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This page shows you the most recent publications within this specialty of the MedWorm directory.

Detection of neutrophil–lymphocyte ratio as a serum marker associated with inflammations by acute carbon monoxide poisoning
Conclusions The increase of NLR may indicate the progression of fatal complications due to CO poisoning. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - August 2, 2015 Category: Emergency Medicine Source Type: research

Emergency response system for pollution accidents in chemical industrial parks, China - Duan W, He B.
In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore pla... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Disaster Preparedness Source Type: news

Can medical decision-making at the scene by EMS staff reduce the number of unnecessary ambulance transportations, but still be safe? - Peyravi M, Ortenwall P, Khorram-Manesh A.
OBJECTIVES: The aim of this study was to evaluate the procedures adopted by the staff of the Shiraz Emergency Medical Services (EMS) and the outcome of the patients discharged from the scene over a one-year period.   BACKGROUND: Unnecessary use of ambula... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Chest wall injury - Tanahashi M, Niwa H.
The thoracic wall protects the heart, great vessels, lungs, trachea, and bronchus, which are organs important for maintaining respiration/circulation, against external forces. Therefore, injury of the thoracic wall may necessitate emergency treatment. Such... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Decreased mortality after prehospital interventions in severely injured trauma patients - Meizoso JP, Valle EJ, Allen CJ, Ray JJ, Jouria JM, Teisch LF, Shatz DV, Namias N, Schulman CI, Proctor KG.
BACKGROUND: We test the hypothesis that prehospital interventions (PHIs) performed by skilled emergency medical service providers during ground or air transport adversely affect outcome in severely injured trauma patients. METHODS: Consecutive trau... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Iliacus haematoma causing femoral nerve palsy: an unusual trampolining injury - Chambers S, Berg AJ, Lupu A, Jennings A.
We report the case of a 15-year-old boy who presented to accident and emergency following a trampolining injury. Initially, the patient was discharged, diagnosed with a soft tissue injury, but he re-presented 48 h later with worsening low back pain and n... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Field tests of a tractor rollover detection and emergency notification system - Liu B, Koc AB.
The objective of this research was to assess the feasibility of a rollover detection and emergency notification system for farm tractors using field tests. The emergency notification system was developed based on a tractor stability model and implemented o... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Engineering, Physics, Structural Soundness and Failure Source Type: news

Emergency nurses' perspective of workplace violence in Jordanian hospitals: a national survey - ALBashtawy M, Aljezawi M.
BACKGROUND: Emergency departments are considered high-risk areas, where violence against nurses is a serious and prevalent problem. Such violence has negative effects on nurses, and therefore on the quality of care provided. AIMS OF THE STUDY: To explore t... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Occupational Issues Source Type: news

Heat illnesses in the emergency department: a hot topic - Vi Thien Mac V, Evans DD.
The RESEARCH TO PRACTICE column is intended to improve the research critique skills of the advanced practice registered nurse (APRN) and to assist with the translation of research into practice. For each column, a topic and a particular research study are ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Age: Adolescents Source Type: news

The effect of alcohol outlets, sales and trading hours on alcohol-related injuries presenting at emergency departments in Perth, Australia, from 2002 to 2010 - Hobday M, Chikritzhs T, Liang W, Meuleners L.
This study aimed to test whether associations: (i) exist between alcohol-related Emergency Department (ED) ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

The hidden costs of drug and alcohol use in hospital emergency departments - Butler K, Reeve R, Arora S, Viney R, Goodall S, van Gool K, Burns L.
This study estimates the burden of drug and alcohol morbidity on hospitals in New South Wales (NSW) by observing a multi-site collective sample utilising survey information and data linkage. Specifically we aimed to determine the pre... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 1, 2015 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

New Orleans Hospital Is Replaced, With Hope of Preserving Its Mission
Charity Hospital, which was ruined by Hurricane Katrina, has been replaced with a $1.1 billion hospital, but there are concerns over whether it will continue its history of serving the poor. (Source: NYT)
Source: NYT - August 1, 2015 Category: American Health Authors: ABBY GOODNOUGH Tags: Hurricane Katrina (2005) Louisiana State University New Orleans (La) Hospitals Emergency Medical Treatment Source Type: news

