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Emergency Medicine Journal: EMJ

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https://www.readbyqxmd.com/read/28720723/profile-and-outcomes-of-critically-ill-children-in-a-lower-middle-income-country
#1
Muhammad Irfan Habib, Khalid Mehmood A Khan
OBJECTIVE: To determine the clinical profile and outcome of critically ill children presenting to a paediatric ED in a lower middle-income country. METHODS: We performed a retrospective analysis of children (<14 years) presenting to the ED of the National Institute of Child Health, Karachi, between January and December 2014 who were assigned to acuity 1 (requiring immediate life-saving interventions) according to the Emergency Severity Index. Data included demographic variables, presenting complaints, interventions and outcomes in the ED...
July 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28720722/emergency-department-diagnostic-codes-useful-data
#2
LETTER
Jon M Dickson, Suzanne M Mason, Andy Bailey
No abstract text is available yet for this article.
July 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28720721/predictors-of-repeat-visits-to-hospital-psychiatric-emergency-departments-in-malaga-spain-and-in-lisbon-portugal
#3
Berta Moreno-Küstner, Ingeborg Warnke, Carlos Nordt, Gemma Fernandez, José Ramos, Pedro Paulino-Matos, Wulf Rössler, Graça Cardoso
OBJECTIVE: This study describes the profile of people with mental disorders attending emergency departments (EDs) in two countries and to identify specific mental disorders associated with repeat emergency visits. METHODS: Retrospective analyses of 1 year of EDs data from two hospitals with psychiatric departments, one in Amadora/Sintra (Lisbon, Portugal, 2008) and the other in Malaga (Spain, 2009), were carried out. To determine which mental disorders were associated with repeat visits in each setting, negative binomial models were calculated...
July 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28720720/comparison-of-prehospital-triage-and-five-level-triage-system-at-the-emergency-department
#4
Li-Heng Tsai, Chien-Hsiung Huang, Yi-Chia Su, Yi-Ming Weng, Chung-Hsien Chaou, Wen-Cheng Li, Chan-Wei Kuo, Chip-Jin Ng
OBJECTIVE: There is lack of scientific evidence regarding the effectiveness of prehospital triage systems. This study compared the two-level Taiwan Prehospital Triage System (TPTS) with the five-level Taiwan Triage and Acuity Scale (TTAS) at ED arrival regarding the prediction of patient outcomes and the utilisation of medical resources. DESIGN: This was a retrospective cohort study. Adult patients transported via the emergency medical service (EMS), who arrived at the ED of a medical centre in northern Taiwan during the study period were enrolled...
July 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28720719/introduction-of-a-new-imaging-guideline-for-suspected-renal-colic-in-the-ed-reduces-ct-urography-utilisation
#5
Gabriel Blecher, Rob Meek, Diana Egerton-Warburton, Philip McCahy
BACKGROUND: Patients presenting to the ED with suspected renal colic are frequently imaged with CT urography (CTU), which rarely alters diagnosis or management. To reduce use of CTU in this population, we instigated a new imaging and management guideline in our ED. METHODS: This was a quasi-experimental prospective study, whereby a new guideline was commenced at the intervention site (Monash Medical Centre) and the existing guideline continued at the control site (Dandenong Hospital)...
July 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28705868/authors-response-overcautious-adoption-of-extracorporeal-cardiopulmonary-resuscitation
#6
LETTER
Clifton W Callway, Kjetil Sunde
No abstract text is available yet for this article.
