Articles

Injury in the Developing World—From Prevention to Care

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Focused abdominal sonography for trauma in the emergency department for blunt abdominal trauma

Blunt abdominal trauma (BAT) is a diagnostic challenge to the emergency physician (EP). The introduction of bedside ultrasound provides another diagnostic tool for the EP to detect intra-abdominal injuries.

Authors: Chi Leung Tsui, Hin Tat Fung, Kin Lai Chung and Chak Wah Kam

Understanding statistical tests in the medical literature: which test should I use?

Authors: M. Fernanda Bellolio, Luis A. Serrano and Latha G. Stead

A perspective on developing emergency medicine as a specialty

A rapidly increasing number of countries are developing their capacities to respond to acute illness and injury and organizing emergency medicine training programs. This article offers some insight into the wa...

Authors: Chris Curry

Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural Rwanda

Over the last decade, the diffusion of ultrasound technology to nontraditional users has been rapid and far-reaching. Much research and effort has been focused on developing an ultrasound curriculum and traini...

Authors: Sachita Shah, Vicki E. Noble, Irenee Umulisa, J. M. V. Dushimiyimana, Gene Bukhman, Joia Mukherjee, Michael Rich and Henry Epino

The impact of process re-engineering on patient throughput in emergency departments in the UK

The re-engineering of emergency department (ED) processes in the UK since 2002 has produced significant reductions in waiting times.

Authors: Ashis Banerjee, David Mbamalu and Geoff Hinchley

Transport time to trauma facilities in Karachi: an exploratory study

Rapid urban growth in developing countries has outpaced the development of health infrastructure, including trauma centers, leading to potential delays in trauma care. This study was conducted in Karachi, a ci...

Authors: Roomasa Channa, Hira Altaf Jaffrani, Aamir Javed Khan, Talal Hasan and Junaid Abdul Razzak

Prospective study of patients with altered mental status: clinical features and outcome

Patients with altered mental status (AMS) present commonly to the Emergency Department (ED). The aim of this prospective study is to identify the various clinical features of this diverse group of patients and...

Authors: Lim Beng Leong, Kenneth Heng Wei Jian, Alicia Vasu and Eillyne Seow

Complex metacarpophalangeal dislocation

Authors: William J. Meurer, Steven L. Kronick, Mark J. Lowell, Jeffrey S. Desmond and Chaitanya S. Mudgal

Safety of procedural sedation and analgesia in children less than 2 years of age in a pediatric emergency department

Although young age is considered a risk factor for adverse events related to procedural sedation and analgesia (PSA), data in very young children (<2 years of age) are lacking.

Authors: Shailendra Misra, Prashant V. Mahajan, Xinguang Chen and Nirupama Kannikeswaran

The utility of cardiac sonography and capnography in predicting outcome in cardiac arrest

Emergency physicians and intensivists are increasingly utilizing capnography and bedside echocardiography during medical resuscitations. These techniques have shown promise in predicting outcomes in cardiac ar...

Authors: Bret P. Nelson, Vaishali R. Patel, Marlaina M. Norris and Barbara K. Richardson

Early onset muscarinic manifestations after wild mushroom ingestion

Despite being a favorite delicacy, only 200–300 of the 5,000 known mushroom species have been clearly established to be safe for consumption. Cases of mushroom poisoning have been reported with diverse clinica...

Authors: Keng Sheng Chew, Mohd Amin Mohidin, Mohd Zikri Ahmad, Tuan Hairul Nizam Tuan Kamauzaman and Nasir Mohamad

Chest pain in an adolescent male

Authors: Anjali Bhagra, Smitha Suravaram and Jana L. Anderson

Application of lean thinking in health care: a role in emergency departments globally

Authors: Wyatt W. Decker and Latha G. Stead

Spontaneous pneumomediastinum

Authors: Michael M. Mohseni

Acute renal infarction

Authors: Yasuharu Okuda and Raakhee Mahajan

Torsade de pointes caused by polypharmacy and substance abuse in a patient with human immunodeficiency virus

Drug-induced QT prolongation is a potentially dangerous adverse effect of some medication combinations. When QT prolongation progresses to torsade de pointes, life-threatening or fatal outcomes may result. A 5...

