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Retrospective Review of the Image Quality of Monoplane Transesophageal Echocardiography in Prehospital Out-of-Hospital Cardiac Arrest: A Single Center Pilot Study.
Prehosp Emerg Care
November 2024
Department of Emergency Medicine, Newark Beth Israel Medical Center, Newark, New Jersey.
Objectives: Out of Hospital Cardiac Arrest (OHCA) is a frequently encountered pathology with resultant poor outcomes in the majority of patients. Echocardiography has been utilized to help guide clinical decision making and monitor effectiveness of resuscitative efforts. Transthoracic echocardiography (TTE) the mainstay of point-of-care ultrasound (POCUS) real time resuscitative imaging has limitations, most notably is the disruption of closed chest compressions.
View Article and Find Full Text PDFAssessment, Management and Quality of Care of Patients Presenting with Non-Traumatic Acute Chest Pain in the Emergency Room who had Acute Coronary Syndrome.
West Afr J Med
July 2024
Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria. E-mail:
Article Synopsis
- Non-traumatic acute chest pain (NTACP) is a common issue in emergency departments and can signal acute coronary syndrome (ACS), but there's limited information on how these patients are managed in hospitals, particularly in sub-Saharan Africa.
- The study aimed to analyze the care process for NTACP patients at a tertiary hospital in Nigeria, focusing on quality indicators essential for improving outcomes in ACS management.
- Out of 4,306 patients, 225 had NTACP, with a majority presenting late to the emergency department, and only a small fraction received crucial diagnostic tests, highlighting significant gaps in the care provided.
Impact of Prehospital Ultrasound Training on Simulated Paramedic Clinical Decision-Making.
West J Emerg Med
September 2024
Dartmouth College, Geisel School of Medicine, Department of Medical Education, Hanover, New Hampshire.
Introduction: When used appropriately, focused limited-scope ultrasound exams could potentially provide paramedics with accurate and actionable diagnostic information to guide prehospital decision-making. In this study we aimed to investigate the impact of a 13-hour prehospital ultrasound training course on the simulated clinical decision-making of paramedics as well as their ultrasound skills, knowledge, and self-confidence.
Methods: We evaluated the ultrasound competence of 31 participants using post-course written and practical assessments.
Estimation of Systolic and Diastolic Left Ventricular Blood Flow From Derivatives of Transesophageal Echocardiographic 3D Volume Curves in Cardiac Surgery Patients: A Proof-of-Concept Study.
Semin Cardiothorac Vasc Anesth
December 2024
School of Medicine, Basel University, Basel, Switzerland.
Objectives: To examine whether estimates of peak global systolic (S') and diastolic (E') left ventricular (LV) flow rates based on 3D echocardiographic volumes are feasible and match physiology.
Methods: In this retrospective feasibility study, we included patients undergoing major cardiac surgery. S' and E' were derived from 190 patients by taking the first derivative of the volume-time relationship of 3D ecg-gated transesophageal echocardiography (TEE) images.
CHANTER syndrome in the context of pain medication: a case report.
BMC Neurol
July 2024
Department of Neuroradiology, Ev. Klinikum Bethel, University Hospital OWL, Campus Bielefeld-Bethel, Bielefeld, Germany.
Background: CHANTER (Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion) is a recently described syndrome occurring in the context of drug abuse. While clinical findings are rather unspecific (disorientation, unresponsiveness), MR imaging (MRI) discloses a characteristic pattern (restricted diffusion in the basal ganglia and hippocampi, cerebellar oedema and haemorrhage), allowing for timely diagnosis before complications such as cerebellar swelling and herniation do occur. Here we report a case of CHANTER primarily based on imaging findings, as there was no evidence of drug abuse on admission.
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