Subjects -> MEDICAL SCIENCES (Total: 8186 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (205 journals)
    - ANAESTHESIOLOGY (105 journals)
    - CARDIOVASCULAR DISEASES (334 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (19 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (227 journals)
    - DENTISTRY (266 journals)
    - DERMATOLOGY AND VENEREOLOGY (162 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (121 journals)
    - ENDOCRINOLOGY (149 journals)
    - FORENSIC SCIENCES (43 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (178 journals)
    - GERONTOLOGY AND GERIATRICS (125 journals)
    - HEMATOLOGY (160 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (178 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (90 journals)
    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2230 journals)
    - NURSES AND NURSING (331 journals)
    - OBSTETRICS AND GYNECOLOGY (199 journals)
    - ONCOLOGY (355 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (135 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (150 journals)
    - OTORHINOLARYNGOLOGY (76 journals)
    - PATHOLOGY (96 journals)
    - PEDIATRICS (254 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (153 journals)
    - PSYCHIATRY AND NEUROLOGY (800 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (182 journals)
    - RESPIRATORY DISEASES (109 journals)
    - RHEUMATOLOGY (76 journals)
    - SPORTS MEDICINE (77 journals)
    - SURGERY (388 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (151 journals)

EMERGENCY AND INTENSIVE CRITICAL CARE (121 journals)                     