Authors: Jane M. Prosser, Angela Mills, Eugene S. Rhim and Jeanmarie Perrone

Enhancing the research experience through peer-reviewed literature

Authors: Prashant Mahajan

Bispectral index monitoring during cardiopulmonary resuscitation repeated twice within 8 days in the same patient: a case report

Research on cardiac resuscitation has led to various changes in the techniques and drug administration involved in modern advanced life support. Besides improving primary cardiac survival, interest is increasi...

Authors: Michael T. Pawlik, Timo F. Seyfried, Christian Riegger, Werner Klingler and Christoph Selig

Tetanus antibody protection among HIV-infected US-born patients and immigrants

Public health initiatives to immunize children and adults have effectively reduced the number of tetanus cases in the USA. However, in the Third National Health and Nutrition Examination Survey (NHANES III), i...

Authors: K. Alagappan, J. McGowan, D. DeClaro, D. Ng and R. A. Silverman

Malpositioning of a nasogastric tube: a pitfall in the emergency department

Authors: Wei-Jing Lee, Reng-Hong Wu, Yi-Shien Chen and Hung-Jung Lin

State of emergency medicine in South Africa

Emergency medicine is a new speciality in South Africa. It was first registered in 2003, and there are now 30 specialists in the country, with 10 new graduates from local registrar training programmes and over...

Authors: Lee A. Wallis, Sharadh R. Garach and Annemarie Kropman

Predicting observation unit treatment failures in patients with skin and soft tissue infections

Skin and soft tissue infections are a common admission diagnosis to emergency department (ED) observation units (OU). Little is known about which patients fail OU treatment.

Authors: Jon W. Schrock, Sara Laskey and Rita K. Cydulka

High-pressure water injection injury

Authors: Christopher Scott Sampson

Research and mentorship as cornerstones of advancing academic emergency medicine globally

Authors: Latha G. Stead and Wyatt W. Decker

A pilot study of the King LT supralaryngeal airway use in a rural Iowa EMS system

In 2003, the King Laryngeal Tube (LT) received FDA approval for US sales. Prehospital systems in urban setting have begun evaluating and adopting the LT for clinical airway management. However, it is not routi...

Authors: Christopher S. Russi, Michael J. Hartley and Christopher T. Buresh

Clinical research 101: Why should you care?

Authors: Latha G. Stead and Wyatt W. Decker

Incidence and impact of undisclosed cocaine use in emergency department chest pain and trauma patients

One of the highest rates of illicit cocaine consumption in Europe is in Spain. Our objective was to study the incidence and impact of undisclosed cocaine consumption in patients attending the emergency departm...

Authors: Guillermo Burillo-Putze, Juan María Borreguero León, Jose Antonio García Dopico, Jose Francisco Fernández Rodríguez, Maria Angeles Pérez Carrillo, Maria Jesús Jorge Pérez, Antonia María de Vera González, Eva Vallbona Afonso and Alejandro Jiménez Sosa

The use of simulation in the education of emergency care providers for cardiac emergencies

Traditional methods of educating residents and medical students using lectures and bedside teaching are no longer sufficient. Today’s generation of trainees grew up in a multimedia environment, learning on the...

Authors: Yasuharu Okuda and Joshua Quinones

ED chief complaint categories for a medical student curriculum

It is important to stimulate the interest of all medical students in emergency medicine to further its growth nationally and internationally. Students focused on other specialties can benefit from exposure to ...

Authors: Adam R. Kuykendal, Judith Tintinalli and Kevin Biese

Seizure visits in US emergency departments: epidemiology and potential disparities in care

While epilepsy is a well-characterized disease, the majority of emergency department (ED) visits for “seizure” involve patients without known epilepsy. The epidemiology of seizure presentations and national pa...

Authors: Daniel J. Pallin, Joshua N. Goldstein, Jon S. Moussally, Andrea J. Pelletier, Alexander R. Green and Carlos A. Camargo Jr.

Risk stratification of patients in an emergency department chest pain unit: prognostic value of exercise treadmill testing using the Duke score

Exercise treadmill testing (ETT) has been standard for evaluating outpatients at risk for cardiovascular events. Few studies have demonstrated its prognostic usefulness in emergency department chest pain units...

Authors: Gregory G. Johnson, Wyatt W. Decker, Joseph K. Lobl, Dennis A. Laudon, Jennifer J. Hess, Christine M. Lohse, Amy L. Weaver, Deepi G. Goyal, Peter A. Smars and Guy S. Reeder

Measuring access to emergency obstetric care in rural Zambia

Global health experts identify emergency obstetric care (EmOC) as the most important intervention to improve maternal survival in low- and middle-income countries. In Zambia, 1 in 27 women will die of maternal...

