Comparison of the quick SOFA score with Glasgow-Blatchford and Rockall scores in predicting severity in patients with upper gastrointestinal bleeding.

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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 […]

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Does pain severity predict stone characteristics or outcomes in emergency department patients with acute renal colic?

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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 […]

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Symptomatic intracranial hemorrhage in patients with admission hyperglycemia and diabetes after mechanical thrombectomy: A systematic review and meta-analysis.

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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 […]

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Impact in total ischemic time and ST-segment elevation myocardial infarction admissions during COVID-19.

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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. […]

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The prevalence of serious bacterial infections in neutropenic immunocompetent febrile children.

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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, […]

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Geriatric emergency department revisits after discharge with Potentially Inappropriate Medications: A retrospective cohort study.

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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 […]

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Managing acute uncomplicated appendicitis in frail geriatric patients: A second hit may be too much.

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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 […]

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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.

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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 […]

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Adverse Events Among Emergency Department Patients With Cardiovascular Conditions: A Multicenter Study.

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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 […]

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Optimal sessions of hyperbaric oxygen therapy in patients with carbon monoxide poisoning: A prospective observational study.

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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 […]

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Characteristics of patients who had a stroke not initially identified during emergency prehospital assessment: a systematic review.

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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 […]

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Risk Factors for Abdominal Surgical Site Infection after Exploratory Laparotomy among Combat Casualties.

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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 […]

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The efficacy of continuous use disposable N95 masks in clinical practice in the emergency department.

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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 […]

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Association Between Access to Pediatric Trauma Care and Motor Vehicle Crash Death in Children: An Ecologic Analysis of United States Counties.

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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 […]

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The Impact of Pre-Hospital TXA on Mortality among Bleeding Trauma Patients: A Systematic Review and Meta-Analysis.

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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 […]

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Variation in Neurosurgical Intervention for Severe TBI: The Challenge of Measuring Quality in Trauma Center Verification.

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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 […]

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When to Stay Out of the Abdomen: Extending Extra-peritoneal Approaches to Complex Ventral and Incisional Hernias: A VIDEO BASED GUIDE TO THE TECHNIQUE.

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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 […]

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