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This page shows you the latest items in this publication. This is page number 2.

A new simple bilateral eye irrigation technique
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Fascia iliaca compartment block for hip dislocation
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Red cell discards in a large UK emergency department
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

The litigation cost of negligent scaphoid fracture management
The aims of the study were to quantify the litigation cost of scaphoid mismanagement, identify the main reasons why patients sought compensation and hence provide suggestions for reducing litigation. Data were obtained from the National Health Service Litigation Authority. All orthopaedic-related litigation between 1995 and 2010 in the UK was reviewed. Litigation specifically against mismanagement of scaphoid fractures were identified and grouped according to the plaintiff’s complaint. Exclusions were all unsettled claims. There were 85 closed cases of scaphoid fracture mismanagement over 15 years. Reasons for litigation...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Research in prehospital emergency medicine: comparison by geographic origin of publications
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

The accuracy of renal point of care ultrasound to detect hydronephrosis in children with a urinary tract infection
The objective of this study was to investigate the accuracy of renal point of care ultrasound (POCUS) for the detection of hydronephrosis in children with a urinary tract infection (UTI). We prospectively included all patients with a final diagnosis of UTI who visited our pediatric emergency department between November 2009 and April 2011. Emergency physicians were encouraged to perform a renal POCUS during these visits, and a follow-up renal ultrasonography was performed by a radiologist who was blinded to the results of POCUS. We calculated the accuracy of POCUS to detect hydronephrosis (renal pelvis enlargement ≥10 ...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Learning profiles for noninvasive transcutaneous Doppler ultrasound
Conclusion: A substantial period of learning needs to be undertaken to achieve proficiency on the use of noninvasive transcutaneous Doppler ultrasound. Cumulative sum analysis is a useful tool for ongoing quality assessment during medical education and training in practical procedures on an individual basis. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Virtual reality and live simulation: a comparison between two simulation tools for assessing mass casualty triage skills
This study tested the hypothesis that virtual reality simulation is equivalent to live simulation for testing naive medical students’ abilities to perform mass casualty triage using the Simple Triage and Rapid Treatment (START) algorithm in a simulated disaster scenario and to detect the improvement in these skills after a teaching session. Methods: Fifty-six students in their last year of medical school were randomized into two groups (A and B). The same scenario, a car accident, was developed identically on the two simulation methodologies: virtual reality and live simulation. On day 1, group A was exposed to the live ...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Results of a simple intervention to improve documentation quality in major trauma
Objectives: Accurate and thorough documentation is an important part of medical care, providing a legally binding historical record of events and means of communication. Trauma is a complex multidisciplinary environment, in which documentation is particularly important, but can be poor as a result. We investigate the effect of introducing a proforma documentation booklet, acting as a physical prompt to ensure full patient assessment, as well as full documentation, on documentation quality. Methods: A case note review of all major trauma patients admitted over 12 months at a district hospital was performed by clinicians wit...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

