DOCSLIB.ORG

The American Journal of Emergency Medicine

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The American Journal of Emergency Medicine The American Journal of Emergency Medicine Volume 25, Issue 1, Pages.1-131 (January 2007) 1. Masthead Page A2 2. Editorial Board Page A4 Table of Contents 3. Pages A6-A8 4. Manuscript Submission and Editorial Review Policy Pages A10-A11 Original Contributions 5. Antithrombotic therapy for prevention of stroke in clinical practice in the ED Pages 1-5 Asia Kogan, Reuma Shapira, Ada Tamir and Gad Rennert 6. Bilevel positive airway pressure in the treatment of status asthmaticus in pediatrics Pages 6-9 Sara L. Beers, Thomas J. Abramo, Andrea Bracken and Robert A. Wiebe 7. Is there a link between hyperbilirubinemia and elevated urine nitrite Pages 10-14 Susan Watts, David Bryan and Keith Marill 8. Hospital-based healthcare provider (nurse and physician) integration into an emergency medical services–managed mass-gathering event Pages 15-22 Christian Martin-Gill, William J. Brady, Kevin Barlotta, Anthony Yoder, Allen Williamson, Benjamin Sojka, Dayton Haugh, Marcus L. Martin, Marge Sidebottom and Leonard Sandridge 9. How can we identify low- and high-risk patients among unselected patients with possible acute coronary syndrome? Pages 23-31 Kirsten Melgaard Nielsen, Ole Faergeman, Mogens Lytken Larsen and Anders Foldspang 10. Prevalence of elevated blood pressure in 563 704 adult patients with stroke presenting to the ED in the United States Pages 32-38 Adnan I. Qureshi, Mustapha A. Ezzeddine, Abu Nasar, M. Fareed K. Suri, Jawad F. Kirmani, Haitham M. Hussein, Afshin A. Divani and Alluru S. Reddi 11. Impact of a negative prior stress test on emergency physician disposition decision in ED patients with chest pain syndromes Pages 39-44 Rebecca H. Nerenberg, Frances S. Shofer, Jennifer L. Robey, Aaron M. Brown and Judd E. Hollander Brief Reports 12. Discrepancies in interpretation of ED body computed tomographic scans by radiology residents Pages 45-48 Nelson Tieng, Diana Grinberg and Siu Fai Li 13. Factors associated with myocardial infarction after emergency endoscopy for upper gastrointestinal bleeding in high-risk patients: a prospective observational study Pages 49-52 Ching-Tai Lee, Shih-Pei Huang, Tsu-Yao Cheng, Tsung-Hsien Chiang, Chi-Ming Tai, Wei-Chih Su, Chien-Hua Huang, Jaw-Town Lin and Hsiu-Po Wang 14. Endotracheal intracuff pressures in the ED and prehospital setting: is there a problem? Pages 53-56 James E. Svenson, M. Bruce Lindsay and Jill E. O'Connor 15. Onset of symptoms after methadone overdose Pages 57-59 Frank LoVecchio, Anthony Pizon, Brad Riley, Azadeh Sami and Carmella D'Incognito 16. Sumatriptan for the treatment of undifferentiated primary headaches in the ED Pages 60-64 James R. Miner, Stephen W. Smith, Johanna Moore and Michelle Biros Diagnostics 17. Prognostic implications of myocardial necrosis triad markers' concentration measured at admission in patients with suspected acute coronary syndrome Pages 65-68 Filip M. Szymański, Marcin Grabowski, Krzysztof J. Filipiak, Grzegorz Karpiński, Anna Hrynkiewicz, Przemysław Stolarz, Artur Oręziak, Robert Rudowski and Grzegorz Opolski 18. Delayed traumatic thoracic spinal epidural hematoma: a case report and literature review Pages 69-71 Cheng-Ta Hsieh, Yung-Hsiao Chiang, Chi-Tun Tang, Jui-Ming Sun and Da-Tong Ju 19. Hypertrophic cardiomyopathy: electrocardiographic manifestations and other important considerations for the emergency physician Pages 72-79 Brian S. Kelly, Amal Mattu and William J. Brady Clinical Notes 20. Ultrasound-guided hip arthrocentesis in the ED Pages 80-86 Kalev Freeman, Andreas Dewitz and William E. Baker Case Reports 21. Unusual presentation of herpes simplex virus encephalitis: bilateral thalamic involvement and normal imaging of