Emergency Treatment Pubmed Results

CONCLUSION: HFOV and CMV have positive comparable effects on hemodynamics in full-term neonates with PPH.

CONCLUSION: This meta-analysis showed that IV access is superior to IO in terms of favorable neurological outcomes and survival to hospital arrival and discharge in out-of-hospital cardiac arrest patients. This suggests that when feasible, the IV route should be preferred in emergency resuscitation protocols.

CONCLUSIONS: Pv-aCO2/Ca-vO2 may serve as a reliable parameter for determining the fluid resuscitation target in patients with septic shock.

This study aims to clarify impacts of blood culture-negative on results of infectious endocarditis (IE) patients with nonsurgical and surgical intervention. This retrospective study was done to investigate patients with IE during study period at our hospital. There were 720 blood culture-negative endocarditis patients (35.7%). In-hospital mortality, aortic regurgitation ≥ 4 cm2, mitral regurgitation (MR) ≥ 4 cm2, vegetation size ≥ 10 mm, time between symptoms and admission ≥ 2 months, mechanical...

CONCLUSIONS: Decreased injury to hospital arrival time and increased use of helicopter transport in specific situations may improve patient outcomes; this indicates the need for prospective studies.

CONCLUSIONS: These findings highlight the importance of continuous access to primary care and the potential benefits of Medicaid expansion for undocumented adults in California. Health systems should prioritize continuity of care to improve chronic disease management and reduce avoidable ED visits in underserved populations.

CONCLUSION: In this cohort, CT use and positivity increased with age and key exam findings (e.g., tenderness) being less informative in older adults, despite similar reported clinician pretest suspicion. These results support age-aware imaging decisions and motivate reframing ED abdominal pain as a geriatric-specific chief complaint.

CONCLUSION: The study highlights important gaps in public awareness and practices regarding stroke management. Strengthening community education and designing targeted health interventions could improve early recognition and timely medical response, thereby reducing preventable morbidity and mortality.

The COVID-19 pandemic adversely affected several aspects of daily life and seriously threatened public health. The main aim of this study was to investigate the differences in human response to SARS-CoV-2 virus infection depending on sex, based on emergency medical team (EMT) interventions. The study was conducted in north-eastern Poland and were based on 12,110 EMT interventions, in which SARS-CoV-2 virus infection was indicated as an ICD-10 codification-based diagnosis. The study used...

CONCLUSION: Pain management outcomes go beyond immediate comfort to impacts on psychological well-being, quality of life, and even recovery trajectory, thus supporting comprehensive and patient-centered care.

CONCLUSION: Dentists in Saudi Arabia exhibit positive attitudes but insufficient knowledge and confidence regarding BLS/CPR. Regular refresher training, simulation-based education, and enforcement of clinic-level emergency preparedness are essential to enhance patient safety and professional competence.

CONCLUSION: Pediatric trauma triage in Denmark shows substantial inter-center variation combined with consistently high overtriage. These findings suggest a misalignment between current TTA practices and pediatric injury severity profiles. Greater alignment of pediatric-specific triage criteria across prehospital and in-hospital settings may support more accurate TTA, promote consistent care, and improve resource utilization across trauma centers.

Optic nerve sheath diameter (ONSD) measured by bedside ultrasonography has emerged as a promising non-invasive surrogate marker of intracranial pressure and may have prognostic value in post-resuscitation patients. This retrospective observational study evaluated the utility of ONSD in predicting cognitive dysfunction among neurological intensive care unit (ICU) patients following cardiac arrest. A total of 60 adult patients who achieved return of spontaneous circulation (ROSC) were initially...

INTRODUCTION: Sex-related disparities in acute ischaemic stroke (AIS) care have been widely reported. However, evidence from Italy remains limited. We aimed to evaluate sex differences in access to revascularisation treatments (RTs) and key time performance indicators in a large Italian cohort.

INTRODUCTION: In France, cervical spine trauma frequently results in systematic prehospital immobilisation with a cervical collar, despite a low incidence of clinically significant injuries. This practice may lead to unnecessary discomfort, delayed care and emergency department (ED) overcrowding. The Canadian C-Spine Rule (CCR) is a validated tool for identifying patients at low risk of cervical injury but its use is currently limited to ED settings. An adapted version (CCRa) has been validated...