July 13, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28705867/finding-value-in-inappropriate-visits-a-new-study-demonstrates-how-variation-in-ed-use-for-preventable-visits-can-be-used-to-detect-problems-with-access-to-healthcare-in-our-communities
#7
https://www.readbyqxmd.com/read/28689194/risk-factors-and-outcomes-associated-with-post-traumatic-headache-after-mild-traumatic-brain-injury
#8
Yilmaz Tansel, Gerwin Roks, Myrthe de Koning, Myrthe Scheenen, Harm van der Horn, Gerben Plas, Gerard Hageman, Guus Schoonman, Jacoba Spikman, Joukje van der Naalt
OBJECTIVES: To determine the prevalence and potential risk factors of acute and chronic post-traumatic headache (PTH) in patients with mild to moderate traumatic brain injury (TBI) in a prospective longitudinal observational multicentre study. Acute PTH (aPTH) is defined by new or worsening of pre-existing headache occurring within 7 days after trauma, whereas chronic PTH (cPTH) is defined as persisting aPTH >3 months after trauma. An additional goal was to study the impact of aPTH and cPTH in terms of return to work (RTW), anxiety and depression...
July 8, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28679502/ibuprofen-versus-placebo-effect-on-acute-kidney-injury-in-ultramarathons-a-randomised-controlled-trial
#9
Grant S Lipman, Kate Shea, Mark Christensen, Caleb Phillips, Patrick Burns, Rebecca Higbee, Viktoria Koskenoja, Kurt Eifling, Brian J Krabak
BACKGROUND: Despite concerns that non-steroidal anti-inflammatory drugs (NSAIDs) contribute to acute kidney injury (AKI), up to 75% of ultramarathon runners ingest these during competition. The effect of NSAID on AKI incidence in ultramarathon runners is unclear. METHODS: Multisite randomised double-blind placebo-controlled trial in the Gobi, Atacama, Ecuador and Sri Lankan deserts to determine whether ibuprofen (400 mg every 4 hours) would be non-inferior to placebo during a 50-mile (80 km) foot race...
July 5, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28659303/video-recording-in-the-emergency-department-a-pathway-to-success
#10
EDITORIAL
Adam Lloyd, David John Lowe, Simon Edgar, Dave Caesar, Alistair Dewar, Gareth R Clegg
No abstract text is available yet for this article.
June 28, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28655755/out-of-hospital-cardiac-arrests-in-the-older-population-in-ireland
#11
Richard Tanner, Siobhan Masterson, Mette Jensen, Peter Wright, David Hennelly, Martin O'Reilly, Andrew W Murphy, Gerard Bury, Cathal O'Donnell, Conor Deasy
INTRODUCTION: Age influences survival from an out-of-hospital cardiac arrest (OHCA) but it is unclear to what extent. Improved understanding of the impact of increasing age may be helpful in improving decision making on who should receive attempted resuscitation to optimise outcomes and minimise inappropriate end-of-life management. Our aim is to describe the demographics, characteristics and outcomes following resuscitation attempts in OHCA patients aged 70 years and older in Ireland...
June 27, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28642373/failure-of-falls-risk-screening-tools-to-predict-outcome-a-prospective-cohort-study
#12
Kristie J Harper, Annette D Barton, Glenn Arendts, Deborah G Edwards, Antonio C Petta, Antonio Celenza
OBJECTIVE: To compare the Falls Risk for Older Persons-Community Setting Screening Tool (FROP Com Screen) with the Two-Item Screening Tool in older adults presenting to the ED. METHODS: A prospective cohort study, comparing the efficacy of the two falls risk assessment tools by applying them simultaneously in a sample of hospital ED presentations. RESULTS: Two hundred and one patients over 65 years old were recruited. Thirty-six per cent reported falls in the 6-month follow-up period...
June 22, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28642372/the-highland-health-advocates-a-preliminary-evaluation-of-a-novel-programme-addressing-the-social-needs-of-emergency-department-patients
#13
Lia Ilona Losonczy, Dennis Hsieh, Michael Wang, Christopher Hahn, Tarak Trivedi, Marcela Rodriguez, Jahan Fahimi, Harrison Alter
OBJECTIVES: Patients commonly come to the emergency department (ED) with social needs. To address this, we created the Highland Health Advocates (HHA), an ED-based help desk and medical-legal partnership using undergraduate volunteers to help patients navigate public resources and provide onsite legal and social work referrals. We were able to provide these services in English and Spanish. We aimed to determine the social needs of the patients who presented to our ED and the potential impact of the programme in resolving those needs and connecting them to a 'medical home' (defined as a consistent, primary source of medical care such as a primary care doctor or clinic)...