early stage of the disease Pages 87-89 Hakan Gümüş, Sefer Kumandaş, Hüseyin Per, Fulya Tahan, Esad Köklü and Musa Karakükçü 22. Subcortical stroke presenting as micrographia Pages 89-90 Mark A. Marinella 23. Acute paraplegia caused by an accidental ingestion of hydrogen peroxide Pages 90-92 Te-Ming Liu, Kuo-Chin Wu, Ko-Chi Niu and Hung-Jung Lin 24. Takotsubo cardiomyopathy: an unusual syndrome mimicking an ST-elevation myocardial infarction Pages 92-95 Tom E. Kolkebeck, Casey L. Cotant and Richard A. Krasuski 25. Anaphylaxis to topical bacitracin ointment Pages 95-96 Karen Greenberg, James Espinosa and Victor Scali Laceration of the popliteal artery and compartment syndrome resulting from 26. stingray envenomation Pages 96-97 Charlotte Derr, Barbara J. O'Connor and Sandra L. MacLeod 27. An unusual primary blast injury: Traumatic brain injury due to primary blast injury Pages 97-98 Serkan Yılmaz and Murat Pekdemir 28. Gastric outlet obstruction in an infant: lactobezoar Pages 98-99 Robert J. Graham and Phil Stein 29. An unusual case of pediatric abdominal distension Pages 99-101 Christopher T.Y. Hsu, Maria Carmen G. Diaz and David Rappaport 30. Massive tissue emphysema after cardiopulmonary resuscitation Pages 101-102 Raffi Bekeredjian, F. Joachim Meyer, Norbert Frey and Boris Radeleff 31. Succinylcholine-induced masseter muscle rigidity associated with rapid sequence intubation Pages 102-104 Christopher S. Roman and Alex Rosin 32. Pontine hemorrhage and isolated abducens nerve palsy Pages 104-105 Scott C. Sherman and Babak Saadatmand 33. ED treatment of brainstem anesthesia after retrobulbar block Pages 105-106 James M. Dahle and Kenneth V. Iserson 34. Fatal afebrile streptococcal meningitis in a chronic alcoholic patient Pages 106-108 Ramsis F. Ghaly, William P. Gibbons and Timothy P. Plackett 35. Atrial flutter with cardiac tamponade as initial presentation of tuberculosis pericarditis Pages 108-110 I-Chuan Chen, Te-Fa Chiu and Jih-Chang Chen 36. Importance of bedside echocardiography for detection of unsuspected isolated right ventricular infarction as a cause of cardiovascular collapse Pages 110-114 Mitja Lainscak and Andrej Pernat 37. Acute myocardial infarction diagnosed early by multidetector computed tomography Pages 114-116 Ju-Sing Fan, Chorng-Kuang How, Chii-Hwa Chern, Lee-Min Wang, Chun-I Huang and Jen-Dar Chen 38. Life-threatening epistaxis from a rare treatable cause Pages 116-118 Mohammed Iqbal Syed, Andy Chin and Louise Clark 39. Spontaneous intracranial hemorrhage caused by sustained hypertension in a child Pages 118-120 Jainn-Jim Lin, Chang-Teng Wu, Shao-Hsuan Hsia, Kuang-Lin Lin and Huei- Shyong Wang 40. A rare diagnosis in ED: cerebral pyogenic ventriculitis due to infective endocarditis Pages 120-122 Selahattin Kiyan, Ersin Aksay, Murat Ersel and Sedat Yanturali 41. Should early venous oximetry be indicated in suspected cases of fulminant myocarditis? Pages 122-123 Arvind K. Baronia, Afzal Azim, Gagan Narula, Mohan Gurjar, Banani Poddar, Sudeep Kumar, Sanjay Gambhir and Sukanta Barai Correspondence 42. Thiamine for the treatment of acute decompensated heart failure Pages 124-126 Howard A. Smithline 43. Early diagnosis of gas-forming pyometra in an aged patient can prevent mortality Pages 126-127 Chia-Chun Tai, Wan-Ching Lien, Hsiu-Po Wang and Kao-Lang Liu 44. Image pitfall of computed tomography in diagnosis of aortic dissection Pages 127-129 Wen-Chu Chiang, Pei-Chieh Kao, Chan-Ping Su and Juan Hs 45. Other causes of unilateral pulmonary edema Pages 129-131 Ritesh Agarwal, Ashutosh N. Aggarwal and Dheeraj Gupta The American Journal of Emergency Medicine THE AMERICAN JOURNAL OF EMERGENCY MEDICINE (ISSN any means now or hereafter known, electronic or mechanical, 0735-6757) is published seven times a year by Elsevier Inc., including photocopy, recording, or