CONCLUSIONS: AD-YOLO11 achieves millisecond-level, high-accuracy detection of all three critical Type B aortic dissection components from CTA images. Its efficient inference on both GPU and CPU makes it a promising frontline tool for rapid triage in emergency and resource-limited settings, effectively complementing time-consuming 3D segmentation for aortic dissection assessment.

CONCLUSION: Incorporating FA-PP testing for LRTI diagnosis may be ancillary to assess the relationship between MDRB colonization and subsequent LRTI by matched strains.

CONCLUSION: Our findings provide preliminary evidence in support of an outreach model to promote initiation of early pregnancy-related care following ED utilization and offer a flexible blueprint for adaptation across clinical settings. Our work meaningfully contributes to the limited literature base on early pregnancy care innovation.

CONCLUSIONS: Pro-inflammatory levels shortly after traumatic stress are associated with heightened PTSD symptoms, particularly among males. Inflammatory markers may prove useful additions to prediction models for PTSD following trauma, with attention to sex differences.

CONCLUSION: TyG-BMI demonstrates superior prognostic performance compared to traditional cardiometabolic indices for predicting sepsis and 30-day mortality in palliative care, with exceptional discriminative ability in diabetic patients.

INTRODUCTION: In the UK, a range of services provide same day, urgent and emergency care (UEC). Urgent medical needs can be addressed through pharmacy services, same day general practice (GP) appointments, phone or online triage services, out-of-hours GP appointments and urgent treatment centres (or equivalents). For emergency medical needs, patients can access emergency departments (EDs) and ambulance services. These services are highly vulnerable to excessive strain due to rising,...

CONCLUSION: The CLICS intervention was associated with a reduction in unplanned hospital usage. Social prescribing may be a valuable component of strategies to reduce health inequalities in unplanned hospital usage.

This bidirectional cohort study included 452 patients with pneumonia (modeling cohort) from the Department of Respiratory and Critical Care Medicine at Jinan People's Hospital retrospectively enrolled between January 2021 and December 2023, and 300 patients with newly diagnosed pneumonia (validation cohort) prospectively recruited from January to December 2024. The least absolute shrinkage and selection operator regression (10-fold cross-validation, λ=0.023) was initially applied for...

CONCLUSIONS: NO administration during ECLS drives a coordinated oxidative-inflammatory-apoptotic response and disrupts metabolic pathways necessary for myocardial recovery, suggesting a mechanistic basis for worsened post-arrest myocardial injury. These findings have direct implications for optimizing resuscitation strategies in human ECLS and may inform future therapeutic modulation of NO signaling.

CONCLUSION: Prophylactic propranolol significantly reduces PSH incidence, shortens MV duration, and decreases ICU stay in moderate-to-severe TBI. Although adding gabapentin further reduces PSH, it prolongs recovery time, suggesting a trade-off between efficacy and sedative effects. These findings suggest that propranolol monotherapy is a promising prophylactic strategy, with gabapentin potentially reserved for refractory cases. However, given the study's limitations, these results should be...

CONCLUSIONS: The tactical police medics represent a highly trained and competent group that is not being utilized to its full potential. They could be deployed more extensively in situations requiring tactical medical care and rescue operations. Achieving this would require stronger and more effective collaboration with civilian healthcare services.

CONCLUSIONS: The Maccabi-RED application demonstrates feasibility of scaling patient-initiated digital emergency routing, with potential to reduce downstream acute care utilization. However, observed approval disparities across age groups, geographic regions, and socioeconomic strata indicate that digital maturity alone does not guarantee equitable access. These findings underscore the importance of embedding equity considerations in system design, monitoring protocols, and capacity planning....

CONCLUSION: Moderate burnout, dominated by exhaustion, was observed among SEMS employees in Poland. Organizational factors, particularly salary satisfaction and workplace setting, were key correlates. These findings highlight the need for system-level interventions to improve working conditions and workforce sustainability, while acknowledging the cross-sectional design and psychometric limitations.