Showing 1 - 124 of 124 Journals sorted alphabetically
AACN Advanced Critical Care     Full-text available via subscription   (Followers: 36)
Academic Emergency Medicine     Hybrid Journal   (Followers: 100)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 2)
Acute and Critical Care     Open Access   (Followers: 10)
Acute Cardiac Care     Hybrid Journal   (Followers: 12)
Acute Medicine     Full-text available via subscription   (Followers: 7)
Advances in Emergency Medicine     Open Access   (Followers: 21)
Advances in Neonatal Care     Hybrid Journal   (Followers: 45)
African Journal of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 8)
African Journal of Emergency Medicine     Open Access   (Followers: 6)
AINS - Anasthesiologie - Intensivmedizin - Notfallmedizin - Schmerztherapie     Hybrid Journal   (Followers: 5)
American Journal of Emergency Medicine     Hybrid Journal   (Followers: 57)
Annals of Emergency Medicine     Hybrid Journal   (Followers: 149)
Annals of Intensive Care     Open Access   (Followers: 39)
Annals of the American Thoracic Society     Full-text available via subscription   (Followers: 15)
Archives of Academic Emergency Medicine     Open Access   (Followers: 6)
Archives of Trauma Research     Open Access   (Followers: 5)
ASAIO Journal     Hybrid Journal   (Followers: 2)
Australasian Journal of Paramedicine     Open Access   (Followers: 9)
Australian Critical Care     Full-text available via subscription   (Followers: 21)
Bangladesh Critical Care Journal     Open Access   (Followers: 1)
BMC Emergency Medicine     Open Access   (Followers: 29)
BMJ Quality & Safety     Hybrid Journal   (Followers: 66)
Burns Open     Open Access   (Followers: 1)
Canadian Journal of Respiratory, Critical Care, and Sleep Medicine     Hybrid Journal   (Followers: 2)
Case Reports in Acute Medicine     Open Access   (Followers: 4)
Case Reports in Critical Care     Open Access   (Followers: 14)
Case Reports in Emergency Medicine     Open Access   (Followers: 23)
Chronic Wound Care Management and Research     Open Access   (Followers: 9)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 28)
Clinical Intensive Care     Hybrid Journal   (Followers: 6)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 3)
Clinical Risk     Hybrid Journal   (Followers: 5)
Crisis: The Journal of Crisis Intervention and Suicide Prevention     Hybrid Journal   (Followers: 17)
Critical Care     Open Access   (Followers: 78)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 29)
Critical Care Clinics     Full-text available via subscription   (Followers: 35)
Critical Care Explorations     Open Access   (Followers: 3)
Critical Care Medicine     Hybrid Journal   (Followers: 320)
Critical Care Research and Practice     Open Access   (Followers: 13)
Current Emergency and Hospital Medicine Reports     Hybrid Journal   (Followers: 6)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 74)
Disaster and Emergency Medicine Journal     Open Access   (Followers: 12)
Egyptian Journal of Critical Care Medicine     Open Access   (Followers: 2)
EMC - Urgenze     Full-text available via subscription  
Emergency Care Journal     Open Access   (Followers: 8)
Emergency Medicine (Medicina neotložnyh sostoânij)     Open Access  
Emergency Medicine Australasia     Hybrid Journal   (Followers: 18)
Emergency Medicine Clinics of North America     Full-text available via subscription   (Followers: 19)
Emergency Medicine International     Open Access   (Followers: 8)
Emergency Medicine Journal     Hybrid Journal   (Followers: 56)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Emergency Nurse     Full-text available via subscription   (Followers: 16)
Enfermería Intensiva (English ed.)     Full-text available via subscription   (Followers: 2)
European Burn Journal     Open Access   (Followers: 9)
European Journal of Emergency Medicine     Hybrid Journal   (Followers: 25)
Frontiers in Emergency Medicine     Open Access   (Followers: 8)
Global Journal of Transfusion Medicine     Open Access   (Followers: 1)
Hong Kong Journal of Emergency Medicine     Full-text available via subscription   (Followers: 5)
Indian Journal of Burns     Open Access   (Followers: 3)
Injury     Hybrid Journal   (Followers: 21)
Intensive Care Medicine     Hybrid Journal   (Followers: 87)
Intensive Care Medicine Experimental     Open Access   (Followers: 2)
Intensivmedizin up2date     Hybrid Journal   (Followers: 4)
International Journal of Critical Illness and Injury Science     Open Access   (Followers: 1)
International Journal of Emergency Medicine     Open Access   (Followers: 9)
International Journal of Emergency Mental Health and Human Resilience     Open Access   (Followers: 2)
International Paramedic Practice     Full-text available via subscription   (Followers: 17)
Iranian Journal of Emergency Medicine     Open Access  
Irish Journal of Paramedicine     Open Access   (Followers: 3)
Journal Européen des Urgences et de Réanimation     Hybrid Journal   (Followers: 1)
Journal of Acute Care Physical Therapy     Hybrid Journal   (Followers: 4)
Journal of Cardiac Critical Care TSS     Open Access   (Followers: 1)
Journal Of Cardiovascular Emergencies     Open Access  
Journal of Concussion     Open Access  
Journal of Critical Care     Hybrid Journal   (Followers: 51)
Journal of Critical Care Medicine     Open Access   (Followers: 18)
Journal of Education and Teaching in Emergency Medicine     Open Access   (Followers: 1)
Journal of Emergencies, Trauma and Shock     Open Access   (Followers: 13)
Journal of Emergency Medical Services     Full-text available via subscription   (Followers: 12)
Journal of Emergency Medicine     Hybrid Journal   (Followers: 53)
Journal of Emergency Medicine, Trauma and Acute Care     Open Access   (Followers: 26)
Journal of Emergency Practice and Trauma     Open Access   (Followers: 6)
Journal of Intensive Care     Open Access   (Followers: 9)
Journal of Intensive Care Medicine     Hybrid Journal   (Followers: 23)
Journal of Intensive Medicine     Open Access   (Followers: 1)
Journal of Neuroanaesthesiology and Critical Care     Open Access   (Followers: 4)
Journal of Stroke Medicine     Hybrid Journal   (Followers: 3)
Journal of the American College of Emergency Physicians Open     Open Access   (Followers: 1)
Journal of the Intensive Care Society     Hybrid Journal   (Followers: 5)
Journal of the Royal Army Medical Corps     Hybrid Journal   (Followers: 7)
Journal of Thrombosis and Haemostasis     Hybrid Journal   (Followers: 52)
Journal of Translational Critical Care Medicine     Open Access   (Followers: 2)
Journal of Trauma and Acute Care Surgery, The     Hybrid Journal   (Followers: 36)
La Presse Médicale Open     Open Access  
Médecine de Catastrophe - Urgences Collectives     Hybrid Journal  
Medicina Intensiva     Open Access   (Followers: 3)
Medicina Intensiva (English Edition)     Hybrid Journal   (Followers: 1)
Mediterranean Journal of Emergency Medicine & Acute Care : MedJEM     Open Access  
Notfall + Rettungsmedizin     Hybrid Journal   (Followers: 4)
OA Critical Care     Open Access   (Followers: 3)
OA Emergency Medicine     Open Access   (Followers: 2)
Open Access Emergency Medicine     Open Access   (Followers: 6)
Open Journal of Emergency Medicine     Open Access   (Followers: 2)
Palliative Care : Research and Treatment     Open Access   (Followers: 22)
Palliative Medicine     Hybrid Journal   (Followers: 56)
Prehospital Emergency Care     Hybrid Journal   (Followers: 20)
Regulatory Toxicology and Pharmacology     Hybrid Journal   (Followers: 25)
Research and Opinion in Anesthesia and Intensive Care     Open Access   (Followers: 3)
Resuscitation     Hybrid Journal   (Followers: 59)
Resuscitation Plus     Open Access   (Followers: 2)
Saudi Critical Care Journal     Open Access   (Followers: 2)
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine     Open Access   (Followers: 12)
Seminars in Thrombosis and Hemostasis     Hybrid Journal   (Followers: 28)
Shock : Injury, Inflammation, and Sepsis : Laboratory and Clinical Approaches     Hybrid Journal   (Followers: 12)
Sklifosovsky Journal Emergency Medical Care     Open Access  
The Journal of Trauma Injury Infection and Critical Care     Full-text available via subscription   (Followers: 23)
Therapeutics and Clinical Risk Management     Open Access   (Followers: 1)
Transplant Research and Risk Management     Open Access   (Followers: 1)
Trauma Case Reports     Open Access   (Followers: 1)
Trauma Monthly     Open Access   (Followers: 4)
Visual Journal of Emergency Medicine     Full-text available via subscription   (Followers: 1)
Western Journal of Emergency Medicine     Open Access   (Followers: 11)
 AEM Education and Training : A Global Journal of Emergency Care     Open Access   (Followers: 1)