Authors: Adam C. Levine, Regan H. Marsh, Sara W. Nelson, Lynda Tyer-Viola and Thomas F. Burke

Mortality after emergency department intubation

The purpose of this study is to identify the rate of emergency department (ED) intubation and the mortality associated with ED intubation.

Authors: Leon D. Sanchez, J. Scott Goudie, Jennifer De la Pena, Kevin Ban and Jonathan Fisher

The difficult airway in the emergency department

The patient with difficult airways is a common challenge for emergency physicians.

Authors: Evelyn Wong and Yih-Yng Ng

Pneumoencephalus after one missed step

Authors: Daniel Cabrera, Rachel Gilmore and David L. Klocke

Intubation practice patterns in Tuscan emergency departments

Intubation is one of the most important life-saving procedures performed by emergency physicians (EPs). There is variation in practice when different countries are compared.

Authors: Leon D. Sanchez, Paolo Di Martino, Matthew Babineau, Michele Lanigra and Kevin M. Ban

Syncope: experience at a tertiary care hospital in Karachi, Pakistan

Our aim was to determine the characteristics of patients presenting with syncope at a tertiary care hospital in Karachi, Pakistan.

Authors: Muhammad Junaid Patel, Nadeem Ullah Khan, Abdul Jawwad Samdani, Muhammad Furqan, Aamir Hameed, Muhammad Shoaib Khan, Syed Imran Ayaz and Muhammad Omer Jamil

Septic thrombophlebitis with acute osteomyelitis in adolescent children: a report of two cases and review of the literature

The triad of acute osteomyelitis, deep venous thrombophlebitis, and septic pulmonary embolism is a rare, but life-threatening syndrome in children that requires prompt recognition and treatment. We report two ...

Authors: Amy A. LePage, Erik P. Hess and Raquel M. Schears

EMCON 2007: 9th Annual Conference of the Society for Emergency Medicine

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Pott’s paresis presentation in the emergency department

Authors: Charles Ochello Jr. and Lisa D. Mills

Testicular torsion–a common surgical emergency

Authors: Anjali Bhagra, Smitha Suravaram and Raquel M. Schears

Cardiopulmonary resuscitation: outcome and its predictors among hospitalized adult patients in Pakistan

Our aim was to study the outcomes and predictors of in-hospital cardiopulmonary resuscitation (CPR) among adult patients at a tertiary care centre in Pakistan.

Authors: Nadeem Ullah Khan, Junaid A. Razzak, Humaid Ahmed, Muhammad Furqan, Ali Faisal Saleem, Hammad Alam, Anwar ul Huda, Uzma Rahim Khan and Rifat Rehmani

Triage Revised Trauma Score change between first assessment and arrival at the hospital to predict mortality

To assess among seriously injured accident victims whether change of the Triage Revised Trauma Score (T-RTS) between first assessment and arrival at the hospital independently predicts mortality.

Authors: R. A. Lichtveld, A. T. E. Spijkers, J. M. Hoogendoorn, I. F. Panhuizen and Chr. van der Werken

Meningococcemia

Authors: Wei-Jing Lee, Yu-Hui Lu and Jung-Chun Lei

The V-Quick patch versus the standard 12-lead ECG system: time is the essence

The V-Quick patch template system is compared with the standard 12-lead electrocardiogram (ECG) acquisition technique in this paper. The objectives of the study were: (a) to study and compare the time taken to...

Authors: F. Lateef, A. Annathurai and T. T. Loh

Traumatic pneumorrhachis: a rare entity of trauma

Authors: Serhat Akay and Basak Bayram

Sats in the 60s

Authors: Raquel M. Schears and Jamie M. Hess

State of emergency medicine in Azerbaijan

There has been no previous study into the state of emergency medicine in Azerbaijan. As a legacy of the Soviet Semashko system, the “specialty” model of emergency medicine and integrated emergency departments ...

Authors: Harsh Sule, Shirin Kazimov, Oktay Shahmaliyev and Adam Sirois

Emergency medicine in Italy today: just like the USA in 1968

Authors: Fabio De Iaco and Gianni Oddone