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International Journal of Emergency Medicine
Scopus
ISSN 1865-1372 · BMC · 1.140 artikel di indeks
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Artikel Jurnal
Achieving door-to-balloon time ≤ 90 minutes in ST-elevation myocardial infarction: a retrospective clinical audit from a tertiary care centre in India
Abstract Background Timely reperfusion therapy with primary percutaneous coronary intervention (PCI) significantly improves outcomes in ST-elevation myocardial infarction (STEMI). International guidelines recommend achieving a door-to-balloon (D2B) time of ≤ 90 min in at least 90% of eligible…
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Artikel Jurnal
Revisiting Spigelian hernia with emphasis on diagnostic challenges and outcomes of open mesh repair: a case report of two patients
Abstract Background Spigelian hernia is a rare defect of the anterior abdominal wall, accounting for less than 2% of all abdominal wall hernias. Despite its low incidence, it carries a clinically significant risk of incarceration and strangulation due to its deep interparietal location beneath an…
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Artikel Jurnal
Severe anaphylaxis following off-label rectal use of injectable diazepam in a febrile seizure: a case report and clinical implications
Abstract Background Off-label rectal administration of intravenous diazepam is commonly practiced for acute seizure management in children when FDA-approved rectal gels (e.g., Diastat® AcuDial) are inaccessible—particularly in low-resource settings like Vietnam. However, such injectable…
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Artikel Jurnal
Maternal death due to placenta percreta: a case report study
Abstract Introduction Abnormal placental adhesion is often associated with severe life-threatening bleeding, which requires emergency hysterectomy around parturition. Abnormal adhesions of the placenta are an essential cause of maternal death due to bleeding during pregnancy or after parturition…
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Artikel Jurnal
A complex case of diphtheria in a pediatric patient: complications of renal failure and myocarditis
Abstract Background Diphtheria remains a life-threatening infectious disease in low- and middle-income countries, particularly where immunization coverage is incomplete. Severe complications such as myocarditis and acute kidney injury significantly increase mortality. Reporting rare and complex…
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Artikel Jurnal
Lidocaine-induced cardiac arrest during CT-guided lung biopsy: a case report of local anesthetic systemic toxicity outside the operating room
Abstract Background Local anesthetic systemic toxicity (LAST) is an uncommon but potentially fatal complication of local anesthetic use that may occur outside the operating room and present atypically with abrupt cardiac arrest. Case presentation A 78-year-old man undergoing a CT-guided core-needle…
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Artikel Jurnal
Atypical presentation of congenital diaphragmatic hernia with gastric ischemia and coffee-ground emesis in late infancy: a case report and literature review
Abstract Background Congenital diaphragmatic hernia (CDH) is typically diagnosed in the prenatal or immediate postnatal period. Late-presenting CDH is rare and can have varied, nonspecific symptoms. Upper gastrointestinal bleeding is an uncommon initial manifestation. Case presentation We present…
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Artikel Jurnal
V-A ECMO treatment via drainage from the right internal jugular vein to the inferior vena cava ostium for high-risk pulmonary embolism complicated by cardiac arrest with filter placement: case report
Abstract Background Patients with high-risk pulmonary embolism complicated by cardiac arrest frequently require V-A ECMO support; however, the traditional peripheral catheterization pathway may be obstructed in patients who have already had an inferior vena cava (IVC) filter implanted. This article…
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Artikel Jurnal
Reducing cognitive load in dispatcher-assisted CPR: a simulation-based educational study among non-medical university students
Abstract Background Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is critical for improving outcomes after out-of-hospital cardiac arrest, yet untrained callers often experience high cognitive load that impedes early recognition and action. Communication strategies grounded in…
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Artikel Jurnal
Silent but lethal: intravenous gas visualized by point-of-care ultrasound
Abstract Background Venous gas embolus secondary to deep soft tissue infection is a rare but potentially fatal condition in emergency settings that requires urgent medical intervention. Case presentation We report a case of a 32-year-old female with an invasive mole undergoing chemotherapy who…