A retrospective comparison of ketamine dosing regimens for pediatric procedural sedation
Objective: Ketamine is a dissociative agent often used in pediatric emergency departments for procedural sedation. Institutions commonly use either 1.5 mg/kg (k1.5) or 1 mg/kg (k1.0) as intravenous dosing. We sought to determine whether patients receiving k1.0 require more administered doses during sedation than patients receiving k1.5. Furthermore, we examined whether differences existed between k1.0 and k1.5 in the total dosage, total mg/kg, and time to recovery. Patients and methods: A retrospective chart review examining procedural sedations from July 2010 through December 2011 was performed for sedations using k1.0 or...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Prehospital paediatric emergencies in Belgium: an epidemiologic study
Conclusion: Prehospital paediatric emergencies are rarely life-threatening conditions and seldom need advanced medical interventions. However, the outcome of real life-threatening conditions is poor, therefore emphasizing the need for better trained teams. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Helicopter emergency medical services response to equestrian accidents
Conclusion: Equestrian accidents represent a significant proportion of HEMS missions. The majority of patients injured in equestrian accidents do not require HEMS intervention, however, a small proportion have life-threatening injuries, requiring immediate critical intervention. Further research is warranted, particularly regarding HEMS dispatch, to further improve accuracy of tasking to equestrian accidents. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Admission hyperglycaemia is associated with higher mortality in patients with hip fracture
Conclusion: Hyperglycaemia is common in hip-fracture patients. A high aBSL might serve as a prognostic indicator in hip-fracture patients. To our knowledge, this is the first report of hyperglycaemia-associated mortality in less severely traumatised patients, who generally are not admitted to an ICU. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Factors associated with the length of stay of patients discharged from emergency department in France
Objectives: The length of stay in the emergency department (ED) has been proposed as an indicator of performance in many countries. We conducted a survey of length of stay in two large areas in France and tested the hypothesis that patient and ED-related variables may influence it. Patients and methods: During 2007, we examined lengths of stay in ambulatory patients, that is, excluding admitted patients. The following variables were considered: (a) at the patient level, age, sex, the day and month of the visit, and the French clinical classification of emergency patients (CCEP) class; (b) at the ED level, annual ED total n...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Evaluation of a hospital admission prediction model adding coded chief complaint data using neural network methodology
Conclusion: Neural net methodology application resulted in the derivation and validation of a modestly stronger hospital admission prediction model after the addition of CCC data. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Qualitative process analysis and modelling of emergency care workflow and interface management: identification of critical process steps
Conclusion: The process analysis helped to identify inefficient process steps in the ED. Modelling with EPC is a useful tool to visualize and to understand the complexity of the emergency medical care and to identify key performance indicators for effective quality management. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Traumatic cardiac arrest: a unique approach
Resuscitation of patients who sustain a cardiac arrest as a result of trauma (traumatic cardiac arrest) has previously been described as ‘futile’. Several published series have since contradicted this claim and reported survival-to-discharge data ranging from 0 to 35%. International resuscitation guidelines (European Resuscitation Council and American Heart Association) promote a consistent approach to cardiopulmonary resuscitation on the basis of up-to-date evidence and consensus opinions. This minimizes de-novo decision-making under high-stress situations, promotes a rational approach and reduces the burden on an ind...
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Review Article Source Type: research

The annual winter surge – why are we so surprised?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - February 27, 2015 Category: Emergency Medicine Tags: Editorial Source Type: research

Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: associated factors at emergency department presentation
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: is it properly evaluated?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Failure of noninvasive mechanical ventilation: could we assess determining factors in emergency department?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Best approach to measuring the inferior vena cava in spontaneously ventilating patients: a pilot study
The objective of this study was to establish the reliability of different measurements of inferior vena cava (IVC) size and respiratory variation in response to changes in circulating volume. Transabdominal ultrasound measurements of the IVC were obtained in longitudinal (B and M modes) and transverse planes (B-mode height and ellipse circumference) during inspiration and expiration, and inferior vena cava collapsibility indices (IVCci) were calculated. Measurements were repeated following venesection of ∼450 ml. Thirty patients underwent venesection. Their IVCci increased significantly for transverse and longitudinal he...
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Acute testicular pain in children: collaboration in timely management
Acute scrotal pain in a child is a urological emergency. Surgeons should be involved early and exclude torsion promptly, often by surgical exploration. This short report compares the time taken by different medical practitioners [Emergency Department (ED) doctors and surgeons] to assess children presenting to the ED with acute scrotal pain. A retrospective observational study was carried out in a district general hospital ED over a 2-year period. A total of 205 children presented with testicular pain, 48 of whom were clinically diagnosed with torsion in the ED. Surgeons reviewed patients with testicular pain quicker than E...
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: associated factors at emergency department presentation
Objective: Noninvasive ventilation (NIV) is a common practice in acute hypercapnic respiratory failure (AHRF) because of exacerbation of chronic obstructive pulmonary disease (COPD). However, a recent study has shown that patients who require invasive mechanical ventilation (IMV) after failure of NIV experience high mortality rates (up to 30%). Therefore, the aim of this study is to determine the parameters, specifically for emergency department (ED) presentation, associated with the transition from NIV to IMV because of NIV failure. Patients and methods: This is a 4-year retrospective cohort study in the EDs of two Dutch ...
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Emergency medical services interval and mortality in significant head injury: a retrospective cohort study
Conclusion: The lack of observed association between EMS interval and mortality may not preclude bypass of significant TBI patients, with concomitantly prolonged primary transfers from the scene of injury to distant specialist centres. However, given the limitations of registry data, our results should be interpreted with caution. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Direct ultrasound methods: a confirmatory technique for proper endotracheal intubation in the emergency department
Conclusion: In this study, we found acceptable sensitivity, specificity, positive predictive value, and negative predictive value for prediction of tracheal ETT placement with the use of dynamic and static ultrasonography. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Emergency medicine in Europe: looking forward to 2015
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 12, 2015 Category: Emergency Medicine Tags: Editorial Source Type: research

