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

Traumatic cardiac arrest: central venous cannulation under direct vision following rescue thoracotomy
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Evaluation of nasogastric tubes to enable differentiation between upper and lower gastrointestinal bleeding in unselected patients with melena
Gastrointestinal (GI) bleeding is a common surgical problem. The aim of this study was to evaluate how insertion of the nasogastric tube may enable differentiation between upper and lower GI bleeding in patients with melena. A retrospective study involving patients admitted to our surgery division with a melena was carried out between the years 2010 and 2012. A total of 386 patients were included in the study. Of these, 279 (72.2%) patients had negative nasogastric aspirate. The sensitivity of examination of nasogastric aspirate to establish the upper GI as the source of bleeding was only 28% and the negative predictive va...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Sodium azide ingestion and secondary contamination risk in healthcare workers
This study reports the follow-up of healthcare staff directly involved in managing a fatal sodium azide ingestion. Clinical staff directly involved with the case were contacted by telephone or in person. Data collected were age, sex, time in contact with the patient, time off work following the incident and whether or not this was because of physical complications of exposure. Ten individuals had close contact with the case. Of these, five were men, median age was 39 years (range 22–52); four described being in close contact for greater than 60 min, three for 15–60 min and three for 5–15 min. Absence from work ...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Weaker compressions after night shift? The WeCAN manikin study
We report in our sample that the quality of CC after a night shift is not inferior to a control day. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

The diagnostic accuracy of the HITSNS prehospital triage rule for identifying patients with significant traumatic brain injury: a cohort study
This study aimed to determine the accuracy of the Head Injury Straight to Neurosurgery (HITSNS) triage rule for identifying patients with significant TBI. A diagnostic cohort study was performed using data from the HITSNS trial, the Trauma Audit and Research Network registry and the North East Ambulance service database. Sensitivity and specificity of the HITSNS triage rule were calculated against a reference standard of significant TBI, defined by a cranial Abbreviated Injury Scale score of at least 3 or by the performance of a neurosurgical procedure. A total of 3628 patients were included in the complete case analyses. ...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Theoretical knowledge and skill retention 4 months after a European Paediatric Life Support course
Objective: The European Paediatric Life Support (EPLS) provider course aims at training doctors and nurses in the efficient and prompt management of cardiopulmonary arrest in children. EPLS is a 2-day European Resuscitation Council course, involving the teaching of theoretical knowledge and practical skills. The aim of the study was to evaluate the retention of theoretical knowledge and certain skills of EPLS providers 4 months after the course. Materials and methods: In total, 80 doctors and nurses who attended three EPLS provider courses, from May 2012 to December 2012, were asked to participate in the study and only 50 ...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Bedside lung ultrasound for monitoring the effectiveness of prehospital treatment with continuous positive airway pressure in acute decompensated heart failure
Objective: The aim of this pilot study was to determine the usefulness of prehospital lung ultrasound in monitoring the effectiveness of treatment with continuous positive airway pressure (CPAP) versus standard therapy in patients with acute decompensated heart failure (ADHF). Materials and methods: Twenty patients with ADHF were enrolled in this prospective, observational study. They were allocated randomly to a CPAP group (CPAP and standard therapy) or a control group (standard therapy only). Lung ultrasound was performed in each group and B-lines were counted and compared before and after treatment. Results: There were ...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Prediction of bacteremia in the emergency department: an external validation of a clinical decision rule
Conclusion: The clinical decision rule performed well in our ED setting and is likely to be a useful supplement to clinical judgment. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Blood cultures in emergency medical admissions: a key patient cohort
Conclusion: A clinical decision to request a blood culture identified a subset of emergency admissions with markedly worse outcomes. This patient cohort warrants close monitoring in the emergency setting. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

