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  1. Sepsis is a major public health problem, with a growing incidence and mortality rates still close to 30% in severe cases. The speed and adequacy of the treatment administered in the first hours of sepsis, part...

    Authors: Hudson Henrique Gomes Pires, Fábio Fernandes Neves and Antonio Pazin-Filho
    Citation: International Journal of Emergency Medicine 2019 12:36
  2. In recent years, there has been an increased utilization of emergency departments (EDs) in many countries. Additionally, it is reported that there are major delays in delivering care to ED patients. Longer wai...

    Authors: Nawaf Alhabdan, Faisal Alhusain, Abdulkareem Alharbi, Muatassem Alsadhan, Moath Hakami and Emad Masuadi
    Citation: International Journal of Emergency Medicine 2019 12:35
  3. Primary polydipsia is commonly seen in patients with psychiatric illnesses. Excess water intake is also seen in patient with anorexia and anticholinergic medications. We report a patient who had hyponatraemia ...

    Authors: Sudheera Fernando, Francisca Sivagnanam and Devarajan Rathish
    Citation: International Journal of Emergency Medicine 2019 12:34
  4. This case study’s novelty lies in the potential to link a new sign in pulmonary embolism diagnosis which does not increase cost but could lead to more rapid treatment. Early intervention in these cases is vita...

    Authors: Cain M. Dudek, Kelly R. McCracken and B. James Connolly
    Citation: International Journal of Emergency Medicine 2019 12:32
  5. Cardiopulmonary arrest may result in high mortality rate in hospitals where the rapid response team is not implemented. A rapid response system can recognize patients at high risk of cardiopulmonary arrest and...

    Authors: Awad Al-Omari, Abbas Al Mutair and Fadi Aljamaan
    Citation: International Journal of Emergency Medicine 2019 12:31
  6. By educating laymen, survival after cardiac arrest can increase in society. It is difficult to reach the entire population with cardiopulmonary resuscitation (CPR) training. However, if 15% of the population k...

    Authors: Anna Abelsson and Annette Nygårdh
    Citation: International Journal of Emergency Medicine 2019 12:30
  7. Hypernatremia is one of the most commonly encountered electrolyte disorders in the emergency department (ED). Few studies have reported the seasonal fluctuations of the prevalence of hypernatremia with conflic...

    Authors: Naohiko Imai, Hirofumi Sumi and Yugo Shibagaki
    Citation: International Journal of Emergency Medicine 2019 12:29
  8. Traumatic shoulder dislocation is a frequent condition presenting to the emergency department. Due to the anatomy of the shoulder, associated neurovascular damage is not uncommon. Although clinical intuition m...

    Authors: Austin H. Middleton, John Roffers and Dean W. Ziegler
    Citation: International Journal of Emergency Medicine 2019 12:28
  9. The sodium-glucose cotransporter-2 (SGLT2) inhibitors are the newest class of anti-hyperglycemic medications used in the treatment of diabetes mellitus. Their increasing use has been driven by their apparent c...

    Authors: Alexis Diaz-Ramos, Wesley Eilbert and Diego Marquez
    Citation: International Journal of Emergency Medicine 2019 12:27
  10. Guidelines for the emergency management of mild traumatic brain injury have been used for over a decade and are considered safe. However, they recommend computerized tomography for at least half of these patie...

    Authors: Tomas Vedin, Mathias Karlsson, Marcus Edelhamre, Mikael Bergenheim and Per-Anders Larsson
    Citation: International Journal of Emergency Medicine 2019 12:26
  11. An aortic dissection is an uncommon and potentially catastrophic disease process that carries with it a high morbidity and mortality. The inciting event is a tear in the intimal lining of the aorta. This allow...

    Authors: Gregory M. Taylor, Michael W. Barney and Eric L. McDowell
    Citation: International Journal of Emergency Medicine 2019 12:25
  12. This study’s aim is to measure liver-type fatty acid-binding protein (L-FABP) levels in urine using a rapid semiquantitative assay kit in the emergency department and to investigate whether the onset of acute ...

    Authors: Ginga Suzuki, Ryo Ichibayashi, Saki Yamamoto, Yoshimi Nakamichi, Masayuki Watanabe and Mitsuru Honda
    Citation: International Journal of Emergency Medicine 2019 12:24
  13. In the diagnosis of pulmonary embolism (PE), the d-dimer threshold is based on studies conducted in Western countries, where the incidence rate is 5 times higher than that in Asian countries, including Japan. If ...

