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emergency medicine and COVID-19:now and next year

emergency and Critical Care medicine 2021年第1期1卷 14-19页

作者： Theodore A.Christopher Adrienne N.Christopher Department of emergency medicine Thomas Jefferson University HospitalPhiladelphiaPennsylvania Department of Surgery Thomas Jefferson University HospitalPhiladelphiaPennsylvania

The COVID-19 pandemic is responsible for infecting to date more than 93 million people worldwide and causing more than 2 million *** the vast majority of deaths have occurred in the United States(U.S.)can be attributed to nonadherence by Americans to basic public health mitigation strategies that are known to curtail coronavirus *** Departments(ED’s)throughout the *** a dramatic decrease in patient visits during the first surge of COVID-19,followed by an ED patient visit rebound to approximately 80%of pre-COVID-19 numbers,which have remained relatively stable through the current second COVID-19 *** pandemic highlighted the significant role that hospital ED’s and emergency physicians played in combatting COVID-19“on the front lines.”Wearing extensive and escalating personal protective equipment(PPE)layers became the norm in seeing emergency patients,and many infrastructure and process changes occurred included evaluating and treating patients in outdoor tents,cohorting confirmed and suspected COVID-19 patients in designated ED and hospital sections,and repeatedly amending COVID-19 evaluation and treatment guidelines as more information became available on a sometimes daily *** other clinical venues in which emergency physicians were working during COVID-19 surges,Observation Unit patient visits decreased,although patient acuity increased;urgent care(UC)patient visits decreased dramatically,whereas Telehealth(TH)patient visits to our 24/7 available platform,JeffCONNECT,saw a dramatic increase in ***,Dexamethazone and more recently,the monoclonal antibody Bamlanivimab,have formed the mainstay of treatment offered to our patients with COVID-19;all these agents are offered to patients in our ED’s and Observation *** current second COVID-19 surge,with our ED and hospital patient visits remaining essentially stable,has intensified the public health crisis as record numbers of *** continue to a

关键词： Coronavirus COVID-19 emergency medicine

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emergency medicine:past,present,and future challenges

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emergency and Critical Care medicine 2021年第2期1卷 49-52页

作者： Shujian Wei Department of emergency medicine and Chest Pain Center Qilu HospitalCheeloo College of MedicineShandong UniversityJinanShandongChina Clinical Research Center for emergency and Critical Care medicine of Shandong Province Institute of Emergency and Critical Care Medicine of Shandong UniversityQilu HospitalCheeloo College of MedicineShandong UniversityJinanShandongChina Key Laboratory of emergency and Critical Care medicine of Shandong Province Key Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong ProvinceQilu HospitalCheeloo College of MedicineShandong UniversityJinanShandongChina Key Laboratory of Cardiovascular Remodeling and Function Research Chinese Ministry of EducationChinese Ministry of Health and Chinese Academy of Medical SciencesState and Shandong Province Joint Key Laboratory of Translational Cardiovascular MedicineQilu HospitalCheeloo College of MedicineShandong UniversityJinanShandongChina Qilu Hospital Cheeloo College of MedicineShandong UniversityJinanShandongChina

Origin and history of emergency medicine The term“emergency,”first used in the 1630s,is derived from the Latin word emergere,meaning unforeseen events that require immediate *** term“emergency medicine”can be traced to the French Revolution(1789-1799).In 1792,Dominique Jean Larrey,a military medical surgeon,gained a position in the Army of the Rhine and left for Strasbourg,where he witnessed great mobility of the horse artillery and then suggested that General Adam Philippe de Custine have the medical staff use this method to speed up transport of the wounded.