any information storage and 360 Park Avenue South, New York, NY 10010-1710. Months retrieval system, without permission in writing from the Pub- of issue are: January, March, May, July, September, October lisher. Printed in the United States of America. and November. Business and Editorial Offices: 1600 John PERMISSIONS: Permissions may be sought directly from F. Kennedy Blvd., Ste. 1800, Philadelphia, PA 19103-2899. Elsevier’s Rights Department in Philadelphia, PA, USA: phone Customer Service Office: 6277 Sea Harbor Drive, Orlando, 215-239-3600, e-mail [email protected]. Requests FL 32887-4800. Periodicals postage paid at New York, NY and may also be completed on-line via the Elsevier homepage (www. additional mailing offices. elsevier.com/locate/permissions). POSTMASTER: Send address changes to THE AMERICAN JOUR- REPRINTS: For 100 or more copies of an article in this NAL OF EMERGENCY MEDICINE, Elsevier Customer Service, 6277 Sea publication, please contact the Commercial Reprints Depart- Harbor Drive, Orlando, FL 32887-4800. ment, Elsevier Science Inc., 360 Park Avenue South, New Manuscripts, correspondence, and editorial material should York, New York 10010-1710. Tel. (212) 633-3813 Fax: be sent to The Editor, THE AMERICAN JOURNAL OF EMERGENCY (212) 633-3820 e-mail: [email protected] MEDICINE, P.O. Box 1494, West Bethesda, MD 20827-1494. ADVERTISING: Display Advertising and related corres- For enquiries relating to the submission of articles (in- pondence should be addressed to Inez Herrero, 360 Park Avenue, cluding electronic submission where available) please visit South, New York, NY 10010. Tel: 212-633-3122 / Fax: 212-633- Elsevier’s Author Gateway at http://authors.elsevier.com. The 3820; E-mail: [email protected]. Classified & Recruitment Author Gateway also provides the facility to track accepted Advertising and related correspondence should be addressed to articles and set up e-mail alerts to inform you of when Simone Imbert, 360 Park Avenue, South, New York, NY 10010. Tel: an article’s status has changed,
Load more

Recommended publications
  • An Ongoing Series
    An Ongoing Series Dengue Infections Mark Burnett, MD ABSTRACT Background: Dengue fever is one of the most common manifestations of the disease remains the same. Symp- mosquito-borne viral illnesses in the world. It is usually tomatic dengue infections are characterized by fever, transmitted to humans through the bite of an infected lasting between 2–7 days, accompanied by retro-orbital Aedes aegypti or Aedes albopictus mosquito. Dengue pain and intense muscle and joint discomfort. (Dengue is infections are caused by four antigenically distinct but also known as breakbone fever.) closely related viruses (DEN 1–4). Infection with any one of the viruses is thought to provide lifetime immu- Petechiae can present early in the course of the illness nity to future infections from the same virus but only or may be seen following a tourniquet test. This test is short-term cross-immunity to the other types, leading to conducted by inflating a blood pressure cuff to a middle the possibility of secondary infections. Dengue hemor- point between the patient’s systolic and diastolic blood rhagic fever/dengue shock syndrome (DHF/DSS), more pressures for 5 minutes and then counting the number severe types of dengue infections, sometimes result when of petechiae present in a 1-inch2 area—more than 20 is an individual is subsequently infected with a second vi- typically called a “positive” test. Recent studies have not rus serotype during their lifetime. The most commonly shown this to be a particularly sensitive test, meaning accepted theory for the development of these more se- that the lack of a “positive” test does not rule out a den- vere dengue infections is that of antibody-dependent gue infection.
