier
AIMS Patient admission is a decision relying on sparsely available data. This study aims to provide prediction models for discharge versus admission for ward observation or intensive care, and 30 day-mortality for patients triaged with the Manchester Triage System. METHODS This is a single-centre, observational, retrospective cohort study from data within ten minutes of patient presentation at the
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Out of hospital extracorporeal cardiopulmonary resuscitation: The physiopathological rationale. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-09 Adriano Peris,Federico Bulletti,Chiara Lazzeri,Manuela Bonizzoli
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Predictive factors for early requirement of respiratory support through phone call to Emergency Medical Call Centre for dyspnoea: a retrospective cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-08-09 Frederic Balen,Sebastien Lamy,Sarah Fraisse,Julie Trinari,Vincent Bounes,Xavier Dubucs,Sandrine Charpentier
BACKGROUND Acute dyspnoea is a common symptom in Emergency Medicine, and severity assessment is difficult during the first time the patient calls the Emergency Medical Call Centre. OBJECTIVE To identify predictive factors regarding the need for early respiratory support in patients who call the Emergency Medical Call Centre for dyspnoea. DESIGN, SETTINGS AND PARTICIPANTS This retrospective cohort study
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MEESSI-AHF score to estimate short-term prognosis of acute heart failure patients in the Emergency Department: a prospective and multicenter study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-07-31 Mathieu Oberlin,Guillaume Buis,Karine Alamé,Mikaël Martinez,Marie Paule Bitard,Lise Berard,Xavier Losset,Frederic Balen,Bruno Lehodey,Omide Taheri,Quentin Delannoy,Sabrina Kepka,Duc-Minh Tran,Pascal Bilbault,Julien Godet,Pierrick Le Borgne
BACKGROUND The assessment of acute heart failure (AHF) prognosis is primordial in emergency setting. Although AHF management is exhaustively codified using mortality predictors, there is currently no recommended scoring system for assessing prognosis. The European Society of Cardiology (ESC) recommends a comprehensive assessment of global AHF prognosis, considering in-hospital mortality, early rehospitalization
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Performance of the Fresno-Quebec Rule in identifying patients with concomitant fractures not requiring a radiograph before shoulder dislocation reduction: a multicenter retrospective cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-07-31 Axel Benhamed,Margot Bonnet,Auriane Miossec,Eric Mercier,Romain Hernu,Marion Douplat,Guillaume Gorincour,Romain L'Huillier,Laure Abensur Vuillaume,Karim Tazarourte
BACKGROUND AND IMPORTANCE Although shoulder dislocation diagnosis is often solely based on clinical examination, physicians may order a radiograph to rule out a concomitant shoulder fracture before performing reduction. The Fresno-Québec decision rule aims to identify patients requiring a radiograph before reduction to avoid unnecessary systematic imaging. However, this novel approach needs further
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Exposure to organophosphorus compounds: best practice in managing timely, effective emergency responses. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-07-14 Frédéric Dorandeu,Christopher Singer,Steven Chatfield,Robert P Chilcott,Jonathan Hall
Increasing indications, reports and studies demonstrate that threats from the deliberate use of chemical weapons remain high and are evolving. One of the deadliest classes of chemical weapons are the organophosphorus nerve agents. It is now clear that both state and non-state actors have the ability to deploy and use these types of weapons against individuals and the wider civilian population posing
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Management of major bleeding for anticoagulated patients in the Emergency Department: an European experts consensus statement. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-07-07 Barbra Backus,Jan Beyer-Westendorf,Rick Body,Tobias Lindner,Martin Möckel,Vinay Sehgal,Adrian Parry-Jones,David Seiffge,Brian Gibler
An increasing number of patients presenting to the emergency department (ED) with life-threatening bleeding are using oral anticoagulants, such as warfarin, Factor IIa and Factor Xa inhibitors. Achieving rapid and controlled haemostasis is critically important to save the patient's life. This multidisciplinary consensus paper provides a systematic and pragmatic approach to the management of anticoagulated