Apollo Hospitals Group to set up hospital in Navi Mumbai
The hospital will have 500 beds and its location close to the Mumbai-Pune expressway will enable it to provide emergency medical services in case of road accidents. (Source: The Economic Times)
Source: The Economic Times - August 1, 2015 Category: Consumer Health News Source Type: news

Care in the Clinic, on the Drop Zone
(MedPage Today) -- The life of a U.S. Army physician assistant in a paratrooper brigade (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - August 1, 2015 Category: Emergency Medicine Source Type: news

West Africa: WHO Announces Possible 'Game Changer' Vaccine
[UN News] Having achieved its "core objective" of scaling up global action to tackle the Ebola outbreak in West Africa, the United Nations Mission for Ebola Emergency Response will officially wind down today, transferring its role to the World Health Organization (WHO), which just announced that an experimental vaccine being tested in Guinea appears to be highly effective and could be a "game changer." (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - August 1, 2015 Category: African Health Source Type: news

The choking woman.
CONCLUSIONS/DISCUSSION: We reflect on the possible reasons why the story unfolded in the way it did and suggest generalised implications for clinicians caring for this cohort and for service delivery in future. PMID: 26217400 [PubMed] (Source: Primary Care)
Source: Primary Care - August 1, 2015 Category: Primary Care Authors: Sachar A, Stimson E Tags: London J Prim Care (Abingdon) Source Type: research

Surgical management of AAST grades III-V hepatic trauma by Damage control surgery with perihepatic packing and Definitive hepatic repair–single centre experience
Conclusion: All efforts in the treatment of severe liver injuries should be directed to the rapid and effective control of bleeding, because uncontrollable hemorrhage is the cause of early death and it requires massive blood transfusion, all of which contributes to the late fatal complication. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - August 1, 2015 Category: Emergency Medicine Authors: Krstina Doklesti¿Branislav Stefanovi¿Pavle Gregori¿Nenad Ivan¿evi¿Zlatibor Lon¿arBojan Jovanovi¿Vesna Bumba¿irevi¿Vasilije Jeremi¿Sanja Vujadinovi¿Branislava Stefanovi¿Nata¿a Mili¿Aleksandar Karamarkovi¿ Source Type: research

Treatment of a case of emphysematous pyelonephritis that presented with acute abdomen and pneumoperitoneum: a case report
Conclusions: We believe that cases with free intraperitoneal air should promptly undergo laparotomy to identify the cause of the pneumoperitoneum. Moreover, an immediate nephrectomy may be effective for the treatment of emphysematous pyelonephritis in cases with poor prognostic factors. (Source: BMC Nephrology)
Source: BMC Nephrology - August 1, 2015 Category: Urology & Nephrology Authors: Sang ParkKi Kim Source Type: research

Carbon Monoxide and Stroke: A Time Series Study of Ambient Air Pollution and Emergency Hospitalizations
Recent experimental and clinical studies suggested that exogenous carbon monoxide (CO) at low concentrations may have beneficial neuroprotective effects under certain circumstances. However, population-based epidemiological studies of environmentally relevant CO exposure generated mixed findings. The present study aimed to examine the short-term association of ambient CO with emergency stroke hospitalizations. (Source: International Journal of Cardiology)
Source: International Journal of Cardiology - August 1, 2015 Category: Cardiology Authors: Linwei Tian, Hong Qiu, Vivian C. Pun, Kin-Fai Ho, Chi Sing Chan, Ignatius T.S. Yu Source Type: research

What is the failure rate in extending labour analgesia in patients with a body mass index ≥ 40 kg/m 2 compared with patients with a body mass index < 30 kg/m 2 ? a retrospective pilot study
Background: Early utilisation of neuraxial anaesthesia has been recommended to reduce the need for general anaesthesia in obese parturients. The insertion and management of labour epidurals in obese women is not straight-forward. The aim of this pilot study was to compare the failure rate of extension of epidural analgesia for emergency caesarean section, in pregnant women with a body mass index (BMI) ≥ 40 kg/m 2 , to those with a BMI  (Source: BMC Anesthesiology)
Source: BMC Anesthesiology - August 1, 2015 Category: Anesthesiology Authors: Victoria EleyAndre van ZundertLeonie Callaway Source Type: research

