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  1. The COVID-19 pandemic has pressured post-graduate medical education programs to shift from traditional in-person teaching to remote teaching and learning. Remote learning in medical education has been describe...

    Authors: Joseph D. Ciano, John Acerra and Aimee Tang

    Citation: International Journal of Emergency Medicine 2022 15:2

    Content type: Educational advances in emergency medicine

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  2. Emergency medicine (EM) in Brazil has achieved critical steps toward its development in the last decades including its official recognition as a specialty in 2016. In this article, we worked in collaboration w...

    Authors: Lucas Oliveira J. e Silva, Henrique Herpich, Henrique Alencastro Puls, Justin Guy Myers, Daniel Ujakow Correa Schubert, Ana Paula Freitas, Jule Santos, Marcus Vinicius Melo de Andrade and Hélio Penna Guimarães

    Citation: International Journal of Emergency Medicine 2021 14:79

    Content type: State of International Emergency medicine

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  3. Current sepsis screening tools are predominantly based on vital signs. However, patients with serious infections frequently present with normal vital signs and there has been an increased interest to include o...

    Authors: Ulrika Margareta Wallgren, Eric Larsson, Anna Su, Jennifer Short, Hans Järnbert-Pettersson and Lisa Kurland

    Citation: International Journal of Emergency Medicine 2021 14:78

    Content type: Original Research

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  4. Yamakagashi venom is a prothrombin activator, leading to disseminated intravascular coagulation. We report a fatal case of severe coagulopathy from head trauma assumed to be caused by a yamakagashi bite.

    Authors: Daisuke Ueno, Shiino Yasukazu, Jiro Takahashi, Satomi Miyamoto and Takahiro Inoue

    Citation: International Journal of Emergency Medicine 2021 14:77

    Content type: Case report

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  5. Recently, bone fixation materials have been developed as surgical materials. Bioabsorbable materials offer several advantages over other materials and are widely used. We report a rare case of the fracture of ...

    Authors: Kohei Igarashi, Atsushi Kuge, Hiroshi Homma, Tetsu Yamaki, Rei Kondo, Shinjiro Saito and Yukihiko Sonoda

    Citation: International Journal of Emergency Medicine 2021 14:75

    Content type: Case report

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  6. Tizanidine, an α-2 adrenoceptor agonist, is widely prescribed for the management of spasticity in adults. Case reports on pediatric tizanidine overdose are limited. Here, we report a case of pediatric tizanidi...

    Authors: Doaa Bader, Ahmed Adam, Mohamed Shaban and Bader Alyahya

    Citation: International Journal of Emergency Medicine 2021 14:73

    Content type: Case report

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  7. Due to the high prevalence of human immunodeficiency virus (HIV) in Tanzania, provider-initiated HIV testing for patients attending any health care setting is recommended. However, follow-up and linkage to car...

    Authors: Gimbo M. Hyuha, Hendry R. Sawe, Said Kilindimo, Raya Y. Mussa, Masuma A. Gulamhussein, Shamila S. Rwegoshora, Frida Shayo, Winnie Mdundo, Juma A. Mfinanga and Ellen J. Weber

    Citation: International Journal of Emergency Medicine 2021 14:72

    Content type: Original Research

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  8. Workplace violence and abuse in the emergency department (ED) has increasingly become a serious and alarming phenomenon worldwide where health care professionals are more prone to violence compared with other ...

    Authors: Mohammed Alshahrani, Razan Alfaisal, Khalid Alshahrani, Leyan Alotaibi, Hissah Alghoraibi, Eman Alghamdi, Lulwah Almusallam, Zaineh Saffarini, Salihah Alessa, Faten Alwayel, Lubna Saffarini, Ali Alrawdhan, Charlene Mapusao, Laila Perlas Asonto, Amal Alsulaibikh and Mohammed Aljumaan

    Citation: International Journal of Emergency Medicine 2021 14:71

    Content type: Original Research

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  9. We report a peculiar case of acute non-traumatic coma due to neuromuscular hypoventilation syndrome caused by a non-traumatic spinal cord injury (NTSCI). A 21-year-old patient presented to the emergency room c...

    Authors: Ranjana Chandrikasing, Sudeshkoemar Ramnarain, Rakesh Bansie, Harvey Yang, Huibert Ponssen and Navin Ramdhani

    Citation: International Journal of Emergency Medicine 2021 14:70

    Content type: Case report

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  10. For emergency department (ED) patients with suspected infection, a vital sign-based clinical rule is often calculated shortly after the patient arrives. The clinical rule score (normal or abnormal) provides in...