    Authors: Jin Takahashi, Takashi Shiga, Yuita Fukuyama, Yuiko Hoshina, Yosuke Homma, Michiko Mizobe, Kenji Numata, Tetsuya Inoue and Hiraku Funakoshi
    Citation: International Journal of Emergency Medicine 2019 12:23
  14. Subcutaneous penile modifications (SPMs) are more prevalent in Southeast Asian culture and have been growing in popularity in Western culture. SPMs are often made of domino tiles, or other available pieces of ...

    Authors: Cali L. Kirkham, Stormy M. Monks and Scott B. Crawford
    Citation: International Journal of Emergency Medicine 2019 12:22
  15. The objective of this study is to assess the impact of a multimodal intervention on emergency department (ED) crowding and patient flow in a Dutch level 1 trauma center.

    Authors: M. C. (Christien) van der Linden, H. M. E. (Jet) van Ufford and N. (Naomi) van der Linden
    Citation: International Journal of Emergency Medicine 2019 12:21
  16. Nowruz holidays, as one of the most important holidays in Iran, can lead to changes in the trend of hospital deaths. Due to changes in lifestyle and increased accidents, hospitals become crowded during the hol...

    Authors: Mohadeseh Ghanbari Jahromi, Reza Goudarzi, Vahid Yazdi-Feyzabadi, Saeed Amini, Javad Nazari and Mohammadreza Amiresmaili
    Citation: International Journal of Emergency Medicine 2019 12:20
  17. Simulation is well established as an effective strategy to train health care professionals in both technical and nontechnical skills and to prevent errors. Despite its known efficacy, adequate implementation i...

    Authors: Roshana Shrestha, Anmol Purna Shrestha, Sanu Krishna Shrestha, Samjhana Basnet and Alok Pradhan
    Citation: International Journal of Emergency Medicine 2019 12:19
  18. Trauma is a major cause of mortality and morbidity in children globally. The burden of injury shows substantial geographical differences, with a significant mortality reduction in children in Norway during the...

    Authors: Eirik Nesje, Nadine Nalini Valøy, Andreas Jorstad Krüger and Oddvar Uleberg
    Citation: International Journal of Emergency Medicine 2019 12:18
  19. Although emergency medical services (EMS) and pre-hospital care have existed in the Kingdom of Saudi Arabia (KSA) since 1934, emergency medicine (EM) is a relatively new medical field in the country that was n...

    Authors: Eyad Khattab, Abdulrahman Sabbagh, Nawfal Aljerian, Hashim Binsalleeh, Mobarak Almulhim, Abdulrahman Alqahtani and Majid Alsalamah
    Citation: International Journal of Emergency Medicine 2019 12:16
  20. In the patient entrapped after a motor vehicle collision (MVC), advanced airway management may need to be performed before extrication. The aim of this study was to compare four airway management devices utili...

    Authors: Robin Pap and Charl van Loggerenberg
    Citation: International Journal of Emergency Medicine 2019 12:15
  21. This paper sought to characterize pediatric clonidine ingestions, report trends in incidence, and evaluate outcomes using the Florida Poison Center’s data over a period of 15 years, from 2002 to 2016.

    Authors: Kendra Amico, Rolando Cabrera and Latha Ganti
    Citation: International Journal of Emergency Medicine 2019 12:14
  22. The authors present seven winning strategies for maintaining a rich academic environment for learners while working in a busy emergency department with expected productivity metrics.

    Authors: Tracy MacIntosh, David C. Lebowitz and Latha Ganti
    Citation: International Journal of Emergency Medicine 2019 12:13
  23. Early discrimination of ST-elevation myocardial infarction (STEMI) due to a left main trunk (LMT) lesion provided by straightforward electrocardiographic criteria is useful for prompt treatment. The purpose of...

    Authors: Toshiharu Fujii, Misaki Hasegawa, Junichi Miyamoto and Yuji Ikari
    Citation: International Journal of Emergency Medicine 2019 12:12
  24. Approximately 5% of emergency department (ED) patients with altered mental status (AMS) have non-convulsive seizures (NCS). Patients with NCS should be diagnosed with EEG as soon as possible to initiate antiep...