June 22, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28637648/are-final-year-medical-students-ready-to-save-lives-in-italy-not-yet
#14
LETTER
Enrico Contri, Maria Concetta Bonomo, Giulia Costantini, Miriam Manera, Marco Bormetti, Michela Tonani, Enrico Baldi
No abstract text is available yet for this article.
June 21, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28626030/gender-race-and-the-presentation-of-acute-coronary-syndrome-and-serious-cardiopulmonary-diagnoses-in-ed-patients-with-chest-pain
#15
Ahmed Allabban, Judd E Hollander, Jesse M Pines
OBJECTIVE: To assess the relationship between reported chest pain symptoms and a diagnosis of acute coronary syndrome (ACS) and serious cardiopulmonary diagnoses (SCPD) in black males, white males, black females and white females. METHODS: This was a secondary analysis of a prospective cohort study of 4162 ED patients with chest pain enrolled between 1999 and 2008. We used logistic regression, adjusting for age and cardiovascular comorbidities to test the association between 24 chest pain symptoms and 30-day ACS for the primary outcome and SCPD as the secondary outcome...
June 16, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28606941/authors-response-extracorporeal-cardiopulmonary-resuscitation-probably-good-but-adoption-should-not-be-too-fast-and-furious
#16
LETTER
Brian Burns, Cliff Reid, Rob Scott, Stephen Bernard, Lionel Lamhaut, Joe Bellezzo, Zack Shinar, Mark Dennis, Paul Forrest
No abstract text is available yet for this article.
June 12, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28600450/establishing-a-legal-service-for-major-trauma-patients-at-a-major-trauma-centre-in-the-uk
#17
William H Seligman, Julian Thompson, Hannah E Thould, Charlotte Tan, Andrew Dinsmore, David J Lockey
BACKGROUND: Major trauma causes unanticipated critical illness and patients have often made few arrangements for what are sudden and life-changing circumstances. This can lead to financial, housing, insurance, legal and employment issues for patients and their families.A UK law firm worked with the major trauma services to develop a free and comprehensive legal service for major trauma patients and their families at a major trauma centre (MTC) in the UK. METHODS: In 2013, a legal service was established at North Bristol NHS Trust...
June 9, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28588013/building-a-visual-aid-for-a-triage-tool-in-a-developing-health-service
#18
Mir Saaduddin Ahmad, Darryl R Wood
Resources in the modern day emergency department are often stretched, and this holds true more so in developing services. With limited manpower, it is essential that efficient tools are created so that processes can be run safely. Here we pilot the use of a vital signs matrix in a medical camp in Dhaka to screen patients at triage. We further modified this matrix to include the National Early Warning Score as our recording of the NEWS have remained poor in triage. A trial and validation study for the use of this matrix in an NHS setting is currently underway...
June 6, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28522436/prognosis-of-undiagnosed-chest-pain-do-emergency-physicians-need-to-rethink-current-practice
#19
Edward Carlton
No abstract text is available yet for this article.
May 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28515132/inclusion-of-emergency-department-patients-in-early-stages-of-sepsis-in-a-quality-improvement-programme-has-the-potential-to-improve-survival-a-prospective-dual-centre-study
#20
Bas De Groot, Bastiaan Struyk, Rashed Najafi, Nieke Halma, Loekie Pelser, Denise Vorst, Bart Mertens, Annemieke Ansems, Douwe Rijpsma
STUDY OBJECTIVE: Sepsis quality improvement programmes typically focus on severe sepsis (ie, with acute organ failure). However, quality of ED care might be improved if these programmes included patients whose progression to severe sepsis could still be prevented (ie, infection without acute organ failure). We compared the impact on mortality of implementing a quality improvement programme among ED patients with a suspected infection with or without acute organ failure. METHODS: This prospective observational study among ED patients hospitalised with suspected infection was conducted in two hospitals in the Netherlands...
May 17, 2017: Emergency Medicine Journal: EMJ
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