Hyaluronidase Availability in Emergency Rooms: A State-Wide Analysis

In recent years, there have been many advances in the safe management of the patient's airway, a cornerstone of anesthetic practice. An Update on Airway Management brings forth information about new approaches in airway management in many clinical settings. This volume analyzes and explains new preoperative diagnostic methods, algorithms, intubation devices, extubation procedures, novelties in postoperative management in resuscitation and intensive care units, while providing a simple, accessible and applicable reading experience that helps medical practitioners in daily practice. The comprehensive updates presented in this volume make this a useful reference for anesthesiologists, surgeons and EMTs at all levels. Key topics reviewed in this reference include: New airway devices, clinical management techniques, pharmacology updates (ASA guidelines, DAS algorithms, Vortex approach, etc.), Induced and awake approaches in different settings Updates on diagnostic accuracy of perioperative radiology and ultrasonography Airway management in different settings (nonoperating room locations and emergency rooms) Airway management in specific patient groups (for example, patients suffering from morbid obesity, obstetric patients and critical patients) Algorithms and traditional surgical techniques that include emergency cricothyrotomy and tracheostomy in ‘Cannot Intubate, Cannot Ventilate’ scenarios. Learning techniques to manage airways correctly, focusing on the combination of knowledge, technical abilities, decision making, communication skills and leadership Special topics such as difficult airway management registry, organization, documentation, dissemination of critical information, big data and databases

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Acute, medium and long-term effects of yellow sand and air pollutants on allergy and biomarker search

Impact ◽

10.21820/23987073.2020.3.63 ◽

2020 ◽

Vol 2020 (3) ◽

pp. 63-65

Author(s):

Tomomi Higashi

Keyword(s):

Air Pollutants ◽

Genetic Factors ◽

Long Term Effects ◽

Emergency Rooms ◽

Improve Treatment ◽

Treatment And Prevention ◽

Chronic Effects ◽

Difficulty Breathing ◽

Acute And Chronic Effects

Talk to any allergy sufferer and they will tell you how awful it can be. Runny noses, itchy eyes, coughing and difficulties breathing. For many these symptoms rise only to the level of annoyance and can be avoided by steering clear of the source of their allergy. What many people don't realise though is that allergies can become a far more serious issue for a large segment of the population. Shortness of breath and difficulty breathing due to allergies bring many people to emergency rooms and these are just the acute symptoms. Along with the potential for an allergic attack during a windy or dusty day, researchers and medical professionals are beginning to recognise that there are chronic, long term effects associated with allergies. In order to mitigate both the acute and chronic effects of allergies a better understanding of how genetic factors combine with environmental conditions to produce the ranges of symptoms and effects of allergy suffers is needed. Professor Tomomi Higashi, from the Department of Hygiene at Kanazawa University in Japan, is an expert in this field and is currently working to improve treatment and prevention of allergic disease.

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The association between clinical laboratory data and chest CT findings explains disease severity in a large Italian cohort of COVID-19 patients

BMC Infectious Diseases ◽

10.1186/s12879-021-05855-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Simone Canovi ◽

◽

Giulia Besutti ◽

Efrem Bonelli ◽

Valentina Iotti ◽

...

Keyword(s):

Clinical Laboratory ◽

Laboratory Data ◽

Organ Damage ◽

Cross Sectional Study ◽

Chest Ct ◽

Arterial Oxygen ◽

Emergency Rooms ◽

Cross Sectional ◽

Ct Findings ◽

Patient Prognosis

Abstract Background Laboratory data and computed tomography (CT) have been used during the COVID-19 pandemic, mainly to determine patient prognosis and guide clinical management. The aim of this study was to evaluate the association between CT findings and laboratory data in a cohort of COVID-19 patients. Methods This was an observational cross-sectional study including consecutive patients presenting to the Reggio Emilia (Italy) province emergency rooms for suspected COVID-19 for one month during the outbreak peak, who underwent chest CT scan and laboratory testing at presentation and resulted positive for SARS-CoV-2. Results Included were 866 patients. Total leukocytes, neutrophils, C-reactive protein (CRP), creatinine, AST, ALT and LDH increase with worsening parenchymal involvement; an increase in platelets was appreciable with the highest burden of lung involvement. A decrease in lymphocyte counts paralleled worsening parenchymal extension, along with reduced arterial oxygen partial pressure and saturation. After correcting for parenchymal extension, ground-glass opacities were associated with reduced platelets and increased procalcitonin, consolidation with increased CRP and reduced oxygen saturation. Conclusions Pulmonary lesions induced by SARS-CoV-2 infection were associated with raised inflammatory response, impaired gas exchange and end-organ damage. These data suggest that lung lesions probably exert a central role in COVID-19 pathogenesis and clinical presentation.

