Articles

Accidental injuries in the Pediatric Emergency Department

Authors: Sarath Parambil Sasidhara Kurup, Swathi Padankatti and Kuruvilla Thomas

Resist antibiotic use before resistance spreads

Authors: Kiruthigha Kaliyamoorthy, Nithya Ganesan, Aditya Maddali, Tausif Thangalvadi and Parivalavan Rajavelu

Efficacy of a novel two-day EMT refresher training program focused on essential EMS knowledge and skills

Authors: Pete Acker, Danielle Mianzo, Elizabeth Pirrotta, Matthew Strehlow and Swaminatha Mahadevan

Importance of research for the specialty of Emergency Medicine in India

Authors: Kumar Alagappan, Anthony Brown, Latha Ganti, Michelle Biros and Swaminatha Mahadevan

CPR training initiative: a novel training approach of nursing health care staff in CPR/ACLS, for quality improvement in CPR in India – an observational study

Authors: Saravana Kumar, Syed Ahmed Adil, Benny Remi Ponnappan and Anindya Das Gupta

Counts and cards – a novel way to detect typhoid infections in the ED

Authors: Pragya Mallick, Aditya Maddali, Tausif Thangalvadi and Parivalavan Rajavelu

Maternal mortality and its relationship to Emergency Obstetric Care (EmOC) in a tertiary care hospital in South India

Authors: Papa Dasari

Knowledge and attitude of medical students on brain death and organ donation

Authors: Elamurugan Tirthar Palanivelu, Sudarshanan Sundaramurthi, Shanmugam Dasarathan, Sreenath Gubbi Shamana and Vikram Kate

Implementation of triage in a pediatric emergency department

Authors: Uma Priya Narayanan, Swathi Padankatti and Kuruvilla Thomas

Analysis of pediatric surgical trauma cases in a tertiary care center

Authors: Anjan Kumar Dhua, Lavanya Chellam and Manoj Joshi

Utilization of structured emergency transport system in optimizing burn center referral: a case record audit

Authors: Vanmathy Venkatapathy, Bhavani Muthukrishnan and Murugan Thalaippan

Mangled Extremity Severity Score - is it really useful in assessing limb salvage following open and crush injuries in the lower extremity?

Authors: Thomas Kurien Bhanu

A two-year retrospective statistical analysis of trauma cases in our institute

Authors: Sateesh Kumar Muppasani and Vijaya Durga Reddy

Self-referred patients at the Emergency Department: patient characteristics, motivations, and willingness to make a copayment

In many countries, including the Netherlands, a substantial number of patients visit the Emergency Department (ED) without a referral by a general practitioner. The goal of this study was to determine the char...

Authors: Janneke de Valk, Elisabeth M Taal, Mariette S Nijhoff, Maren H Harms, Esther MM Lieshout, Peter Patka and Pleunie PM Rood

Self-referring patients at the emergency department: appropriateness of ED use and motives for self-referral

Nearly all Dutch citizens have a general practitioner (GP), acting as a gatekeeper to secondary care. Some patients bypass the GP and present to the emergency department (ED). To make best use of existing emer...

Authors: M Christien van der Linden, Robert Lindeboom, Naomi van der Linden, Crispijn L van den Brand, Rianne C Lam, Cees Lucas, Rob de Haan and J Carel Goslings

Does repeat Hb measurement within 2 hours after a normal initial Hb in stable trauma patients add value to trauma evaluation?

In our level I trauma center, it is considered common practice to repeat blood haemoglobin measurements in patients within 2 h after admission. However, the rationale behind this procedure is elusive and can b...

Authors: Joanne C Sierink, Pieter Joosse, Steve MM de Castro, Niels WL Schep and J Carel Goslings

Improving recognition of patients at risk in a Portuguese general hospital: results from a preliminary study on the early warning score

Early warning score (EWS) is a system that assists in the timely recognition of hospitalized patients outside critical care areas with potential or established critical illness at risk of deteriorating and who...

Authors: Nuno Correia, Rui Paulo Rodrigues, Márcia Carvalho Sá, Paula Dias, Luís Lopes and Artur Paiva

Lifesaving pericardiocentesis due to purulent pericarditis with growth of Gram-negative rods in an immune-competent Inuit male

Polymicrobial Gram-negative pericarditis is a rare entity in the immune-competent patient, and purulent pericarditis due to bacteria complicated by tamponade is a life-threatening condition with high mortality...