CONCLUSIONS: Reliance on clinical assessment alone results in a substantial number of unnecessary operations. Preoperative imaging significantly reduces NAR (p less-than 0.001), supporting broader adoption of guideline-based diagnostic strategies to improve diagnostic accuracy and optimise resource utilisation.

Provision of invasive mechanical ventilation (IMV) in the neonatal intensive care has seen a steady rise in low-esource settings (LRS). However, outcomes among those exposed to IMV remain under-reported, with the current evidence base being restricted to single-centre observational studies, thus limiting comparative analyses and effective healthcare planning. This study aims to estimate the pooled proportion of mortality and morbidity among neonates exposed to IMV in low-resource settings....

BACKGROUND AND OBJECTIVES: In Australia, asthma is the most common chronic childhood disease, with prevalence and care varying across communities. In three local government areas (LGAs) in Melbourne's inner west, we compared childhood asthma-related emergency department (ED) visits to Victoria overall, and explored parents' perceived enablers and barriers to community-based asthma care.

CONCLUSIONS: The prototype yielded a modest improvement in medical quality within the scenario‑based test environment. Although overall communication quality remained unchanged, aspects of the interaction were negatively affected. Artificial intelligence-based question recommendations combined with structured documentation may serve as useful functionalities within a decision support system, but each functionality requires further testing and development before such technology can be implemented...

CONCLUSION: Over one-quarter of women experienced delays in reaching EmOC facilities, driven by rural residence and low income, while one-third faced delays in receiving care, associated with lower odds among married women and those with moderate income. Self-reported systemic barriers, including staffing shortages, poor infrastructure, and inefficient referrals, compound socioeconomic vulnerabilities in this conflict-affected zone. Targeted interventions, such as subsidised rural transport,...

Effective and standardized prehospital triage is crucial in mass casualty incidents (MCIs) to optimize patient outcomes. Existing triage systems often vary by region, creating challenges for multinational disaster response. A "translational" tool, intended to support interoperability and potentially bridge routine and MCI contexts, has been proposed. As a preliminary step, this study evaluates the concordance, defined here as the post-hoc categorical agreement) of the translational triage tool...

IntroductionRefractory cardiac arrest carries a poor prognosis. Extracorporeal cardiopulmonary resuscitation (ECPR) can be lifesaving but is associated with high morbidity and mortality. We report a likely underdiagnosed complication - non-occlusive mesenteric ischemia (NOMI) - following ECPR, emphasizing the diagnostic challenges and the role of early endoscopic evaluation and an interdisciplinary assessment of these patients.Case PresentationA 48-year-old man presented with ST-elevation...

IntroductionThe mortality of patients with mechanical complications following myocardial infarction is high. Surgical repair is challenging due to the fragility of ischemic myocardial tissue. The course is frequently complicated by cardiogenic shock, acute kidney injury and respiratory failure.Case reportWe present a patient with out-of-hospital cardiac arrest due to myocardial infarction and left ventricular free-wall rupture, who received extracorporeal cardiopulmonary resuscitation (ECPR),...

IntroductionExtracorporeal Cardiopulmonary Resuscitation (ECPR) is a lifesaving intervention for in-hospital (IHCA) and out-of-hospital cardiac arrest (OHCA). However, severe aortic regurgitation (AR) has traditionally been considered an absolute contraindication for veno-arterial extracorporeal membrane oxygenation (V-A ECMO).Case reportA 63-year-old man with aortic regurgitation experienced IHCA with 50 min of low-flow time. The patient received ECPR and emergent valve-in-valve (ViV)...

BackgroundThe combined use of extracorporeal cardio-pulmonary resuscitation (ECPR) and large bore mechanical thrombectomy represents an emerging strategy for patients experiencing cardiac arrest secondary to catastrophic pulmonary embolism.MethodsThis retrospective, single-center study included patients treated between January 2023 and June 2025 who experienced cardiac arrest due to catastrophic pulmonary embolism and underwent ECPR followed by large bore mechanical thrombectomy. Primary...