    [Show full text]
  • Treatment of MERS-Cov: Information for Clinicians Clinical Decision-Making Support for Treatment of MERS-Cov Patients
    Treatment of MERS-CoV: Information for Clinicians Clinical decision-making support for treatment of MERS-CoV patients 16 August 2017 v4.0 Information for Clinicians. Clinical decision-making support for treatment of MERS-CoV patients. About Public Health England Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. We are an executive agency of the Department of Health, and are a distinct delivery organisation with operational autonomy to advise and support government, local authorities and the NHS in a professionally independent manner. Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG Tel: 020 7654 8000 www.gov.uk/phe Twitter: @PHE_uk Facebook: www.facebook.com/PublicHealthEngland Prepared by: Colin Brown & Antonia Scobie For queries relating to this document, please contact: [email protected] © Crown copyright 2017 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit OGL or email [email protected]. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. Published August 2017 PHE publications PHE supports the UN gateway number: 2017180 Sustainable Development Goals 2 Information for Clinicians. Clinical decision-making support for treatment of MERS-CoV patients. Contents About Public Health England 1 1. Document Scope 4 2. Literature 4 3.
    [Show full text]
  • Medical Services Response to a Single-Day, Mass-Gathering Event
    ORIGINAL RESEARCH Half-a-Million Strong: The Emergency Medical Services Response to a Single-Day, Mass-Gathering Event Michael J. Feldman, MD, PhD;1,2 Jane L. Lukins, MBBS;1,3 P. Richard Verbeek, MD, FRCPC;1,3 Russell D. MacDonald, MD, MPH, FRCPC;3,4 Robert J. Burgess, A-EMCA, ACP;1 Brian Schwartz, MD, CCFP (EM), FCFP1,5 Abstract 1. Division of Prehospital Care, Sunnybrook Introduction: Emergency medical services (EMS) responses to mass gath- and Women’s College Health Sciences erings have been described frequently, but there are few reports describing Center, Toronto, Ontario, Canada the response to a single-day gathering of large magnitude. 2. Department of Emergency Medicine, Objective: This report describes the EMS response to the largest single-day, Queen’s University, Kingston, Ontario, ticketed concert held in North America: the 2003 “Toronto Rocks!” Rolling Canada Stones Concert. 3. Division of Emergency Medicine, Methods: Medical care was provided by paramedics, physicians, and nurses. Department of Medicine, Faculty of Care sites included ambulances, medically equipped, all-terrain vehicles, Medicine, University of Toronto, Toronto, bicycle paramedic units, first-aid tents, and a 124-bed medical facility that Ontario, Canada included a field hospital and a rehydration unit. Records from the first-aid 4. Ontario Air Ambulance Base Hospital tents, ambulances, paramedic teams, and rehydration unit were obtained. Program, Division of Prehospital Care, Data abstracted included patient demographics, chief complaint, time of Sunnybrook and Women’s College Health incident, treatment, and disposition. Sciences Center, Toronto, Ontario, Canada Results: More than 450,000 people attended the concert and 1,870 sought 5.
