What Statistics do Emergency Physicians Need to Know
Edward A Ramoska, MD, MPH*, Virat Patel, MD, Alin Gragossian, DO and Romy Nocera, PhD
Article Type: Original Article | First Published: February 14, 2019
We evaluated 545 articles. Almost 60% of them were cohort studies; 17% were randomized controlled trials, 15% were cross-sectional studies and 4% were meta-analyses. The mean number of statistical tests per article was 4.16 (SD = 1.98), with a median of 4 (IQR = 2). The top ten statistical techniques applied (descriptive statistics, confidence intervals, contingency tables, t-tests, epidemiologic statistics, non-parametric tests, regression analysis, power analysis, multiway tables, and non-para...
Use of Programmed Multilevel Ventilation as a Superior Method for Lung Recruitment in Heart Surgery
Peter Candik, Adrian Kolesar, Martin Nosal, Matus Pauliny, Frantisek Sabol, Viera Donicova, Viliam Donic and Pavol Torok
Article Type: Original Article | First Published: January 26, 2019
During cardiac surgery, extracorporeal circulation (ECC) causes lung injury. In these inhomogenously affected lungs, the pressure control ventilation (PCV) cannot adequately ventilate differently damaged lung compartments. We invented and used original multilevel lung ventilation method named 3-LV based on alternating 3 or more pressure levels, ventilation frequencies and delivered tidal volumes. The goal of this article is to compare lung mechanics in cardiac surgery patient after ECC using sta...
Altruism: Brief Review of Current Opinions and Implications on Community Emergency Medicine
Oshionwu EJ and Nwose EU
Article Type: Commentary | First Published: January 25, 2019
There are several theories on altruism including the concept of pseudo-altruism. The latter constitute divergent opinion around egoism and socioeconomic status (SES). Review has identified that the conflict between altruistic and pseudo-altruistic theoretical approaches can be resolved by combining elements from both concepts. The objective of this commentary is to advance (1) That there is 'benefit to the helping altruistic individual in all altruism theories; and (2) A unifying viewpoint in te...
Predictors of Adverse Outcome Early After ICU Discharge
Katsiari M, Ntorlis K, Mathas C and Nikolaou C
Article Type: Original Article | First Published: January 07, 2018
Clinicians are often confronted with the timely discharge decision, in order to avoid readmission and escalation of costs. Aim of the present study was to determine potential risk factors for ICU readmission or death early after ICU discharge. The Intensive Care Unit (ICU) is the designated department in the hospital for the care of the most unstable and sickest patients. Depending on ICU availability, it is possible these intubated and critically ill patients are being hospitalized in other are...
Extreme Hypernatraemia and Sepsis in a Patient with Huntington's Dementia: A Conundrum in Fluid Management
Harish Venkatesh, Sanjeev Ramachandran, Atanu Basu and Hari Nair
Article Type: Case Report | First Published: January 05, 2019
We report a unique case of extreme hypernatraemia of 196 mmol/L and severe sepsis in a young 39-year-old adult with Huntington's dementia, which presented a challenge in fluid management. The hypernatraemia was thought to be caused by chronic severe dehydration from poor intake and the sepsis was thought to have started as an inadequately treated urinary tract infection. The patient was initially treated aggressively with hypotonic saline and intravenous antibiotics but was subsequently managed ...
An Exploratory Study of Overnight Education in the Medical Intensive Care Unit
Camille R Petri, Brittany L Ranchoff, Amy P Cohen, Amy M Sullivan, Richard M Schwartzstein and Margaret M Hayes
Article Type: Brief Report | First Published: January 04, 2019
Many hospitals in the United States employ overnight intensivist coverage for their medical intensive care units, but little is known about the effect of this staffing model on trainee education, and the learning that occurs overnight. This study examined the educational interactions occurring between residents and overnight intensivists in the context of the overnight multidisciplinary learning environment....
Efficacy of Cervical Immobilization in Multiple Trauma Patients
S Cacho Garcia, D Pena Otero and M Eguillor Mutiloa
Article Type: Review Article | First Published: January 03, 2019
Immobilization is one of the most used procedures to prevent spinal cord injury in multiple trauma patients in prehospital setting. However, its protocolary use has historical principles rather than a scientific origin. Although this technique restricts the movement of the injured spine, there is no evidence supporting its use in all patients suffering from trauma. The concept of multiple trauma includes all those patients who have traumatic injuries that affect at least two or more organs (or m...