关键词： gained horse Latin

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Evaluation of factors affecting psychological morbidity in emergency medicine practitioners

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World Journal of emergency medicine 2016年第3期7卷 203-207页

作者： Mehdi Momeni Farshid Fahim Elnaz Vahidi Amir Nejati Morteza Saeedi emergency medicine Department Shariati Hospital Tehran University of Medical Sciences Tehran Iran

BACKGROUND: Assessing and evaluating mental health status can provide educational planners valuable information to predict the quality of physicians' performance at work. These data can help physicians to practice in the most desired way. The study aimed to evaluate factors affecting psychological morbidity in Iranian emergency medicine practitioners at educational hospitals of ***: In this cross sectional study 204 participants(emergency medicine residents and specialists) from educational hospitals of Tehran were recruited and their psychological morbidity was assessed by using a 28-question Goldberg General Health Questionnaire(GHQ-28). Somatization, anxiety and sleep disorders, social dysfunction and depression were evaluated among practitioners and compared to demographic and job related ***: Two hundreds and four participants consisting of 146(71.6%) males and 58(28.4%) females were evaluated. Of all participants, 55(27%) were single and 149(73%) were married. Most of our participants(40.2%) were between 30–35 years old. By using GHQ-28, 129(63.2%) were recognized as normal and 75(36.8%) suffered some mental health disorders. There was a signifi cant gender difference between normal practitioners and practitioners with disorder(P=0.02) while marital status had no significant difference(P=0.2). Only 19(9.3%) declared having some major mental health issue in the previous ***: Females encountered more mental health disorders than male(P=0.02) and the most common disorder observed was somatization(P=0.006).

关键词： Psychological morbidity Mental health problem Goldberg General Health Questionnaire Short running head Factors affecting psychological morbidity

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emergency medicine in China： present and future

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World Journal of emergency medicine 2011年第4期2卷 245-252页

作者： Y.Veronica Pei Feng Xiao University of Maryland emergency medicine Network Baltimore Maryland USA (Xiao F)

BACKGROUND： emergency medicine was inaugurated, as an official specialty in China, only25 years ago, and its growth in clinical practice and academic development since that time have ***： This paper is a critical and descriptive review on current situations in emergencymedicine in China, based on the literature review, personal observations, interviews with manyChinese emergency medicine doctors and experts, and personal experience in both China and ***： The current practice of emergency medicine in China encompasses three areas： prehospitalmedicine, emergency medicine, and critical care medicine. Most tertiary emergency departments（EDs） are structurally and functionally divided into several clinical areas, allowing the ED itself to functionas a small independent hospital. While Chinese emergency physicians receive specialty training througha number of pathways, national standards in training and certifi cation have not yet been developed. As aresult, the scope of practice for emergency physicians and the quality of clinical care vary greatly betweenindividual hospitals. Physician recruitment, diffi cult working conditions, and academic promotion remain asmajor challenges in the development of emergency medicine in ***： To further strengthen the specialty advancement, more government leadershipis needed to standardize regional training curriculums, elucidate practice guidelines, provide fundingopportunities for academic development in emergency medicine, and promote the development of asystem approach to emergency care in China.

关键词： International emergency medicine China emergency Medical System Curriculum Training

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Images in emergency medicine:giant ascending aortic aneurysm dissection with hemopericardium

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World Journal of emergency medicine 2012年第3期3卷 235-236页

作者： Boon Ong Martyn Harvey Grant Cave emergency medicine Department Waikato Hospital emergency medicine Department Hutt Hospital

Acute chest pain represents a common presentation at emergency department. Aortic dissection in young patients, however, is fortunately rare. We report a case of giant ascending aortic aneurysm with Stanford type A aortic dissection in an otherwise well 22-year-old male patient. Operative aortic valve and root replacement was undertaken with favourable outcome. Histopathologic examination of the resected aorta revealed acute on chronic inflammatory change with Langerhans type giant cells consistent with a diagnosis of giant cell aortitis. While uncommon, emergencies of the aorta may present in young patients. Predisposing conditions are discussed.

