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World Journal of Emergency Medicine

Aslihan Yuruktumen Unal, Ali Unal, Erkan Goksu, Savas Arslan
No abstract text is available yet for this article.
2016: World Journal of Emergency Medicine
George Galyfos, Sotirios Giannakakis, Stavros Kerasidis, Georgios Geropapas, Georgios Kastrisios, Gerasimos Papacharalampous, Chrisostomos Maltezos
No abstract text is available yet for this article.
2016: World Journal of Emergency Medicine
Liliana Costa, Ricardo Matos, Sara Júlio, Fernando Vales, Margarida Santos
BACKGROUND: Urgent airway management is one of the most important responsibilities of otolaryngologists, often requiring a multidisciplinary approach. Urgent surgical airway intervention is indicated when an acute airway obstruction occurs or there are intubation difficulties. In these situations, surgical tracheostomy becomes extremely important. METHODS: We retrospectively studied the patients who underwent surgical tracheostomy from 2011 to 2014 by an otolaryngologist team at the operating theater of the emergency department of a tertiary hospital...
2016: World Journal of Emergency Medicine
Anil Joshi, Saurabh Singh, Sudeep Jain, Narender Rohilla, Vivek Trikha, Chandra Yadav
BACKGROUND: The present study aimed to compare outcome of primary and secondary Illizarov's fixator application as a treatment method for type III open tibial fractures in terms of non-union and wound infection. METHODS: This prospective study was done in a tertiary care center. Forty-eight type III tibial fractures were treated with Illizarov's apparatus between 2008 and 2011. The patients were divided into two groups depending on the treatment protocol, timing of wound closure and Illizarov's application, primary (n=28) and secondary (n=20)...
2016: World Journal of Emergency Medicine
Nik Hisamuddin Rahman, Ruslan Rainis, Syed Hatim Noor, Sharifah Mastura Syed Mohamad
BACKGROUND: The main aim of this study is to utilize the geographical information system (GIS) software and perform the spatial analysis in relation to clinical data for road traffic injury (RTI) pediatric cases attending the emergency department. METHODS: The study sample included pediatric patients (age less than 18 years) with road-related injuries within a district in Malaysia who attended emergency departments of two tertiary hospitals within the district. In addition to injury, pre-hospital care and outcome data, the coordinate of the locations were obtained by the ambulance paramedics by using portable handheld GPS unit brand Garmin(®) model GPS 72 H...
2016: World Journal of Emergency Medicine
Kubra Evren Sahin, Oktay Zeki Ozdinc, Suna Yoldas, Aylin Goktay, Selda Dorak
BACKGROUND: True alarm rate of the Code Blue cases is at a low level in the Dr. Behçet Uz Children's Hospital in İzmir. This study aims to analyse the use of the Code Blue alarm cases in the children's hospital. METHODS: This retrospective clinical study evaluated the age and the gender of the cases, the arriving time of the Code Blue team, the date and time of the Code Blue Call, the reasons of the Code Blue Call, and the verification which were all obtained from the Code Blue forms of the hospital dated between January 2014 and January 2015...
2016: World Journal of Emergency Medicine
Mehdi Momeni, Farshid Fahim, Elnaz Vahidi, Amir Nejati, Morteza Saeedi
BACKGROUND: Assessing and evaluating mental health status can provide educational planners valuable information to predict the quality of physicians' performance at work. These data can help physicians to practice in the most desired way. The study aimed to evaluate factors affecting psychological morbidity in Iranian emergency medicine practitioners at educational hospitals of Tehran. METHODS: In this cross sectional study 204 participants (emergency medicine residents and specialists) from educational hospitals of Tehran were recruited and their psychological morbidity was assessed by using a 28-question Goldberg General Health Questionnaire (GHQ-28)...