Rescuer’s gender-effect on the quality of chest compression during cardiopulmonary resuscitation on manikins
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Effect of rescuer’s sex on the quality of chest compression during cardiopulmonary resuscitation on manikins
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: associated factors at emergency department presentation
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: is it properly evaluated?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Failure of noninvasive mechanical ventilation: could we assess determining factors in emergency department?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Sex differences in the effort indicators during cardiopulmonary resuscitation manoeuvres on manikins
The aims of this study were to examine sex differences in college students while they performed cardiopulmonary resuscitation (CPR) on a manikin for 20 min in (a) objective and subjective effort indicators and (b) to analyse the influence of potential confounders (age, BMI and cardiorespiratory fitness) on these sex differences. Sixty-three participants were recruited. Participants performed 20 min of CPR on a manikin. During the CPR trial, percentages of maximal heart rate levels were higher in women than in men (P (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Best approach to measuring the inferior vena cava in spontaneously ventilating patients: a pilot study
The objective of this study was to establish the reliability of different measurements of inferior vena cava (IVC) size and respiratory variation in response to changes in circulating volume. Transabdominal ultrasound measurements of the IVC were obtained in longitudinal (B and M modes) and transverse planes (B-mode height and ellipse circumference) during inspiration and expiration, and inferior vena cava collapsibility indices (IVCci) were calculated. Measurements were repeated following venesection of ∼450 ml. Thirty patients underwent venesection. Their IVCci increased significantly for transverse and longitudinal he...
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Acute testicular pain in children: collaboration in timely management
Acute scrotal pain in a child is a urological emergency. Surgeons should be involved early and exclude torsion promptly, often by surgical exploration. This short report compares the time taken by different medical practitioners [Emergency Department (ED) doctors and surgeons] to assess children presenting to the ED with acute scrotal pain. A retrospective observational study was carried out in a district general hospital ED over a 2-year period. A total of 205 children presented with testicular pain, 48 of whom were clinically diagnosed with torsion in the ED. Surgeons reviewed patients with testicular pain quicker than E...
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: associated factors at emergency department presentation
ObjectiveNoninvasive ventilation (NIV) is a common practice in acute hypercapnic respiratory failure (AHRF) because of exacerbation of chronic obstructive pulmonary disease (COPD). However, a recent study has shown that patients who require invasive mechanical ventilation (IMV) after failure of NIV experience high mortality rates (up to 30%). Therefore, the aim of this study is to determine the parameters, specifically for emergency department (ED) presentation, associated with the transition from NIV to IMV because of NIV failure. Patients and methodsThis is a 4-year retrospective cohort study in the EDs of two Dutch hosp...
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Emergency medical services interval and mortality in significant head injury: a retrospective cohort study
ConclusionThe lack of observed association between EMS interval and mortality may not preclude bypass of significant TBI patients, with concomitantly prolonged primary transfers from the scene of injury to distant specialist centres. However, given the limitations of registry data, our results should be interpreted with caution. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

