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Emergency department and hospital crowding: causes, consequences, and cures

McKenna P, Heslin SM, Viccellio , Mallon WK, Hernandez , Morley EJ

Overcrowding with associated delays in patient care is a problem faced by emergency departments (EDs) worldwide. ED overcrowding can be the result of poor ED department design and prolonged throughput...
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Concordance between the underlying causes of death on death certificates written by three emergency physicians

Lee H, Kim SH, Choi B, Ock M, Park EJ

OBJECTIVE: This study was conducted to evaluate the concordance between the underlying causes of death (UCOD) on the death certificates written by three emergency physicians (EPs). We investigated errors on...
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Worsened survival in the head-up tilt position cardiopulmonary resuscitation in a porcine cardiac arrest model

Park YJ, Hong KJ, Shin SD, Kim TY, Ro YS, Song KJ, Ryu HH

OBJECTIVE: Head elevation at an angle of 30° during cardiopulmonary resuscitation (CPR) was hemodynamically beneficial compared to supine position in a previous porcine cardiac arrest experimental study. However, survival benefit...
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Multicenter observational study on the reliability of the HEART score

Parenti N, Lippi G, Bacchi Reggiani ML, Luciani A, Cavazza M, Pietrangelo A, Vegetti A, Brugioni L, Bonfanti L, Cervellin

OBJECTIVE: To rapidly and safely identify the risk of developing acute coronary syndrome in patients with chest pain who present to the emergency department, the clinical use of the History,...
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A rare case of miliary tuberculosis accompanying perihepatitis

Kwon OJ, Lee SW, Jang MS, Kim SC, Lee JH, Kim H

Perihepatic capsulitis is associated with various diseases, such as Fitz-Hugh-Curtis syndrome, systemic lupus erythematosus, perforated cholecystitis, perforated hepatic abscess, and tuberculous peritonitis. Miliary tuberculosis is present in about 2% of...
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Effectiveness of limited airway ultrasound education for medical students: a pilot study

Park S, Lee S, Do HH, Kim JS, Seo JS

OBJECTIVE: The point-of-care ultrasound of the airway (POCUS-A) is a useful examination method but there are currently no educational programs for medical students regarding it. We designed a POCUS-A training...
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Diagnostic accuracy and temporal impact of ultrasound in patients with dyspnea admitted to the emergency department

Gaber HR, Mahmoud MI, Carnell J, Rohra A, Wuhantu J, Williams S, Rafique Z, Peacock WF

OBJECTIVE: Few studies have prospectively evaluated the diagnostic accuracy and temporal impact of ultrasound in the emergency department (ED) in a randomized manner. In this study, we aimed to perform...
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Potential impact of cardiology phone-consultation for patients risk-stratified by the HEART pathway

Monahan K, Pan M, Opara C, Yiadom MY, Munoz D, Holmes BB, Stephen D, Swiger KJ, Collins SP

OBJECTIVE: Bedside consultation by cardiologists may facilitate safe discharge of selected patients from the emergency department (ED) even when admission is recommended by the History, Electrocardiogram, Age, Risk factors, Troponin...
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Relationship between age and injury severity in traffic accidents involving elderly pedestrians

Lee HH, Cho JS, Lim YS, Hyun SY, Woo JH, Jang JH, Yang HJ

OBJECTIVE: This study aimed to examine whether injury severity differs with respect to age among elderly pedestrians involved in traffic accidents and identify factors affecting injury severity. METHODS: Using emergency department-based...
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Unilateral loss of thoracic motion after blunt trauma: a sign of acute Brown-Séquard syndrome

Sato M, Kuriyama A, Ohtomo R

Late-onset Brown-Séquard syndrome (BSS) is a rare condition resulting from a spinal cord injury that develops weeks to years after a blunt trauma. Acute-onset BSS after a blunt injury has...
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Effects of cholesterol levels on outcomes of out-of-hospital cardiac arrest: a cross-sectional study

Kim JH, Wi DH, Lee JH, Song HJ, Shin SD, Ro YS, Bae KH

OBJECTIVE: High cholesterol level is a risk factor for coronary artery disease, and coronary artery disease is a major risk factor for out-of-hospital cardiac arrest (OHCA). However, the effect of...
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Effect of pralidoxime on coronary perfusion pressure during cardiopulmonary resuscitation in a pig model

Jung YH, Ryu DH, Jeung KW, Na JY, Lee DH, Lee BK, Heo T, Min YI

OBJECTIVE: Pralidoxime is widely used for the treatment of organophosphate poisoning. Multiple studies have reported its vasoconstrictive property, which may facilitate the restoration of spontaneous circulation (ROSC) after cardiac arrest...
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