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Point-of-Care COVID-19 Antigen Testing in German Emergency Rooms – A Cost-Benefit Analysis

Pulmonology ◽

10.1016/j.pulmoe.2021.06.009 ◽

2021 ◽

Author(s):

Roland Diel ◽

Albert Nienhaus

Keyword(s):

Cost Benefit Analysis ◽

Point Of Care ◽

Cost Benefit ◽

Benefit Analysis ◽

Emergency Rooms ◽

Antigen Testing

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Automated Assessment of Thoracic-Abdominal Asynchrony in Patients with Morquio Syndrome

Diagnostics ◽

10.3390/diagnostics11050880 ◽

2021 ◽

Vol 11 (5) ◽

pp. 880

Author(s):

Madhavi V. Ratnagiri ◽

Yan Zhu ◽

Tariq Rahman ◽

Mary Theroux ◽

Shunji Tomatsu ◽

...

Keyword(s):

Learning Algorithm ◽

Assessment Methodology ◽

Emergency Rooms ◽

Multiple Organs ◽

Difficulty Breathing ◽

Causes Of Mortality ◽

Morquio Syndrome ◽

Automated Technique ◽

Thoracic And Abdominal ◽

Function Testing

Morquio syndrome is a rare disease caused by a disorder in the storage of mucopolysaccharides that affects multiple organs, including musculoskeletal, respiratory, cardiovascular, and digestive systems. Respiratory failure is one of the leading causes of mortality in Morquio patients; thus, respiratory function testing is vital to the management of the disease. An automated respiratory assessment methodology using the pneuRIP device and a machine-learning algorithm was developed. pneuRIP is a noninvasive approach that uses differences between thoracic and abdominal movements (thoracic-abdominal asynchrony) during respiration to assess respiratory status. The technique was evaluated on 17 patients with Morquio (9 females and 8 males) between the ages of 2 and 57 years. The results of the automated technique agreed with the clinical assessment in 16 out of the 17 patients. It was found that the inverse cumulative percentage representation of the time delay between the thorax and abdomen was the most critical variable for accurate evaluation. It was demonstrated that the technique could be successfully used on patients with Morquio who have difficulty breathing with 100% compliance. This technique is highly accurate, portable, noninvasive, and easy to administer, making it suitable for a variety of settings, such as outpatient clinics, at home, and emergency rooms.

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Domestic violence and abuse related emergency room visits in Ontario, Canada

BMC Public Health ◽

10.1186/s12889-021-10501-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sonica Singhal ◽

Sarah Orr ◽

Harkirat Singh ◽

Menaka Shanmuganantha ◽

Heather Manson

Keyword(s):

Domestic Violence ◽

Emergency Room Visits ◽

Emergency Rooms ◽

Relative Index ◽

Efficient Management ◽

Dissemination Area ◽

Icd 10 ◽

Index Of Inequality ◽

Policies And Programs ◽

Domestic Violence And Abuse

Abstract Background Hospitals’ emergency rooms (ERs) are generally the first point of contact of domestic violence and abuse (DVA) victims to the health care system. For efficient management and resource allocation for ERs to manage DVA-related emergencies in Canada, it is important to quantify and assess the pattern of these visits. Methods Aggregate DVA-related ER visits data, using relevant ICD-10-CA codes, from 2012 to 2016 were retrieved from IntelliHealth Ontario. The 2011 ON-Marg (Ontario Marginalization) indices were linked at the Dissemination Area level to ER data. Descriptive analyses including total number and rate of visits per 100,000 people were calculated, stratified by age and sex. The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were also assessed. Results From 2012 to 2016, 10,935 (81.2% by females and 18.8% by males) DVA-related visits were made to ERs in Ontario. An annual average of 25.5 visits per 100,000 females and 6.1 visits per 100,000 males was observed. Residential instability and deprivation were significant predictors of DVA-related ER visits. No particular site of injury was indicated in 38.5% of visits, 24.7% presented with cranio-maxillofacial (CMF) trauma in isolation, 28.9% presented with non-CMF injuries, and 7.9% visits presented with both CMF and non-CMF injuries. Conclusion This study identified that the burden of DVA-related ER visits is large enough to warrant timely public health interventions, and observed that certain populations in Ontario experience more DVA and/or are more prone to its impact. Our findings have important implications for various stakeholders involved in planning and implementing relevant policies and programs.

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