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World Journal of Emergency Medicine

Egemen Küçük, Eser Gümüş, Veli Emre Türkmen
No abstract text is available yet for this article.
2018: World Journal of Emergency Medicine
Richard Amini, Nicola Baker, Dale P Woolridge, Angela B Echeverria, Albert Amini, Srikar Adhikari
No abstract text is available yet for this article.
2018: World Journal of Emergency Medicine
Gan-Nan Wang, Xu-Feng Chen, Gang Zhang, Yong Mei, Zhe Wang, Qin Zhang, Jin-Song Zhang
No abstract text is available yet for this article.
2018: World Journal of Emergency Medicine
Shervin Farahmand, Masoume Vafaeian, Elnaz Vahidi, Atefeh Abdollahi, Shahram Bagheri-Hariri, Ahmad Reza Dehpour
BACKGROUND: Sleep deprivation resulting from night shifts, is a major cause of burnout among physicians. Exogenous melatonin may improve sleep quality in night-shift workers. The study aims to compare the effectiveness of melatonin versus placebo on sleep efficiency in emergency medicine (EM) residents. METHODS: A randomized, double-blind, replicated crossover trial was performed on EM residents. This study consisted of 4 phases within a month with intervention periods of 2 nights and washouts of 6 days...
2018: World Journal of Emergency Medicine
Karun Shrestha, Prakriti Subedi, Oshna Pandey, Likhita Shakya, Kailash Chhetri, Darlene R House
BACKGROUND: Resuscitation of a critically-ill child requires an accurate weight for fluids and medication dosing; however, weighing children on a scale while critically ill is not always practical. The objective of this study is to determine the accuracy of three different weight estimation methods (Broselow, PAWPER XL and Mercy tape) of children presenting to Patan Hospital, Nepal. METHODS: This was a prospective, cross-sectional study that included children presenting to the emergency department and under-fourteen outpatient clinic at Patan Hospital...
2018: World Journal of Emergency Medicine
Amar Pujari, Deepa R Swamy, Rashmi Singh, Ritika Mukhija, Rohan Chawla, Pradeep Sharma
BACKGROUND: The purpose of this study is to assess the utility of ocular ultrasound B scan in the emergency at the first point of care for detecting posterior segment and orbital pathologies in cases of paediatric ocular emergencies. METHODS: A prospective observational study involving 122 paediatric patients presenting to eye emergency over a period of ninety days were assessed with ultrasonography for the posterior segment as well as orbital pathology whenever indicated...
2018: World Journal of Emergency Medicine
Sarah E Frasure, Amy F Hildreth, Raghu Seethala, Heidi H Kimberly
BACKGROUND: Emergency physicians frequently encounter patients with acute small bowel obstructions (SBO). Although computed tomography (CT) imaging is the current gold standard in the assessment of patients with suspected SBO in the emergency department, a few studies have examined the use of ultrasound as an alternative imaging technique. METHODS: We evaluated the accuracy of ultrasound performed in the ED by a variety of providers (physicians with various levels of training, physician assistants) compared to CT imaging in 47 patients with suspected SBOs...
2018: World Journal of Emergency Medicine
Elaine Situ-LaCasse, Ryan W Grieger, Stephen Crabbe, Anna L Waterbrook, Lucas Friedman, Srikar Adhikari
BACKGROUND: To evaluate the utilization of point-of-care ultrasound (POCUS) for the assessment of emergency department (ED) patients with musculoskeletal symptoms and the impact of musculoskeletal POCUS on medical decision-making and patient management in the ED. METHODS: This was a retrospective review of ED patients presenting with musculoskeletal symptoms who received a POCUS over a 3.5-year period. An ED POCUS database was reviewed for musculoskeletal POCUS examinations used for medical decision-making...
2018: World Journal of Emergency Medicine
Brian G Cornelius, Elizabeth Webb, Angela Cornelius, Kenneth W G Smith, Srdan Ristic, Jay Jain, Urska Cvek, Marjan Trutschl
BACKGROUND: To identify the effects of sedative agent selection on morbidity, mortality, and length of stay in patients with suspected increase in intracranial pressure. Recent trends and developments have resulted in changes to medications that were previously utilized as pharmacological adjuncts in the sedation and intubation of patients with suspected increases in intracranial pressure. Medications that were previously considered contraindicated are now being used with increasing regularity without demonstrated safety and effectiveness...
2018: World Journal of Emergency Medicine
Sergey Motov, Jefferson Drapkin, Antonios Likourezos, Joshua Doros, Ralph Monfort, John Marshall
BACKGROUND: We describe our experience of utilizing sub-dissociative dose ketamine (SDK) in managing a variety of acute and chronic painful conditions in the emergency department (ED). METHODS: A descriptive study was conducted in our ED over a period of seven years (2010-2016) by retrospectively reviewing charts of patients aged 18 and older presenting to the ED with painful complaints and receiving SDK analgesia. Primary data analyses included type of SDK administration (intravenous push [IVP], short-infusion [SI] or continuous infusion [CI]), dosing, rates of analgesic utilization before and after SDK administration, and adverse effects...