           

Similar Journals
Journal Cover
European Journal of Emergency Medicine
Journal Prestige (SJR): 0.597
Citation Impact (citeScore): 1
Number of Followers: 25  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0969-9546 - ISSN (Online) 1473-5695
Published by LWW Wolters Kluwer Homepage  [330 journals]
  • An expresso with EUSEM

    • Free pre-print version: Loading...

      Authors: Leach; Robert
      Abstract: No abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Overview of quality and safety in emergency medicine

    • Free pre-print version: Loading...

      Authors: Bellou; Abdelouahab; Heyworth, John; ; on behalf of the European Society for Emergency Medicine Working Group on Quality Safety in Emergency Medicine (EWQSEM
      Abstract: No abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Telemedicine for the management of patients calling an Emergency Medical
           Communication Center for dyspnea: a before-after study

    • Free pre-print version: Loading...

      Authors: Marjanovic; Nicolas; Autin, Mathieu; Violeau, Mathieu; Mimoz, Olivier; Guenezan, Jérémy
      Abstract: imageNo abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Diagnosis of dilated cardiomyopathy with point-of-care ultrasound in
           patients with unexplained shortness of breath: a case series

    • Free pre-print version: Loading...

      Authors: Le Bastard; Quentin; Javaudin, François; Montassier, Emmanuel; Pes, Philippe; Le Conte, Philippe
      Abstract: No abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Standard vs. modified vestibular/ocular motor screening for emergency
           department prediction of symptom persistence 1 week after minor head
           injury

    • Free pre-print version: Loading...

      Authors: Thomas; Caroline E.; Pathan, Sameer A.; Bhutta, Zain A.; Qureshi, Isma; Thomas, Stephen H.
      Abstract: imageNo abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Identifying needs of older patients at the emergency department

    • Free pre-print version: Loading...

      Authors: García-Martínez; Ana; Artajona, Lourdes; Aguiló, Sira
      Abstract: No abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Response to ‘Identifying needs of older patients at the emergency
           department’

    • Free pre-print version: Loading...

      Authors: Karamercan; Mehmet A.; Dündar, Defne Z.
      Abstract: No abstract available
      PubDate: Tue, 24 Oct 2023 00:00:00 GMT-
       
  • Research methods in quality and safety in emergency medicine

    • Free pre-print version: Loading...

      Authors: Hachimi-Idrissi; Said; Bergs, Jochen; Tsilimingras, Dionyssios; on behalf of the European Society for Emergency Medicine Working Group on Quality Safety in Emergency Medicine (EWQSEM
      Abstract: No abstract available
      PubDate: Fri, 06 Oct 2023 00:00:00 GMT-
       
  • Status of the specialty Emergency Medicine in Europe

    • Free pre-print version: Loading...

      Authors: Behringer; Wilhelm; Brown, Ruth
      Abstract: imageNo abstract available
      PubDate: Thu, 21 Sep 2023 00:00:00 GMT-
       
  • Global emergency care: a quality and safety perspective

    • Free pre-print version: Loading...

