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Emergency Care Journal
Number of Followers: 8

This is an Open Access Journal

Open Access journal
ISSN (Print) 1826-9826 - ISSN (Online) 2282-2054
Published by PAGEPress

[52 journals]

Advanced Cardiac Life Support (ACLS) knowledge, practice, and associated
factors among general practitioners and nurses at Primary Hospitals in
Ethiopia
- Authors: Tirunesh Geremew Senbeta, Seada Jemal Seid, Birhanu Asrat Wudineh, Helina Bogale Abayneh
  Abstract: Advanced cardiac life support (ACLS) refers to a set of life-saving protocols and skills for urgently and emergently treating life-threatening conditions that result in cardiac arrest. An institutional-based cross-sectional study was conducted to assess knowledge, practices, and associated factors of ACLS among general practitioners (GPs) and nurses in Ethiopia. Data were collected using self-administered questionnaires. Data entry was carried out using EpiData version 4.6, and the analysis was performed using STATA 14. Bivariate and multivariable logistic regression analyses were employed. The study included 147 GPs and nurses, yielding a response rate of 94.2%, with 39.5% (95% CI: 32.3-47.7) and 35.37% (95% CI: 28.68-43.8) demonstrating good knowledge and practice, respectively. Sex, education, experience, and the availability of emergency equipment were significantly associated with the knowledge. Workplace, exposure to cases of cardiac arrest, training, and experience were found to be significantly associated with practice. There is a significant gap in both knowledge and practice. Based on our results, we recommend simulation-based in-service training and the inclusion of ACLS protocols in the formal education of health students.
  PubDate: 2023-12-05
  DOI: 10.4081/ecj.2023.12036
  Issue No: Vol. 19, No. 3 (2023)
Painful burning lesions on the chest wall of a patient with advanced
breast cancer
- Authors: Erika Poggiali, Etilda Braho, Raffaella Bertè
  Abstract: A 90-year-old woman presented at our emergency department complaining of dyspnea (sO2 88% on room air, respiratory rate 24/min) and severe (NRS 8/10) burning chest pain. Ten years earlier, she had undergone a bilateral radical mastectomy and radio-chemotherapy for breast cancer. In September 2023, she developed some nodules on her chest skin treated with electrochemotherapy, multiple liver lesions, and a bilateral paraneoplastic pleural effusion.
  PubDate: 2023-12-05
  DOI: 10.4081/ecj.2023.12016
  Issue No: Vol. 19, No. 3 (2023)
What does a floating mass in a young patient's heart do'
- Authors: Tommaso Sonnessa, Daniela Vaira
  Abstract: A previously healthy 57-year-old male patient presented to our emergency department for palpitations, dry cough, and non-exertional chest pain. He denied lipothymia or syncope. Blood pressure was 160/90 mmHg, heart rate 76 beats/min, body temperature 36.4°C, respiratory rate was 14 breaths/min, and oxygen saturation 96% on room air. Physical examination revealed symmetrical air entry without wheezing or crackles, and a classical diastolic "tumor plop", not accompanied by another significant murmur at cardiac auscultation. Laboratory tests were all in the normal range, including troponin T (9.1 ng/mL, normal value <14) and C-reactive protein (2.2 mg/dL, normal value <6). An electrocardiogram showed a sinus rhythm and normal ventricular repolarization. Point-of-care ultrasound (POCUS) revealed a floating mass within the left atrium and a normal lung pattern without pleural effusion.
  PubDate: 2023-10-31
  DOI: 10.4081/ecj.2023.11717
  Issue No: Vol. 19, No. 3 (2023)
A small lump in the abdomen
- Authors: Massimo Barakat
  Abstract: A 20-year-old man presented to the emergency department with a small painful swelling located in the midline of the epigastric region. His medical history included asthma and extramucosal pyloromyotomy for hypertrophic pyloric stenosis when he was a baby. His vital signs were normal. Abdominal ultrasound (US) showed a small hypoechoic formation located in the subcutaneous adipose tissue that penetrated into the abdominal cavity through an orifice of about 7 mm in the linea alba.
  PubDate: 2023-10-20
  DOI: 10.4081/ecj.2023.11926
  Issue No: Vol. 19, No. 3 (2023)
When the solution is not on the tip but under the tongue
- Authors: Erika Poggiali, Lorenzo Ghiadoni, Sossio Serra
  Abstract: In the recent letter by Pucciarelli et al.,1 the authors comment on an observation reported by Fabbri et al.2 that the pain is treated correctly only in a very small percentage of patients (3%), even those who experienced severe pain, suggesting as a possible solution of this important unsolved issue the introduction (implementation) of sublingual sufentanil use for pain treatment of trauma patients in the pre-hospital setting. [...]
  PubDate: 2023-09-28
  DOI: 10.4081/ecj.2023.11873
  Issue No: Vol. 19, No. 3 (2023)
Sublingual Sufentanil: an option for pre-hospital pain management in
trauma patients
- Authors: Gianluca Pucciarelli, Enrico Lucenti, Andrea Andreucci, Fabio De Iaco, Vito Torrano, Franco Marinangeli, Giovanni Sbrana
  PubDate: 2023-09-08
  DOI: 10.4081/ecj.2023.11665

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