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Disaster and Emergency Medicine Journal
Number of Followers: 13

This is an Open Access Journal

Open Access journal
ISSN (Print) 2451-4691 - ISSN (Online) 2543-5957
Published by Via Medica

[41 journals]

Evaluating the quality of medical content on YouTube: an analysis of chest
tube procedures
- Authors: Ömer Faruk Turan
  Abstract: INTRODUCTION: Chest tube insertion is a vital procedure for managing pneumothorax, haemothorax, and pleural effusion, requiring precise training for effective outcomes. Platforms like YouTube provide accessible educational content, but their unregulated nature raises concerns about accuracy. Evaluating the quality and relevance of these videos is essential to determine their value as training tools. This study assesses YouTube’s potential as an educational resource for chest tube insertion, a critical interventional procedure. MATERIAL AND METHODS: A cross-sectional analytical study was conducted, analysing 136 English-language videos on chest tube insertion published between 2016 and 2024. Videos were selected using predefined inclusion and exclusion criteria, categorized based on their source, and evaluated for procedural accuracy and visual representation using a structured 10-point scoring system. RESULTS: The findings revealed that healthcare professionals and official institutions were the primary producers of the videos. However, video quality did not significantly differ based on the source. Longer videos provided more comprehensive procedural information and visual detail. Metrics such as views, likes, and comments varied widely but showed no correlation with video quality scores. CONCLUSIONS: This study demonstrates that while YouTube provides an accessible platform for medical education, its unregulated nature presents challenges in ensuring content quality and reliability. Collaborative efforts between healthcare organizations and content creators are crucial for developing standardized guidelines to improve the educational value of online resources. Additionally, integrating media literacy training into medical education programs is essential to equip healthcare professionals with the skills needed to critically evaluate and effectively utilize online content.
  PubDate: 2025-03-13
  Issue No: Vol. 10 (2025)
Utilizing biomarkers for rapid assessment of headache in the emergency
department
- Authors: Ömer Faruk Turan, Şeyda Gedikaslan
  Abstract: INTRODUCTION: Headache is a common presenting complaint in emergency departments (EDs), accounting for 2–5% of admissions. Although most headaches are benign, 4–5% are associated with life-threatening secondary pathologies. Accurate and rapid diagnosis is crucial, yet a standardized protocol for imaging and laboratory assessments is lacking. This study evaluates hematologic parameters as diagnostic tools for predicting acute pathologies in patients presenting with headaches. MATERIAL AND METHODS: This retrospective study included 199 headache patients and 191 controls, aged 18 and above, who presented to the Ankara Etlik City Hospital between October 1 and December 15, 2022. Hematologic parameters, including neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-platelet ratio (NPR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII), were analyzed, and compared with non-contrast brain computed tomography findings in patients with severe headaches. RESULTS: NLR and NPR were significantly elevated in patients with acute pathologies on brain imaging. While platelet levels did not differ, indices like PLR and SII were elevated, indicating their diagnostic potential. Female patients were more prevalent; however, severe headaches and intracranial pathologies were more common in older male patients. CONCLUSIONS: Hematologic parameters such as NLR, NPR, and SII serve as cost-effective, accessible biomarkers for stratifying headache patients in the ED. These markers can guide decisions on further imaging, particularly in high-risk populations. Future multicenter studies should validate these findings and explore their integration into clinical decision-making algorithms.
  PubDate: 2025-03-07
  Issue No: Vol. 10 (2025)
New platelet-derived ratios in acute coronary syndromes: a retrospective,
single-center investigation
- Authors: Michal Pruc, Jacek Kubica, Lukasz Szarpak, Damian Swieczkowski, Piotr Niezgoda
  Abstract: INTRODUCTION: Despite advancements in diagnostics and early risk assessments improving patient outcomes, the global death rate from acute coronary syndrome (ACS) continues to rise. Identifying new biomarkers holds promise for further care improvements. This study examined clinical and laboratory differences between ST-segment elevation myocardial infarction (STEMI) patients and non-ST-segment elevation myocardial infarction (NSTEMI) patients, focusing on the diagnostic value of platelet-derived ratios compared to other hematological parameters. MATERIAL AND METHODS: This is an observational, single-center study. The authors retrospectively collected patients with ACS who underwent invasive coronary angiography and a percutaneous coronary intervention between September 1st, 2023, and December 31st, 2023. Statistical analyses were performed to compare clinical and laboratory parameters between the STEMI and NSTEMI patient groups. RESULTS: The study included 65 patients (25 STEMI, 40 NSTEMI). White blood cell (WBC) count showed the highest discriminative power (AUC: 0.78, threshold: 10.56, sensitivity: 84%, specificity: 80%). (LDL-C) strongly correlated with total cholesterol (r = 0.96), and hemoglobin with hematocrit (r = 0.95). Moderate correlations were seen between WBC and (PLT) (r = 0.52) and PLT with the PLT-to-WBC ratio (r = 0.38). PLT-to-total cholesterol correlated negatively with cholesterol (r = –0.63), while hemoglobin correlated negatively with PLT-to-hemoglobin (r = –0.34). The platelet-to-hematocrit ratio, with an area under the curve (AUC) of 0.60, showed balanced discriminative capacity (sensitivity: 48%, specificity: 80%). CONCLUSIONS: Present findings demonstrate platelet-derived ratios' ability to distinguish STEMI from NSTEMI. The platelet-to-hematocrit ratio was the most discriminative composite metric. To improve acute coronary syndrome diagnosis and prognosis, platelet levels should be correlated with other hematological parameters.