      Authors: Cattermole; Giles N.; Kumar, Vijaya Arun; Walravens, Stig; on behalf of the European Society for Emergency Medicine Working Group on Quality Safety in Emergency Medicine (EWQSEM
      Abstract: No abstract available
      PubDate: Wed, 20 Sep 2023 00:00:00 GMT-
       
  • How should we train emergency physicians for quality and safety
           activities'

    • Free pre-print version: Loading...

      Authors: Brown; Ruth; Kurland, Lisa; Lojo Rial, Carlos; ; on behalf of the European Society for Emergency Medicine Working Group on Quality Safety in Emergency Medicine (EWQSEM
      Abstract: No abstract available
      PubDate: Wed, 20 Sep 2023 00:00:00 GMT-
       
  • Diagnosis and practical management of digoxin toxicity: a narrative review
           and consensus

    • Free pre-print version: Loading...

      Authors: Andrews; Paul; Anseeuw, Kurt; Kotecha, Dipak; Lapostolle, Frédéric; Thanacoody, Ruben
      Abstract: imageThere are currently no universally accepted guidelines for the management of digoxin toxicity. In the absence of clinical practice guidelines, a set of consensus recommendations for management of digoxin toxicity in the clinical setting were developed through a modified Delphi approach. The recommendations highlight the importance of early recognition of signs of potentially life-threatening toxicity that requires immediate treatment with digoxin-specific antibodies. The consensus identifies a straightforward approach to dosing immune antibody fragments according to the presence or absence of signs of life-threatening toxicity. Supportive measures and management of specific signs of toxicity are also covered.
      PubDate: Fri, 25 Aug 2023 00:00:00 GMT-
       
  • Immigration bias among medical students: a randomized controlled trial

    • Free pre-print version: Loading...

      Authors: Grafeneder; Jürgen; Baewert, Andjela; Katz, Henri; Holzinger, Anita; Niederdoeckl, Jan; Roth, Dominik
      Abstract: imageBackground and importance Racial bias is found in both physicians and medical students. Immigrants in many parts of the world face challenges similar to racial minorities. Identification of immigrants might however be more subtle than identification by race, and currently, no data are available on a possible bias against the large minority group of migrants in Europe.Design Randomized control trial.Settings and participants Second-year medical students were randomized into four groups to watch a video of either a male or female patient with pain, with or without immigrant status.Intervention Students were asked whether they would administer pain medication (primary outcome).Outcome measures and analysis Immigrant status, patient’s gender, student’s gender, age, and language skills were covariates in a logistic regression model. Secondary outcomes included pain medication potency and the student’s rating of the patient’s pain intensity.Main results We recruited 607 students [337 females (56%), 387 (64%) between 18 and 22 years old]. Analgesia was administered in 95% (n = 576). Immigrant status was not associated with the probability of receiving pain medication [95 vs. 95%, odds ratio (OR) 0.81, 95% confidence interval (CI) 0.39–1.70, P = 0.58]. Immigrants received high-potency analgesia less often (26 vs. 33%, OR 0.69, 95% CI 0.50–0.96, P = 0.03). Female students administered pain medication more frequently (96 vs. 93%, OR 2.29, 95% CI 1.05–5.02, P = 0.04), and rated the patients’ pain higher (mean numeric rating scale 7.7, SD 0.9 vs. 7.4, SD 1.0, OR 1.36, 95% CI 1.16–1.60, P 
      PubDate: Fri, 25 Aug 2023 00:00:00 GMT-
       
  • Using emergency department triage for machine learning-based admission and
           mortality prediction

    • Free pre-print version: Loading...

      Authors: Tschoellitsch; Thomas; Seidl, Philipp; Böck, Carl; Maletzky, Alexander; Moser, Philipp; Thumfart, Stefan; Giretzlehner, Michael; Hochreiter, Sepp; Meier, Jens
      Abstract: imageAims Patient admission is a decision relying on sparsely available data. This study aims to provide prediction models for discharge versus admission for ward observation or intensive care, and 30 day-mortality for patients triaged with the Manchester Triage System.Methods This is a single-centre, observational, retrospective cohort study from data within ten minutes of patient presentation at the interdisciplinary emergency department of the Kepler University Hospital, Linz, Austria. We trained machine learning models including Random Forests and Neural Networks individually to predict discharge versus ward observation or intensive care admission, and 30 day-mortality. For analysis of the features’ relevance, we used permutation feature importance.Results A total of 58323 adult patients between 1 December 2015 and 31 August 2020 were included. Neural Networks and Random Forests predicted admission to ward observation with an AUC-ROC of 0.842 ± 0.00 with the most important features being age and chief complaint. For admission to intensive care, the models had an AUC-ROC of 0.819 ± 0.002 with the most important features being the Manchester Triage category and heart rate, and for the outcome 30 day-mortality an AUC-ROC of 0.925 ± 0.001. The most important features for the prediction of 30 day-mortality were age and general ward admission.Conclusion Machine learning can provide prediction on discharge versus admission to general wards and intensive care and inform about risk on 30 day-mortality for patients in the emergency department.
      PubDate: Mon, 14 Aug 2023 00:00:00 GMT-
       