The predictive validity of RETTS-HEV as an acuity triage tool in the emergency department of a Danish Regional Hospital
Conclusion: RETTS-HEV was found to be closely related to all examined outcomes, and therefore useful in the risk stratification of ED patients. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Analysis of a data-fusion system for continuous vital sign monitoring in an emergency department
Conclusion: Electronic data capture offers opportunities for increased detection of deteriorating patients in a busy clinical environment compared with paper charts. Sample size in this study is insufficient to determine which electronic method (eT&T or PSI) offers superior detection of the need for escalation. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Agreement between ambulance and hospital records for information promoting urgent stroke treatment decisions
Conclusion: In a retrospective cohort of stroke patients admitted by emergency ambulance, standard practice did not consistently result in prehospital documentation of information that could promote rapid treatment decisions. Training emergency practitioners and/or providing clinical protocols could facilitate early stroke treatment decisions, but prehospital information availability is likely to be a limiting factor. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Urgent carotid duplex and head computed tomography versus ABCD2 score for risk stratification of patients with transient ischemic attack
Objectives: The aim of the study was to prospectively compare the prognostic value of ABCD2 score, urgent carotid ultrasound (CUS), and unenhanced head computed tomography (UHCT) in patients presenting to the emergency department with transient ischemic attack (TIA). Patients and methods: We carried out a prospective observational study including consecutive adult patients with TIA. Each patient underwent ABCD2 score assessment, urgent CUS, and UHCT within 24 h from presentation. The primary outcome was the occurrence of ischemic stroke within 30 days. Results: We included 186 patients with a median age of 75 years and a...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Fascia iliaca compartment block for hip fractures: experience of integrating a new protocol across two hospital sites
Objective: Fascia iliaca compartment block (FICB) administered through the loss of resistance technique effectively reduces pain and opiate requirement in elderly patients with hip fractures. FICB is a simple technique and is easily taught. This paper plots the implementation of FICB in two hospitals. Methods: A continuous audit process of two separate sites recorded the uptake of the FICB on an organizational level. An additional control group (CG) of 100 patients were analysed to compare pain scores (using the Numerical Rating Scale) and opiate requirements between groups of patients receiving fascia iliaca block and tho...
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Sharps and high-pressure injection injuries in veterinary and animal workers
Needlestick and ‘sharps’ injuries among those working with animals are a significant, under-reported and often ill-understood problem. Many patients present initially to Emergency Departments, where their potential to cause local and systemic infections and injury, zoonoses, allergic or anaphylactic reactions and death may be unrecognized. Increased awareness of the possibility of adverse effects and the consequences of these specific injuries is essential. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Review Articles Source Type: research

Renal colic: current protocols for emergency presentations
Flank pain caused by renal colic is a common presentation to emergency departments. This paper reviews the acute clinical assessment of these patients, outlines appropriate diagnostic strategies with labwork and imaging and updates the reader on conservative treatments, suitable choices for analgesia and indications for surgical intervention. Prompt diagnosis and appropriate treatment instituted in the Emergency Department can rapidly and effectively manage this excruciatingly painful condition. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Review Articles Source Type: research

Emergency medicine: this is what we do
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Editorial Source Type: research

Emergency Medicine training and working conditions in Europe: a joint EuSEM young doctors – European Junior Doctors Survey
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Knowledge of ‘trusted person’ and ‘advance directive’ in end-of-life situations in prehospital emergency medicine 10 years after Leonetti’s law publication
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Management of brain-dead donors outside the intensive care unit: a necessary recourse
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

Stethoscope versus point-of-care ultrasound in the differential diagnosis of dyspnea: a randomized trial
We aimed to determine the accuracies of point-of-care ultrasound (PoCUS) and stethoscopes as part of the physical examinations of patients with dyspnea. Three emergency medicine specialists in each of two groups of ultrasound and stethoscope performers underwent didactic and hands-on training on PoCUS and stethoscope usage. All the patients enrolled were randomized to one of two predetermined PoCUS or stethoscope groups. The diagnostic performance of ultrasonography was higher than that of the stethoscope in the diagnoses of heart failure (90 vs. 86%, 1.00 vs. 0.89, and 5.00 vs. 4.92, respectively) and pneumonia (90 vs. 86...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