Authors: Carl Frederik Brandt Simonÿ, Mikkel Malham, Jacob Kanstrup, Piotr Wojtek, Folmer Lynggaard and Stig Andersen

Serum lactate as a predictor of early outcomes among trauma patients in Uganda

Trauma is the leading cause of death in the developed world. Accurate assessment of severity of injuries is critical in informing treatment choices. Current models of assessing severity of injury are not witho...

Authors: Michael Okello, Patson Makobore, Robert Wangoda, Alex Upoki and Moses Galukande

Telemedicine in pre-hospital care: a review of telemedicine applications in the pre-hospital environment

The right person in the right place and at the right time is not always possible; telemedicine offers the potential to give audio and visual access to the appropriate clinician for patients. Advances in inform...

Authors: Ahjoku Amadi-Obi, Peadar Gilligan, Niall Owens and Cathal O’Donnell

Unscheduled return visits to a Dutch inner-city emergency department

Unscheduled return visits to the emergency department (ED) may reflect shortcomings in care. This study characterized ED return visits with respect to incidence, risk factors, reasons and post-ED disposition. ...

Authors: M Christien van der Linden, Robert Lindeboom, Rob de Haan, Naomi van der Linden, Ernie RJT de Deckere, Cees Lucas, Steven J Rhemrev and J Carel Goslings

A rare case of oesophageal rupture: Boerhaave's syndrome

A 70-year-old patient was referred to our emergency department with severe retrosternal pain after forceful vomiting. Computed tomography (CT) scan revealed a left-sided oesophageal rupture with accompanying p...

Authors: Gerben van der Weg, Marald Wikkeling, Maarten van Leeuwen and Ewoud ter Avest

Associations between in-hospital bed occupancy and unplanned 72-h revisits to the emergency department: a register study

A possible downstream effect of high in-hospital bed occupancy is that patients in the emergency department (ED) who would benefit from in-hospital care are denied admission. The present study aimed at evaluat...

Authors: Mathias C Blom, Fredrik Jonsson, Mona Landin-Olsson and Kjell Ivarsson

Nursing home-acquired pneumonia: course and management in the emergency department

Pneumonia is among the foremost causes of hospitalization and mortality in patients residing in extended care facilities. Despite its prevalence, there is currently little literature focusing on the course and...

Authors: Syed Imran Ayaz, Nadia Haque, Claire Pearson, Patrick Medado, Duane Robinson, Robert Wahl, Marcus Zervos and Brian J O’Neil

The emergency to home project: impact of an emergency department care coordinator on hospital admission and emergency department utilization among seniors

Seniors comprise 14% to 21% of all emergency department (ED) visits, yet are disproportionately larger users of ED and inpatient resources. ED care coordinators (EDCCs) target seniors at risk for functional de...

Authors: Christopher Matthew Bond, Elizabeth A Freiheit, Lesley Podruzny, Alianu Akawakun Kingsly, Dongmei Wang, Jamie Davenport, Abram Gutscher, Cathy Askin, Allison Taylor, Vivian Lee, Queenie Choo and Eddy Samuel Lang

Fracture prevalence during an unusual period of snow and ice in the Netherlands

The objective of the current study was to assess the effect of an unusual 10-day snow and ice period on the prevalence of fractures in an emergency department (ED) in the Netherlands. Furthermore, patients wit...

Authors: Crispijn L van den Brand, M Christien van der Linden, Naomi van der Linden and Steven J Rhemrev

Evaluating the effect of emergency department crowding on triage destination

Emergency Department (ED) crowding has been studied for the last 20 years, yet many questions remain about its impact on patient care. In this study, we aimed to determine if ED crowding influenced patient tri...

Authors: Erin O’Connor, Mathieu Gatien, Cindy Weir and Lisa Calder

Preparing for effective communications during disasters: lessons from a World Health Organization quality improvement project

One hundred ninety-four member nations turn to the World Health Organization (WHO) for guidance and assistance during disasters. Purposes of disaster communication include preventing panic, promoting appropria...

Authors: Laura N Medford-Davis and G Bobby Kapur

Cerebrospinal fluid lactate level as a diagnostic biomarker for bacterial meningitis in children

Cerebrospinal fluid (CSF) lactate is a potential biomarker for bacterial meningitis in children. To this end, we performed a single-center retrospective cohort study of children from Sao Paulo, Brazil, with CS...