2016: World Journal of Emergency Medicine
Shervin Farahmand, Ehsan Karimialavijeh, Hojjat Sheikh Mottahar Vahedi, Amirhossein Jahanshir
BACKGROUND: In Iran, few studies have evaluated emergency medicine as a career option. In the present study, we aimed to find out how Iranian emergency-medicine specialists view their specialty as a career. METHODS: Following a qualitative study, a Likert-scale questionnaire was developed. Iranian emergency physician specialists who had at least two years' job experience were contacted via email. A uniform link to a Web-based survey and a cover letter that explained the survey were sent to the recipients...
2016: World Journal of Emergency Medicine
Elizabeth G Clark, Jessica Watson, Allison Leemann, Alan H Breaud, Frank G Feeley, James Wolff, Tamorish Kole, Gabrielle A Jacquet
BACKGROUND: Emergencies such as road traffic accidents (RTAs), acute myocardial infarction (AMI) and cerebrovascular accident (CVA) are the most common causes of death and disability in India. Robust emergency medicine (EM) services and proper education on acute care are necessary. In order to inform curriculum design for training programs, and to improve the quality of EM care in India, a better understanding of patient epidemiology and case burden presenting to the emergency department (ED) is needed...
2016: World Journal of Emergency Medicine
Bill Lukin, Li-Jun Fan, Jing-Zhou Zhao, Jian-Dong Sun, Kaeleen Dingle, Rhonda Purtill, Sam Tapp, Xiang-Yu Hou
BACKGROUND: Hospital emergency department (ED) use by patients from residential aged care facilities (RACFs) is not always appropriate, and this calls for interventions to avoid some unnecessary uses. This study aims to compare patterns of ED use by RACF patients with and without a Hospital in the Nursing Home (HiNH) program. METHODS: RACF patients presenting to EDs of a hospital with and a hospital without this program during pre- and post-intervention periods were included...
2016: World Journal of Emergency Medicine
Sean P Wilson, Kiah Connolly, Shadi Lahham, Mohammad Subeh, Chanel Fischetti, Alan Chiem, Ariel Aspen, Craig Anderson, John C Fox
BACKGROUND: The study aimed to compare the time to overall length of stay (LOS) for patients who underwent point-of-care ultrasound (POCUS) versus radiology department ultrasound (RDUS). METHODS: This was a prospective study on a convenience sample of patients who required pelvic ultrasound imaging as part of their emergency department (ED) assessment. RESULTS: We enrolled a total of 194 patients who were on average 32 years-old. Ninety-eight (51%) patients were pregnant (<20 weeks)...
2016: World Journal of Emergency Medicine
Shadi Lahham, Priel Schmalbach, Sean P Wilson, Lori Ludeman, Mohammad Subeh, Jocelyn Chao, Nadeem Albadawi, Niki Mohammadi, John C Fox
BACKGROUND: The objective of this study is to determine if point-of-care ultrasound (POCUS) pre-procedure identification of landmarks can decrease failure rate, reduce procedural time, and decrease the number of needle redirections and reinsertions when performing a lumbar puncture (LP). METHODS: This was a prospective, randomized controlled trial comparing POCUS pre-procedure identification of landmarks versus traditional palpation for LP in a cohort of patients in the emergency department and intensive care unit...
2016: World Journal of Emergency Medicine
Egemen Küçük, İbrahim Kocayiğit, Candan Günel, Hasan Düzenli
BACKGROUND: This study aims to evaluate the results of studies investigating neutrophil-to-lymphocyte ratio (NLR) and to identify the prognostic and diagnostic value of NLR in occlusive vascular diseases. METHODS: With the aim of identifying the studies related to NLR, a search was performed on by using the key words "neutrophil lymphocyte ratio" between January 2005 and December 2014. All of the original articles were evaluated according to date of publications, countries, clinics and topics...
2016: World Journal of Emergency Medicine
Deep Jaiswal, Dan Boudreau
No abstract text is available yet for this article.
