Jacobs Journal of Emergency Medicine
Articles in Press
Volume 2 Issue 3
CHESS-R: Post Cardiac-Arrest Hypothermia Evaluation for Patients with Shockable and Non-Shockable Rhythms – Retrospective Study
T. Zellner*, N. Zellner, J. Schopohl, M. Angstwurm
Sudden cardiac arrest is still a major cause of death . Since therapeutic hypothermia (TH) has been introduced as a standardized therapy for resuscitation survivors, prognosis has improved significantly [2-4]. Since 2010 the European Resuscitation Council (ERC) has recommended to cool all comatose patients after cardiac arrest, even patients with a non-shockable initial rhythm (NSIR) even though the pilot studies were only done on patients with a shockable initial rhythm (SIR) . However there is no evidence and these recommendations are solely based on expert opinions.
Asthma-Like Symptoms in Young Women Under Hormonal Contraception: Pay Attention to Pulmonary Embolism
Leonidas Grigorakos*, Dimitrios Veldekis, Anastasia Alexopoulou, Eleni Papaioannou, Dimitra Markopoulou, Anthi Georgiadou, Ioannis Nikolopoulos
Oral contraceptives became a popular method of birth control in the mid-1960s, and their safety has been improved over the years with changes in their dosage, chemical composition and route of administration. However, concerns about their safety have remained. The combination of estrogens and gestagens increase the risk for Venous or Arterial Thromboembolism. The clinical presentation of the first condition is mainly DVT or PE, while the latter condition may present as Acute Myocardial Infarction or Cerebrovascular accident.
The Use of Cyproheptadine and Dantrolene in Prolonged MDMA-Induced Hyperthermia
Victoria CH Su, Zahra Kanji*, Michael Boldt, Jeffery R Brubacher
MDMA (3,4 methylenedioxymethamphetamine), also known as “Ecstasy”, “XTC” or “E” , was originally developed as an appetite suppressant, but its potential for abuse was quickly recognized. It has become a popular drug of abuse at “raves” due to its euphoric effects as well as its ability to increase energy, wakefulness, sociability and sexual arousal. In 2004, 4.1% of Canadians reported having used Ecstasy at least once in their lifetime. Although perceived as a safe recreational drug, severe adverse effects such as, delirium, hyperthermia, rhabdomyolysis and multi-organ failure, have been reported.
A Survey on Public Acceptance of Ride-along Program in a Voluntary Ambulance Service in Hong Kong
Axel Yuet-chung SIU*, Lucia Lai-kwan PO, Chin-hung CHUNG
In developed countries, it is not uncommon for ambulance services inviting citizens, students and potential prehospital care providers to take a ‘ride-along’ program to familiarize them to the field of prehospital emergency medical services. It is believed that inviting interested citizens to get first-hand knowledge in an ambulance is in the best interest of the community and the services. Certainly, there are risks inherent in riding at potentially high speeds and dealing with situations where a person’s life may be at risk. However, with appropriate safeguards, the general public can ride safely and gain a good perspective on the emergency medical profession and services
Setting Priorities During Triage Process of the Sick Patients and Injured Patients at the Emergency Department
Basri Lenjani*, Arbёr Demiri, Nexhbedin Karemani, Ilaz Bunjaku, Besnik Elshani
Triage is an essential function in Emergency Departments (EDs), where many patients may be present simultaneously. Urgency refers to the need for time-critical intervention - it is not synonymous with severity. Patients triaged to lower acuity categories may be safe to wait longer for assessment and treatment but may still require hospital admission. Triage is a process of priority designation which leads to disease classification of sick patients, injured and intoxicated patients, also minor and major disasters based on scale of injury. Triage may result in priority order and priority treatment, priorities, destination and emergency transport.
Post Splenectomy Sepsis of Multi Trauma Patients in the ICU
Leonidas Grigorakos*, Ioannis Nikolopoulos, Anastasia Alexopoulou, Nikolaos Markou, Nikolaos Skoupas, Eleftherios Fotiou, Dimitrios Veldekis
Τhe spleen not only clears bacteria from the circulation but also processes this foreign material to stimulate the production of opsonizing antibody. This function is particularly important in the clearance of encapsulated organisms. However, when very severe, splenic trauma can be difficult to manage because it carries a high mortality rate. During the past 20 years the splenic injury has undergone a major revision in its approach. The nature of the definitive management of the splenic injury should be guided by an overall assessment of the patients’ condition, which includes an evaluation of the hemodynamic instability and the presence of dilutional or consumptive coagulopathy.