International Journal of Emergency Medicine

Items from 1 to 20 out of 45 results

article

Analysis of traumatic injuries presenting to a referral hospital emergency department in Moshi, Tanzania

Erica R Casey, Florida Muro, Nathan M Thielman, Elifuraha Maya, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-7

Background Injuries represent a significant and growing public health concern in the developing world, yet their impact on patients and the emergency health-care system in the countries of East Africa has received limited attention. This study evaluates the magnitude and scope of injury related disorders in the population presenting to a referral hospital emergency department in northern Tanzania...

article

Current status of establishing a venous line in CPA patients by Emergency Life-Saving Technicians in the prehospital setting in Japan and a proposal for intraosseous infusion

Kenji Isayama, Toshio Nakatani, Masanobu Tsuda, Akihiko Hirakawa

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-8

Introduction It is important to have a venous line in cardiopulmonary arrest (CPA) patients as an emergency treatment measure in prehospital settings, but establishment of a peripheral venous line is difficult in such patients. This study aimed to investigate the current status of intravenous infusion (IVI) in CPA patients by Emergency Life-Saving Technicians (ELSTs) in Japan. We also considered alternative...

article

The livelihoods of Haitian health-care providers after the january 2010 earthquake: a pilot study of the economic and quality-of-life impact of emergency relief

Rohini J Haar, Sassan Naderi, John R Acerra, Maxwell Mathias, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-6

Introduction An effective international response to a disaster requires cooperation and coordination with the existing infrastructure. In some cases, however, international relief efforts can compete with the local work force and affect the balance of health-care systems already in place. This study seeks to evaluate the impact of the international humanitarian response to the 12 January 2010 earthquake...

article

Carbon monoxide poisoning: Novel magnetic resonance imaging pattern in the acute setting

Ryan A Stephen, Sheehan W Donal, O’Neill B Siobhain, Clarkson R Michael, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-3

The presentation of carbon monoxide (CO) poisoning is non-specific and highly variable. The diagnosis is made when a compatible history and examination occur in a patient with elevated carboxyhaemoglobin levels. The severity of intoxication is difficult to assess accurately based on laboratory markers alone. Magnetic resonance imaging (MRI) has been shown to have superior sensitivity to computed tomography...

article

Pericardial calcification in constrictive pericarditis

Michel Toledano, Anjali Bhagra

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-2

Background A high index of suspicion is required to make the diagnosis of constrictive pericarditis (CP) in patients presenting with cirrhosis and volume overload, as they can otherwise go misdiagnosed for years. Methods Case report. Findings A 51 year-old man with a history of presumed alcoholic cirrhosis presented to the emergency department with anasarca. Abdominal ultrasound with Doppler demonstrated...

article

Hypothermic cardiac arrest far away from the center providing rewarming with extracorporeal circulation

Eckhard Mark, Olaf Jacobsen, Astrid Kjerstad, Torvind Naesheim, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-3

A 41-year-old man suffered hypothermic cardiac arrest after water immersion and was transported to our university hospital by ambulance helicopter for rewarming on cardiopulmonary bypass. He resumed spontaneous cardiac activity 6 h 52 min after cardiac arrest and recovered completely.

article

Optimizing global health experiences in emergency medicine residency programs: a consensus statement from the Council of Emergency Medicine Residency Directors 2011 Academic Assembly global health specialty track

Janis P Tupesis, Christine Babcock, Doug Char, Kumar Alagappan, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-5

Background An increasing number of emergency medicine (EM) residency training programs have residents interested in participating in clinical rotations in other countries. However, the policies that each individual training program applies to this process are different. To our knowledge, little has been done in the standardization of these experiences to help EM residency programs with the evaluation,...

article

Communicating carotid-cavernous sinus fistula following minor head trauma

Joshua B Kaplan, Aakash N Bodhit, Michael L Falgiani

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-5

Introduction A case of communicating carotid-cavernous sinus fistula (CCF) after minor closed head injury is presented. Case presentation A 45-year-old Caucasian male presented to the emergency department of a tertiary care hospital with the chief complaint of blurred vision and facial numbness. The patient had experienced a minor head injury 1 month ago with loss of consciousness. After a 2-week...

