Articles

Implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) in an Urgent Care Center in Saudi Arabia

The objectives of the study is to review and assess the implementation of the applied modified five-level triage and acuity scale triage system in AL-Yarmook Urgent Care Center (UCC), King Abdulaziz Residentia...

Authors: Abdullah Arafat, Ali Al-Farhan and Hiba Abu Khalil

A retrospective comparison of helicopter transport versus ground transport in patients with severe sepsis and septic shock

Helicopter emergency medical services (HEMS) extend the reach of a tertiary care center significantly. However, its role in septic patients is unclear. Our study was performed to clarify the role of HEMS in se...

Authors: Rahul Kashyap, Peter W. Anderson, Abhay Vakil, Christopher S. Russi and Rodrigo Cartin-Ceba

Diving accidents: a cohort study from the Netherlands

Diving is, besides professional reasons, an increasingly popular leisure activity. Whilst statistically compared to other sports safe, diving accidents can result in serious complications. In order to treat th...

Authors: J. W. Smithuis, E. Gips, T. P. van Rees Vellinga and M. I. Gaakeer

“Floating shoulder” injuries

“Floating shoulder” is a rare injury complex resulting from high-energy blunt force trauma to the shoulder, resulting in scapulothoracic dissociation. It is commonly associated with catastrophic neurovascular ...

Authors: Kenneth Heng

Case-based discussion: an unusual manifestation of diaphragmatic hernia mimicking pneumothorax in an adult male

Diaphragmatic hernia is an important cause of emergency hospital admission associated with significant morbidity. It usually results from congenital defect or rupture in the diaphragm due to trauma. Prompt and...

Authors: Pradeep Kumar Vyas, Chintamani Godbole, Susheel Kumar Bindroo, Rajiv S. Mathur, Bharathi Akula and Nilesh Doctor

The hyperdense basilar artery sign: a case of locked-in syndrome

Locked-in syndrome, although a notoriously famous clinical entity, the rarity of the condition coupled with the variability of clinical features on acute presentation represents a potential diagnostic pitfall ...

Authors: Lasanthi Aryasinghe, Yasmin Kazim, Hamza F. Obeid and Husnain Hashim

Predictors of early progression to severe sepsis or shock among emergency department patients with nonsevere sepsis

Progression from nonsevere sepsis—i.e., sepsis without organ failure or shock—to severe sepsis or shock among emergency department (ED) patients has been associated with significant mortality. Early recognitio...

Authors: Andre L. Holder, Namita Gupta, Elizabeth Lulaj, Miriam Furgiuele, Idaly Hidalgo, Michael P. Jones, Tiphany Jolly, Paul Gennis and Adrienne Birnbaum

Adaptive leadership curriculum for Indian paramedic trainees

Paramedic trainees in developing countries face complex and chaotic clinical environments that demand effective leadership, communication, and teamwork. Providers must rely on non-technical skills (NTS) to man...

Authors: Aditya Mantha, Nathaniel L. Coggins, Aditya Mahadevan, Rebecca N. Strehlow, Matthew C. Strehlow and S.V. Mahadevan

Survey of student perception of medical education environment among emergency medicine residents of an academic medical centre in Northern India

The specialty of emergency medicine is in its infancy state in the long history of the Indian health sciences education system. Little analytical published data is available at the moment in India regarding th...

Authors: Sushant Chhabra, Asit Misra, Sumiyah Shah and Tamorish Kole

Analysis of trauma admission data at an urban hospital in Maputo, Mozambique

Trauma is a major public health concern. Worldwide, injuries resulted in 4.8 million deaths in 2013, an increase of 11 % since 1990. The majority of deaths from trauma in low-and middle-income countries occur ...

Authors: Cátia Luciana Abdulfattáhe Taibo, Troy D. Moon, Orvalho A. Joaquim, Carlos R. Machado, Amina Merchant, Kelly McQueen, Mohsin Sidat and Elena Folgosa

Ultrasonographic assessment of inferior vena cava/abdominal aorta diameter index: a new approach of assessing hypovolemic shock class 1

We designed this study to expand the usage of ultrasound to detect early occurrence of hypovolemia. We explore the potential use of inferior vena cava (IVC) and abdominal aorta (AA) diameter index (IVC:AA) mea...