Authors: Eduardo Mekitarian Filho, Sérgio Massaru Horita, Alfredo Elias Gilio and Lise E Nigrovic

Patients in a private hospital in India leave the emergency department against medical advice for financial reasons

Some reports indicate financial concerns as a factor affecting ED patients leaving the acute care setting against medical advice (AMA). In India, no person is supposed to be denied urgent care because of inabi...

Authors: Sassan Naderi, John R Acerra, Kathryn Bailey, Pinaki Mukherji, Taraknath Taraphdar, Tirtha Mukherjee, Abin Pal, Mary Frances Ward, Kathryn Miele, Maxwell Mathias, Richard Tan, Myriam Kline, Kumar Alagappan and Robert Silverman

Clinical presentation of acute appendicitis in adults at the Chris Hani Baragwanath academic hospital

Acute appendicitis is the most common surgical abdominal emergency. Delayed treatment increases the incidence of complications. The aim of this study was to investigate the presentation, incidence, and predict...

Authors: Richard Nshuti, Deirdré Kruger and Thifheli E Luvhengo

Pediatric emergency medical care in Yerevan, Armenia: a knowledge and attitudes survey of out-of-hospital emergency physicians

Out-of-hospital emergency care is at an early stage of development in Armenia, with the current emergency medical services (EMS) system having emergency physicians (EPs) work on ambulances along with nurses. W...

Authors: Aline A Baghdassarian, Ross I Donaldson, Andrew D DePiero, Nancy L Chernett and Harsh Sule

A comparative analysis of risk stratification tools for emergency department patients with chest pain

Appropriate disposition of emergency department (ED) patients with chest pain is dependent on clinical evaluation of risk. A number of chest pain risk stratification tools have been proposed. The aim of this s...

Authors: Ellen Burkett, Thomas Marwick, Ogilvie Thom and Anne-Maree Kelly

The probability of patients being admitted from the emergency department is negatively correlated to in-hospital bed occupancy – a registry study

The association between emergency department (ED) overcrowding and poor patient outcomes is well described, with recent work suggesting that the phenomenon causes delays in time-sensitive interventions, such a...

Authors: Mathias C Blom, Fredrik Jonsson, Mona Landin-Olsson and Kjell Ivarsson

Key operational characteristics in emergency department observation units: a comparative study between sites in the United States and Asia

To improve efficiency, emergency departments (EDs) use dedicated observation units (OUs) to manage patients who are unable to be discharged home, yet do not clearly require inpatient hospitalization. However, ...

Authors: Atthasit Komindr, Christopher W Baugh, Shamai A Grossman and J Stephen Bohan

Rate, characteristics, and factors associated with high emergency department utilization

Patients with high emergency department (ED) utilization account for a disproportionate number of ED visits. The existing research on high ED utilization has raised doubts about the homogeneity of the frequent...

Authors: M Christien van der Linden, Crispijn L van den Brand, Naomi van der Linden, Anna HJH Rambach and Caro Brumsen

Characterizing the limited use of point-of-care ultrasound in Colombian emergency medicine residencies

Emergency medicine (EM) is a growing specialty in Colombia with five residency programs in the country. EM leadership is interested in incorporating point-of-care (POC) ultrasound into a standardized national ...

Authors: Patricia C Henwood, David Beversluis, Alissa A Genthon, Christina N Wilson, Brendan Norwood, Daniel Silva, Mark Foran, Mauricio G Romero, Yury B Martinez, Luis E Vargas, Alejandro C Ocampo, Carlos E Vallejo and Christian Arbelaez

Occipital condyle fracture in a patient with neck pain

Occipital condyle fractures (OCF) are rare traumatic injuries and are of critical clinical importance because of the anatomic considerations of the occipitoatlantoaxial joint complex. OCF can be a diagnostic c...

Authors: Muhammad Waseem, Ruchi Upadhyay, Husayn Al-Husayni and Samuel Agyare

Emergency medicine in the United Arab Emirates

It has been a decade since emergency medicine was recognized as a specialty in the United Arab Emirates (UAE). In this short time, emergency medicine has established itself and developed rapidly in the UAE. La...