2018: World Journal of Emergency Medicine
Alexei Birkun, Yekaterina Kosova
BACKGROUND: To promote potentially life-saving bystander cardiopulmonary resuscitation (CPR), the proportion of CPR-trained general public and their attitude toward CPR should be assessed, which is yet to be done in the former Soviet Union countries. As a case study, the survey is aimed to investigate the prevalence of CPR training, CPR knowledge, attitude and willingness to attend training and attempt CPR in the general population of the Crimea. METHODS: A personal interview survey was done from November 2017 to January 2018 with quota sampling reflecting age, gender and territorial distribution of the Crimean population...
2018: World Journal of Emergency Medicine
Emilio Rodriguez-Ruiz, Diego Iglesias-Alvarez, Carlos Peña-Gil
No abstract text is available yet for this article.
2018: World Journal of Emergency Medicine
Stephen Alerhand, Donald Apakama, Adam Nevel, Bret P Nelson
No abstract text is available yet for this article.
2018: World Journal of Emergency Medicine
Annasha Vyas, Katherine Moran, Joshua Livingston, Savannah Gonzales, Marlene Torres, Ali Duffens, Carina Mireles Romo, Genevieve Mazza, Briana Livingston, Shadi Lahham, John Christian Fox
BACKGROUND: Maternal and infant mortality rates reported in rural Panama are greater than those in urban regions. Bocas del Toro is a region of Panama inhabited by indigenous people at greater risk for pregnancy-related complications and deaths due to geographic isolation and limited access to health care. Portable ultrasound training programs have recently been implemented in low-resource settings to increase access to diagnostic imaging. The goal of this study is to determine the feasibility of teaching first-year medical students the Rural Obstetrical Ultrasound Triage Exam (ROUTE) to help identify pathology in pregnant women of the Bocas del Toro region of Panama...
2018: World Journal of Emergency Medicine
Hai-Jun Wang, Yong Gao, Shi-Ning Qu, Chu-Lin Huang, Hao Zhang, Hao Wang, Quan-Hui Yang, Xue-Zhong Xing
BACKGROUND: Readmission to intensive care unit (ICU) after discharge to ward has been reported to be associated with increased hospital mortality and longer length of stay (LOS). The objective of this study was to investigate whether ICU readmission are preventable in critically ill cancer patients. METHODS: Data of patients who readmitted to intensive care unit (ICU) at National Cancer Center/Cancer Hospital of Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC) between January 2013 and November 2016 were retrospectively collected and reviewed...
2018: World Journal of Emergency Medicine
Suresh Kumar Arumugam, Insolvisagan Mudali, Gustav Strandvik, Ayman El-Menyar, Ammar Al-Hassani, Hassan Al-Thani
BACKGROUND: We sought to evaluate the risk factors for developing ventilator-associated pneumonia (VAP) and whether the location of intubation posed a risk in trauma patients. METHODS: Data were retrospectively reviewed for adult trauma patients requiring intubation for > 48 hours, admitted between 2010 and 2013. Patients' demographics, clinical presentations and outcomes were compared according to intubation location (prehospital intubation [PHI] vs. trauma room [TRI]) and presence vs...
2018: World Journal of Emergency Medicine
Samantha P Jellinek-Cohen, May Li, Gregg Husk
BACKGROUND: The study aimed to determine the frequency of enoxaparin dosing errors for patients who had a measured emergency department (ED) weight compared to those who did not have a measured ED weight, and to determine if demographic variables (e.g., weight, height, age, English-speaking, race) impact the likelihood of receiving an inappropriate dose. METHODS: This is a retrospective, electronic chart review of patients who received a dose of enoxaparin in the ED between January 1, 2008 and July 1, 2013...
2018: World Journal of Emergency Medicine
Jennie Buchanan, Daniel Windels, Jeffrey Druck, Kennon Heard
BACKGROUND: Pharmacology and toxicology are core content knowledge for physicians. Medical students should demonstrate understanding of general pharmacology and basic treatment of poisoning. The objective of this study was to measure the knowledge of the 4th-year medical students (MS4) on these topics over 3 years. METHODS: A multiple-choice exam (15 questions) was administered to MS4 students in spring of 2010, 2011, and 2012. Questions were developed by medical toxicologists to evaluate basic knowledge in three areas: pharmacologic effects (PE), treatment of poisoning (TOP), and pharmacokinetics (PK)...
2018: World Journal of Emergency Medicine
Kelly Williamson, Jeremy Branzetti, Navneet Cheema, Amer Aldeen
BACKGROUND: While the Accreditation Council for Graduate Medical Education (ACGME) mandates that emergency medicine residencies provide an educational curriculum that includes administrative seminars and morbidity and mortality conference, there is significant variation as to how administrative topics are implemented into training programs. We seek to determine the prevalence of dedicated administrative rotations and details about the components of the curriculum. METHODS: In this descriptive study, a 12-question survey was distributed via the CORD listserv; each member program was asked questions concerning the presence of an administrative rotation and details about its components...
2018: World Journal of Emergency Medicine
Siti Nasrina Yahaya, Shaik Farid Abdull Wahab, Muhammad Saiful Bahribin Yusoff, Mohd Azhar Mohd Yasin, Mohammed Alwi Abdul Rahman
BACKGROUND: Demanding profession has been associated with poor psychological health due to multiple factors such as overworking hours and night shifts. This study is to determine prevalence and associated factors of depression, anxiety and stress among medical officers working at emergency department in Malaysian hospitals. METHODS: A cross-sectional study was conducted on 140 emergency department medical officers working at general hospitals from seven Malaysia regions...
2018: World Journal of Emergency Medicine
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