  • Predictive factors for early requirement of respiratory support through
           phone call to Emergency Medical Call Centre for dyspnoea: a retrospective
           cohort study

    • Free pre-print version: Loading...

      Authors: Balen; Frederic; Lamy, Sebastien; Fraisse, Sarah; Trinari, Julie; Bounes, Vincent; Dubucs, Xavier; Charpentier, Sandrine
      Abstract: imageBackground Acute dyspnoea is a common symptom in Emergency Medicine, and severity assessment is difficult during the first time the patient calls the Emergency Medical Call Centre.Objective To identify predictive factors regarding the need for early respiratory support in patients who call the Emergency Medical Call Centre for dyspnoea.Design, settings and participants This retrospective cohort study carried out in the Emergency Medical Call Centre of the University Hospital of Toulouse from 1 July to 31 December 2019. Patients over the age of 15 who call the Emergency Medical Call Centre regarding dyspnoea and who were registered at the University Hospital or died before admission were included in our study.Outcome measure and analysis The primary end-point was early requirement of respiratory support [including high-flow oxygen, non-invasive ventilation (NIV) or mechanical ventilation after intubation] that was initiated by the physicians staffed ambulance before admission to the hospital or within 3 h after being admitted. Associations with patients’ characteristics identified during Emergency Medical Call Centre calls were assessed with a backward stepwise logistic regression after multiple imputations for missing values.Main results During the 6-month inclusion period, 1425 patients called the Emergency Medical Call Centre for respiratory issues. After excluding 38 calls, 1387 were analyzed, including 208 (15%) patients requiring respiratory support. The most frequent respiratory support used was NIV (75%). Six independent predictive factors of requirement of respiratory support were identified: chronic β2-mimetics medication [odds ratio (OR) = 2.35, 95% confidence interval (CI) 1.61–3.44], polypnea (OR = 5.78, 95% CI 2.74–12.22), altered ability to speak (OR = 2.35, 95% CI 1.55–3.55), cyanosis (OR = 2.79, 95% CI 1.81–4.32), sweats (OR = 1.93, 95% CI 1.25–3) and altered consciousness (OR = 1.8, 95% CI 1.1–3.08).Conclusion During first calls for dyspnoea, six predictive factors are independently associated with the risk of early requirement of respiratory support.
      PubDate: Wed, 09 Aug 2023 00:00:00 GMT-
       
  • MEESSI-AHF score to estimate short-term prognosis of acute heart failure
           

    • Free pre-print version: Loading...

      Authors: Oberlin; Mathieu; Buis, Guillaume; Alamé, Karine; Martinez, Mikaël; Bitard, Marie Paule; Berard, Lise; Losset, Xavier; Balen, Frederic; Lehodey, Bruno; Taheri, Omide; Delannoy, Quentin; Kepka, Sabrina; Tran, Duc-Minh; Bilbault, Pascal; Godet, Julien; Le Borgne, Pierrick
      Abstract: imageBackground The assessment of acute heart failure (AHF) prognosis is primordial in emergency setting. Although AHF management is exhaustively codified using mortality predictors, there is currently no recommended scoring system for assessing prognosis. The European Society of Cardiology (ESC) recommends a comprehensive assessment of global AHF prognosis, considering in-hospital mortality, early rehospitalization rates and the length of hospital stay.Objective We aimed to prospectively evaluate the performance of the Multiple Estimation of risk based on the Emergency department Spanish Score In patients with AHF (MEESSI-AHF) score in estimating short prognosis according to the ESC guidelines.Design, settings and patients A multicenter study was conducted between November 2020, and June 2021. Adult patients who presented to eleven French hospitals for AHF were prospectively included.Outcome measures and analysis According to MEESSI-AHF score, patients were stratified in four categories corresponding to mortality risk: low-, intermediate-, high- and very high-risk groups. The primary outcome was the number of days alive and out of the hospital during the 30-day period following admission to the Emergency Department (ED).Results In total, 390 patients were included. The number of days alive and out of the hospital decreased significatively with increasing MEESSI-AHF risk groups, ranging from 21.2 days (20.3–22.3 days) for the low-risk, 20 days (19.3–20.5 days) for intermediate risk,18.6 days (17.6–19.6 days) for the high-risk and 17.9 days (16.9–18.9 days) very high-risk category.Conclusion Among patients admitted to ED for an episode of AHF, the MEESSI-AHF score estimates with good performance the number of days alive and out of the hospital.
      PubDate: Mon, 31 Jul 2023 00:00:00 GMT-
       