    [Show full text]
  • EMHJ 19 Supp2 2013.Pdf (‎1.481Mb)
    Eastern Mediterranean La Revue de Santé de Health Journal la Méditerranée orientale Vol. 19 Supplement 2 r r ½:nüÐØ{_UÐPL HnUÐ{dCÐ Supplement on Mass Gatherings Contents Preface ...........................................................................................................................................................................................................................................................................................................................................................................Si Editorials Hajj and the public health significance of mass gatherings Ziad A. Memish ...........................................................................................................................................................................................................................................................................................................................................S5 Health preparedness and legacy planning at mass gatherings in the EMR: a WHO perspective Nicolas Isla and Isabelle Nuttall .......................................................................................................................................................................................................................................................................................................S7 Research articles 6TJOHIFBMUIFEVDBUPSTUPJNQSPWFLOPXMFEHFPGIFBMUIZCFIBWJPVSBNPOH)BKK QJMHSJNT A. Turkestani, M. Balahmar, A. Ibrahem, E. Moqbel and Z.A. Memish................................................................................................................................................................................................................S9
    [Show full text]
  • Iinternational Journal of Travel Medicine and Global Health
    Int J Travel Med Glob Health. 2017 Dec;5(4):135-139 doi 10.15171/ijtmgh.2017.26 J http://ijtmgh.com IInternationalTMGH Journal of Travel Medicine and Global Health Original Article Open Access Emergency Response of Indian Hajj Medical Mission to Heat Illness Among Indian Pilgrims in Tent-Clinics at Mina and Arafat During Hajj, 2016 Inam Danish Khan1*, Syed Bahavuddin Hussaini2, Shazia Khan3, Faiz MH Ahmad1, Faisal Ahmad Faisal4, Muhammad Arif Salim5, Razzakur Rehman6, Syed Asif Hashmi1, Bushra Asima7, Muhammad Shaikhoo Mustafa8 1Army College of Medical Sciences and Base Hospital, New Delhi, India 2Madurai Medical College, Government Rajaji Hospital, Madurai, India 3Specialist Obstetrics and Gynaecology, INHS Kalyani, Vishakhapatnam, India 4Specialist Paediatrics, MH Roorkee, India 5Hospital Administrator, Assam, India 6Specialist Physiology, Guwahati, India 7Army Hospital Research and Referral, New Delhi, India 8Public Health Consultant, Chennai, India Corresponding Author: Inam Danish Khan, MD, Assistant Professor of Microbiology, Army College of Medical Sciences and Base Hospital, New Delhi 110010, India. Tel: +91-9836569777, Fax: +91-11-25693490, Email: [email protected] Received October 2, 2017; Accepted November 18, 2017; Online Published December 2, 2017 Abstract Introduction: Extreme heat claims more lives than all other weather-related exposures combined. Hajj rituals at Mina, Arafat, and Muzdalifah involve a minimally-clothed, moving assemblage of 3.5 million pilgrims who are exposed to a harsh, hot, desert climate during physically challenging outdoor rituals and unsheltered night stays, rendering them prone to heat illness, dehydration, and sunburn. This cross-sectional study assessed the emergency response of the Indian Hajj Medical Mission to overwhelming heat illnesses in Mina and Arafat among Indian pilgrims during Hajj, 2016.