    Authors: Gideon H. P. Latten, Judith Polak, Audrey H. H. Merry, Jean W. M. Muris, Jan C. Ter Maaten, Tycho J. Olgers, Jochen W. L. Cals and Patricia M. Stassen

    Citation: International Journal of Emergency Medicine 2021 14:69

    Content type: Original Research

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  11. (1) To determine the prevalence of hepatopancreatic injury in coronavirus disease 2019 (COVID-19) patients. (2) To correlate hepatopancreatic injury in COVID-19 with mortality, disease severity, and length of ...

    Authors: Vaibhav Rastogi, Ranjit Banwait, Devina Singh, Hale Toklu, Lexie Finer, Dipendra Parajuli and Latha Ganti

    Citation: International Journal of Emergency Medicine 2021 14:68

    Content type: Original Research

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  12. Ureterosciatic hernia is a rare type of pelvic floor herniation that occurs through the sciatic foramen. The resulting ureteral obstruction may lead to hydronephrosis and to further complications including uri...

    Authors: Kohei Kakimoto, Mayu Hikone, Ko Nagai, Jun Yamakawa, Kazuhiro Sugiyama and Yuichi Hamabe

    Citation: International Journal of Emergency Medicine 2021 14:67

    Content type: Case report

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  13. Upper extremity deep vein thrombosis (UEDVT) is an uncommon disease but has to be carefully considered in patients with isolated unilateral upper limb swelling due to its potential to cause devastating complic...

    Authors: Gregory Tan and Mingwei Ng

    Citation: International Journal of Emergency Medicine 2021 14:66

    Content type: Case report

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  14. Psychosis in pregnancy is rare and could be life-threatening. It requires prompt evaluation and proper management accordingly. Anti-N-methyl-d-aspartate receptor (anti-NMDAr) encephalitis following herpes simp...

    Authors: Lamia Kouba and Dalia Alhosain

    Citation: International Journal of Emergency Medicine 2021 14:65

    Content type: Case report

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  15. We aimed to describe the epidemiology of all pediatric emergency department visits (focusing on mental health-related visits versus total visits) at the University Children’s Hospital of Nice (France) from 1 J...

    Authors: Arnaud Fernandez, Morgane Gindt, Phillipe Babe and Florence Askenazy

    Citation: International Journal of Emergency Medicine 2021 14:64

    Content type: Brief Research Report

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  16. The objective structured clinical examination (OSCE) is a part of emergency medicine (EM) examinations such as the Masters of Medicine in Emergency Medicine (MMed) examination and the equivalent Member of the ...

    Authors: Magdalene Hui Min Lee, Dong Haur Phua and Kenneth Wei Jian Heng

    Citation: International Journal of Emergency Medicine 2021 14:62

    Content type: Original Research

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  17. At the start of the COVID-19 pandemic, early intubation was recommended on the basis of worldwide observations of severe hypoxemia. However, some patients were ultimately able to benefit from high-flow nasal c...

    Authors: Elophe Dubie, François Morin, Dominique Savary, Amaury Serruys and Pascal Usseglio

    Citation: International Journal of Emergency Medicine 2021 14:61

    Content type: Brief Research Report

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  18. Spinal epidural hematomas usually occur under certain conditions; they rarely occur spontaneously. The prevalence of spontaneous spinal epidural hematoma is ~ 0.1 per 100,000, and the male-to-female ratio is a...

    Authors: Ooi Chin Sheng, Ren-Chieh Wu and I-Hsin Chang

    Citation: International Journal of Emergency Medicine 2021 14:60

    Content type: Case report

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  19. A binary triage system based on infectivity and facilitated by departmental restructuring was developed to manage suspected COVID-19 patients with an aim to provide effective prevention and control of infectio...

    Authors: Mahathar Abd. Wahab, Sufian Safaai and Ismail Mohd Saiboon

    Citation: International Journal of Emergency Medicine 2021 14:59

    Content type: Original Research

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  20. Patients with acute respiratory failure, impaired consciousness, and impaired airway reflexes will require invasive mechanical ventilation. Monitoring of such patients is important. The use of ventilator scala...

    Authors: Amarja Ashok Havaldar, Abdul Rahim Fazal and Abhilash Chennabasappa

    Citation: International Journal of Emergency Medicine 2021 14:58

    Content type: Case report

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  21. Communication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our ob...

    Authors: Katherine Douglass, Lalit Narayan, Rebecca Allen, Jay Pandya and Zohray Talib

    Citation: International Journal of Emergency Medicine 2021 14:57

    Content type: Original Research

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  22. Clostridium botulinum remains a major threat to a select population of subcutaneous and intramuscular drug users. We conducted a retrospective study of patients who were diagnosed with wound botulism and their...

