Underdiagnosed Delirium on Elderly Patients in the Emergency Room Principal Author
Sanchez Martinez Fatima Alondra, Ruiz Mondragon Alberto, Marín Nieto Jaime and Villaseñor Talavera Yael Sebastián
Article Type: Original Article | First Published: June 28, 2021
Delirium is a fluctuant, transitional and acute affection of cognition and attention, with multifactorial aetiologies. It is a medical emergency and requires an integral evaluation to identify the underlying causes. In elderly people, over 65 years old, the incidence of Delirium oscillates greatly between 14% to 24% at the moment of hospitalization and 6% to 56% during the time of hospitalization. The prevalence of Delirium acquired in the community oscillates from 1% to 2%. However, this preval...
Clinical Characteristics of Suspected COVID-19 in Pediatric Patients
Heather Yerdon, BS, Lauren Mutter, MD, Rick Tivis, MPH, Trevor Olsen, PhD and Anna Suessman, DO
Article Type: Original Research | First Published: May 20, 2021
This study reviews patients aged 21 and younger, who presented to the Ochsner Medical Center’s Pediatric Emergency Department during the COVID-19 pandemic. A retrospective analysis was completed comparing demographics, symptomology, and laboratory analysis between COVID positive and negative patients. This study examined pediatric patients presenting to the Pediatric Emergency Department at Ochsner Medical Center between March 11 and May 20, 2020. All children included in the study underwent C...
Acute Occlusion of the Lower Limb Artery Associated with Hyperosmolar Hyperglycemic Nonketotic Coma in a Patient with Amyotrophic Lateral Sclerosis: A Case Report
Kyoko Hayashida, MD, PhD, Shinsuke Masuda, MD, Yuichiro Yuchi, MD, Tsutomu Matsushita, MD, PhD and Kazuki Morimoto, MD
Article Type: Case Report | First Published: April 17, 2021
A 61-year-old man with amyotrophic lateral sclerosis (ALS) on tracheostomy positive pressure ventilation was brought to the emergency room due to decreased consciousness. He was diagnosed with hyperosmolar hyperglycemic nonketotic coma (HHNC) with severe systemic hypotension. He exhibited an adequate response to treatment of continuous intravenous insulin infusion and fluid replacement. On the third day, he developed acute limb ischemia due to extensive occlusion from the left common iliac arter...
Evaluation of Obstetric Patient Transfers by Helicopter in Turkey
Asiye Uzun, MD, Eren Usul, MD, Gülşah Çıkrıkçı Işık, MD, Semih Korkut, MD
Article Type: Original Research | First Published: April 09, 2021
Air ambulance services, which began in 2008 in our country, have become increasingly widespread. Today, there are command centers in 17 cities, and helicopter ambulances are preferably provided during the day, while air craft ambulances are used at night. The aim of the present study was to examine the characteristics of obstetric patient transfers by helicopter ambulance throughout Turkey in 2020. This study was started after receiving permission from the Turkish Ministry of Health, and all obs...