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Response to 'Integrating clinical judgment, advanced radiology, and molecular diagnosis: the modern ways of pneumonia management'. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Yann-Erick Claessens
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Emergency medicine engagement in global health: what does 10 years of the global emergency medicine literature review tell us? Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Anisa Jabeen Nasir Jafar,Gabrielle Prager,Jack Francis Ingham,Peter Jones,Harriet Kennedy,Claire Ingram,Haarith Ndiaye
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Abdominal point-of-care ultrasound for the exclusion of bowel obstruction: prospective multicentre observational study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Sylvain Amimer,Quentin Le Bastard,Christophe Berranger,Eric Batard,Philippe Le Conte
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Variations in on-site resource dispatch among French emergency medical communication centres: a multicenter cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Emmanuel Montassier,Louis Morice,Joel Jenvrin,Yann Penverne
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Integrating clinical judgment, advanced radiology, and molecular diagnosis: the modern ways of pneumonia management. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Prasanta Raghab Mohapatra,Baijayantimala Mishra
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Mapping global health activity amongst UK emergency care practitioners: time for a Europe-wide approach? Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Claire Rhoda Crichton-Iannone,Silas Christopher Nelms Webb,Anisa Jabeen Nasir Jafar
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Medical emergencies throughout the Venetian lagoon: the peculiar reality of the Venetian Urgent and Emergency Medical Service on water ambulances. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Agnese Accogli,Paolo Rosi,Damiano Vianello,Michele Sassetto,Andrea Paternoster
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Imaging appropriateness in paediatric trauma patients conveyed to a trauma unit compared to a major trauma centre following the introduction of trauma networks. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-27 Owen Hibberd,James Price,Amy Laurent,Shruti Agrawal,Ed B G Barnard
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Anticoagulation prescription among atrial fibrillation patients managed with and without an anticoagulant initiation pathway: a cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-13 Jaimee Carter,Christopher Kirwan,Saghar Niaz,Shriya Baweja,Fayad Al-Haimus,Yang Hu,Sophie Ramsden,Natasha Clayton,Kerstin de Wit
BACKGROUND AND IMPORTANCE The Canadian Association of Emergency Physicians atrial fibrillation (AF) checklist advises that emergency physicians initiate anticoagulation therapy for patients with AF or flutter who are CHADS65 positive. OBJECTIVES The aim was to compare anticoagulation initiation rates between patients treated with and without an anticoagulation assessment pathway (the SAFE pathway)
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Computed tomography brain scan utilization in patients with headache presenting to emergency departments: a multinational study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-13 Kevin Chu,Anne-Maree Kelly,Gerben Keijzers,Frances Kinnear,Win Sen Kuan,Colin Graham,Said Laribi,Tom Roberts,Mehmet Karamercan,Alejandro Cardozo-Ocampo,Sinan Kamona,Richard Body,Daniel Horner,Sharon Klim,Nathan Brown,Tissa Wijeratne,
BACKGROUND AND IMPORTANCE Recommended indications for emergency computed tomography (CT) brain scans are not only complex and evolving, but it is also unknown whether they are being followed in emergency departments (EDs). OBJECTIVE To determine the CT utilization and diagnostic yield in the ED in patients with headaches across broad geographical regions. DESIGN Secondary analysis of data from a multinational
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Adenosine response and failure to convert paroxysmal supraventricular tachycardia in the emergency department. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-13 Sultan M Alghadeer,Omar A Almohammed,Abdulrahman I Alshaya,Sara Alsaif,Sara Albogami,Saqer M Althunayyan
BACKGROUND AND IMPORTANCE Although adenosine is the recommended first-line therapy for patients with paroxysmal supraventricular tachycardia (SVT), it may fail to restore normal sinus rhythm. The factors associated with this failure remain unclear. OBJECTIVE To assess the response rate to adenosine and identify the factors causing adenosine failure in the management of paroxysmal SVT. DESIGN, SETTING