Endobronchial Ultrasound: An unusual diagnostic tool for pulmonary embolism
Pulmonary thromboembolism (PTE) is an emergent and common pulmonary vascular disease. The most common diagnostic method for PTE is computer aided tomography angiography. Endobronchial ultrasonography (EBUS) is used in diagnosis and staging of lung cancer via transbronchial needle aspiration from mediastinal lymphadenopathies and central masses. Diagnosis of PTE with EBUS is not common, although, this technique helps to monitor pulmonary vasculature. The present case, a 60-year old female patient to whom EBUS was applied due to mediastinal lymphadenopathy was diagnosed as incidental PTE. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 1, 2015 Category: Emergency Medicine Authors: Muzaffer Sariaydın, Sibel Günay, Ersin Günay, Sevinc Sarinc Ulasli Tags: Case Report Source Type: research

Phlegmasia Cerulea Dolens in the Pediatric Population: A Life-threatening Condition
Phlegmasia cerulea dolens is a rare complication of deep venous thromboembolism that can have life-threatening consequences. It is more commonly reported in the adult population, and rarely in the pediatric population, especially in a healthy child. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2015 Category: Emergency Medicine Authors: John Tran, Zubaid Rafique Tags: Clinical Communications: Pediatrics Source Type: research

Predictors of a Top Performer During Emergency Medicine Residency
Emergency Medicine (EM) residency program directors and faculty spend significant time and effort creating a residency rank list. To date, however, there have been few studies to assist program directors in determining which pre-residency variables best predict performance during EM residency. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2015 Category: Emergency Medicine Authors: Rahul Bhat, Katrin Takenaka, Brian Levine, Nikhil Goyal, Manish Garg, Annette Visconti, Leslie Oyama, Edward Castillo, Joshua Broder, Rodney Omron, Stephen Hayden Tags: Education Source Type: research

Inpatient Treatment after Multi-Dose Racemic Epinephrine for Croup in the Emergency Department
Emergency department (ED) discharge is safe when croup-related stridor has resolved after corticosteroids and a single dose of racemic epinephrine (RE). Little evidence supports the traditional practice of hospital admission after ≥ 2 doses of RE. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2015 Category: Emergency Medicine Authors: Sherri L. Rudinsky, Ghazala Q. Sharieff, Whitney Law, John T. Kanegaye Tags: Original Contributions Source Type: research

Acute health problems due to recreational drug use in patients presenting to an urban emergency department in Switzerland.
CONCLUSION: Medical problems related to illicit drugs mostly concerned cocaine and cannabis and mainly involved sympathomimetic toxicity and/or psychiatric disorders. ED presentations associated with novel psychoactive substances appeared to be relatively rare. PMID: 26218967 [PubMed - in process] (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - July 31, 2015 Category: Journals (General) Authors: Liakoni E, Dolder PC, Rentsch K, Liechti ME Tags: Swiss Med Wkly Source Type: research

FDA warns that Hospira Symbiq pumps can be hacked
The FDA today released a safety communication warning about cybersecurity vulnerabilities with Hospira‘s (NYSE:HSP) Symbiq infusion system. The Symbiq infusion system can potentially be accessed remotely through a hospital’s network, which could allow for unauthorized changes to the dosage delivered by the pump, according to the federal watchdog. The issue was confirmed by Hospira and an independent researcher. Currently, no adverse events or unauthorized accesses in a health care setting have been reported, according to the FDA and Hospira. The U.S. Dept. of Homeland Security’s Industrial Control Systems...
Source: Mass Device - July 31, 2015 Category: Medical Equipment Authors: Fink Densford Tags: Drug Pumps Food & Drug Administration (FDA) Hospira Inc. Source Type: news

Barriers and facilitators of suicide risk assessment in emergency departments: a qualitative study of provider perspectives - Petrik ML, Gutierrez PM, Berlin JS, Saunders SM.
OBJECTIVE: To understand emergency department (ED) providers' perspectives regarding the barriers and facilitators of suicide risk assessment and to use these perspectives to inform recommendations for best practices in ED suicide risk assessment. ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - July 31, 2015 Category: Global & Universal Tags: Suicide and Self-Harm Source Type: news

The American Organization of Nurse Executives and Emergency Nurses Association guiding principles on mitigating violence in the workplace - Chappell S.
Violence in the workplace, including violence toward staff from patients and families as well as lateral violence, has become a serious safety issue for hospitals in the United States. Concerned about this issue, the Emergency Nurses Association and the Am... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - July 31, 2015 Category: Global & Universal Tags: Commentary Source Type: news