A quantitative tool for measuring the quality of medical training in emergency medicine
The most common method of assessing the quality of medical education is through a selection of qualitative assessments, usually as part of a programme evaluation. Common qualitative assessments include measurements of students’ and teachers’ participation, outcome measures such as assessment results, and qualitative assessments such as interviews and questionnaires of students and teachers. Programme evaluation can therefore be a process that is both laborious and subject to accusations of a lack of objectivity. As a result, the development of a quantitative tool that could be used alongside a programme evaluation may ...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Training paramedics in focussed echo in life support
This study is a prospective observational pilot study. Data were collected during a 1-day course training 11 paramedics to perform ELS scans on healthy volunteers. The students were assessed on image acquisition skills and theoretical knowledge (including interpretation). Level 1 ultrasound-trained emergency medicine physicians undertook the training and assessment. Results: All paramedics could obtain images in the parasternal and subxiphoid views. When performing scans in the 10-s pulse check window, 88% of attempts in both views were successful (subxiphoid mean image quality 3.8 out of 5, parasternal 4.0). Theoretical k...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

A description of echocardiography in life support use during cardiac arrest in an Emergency Department before and after a training programme
Objectives: To investigate echocardiography in life support (ELS) use in Emergency Department (ED) cardiac arrest patients before and after a training day. Methods: A prospective before and after cohort study. Data was collated over a 24-month period before and after an ELS training day from our ED ultrasound database [Registry of Emergency Based Ultrasound Scanning (REBUS)], ED electronic patient records and from stored digital ELS scans. Results: In the year before ELS training, eight of 187 cardiac arrest patients had ELS performed (4.3%). In the year after training, 46 of 232 cardiac arrest patients had ELS performed (...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Goal-directed ultrasound in emergency medicine: evaluation of a specific training program using an ultrasonic stethoscope
Conclusion: The performance of 30 supervised and goal-oriented examinations appeared adapted to adequately answer clinical questions covered by core applications of emergency US. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Use of sedation in children receiving computed tomography after head injuries
Objective: The aim of this study was to determine the use of procedural sedation for head trauma-related computed tomography of the brain (CTB) in children and its association with age and Glasgow Coma Scale (GCS) scores. Patients and methods: A retrospective review was carried out of charts of children undergoing a CTB for head injury at a tertiary paediatric emergency department with an annual census of 82 000 over a 2-year period. Patients were identified through the database of an ongoing prospective study involving children with head injuries of all severity. We extracted demographics, GCS scores, characteristics of...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Emergency department procedural sedation: the London experience
Conclusion: Procedural sedation and analgesia can be safely and effectively performed in the ED by appropriately trained emergency physicians. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Ketamine for procedural sedation by a doctor-paramedic prehospital care team: a 4-year description of practice
Conclusion: We describe the use of ketamine over a 4-year period for prehospital procedural sedation. Minimum standards for patient monitoring were documented in only around a quarter of cases. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

The effect of the introduction of a regional major trauma network on triage decisions made by a physician-staffed helicopter emergency medical service
Background: A major trauma network (MTN) has been in place in the East of England, with a single hospital operating as the major trauma centre (MTC). The primary aim of this retrospective cohort study was to determine whether triage destination decisions with regard to trauma patients made by a helicopter-based doctor–paramedic team are affected by the introduction of a regional trauma network. In addition, we will describe and discuss the logistics of transfer of injured patients attended by the service. Methods: This is a retrospective database review that was carried out over two 12-month periods. The first period was...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

First-pass intubation success rate during rapid sequence induction of prehospital anaesthesia by physicians versus paramedics
Introduction: Endotracheal intubation is a frequently performed procedure for securing the airway in critically injured or ill patients. Performing prehospital intubation may be challenging and intubation skills vary. We reviewed the first-attempt tracheal intubation success rate in a Dutch prehospital setting. Patients and methods: We studied our database for all intubations performed by helicopter emergency medical services (HEMS) physicians, HEMS nurse and ambulance paramedics under HEMS supervision between January 2007 and July 2012. The primary outcome was success rate, number of intubation attempts and alternative ai...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Understanding the prehospital physician controversy. Step 2: analysis of on-scene treatment by ambulance nurses and helicopter emergency medical service physicians
Conclusion: HEMS physicians provide additional treatment in 45% of patients. The additional treatment increases the perceived usefulness of the HEMS physician. The presence of the HEMS physician was also considered useful when the physician did not provide any additional treatment, possibly because of diagnostic competence and clinical decision-making. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Mechanical cardiopulmonary resuscitation in in-hospital cardiac arrest: a systematic review
With increasing rates of in-hospital cardiac arrest, improving resuscitation outcomes is essential. Mechanical chest compressors seem to be related to improved outcome in out-of hospital cardiac arrest; however, the literature on its use in in-hospital cardiac arrest is scarce. We used the Medline public database to systematically review patient outcomes considering mechanical cardiopulmonary resuscitation in in-hospital cardiac arrest. Fourteen studies were found, most cases (n=17), three cohort studies, a clinical pilot study and a registry study. The reported survival rate was high (35 out of 89 patients, 39%) and full ...
Source: European Journal of Emergency Medicine - October 30, 2015 Category: Emergency Medicine Tags: Review Article Source Type: research

