Sepsis is a systemic inflammatory response syndrome with high mortality. There is an upward trend in sepsis prevalence and mortality worldwide. Early and accurate prediction of outcome in sepsis is […]» Read more
Comparison of the quick SOFA score with Glasgow-Blatchford and Rockall scores in predicting severity in patients with upper gastrointestinal bleeding.
Upper gastrointestinal bleeding is one of the common causes of mortality and morbidity. The Rockall score (RS) and Glasgow-Blatchford score (GBS) are frequently used in determining the prognosis and predicting […]» Read more
Does pain severity predict stone characteristics or outcomes in emergency department patients with acute renal colic?
After initial emergency department (ED) management of acute renal colic, recurrent or ongoing severe pain is the usual pathway to ED revisits, hospitalizations and rescue interventions. If index visit pain […]» Read more
Field amputation can be life-saving for entrapped patients requiring surgical extrication. Under these austere conditions, the procedure must be performed as rapidly as possible with limited equipment, often in a […]» Read more
Symptomatic intracranial hemorrhage in patients with admission hyperglycemia and diabetes after mechanical thrombectomy: A systematic review and meta-analysis.
Symptomatic intracranial hemorrhage (sICH) is a severe complication of revascularization therapy. We aimed to investigate the association of admission hyperglycemia and sICH after mechanical thrombectomy in patients with acute ischemic […]» Read more
The health concerns that spur care-seeking in emergency departments (EDs) among homeless populations are not well described. The Veterans Affairs (VA) comprehensive healthcare system does not require health insurance and […]» Read more
Impact in total ischemic time and ST-segment elevation myocardial infarction admissions during COVID-19.
Despite the COVID-19 pandemic, cardiovascular disease is still the main cause of death in developed countries. Of these deaths, acute coronary syndromes (ACS) account for a substantial percentage of deaths. […]» Read more
Febrile neutropenic immunocompromised children are at a high risk of Serious Bacterial Infections (SBI).This systematic review and meta-analysis report the prevalence of SBI in healthy children with febrile neutropenia.PubMed, EMBASE, […]» Read more
Frequency and yield of blood cultures for observation patients with skin and soft tissue infections.
1) To measure frequency and yield of blood cultures obtained for observation status adult patients with skin and soft tissue infection (SSTI), 2) describe how often blood cultures were performed […]» Read more
Diabetic ketoacidosis is an endocrine emergency. A subset of diabetic patients may present with relative euglycemia with acidosis, known as euglycemic diabetic ketoacidosis (EDKA), which is often misdiagnosed due to […]» Read more
Current provision of general practitioner services in or alongside emergency departments in England.
In 2017, general practitioners in or alongside the emergency department (GPED), an approach that employs GPs in or alongside the ED to address increasing ED demand, was advocated by the […]» Read more
Geriatric emergency department revisits after discharge with Potentially Inappropriate Medications: A retrospective cohort study.
To determine whether Potentially Inappropriate Medications (PIMs) prescribed in an academic emergency department (ED) are associated with increased ED revisits in older adults.A retrospective chart review of Medicare beneficiaries 65 […]» Read more
Managing acute uncomplicated appendicitis in frail geriatric patients: A second hit may be too much.
Studies have proposed the use of antibiotics only in cases of acute uncomplicated appendicitis (AUA). However, there remains a paucity of data evaluating this nonoperative approach in the vulnerable frail […]» Read more
Intestinal ostomy creation after trauma is selectively indicated for destructive colon and rectal injuries. However, the nationwide rates of creation of ostomies for trauma and their reversal are not known. […]» Read more
Time to operating room matters in modern management of pancreatic injuries: A national review on the management of adult pancreatic injury at Canadian level 1 trauma centers.
Pancreatic injuries are rare, difficult to diagnose, and complex to manage despite multiple published guidelines. This study was undertaken to evaluate the current diagnosis and management of pancreatic trauma in […]» Read more
Adverse Events Among Emergency Department Patients With Cardiovascular Conditions: A Multicenter Study.
