Evaluation of endotracheal intubations in the emergency department of a tertiary care facility.

Objective: In this study, we aimed to evaluate the performance of emergency department intubations for 1 year.

Methods: This was a retrospective analysis of prospectively collected data. The collected variables were patient demographics, indication for intubation, preintubation hemodynamics, preoxygenation methods, medications used for premedication, induction and paralysis, type of laryngoscope used, Cormack-Lehane (C-L) grades, number of intubation attempts, and peri-intubation adverse events.

The value of doppler ultrasound in predicting arterial injuries of the penetrating forearm trauma.

Objective: The aim of this study was to determine the diagnostic value of Doppler ultrasound (DU) in predicting arterial injuries following the penetrating trauma of the forearm, by comparing preoperative diagnosis made by DU and that made by physical examination (PE) with the intraoperative diagnosis.

Methods: In this retrospective study, 48 patients (44 men, 3 women; mean age = 30 ± 12.5 years) who underwent surgical treatment due to a suspected arterial injury following a penetrating trauma in the forearm from 2016 to 2018 were included.

Effect of smartphone applications on cardiopulmonary resuscitation quality metrics in a mannequin study: A randomized trial.

Objective: The aim of this randomized, cross-over trial is to reveal the effect of smartphone cardio-pulmonary resuscitation (CPR) feedback applications (App) on a group of lay rescuers' chest compression-only CPR quality metrics. Quality metrics is measured initially and after 3 months.

Methods: A floor-based Resusci Anne mannequin (Laerdal Medical, Stavanger, Norway) was used.

Vibrio albensis: An unusual urinary tract infection in a healthy male.

Infections with non-O1 non-O139 Vibro cholerae strains have been reported to affect different extra intestinal sites including the urinary tract infection. We report the first case of UTI due to Vibrio albensis in an immunocompetent patient from Lebanon, where the organism was also recovered from water at his home.

Non-invasive ventilation in the ED: Whom, When, How?

As emergency physicians, we encounter patients suffering from either hypoxemic and/or hypercarbic respiratory problems on a daily basis. A stepwise approach to solving this problem seems logical from an emergency medicine perspective. Current literature supports the notion that NIV decreases endotracheal intubation rates and, mortality in select patient populations.

Comparison of the C-MAC video laryngoscope to the Macintosh laryngoscope for intubation of blunt trauma patients in the ED.

Objectives: We aimed to compare the performance of the C-MAC video laryngoscope (C-MAC) to the Macintosh laryngoscope for intubation of blunt trauma patients in the ED.

Material And Methods: This was a prospective randomized study. The primary outcome measure is overall successful intubation.

The Factors Influencing Relapse in Patients Presenting to the Emergency Department with COPD Exacerbation.

Objectives: Chronic Obstructive Pulmonary Disease (COPD) is associated with high mortality and morbidity and is projected to be the third most common cause of death worldwide by 2020. For a variety of reasons, there is a drive to manage a greater number of individuals as outpatients. Preventing readmissions can reduce associated morbidity and subsequent healthcare costs.

Comparison of the C-MAC Videolaryngoscope and Rigid Fiberscope with Direct Laryngoscopy in Easy and Difficult Airway Scenarios: A Manikin Study.

Background: Intubation is a fundamental skill in maintaining adequate oxygenation and ventilation of seriously ill patients.

Objectives: To compare the C-MAC video laryngoscope and Bonfils intubation fiberscope with direct laryngoscopy in simulated easy and difficult airway scenarios.

Methods: This was a prospective, randomized-controlled cross-sectional study.

Comparison of ultrasonography and surface landmarks in detecting the localization for cricothyroidotomy.

Objective: The aim of the study was to compare ultrasonography (US) and surface landmark techniques for detecting the cricothyroid membrane (CTM) to perform a cricothyroidotomy on healthy volunteers.

Methods: In this prospective observational study, 5 operators and 24 models were included. The borders of the CTM were marked with an invisible pen.

The role of nitric oxide in predicting revisit of patients with exacerbated chronic obstructive pulmonary disease.

Background: Chronic obstructive pulmonary disease (COPD) is associated with high mortality and morbidity.