Difficulties to study the geographical origin of a publication
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Correspondence 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 - August 27, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research

In a difficult access scenario, supraglottic airway devices improve success and time to ventilation
The success of tracheal intubation (TI) is unacceptably low in unconventional positions. Supraglottic airway devices (SAD) have become an important alternative. An airway manikin was placed in a car, simulating an entrapped motor vehicle accident victim. The rescuer only had access through the driver’s door. Participants were (n=25) anaesthesiologists with experience in prehospital emergency medicine. They attempted to secure the airway by TI or an SAD (Ambu AuraOnce, iGel, laryngeal tube) in a random sequence. Performance was compared using the Wilcoxon signed-rank test. P values less than 0.05 were considered statistic...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Why do patients with nonurgent conditions present to the Emergency Department despite the availability of alternative services?
The aim of this study was to investigate why nonurgent patients present to the Emergency Department (ED) despite availability of alternative services; also to assess impact of the UK Choose Well Campaign. A convenience sample of nonurgent ED attenders was surveyed in North Wales, UK. More than half of patients sought advice from friends, family, carer or GP before attending ED. Of the one-third of patients who had not tried an alternative service before presenting to ED, reasons given included patients thinking that they might need a radiograph (46%), believing that GP would be unable to help (29%) or stating that GP was n...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Reliability of electronic recording of waiting times in the emergency department: a prospective multicenter study
We aimed to evaluate the reliability of waiting times (WT) measures electronically retrieved. We prospectively collected true WT in four emergency departments during 20 predefined 2-h inclusion periods, and compared them with the electronically retrieved waiting time (ERWT). We assessed agreement with calculation of rate of outliers (difference exceeding 20 min), bias, and its 95% limits of agreements, and associated Bland and Altman plot. We analyzed 274 patients. The mean difference was −2 min (SD 13) between ERWT and true WT, with a 95% limits of agreements (−28 to 24 min). Bland and Altman plot showed a good ...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

The burden of sepsis in the Emergency Department: an observational snapshot
In conclusion our results suggest that sepsis is more common than previously reported and this represents a significant burden on ED. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Short Reports Source Type: research

Relationship between category size and journals’ impact factor: implications for emergency medicine journals and researchers
Conclusion: There is a negative relationship between JCR size category and IF achieved by the journals. This places EM journals at a clear disadvantage because they represent one of the smallest clinical medical research disciplines. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Low back pain in the paediatric athlete
Conclusion: No consistent demonstrable association was established between clinical presentation and final diagnosis. It was found that red flags could not be relied upon for the inclusion or the exclusion of a significant radiological finding. This study therefore suggests that, in this population group, a significant diagnosis cannot always be reliably excluded from clinical assessment alone. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Acute sore throat in children at the emergency department: best medical practice?
Background: Belgian antibiotic (AB) policy guidelines discourage the use of ABs in sore throat in otherwise healthy individuals; yet, 35% of all children with sore throat in our pediatric emergency department receive a prescription for ABs. Objective: To identify factors influencing our physician’s prescription behavior. Patients and methods: Using a retrospective study, we analyzed all medical records of children younger than 16 years of age diagnosed with sore throat (in 2009 and 2010). We included 1345 files. Results: Children younger than 5 years of age received an AB prescription more easily (37.8 vs. 27.7%; P=0.000...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Infection prevention practices in Swedish emergency departments: results from a cross-sectional survey
Conclusion: A minority of Swedish EDs are participating in projects to address hand hygiene and catheter-associated urinary tract infection. Frequent auditing of hand hygiene compliance may improve compliance rates. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Predictive accuracy and feasibility of risk stratification scores for 28-day mortality of patients with sepsis in an emergency department
Objectives: Sepsis is associated with high mortality. Because early therapy has proven to decrease mortality, a risk stratification tool that quickly and easily quantifies mortality risk of patients will be helpful to guide appropriate treatment. We investigated five scores in terms of (a) predicting 28-day mortality and (b) their feasibility for use in the emergency department (ED). Materials and methods: We carried out a historical cohort study in the ED of Maastricht University Medical Centre (MUMC). Patients who fulfilled the criteria for sepsis were included if they had been admitted to the hospital by an internist be...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