    [Show full text]
  • Alzheimer's Choir
    VOLUME 18 • NUMBER 1 • 2016 FOR ALUMNI, FRIENDS, FACULTY AND STUDENTS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH Quarterly Alzheimer’s Choir FOSTERS HARMONY AND MEMORIES THROUGH MUSIC TRAINING IN URBAN MEDICINE AND PUBLIC HEALTH PROGRAM p. 4 PATHWAY TO COLLEGE p. 8 ALZHEIMER’S DISEASE-RELATED TEAM APPROACH p. 10 There’s More Online! Visit med.wisc.edu/quarterly to be QUARTERLY The Magazine for Alumni, Friends, APRIL 2016 Faculty and Students of the University of Wisconsin School of Medicine and Public Health Friday, April 22 WMAA Board Meeting, Scholarship Reception and EDITOR Awards Banquet Kris Whitman ART DIRECTOR Christine Klann MAY 2016 PRINCIPAL PHOTOGRAPHER Friday, May 13 UW-Madison Commencement John Maniaci PRODUCTION Michael Lemberger Friday, May 20 Celebrating a Quarter Century of Leadership: through SMPH Department of Medicine Housestaff Reunion, WISCONSIN MEDICAL ALUMNI ASSOCIATION (WMAA) Saturday, May 21 UW-Madison EXECUTIVE DIRECTOR Karen S. Peterson JUNE 2016 EDITORIAL BOARD Christopher L. Larson, MD ’75, chair Thursday, June 2 Medical Alumni Weekend Jacquelynn Arbuckle, MD ’95 through Reunions for the Classes of 1951, ’56, ’61 and ’66 Kathryn S. Budzak, MD ’69 Saturday, June 4 and a celebration for all classes that graduated Robert Lemanske, Jr., MD ’75 Patrick McBride, MD ’80, MPH in 1966 or earlier Gwen McIntosh, MD ’96, MPH CALENDAR Sandra L. Osborn, MD ’70 Patrick Remington, MD ’81, MPH Joslyn Strebe, medical student SEPTEMBER 2016 Friday, September 16 WMAA Board Meeting and EX OFFICIO MEMBERS through Fall Reunion Weekend Robert N. Golden, MD, Andrea Larson, Saturday, September 17 Reunions for the Classes of 1971, ’76, ’81, ’86, Karen S.
    [Show full text]
  • Operations Throughput As a Determinant of Golden-Hour in Mass-Gathering Medicine
    International Journal of Medicine and Medical Research 2017, Volume 3, Issue 1, p. 53–59 copyright © 2017, TSMU, All Rights Reserved DOI 10.11603/IJMMR.2413-6077.2017.1.7804 OPERATIONS THROUGHPUT AS A DETERMINANT OF GOLDEN-HOUR IN MASS-GATHERING MEDICINE I. D. Khan1, B. Asima2, S. A. Khan2 ARMY COLLEGE OF MEDICAL SCIENCES AND BASE HOSPITAL, NEW DELHI, INDIA1 RESIDENT NUCLEAR MEDICINE, ARMY HOSPITAL RESEARCH AND REFERRAL, NEW DELHI, INDIA2 Background. Golden-hour, a time-tested concept for trauma-care, involves a systems approach encompassing healthcare, logistics, geographical, environmental and temporal variables. Golden-hour paradigm in mass- gathering-medicine such as the Hajj-pilgrimage entwines along healthcare availability, accessibility, efficiency and interoperability; expanding from the patient-centric to public-health centric approach. The realm of mass- gathering-medicine invokes an opportunity for incorporating operations-throughput as a determinant of golden- hour for overall capacity-building and interoperability. Methods. Golden-hour was evaluated during the Indian-Medical-Mission operations for Hajj-2016; which established, operated and coordinated a strategic network of round-the-clock medical operations. Throughput was evaluated as deliverables/time, against established Standard-Operating-Procedures for various clinical, investigation, drug-dispensing and patient-transfer algorithms. Patient encounter-time, waiting-time, turnaround- time were assessed throughout echeloned healthcare under a patient-centric healthcare-delivery model. Dynamic evaluation was carried out to cater for variation and heterogeneity. Results. Massive surge of 394 013 patients comprising 225 103 males (57.1%) and 168 910 females (42.9%) overwhelmed the throughput capacities of outpatient attendance, pharmacy, laboratory, imaging, ambulance, referrals and documentation.