article

Intraorbital foreign body projectile as a consideration for unilateral pupillary defect

Craig N Czyz, Thomas P Petrie, Jonathan D Harder, Kenneth V Cahill, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-4

Intraorbital foreign bodies are frequently the result of high-velocity injuries with varying clinical presentations. The resultant diagnosis, management, and outcome depend on the type of foreign body present, anatomical location, tissue disruption, and symptomatology. A patient who presented to the Emergency Department with a large intraorbital foreign body projectile that was not evident clinically,...

article

Improvement of refractory migraine headache by propofol: case series

Hassan Soleimanpour, Aliakbar Taheraghdam, Rouzbeh Rajaei Ghafouri, Ali Taghizadieh, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-4

Background Several studies have been conducted on managing migraine headaches and developing effective medications for decreasing migraine-associated pain. Case presentation Intravenous propofol was prescribed (10 mg every 5 min) for eight patients with intractable migraine headaches visiting the Emergency Department. The average pain score experienced by patients was recorded using the Visual Analogue...

article

Prevalence of intimate partner violence in patients presenting with traumatic injuries to a Guyanese emergency department

Kendra P Parekh, Stephan Russ, David A Amsalem, Navindranauth Rambaran, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-5

Background Intimate partner violence (IPV) occurs throughout the world, and has both short- term and long- term negative health effects. Little is know about the prevalence of IPV in patients presenting to Emergency Departments (EDs) in the developing world. This information is needed to help delineate the scope of the problem and shape effective interventions to combat IPV. The purpose of this study...

article

Health care workers and disaster preparedness: barriers to and facilitators of willingness to respond

Chinwe Ogedegbe, Themba Nyirenda, Gary DelMoro, Edward Yamin, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-9

Background There is limited research on preparation of health care workers for disasters. Prior research addressed systems-level responses rather than specific institutional and individual responses. Methods An anonymous online survey of hospital employees, who were grouped into clinical and non-clinical staff, was conducted. The objective of this study was to compare perceptions of clinical and...

article

Patellar dislocation: cylinder cast, splint or brace? An evidence-based review of the literature

Johanna P van Gemert, Lisette M de Vree, Roger A P A Hessels, Menno I Gaakeer

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-5

Patellar dislocations are a common injury in the emergency department. The conservative management consists of immobilisation with a cylinder cast, posterior splint or removable knee brace. No consensus seems to exist on the most appropriate means of conservative treatment or the duration of immobilisation. Therefore the aims of this review were first to examine whether immobilisation with a cylinder...

article

The impact of blood pressure hemodynamics in acute ischemic stroke: a prospective cohort study

Latha Stead, Sailaja Enduri, M Fernanda Bellolio, Anunaya R Jain, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-4

Objective To assess relationships between blood pressure hemodynamic measures and outcomes after acute ischemic stroke, including stroke severity, disability and death. Methods The study cohort consisted of 189 patients who presented to our emergency department with ischemic stroke of less than 24 hours onset who had hemodynamic parameters recorded and available for review. Blood pressure (BP) was...

article

Posterior reversible encephalopathy syndrome (PRES) and CT perfusion changes

Vishnumurthy Shushrutha Hedna, Latha Ganti Stead, Sharathchandra Bidari, Akhil Patel, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-5

Posterior reversible encephalopathy syndrome (PRES) can present with focal neurologic deficits, mimicking a stroke and can often represent a diagnostic challenge when presenting atypically. A high degree of suspicion is required in the clinical setting in order to yield the diagnosis. Cerebral CT perfusion (CTP) is utilized in many institutions as the first line in acute stroke imaging. CTP has proved...

article

Major incident preparedness and on-site work among Norwegian rescue personnel – a cross-sectional study

