Implementation of the mini-clinical evaluation exercise in postgraduate Year 1 residency training in emergency medicine: Clinical experience at Chang Gung Memorial Hospital
Conclusion The seniority and specialty training of ED faculty affected the mini-CEX ratings. The computer-based mini-CEX facilitated complete data gathering but showed differences for ED faculty with different levels of seniority. Further studies of the reliability and validity of the mini-CEX for PGY-1 EM training are needed. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Evaluation of total phenolic content and free radical scavenging activity of Boerhavia erecta
Conclusion The in vitro antioxidant assays reveal potent antioxidant and free radical scavenging activity of the leaves of B. erecta. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Monitoring in vitro antibacterial efficacy of Terminalia alata Heyne ex. Roth, against MDR enteropathogenic bacteria isolated from clinical samples
Conclusion The antibacterial efficacy of methanolic crude extracts revealed that leaves and bark of T. alata could serve as complementary/supplementary medicines to control multidrug resistant enteropathogenic bacteria. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Zea mays leaf extracts protect Saccharomyces cerevisiae cell against oxidative stress-induced cell death
Conclusion Zea mays leaf extracts have a rich source of antioxidants and it can effectively protect the eukaryotic cells (yeast cells) from oxidative stress-induced by hydrogen peroxide. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Effects of umbelliferone on lipid peroxidation and antioxidant status in diethylnitrosamine-induced hepatocellular carcinoma
Conclusion These results clearly suggest that umbelliferone treatment prevents liver damage, lipid peroxidation and protects the antioxidant defense system in DEN-induced liver carcinogenesis in rats. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Cardiopulmonary resuscitation—From the past into the future
Publication date: September 2013 Source:Journal of Acute Medicine, Volume 3, Issue 3 Author(s): Sung Oh Hwang Since the first cardiopulmonary resuscitation (CPR) guidelines were published in 1966, periodic updates of the guidelines have been made by individual organizations all over the world. However, several important components of CPR have been determined with a lack of scientific basis. Proper hand placement on the sternum for chest compression, compression depth, and compression rate to produce optimal hemodynamic effect have yet to be investigated. Clinical trials have failed to demonstrate a survival benefit of...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Leading and managing an emergency department—A personal view
Publication date: September 2013 Source:Journal of Acute Medicine, Volume 3, Issue 3 Author(s): Eillyne Seow The emergency department (ED) is a “unique operation, optimized to exist at the edge of chaos”. It is the responsibility of the leaders and managers of the ED to ensure that their teams work in an environment where they can deliver the best care to their patients. This environment is defined by people, system and place. People are the most important asset of the ED. One of the most important responsibilities of the ED leaders and managers (senior management) is to foster teamwork. They will also have to ens...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Is sports a pain in the leg? Isolated peroneal compartment syndrome: Case report and literature review
We report a rare case of isolated sub acute peroneal compartment syndrome after horse riding. The diagnosis was suspected on clinical grounds and supported by intracompartmental pressure measurements, after which a decompression fasciotomy was performed. It is important that clinicians and athletes alike are aware of this condition and its risk factors to prevent the potentially catastrophic sequelae of a delayed diagnosis. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Rectus sheath abscess caused by perforation of the small bowel by a fish bone
We report a 55-year-old man who presented to the emergency department with complaints of acute abdominal pain and an abdominal wall mass after severe coughing. A rectus sheath hematoma was impressed after a computed tomography study, but his symptoms were refractory to medical treatment. Ultrasonography revealed a foreign body within the mass. A fish bone with abscess formation was found during the surgery. Emergency physicians should maintain a high index of suspicion for an occult retained foreign body in any abscess and consider etiologies other than rectus sheath hematoma if the patient has signs of infection, leukocyt...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Subdural hemorrhage from a hepatoma due to metastasis
We report a 69-year-old woman who visited our emergency department with a history of nausea and vomiting for 6 days. Computed tomography of the brain with enhancement showed a space-occupying lesion over temporal skull with subdural hematoma. Abdominal sonography revealed a liver tumor. Emergent craniotomy and resection of intracranial tumor were performed because of impaired consciousness on the 4th day after admission. A pathological analysis of the cranial lesion later confirmed the diagnosis of metastatic hepatocellular carcinoma with skull involvement. After a complete survey of her hepatoma, she received tumor emboli...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Acute appendicitis or not: Facts and suggestions to reduce valueless surgery
Conclusion Preoperative imaging studies should be considered in moderate-risk patients, especially when the clinical manifestations are ambiguous. More workups, or even a prolonged observation, but not rushing to the operation theater, should be undertaken for patients with unremarkable imaging. In high-risk patients, surgery was valuable for patients without preoperative imaging, or with suggestive but inconclusive imaging results. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Essential oil from the stem bark of Cordia sebestena scavenges free radicals
Conclusion The essential oil may be further explored for its potential as an antioxidant contributor in food and phytotherapeutic medicine. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Crohn's disease—What the medical registrar and acute physician needs to know!
This article discusses the six most common presentations of Crohn's disease to the Acute Medical Unit and informs about optimal management. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Update on the use of cardiac markers in the diagnosis of acute coronary syndrome
Publication date: December 2013 Source:Journal of Acute Medicine, Volume 3, Issue 4 Author(s): Swee Han Lim , Ziwei Lin Accurate identification of the cause of chest pain is a challenge to the emergency physician because a significant proportion of patients with acute coronary syndrome (ACS) present atypically. Cardiac troponins are the most sensitive and specific biochemical markers of myocardial damage, and are an important diagnostic tool in the evaluation of ACS. High-sensitivity troponins (hsTn) have been introduced in recent years, and have been shown to have increased accuracy in the diagnosis of acute myocard...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Adventures in disaster medicine: A United States experience that illustrates key public health policy principles
Publication date: December 2013 Source:Journal of Acute Medicine, Volume 3, Issue 4 Author(s): Kristi L. Koenig Public health policy for disasters is multi-faceted and complex at the local, state, and federal levels. Using a series of case studies, this manuscript illustrates issues at each echelon. The federal example of the anthrax letter attacks in the United States in the fall of 2001 demonstrates key differences between a classic bioterrorism attack with release of a weaponized, aerosolized agent and a sudden impact, defined scene event with a contaminated letter. Additional public policy issues arise regarding s...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