Objective: The aim of the present study was to determine the role of nitric oxide (NO) and other possible factors in predicting the revisit of patients with COPD exacerbation to the emergency department (ED).

Methods: This is a prospective cohort study on patients with exacerbated COPD in the ED setting.

Contribution of verbal suggestion to the therapeutic efficacy of an analgesic agent for acute primary headache.

Objective: The therapeutic response of a patient cannot purely be explained by the method of therapy or the efficacy of a drug. Clinician-patient interaction, psychosocial factors, patients' expectations, hopes, beliefs and fears are all related to the healing outcome. Malleability and suggestibility are also important in the placebo or nocebo effect.

Traumatic pseudoaneurysm and arteriovenous fistula detected by bedside ultrasound.

Background: The case of late presentation of a pseudoaneurysm and an arteriovenous fistula (AVF) of the common femoral artery and vein secondary to penetrating trauma is reported. Traumatic AVF and pseudoaneurysm may be present within a variety of clinical conditions, which sometimes makes it difficult to detect them clinically. Undiagnosed AVF can lead to clinical manifestations mostly secondary to increased output generated by the fistula.

Upper cervical spine movement during intubation with different airway devices.

Unlabelled: Prevention of secondary neurologic injury is critical during the airway management of a trauma patient. Trauma patients are assumed to have an unstable cervical spine (C-spine) until proven otherwise: orotracheal intubation during airway management may result in a certain amount of C-spine movement. This study, therefore, aimed to compare C-spine movement within different advanced airway devices (Macintosh blade, McCoy Blade, LMA, I-LMA, and Combitube) during airway management.

ETCO₂: a predictive tool for excluding metabolic disturbances in nonintubated patients.

Objectives: The purpose of this study is to examine the relation between end-tidal carbon dioxide (ETCO₂) measurement and bicarbonate (HCO₃) level reflecting the patient's metabolic status.

Method: This prospective cross-sectional study has been carried out during a 3-month period in a tertiary care university hospital's emergency department (ED). During the study period, every spontaneously ventilating ED patient requiring arterial blood gas analysis for any medical indication, regardless of presenting symptoms, had a simultaneous ETCO₂ measurement using a Medlab Cap 10 side stream capnograph.

The value of ETCO2 measurement for COPD patients in the emergency department.

We aimed to determine the value of sidestream end-tidal carbon dioxide (SS-ETCO2) measurement in patients with chronic obstructive pulmonary disease (COPD) in the emergency department. Cross-sectional associations between ETCO2 and PaCO2 were examined in the study. This prospective cross-sectional study has been carried out over a 3-month period in a tertiary care university hospital emergency department with an annual census of 75 000 visits.

How stylet use can effect confirmation of endotracheal tube position using ultrasound.

Introduction: None of the techniques used for confirmation of endotracheal tube (ET) placement are proven reliable 100% of the time. The purpose of our study is to determine whether ultrasound can accurately detect the passage of ET through the trachea and esophagus and to see whether this visualization is augmented with the use of a metal stylet.

Methods: A total of 7 physicians made assessments of ET positions using an ultrasound during their passage through the trachea or esophagus.

Factors affecting revisit of COPD exacerbated patients presenting to emergency department.

The primary purpose of this prospective cohort study was to characterize the use of the Emergency Department (ED) in patients with chronic obstructive pulmonary disease (COPD) exacerbations and determine the factors affecting the revisit of COPD patients. This is a prospective cohort study on ambulatory patients with exacerbated chronic bronchitis in an ED setting. Patients included in the study were above 18 years of age, had a previous diagnosis of COPD, and presented to the ED for the treatment of COPD exacerbation.

Intravenous paracetamol or morphine for the treatment of renal colic: a randomized, placebo-controlled trial.

Study Objective: This randomized, placebo-controlled trial evaluates the analgesic efficacy and safety of intravenous single-dose paracetamol and morphine for the treatment of renal colic.

Methods: We conducted a randomized, double-blind, placebo-controlled clinical trial comparing single intravenous doses of paracetamol (1 g), morphine (0.1 mg/kg), and placebo (normal saline solution) for patients presenting to the emergency department (ED) with suspected renal colic.