Authors: Saleh Fares, Furqan B Irfan, Robert F Corder, Μuneer Abdulla Al Marzouqi, Ahmad Hasan Al Zaabi, Marwa Mubarak Idrees and Michael Abbo

Intravenous parecoxib sodium as an analgesic alternative to morphine in acute trauma pain in the emergency department

Parecoxib sodium is the first parenteral COX-2 inhibitor used for pain management licensed for postoperative pain. However, no study has assessed the usage of parecoxib for acute traumatic pain in the emergenc...

Authors: Kamarul Aryffin Baharuddin, Nik Hisamuddin NA Rahman, Shaik Farid Abdull Wahab, Nurkhairulnizam A Halim and Rashidi Ahmad

The preparedness level of final year medical students for an adequate medical approach to emergency cases: computer-based medical education in emergency medicine

We aimed to observe the preparedness level of final year medical students in approaching emergencies by computer-based simulation training and evaluate the efficacy of the program.

Authors: Akan Karakus and Nurettin Şenyer

Sublingual buprenorphine for acute renal colic pain management: a double-blind, randomized controlled trial

The aim of this study was to compare the efficacy and safety of sublingual buprenorphine with intravenous morphine sulfate for acute renal colic in the emergency department.

Authors: Pooya Payandemehr, Mohammad Jalili, Babak Mostafazadeh Davani and Ahmad Reza Dehpour

“Head to Head”: pneumocephalus as a complication of soccer

Pneumocephalus is uncommon in craniofacial trauma and a rare occurrence in non-contact sports. It may be asymptomatic or present with signs of increased intracranial pressure and the majority of cases will res...

Authors: Eamon C Francis, Eimhear Quinn and John Ryan

Intrasphenoidal encephalocele: an incidental finding in emergency department

Basal encephaloceles are rare clinical entities. Intrasphenoidal encephalocele (ISE) is a rare form of basal encephalocele. The clinical presentation is often subtle and may remain undetected. Only a limited n...

Authors: Muhammad Waseem, Ruchi Upadhyay, Husayn Al-Husayni and Samuel Agyare

Serum lactate and phosphate as biomarkers of intestinal ischemia in a Ugandan tertiary hospital: a cross-sectional study

Intestinal ischemia is a common complication of intestinal obstruction and arises from impaired perfusion. The resultant local and systemic inflammatory response and bacterial translocation come with a signifi...

Authors: Ronald Kintu-Luwaga, Moses Galukande and Francis N Owori

Deep venous thrombosis after major abdominal surgery in a Ugandan hospital: a prospective study

Deep venous thrombosis (DVT) is a major cause of morbidity and mortality among postoperative patients. Its incidence has been reported to range between 16% and 38% among general surgery patients and may be as ...

Authors: Andrew L Muleledhu, Moses Galukande, Patson Makobore, Tom Mwambu, Faith Ameda and Elsie Kiguli-Malwadde

Employees’ views on home-based, after-hours telephone triage by Dutch GP cooperatives

Dutch out-of-hours (OOH) centers find it difficult to attract sufficient triage staff. They regard home-based triage as an option that might attract employees. Specially trained nurses are supposed to conduct ...

Authors: Ramona Backhaus, Job van Exel and Antoinette de Bont

Emergency department crowding in The Netherlands: managers’ experiences

In The Netherlands, the state of emergency department (ED) crowding is unknown. Anecdotal evidence suggests that current ED patients experience a longer length of stay (LOS) compared to some years ago, which i...

Authors: Christien van der Linden, Resi Reijnen, Robert W Derlet, Robert Lindeboom, Naomi van der Linden, Cees Lucas and John R Richards

Lemierre’s syndrome

Lemierre’s syndrome is a condition characterized by thrombophlebitis of the internal jugular vein and bacteremia caused by primarily anaerobic organisms, following a recent oropharyngeal infection. This has be...

Authors: Wesley Eilbert and Nitin Singla

Successful retrieval using ultrathin transnasal esophagogastroduodenoscopy of a significant amount of residual tricyclic antidepressant following serious toxicity: a case report

In Japan, ultrathin transnasal esophagogastroduodenoscopy (EGD) with a 4.9-mm diameter endoscope (Olympus XP260) is routinely used to examine the upper gastrointestinal tract. This procedure does not require s...

Authors: Masato Miyauchi, Makiko Hayashida and Hiroyuki Yokota