The American journal of emergency medicine
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Right heart failure (RHF) is a clinical syndrome with impaired right ventricular cardiac output due to a variety of etiologies including ischemia, elevated pulmonary arterial pressure, or volume overload. Emergency department (ED) patients with an acute RHF exacerbation can be diagnostically and therapeutically challenging to manage. ⋯ Emergency clinician understanding of this condition is important to diagnose and treat this life-threatening cardiopulmonary disorder.
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Meta Analysis
Effectiveness of yoga therapy for migraine treatment: A meta-analysis of randomized controlled studies.
Yoga therapy may have some potential in treating migraine, and thus this meta-analysis aims to explore the efficacy of yoga therapy for patients with migraine. ⋯ Yoga therapy may be effective to treat migraine patients, but it should be recommended with caution because of heterogeneity.
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Acute chest syndrome (ACS) in sickle cell disease (SCD) is a serious condition that carries with it a high rate of morbidity and mortality. ⋯ An understanding of ACS can assist emergency clinicians in diagnosing and managing this potentially deadly disease.
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Multicenter Study
Experience of carbon monoxide poisoning and the outcome predicting score: A multicenter retrospective study.
Carbon monoxide poisoning (COP), resulting from accidental and intentional exposure, is a leading cause of fatal poisoning worldwide. Except for early death, neurological sequelae are common and impose a large burden on patients, caregivers, and the society. ⋯ The FIRED score could predict the outcomes of non-OHCA patients with a carboxyhemoglobin level > 10% after COP using five factors that can be obtained by history taking and basic examination. An FIRED score ≥ 10 was associated with a poor outcome (sensitivity, 89.6%; specificity, 82.4%; AUC0.930).
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Meta Analysis
Diagnostic accuracy of point-of-care ultrasonography for intussusception in children: A systematic review and meta-analysis.
Ileocolic intussusception can be challenging to diagnose due to vague complaints, but rapid diagnosis and treatment can help prevent morbidity and mortality. Prior research has focused on radiologic ultrasound, with more recent studies focusing on point-of-care ultrasonography (POCUS). This systematic review and meta-analysis assesses the diagnostic accuracy of POCUS for children with suspected ileocolic intussusception. ⋯ POCUS has excellent diagnostic accuracy for intussusception in children presenting to the emergency department.