A study of hypothermic patients presenting to a Mediterranean emergency department
BackgroundA retrospective chart review was carried out in the adult Emergency Department of Mater Dei Hospital in the ‘sunny warm Mediterranean island’ Malta, on patients admitted with a rectal temperature of less than 35°C during the two consecutive winters of 2010–2011 and 2011–2012. ObjectiveThe aim of this study was to find any correlation among patients presenting with hypothermia and the weather conditions, age and residential background. We also studied their mortality outcomes. MethodsAll patient data were collected from the Emergency Department’s medical records and patients’ case notes. All 199 patie...
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Efficiency and safety of a noninvasive therapeutic hypothermia protocol in cardiac arrest
ConclusionThis noninvasive TH procedure seems efficient and safe in all patients remaining comatose after CA. Thanks to its simplicity, it could allow prehospital cooling to reach the target temperature more rapidly. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Elevated lactate level and shock index in nontraumatic hypotensive patients presenting to the emergency department
BackgroundThe aim of our study was to evaluate the effect of lactate level (LL) and shock index (SI) on the outcome in nontraumatic hypotensive patients in the emergency department, and also to show the significance of the combined usage of these two parameters. MethodsThis is a prospective, observational study. Elevated and normal LL (ELL and NLL), elevated and normal SI (ESI and NSI), and a combination of these two parameters (lactate–SI group 1: ELL and ESI, lactate–SI group 2: ELL or ESI, and lactate–SI group 3: NLL and NSI) were evaluated for primary (mortality) and secondary outcome measures. ResultsA total of ...
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Difficulties encountered by physicians in interpreting focused echocardiography using a pocket ultrasound machine in prehospital emergencies
ConclusionAfter a very short training program, echocardiography using a PUD in prehospital emergencies was feasible in half of patients. Acquisition of technical skills is reasonable, but accurate evaluation of cardiac function may require more extensive training. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Direct ultrasound methods: a confirmatory technique for proper endotracheal intubation in the emergency department
ConclusionIn this study, we found acceptable sensitivity, specificity, positive predictive value, and negative predictive value for prediction of tracheal ETT placement with the use of dynamic and static ultrasonography. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Emergency ultrasound of acute scrotal pain
Patients presenting with acute scrotal pain to the emergency department require a timely diagnosis. Although the differential diagnosis can be extensive and varies with age, there are a few conditions that are considered true surgical emergencies. These include torsion of the spermatic cord, incarcerated hernia with strangulation, testicular trauma leading to rupture or organ-threatening hematomas, and Fournier’s gangrene. These are conditions that need to be kept in mind by the physician when approaching such patients. Other causes such as epididymitis or orchitis need to be distinguished, and although not requiring eme...
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Review Article Source Type: research

Emergency medicine in Europe: looking forward to 2015
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - January 3, 2015 Category: Emergency Medicine Tags: Editorial Source Type: research

Best Abstracts from the Eight European Congress on Emergency Medicine Congress held in Amsterdam, The Netherlands, 28 September to 1 October 2014.
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 29, 2014 Category: Emergency Medicine Tags: ABSTRACTS: PDF Only Source Type: research

Are our nondoctor, non-nursing healthcare workers trained and prepared to respond to a cardiac arrest?
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 29, 2014 Category: Emergency Medicine Tags: Correspondence Source Type: research

Management of the Toddler’s fracture with and without initial radiological evidence
Toddler’s fracture (TF) occurs in young children after minor trauma. Clinical diagnosis can be challenging and initial radiological evidence may be lacking. The aim of this study was to compare the management and outcomes of clinically diagnosed TF patients with and without initial radiological evidence. A retrospective cohort study of patients aged between 9 and 36 months treated for TF in a Scottish Paediatric Emergency Department was conducted. Patients with a radiologically confirmed TF were more likely to be placed in a cast than those with a presumptive clinical TF diagnosis (92 vs. 47%; P (Source: European Journal...
Source: European Journal of Emergency Medicine - October 29, 2014 Category: Emergency Medicine Tags: Short Reports Source Type: research

Things that go bump in the day or night: the aetiology of infant head injuries presenting to a Scottish Paediatric Emergency Department
The aim of this study was to describe the aetiology and severity of head injury in an infant (age (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 29, 2014 Category: Emergency Medicine Tags: Short Reports Source Type: research

Use of fluoroquinolones and third-generation cephalosporins in the emergency department: an 11-year survey
Fluoroquinolones and third-generation cephalosporins are particularly prone to select bacterial resistance to antibiotics. We aimed to assess the temporal trends of antibiotic use in the emergency department adults unit of an academic hospital between 2002 and 2012. Antibiotic use was converted in defined daily doses (DDD). The total antibiotic consumption tended to decrease, from 53.1±8.5 to 48.6±11.9 DDD/1000 patient visits (estimate decrease per year, −0.9±0.5 DDD/1000 visits, P=0.07). Use of third-generation cephalosporins increased significantly, from 9.7% of total antibiotic use to 22.6% (estimate per year, 1.2...
Source: European Journal of Emergency Medicine - October 29, 2014 Category: Emergency Medicine Tags: Short Reports Source Type: research

Chest auscultatory signs in infants presenting to A&E with bronchiolitis
ConclusionClinical signs associated with bronchiolitis vary according to age. Infants older than 6 months are more likely to present with wheeze and infants less than 4 months old are likely to present without chest signs on auscultation. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 29, 2014 Category: Emergency Medicine Tags: Original Articles Source Type: research