  PubDate: 2025-02-06
  Issue No: Vol. 10 (2025)
Will human metapneumovirus represent a considerable threat to the world in
the future'
- Authors: Basar Cander, Andrzej Krupa, Michal Pruc, Bernard Rybczynski, Lukasz Szarpak
  PubDate: 2025-02-06
  Issue No: Vol. 10 (2025)
Association of household food security and nutritional status based on
mid-upper arm circumference (MUAC) of woman in Surakarta, Central Java,
Indonesia
- Authors: Melina Pramais Septiani, Luluk Ria Rakhma
  Abstract: INTRODUCTION: Household food security is the potentiality in a household to supply the food needs of the household members. Nutritional status is one of the decisive factors in determining the circumstances of family food security. Food security in Indonesia is 62.2% below the global average. This study aimed to determine the association between household food security and nutritional status based on mid-upper arm circumference (MUAC) in women 15–49 years old in Surakarta, Central Java, Indonesia. MATERIAL AND METHODS: This research uses a cross-sectional design. 101 women were included in a sample taken by random sampling technique. The respondents are mothers of toddlers who live in the Sangkrah and Semanggi regions in Surakarta. Food security data was obtained from the Household Food Insecurity Access Scale (HFIAS) questionnaire, and nutritional status was measured by MUAC. Statistical tests to determine the association between variables use the chi-square test. RESULTS: In food-insecure households, 11.8% of women are malnourished (undernutrition), and 40% of families have low incomes. The research showed no association between income and nutritional status (p value = 0.562). There was an association between income and household food security (p value = 0.020) and no association between household food security and nutritional status (p value = 0.403). CONCLUSIONS: There is an association between income and household food security, but there is no significant association between household food security and the nutritional status of women in Sangkrah and Semanggi Village, Surakarta, Central Java, Indonesia.
  PubDate: 2025-01-17
  Issue No: Vol. 10 (2025)
Hospital management support for patient safety
- Authors: Abdullah Ghaleb Alshareef
  Abstract: INTRODUCTION: Hospital management support can play an important role in addressing the issue of patient safety. There is increasing concern about patient safety, as it is often linked to a lack of effective managers who can use their influence to change health professionals’ behavior, leading to a decrease in work pressure and medical errors and enhancing patient safety. MATERIAL AND METHODS: A cross-sectional study was conducted at three private hospitals. The sample (n = 315) consisted of health professionals from different private hospitals in Jeddah, Saudi Arabia. A 40-item questionnaire addressed patient safety, teamwork, collaboration, hospital management support, supervisor support, work pressure, and communication. The quantitative data were analyzed using the Statistical Package for Social Sciences (SPSS) version 23 and the standard multiple regression analysis was the method used to test hypotheses in this study. RESULTS: The results of this investigation indicate that a significant amount of variance in perceived patient safety (R2 = 0.41) is accounted for by the predictor variables. The most significant predictor of patient safety is teamwork with a β weight of 0.33, followed by work pressure, with a β weight of 0.31, and hospital management support, with a β weight of 0.30. CONCLUSIONS: This study has shown that patient safety can be improved by enhancing teamwork, collaboration, and communication among health professionals within hospitals. Patient safety can be improved when heads of units or clinical supervisors use their influence to change behavior and implement procedures that support health professionals working together as a team.
  PubDate: 2024-11-27
  Issue No: Vol. 10 (2024)
Epidemiology and risk factors for traumas in kitesurfing with particular
regard to head and spine injuries — a narrative review
- Authors: Bartlomiej Gastol, Karolina Mikolap, Jakub Olszewski, Natasza Blek
  Abstract: Kitesurfing is becoming more and more popular every year and this year it was introduced into the Olympic Games program for the first time. Combining elements of surfing, wakeboarding, and windsurfing, this sport is considered extreme with an injury risk ranging from 5.4 to 10.5 injuries per 1,000 hours of kitesurfing, increasing to 16.6 injuries per 1,000 hours during competitions. Although most injuries in this sport, where a kitesurfer can accelerate to 35–55 knots and jump to heights of 15 meters, are not life-threatening, serious accidents can occur that may have long-term consequences or even be fatal. Head and spine injuries, which represent 2.9–34.0% and 2.0–16.7% of all reported injuries respectively, are particularly concerning due to their potential neurological consequences. Through analysis of the available literature, it was found that injury risk is influenced by multiple factors, including environmental conditions, equipment type, and experience level. Most injuries occur in shallow water or on the beach, often during launching or landing. While modern safety equipment like quick-release systems has significantly reduced certain risks, the increasing popularity of the sport presents new challenges, such as overcrowding of kitesurfing venues. Preventive measures, including mandatory helmet use during competitions, proper training under qualified instructors, physical conditioning, and designated kitesurfing areas, have shown promise in reducing injury risk. The sport's inclusion in the 2024 Olympics may lead to increased participation and potentially more injuries, emphasizing the importance of implementing comprehensive safety measures and continuing injury surveillance.
  PubDate: 2024-11-18
  Issue No: Vol. 10 (2024)

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