Authors: Nik Hisamuddin NA Rahman, Rashidi Ahmad, Meera Mohaideen Kareem and Mohammad Iqhbal Mohammed

Point-of-care capillary HbA1c measurement in the emergency department: a useful tool to detect unrecognized and uncontrolled diabetes

Inpatient hyperglycaemia and diabetes mellitus (DM) are common and are associated with an increased risk of complications and mortality. The severity of hyperglycaemia determines the rate of complications in p...

Authors: Fernando Gomez-Peralta, Cristina Abreu, Leonor Andreu-Urioste, Ana Cristina Antolí, Carmen Rico-Fontsaré, David Martín-Fernández, Rosa Resina-Rufes, Juan Jesús Pérez-García, Ángela Negrete-Muñoz, Daniel Muñoz-Álvarez and Guillermo E. Umpierrez

Increased analgesia administration in emergency medicine after implementation of revised guidelines

The most common complaint of patients attending the emergency department (ED) is pain, caused by different diseases. Yet the treatment of pain at the ED is suboptimal, and oligoanalgesia remains common. The ob...

Authors: Geesje Van Woerden, Crispijn L. Van Den Brand, Cornelis F. Den Hartog, Floris J. Idenburg, Diana C. Grootendorst and M. Christien Van Der Linden

Ultrasound-guided “short” midline catheters for difficult venous access in the emergency department: a retrospective analysis

Acutely ill patients admitted to the emergency department (ED) constantly require at least one fast and reliable peripheral intravenous (PIV) access. In many conditions (morbid obesity, underweight state, chro...

Authors: Giancarlo Scoppettuolo, Mauro Pittiruti, Sara Pitoni, Laura Dolcetti, Alessandro Emoli, Alessandro Mitidieri, Ivano Migliorini and Maria Giuseppina Annetta

Cross-cultural challenges in assessing medical professionalism among emergency physicians in a Middle Eastern Country (Bahrain): feasibility and psychometric properties of multisource feedback

Multisource feedback (MSF) is an evaluation tool whereby surveys assessing physicians are administered among medical peers and colleagues. Such evaluations provide physicians with non-biased valuations of both...

Authors: Ahmed Al Ansari, Ahmed Al Meer, Mooza Althawadi, Deyari Henari and Khalid Al Khalifa

Validation of the modified Japanese Triage and Acuity Scale-based triage system emphasizing the physiologic variables or mechanism of injuries

The Canadian Triage and Acuity Scale is a valid triage system. The system was translated and implemented in the Japanese emergency departments (EDs) from 2012. This system was named the Japanese Triage and Acu...

Authors: Hiraku Funakoshi, Takashi Shiga, Yosuke Homma, Yoshiyuki Nakashima, Jin Takahashi, Hiroshi Kamura and Masatomi Ikusaka

Factors affecting communication in emergency departments: doctors and nurses’ perceptions of communication in a trilingual ED in Hong Kong

This study investigates clinicians’ views of clinician-patient and clinician-clinician communication, including key factors that prevent clinicians from achieving successful communication in a large, high-pres...

Authors: Jack K.H. Pun, Christian M. I. M. Matthiessen, Kristen A. Murray and Diana Slade

A study of the workforce in emergency medicine in Israel 2012: what has changed in the last decade?

In 2003, we published a study on the Israeli workforce in emergency medicine (EM). We repeated the study in 2012 to assess changes in the workforce that have occurred in the interval decade.

Authors: Michael J. Drescher, Zev Wimpfheimer, Aziz Darawsha, Ryan Sullivan, Aviva Goral and Limor Aharonson-Daniel

Self-referrals in the emergency department: reasons why patients attend the emergency department without consulting a general practitioner first—a questionnaire study

To influence self-referral, it is crucial to know a patient’s motives to directly visit the emergency department (ED). The goal of this study is to examine motives for self-referral to the ED and compare these...

Authors: Nicole Kraaijvanger, Douwe Rijpsma, Henk van Leeuwen and Michael Edwards

Academic affairs and global health: how global health electives can accelerate progress towards ACGME milestones

Global health electives (GHEs) have become a standard offering in many residency programs. Residency electives should aid residents in achieving outcomes in the Accreditation Council for Graduate Medical Educa...