2016: World Journal of Emergency Medicine
Tigist Endale, Netsanet Fentahun, Desta Gemada, Mamusha Aman Hussen
BACKGROUND: Premature rupture of membrane (PROM) is linked to significant maternal prenatal mortalities and morbidity. In Ethiopia, where maternal mortality is still high, the maternal and fetal outcomes in PROM is very important to decrease maternal and child mortality and for better management and prevention of complications. Thus, this study aimed to detect the maternal and fetal outcomes and associated factors in term PROM at Mizan-Aman General Hospital, south-west Ethiopia. METHODS: A retrospective cross sectional study was conducted using data available at Mizan-Aman General Hospital during a period of 3 years (January 2011 to December 2013)...
2016: World Journal of Emergency Medicine
Chik Leung Ho, Ka Wai Cheng, Tze Hang Ma, Yau Hang Wong, Ka Lok Cheng, Chak Wah Kam
BACKGROUND: To popularize the wide-spread use of automated external defibrillator (AED) to save life in sudden cardiac arrest, we compared the strength and weakness of different types of AEDs to enable a sound selection based on regional requirement. METHODS: This was a retrospective descriptive study. Different types of AEDs were compared according to the information of AEDs from manuals and brochures provided by the manufacturers. Fifteen types of AEDs were divided into 3 groups, basic, intermediate and advanced...
2016: World Journal of Emergency Medicine
Changiz Gholipour, Bahram Samadi Rad, Samad Shams Vahdati, Amir Ghaffarzad, Armita Masoud
BACKGROUND: Trauma is considered as a worldwide problem despite socio-economic development. Motor vehicle accidents (MVAs) are the most important cause of trauma. Trauma related deaths are mostly preventable. This study aimed to investigate the causes and prevention of death in trauma patients. METHODS: This retrospective, descriptive-analytic study assessed 100 trauma patients referred to our emergency department (ED) from January 2013 to Januanry 2015. The included patients were those with trauma died after arrival at our ED...
2016: World Journal of Emergency Medicine
Hong-Li Xiao, Su-Xia Ma, Hai-Yu Qi, Xiaoli Li, Yan Wang, Cheng-Hong Yin
BACKGROUND: Diarrhea is frequently seen in developed and developing countries, and severe diarrhea is characterized by the high risk of death. Thus, it is very important to assess the severity of diarrhea early. We conducted a multi-center study to identify risk factors for the severity of diarrhea in adult patients and formulate an adult diarrhea state score (ADSS) for out-patient clinicians. METHODS: A total of 219 adult patients with acute diarrhea were divided into two groups: 132 patients with mild diarrhea and 87 with severe diarrhea...
2016: World Journal of Emergency Medicine
Erden Erol Ünlüer, Rıfat Urnal, Utku Eser, Serkan Bilgin, Mehmet Hacıyanlı, Orhan Oyar, Haldun Akoğlu, Arif Karagöz
BACKGROUND: Appendicitis is a common disease requiring surgery. Bedside ultrasound (BUS) is a core technique for emergency medicine (EM). The Alvarado score is a well-studied diagnostic tool for appendicitis. This study aimed to investigate the relationship between patients' symptoms, Alvarado score and ultrasound (US) findings, as performed by emergency physicians (EPs) and radiologists, of patients with suspected appendicitis. METHODS: Three EM specialists underwent the BUS course and core course for appendicitis assessment...
2016: World Journal of Emergency Medicine
Kevin P Rooney, Sari Lahham, Shadi Lahham, Craig L Anderson, Bryan Bledsoe, Bryan Sloane, Linda Joseph, Megan B Osborn, John C Fox
BACKGROUND: Point-of-care ultrasound (US) is a proven diagnostic imaging tool in the emergency department (ED). Modern US devices are now more compact, affordable and portable, which has led to increased usage in austere environments. However, studies supporting the use of US in the prehospital setting are limited. The primary outcome of this pilot study was to determine if paramedics could perform cardiac ultrasound in the field and obtain images that were adequate for interpretation...
2016: World Journal of Emergency Medicine
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