Use of clinical probability scores and D-dimer in suspected pulmonary embolism. Results from a Spanish retrospective study
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Research Letter Source Type: research

Long-term effect of hyperoxemia during chronic obstructive pulmonary disease exacerbation managed by emergency medical service and emergency department: a prospective, exploratory study
Conclusions Our study reported no effect on 1-year all-cause mortality associated with hyperoxemia during AECOPD. Further studies are needed to prove/disprove our findings. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Association of out of hospital paediatric early warning score with need for hospital admission in a Scottish emergency ambulance population
This study examines the relationship between prehospital observations, aggregated into an eight-point PEWS (Scotland), and hospital admission. Methods A retrospective analysis of all patients aged less than 16 transported to hospital by the Scottish Ambulance Service between 2011 and 2015. Data were matched to outcome data regarding hospital admission or discharge and length of stay. Results Full data were available for 21 202 paediatric patients, of whom 6340 (29.9%) were admitted to hospital. Prehospital PEWS Scotland was associated with an odds ratio for admission of 1.189 [95% confidence interval (CI): 1.176–...
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Validation of the Bacterial Meningitis Score in adults consulting at an emergency department: a retrospective multicentric study
Objective The Bacterial Meningitis Score (BMS) is recommended by pediatric academic societies to rule out the diagnosis of bacterial meningitis. The aim of this study was to evaluate the performance of the BMS to identify adults at no risk for bacterial meningitis. Methods We conducted a multicentric retrospective study including adults who consulted the emergency department (ED) for meningitis [cerebrospinal fluid (CSF) white blood cells ≥5/mm3 with a ratio of white blood cells/red blood cells (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of the implementation of a new guideline for minor head injury on computed tomography-ratio and hospitalizations in the Netherlands
Objective A new nationwide guideline for minor head injury was introduced in the Netherlands in 2010. The effect on computed tomography (CT) ratio and hospital admission ratio after introduction of the guideline is unknown. The aim was to reduce these numbers as part of cost-effective health care. Therefore, we assessed the effect on these variables after introduction of the guideline. Methods We used an interrupted time-series study design. Data selection was done 3 years before (2007–2009) and several years after (2012, 2014, 2015) introduction of the guideline. Results Data collection was performed for 3880 pa...
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effect of propofol-based procedural sedation on risk of adverse events in a French emergency department: a retrospective analysis
Conclusion: Nearly all of the adverse events in our series were minor. In the French medical system, the use of propofol outside the operating room by non-anesthesiologist physicians for procedural sedation appears safe. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Impact of emergency department management of atrial fibrillation with amiodarone on length of stay. A propensity score analysis based on the URGFAICS registry
Objective Amiodarone is a widely used drug in the emergency department (ED) for control of atrial fibrillation, but it has a delayed onset of action and slow metabolism, leading to longer length of ED stay. The aim of this study was to compare the length of ED stay of atrial fibrillation patients who were treated with or without amiodarone. Methods We undertook a multicenter, observational, cohort study of the URGFAICS registry of older adults with atrial fibrillation who presented to five Spanish EDs and compared patients who had received amiodarone with those who had not. Afterward, we performed a propensity score m...
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Safety of diuretic administration during the early management of dyspnea patients who are not finally diagnosed with acute heart failure
Conclusions Diuretic administration to patients presenting to emergency departments with dyspnea while they were undiagnosed and in whom acute heart failure was finally excluded was not associated with 30-day all-cause mortality and 30-day postdischarge all-cause readmission rate. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Inhaled methoxyflurane for the management of trauma related pain in patients admitted to hospital emergency departments: a randomised, double-blind placebo-controlled trial (PenASAP study)
This study aimed at reporting, when initiated by triage nurse, the superior efficacy of inhaled methoxyflurane plus standard of care (m-SoC) analgesia versus placebo plus SoC (p-SoC) for moderate-to-severe trauma-related pain in the hospital ED. Methods A randomised, double-blind, placebo-controlled trial was conducted at eight EDs. Adults with pain score ≥4 (11-point numerical rate scale, NRS) at admission were randomised to receive one or two inhalers containing m-SoC or p-SoC. Primary outcome measure was time until pain relief ≤30 mm, assessed on the 100-mm Visual Analogic Scale (VAS). Results A total of 351...
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Dysfunction of the hypothalamic-pituitary-adrenal axis in critical illness: a narrative review for emergency physicians
The stress response to acute disease is characterized by activation of the hypothalamic-pituitary-adrenal (HPA) axis and the sympathoadrenal system, increased serum cortisol levels, increased percentage of its free fraction and increased nuclear translocation of the glucocorticoid-receptor complex, even though many pathways may be inhibited by poorly understood mechanisms. There is no consensus about the cutoff point of serum cortisol levels for defining adrenal insufficiency. Furthermore, recent data point to the participation of tissue resistance to glucocorticoids in acute systemic inflammatory processes. In this review...
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Review Article Source Type: research

Organisation of prehospital care: the French experience
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Present and future of pre-hospital emergency medical system
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Towards a more uniform approach to prehospital care in the USA
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

Organization of prehospital care in the Netherlands: a perspective article
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Perspective Articles Source Type: research

The Swedish Ambulance Services
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 27, 2020 Category: Emergency Medicine Tags: Perspective Articles Source Type: research