[Use of osteoarticular ultrasound by emergency physicians].

The use of ultrasound by emergency physicians is now well established. It can be integrated as an extension of the clinical examination, providing diagnostic support during consultation in the emergency department. However, its use in osteoarticular pathologies remains less frequent, despite a growing body of literature demonstrating its value in a variety of pathologies.

Perceived Hospital Preparedness Is Negatively Associated With Pandemic-Induced Psychological Vulnerability in Primary Care Employees: A Multicentre Cross-Sectional Observational Study.

Objective: The COVID-19 pandemic had a profound negative impact on the psychological wellbeing of healthcare providers (HPs), but little is known about the factors that positively predict mental health of primary care staff during these dire situations.

Methods: We conducted an online questionnaire survey among 702 emergency department workers across 10 hospitals in Switzerland and Belgium following the first COVID-19 wave in 2020, to explore their psychological vulnerability, perceived concerns, self-reported impact and level of pandemic workplace preparedness. Participants included physicians, nurses, psychologists and nondirect care employees (administrative staff).

Gender-based differential management of acute low back pain in the emergency department: A survey based on a clinical vignette.

Background: Women may receive suboptimal pain management compared with men, and this disparity might be related to gender stereotypes.

Objectives: To assess the influence of patient gender on the management of acute low back pain.

Design: We assessed pain management by 231 physicians using an online clinical vignette describing a consultation for acute low back pain in a female or male patient.

[Ketamine for medically-delegated analgesia in the Emergency Department].

Ketamine has the optimal characteristics for use in an Emergency Department. Added in 2020 to the Emergency Department's medically delegated analgesia protocol of the Cantonal Hospital of Neuchâtel (RHNe), it has become a valuable ally for the management of acute pain. The purpose of this article is to present the advantages of its use in an Emergency Department by means of a review of evidence and experience.

[Vulnerability of patients with intellectual disabilities in emergency].

People with intellectual disabilities should receive the same healthcare as those offered to the general population. However, they have weakened defense capabilities compared to the rest of the population and are therefore more vulnerable, with somatic, psychological, and psychosocial crises being more frequent and becoming complicated to manage. Usually, a primary assessment can reduce the need for transfer to emergency departments, but some situations may become complex and require hospital-based care.

Cannabinoid hyperemesis syndrome and cannabis withdrawal syndrome: a review of the management of cannabis-related syndrome in the emergency department.

Background: Cannabis-related medical consultations are increasing worldwide, a non-negligible public health issue; patients presenting to acute care traditionally complain of abdominal pain and vomiting. Often recurrent, these frequent consultations add to the congestion of already chronically saturated emergency department(s) (ED). In order to curb this phenomenon, a specific approach for these patients is key, to enable appropriate treatment and long-term follow-up.

["White code protocol": model of interprofessional collaboration in the emergency room].

Acute agitation is a frequent cause of emergency department's consultation. Managing an agitated patient is complex due to many factors and require from healthcare teams a close interdisciplinary collaboration. Scope of this article is to describe the management of agitated patients in an emergency department and to present an interprofessional medical care protocol (white code protocol), giving also the opinion of principal actors of this healthcare interdisciplinary model.

[Cervical spine trauma in the era of : less immobilization and no cervical collars].

In the 1950s and 60s, the imprudent handling of trauma patients with suspected cervical spine injury resulted in a number of reported cases of neurological deterioration during management. This led to promote the systematic immobilization of patients using rigid devices such as rigid cervical collars and spineboards. Today, this practice is being challenged and those tools are reevaluated, and some situations simply abandoned.

Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland.

Opiophobia contributes to oligoanalgesia in the emergency department (ED), but its definition varies, and its association to healthcare providers' personality traits has been scantly explored. Our purpose was to study the different definitions of opiophobia and their association with two personality traits of doctors and nurses working in EDs, namely the stress from uncertainty and risk-taking. We used three online questionnaires: the 'Attitude Towards Morphine Use' Score (ATMS), the Stress From Uncertainty Scale (SUS) and the Risk-Taking Scale (RTS).

[Management of related contact sport mTBI].

Sports and hobbies are important cause of accident and the incidence of reported traumatic brain injury is about 10 000 case/years in Switzerland. Hockey and handball are very high-risk contact sports. The term « mild traumatic brain injury » (mTBI) involves a patient with an initial Glasgow coma scale between 13 and 15.

[Proctological emergencies in pregnant women].

Hemorrhoids affect up to 85 % of pregnant women during the last two trimesters. The maximum incidence for anal fissure is 20 %. One of the common risk factors is constipation promoted during pregnancy.

[Cutaneous surgery myths and traditions in the Emergency Department].

Traditions and myths die hard in many fields of medicine but especially in the field of cutaneous surgical emergencies. In a few selected paragraphs, we set out to undo some of these myths with the aim of a less ritualized approach to daily gestures.

[Cutaneous infections in the emergency department : the devil in the detail].

Skin and soft tissue infections, which are a common cause of admission, are characterized by a clinical polymorphism leading to diagnostic errors. To a certain point, confusion exists between used terms and indicated treatment, especially since the emergence of methicillin-resistant Staphylococcus aureus (MRSA) infections.The paucity of cutaneous findings early in the course of deep soft tissue infections makes diagnosis challenging for physicians in charge.

Merger of two dispatch centres: does it improve quality and patient safety?

Background: Dispatch centres (DCs) are considered an essential but expensive component of many highly developed healthcare systems. The number of DCs in a country, region, or state is usually based on local history and often related to highly decentralised healthcare systems. Today, current technology (Global Positioning System or Internet access) abolishes the need for closeness between DCs and the population.

[Non invasive ventilation in the emergency setting].

Before the development of non invasive ventilation (NIV), endotracheal intubation was the only ventilatory therapy available in case of severe respiratory distress and acute respiratory failure. NIV used to be employed in intensive care settings only. Nowadays, the use of NIV has been democratized to include the emergency room, and the pre-hospital care setting for treatment of acute respiratory failure.