关键词： Aorta Aneurysm Tamponade Dissection

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emergency department operations and management education in emergency medicine training

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World Journal of emergency medicine 2012年第2期3卷 98-101页

作者： Bret A Nicks Darrell Nelson Department of emergency medicine Wake Forest Baptist Medical Center Department of emergency medicine Forsyth Medical Center

BACKGROUND:This study was undertaken to examine the current level of operations and management education within US-based emergency medicine Residency ***:Residency program directors at all US-based emergency medicine Residency programs were anonymously surveyed via a web-based *** indicated their levels of residency education dedicated to documentation,billing/coding,core measure/quality indicator compliance,and operations *** were analyzed using descriptive statistics for the ordinal data/Likert ***:One hundred and six(106)program directors completed the study instrument of one hundred and fifty-six(156)programs(70%).Of these,82.6%indicated emergency department(ED)operations and management education within the training *** documentation training was noted in all but 1 program(99%).Program educational offerings also included billing/coding(83%),core measure/quality indicators(78%)and operations management training(71%).In all areas,the most common means of educating came through didactic sessions and direct attending feedback or 69%-94%and 72%-98%*** leadership was most confident with resident understanding of quality documentation(80%)and less so with core measures(72%),billing/coding/RVUs(58%),and operations management tools(23%).CONCLUSIONS:While most EM residency programs integrate basic operational education related to documentation and billing/coding,a smaller number provide focused education on the dayto-day management and operations of the *** leadership perceives graduating resident understanding of operational management tools to be *** respondents value further resident curriculum development of ED operations and management.

关键词： Core measures Operations management emergency medicine residency Resident education

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COVID-19 and cardiovascular complications:updates of emergency medicine

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emergency and Critical Care medicine 2023年第3期3卷 104-114页

作者： Jianli Zhao Yaoli Xie Zhijun Meng Caihong Liu Yalin Wu Fuje Zhao Xinliang Ma Theodore A.Christopher Bernard J.Lopeza Yajing Wang emergency medicine Department Thomas Jefferson UniversityPhiladelphiaPAUSA Department of Biomedical Engineering University of Alabama at BirminghamALUSA

Coronavirus disease 2019(COVID-19),caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)and SARS-CoV-2 variants,has become a global pandemic resulting in significant morbidity and *** cases of COVID-19 are characterized by hypoxemia,hyperinflammation,cytokine storm in *** studies have reported an association between COVID-19 and cardiovascular disease(CVD).Patients with CVD tend to develop severe symptoms and mortality if contracted COVID-19 with further elevations of cardiac injury ***,COVID-19 itself can induce and promoted CVD development,including myocarditis,arrhythmia,acute coronary syndrome,cardiogenic shock,and venous *** the direct etiology of SARS-CoV-2–induced cardiac injury remains unknown and underinvestigated,it is suspected that it is related to myocarditis,cytokine-mediated injury,microvascular injury,and stress-related *** vaccinations having provided the most effective approach to reducing mortality overall,an adapted treatment paradigm and regular monitoring of cardiac injury biomarkers is critical for improving outcomes in vulnerable populations at risk for severe *** this review,we focus on the latest progress in clinic and research on the cardiovascular complications of COVID-19 and provide a perspective of treating cardiac complications deriving from COVID-19 in emergency medicine.

关键词： Cardiovascular disease COVID-19 emergency medicine SARS-CoV-2

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The role of acetazolamide in critical care and emergency medicine

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Journal of Geriatric Cardiology 2024年第11期21卷 1085-1095页

作者： Jacopo Davide Giamello Gabriele Savioli Yaroslava Longhitano Fiorenza Ferrari Salvatore D’Agnano Ciro Esposito Manfredi Tesauro Christian Zanza Department of emergency medicine Azienda Ospedaliera S.Croce e CarleCuneoItaly emergency medicine and Surgery IRCCS Fondazione Policlinico San MatteoPaviaItaly Department of Anesthesiology and Perioperative medicine University of PittsburghPittsburghPA 15260USA Department of emergency medicine-emergency medicine Residency Program Humanitas University-Research Hospital20089 RozzanoItaly International Renal Research Institute of Vicenza(IRRIV) Department of NephrologyDialysis and TransplantationSan Bortolo HospitalAzienda ULSS Berica VicenzaItaly Department of Anaesthesia Critical Care and EmergencyFoundation IRCCS Ca'Granda Ospedale Maggiore PoliclinicoMilanItaly Unit of Nephrology and Dialysis ICS MaugeriUniversity of PaviaPaviaItaly Department of Systems medicine University of Rome"Tor Vergata"RomeItaly Geriatric medicine Residency Program University of Rome"Tor Vergata"RomeItaly

