This study was conducted to evaluate a problem-oriented focused torso bedside ultrasound protocol termed "Sonographic Evaluation of Aetiology for Respiratory difficulty, Chest pain, and/or Hypotension" (SEARCH 8Es) its ability narrow differential diagnoses and increase physicians' diagnostic confidence, accuracy, patients presenting with dyspnea, chest or symptomatic hypotension.This single-center prospective observational over 12 months in an emergency department included 308 (184 men 124...

Abstract Chest injuries are common and inevitable complications of chest compressions during cardiopulmonary resuscitation (CPR). This study aimed to investigate lung parenchymal thoracic skeletal after CPR by using computed tomography (CT) analyze the correlation between duration related complications. We examined 43 non-traumatic cardiac arrest patients who were successfully resuscitated had CT scans within 24 hours CPR. Lung assessed quantifying contusion score (LCS) on images, each...

Objectives . Lung ultrasonography (LUS) is a useful examination to identify lung problems. Unfortunately, there are currently no LUS educational programs for medical students. We designed brief training course students during the ED rotation. The purpose of was improving cognitive and psychomotor learning domains, knowledge ultrasound, LUS, image acquisition, interpretation. Methods Forty in their fourth year school were enrolled this study. Student achievement evaluated through examinations...

Podostroma cornu-damae is a rare, deadly fungus. However, it can be easily mistaken for antler Ganoderma lucidum. In this case report, two patients made tea with the fungus and drank over 2-week period. Both presented bicytopenia, one patient had desquamation of palms soles. were treated prophylactic antibiotics granulocyte colony-stimulating factor. One was admitted to intensive care unit received platelet transfusion. discharged without complications. infections caused by intoxication...

Background and objectives. Dapsone is used as an antibiotic for leprosy dermatological disorders may cause methemoglobinemia. The aims of this study are to analyze the clinical characteristics patients presenting emergency department (ED) with dapsone ingestion identify risk factors associated mortality. Methods. We conducted a retrospective observational adult ED methemoglobinemia because intoxication admitted tertiary care hospital from September 2003 December 2008. Data collected included...

Background: Despite the high vaccination coverage rate, in-hospital transmission of measles continues to occur in South Korea. We present a outbreak which two healthcare workers (HCWs) with presumptive evidence immunity were infected by patient typical at single hospital This facilitated evaluation seroprevalence all HCWs. Methods: In 2018, suspected patients and contacts exposed during investigated based on their medical histories status. Cases confirmed detection measles-specific...

Recently, D-dimer has been suggested as a biomarker to rule out acute aortic syndrome (AAS). Since it increases with age, this study was conducted reveal whether an age-adjusted can increase diagnostic accuracy in ruling AAS.A retrospective observational design used. Consecutive adult patients who visited emergency room between January 2015 and September 2020 underwent test computed tomography angiography for suspected AAS were enrolled. We calculated the of both conventional (0.5 μg/ml)...

Completing an advance directive offers individuals the opportunity to make informed choices about end-of-life care. However, these decisions could be influenced in different ways depending on how information is presented. We randomly presented 185 participants with four distinct types of directive: neutrally framed (as reference), negatively framed, religiously and a combination. Participants were asked which interventions they would like receive at end life. Between 60% 70% responded...

To determine the duration and obstacles to prolonged on-scene cardiopulmonary resuscitation (CPR), establish how long a pair of emergency medical technicians (EMTs) can provide high-quality CPR.Intermediate-level EMTs in Gyeonggi-do Province, Republic Korea completed survey regarding CPR. undergoing routine training took part simulation using mannequins. Parameters including compression depth, total number rate compressions; occurrence incorrect hand position incomplete chest recoil were...

The point-of-care ultrasound of the airway (POCUS-A) is a useful examination method but there are currently no educational programs for medical students regarding it. We designed POCUS-A training curriculum to improve three cognitive and psychomotor learning domains: knowledge POCUS-A, image acquisition, interpretation.Two hours were provided 52 in their emergency medicine (EM) rotation. Students evaluated skills before immediately after training. validity measures established with help six...

Access to the posterior maxillary and mandibular teeth is a significant challenge while evaluating plaque, gingiva, teeth, restorations, crown margins. It tougher when there are also limitations of mouth opening, small mouths, or patients not cooperative. The evolution intraoral cameras appears be promising solution - fit into deliver live, high-resolution video feeds areas. There many well-designed studies that have tested value addition an camera in pediatric patient scenarios. objective...

Abstract Background: The clinical presentations of acute appendicitis (AA) and right-sided colonic diverticulitis (ARCD) are similar, but the usual treatment for each disease differs between surgical conservative management. This study aimed to identify differences AA ARCD.Method: We performed a single-center retrospective case-control on adult patients with ARCD confirmed by computed tomography who had visited an emergency department March 2018 February 2019. variables, including past...

Objectives: This study aimed to use gastric point of care ultrasound (POCUS) estimate the prevalence an “empty stomach” among patients undergoing procedural sedation and analgesia (PSA) in emergency department (ED) after observing requisite fasting time at home. Methods: A prospective observational was conducted with children facial lacerations who made a scheduled revisit ED completion recommended time. Their stomach contents were assessed sagittal view antrum by POCUS right lateral...

Purpose: Sonongraphic examinations such as extended Focused Assessment with Sonography in Trauma (eFAST) are widely used Emergency Departments.This study is designed to determine student achievement by teaching medical college students through short training.Methods: 38 participants their 3rd year of school were enrolled this study.An Medicine physician trained the 2 hours theoretical training followed hands on training.Results: The average age was 28.1±3.4,with 21 male students.The...

Prompt reperfusion is important for patients with ST elevation myocardial infarction (STEMI). However, often require interhospital transfer percutaneous coronary intervention (PCI) because not all hospitals can provide. The purpose of this study to reduce the PCI delay using a regionalization protocol in STEMI following from another hospital lacking facility.We established revascularization designated as Preparing Revascularization Effort before Patients' Arrival via Regionalization...

Spontaneous pneumothorax should be classified as primary spontaneous (PSP) or secondary (SSP) because treatment strategies may differ depending on underlying lung conditions and clinical course. The pulmonary dysfunction can lead to changes in end-tidal carbon dioxide (ETCO2). aim of this study was investigate the difference ETCO2 between PSP SSP.This retrospective observational included adult patients diagnosed with emergency room from April 2019 September 2020. We divided into SSP groups...

<h3>Background</h3> Bicycling is an increasingly popular recreation and mode of transportation in korea. Improved understanding sex gender-specific differences epidemiologic features clinical outcomes bicycling injuries could help to understand bicycle-related develop preventative strategies. <h3>Aims</h3> This study aimed investigate injuries. <h3>Methods</h3> a cross-sessional based on the Emergency Department(ED)–based Injury In-depth Surveillance(EDIIS) database from 23 EDs Korea. All...