IntroductionOne potential indication for ECPR is drug poisoning complicated by shock and severe cardiac failure. Over the past 3 years, only one case of in-hospital cardiac arrest due to poisoning was managed with ECPR at our center.Case reportThe patient was a 12-year-old girl with a body weight of 60 kg. She attempted suicide by ingesting molsidomine and cinnarizine tablets. Shortly after admission, she developed cardiac arrest, and ECPR was indicated. After 67 min of CPR, ECMO support was...

IntroductionSugammadex (Bridion®, MSD, Seoul, Republic of Korea) is widely used for neuromuscular blockade reversal at the end of general anesthesia. We report a rare case of refractory cardiac arrest secondary to sugammadex-induced anaphylaxis, successfully managed with extracorporeal cardiopulmonary resuscitation.Case presentationA 44-year-old man with no history of cardiovascular disease underwent robotic-assisted partial nephrectomy for a renal mass; 3 min after sugammadex intravenous...

IntroductionPersistent asystole following restoration of mechanical circulation during extracorporeal cardiopulmonary resuscitation (E-CPR) is typically considered fatal. However, in profound hypothermia, electrical silence may not reflect irreversible myocardial injury.Case ReportA term neonate with severe meconium aspiration syndrome (MAS) was initially supported on veno-arterial ECMO at a regional hospital and transported to a tertiary ECMO facility. Following decannulation, she suffered...

Intensified collaboration between general practitioner surgeries and emergency departments has led to more efficient triage and patient flow. Emergency departments now focus on more complex cases, while dental emergencies do not primarily fall within their scope of care. This study explores the experiences of emergency department staff of the organization of emergency dental care. Although dental care primarily is a responsibility of primary care providers, emergency department staff are...

CONCLUSION: Monthly, or more frequent, model retraining sustains discrimination and calibration for paediatric ED admission prediction. This effectively mitigated concept drift and enabled accurate simulated daily bed-demand forecasting, providing evidence to support the clinical testing of such modelling.

CONCLUSION: In this single center study of patients screening positive for DKA or given an ED diagnosis of DKA, 53% met laboratory criteria for DKA, and of those not meeting criteria, 31% were nevertheless diagnosed with DKA. This suggests that emergency physicians use criteria beyond laboratory values to diagnose DKA and supports the idea that DKA is ultimately a clinical rather than a purely laboratory-diagnosed condition.

CONCLUSION: Uptake of AI-scribe was higher among trainees than consultants, and the platform achieved substantial time savings. Future studies are required to quantify real-time productivity gains over longer periods.

CONCLUSIONS: Patients report barriers to effective care transitions after ED discharge at higher rates than resident physicians identify these barriers. Poor agreement between patient-reported and physician-identified challenges suggests a need for enhanced training, systematic screening, and interdisciplinary collaboration.

CONCLUSIONS AND RELEVANCE: In this secondary analysis of an RCT, a behavioral science-informed intervention that increased postpartum primary care engagement was associated with decreased acute care use for primary care-treatable concerns. The results suggest that supporting postpartum transitions to primary care may reduce reliance on acute care, perhaps by facilitating greater care coordination and early detection and management of chronic conditions in the primary care setting.

CONCLUSIONS: Despite the methodological limitations inherent in this nonrandomized study, our findings indicate that supplementing traditional training with the game-based mobile app significantly enhanced short-term acquisition of theoretical knowledge and practical skills and promoted sustained knowledge retention. This supports the app's potential as an effective and promising complement to conventional CPR and AED training programs.

CONCLUSIONS: Process mapping can help understand context and identify opportunities for intervention to improve facility care of severely ill children. We define organisational archetypes as heuristic tools for facility leaders and policymakers that can help facilities locate their configuration and recognise context-specific priorities. Potential low-cost opportunities for improvement include: building on existing adaptations (e.g., involving non-clinical staff and families in triage),...

CONCLUSION: Through stepwise analysis, we demonstrate that dynamic platelet parameters-magnitude and timing of decline-independently predict 28-day mortality in sepsis. The magnitude applies to all patients but is static, while timing adds a critical dimension: the same degree of decline has different prognostic implications depending on when it occurs. Delayed decline and intermediate/late nadir indicate poor prognosis, whereas early nadir does not. These findings underscore the importance of...