Acetazolamide is the commonly prescribed oral and intravenous carbonic anhydrase inhibitor;over the years,its use in clinical practice has decreased in favor of more recent ***,it is a rather handy drug,which can be useful in several clinical settings when managing critically ill *** objective of this review is the evaluation of the most recent evidence on the use of acetazolamide in emergency medicine and critical care ***,the safety profile of this drug has been *** is a narrative review on the use of acetazolamide in the main contexts in which this drug can be useful in emergency situations for patients with potential critical *** the timeline 1999–2024,a search was conducted on the main scientific platforms;resources of greatest relevance for the use of acetazolamide in critical care and emergency medicine were *** most common emergency situations in which a critically ill patient could benefit from acetazolamide therapy are acute heart failure,acute mountain sickness,post hypercapnic metabolic alkalosis,idiopathic intracranial hypertension and acute angle-closure *** a few cases,however,randomized controlled clinical trials have been *** are also other less solid indications based mostly on experience or retrospective *** seems to be an overall safe drug;serious side effects are rare and can be avoided by carefully selecting the patients to be *** represents a precious resource for emergency physicians and intensivists;critical patients with different conditions can in fact benefit from it;furthermore,acetazolamide is a safe drug if administered to correctly selected patients.

关键词： critical prescribed furthermore

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The state and future of emergency medicine in Macedonia

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World Journal of emergency medicine 2016年第4期7卷 245-249页

作者： Bret Nicks Marko Spasov Christopher Watkins emergency medicine Wake Forest Baptist Medical Center2nd Meads Hall Medical Center Blvd Clinic on Traumatology State University Hospital

BACKGROUND:Macedonia has universal public health care *** and emergency patient care is provided in different care environments based on the medical complaint and resource *** emergency medicine and well organized emergency departments(EDs) are an essential component of any developed health care system,emergency medicine as a specialty is relatively non-existent in *** RESOURCES:A system assessment regarding presence,availability and capacity of EDs was completed from 2013-2015,based upon assessments of 21 institutions providing emergency care and information provided by the Ministry of *** assessment establishes a benchmark from which to strategically identify,plan and implement the future of emergency medicine in ***:In general,emergency departments- defined by offering acute care 24 hours per day,7 days per week- were available at all general and university ***,care resources,emergency and acute care training,and patient care capacity vary greatly within the *** is limited uniformity in acute care approach and *** EDs are not organized as separate divisions run by a head medical doctor,nor are they staffed by specialists trained in emergency *** diagnostic and treatment capacities are insufficient or outdated by current international emergency medicine standards and frequently require patient transfer or admission prior to ***:Most of the surveyed hospitals are capable of providing essential diagnostic tests,but very few are able to do so at the point or time of *** emergency medical services(EMS) have improved system-wide,emergent care interventions by EMS and within all hospitals remain *** system-wide acute and emergency care improvements are forthcoming.

关键词： emergency medicine Macedonia

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Analysis of the Impact Factor of emergency medicine Journals in the Past 10 Years

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Chinese Medical Journal 2016年第20期129卷 2504-2505页

作者： Yang Liang Hong-Xia Ge Oing-Bian Ma Department of emergency medicine Peking University Third HospitalBeijing 100191China

To the Editor：The journal ＂impact factor （IF）＂ was conceived by Garfield in 1955 to help librarians identify the most influential journals based on the number of citations,and the first ranking of journals by IF was published in 1972.[1] We systematically analyzed the IFs of emergency medicine journals published in Journal Citation Report （JCR） for the past 10 years （2005-2014）.

关键词：急救医学期刊图书馆高级馆员

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