Authors: Alison Schroth Hayward, Gabrielle A. Jacquet, Tracy Sanson, Hani Mowafi and Bhakti Hansoti

Exercise-induced pneumomediastinum

A sudden onset of chest pain, which often reflects a life-threatening disease, requires prompt diagnosis in the emergency department.

Authors: Tomoyuki Tobushi, Kazuya Hosokawa, Keita Matsumoto and Toshiaki Kadokami

A description of teaching methods using an on-site instructor versus a distant site instructor to train laryngoscopy to medical students in Hanoi, Vietnam, from Omaha, Nebraska, by video communication

This study demonstrated a method to train medical students at Hanoi Medical School in airway management from Omaha, Nebraska, using tele-mentoring techniques. Correct placement of the endotracheal tube was doc...

Authors: Wesley G. Zeger, Chad E. Branecki, Thang T. Nguyen, Todd Hall, Ben Boedeker, David Boedeker and Michael C. Wadman

Categorizing short term readmissions in an academic emergency department in North India: exploring approaches to reduce them

Authors: Dolly Chandrabhan Yadav, Prasad Chidanandan Siddalingeswara and Tamorish Kole

Antibiotic association in patients presented to ED with diarrhoea found positive for C. difficile infection-A retrospective study

Authors: Rohan Shah, Sagar Shah, Rahul Shah, Sanjay Mehta and Sameer Rathi

Advances in emergency medicine research in India: abstracts from the EMCON 2014 international conference

Authors: Bobby Kapur, Sanjay Mehta, Kedar Toraskar and Kumar Alagappan

“Road traffic incidents: an emerging epidemic and can we make an epidemic “U” turn?

Authors: Sri Ramula Sai Dilip and Radhika Rani Chandra Taaneru Venugopal

Is my patient fit to be discharged? – A numerical answer to a difficult question

Authors: Pragya Mallick, Balaji Natarajan, Jassica Adaikalanadhan, Tausif A Thangalvadi and Parivalavan Rajavelu

Validation of the HEART score in Indian population

Authors: Balaji Natarajan, Pragya Mallick, Tausif A Thangalvadi and Parivalavan Rajavelu

Isoprenaline in complete heart block patients during ambulance transport

Authors: Taraknath Taraphdhar and Sreekanth Reddy Basireddy

Fatal trauma: death anlysis from September 2011 to December 2013, at Fortis hospital, Noida, India

Authors: Rinkey Ahuja, Keshav Singh, Rizwan Gani and Dina Shah;

Epidemiology of illnesses encountered during a marathon race – an EMS perspective

Authors: Yusra Fatima, Amaan Ahmed, Sohail Abdullah and Imran Shareef

A study to assess the factors associated with severity of road traffic injuries in the emergency medicine department in rural India

Authors: Jeedhu Radha

Validating the fever protocol – Acute undifferentiated febrile illness in the ED

Authors: Sivaraj Durairaj, Parivalavan Rajavelu and Tausif Thangalvadi

Ketofol versus fentofol as induction agents for endotracheal intubation in emergency room

Authors: Vijay Shankar Manickam and Prakash Mohanasundaram

Incidence and risk factors of acute coronary syndrome in younger age groups

Authors: Abhishek Sharma, Yasser Chomayil, Firoz Abdul Karim and Venugopalan Poovathum Parambil

Inter hospital transfer or centralized ambulance number – what is the need of hour?

Authors: Kaveri Bharati, Taraknath Taraphdhar and Sunil Choudhary

An update on emergency care and emergency medicine in Russia

Russia’s national healthcare system is undergoing significant changes. Those changes which affect healthcare financing are particularly vital. As has often been the case in other nations, the emergency care fi...

Authors: Anthony Rodigin

Ventilation monitoring for severe pediatric traumatic brain injury during interfacility transport

Ventilation monitoring practice for intubated pediatric patients with severe traumatic brain injury (TBI) during interfacility transport (IFT) has not been well documented. We describe the difference of practi...

Authors: Gregory Hansen and Jeff K. Vallance

Comment on Alquraini et al.: reliability of Canadian Emergency Department Triage and Acuity Scale (CTAS) in Saudi Arabia

It is very common to examine reliability of triage scales using (weighted) kappa statistics. The point is that weighted kappa has grossly underestimated disagreements by one category and put more emphasis on e...

