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European Journal of Emergency Medicine
Journal Prestige (SJR): 0.597  Citation Impact (citeScore): 1 Number of Followers: 25  Hybrid journal (It can contain Open Access articles)ISSN (Print) 0969-9546 - ISSN (Online) 1473-5695 Published by LWW Wolters Kluwer  [330 journals]
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- Highlights from the abstracts of EUSEM 2024 in Copenhagen
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Authors: Backus; Barbra E.
Abstract: No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Timing of antibiotic administration in sepsis: always within 1 h'
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Authors: Vincent; Jean-Louis
Abstract: No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Evolving pediatric airway management: supraglottic devices as a first-line
option'-
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Authors: Javaudin; François; Le Bastard, Quentin
Abstract: No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Leveraging individual development plans to support women physicians
navigating academic medicine-
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Authors: Landry; Adaira I.; Kanapicki, Jennifer L.; Haas, Mary R.C.; Macias-Konstantopoulos, Wendy L.; Westafer, Lauren M.; Perry, Marcia A.; Natesan, Sreeja M.
Abstract:
No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Predicting emergency department revisits with hospitalization in a
multihospital network: a large-scale assessment-
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Authors: Morlotti; Chiara; Cattaneo, Mattia; Paleari, Francesco; Manelli, Filippo; Locati, Francesco
Abstract:
No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Evaluation of the use of artificial intelligence in the detection of
appendicular skeletal fractures in adult patients consulting in an
emergency department, a retrospective study-
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Authors: Dubreucq Guerif; Evelyne; Agut, Sophie; Rousseau, Alexandra; Bompard, Rudy; Goulet, Hélène
Abstract:
No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Gender disparities in diagnostic procedures of primary hyperventilation
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Authors: Ryser; Basil; Merz, Sarah; Flueckiger, Simon; Exadaktylos, Aristomenis; Lindner, Gregor
Abstract: No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Comment on: Prehospital interventions and outcomes in traumatic cardiac
arrest: a population-based cohort study using Danish helicopter emergency
medical services data-
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Authors: Kreuzer; Philipp; Hatzl, Stefan
Abstract: No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- In response to comment on: Prehospital interventions and outcomes in
traumatic cardiac arrest: a population-based cohort study using Danish
helicopter emergency medical services data-
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Authors: Wolthers; Signe Amalie; Palsgaard Møller, Thea; Holgersen, Mathias Geldermann; Breindahl, Niklas; Walther Jensen, Theo; Andersen, Lars Bredevang; Blomberg, Stig Nikolaj Fasmer; Mikkelsen, Søren; Steinmetz, Jacob; Christensen, Helle Collatz
Abstract: No abstract available
PubDate: Tue, 25 Feb 2025 00:00:00 GMT-
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- Stroke alert! Autoimmune ischemic vascular emergencies of the eye
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Authors: Avasarala; Jagannadha; Gangadhara, Suhas; Thandampallayam, Mangayakarasi
Abstract: No abstract available
PubDate: Tue, 07 Jan 2025 00:00:00 GMT-
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- Association between time to antibiotic and mortality in patients with
suspected sepsis in the Emergency Department: post hoc analysis of the
1-BED randomized clinical trial-
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Authors: Philippon; Anne-Laure; Lebal, Soufiane; Cancella de Abreu, Marta; Gerlier, Camille; Mirò, Oscar; Simon, Tabassome; Freund, Yonathan
Abstract:
Importance The impact of early antibiotics on mortality in patients with suspected sepsis in the emergency department (ED) remains debated, particularly in patients with less severe presentations or before infection confirmation.Objective To evaluate the association between time to antibiotic administration and 28-day in-hospital mortality among patients with suspected sepsis in the ED.Design, setting, and participants Post hoc analysis of the 1-bundle emergency department trial, a multicenter, stepped-wedge cluster-randomized controlled trial conducted in 23 EDs in France and Spain. A total of 872 patients with suspected sepsis were included between June 2022 and September 2023. All patients with available data on antibiotic administration were analyzed, and a subgroup of patients with no hypotension was also assessed.Exposures Time to antibiotic administration. The effect of time to fluid resuscitation was also assessed.Main outcomes and measures The primary outcome was in-hospital mortality at 28 days. Secondary outcomes included all-cause 28-day mortality, ICU length of stay, number of days without vasopressors at day 28, and change in Sequential Organ Failure Assessment score at 72 h.Results Among 872 patients (mean age 66 years; 41% female), 859 had available data on antibiotic administration (primary analysis) and 791 (92%) received antibiotics. The median time to antibiotic administration was 61 min (IQR 14–169), with 457 patients (58%) receiving antibiotics within 1 h. In-hospital mortality at 28 days was 14.7% for patients who did not received antibiotic within 1 h versus 9.6% for patients who did [adjusted odds ratio (aOR) 2.00 (1.24–3.23)]. There was an aOR of 1.06 (1.02–1.1) for each hour of delay for antibiotic administration. This effect was confirmed in patients without hypotension [aOR 2.02 (1.08–3.76) for patients who received antibiotics beyond 1 h]. Time to fluid resuscitation was not associated with 28-day in-hospital mortality.Conclusion and relevance In patients with suspected sepsis presenting to the ED antibiotic administration beyond 1 h was associated with a two-fold increased 28-day in-hospital mortality. This effect persisted in patients without hypotension.