External validation of the MISSED score to predict mortality in patients with severe sepsis and septic shock in the emergency department
Objective: The Mortality in Severe Sepsis in the Emergency Department (MISSED) score was derived to predict in-hospital mortality in septic patients in the emergency department (ED). The present study aimed to validate the MISSED score in patients receiving early goal-directed therapy (EGDT). Methods: Data were analyzed from 280 patients who received EGDT in a tertiary center ED in Korea. Age 65 years and above, albumin level 27 g/l or less, and international normalized ratio of at least 1.2 were variables included in the MISSED score. Results: With a cutoff point of 5.5, the odds ratio for death was 2.17 (95% confidence i...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Internal emergency department validation of the simplified MISSED score
Background: The MISSED score was derived and validated in emergency department (ED) patients with sepsis who were admitted to the ICU. This score has now been refined and simplified. The independent variables associated with mortality are age at least 65 years, serum albumin 27 g/l or less, and an international normalized ratio at least 1.3. The simplified MISSED score ranges from 0 to 3 depending on the number of variables present. Objective: The primary objective is to validate the simplified MISSED score for predicting all-cause mortality in the ED population admitted with sepsis. The secondary end-point is to validat...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effectiveness of the Middle East respiratory syndrome-coronavirus protocol in enhancing the function of an Emergency Department in Qatar
Conclusion: A highly protocolized surveillance system limited the impact of MERS-CoV on ED functioning by identifying and prioritizing high-risk patients. The emergence of new infectious diseases requires constant monitoring of interventions to reduce the impact of epidemics on population health and health services. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Systematic review of frequent users of emergency departments in non-US hospitals: state of the art
This review focuses on frequent users (FUs) of the emergency department (ED). Elucidation of the characteristics of frequent ED users will help to improve healthcare services. A systematic review of the literature (from 1999 onwards) on frequent ED users in non-US hospitals was performed. Twenty-two studies were included. FUs are responsible for a wide variety of 1–31% of ED visits depending on the FU definition used. They have a mean age between 40 and 50 years and are older than nonfrequent users. Chronic physical and mental diseases seem to be the main reasons for frequent ED visits. In terms of social characteristics...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Review Articles Source Type: research

The level of evidence for emergency department performance indicators: systematic review
The aim of this study was to perform a comprehensive systematic review of emergency department performance indicators in relation to evidence. A systematic search was performed through PUBMED, EMBASE, CINAHL and COCHRANE databases with (and including synonyms of) the search words: [emergency medicine OR emergency department] AND [quality indicator(s) OR performance indicator(s) OR performance measure(s)]. Articles were included according to the inclusion/exclusion criteria using the PRISMA protocol. The level of evidence was rated according to the evidence levels by the Oxford Centre for Evidence-Based Medicine. Performanc...
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Review Articles Source Type: research

Outbreaks, Middle East respiratory syndrome and sepsis in emergency care
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - August 27, 2015 Category: Emergency Medicine Tags: Editorial Source Type: research

Response to Li and colleagues on hyperglycemia in hip fracture patients
No abstract available (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - June 25, 2015 Category: Emergency Medicine Tags: Correspondence Source Type: research