A Challenging Misleading Diagnosis in a Patient with Suspicion of Gastric Banding Slippage and Strangulation: Diagnosis and Laparoscopic Treatment
Abstract A 51-year-old female (height 160 cm, weight 89 kg, BMI 34.8) presented at the emergency department complaining of sudden onset of sharp abdominal pain in the epigastrium, colicky in nature, dysphagia, nausea, and repeated retching with non-productive vomiting. She has had an adjustable gastric banding implanted laparoscopically 11 years earlier. Since then, she reported to have had only a moderate weight loss (initial BMI 44), although she was closely followed up and the reservoir properly filled by her obesity surgeon. A gastrografin was performed and showed no clear signs of slippage of the gastric ...
Source: Obesity Surgery - July 31, 2015 Category: Surgery Source Type: research

Ebola: UN emergency response mission winds down as WHO announces possible ‘game changer’ vaccine
Having achieved its “core objective” of scaling up global action to tackle the Ebola outbreak in West Africa, the United Nations Mission for Ebola Emergency Response will officially wind down today, transferring its role to the World Health Organization (WHO), which just announced that an experimental vaccine being tested in Guinea appears to be highly effective and could be a “game changer.” (Source: UN News Centre - Health, Poverty, Food Security)
Source: UN News Centre - Health, Poverty, Food Security - July 31, 2015 Category: Global & Universal Source Type: news

MedBox Apple Watch App Aims to Reduce Emergency Room Visits and...
Mobile app caters to the millions of Americans taking prescription medication on a daily basis. Now available for free download on both the iPhone and Apple Watch via the iTunes App Store.(PRWeb July 30, 2015)Read the full story at http://www.prweb.com/releases/2015/07/prweb12835287.htm (Source: PRWeb: Medical Pharmaceuticals)
Source: PRWeb: Medical Pharmaceuticals - July 31, 2015 Category: Pharmaceuticals Source Type: news

Methodist to expand Emergency Room
A Methodist Le Bonheur Healthcare hospital is about to break ground on a renovation and expansion project that will make the emergency department a bit roomier. July 30, Allen & Hoshall filed a $5.4 million permit to renovate and expand the emergency department of Methodist South Hospital at 1300 Wesley Drive. Methodist Le Bonheur Healthcare filed a certificate of need with the state of Tennessee in April to invest more than $8.7 million for the expansion and renovation project. The project will… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - July 31, 2015 Category: Pharmaceuticals Authors: Michelle Corbet Source Type: news

Watch The U.S. Burn In Frightening New Wildfire Map
For some regions in the United States, summer is wildfire season. Climate Central, an independent organization of scientists and journalists dedicated to researching climate change, put together an interactive map that shows, in real time, all the wildfires in the 48 contiguous states and Alaska.   You can also view the real-time map here.  As you can see, Alaska and many of the Western states look literally engulfed in fires. This is a consequence of rising global temperatures, which up the risk of such blazes.  For example, in the past 60 years, Alaska has warmed up more than twice as fast ...
Source: Science - The Huffington Post - July 31, 2015 Category: Science Source Type: news

West Africa: UN Closes Ebola Emergency Mission
[News24Wire] The UN Ebola Emergency Response Mission was winding down on Friday, with the World Health Organisation to once again take the reins in the fight against the deadly virus that has killed over 11 000 people in West Africa since 2013. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - July 31, 2015 Category: African Health Source Type: news

Introducing Teamwork Challenges in Simulation Using Game Cards
We describe the use of card sets in different scenarios with increasing teamwork challenge and difficulty. Both postscenario and summative debriefings were facilitated to allow participants to reflect on their performance and discover ways to apply their strategies to real resuscitations. In this article, we present our experience with the novel use of game cards to modify simulation scenarios to improve communication and teamwork skills. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - July 31, 2015 Category: Medical Equipment Tags: Special Articles Source Type: research

Goal-Directed Transthoracic Echocardiography During Advanced Cardiac Life Support: A Pilot Study Using Simulation to Assess Ability
Conclusions: In an ACLS-compliant manner, house staff are capable of diagnosing management-altering pathologies the majority of the time, and they reach similar diagnostic conclusions in the same amount of time as expert echocardiographers in a simulated cardiac arrest scenario. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - July 31, 2015 Category: Medical Equipment Tags: Empirical Investigations Source Type: research