PubDate: Mon, 23 Dec 2024 00:00:00 GMT-
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- Contribution of point-of-care ultrasound in the prehospital management of
patients with non-trauma acute dyspnea: a systematic review and
meta-analysis-
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Authors: Taheri; Omide; Samain, Julie; Mauny, Frédéric; Puyraveau, Marc; Desmettre, Thibaut; Marx, Tania
Abstract:
Acute dyspnea is a common symptom whose management is challenging in prehospital settings. Point-of-care ultrasound (POCUS) is increasingly accessible because of device miniaturization. To assess the contribution of POCUS in the prehospital management of patients with acute nontraumatic dyspnea, we performed a systematic review on nontrauma patients of any age managed in the prehospital setting for acute dyspnea and receiving a POCUS examination. We searched seven databases and gray literature for English-language studies published from January 1995 to November 2023. Two independent reviewers completed the study selection, data extraction, and risk of bias assessment. The primary outcome was the assessment of the contribution of POCUS to feasibility, diagnostic, therapeutic, prognosis, patient referral, and transport vector modification. Twenty-three studies were included. The risk of bias assessment identified 3 intermediate-risk, 18 serious-risk, and 2 critical-risk studies. Three studies reported moderate to excellent feasibility for lung POCUS, and three studies reported poor to mediocre feasibility for cardiac POCUS. The median duration of the POCUS examination was less than 5 minutes (six studies). POCUS improved diagnostic identification (seven studies). The diagnostic accuracy of POCUS was excellent for pneumothorax (sensitivity = 100%, specificity = 100%, two studies), very good for acute heart failure (sensitivity = 71–100%, specificity = 72–95%, eight studies), good for pneumonia (sensitivity = 88%, specificity = 59%, one study), and moderate for pleural effusion (sensitivity = 26–53%, specificity = 83–92%, two studies). Treatment was modified in 11 to 54% of the patients (seven studies). POCUS had no significant effect on patient prognosis (two studies). POCUS contributed to patient referrals and transport vectors in 51% (four studies) and 25% (three studies) of patients, respectively. The evidence supports the use of POCUS for managing acute nontraumatic dyspnea in the prehospital setting in terms of feasibility, overall diagnostic contribution, and, particularly, lung ultrasound for acute heart failure diagnosis. Moreover, POCUS seems to have a therapeutic contribution. There is not enough evidence supporting the use of POCUS for pneumonia, pleural effusion, pneumothorax, chronic obstructive pulmonary disease, or asthma exacerbation diagnosis, nor does it support prognostic, patient referral, and transport vector contribution. A high level of evidence is lacking and needed.
PubDate: Tue, 03 Dec 2024 00:00:00 GMT-
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- Awareness and preparedness of health systems and emergency medicine
systems to the climate change challenges and threats: an international
survey-
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Authors: Petrino; Roberta; Garcia-Castrillo, Luis; Uccheddu, Graziano; Meucci, Letizia; Codecà, Roberta
Abstract:
Background and importance Climate change is widely recognised as a critical public health challenge.Objective The objective of this study was to assess the awareness, preparedness and mitigation plans for climate change threats.Design, settings and participants A cross-sectional observational study targeting emergency medical societies in different countries was conducted between 15 February and 15 March 2024.Intervention or exposure The survey featured 16 closed questions on climate change awareness, preparedness and risks. Focus groups of 4–6 members were organised by country. Results were correlated to income levels, United Nations (UN) regional classification and the World Risk Index.Outcome measure and analysis The questions were ranked using a Likert-like scale from 0 to 9 (9 being the highest). Descriptive statistics used central tendency estimators, and inferential analysis used chi-square and Kruskal–Wallis tests, with the significance level set at P
PubDate: Tue, 05 Nov 2024 00:00:00 GMT-
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- Euglycemic diabetic ketoacidosis: pitfalls, challenges, and perspectives
in emergency medicine-
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Authors: Lim; Beng Leong; Loo, Kee Vooi; Lee, Wei Feng
Abstract: No abstract available
PubDate: Fri, 11 Oct 2024 00:00:00 GMT-
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- Association between pre-arrest left ventricular ejection fraction and
survival in nontraumatic out-of-hospital cardiac arrest-