    Authors: Geetha Chari, Kabir Yadav, Daniel Nishijima, Ahmet Omurtag and Shahriar Zehtabchi
    Citation: International Journal of Emergency Medicine 2019 12:11
  25. Several scoring systems are used to evaluate the severity of nonvariceal upper gastrointestinal bleeding (NVUGB) and the risk of rebleeding or death. The most commonly used scoring systems include the Rockall ...

    Authors: Vladimir Bagin, Evgenii Tarasov, Maria Astafyeva, Evgenii Nishnevich, Vladimir Rudnov and Mikhail Prudkov
    Citation: International Journal of Emergency Medicine 2019 12:10
  26. Physicians are occasionally faced with patients requesting full resuscitation against medical advice. More commonly, neither patients nor their family members make such a request, but physicians simply presume...

    Authors: Loukas Georgiou and Anastasios Georgiou
    Citation: International Journal of Emergency Medicine 2019 12:9
  27. New applications for virtual healthcare have resulted in an expansion of medical care beyond traditional healthcare settings. However, the rapid development of telemedicine as a field has resulted in poor stan...

    Authors: Rahul Sharma, Sapir Nachum, Karina W. Davidson and Michael Nochomovitz
    Citation: International Journal of Emergency Medicine 2019 12:8
  28. Continuous positive airway pressure (CPAP) is a mode of non-invasive ventilation used to treat a variety of respiratory conditions in the emergency department and intensive care unit. In low-resource settings ...

    Authors: Brendan H. Milliner, Suzanne Bentley and James DuCanto
    Citation: International Journal of Emergency Medicine 2019 12:7
  29. Team-based learning (TBL) as an instructional pedagogy is increasingly recognized to improve student engagement, value of teamwork, and performance on standardized assessments when compared to traditional lect...

    Authors: Arif Alper Cevik, Margaret ElZubeir, Fikri M. Abu-Zidan and Sami Shaban
    Citation: International Journal of Emergency Medicine 2019 12:6
  30. Triage protocols standardize and improve patient care in accident and emergency departments (A&Es). Kenyatta National Hospital (KNH), the largest public tertiary hospital in East Africa, is resource-limited an...

    Authors: Ali A. Wangara, Katherine M. Hunold, Sarah Leeper, Frederick Ndiawo, Judith Mweu, Shaun Harty, Rachael Fuchs, Ian B. K. Martin, Karen Ekernas, Stephen J. Dunlop, Michèle Twomey, Alice W. Maingi and Justin Guy Myers
    Citation: International Journal of Emergency Medicine 2019 12:5
  31. Crowding is a major challenge faced by EDs and is associated with poor outcomes.

    Authors: Mahshid Abir, Jason E. Goldstick, Rosalie Malsberger, Andrew Williams, Sebastian Bauhoff, Vikas I. Parekh, Steven Kronick and Jeffrey S. Desmond
    Citation: International Journal of Emergency Medicine 2019 12:4
  32. Emergency medicine (EM) is a new specialty in Tanzania. Little is known about how to introduce EM to health care providers (HCPs) in hospitals without EM. We determined the impact of a 2-day EM training progra...

    Authors: Peter S. Mabula, Hendry R. Sawe, Victor Mwafongo, Juma A. Mfinanga, Michael S. Runyon and Brittany L. Murray
    Citation: International Journal of Emergency Medicine 2019 12:3
  33. Quality of bystander cardiopulmonary resuscitation (CPR) skills may influence out of hospital cardiac arrest (OHCA) outcomes. We analyzed how the level of CPR training related to indicators of good CPR quality...

    Authors: Inger Lund-Kordahl, Maria Mathiassen, Jørgen Melau, Theresa Mariero Olasveengen, Kjetil Sunde and Knut Fredriksen
    Citation: International Journal of Emergency Medicine 2019 12:2
  34. Recent studies suggest that hypotension thresholds in current guidelines might be too low for older patients due to arterial stiffening, possibly leading to insufficient fluid resuscitation. We compared intraveno...

    Authors: Sin Y. Ko, Laura M. Esteve Cuevas, Merel Willeboer, Annemieke Ansems, Laura C. Blomaard, Jacinta A. Lucke, Simon P. Mooijaart and Bas de Groot
    Citation: International Journal of Emergency Medicine 2019 12:1
  35. Although emergency medical service (EMS) providers recognize that both male and female paramedics are necessary, Saudi EMSs are currently fully staffed by men. Cultural bias against care provision by male para...