Sabina Fattah, Andreas J Krüger, Jan Einar Andersen, Trond Vigerust, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-7

Background A major incident has occurred when the number of live casualties, severity, type of incident or location requires extraordinary resources. Major incident management is interdisciplinary and involves triage, treatment and transport of patients. We aimed to investigate experiences within major incident preparedness and management among Norwegian rescue workers. Methods A questionnaire was...

article

Technical and clinical analysis of microEEG: a miniature wireless EEG device designed to record high-quality EEG in the emergency department

Ahmet Omurtag, Samah G Abdel Baki, Geetha Chari, Roger Q Cracco, more

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-10

Background We describe and characterize the performance of microEEG compared to that of a commercially available and widely used clinical EEG machine. microEEG is a portable, battery-operated, wireless EEG device, developed by Bio-Signal Group to overcome the obstacles to routine use of EEG in emergency departments (EDs). Methods The microEEG was used to obtain EEGs from healthy volunteers in the...

article

Survey of preferred guideline attributes: what helps to make guidelines more useful for emergency health practitioners?

Samar Aboulsoud, Sue Huckson, Peter Wyer, Eddy Lang

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-7

Background Enhancing CPG acceptance and implementation can play a major role in the development and establishment of emergency medicine as a specialty in many parts of the world. A Guideline International Network special interest group established to support collaboration to improve uptake of clinical practice guidelines (CPGs) across the emergency care sector conducted an international survey to...

article

Emerging concepts in the diagnosis and treatment of patients with undifferentiated angioedema

Jonathan A Bernstein, Joseph Moellman

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-13

Angioedema is a sudden, transient swelling of well-demarcated areas of the dermis, subcutaneous tissue, mucosa, and submucosal tissues that can occur with or without urticaria. Up to 25% of people in the US will experience an episode of urticaria or angioedema during their lifetime, and many will present to the emergency department with an acute attack. Most cases of angioedema are attributable to...

article

A randomized open-label trial on the use of budesonide/formoterol (Symbicort^®) as an alternative reliever medication for mild to moderate asthmatic attacks

Keng Sheng Chew, Hamizah Kamarudin, Che Wan Hashim

International Journal of Emergency Medicine > 2012 > 5 > 1 > 1-5

Background Conventionally, a nebulized short-acting β-2 agonist like salbutamol is often used as the reliever in acute exacerbations of asthma. However, recent worldwide respiratory outbreaks discourage routine use of nebulization. Previous studies have shown that combined budesonide/formoterol (Symbicort^®, AstraZeneca) is effective as both a maintenance and reliever anti-asthmatic medication. Methods...