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Authors: Ho; Yi-Ju; Lien, Chun-Ju; Tsai, Ren-Jie; Fan, Cheng-Yi; Chen, Chi-Hsin; Huang, Chien-Tai; Chen, Ching-Yu; Chen, Yun-Chang; Huang, Chun-Hsiang; Chiang, Wen-Chu; Huang, Chien-Hua; Sung, Chih-Wei; Huang, Edward Pei-Chuan
Abstract:
Background and importance: Out-of-hospital cardiac arrest (OHCA) poses major public health issues. Pre-arrest heart function is a prognostic factor, but the specific contribution of pre-arrest echocardiographic evaluation in predicting OHCA outcome remains limited.Objective: The primary objective was to investigate the association between left ventricular ejection fraction (LVEF) measured in echocardiography prior to OHCA and survival to hospital discharge.Design, settings, and participants: This multicenter retrospective cohort study analyzed data from the National Taiwan University Hospital and its affiliated hospitals. We included adult nontraumatic OHCA patients who were treated by the emergency medical services (EMS) and underwent echocardiography within 6 months prior to the OHCA event from January 2016 to December 2022. Data included demographics, preexisting diseases, resuscitation events, and echocardiographic reports.Outcomes measure and analysis: The primary outcome was the survival to hospital discharge after post-arrest care. Statistical analysis involved multivariable logistic regression to modify potential confounders, reported as adjusted odds ratio (aOR) and 95% confidence interval (CI), and evaluate the association between echocardiographic findings and survival to hospital discharge.Main results: This study analyzed 950 patients, with 33.6% surviving to discharge. A higher pre-arrest LVEF was independently associated with increased survival. Compared to patients with LVEF
PubDate: Mon, 16 Sep 2024 00:00:00 GMT-
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- Videodistraction to reduce agitation in elderly patients in the emergency
department: an open label parallel group randomized controlled trial-
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Authors: Güvec; Enver; Koedel, Uwe; Horster, Sophia; Pedersen, Vera; Völk, Stefanie; Waldow, Michaela; Weber, Florian; Klein, Matthias
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Background and importance Agitation of elderly patients in the emergency department (ED) often complicates workup and therapy.Objective In this study, we investigated if agitation in the ED can be reduced by showing calming video sequences in elderly agitated patients.Designs Prospective randomized intervention study.Settings and participants ED patients aged ≥65 years were screened for the risk of agitation/delirium using the 4-A’s test (4-AT) test. In case of ≥4 4-AT points, patients were scored using the Richmond Agitation-Sedation Scale (RASS) and the Nursing Delirium Screening Scale (Nu-DESC). They were included in the study if RASS was ≥+2 and Nu-DESC ≥ 4 after informed consent of the legal representative. Patients were then randomized to the intervention or control group. A total of n = 57 patients were included in the study.Intervention Patients in the intervention group were exposed to projections of calming video sequences for 60 min. Patients in the control group received standard care.Outcome measures and analysis Changes in RASS and Nu-DESC were assessed 30 and 60 min after the intervention was started.Main results A total of 57 patients were included in the study, with 30 patients in the intervention group and 27 patients in the control group. Before the intervention, the median (interquartile range) RASS scores were comparable between the intervention group [3 (2–3)] and the control group [3 (2–3)]. After 30 min of exposure to calming video sequences, patients in the intervention group showed significantly lower RASS and Nu-DESC scores compared to the control group [RASS: 1 (0–1) vs. 2 (1.5–3), P
PubDate: Thu, 12 Sep 2024 00:00:00 GMT-
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- Laryngeal mask vs. laryngeal tube trial in paediatric patients (LaMaTuPe):
a single-blinded, open-label, randomised-controlled trial-
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Authors: Katzenschlager; Stephan; Mohr, Stefan; Kaltschmidt, Nikolai; Peterstorfer, Franziska; Weilbacher, Frank; Günther, Patrick; Ries, Markus; Weigand, Markus A.; Popp, Erik
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Background In hypoxemic children with difficult airway, or for minor elective procedures, the use of a supraglottic airway device may be preferred to endotracheal intubation, whether with a laryngeal mask or laryngeal tube. Second-generation laryngeal masks may offer a better safety profile. Whether they should be preferred to laryngeal tubes is unknown. This study aimed to compare the efficacy and safety of second-generation laryngeal masks and laryngeal tubes in children.Methods This randomised-controlled trial was conducted in a single university hospital in children
PubDate: Thu, 12 Sep 2024 00:00:00 GMT-
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