    Authors: Nesrin Alharthy, Sara Alswaes, Alanoud Almaziad, Nourah Alenazi, Maha Abdallah and Moeed Alshehry
    Citation: International Journal of Emergency Medicine 2018 11:57
  36. Following publication of the original article [1], the authors reported that one of the authors’ names is spelled incorrectly. In this Correction the incorrect and correct author name are shown.

    Authors: Hadeel Alkhaneen, Faisal Alhusain, Khalid Alshehri and Nawfal Al Jerian
    Citation: International Journal of Emergency Medicine 2018 11:56

    The original article was published in International Journal of Emergency Medicine 2018 11:14

  37. Bleeding complications are a risk associated with all anticoagulants. Currently, the treatment options for the management of direct oral anticoagulant (DOAC)-associated bleeding are limited. Prothrombin comple...

    Authors: Maureane Hoffman, Joshua N. Goldstein and Jerrold H. Levy
    Citation: International Journal of Emergency Medicine 2018 11:55
  38. In critical care situations, there are often neither the means nor the time to weigh each patient before administering strict weight-based drugs/procedures. A convenient, quick and accurate method is a priorit...

    Authors: Daniel D. Kokong, Ishaya C. Pam, Ayuba I. Zoakah, Solomon S. Danbauchi, Emmanuel S. Mador and Barnabas M. Mandong
    Citation: International Journal of Emergency Medicine 2018 11:54
  39. Emergency medical services (EMS) is defined as the system that organizes all aspects of care provided to patients in the pre-hospital or out-of-hospital environment. Hence, EMS is a critical component of the h...

    Authors: Amber Mehmood, Armaan Ahmed Rowther, Olive Kobusingye and Adnan A. Hyder
    Citation: International Journal of Emergency Medicine 2018 11:53
  40. The availability of resources, knowledge, and will to expand access to high-quality emergency care in low- and middle-income countries has made strong progress in recent years. While the possibility for interv...

    Authors: Thomas Shanahan, Nicholas Risko, Junaid Razzak and Zulfiqar Bhutta
    Citation: International Journal of Emergency Medicine 2018 11:52
  41. Trauma is the leading cause of death for adults under 44 years of age. Survival after traumatic out-of-hospital cardiac arrest (OHCA) has been reported to be poor, and its epidemiology is not well defined. A f...

    Authors: Minaz Mawani, Masood Kadir, Iqbal Azam and Junaid Abdul Razzak
    Citation: International Journal of Emergency Medicine 2018 11:50
  42. Pharyngitis is one of the major and commonly seen presentations in pediatric emergency departments. While it could be caused by both bacterial and viral pathogens, antibiotics are improperly prescribed regardl...

    Authors: Ahmed A. Alkhazi, Khalid M. Alessa, Ahmed M. Almutairi, Hamad A. Almadi, Abdullah Akkam, Mohammed K. Almutairi, Omar A. Alhamad and Hadeel S. Ghazal
    Citation: International Journal of Emergency Medicine 2018 11:49
  43. Acetaminophen is one of the most common causes of poisoning among developed countries. The emergency department observation unit (EDOU) has been increasingly used in the management of various conditions to red...

    Authors: Dilin Tang, Wui Ling Chan and Dong Haur Phua
    Citation: International Journal of Emergency Medicine 2018 11:48
  44. In cases of severe accidental hypothermia, it was recommended that resuscitation should be continued until the patient has rewarmed, as hypothermia itself can preserve cerebral function, and hypothermic cardia...

    Authors: Naofumi Bunya, Keigo Sawamoto, Ryuichiro Kakizaki, Kenshiro Wada, Yoichi Katayama, Hirotoshi Mizuno, Hiroyuki Inoue, Shuji Uemura, Keisuke Harada and Eichi Narimatsu
    Citation: International Journal of Emergency Medicine 2018 11:46
  45. Phenazopyridine-induced methemoglobinemia is relatively rare with fewer than ten cases reported over the past 35 years. We describe a case of phenazopyridine-induced methemoglobinemia that is unique in the way...

    Authors: Travis Murphy and Melinda Fernandez
    Citation: International Journal of Emergency Medicine 2018 11:45

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