European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Editorial Historical Article
The European Society for Emergency Medicine is 20 years old.
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Multicenter Study
Accuracy of oxygen tissue saturation values in assessing severity in patients with sepsis admitted to emergency departments.
Near-infrared spectrometry assesses hemoglobin saturation of oxygen in tissues (StO2). Although it may provide additional information on local microcirculation function, the usefulness of near-infrared spectrometry in septic patients is debated. This study evaluated whether baseline StO2 value is useful in septic patients admitted to the emergency department with a diagnosis of severe sepsis. ⋯ This study fails to show any value of StO2 baseline at triage for early detection of severe sepsis in emergency patients.
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Does emergency ultrasound (EU) improve the speed of diagnosis of patients presenting to the emergency department (ED) with a ruptured abdominal aortic aneurysm (rAAA)? ⋯ There was a nonsignificant trend towards a faster time to diagnosis (51 min) in rAAA patients who underwent EU on presenting to the ED compared with those who did not undergo an ED EU (111 min). There was no improvement in survival or length of ICU unit stay.
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Out-of-hospital cardiac arrest (OHCA) is used to evaluate the performance of the emergency medical service (EMS) system. Our study examined the characteristics and outcomes of OHCA cases presenting to a tertiary care center in Beirut, Lebanon. ⋯ The OHCA survival rate in Beirut, Lebanon, is low. Bystander cardiopulmonary resuscitation and early defibrillation should be prioritized to achieve better outcomes.