European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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To develop a template for uniform reporting of standardized measuring and describing of care provided in the emergency department (ED). ⋯ The suggested template is intended for use in studies carried out in EDs to improve comparability and knowledge translation.
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Observational Study
End tidal carbon dioxide monitoring in acute asthma: a prospective pilot study in emergency department patients.
The peak expiratory flow rate (PEFR) is the gold standard for monitoring asthmatic patients. However, its measurement requires understanding and active participation. End tidal carbon dioxide (EtCO2) may be considered an accurate surrogate for PaCO2, a severity marker in acute asthma. We studied the use of EtCO2 as a monitoring tool in acute asthma.
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Multicenter Study
Prevalence of pulmonary embolism in emergency department patients with isolated syncope: a prospective cohort study.
Paramount to guide the diagnostic strategy, the prevalence of pulmonary embolism in patients with syncope and no other symptoms is uncertain. We aimed to assess the pulmonary embolism prevalence in patients that present to the emergency department (ED) with syncope and no chest pain nor dyspnea. ⋯ In our sample of patients with isolated syncope, the prevalence of pulmonary embolism was 2.2%. This value is not sufficiently low to negate the requirement for a formal work up in the ED, even in the absence of chest pain or dyspnea. However, the large confidence interval precludes any strong conclusion.
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Multicenter Study Observational Study
Predictive criteria for acute heart failure in emergency department patients with acute dyspnoea: the PREDICA study.
The early identification of patients with Acute Heart Failure Syndrome (AHFS) among patients admitted to the Emergency Department (ED) with dyspnoea can facilitate the introduction of appropriate treatments. The objectives are to identify the predictive factors for AHFS diagnosis in patients with acute dyspnoea (primary objective) and the clinical 'gestalt' (secondary objective) in ED. ⋯ We identified several independant predictors of final AHFS diagnosis. They should contribute to the development of diagnostic strategies in ED. However, unstructured gestalts seem to perform very well alone.