    Authors: Michael M. Neeki, Fanlong Dong, Chuck Emond, Carol Lee, Arianna S. Neeki, Keeyon Hajjafar, Megan Messinger, Caitlyn O. Anderson, Reza Hajjafar and Rodney Borger

    Citation: International Journal of Emergency Medicine 2021 14:56

    Content type: Original Research

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  23. Tuberculosis (TB) is a chronic infectious disease, common in China. TB bacteria can invade multiple organs throughout the body, but they rarely cause critical illness. We present a complex critically ill case ...

    Authors: Ning Yang, Liping Zhou, Xiaoye Mo, Guoqing Huang and Ping Wu

    Citation: International Journal of Emergency Medicine 2021 14:55

    Content type: Case report

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  24. Bystander cardiopulmonary resuscitation (CPR) rates remain fairly low through most communities despite multiple interventions through the years. Understanding the attitudes and fears behind CPR training and pe...

    Authors: Susmita Roy Chowdhury and Venkataraman Anantharaman

    Citation: International Journal of Emergency Medicine 2021 14:54

    Content type: Original Research

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  25. Pulmonary tumor thrombotic microangiopathy (PTTM) is a condition that involves the development of pulmonary hypertension due to the presence of microscopic tumor emboli of the peripheral pulmonary arteries. He...

    Authors: Ryo Kamidani, Keisuke Kumada, Hideshi Okada, Genki Yoshimura, Tomohiro Kanayama, Hiroyuki Tomita, Tomotaka Miura, Hideaki Oiwa, Yosuke Mizuno, Yuichiro Kitagawa, Ryu Yasuda, Tetsuya Fukuta, Takahito Miyake, Tomoaki Doi, Takahiro Yoshida, Shozo Yoshida…

    Citation: International Journal of Emergency Medicine 2021 14:53

    Content type: Case report

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  26. The ketogenic (“keto”) diet has been gaining more attention lately in the medical literature and the lay media as a potentially effective method for weight control and management of type 2 diabetes. Though rar...

    Authors: Joseph Choi, Tayler L. Young and Lucas B. Chartier

    Citation: International Journal of Emergency Medicine 2021 14:52

    Content type: Case report

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  27. Patients may remain comatose after the resumption of spontaneous circulation with cardiopulmonary resuscitation. A primary neurologic event may precede a cardiac standstill.

    Authors: Sushma Kola, Alexander D. Ginsburg, Laura Harper, Laura E. Walker, Sherri Braksick and Eelco F. M. Wijdicks

    Citation: International Journal of Emergency Medicine 2021 14:51

    Content type: Case report

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  28. Multisystem inflammatory syndrome in children (MIS-C) is a novel, life-threatening hyperinflammatory condition that develops in children a few weeks after infection with severe acute respiratory syndrome coron...

    Authors: Martina Giacalone, Eric Scheier and Itai Shavit

    Citation: International Journal of Emergency Medicine 2021 14:50

    Content type: Review

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  29. Emergency departments (EDs) are reasonably well prepared for external disasters, such as natural disasters, mass casualty incidents, and terrorist attacks.

    Authors: Dennis G. Barten, Vincent W. Klokman, Sigrid Cleef, Nathalie A. L. R. Peters, Edward C. T. H. Tan and Arjen Boin

    Citation: International Journal of Emergency Medicine 2021 14:49

    Content type: Review

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  30. The final months of the fourth-year of medical school are variable in educational and clinical experience, and the effect on clinical knowledge and preparedness for residency is unclear. Specialty-specific “bo...

    Authors: Jason J. Lewis, Anne V. Grossestreuer and Edward A. Ullman

    Citation: International Journal of Emergency Medicine 2021 14:48

    Content type: Educational advances in emergency medicine

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  31. Nephrotic syndrome (NS) was first described in 1827 as the presence of proteinuria of ≥ 3.5 g/24 h, hypoalbuminemia < 3.0 g/dl, peripheral edema, hyperlipidemia, lipiduria, and increased thrombotic risk. Nephr...

    Authors: Mohamed Osman Omar Jeele, Rukia Omar Barei Addow and Mohamed Farah Yusuf Mohamud

    Citation: International Journal of Emergency Medicine 2021 14:46

    Content type: Case report

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  32. Rapid sequence intubation (RSI) is an advanced airway skill commonly performed in the pre-hospital setting globally. In South Africa, pre-hospital RSI was first approved for non-physician providers by the Heal...

    Authors: Johanna Catharina Botha, Andrit Lourens and Willem Stassen

    Citation: International Journal of Emergency Medicine 2021 14:45

    Content type: Original Research

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  33. A 14-year-old African American female presented to the emergency department with spontaneous, sudden-onset lip swelling for 1 h. On examination, there was significant water-bag edema of the upper lip extending...