We aim to determine incidence and type of adverse events (adverse outcomes related to emergency care) among emergency department (ED) patients discharged with recent-onset atrial fibrillation, acute heart failure, and […]» Read more
To propose a clear definition and management pathway of patients with analgesic refractory colic pain (ARCP).Prospective cohort study from February 2018 to February 2019 including patients with ARCP defined as […]» Read more
Prostatitis is one of the most common urologic diseases in ambulatory patients. However, prostatitis data are limited from the emergency department (ED) setting.A data set was examined of patients age […]» Read more
The Use of Tranexamic Acid to Reduce the Need for Nasal Packing in Epistaxis (NoPAC): Randomized Controlled Trial.
Epistaxis is a common emergency department (ED) presentation and, if simple first aid measures fail, can lead to a need for anterior nasal packing. Tranexamic acid is an agent that […]» Read more
Optimal sessions of hyperbaric oxygen therapy in patients with carbon monoxide poisoning: A prospective observational study.
Hyperbaric oxygen (HBO) therapy may be a useful treatment to prevent the development of delayed neuropsychiatric sequelae (DNS) in patients with acute carbon monoxide (CO) poisoning. However, there is no […]» Read more
Characteristics of patients who had a stroke not initially identified during emergency prehospital assessment: a systematic review.
Around 25% of patients who had a stroke do not present with typical ‘face, arm, speech’ symptoms at onset, and are challenging for emergency medical services (EMS) to identify. The […]» Read more
Tissue adhesives for peripheral intravenous catheter securement: A prospective randomized controlled pilot trial.
In some patients securing the peripheral intravenous cannula (PIVC) with a standard adhesive dressing can be difficult because of sweat or other body fluids. The aim of our study was […]» Read more
Risk Factors for Abdominal Surgical Site Infection after Exploratory Laparotomy among Combat Casualties.
Surgical site infections (SSI) are well-recognized complications after exploratory laparotomy for abdominal trauma; however, little is known about SSI development after exploration for battlefield abdominal trauma. We examined SSI risk […]» Read more
The correct triage of trauma patients to trauma centers (TCs) is essential. We sought to determine the percentage of patients who were undertriaged (UTR) within the Pennsylvania (PA) trauma system […]» Read more
The efficacy of continuous use disposable N95 masks in clinical practice in the emergency department.
During the SARS-CoV-2 pandemic, many emergency departments (EDs) initiated continuous use of N95 disposable respirators (N95s) rather than discarding them after each use to conserve respirators. This study investigates the […]» Read more
Association Between Access to Pediatric Trauma Care and Motor Vehicle Crash Death in Children: An Ecologic Analysis of United States Counties.
Access to pediatric trauma care is highly variable across the United States (US). The purpose of this study was to measure the association between pediatric trauma center (TC) care and […]» Read more
The Impact of Pre-Hospital TXA on Mortality among Bleeding Trauma Patients: A Systematic Review and Meta-Analysis.
Tranexamic acid (TXA) is an antifibrinolytic drug associated with improved survival among trauma patients with haemorrhage. TXA is considered a primary haemostatic intervention in pre-hospital for treatment of bleeding alongside […]» Read more
100,000 Americans are shot annually and 39,000 die. State laws restricting firearm sales and use have been shown to decrease firearm deaths, yet little is known about what impacts their […]» Read more
Variation in Neurosurgical Intervention for Severe TBI: The Challenge of Measuring Quality in Trauma Center Verification.
Intracranial pressure monitor (ICPm) procedure rates are a quality metric for American College of Surgeons trauma center verification. However, ICPm procedure rates may not accurately reflect the quality of care […]» Read more
When to Stay Out of the Abdomen: Extending Extra-peritoneal Approaches to Complex Ventral and Incisional Hernias: A VIDEO BASED GUIDE TO THE TECHNIQUE.
Ventral and incisional hernias are common surgical pathologies managed by acute care surgeons, and also an area of explosion in repair options and approaches. Several new minimally invasive techniques have […]» Read more