Emergency medicine journal : EMJ
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Observational Study
The relationship between hyperlactatemia and microcirculation in the thenar eminence as measured using near-infrared spectroscopy in patients with sepsis.
Near-infrared spectroscopy (NIRS)-derived variables during a vascular occlusion test (VOT) have recently been used to evaluate peripheral circulatory insufficiency in patients with sepsis. We investigated the relationship between NIRS-derived variables and the lactate concentration during sepsis. ⋯ We revealed a significant correlation between NIRS-derived variables and the lactate concentration during sepsis.
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Observational Study
Parental anxiety and affecting factors in acute paediatric blunt head injury.
This study is designed to investigate the factors affecting parental anxiety regarding their children with head injury in the emergency department (ED). ⋯ Radiological investigations had no significant impact on the decrease in anxiety and persuasion scores of the parents by themselves, while neurosurgical consultation had significant impact on them. Emergency physicians should tailor their strategy to institute effective communication with the parents of children to cut down unnecessary investigations in PBHI.
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This study compared patient experiences of care provided by emergency care practitioners (ECPs) and usual providers in different emergency and urgent care settings. ⋯ Users of ECP services were more likely to be highly satisfied with overall care than usual provider patients in the study settings.
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Observational Study
Characteristics of central lesions in patients with dizziness determined by diffusion MRI in the emergency department.
To describe the rate and risk factors of central lesions among patients with dizziness in the emergency department based on diffusion-weighted MRI, which otologists consulted for evaluation of patients with dizziness need to know. ⋯ Although dizziness in the ED is generally benign, the prevalence of acute central lesions was 3.6% among 645 patients with dizziness who underwent MRI. Old age (>50 years), hypertension, non-whirling type of dizziness symptoms and associated neurological symptoms were significant risk factors for central lesions.
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Observational Study
Cross-sectional study of the characteristics, healthcare usage, morbidity and mortality of injecting drug users attending an inner city emergency department.
The affliction of injecting drug use (IDU) has resulted in the emergence of a subgroup of people with a unique set of medical issues. We aimed to describe the emergency department (ED) presentations of IDUs. ⋯ Our study characterises the emergency presentations of active IDUs. We describe considerable acute and chronic medical consequences and high healthcare utilisation associated with IDU. This study is of particular relevance to any institution that provides acute medical care to this group of patients.