    [Show full text]
  • Public Health Surveillance for Mass Gatherings
    PUBLIC HEALTH SURVEILLANCE FOR MASS GATHERINGS Public Health Surveillance for Mass Gatherings Joseph S. Lombardo, Carol A. Sniegoski, Wayne A. Loschen, Matthew Westercamp, Michael Wade, Shandy Dearth, and Guoyan Zhang ass gatherings represent specific challenges for public health officials because of the health risks associated with crowd size and dura- tion of stay. In addition, population movement requires public health departments to interact across jurisdictional boundaries to identify risks and disease-management solutions. However, federal privacy laws restrict the sharing of patient data among public health departments in multiple jurisdictions. This article examines previous disease surveillance practices by public health officials in planning for mass events and describes a simple approach for sharing health-risk information that was employed in 2007 during Super Bowl XLI by the health departments of Indiana, MMarion County, Cook County, and Miami-Dade County. INTRODUCTION Mass gatherings are defined as preplanned public be implemented at mass gatherings to facilitate early events that are held for a limited time period and detection of outbreaks and other health-related events attended by more than 25,000 people.1 The length of and to enable public health officials to respond in a stay can be for several hours to several days. The Fourth timely manner.2 of July celebration held annually in the nation’s Capi- The health implications surrounding events of this tal draws approximately 500,000 attendees to the city magnitude provide specific challenges for public health for several hours. The Hajj in Mecca, Saudi Arabia, can officials. There are many factors that can affect the health attract 2.5 million pilgrims who stay for an average of 40 of each individual at the event, factors such as weather; days.
    [Show full text]
  • Clinical Exposure and Organization of the Critical Care Rotation During the Hajj Periods in 1434-1435; Perspectives of Arabian Saudi Anesthesiology Program Residents
    CLINICAL EXPOSURE AND ORGANIZATION OF THE CRITICAL CARE ROTATION DURING THE HAJJ PERIODS IN 1434-1435; PERSPECTIVES OF ARABIAN SAUDI ANESTHESIOLOGY PROGRAM RESIDENTS ABDULAZIZ M BOKER1** Abstract Background: The nature of massive mass gathering during Hajj was expected to provide a challenging and stimulating working experience for anesthesiology training program residents. An new rotation arrangement was reached between the Ministry of Health and the Saudi Commission of Health Specialties to recruit anesthesia resident to provide critical care services during the Hajj seasons in 1434 and 1435. Objectives: This study aimed to explore the perspectives of anesthesia residents on their experience working among critical care teams during Hajj seasons in 1434H and 1435H at various locations of Makkah city and Al-Mashaer. Subjects and methods: This cross-sectional study was conducted using a self-administered questionnaire distributed to all residents (n = 35) enrolled in anesthesia residency training program of the SCFHS and participated in critical care areas as locum during the Hajj seasons of 1434H and 1435H. Data was analyzed by using the statistical package of social science. Results: The mean score of residents agreement on being treated with respect from both nurses and administration was the highest among the surveyed item (6.13 and 6.22 respectively). It was observed that, satisfaction of the residents with the direct observations and feedback provided to them (p = 0.01), the adequacy of the services components (p = 0.01) being treated with respect by the senior doctors and nurses (p = 0.03, p = 0.002) was significantly increased in the year 1435 compared to that of the year 1434.