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Artikel Jurnal
Simulation-based education in an emergency medicine clerkship in Qatar: impact on academic performance and student perceptions
Abstract Background Simulation-based medical education (SBME) is increasingly used in emergency medicine (EM) training to enhance clinical skills and decision-making. However, its impact on undergraduate clerkship performance and student perceptions in the Middle Eastern context remains…
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Artikel Jurnal
Evaluation of immunochromatography-based urine drug screening and blood drug concentrations in suspected acute poisoning: insights into negative urine drug screening results
Abstract Background Immunochromatography-based urine drug screening (UDS) can have false-positive or false-negative results; thus, interpretation of results requires careful evaluation. A UDS-negative result simply indicates that target drugs were not detected in urine and does not rule out acute…
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Artikel Jurnal
Cardiac tamponade presenting as obstructive shock in the first trimester pregnancy – a case report
Abstract Background Cardiac tamponade is a critical emergency that needs to be recognized and treated without delay. There is a significant knowledge gap regarding cardiac tamponade in early pregnancy, with no reported cases or guidelines on its evaluation and management. The impact of hemodynamic…
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Artikel Jurnal
A direct qualitative content analysis on the design, implementation, and evaluation of prehospital earthquake exercises aligned with the HSEEP framework
Abstract Introduction Disaster exercises are a vital strategy for enhancing Emergency Medical Services (EMS) operational preparedness. This study aimed to extract “Golden Keys” for Design, Implementation and Evaluation of earthquake exercises aligning these key components with the internationally…
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Artikel Jurnal
Postpartum acquired hemophilia presenting as compartment syndrome: a diagnostic challenge in the emergency department
Abstract Background Acquired hemophilia A is an uncommon but potentially life-threatening bleeding disorder caused by autoantibodies against factor VIII. It can be associated with autoimmune disease, malignancy, or pregnancy. Case report We describe a 31-year-old woman, five weeks postpartum, who…
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Artikel Jurnal
Accuracy of ultrasound for intussusception in pediatric emergency presentations: a systematic review and diagnostic meta-analysis
Abstract Introduction Intussusception is a common cause of acute abdominal emergencies in children. This systematic review and diagnostic meta-analysis aimed to determine the diagnostic accuracy of ultrasound for intussusception in pediatric emergency presentations, providing pooled estimates for…
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Artikel Jurnal
Resuscitative endovascular balloon occlusion of the aorta in abdominal trauma: zone-specific outcomes and predictors of mortality
Abstract Background Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is increasingly utilized for hemorrhage control in trauma; however, zone-specific outcomes in abdominal trauma remain inadequately characterized. Methods We retrospectively analyzed 404 patients with abdominal…
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Artikel Jurnal
Investigation of symptoms in emergency medical calls by patients treated with thrombectomy: a retrospective study in Western Norway
Abstract Background Patients with large vessel occlusion (LVO) may benefit from endovascular thrombectomy (EVT). Early identification and potential transfer to a comprehensive stroke centre can be advantageous, depending on geographical and logistical factors. This study aimed to describe symptoms…
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Artikel Jurnal
Hospital readiness for emergency and critical care in India: a nationwide cross-sectional study
Abstract Background Emergency and critical care (ECC) services are essential for reducing preventable mortality from acute illness and injury. Evidence on hospital readiness for ECC in India remains limited. This study assessed facility-level readiness using the World Health Organization’s Hospital…
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Artikel Jurnal
Severe red kidney beans toxicity in an 8-year-old girl: a rare case of hypovolemic shock and prerenal acute kidney injury
Abstract Background Red kidney beans (Phaseolus vulgaris) contain high levels of the lectin phytohaemagglutinin (PHA). Ingestion of raw or insufficiently cooked beans can cause acute toxicity, with symptoms typically arising 1–3 h after consumption. While most cases produce transient nausea…
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