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Palliative and end-of-life care in the emergency department

Chang A, Espinosa J, Lucerna A, Parikh N

With current medical advances, the human population continues to age. This presents healthcare practitioners with the increasing complexity of providing care to elderly patients with multifactorial medical and personal needs....
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Artificial intelligence decision points in an emergency department

Chang H, Cha WC

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Exposure to an accidental trichlorosilane spill: three case reports

Park CW, Kim SH, Lee SH, Kim S, Nho WY

Chlorosilane is a hazardous chemical compound which is used as a raw material in the production of silicone. Despite strict restrictions, accidental spillage of chlorosilane is often reported. However, human...
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Subdissociative-dose ketamine for sickle cell vaso-occlusive crisis: a narrative review for the emergency physician

Bawany MH, Motov SM

Vaso-occlusive crisis (VOC) in sickle cell disease can cause severe pain and requires a thoughtful approach to analgesia. Considering the heightened awareness of the harm associated with opioids, an exploration...
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Macklin effect in acute asthma exacerbation

Kipourou M, Lampridis S, Michailidis A, Tsanaktsidis I

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Experience of emergency medical services provider training using online training of trainers during COVID-19: official development assistance project in Tashkent, Uzbekistan

Mun Y, Park JM, Kim H, Kim H, Kim J, Kim A, Lee YB, Jeon W, Kwak HW

Objective Since onsite education is difficult due to the COVID-19 pandemic, official development assistance (ODA) projects have implemented online training of trainers (ToT) for emergency medical experts and staff. This...
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Emergent use of a King laryngeal tube for traumatic intraoral bleeding: two case reports

Kim HB, Choi S, Min SJ, Han S, Kang B, Kim G

Maxillofacial trauma occasionally presents a serious challenge for physicians, and an orofacial injury can be considered life-threatening. It is difficult to control the bleeding and prevent airway obstruction simultaneously with...
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Clinical study on ureteritis observed in contrast-enhanced computed tomography in the emergency department

Chung J, Na JU, Lee JH, Han SK, Choi PC, Shin DH

Objective We aimed to investigate the causes and clinical and laboratory features of patients with ureteritis observed on intravenous contrast-enhanced abdominopelvic computed tomography (APCT) conducted in the emergency department (ED). Methods...
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Pediatric triage modifications based on vital signs: a nationwide study

Lee B, Park JD, Kwak YH, Kim DK

Objective To analyze the clinical significance of a heart rate (HR) or respiratory rate (RR) higher or lower than the normal in pediatric triage. Methods A retrospective observational study was conducted...
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Neurologic outcomes of prehospital mechanical chest compression device use during transportation of out-of-hospital cardiac arrest patients: a multicenter observational study

Min C, Lee DE, Ryoo HW, Jung H, Cho JW, Kim YJ, Ahn JY, Park J, Mun YH, Jang TC, Jin Sc

Objective High-quality cardiopulmonary resuscitation with chest compression is important for good neurologic outcomes during out-of-hospital cardiac arrest (OHCA). Several types of mechanical chest compression devices have recently been implemented in...
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Prognostic value of the myeloperoxidase index for early prediction of neurologic outcome in acute carbon monoxide poisoning

Moon JS, Kim SH, Cha YS

Objective Carbon monoxide (CO) activates intravascular neutrophils through platelet-neutrophil aggregates, which cause neutrophil degranulation. This process causes the release of myeloperoxidase (MPO), proteases, and reactive oxygen species. The MPO index...
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“Diffusion of innovations”: a feasibility study on the pericapsular nerve group block in the emergency department for hip fractures

Ramachandran A, Montenegro M, Singh M, Dixon T, Kayani W, Liang T, Yu N, Reddy S, Liveris A, Manyapu M, McEwan AA, Nguyen VT, Sonenthal NV, Corbo J, Friedman BW, Sperling J, Jones MP, Halperin M

Objective Hip fractures are associated with significant morbidity and mortality. Ultrasound-guided peripheral nerve blocks are a safe method to manage pain and decrease opioid usage. The pericapsular nerve group (PENG)...
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The DEXA-SEPSIS study protocol: a phase II randomized double-blinded controlled trial of the effect of early dexamethasone in high-risk sepsis patients

Choi K, Park JE, Kim A, Hwang S, Bae J, Shin TG, Kim K

Objective Steroids are used in cases of sepsis, especially in patients experiencing septic shock. However, clinical trials to date have reported contradictory results. Different patient endotypes and variations in the...
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Interactive effect of multi-tier response and advanced airway management on clinical outcomes after out-of-hospital cardiac arrest: a nationwide population-based observational study

Lim HJ, Song KJ, Shin SD, Kim KH, Ro YS, Yoon H

Objective We hypothesized that a multi-tier response (MTR) will provide high-quality cardiopulmonary resuscitation including airway management. However, the type of tier response system and airway management will have different interactive...
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Prediction of vasopressor requirement among hypotensive patients with suspected infection: usefulness of diastolic shock index and lactate

Kim DS, Park JE, Hwang SY, Jeong D, Lee GT, Kim T, Lee SU, Yoon H, Cha WC, Sim MS, Jo IJ, Shin TG

Objective We evaluated the performance of diastolic shock index (DSI) and lactate in predicting vasopressor requirement among hypotensive patients with suspected infection in an emergency department. Methods This was a single-center,...
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