Authors: Amir Mirhaghi

Emergency department quality and safety indicators in resource-limited settings: an environmental survey

As global emergency care grows, practical and effective performance measures are needed to ensure high quality care. Our objective was to systematically catalog and classify metrics that have been used to meas...

Authors: Emily L. Aaronson, Regan H. Marsh, Moytrayee Guha, Jeremiah D. Schuur and Shada A. Rouhani

Promoting an obesity education program among minority patients in a single urban pediatric Emergency Department (ED)

The purpose of this study was to assess the feasibility of the Emergency Department (ED) as a place for obesity education and to evaluate its impact on patient’s lifestyle modification.

Authors: Jordana J. Haber, Sukshant Atti, Linda M. Gerber and Muhammad Waseem

Does temporary location of ambulances (“fluid deployment”) affect response times and patient outcome?

 The objective of this paper is to evaluate the response times and outcome of patients in two groups of patients attended by permanently (PS) and temporarily stationed ambulances (TS) (fluid deployment).

Authors: Mahmoudreza Peyravi, Soheila Khodakarim, Per Örtenwall and Amir Khorram-Manesh

Intrapericardial fibrinolysis in purulent pericarditis—case report

Purulent pericarditis (PP) continues to result in a very serious prognosis and high mortality. The most serious complication of pericarditis is constriction. Intrapericardial administration of fibrinolytic age...

Authors: Małgorzata Dybowska, Barbara Kazanecka, Paweł Kuca, Janusz Burakowski, Cezary Czajka, Franciszek Grzegorczyk, Renata Gralec and Witold Tomkowski

Public awareness of the EMS system in Western Saudi Arabia: identifying the weakest link

The City of Jeddah is the major and largest city in the Western Region of the Kingdom of Saudi Arabia (KSA). Covering a total area of 748 km2. The Saudi Red Crescent Organization (SRC) makes up the major bulk ...

Authors: A F Hamam, M H Bagis, K AlJohani and A H Tashkandi

Dutch senior medical students and disaster medicine: a national survey

Medical students have been deployed in victim care of several disasters throughout history. They are corner stones in first-line care in recent pandemic planning. Furthermore, every physician and senior medica...

Authors: Luc J. M. Mortelmans, Stef J. M. Bouman, Menno I. Gaakeer, Greet Dieltiens, Kurt Anseeuw and Marc B. Sabbe

Hemorrhagic shock from breast blunt trauma

Seat belt use has been associated with decreased life-threatening thoracic injuries. However, there has been an increase in soft-tissue injuries such as breast trauma.

Authors: Bryan Madden, Mayura Phadtare, Zeina Ayoub and Ralphe Bou Chebl

Unplanned 3-day re-attendance rate at Emergency Department (ED) and hospital’s bed occupancy rate (BOR)

Unplanned re-attendance at the Emergency Department (ED) is often monitored as a quality indicator of the care accorded to patients during their index ED visit. High bed occupancy rate (BOR) has been considere...

Authors: Yan Sun, Bee Hoon Heng, Seow Yian Tay and Kelvin Brian Tan

Sick-leave and help seeking among rescue workers after the terror attacks in Norway, 2011

Several studies have addressed psychological problems after terror attacks, especially among victims. Fewer have addressed possible health consequences among rescue workers involved with terror attacks. This s...

Authors: Astrid Gjerland, May Janne Botha Pedersen, Øivind Ekeberg and Laila Skogstad

Emergency department characteristics and capabilities in Bogotá, Colombia

Emergency departments (EDs) are a critical, yet heterogeneous, part of international emergency care. The National ED Inventories (NEDI) survey has been used in multiple countries as a standardized method to be...

Authors: Yury Bustos, Jenny Castro, Leana S. Wen, Ashley F. Sullivan, Dinah K. Chen and Carlos A. Camargo Jr.

Reliability of Canadian Emergency Department Triage and Acuity Scale (CTAS) in Saudi Arabia

The Canadian Emergency Department Triage and Acuity Scale (CTAS) is an integral part of the Canadian emergency medicine triaging system. There is growing interest and implementation of CTAS worldwide. However,...

Authors: Mustafa Alquraini, Emad Awad and Ra’ed Hijazi