European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Sepsis is associated with high mortality. Because early therapy has proven to decrease mortality, a risk stratification tool that quickly and easily quantifies mortality risk of patients will be helpful to guide appropriate treatment. We investigated five scores in terms of (a) predicting 28-day mortality and (b) their feasibility for use in the emergency department (ED). ⋯ The MEDS and CURB-65 scores are the most adequate and feasible tools for the prediction of total 28-day mortality in septic patients presenting at the ED, but they need local recalibration before use in the ED.
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The Mortality in Severe Sepsis in the Emergency Department (MISSED) score was derived to predict in-hospital mortality in septic patients in the emergency department (ED). The present study aimed to validate the MISSED score in patients receiving early goal-directed therapy (EGDT). ⋯ Further studies are required to validate the MISSED score in more diverse patients.
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This study was designed to provide an overview of the epidemiology and clinical findings in children presenting to a sports injury clinic with 'low back pain' (LBP). ⋯ No consistent demonstrable association was established between clinical presentation and final diagnosis. It was found that red flags could not be relied upon for the inclusion or the exclusion of a significant radiological finding. This study therefore suggests that, in this population group, a significant diagnosis cannot always be reliably excluded from clinical assessment alone.
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Observational Study
Acute sore throat in children at the emergency department: best medical practice?
Belgian antibiotic (AB) policy guidelines discourage the use of ABs in sore throat in otherwise healthy individuals; yet, 35% of all children with sore throat in our pediatric emergency department receive a prescription for ABs. ⋯ We find several 'practical' factors to have an influence on the AB prescription rate.
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We assessed the relationship between the size of the 39 Journal Citation Reports (JCR) medical categories and impact factor (IF) of journals in these categories, and the implications that it might have for emergency medicine (EM) journals. ⋯ There is a negative relationship between JCR size category and IF achieved by the journals. This places EM journals at a clear disadvantage because they represent one of the smallest clinical medical research disciplines.