[Series] Nuclear disasters and health: lessons learned, challenges, and proposals
Past nuclear disasters, such as the atomic bombings in 1945 and major accidents at nuclear power plants, have highlighted similarities in potential public health effects of radiation in both circumstances, including health issues unrelated to radiation exposure. Although the rarity of nuclear disasters limits opportunities to undertake rigorous research of evidence-based interventions and strategies, identification of lessons learned and development of an effective plan to protect the public, minimise negative effects, and protect emergency workers from exposure to high-dose radiation is important. (Source: LANCET)
Source: LANCET - July 31, 2015 Category: Journals (General) Authors: Akira Ohtsuru, Koichi Tanigawa, Atsushi Kumagai, Ohtsura Niwa, Noboru Takamura, Sanae Midorikawa, Kenneth Nollet, Shunichi Yamashita, Hitoshi Ohto, Rethy K Chhem, Mike Clarke Tags: Series Source Type: research

[Perspectives] Koichi Tanigawa: a passionate voice in radiation disaster medicine
On March 11, 2011, when a force 9 earthquake and subsequent tsunami hit the Japanese east coast near Fukushima, Koichi Tanigawa was 900 km away in Hiroshima. But not for long. As the then Chairman of Hiroshima University's Department of Emergency and Critical Care Medicine, and also Deputy Director of its Radiation Medicine Centre, he found himself with a key part to play in subsequent events. His institution had been designated a tertiary centre for dealing with major disasters, and within 2 days Tanigawa had been flown to Fukushima as leader of the radiation emergency medical team. (Source: LANCET)
Source: LANCET - July 31, 2015 Category: Journals (General) Authors: Geoff Watts Tags: Perspectives Source Type: research

Royal Berkshire Hospital A&E shut after power cut
Hospital declares major incident and closes Accident and Emergency unit to all but patients in life-threatening conditions after basement flood causes power cut (Source: Telegraph Health)
Source: Telegraph Health - July 31, 2015 Category: Consumer Health News Tags: closed power cut A & shut Royal Berkshire Hospital hospital shut flood Source Type: news

Sierra Leone: We Still Have to Maintain the Laws to Stop Ebola - President Koroma
[Sierra Leone Government] Representatives of the All Political Parties Association (APPA) have paid a courtesy call on His Excellency President Dr Ernest Bai Koroma at State House to discuss the possibility of removing the Public State of Emergency which was imposed last year to curb and control the spread of the deadly Ebola virus disease. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - July 31, 2015 Category: African Health Source Type: news

Two Cases of Severe Ulcerative Colitis with Colonic Dilatation Resolved with Tacrolimus Therapy
We report 2 cases of ulcerative colitis (UC) with intestinal tract dilatation treated with tacrolimus. They were 53- and 64-year-old males, who had been admitted to local hospitals for increasing severity of their UC symptoms. Treatment for severe UC was immediately started, but both cases were refractory to corticosteroid therapy; they were then transferred to our hospital. When they were referred to our hospital, they had frequent bloody diarrhea, fever, severe abdominal pain, and even dilatation of the transverse colon on abdominal X-ray test. They were treated with oral tacrolimus medication, and their symptoms improve...
Source: Case Reports in Gastroenterology - July 31, 2015 Category: Gastroenterology Source Type: research

Congo-Kinshasa: International Medical Corps Partners With ELRHA to Improve Reproductive Health in Emergencies
[Thomson Reuters Foundation] Over half of maternal and under-five deaths take place in settings affected by armed conflict or natural disasters. (Source: AllAfrica News: Pregnancy and Childbirth)
Source: AllAfrica News: Pregnancy and Childbirth - July 31, 2015 Category: OBGYN Source Type: news

Insights into emergency physicians’ minds in the seconds before and into a patient encounter
Abstract Clinical reasoning is a core competency in medical practice. No study has explored clinical reasoning occurring before a clinical encounter, when physicians obtain preliminary information about the patient, and during the first seconds of the observation phase. This paper aims to understand what happens in emergency physicians’ minds when they acquire initial information about a patient, and when they first meet a patient. The authors carried out in-depth interviews based on the video recordings of emergency situations filmed in an “own-point-of-view-perspective”. 15 expert emergency physicians were...
Source: Internal and Emergency Medicine - July 31, 2015 Category: Emergency Medicine Source Type: research