    [Show full text]
  • Mass Gathering Medicine: a Practical Means of Enhancing Disaster Preparedness in Canada
    EMS Mass gathering medicine: a practical means of enhancing disaster preparedness in Canada Adam Lund, BSc, MD, MDE*; Samuel J. Gutman, MD*; Sheila A. Turris, RN, PhD3 ABSTRACT de catastrophe. Dans la plupart des communaute´ s, des activite´ s sont organise´ es au cours desquelles un grand Background: We explore the health care literature and draw nombre de personnes se re´ unissent dans des endroits on two decades of experience in the provision of medical publics ou prive´ s dans le but de ce´le´ brer ou de participer a` care at mass gatherings and special events to illustrate the un e´ve´ nement musical, sportif, culturel, religieux, politique complementary aspects of mass gathering medical support ou autre. Collectivement, on appelle ces e´ve´ nements des and disaster medicine. Most communities have occasions rassemblements de masse. La planification, la pre´ paration et during which large numbers of people assemble in public or la prestation des services lie´s a` la sante´ lors des rassemble- private spaces for the purpose of celebrating or participating ments de masse s’inscrivent dans la discipline de la in musical, sporting, cultural, religious, political, and other me´ decine d’urgence. En outre, nous constatons qu’en raison events. Collectively, these events are referred to as mass des e´ve´ nements internationaux des dernie` res anne´ es, il y a gatherings. The planning, preparation, and delivery of eu une plus grande sensibilisation a`lame´decine de health-related services at mass gatherings are understood catastrophe, un inte´reˆ t accru pour celle-ci et une hausse du to be within the discipline of emergency medicine.
    [Show full text]
  • Impact of Mass Gatherings on an Influenza Pandemic Scientific Evidence Base Review
    Impact of Mass Gatherings on an Influenza Pandemic Scientific Evidence Base Review May 2014 Title: Impact of Mass Gatherings on an Influenza Pandemic: Scientific Evidence Base Review Author: PH-HPER-ID&BP 10200 Commissioned by the Department of Health and produced by Public Health England Document Purpose: A review of the scientific evidence base on the impact that mass gathering restrictions may have during an influenza pandemic. Publication date: 05/2014 Target audience: Supporting Documents for UK Influenza Pandemic Preparedness Strategy Contact details: Elizabeth Paterson Richmond House 79 Whitehall LONDON SW1A 2NS Email: [email protected] You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/ © Crown copyright Published to gov.uk, in PDF format only. www.gov.uk/dh May 2014 Table of contents Page Executive summary 6 Background 9 Methods 10 Results 13 Discussion 42 Conclusion 51 References 52 Appendices 58 3 Document information Document date: March 2013 Final Version Document sponsor: Influenza and Respiratory Virus Delivery Board, Public Health England Authorised by: Professor John Watson Authors and affiliations: Matthew Dixon Scientific Review Coordinator, Respiratory Diseases Department, Centre for Infectious Disease Surveillance and Control, Public Health England David Ishola NIHR Post-Doctoral Fellow, Department of Infection and Population
    [Show full text]
  • Spectator Medicine at an International Mega Sports Event
    Tajima et al. Environmental Health and Preventive Medicine (2020) 25:72 Environmental Health and https://doi.org/10.1186/s12199-020-00914-0 Preventive Medicine RESEARCH ARTICLE Open Access Spectator medicine at an international mega sports event: Rugby World Cup 2019 in Japan Takuya Tajima1,2* , Yuji Takazawa1,3, Mutsuo Yamada1,4, Takuro Moriya1,5, Haruhiko Sato1,6, Junichiro Higashihara1,7, Yukimasa Toyama1,8, Etsuo Chosa2, Akihiko Nakamura1,9 and Ichiro Kono1,10 Abstract Background: The Rugby World Cup (RWC) is one of the biggest international mega sports events in the world. This study was conducted to identify and evaluate the volume, nature, and severity of spectator medical care in the stadiums of 12 venues across Japan during RWC 2019. Method: This was a retrospective review of medical records from spectator medical rooms of 45 official matches of RWC 2019 between September 20 and November 2, 2019. All patients in the stadium who visited the spectator medical room and were transferred to a hospital were included. The wet bulb globe temperature (WBGT) value at the kick-off time of each match, the number of visits to the spectator medical room, and the number of transfers to a hospital were reviewed and analyzed. The patient presentation rate (PPR) was calculated per 10,000 attendees. Severity categories were defined as mild or severe. Mild cases were considered non-life threatening requiring minimal medical intervention, and severe cases required transport to a hospital. Result: The total number of visits to the spectator medical room was 449 with a PPR of 2.63. Most cases (91.5%) were mild in severity.
    [Show full text]