    Authors: Helen Lesser and Jason E. Cohn

    Citation: International Journal of Emergency Medicine 2021 14:43

    Content type: Clinical Image

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  34. Pediatric emergency medicine training is in its infancy in India. Simulation provides an educational avenue to equip trainees with the skills to improve pediatric care. We hypothesized that a simulation-based ...

    Authors: T. Ahluwalia, S. Toy, C. Gutierrez, K. Boggs and K. Douglass

    Citation: International Journal of Emergency Medicine 2021 14:42

    Content type: Educational advances in emergency medicine

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  35. Coronavirus disease 2019, COVID-19, as a global public health emergency, has come with a broad spectrum of clinical manifestations and complications. In this study, we present a unique complication of this dis...

    Authors: Behzad Nematihonar, Shohra Qaderi, Jaffer Shah and Javad zebarjadi Bagherpour

    Citation: International Journal of Emergency Medicine 2021 14:40

    Content type: Case report

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  36. Studies comparing the microbiological profiles among sepsis patients identified with either Sequential Organ Failure Assessment (SOFA) score or systemic inflammatory response syndrome (SIRS) criteria are limit...

    Authors: Signe Trille Sørensen, S. M. Osama Bin Abdullah, Rune Husås Sørensen, Ram Dessau, Niels Høiby and Finn Erland Nielsen

    Citation: International Journal of Emergency Medicine 2021 14:39

    Content type: Original Research

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  37. Diagnostic errors or delays can cause serious consequences for patient safety, especially in the emergency department. Anchoring bias is one of the major factors leading to diagnostic error. During the coronav...

    Authors: Azumi Kawabata, Hiraku Funakoshi, Joji Ito, Takushi Santanda, Yasuhiro Norisue and Hiroyuki Watanabe

    Citation: International Journal of Emergency Medicine 2021 14:38

    Content type: Case report

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  38. This work was to study the prehospital time among suspected stroke patients who were transported by an emergency medical service (EMS) system using a national database.

    Authors: Phantakan Tansuwannarat, Pongsakorn Atiksawedparit, Arrug Wibulpolprasert and Natdanai Mankasetkit

    Citation: International Journal of Emergency Medicine 2021 14:37

    Content type: Original Research

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  39. Appendicitis is one of the most frequently encountered conditions at the emergency department. Distinction is made between complicated and uncomplicated appendicitis. Complicated appendicitis may cause serious...

    Authors: Jan Arne Deodatus, Sander Ferdinand Emiel Paas, Gerrit Hendrik Johan Wagenvoort and Marije Matilde de Kubber

    Citation: International Journal of Emergency Medicine 2021 14:36

    Content type: Case report

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    The Correction to this article has been published in International Journal of Emergency Medicine 2021 14:63

  40. The use of personal protective equipment (PPE) by emergency medical services (EMS) providers requires specific attention, as it takes place in out-of-hospital unsecured settings. The aim of this study was to e...

    Authors: Fabrice Pottier, Charles Groizard, Grégory Briche, Nicolas Haraczaj, Maxime Garnier, Vinciane Loones, Anna Ozguler, Michel Baer, Géraldine Baer and Thomas Loeb

    Citation: International Journal of Emergency Medicine 2021 14:35

    Content type: Notes from the field

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  41. Emergency department (ED) visits show a high volatility over time. Therefore, EDs are likely to be crowded at peak-volume moments. ED crowding is a widely reported problem with negative consequences for patien...

    Authors: Nathan Singh Erkamp, Dirk Hendrikus van Dalen and Esther de Vries

    Citation: International Journal of Emergency Medicine 2021 14:34

    Content type: Original Research

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  42. COVID-19 pandemic has resulted in significant strain on healthcare resources and this requires diligent resource re-allocation. We aim to describe the incidence and outcomes of in-hospital cardiac arrest (IHCA...

    Authors: Ting Lyu, Faheem Ahmed Khan, Shanaz Matthew Sajeed, Amit Kansal, Monika Gulati Kansal, Shekhar Dhanvijay, Rou An Tan, Jared D’Souza, Ian Cendana, Patricia Leong and Chee Keat Tan

    Citation: International Journal of Emergency Medicine 2021 14:33

    Content type: Original Research

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  43. The chief or presenting complaint is the reason for seeking health care, often in the patient’s own words. In limited resource settings, a diagnosis-based approach to quantifying burden of disease is not possi...

    Authors: B. Hansoti, E. Hahn, A. Rao, J. Harris, A. Jenson, N. Markadakis, S. Moonat, V. Osula and A. Pousson

    Citation: International Journal of Emergency Medicine 2021 14:32

    Content type: Original Research

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