Publications by authors named "X Bobbia"
Background: The early mortality of trauma patients, mainly from hemorrhagic shock, raises interest in detecting the presence of non-exteriorized bleeding. Intra-hospital EFAST (Extended Focused Assessment with Sonography for Trauma) has demonstrated its utility in the assessment and management of severe trauma patients (STP). However, there is a lack of data regarding the diagnostic performance of prehospital EFAST (pEFAST).
View Article and Find Full Text PDFDoes serum neutrophil gelatinase-associated lipocalin level predict acute kidney injury in patients with acute rhabdomyolysis in the emergency department? A multicentre prospective study.
BMJ Open
November 2024
Article Synopsis
- The study examined the effectiveness of serum neutrophil gelatinase-associated lipocalin (NGAL) as an early biomarker for predicting acute kidney injury (AKI) in patients with rhabdomyolysis who visited emergency departments in France.
- Conducted across five adult EDs, the research included 197 patients with high creatine phosphokinase levels, assessing NGAL levels upon admission and evaluating its correlation with AKI development within 48 hours.
- Out of those studied, 29% developed AKI by day two, with NGAL showing moderate predictive ability, indicated by an area under the receiver operating characteristic curve (AUC-ROC) of 0.60, meaning further refinement and research are needed
Introduction: Right diaphragmatic excursion is a reliable and reproducible technique used in intensive care to assess diaphragmatic function. The aim of this study was to investigate the relationship between the appearance of diaphragmatic motion and the etiological diagnosis of patients admitted to the emergency department with acute respiratory failure (ARF).
Materials: A prospective, observational, and multicenter pilot study was conducted.
Introduction: Assessment of left ventricular ejection fraction (LVEF) is one of the primary objectives of echocardiography. The gold standard assessment technique in emergency medicine is eyeballing. A new tool is now available on pocket ultrasound devices (PUD): automatic LVEF.
View Article and Find Full Text PDFObjectives: To study the diagnostic performance of an ultrasound-based algorithm that includes the deceleration time (DT) of early mitral filling to establish a diagnosis of acute heart failure (AHF) in patients who come to an emergency department because of dyspnea.
Material And Methods: Prospective analysis in a convenience sample of patients who came to a hospital emergency department with acute dyspnea. The algorithm included ultrasound findings and 4 echocardiographic findings as follows: mitral annular plane systolic excursion, Doppler mitral flow velocity, tissue Doppler imaging measure of the lateral annulus, and the DT of early mitral filling.