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The decision-making process in out-of-hospital cardiac arrest: from complexity to opportunities. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-13 Chiara Lazzeri,Manuela Bonizzoli,Adriano Peris
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Soluble urokinase plasminogen activator receptor and procalcitonin for risk stratification in patients with a suspected infection in the emergency department: a prospective cohort study. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-08 Kirby Tong-Minh,Henrik Endeman,Christian Ramakers,Diederik Gommers,Eric van Gorp,Yuri van der Does
BACKGROUND AND IMPORTANCE Early identification of patients at risk of clinical deterioration may improve prognosis of infected patients in the emergency department (ED). Combining clinical scoring systems with biomarkers may result in a more accurate prediction of mortality than a clinical scoring system or biomarker alone. OBJECTIVE The objective of this study is to investigate the performance of
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Subcutaneous versus intravenous tramadol for extremity injury with moderate pain in the emergency department: a randomised controlled noninferiority trial. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-05 Aida Bustam,Khadijah Poh,Aliyah Zambri,Mohd Zahir Amin Mohd Nazri,Thayaharan Subramaniam,Adlina Athilah Abdullah,Amyrul Ikmal Haziq Nor Azman,Bin Ting Ang,Abdul Muhaimin Noor Azhar
BACKGROUND AND IMPORTANCE Musculoskeletal trauma is a common presentation in the emergency department (ED). Tramadol as an analgesic has been recommended by pain management guidelines for musculoskeletal pain. Parenteral tramadol in the ED is commonly administered intravenously. Subcutaneously administered tramadol may have other advantages such as easier and faster preparation, avoids the need for
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Low-dose ketamine or opioids combined with propofol for procedural sedation in the emergency department: a systematic review. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-06-05 Linda J De Vries,Nic J G M Veeger,Eric N Van Roon,Heleen Lameijer
Procedural sedation is routinely performed for procedures in the emergency department (ED). Propofol is a commonly used sedative, frequently combined with an opioid or low-dose ketamine as an analgesic. However, there is still controversy on the optimal combination of agents in current guidelines. The objective of this systematic review is to identify and present studies comparing low-dose ketamine
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Attitudes and knowledge of emergency doctors towards end-of-life care in the emergency department: a national survey. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-05-29 Saema Saeed,Jeffrey Mulcaire,Etimbuk Umana,James Foley,Leonard Browne,Owen Keane,Wen Wei Chionh,Mary Jane O'Leary,Conor Deasy,
BACKGROUND Emergency departments (EDs) are seeing an increase in patients requiring end-of-life (EOL) care. There is paucity of data of attitudes and knowledge of physicians providing EOL care in the ED both internationally and in Ireland. OBJECTIVE The aim of this project was to assess the attitudes and knowledge of ED physicians towards EOL care. METHODS This was a cross-sectional electronic survey
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Patient safety in emergency departments: a problem for health care systems? An international survey. Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-05-24 Roberta Petrino,Eeva Tuunainen,Giulia Bruzzone,Luis Garcia-Castrillo
BACKGROUND AND IMPORTANCE Patient safety in healthcare is one of the cornerstones of quality of care. The emergency department (ED) is by its very nature a place where errors and safety issues are liable to occur. OBJECTIVE The aim of the study was to assess health professionals' perception of the level of safety in EDs and to identify in which work domains safety appears most at risk. DESIGN AND PARTICIPANTS
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Accuracy of pulse CO-oximetry to evaluate blood carboxyhemoglobin level: a systematic review and meta-analysis of diagnostic test accuracy studies Eur. Emerg. Med. (IF 4.4) Pub Date : 2023-05-12 Mathilde Papin, Chloé Latour, Brice Leclère, François Javaudin
Carbon monoxide (CO) poisoning is one of the most common causes of poisoning death and its diagnosis requires an elevated carboxyhemoglobin (COHb) level. Noninvasive CO saturation by pulse oximetry (SpCO) has been available since 2005 and has the advantage of being portable and easy to use, but its accuracy in determining blood COHb level is controversial. To evaluate the accuracy of SpCO (index test)