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2012

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EMERGENCY DEPARTMENT (5)
EMERGENCY MEDICINE (3)
INTERNATIONAL EMERGENCY MEDICINE (2)
TRAUMA (2)
ACCIDENT (1)
ACCIDENTAL FALLS (1)
ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION (APACHE) II SCORE (1)
AIRWAY (1)
APPENDICITIS (1)
BICYCLE HAND BRAKE (1)
BYSTANDER CARDIOPULMONARY RESUSCITATION (1)
BYSTANDER TYPE (1)
CARBON MONOXIDE (1)
CEREBELLUM (1)
CLARUS VIDEO SYSTEM (1)
CLINICAL OUTCOME (1)
COOPERATION (1)
DECISION-MAKING (1)
DIFFICULT (1)
DISASTER MEDICINE (1)
DISASTER PREPAREDNESS (1)
EEG MACHINE (1)
EEG TECHNOLOGY (1)
ELDERLY (1)
ELECTROENCEPHALOGRAPHY (EEG) (1)
EMERGENCY (1)
EMERGENCY DEPARTMENT CLASSIFICATION (1)
EMERGENCY DEPARTMENT UTILISATION (1)
END-TIDAL CARBON DIOXIDE (1)
FIBEROPTIC (1)
GABAERGIC RECEPTORS (1)
GLASGOW COMA SCALE SCORE (1)
GLOBAL HEALTH (1)
GRADUATE MEDICAL EDUCATION (1)
GUIDELINES (1)
GUYANA (1)
HEALTH CARE WORKERS (1)
HEALTH POLICY (1)
HYPOTENSION (1)
INJURIES (1)
INTIMATE PARTNER VIOLENCE (1)
LARYNGOSCOPY (1)
LEVITAN (1)
MAGNETIC RESONANCE IMAGING (1)
MAJOR INCIDENT (1)
MID-LEVEL PROVIDERS (1)
MIGRAINE HEADACHE (1)
MODIFIED ALVARADO SCORING SYSTEM (MASS) (1)
MOTOR VEHICLES (1)
NHAMCS (1)
NURSE PRACTITIONERS (1)
OPTICAL (1)
ORGAN FAILURE (1)
OUT-OF-HOSPITAL CARDIAC ARREST (1)
PHYSICIAN ASSISTANTS (1)
POISONING (1)
PREPAREDNESS (1)
PROGNOSIS (1)
PROPOFOL (1)
QUALITY OF CARE (1)
QUALITY REQUIREMENT FRAMEWORK (1)
RESIDENCY TRAINING (1)
RISK STRATIFICATION (1)
SEPTIC SHOCK (1)
SEVERE SEPSIS (1)
SHIKANI (1)
SHOCK (1)
SIGNAL ANALYSIS (1)
SINGAPORE (1)
SPOUSE ABUSE (1)
STYLET (1)
STYLETSCOPE (1)
SURVIVAL RATE (1)
SYNCOPE (1)
SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (SIRS) (1)
TRANSORBITAL PENETRATING INTRACRANIAL INJURY (1)
TRENDS (1)
ULTRASONOGRAPHY (1)
VIDEO (1)
VISUAL ANALOGUE SCALE (1)
WILLINGNESS TO REPORT (1)
WOMEN’S HEALTH (1)
WORKFORCE (1)
WORLD HEALTH (1)
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INFONA - science communication portal

International Journal of Emergency Medicine

Analysis of traumatic injuries presenting to a referral hospital emergency department in Moshi, Tanzania

Current status of establishing a venous line in CPA patients by Emergency Life-Saving Technicians in the prehospital setting in Japan and a proposal for intraosseous infusion

The livelihoods of Haitian health-care providers after the january 2010 earthquake: a pilot study of the economic and quality-of-life impact of emergency relief

Carbon monoxide poisoning: Novel magnetic resonance imaging pattern in the acute setting

Pericardial calcification in constrictive pericarditis

Hypothermic cardiac arrest far away from the center providing rewarming with extracorporeal circulation

Optimizing global health experiences in emergency medicine residency programs: a consensus statement from the Council of Emergency Medicine Residency Directors 2011 Academic Assembly global health specialty track

Communicating carotid-cavernous sinus fistula following minor head trauma

Intraorbital foreign body projectile as a consideration for unilateral pupillary defect

Improvement of refractory migraine headache by propofol: case series

Prevalence of intimate partner violence in patients presenting with traumatic injuries to a Guyanese emergency department

Health care workers and disaster preparedness: barriers to and facilitators of willingness to respond

Patellar dislocation: cylinder cast, splint or brace? An evidence-based review of the literature

The impact of blood pressure hemodynamics in acute ischemic stroke: a prospective cohort study

Posterior reversible encephalopathy syndrome (PRES) and CT perfusion changes

Major incident preparedness and on-site work among Norwegian rescue personnel – a cross-sectional study

Technical and clinical analysis of microEEG: a miniature wireless EEG device designed to record high-quality EEG in the emergency department

Survey of preferred guideline attributes: what helps to make guidelines more useful for emergency health practitioners?

Emerging concepts in the diagnosis and treatment of patients with undifferentiated angioedema

A randomized open-label trial on the use of budesonide/formoterol (Symbicort^®) as an alternative reliever medication for mild to moderate asthmatic attacks

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