  • Performance of the Fresno-Quebec Rule in identifying patients with
           concomitant fractures not requiring a radiograph before shoulder
           dislocation reduction: a multicenter retrospective cohort study

    • Free pre-print version: Loading...

      Authors: Benhamed; Axel; Bonnet, Margot; Miossec, Auriane; Mercier, Eric; Hernu, Romain; Douplat, Marion; Gorincour, Guillaume; L’Huillier, Romain; Abensur Vuillaume, Laure; Tazarourte, Karim
      Abstract: imageBackground and importance Although shoulder dislocation diagnosis is often solely based on clinical examination, physicians may order a radiograph to rule out a concomitant shoulder fracture before performing reduction. The Fresno-Québec decision rule aims to identify patients requiring a radiograph before reduction to avoid unnecessary systematic imaging. However, this novel approach needs further validation.Objective To evaluate the performance of the Fresno-Québec rule in identifying patients who do not require a prereduction radiograph and assess the variables associated with a clinically significant fracture.Design, settings, and participants A multicenter, retrospective cohort study from 2015 to 2021. Data were extracted from three ED university-affiliated tertiary-care centers. Patients aged ≥18 years with a final diagnosis of anterior glenohumeral dislocation were included.Outcomes measure and analysis Accuracy metrics [sensitivity (Se), specificity (Sp), positive (PPV), negative predictive value (NPV), positive likelihood ratio (PLR) and negative likelihood ratio (NLR)] of the Fresno-Québec rule were measured. Multivariable logistic regression model was used to identify variables associated with the presence of a concomitant clinically significant fracture.Main results A total of 2129 patients were included, among whom 9.7% had a concomitant fracture. The performance metrics of the Fresno-Québec rule were as follows: Se 0.96 95% confidence interval (0.92–0.98), Sp 0.36 (0.34–0.38), PPV 0.14 (0.12–0.16), NPV 0.99 (0.98–0.99), PLR 1.49 (1.42–1.55) and NLR 0.12 (0.06–0.23). A total of 678 radiographs could have been avoided, corresponding to a reduction of 35.2%. Age ≥40 years, first dislocation episode [odds ratio (OR) = 3.18 (1.95–5.38); P 
      PubDate: Mon, 31 Jul 2023 00:00:00 GMT-
       
  • Exposure to organophosphorus compounds: best practice in managing timely,
           effective emergency responses

    • Free pre-print version: Loading...

      Authors: Dorandeu; Frédéric; Singer, Christopher; Chatfield, Steven; Chilcott, Robert P.; Hall, Jonathan
      Abstract: Increasing indications, reports and studies demonstrate that threats from the deliberate use of chemical weapons remain high and are evolving. One of the deadliest classes of chemical weapons are the organophosphorus nerve agents. It is now clear that both state and non-state actors have the ability to deploy and use these types of weapons against individuals and the wider civilian population posing a real and significant threat. The objective of this article is to provide an overview of the issues impacting on a timely critical response to the accidental or deliberate release of Organophosphorus Nerve Agents in order to enhance the understanding of their effects and provide guidance on how first responders might better treat themselves or victims of exposure through a discussion of available evidence and best practices for rapid skin decontamination. The article also examines use of the current nomenclature of ‘wet’ and ‘dry’ to describe different forms of decontamination. One of the key conclusions of this article is that adequate preparedness is essential to ensuring that responders are trained to understand the threat posed by Organophosphorus Nerve Agents as well as how to approach a contaminated environment. A key aspect to achieving this will be to ensure that generic medical countermeasures are forward-deployed and available, preferably within minutes of a contamination and that first responders know how to use them.
      PubDate: Fri, 14 Jul 2023 00:00:00 GMT-
       
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


Your IP address: 18.206.12.157
 
Home (Search)
API
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-