Browse Items (94 total)

Background The number of older adults with a high risk of frailty and severe illness continues to increase. Moreover,

physiological change and multiple comorbidities are challenging to triage in geriatrics. Therefore, we aimed to evalu-
ate…

Background Self-discharge is a risk factor for readmission and excess mortality. We assess the rate of self-discharge
from the emergency department (ED) among presentations for acute recreational drug toxicity and identify factors
associated with…

Background Severe hypocalcemia may lead to life-threatening arrhythmias. Denosumab is an effective treat‐
ment for osteoporosis that allows long intervals between doses. However, there is a risk of hypocalcemia in some
patients. Due to the long…

Background Spinal ankylosing disorders (SADs) refer to a group of conditions resulting in spontaneous or postsurgi-
cal ossification and fusion of the spinal segments. The spine becomes increasingly susceptible to injury over time such

that even…

Background Spontaneous hemoperitoneum in pregnancy (SHiP) refers to fluid collection in the abdominal cavity

with a vague presentation of clinical symptoms. Particularly, SHiP causes a life-threatening condition with the coexist-
ence of…

Background The use of nonionic low-osmolar contrast media has significantly reduced the risk of hypersensitivity

reactions. Despite this, severe reactions continue to occur unpredictably. An ischemic stroke in the setting of anaphy-
laxis is…

Background This case report presents the case of a man with no known coagulopathy or preceding trauma, who
spontaneously developed a spinal epidural hematoma (SEH). This is an uncommon condition which can have variable
presentations including…

Background During the coronavirus disease 2019 (COVID-19) pandemic, the format of patients with out-of-hospital
cardiac arrest (OHCA) management was modified. Therefore, this study compared the response time and survival at
the scene of patients…

Background While emergency medicine (ER)-based emergency care is prevalent in many countries, in Japan, the
“department-specific emergency care model” and the “emergency center model” are mainstream. We hypothesized
that many secondary emergency…

Objectives ECG interpretation is a life-saving skill in emergency medicine (EM), and a core competency in under‐
graduate medical curricula; however, confidence for residents/students is low. We developed a novel educational
intervention—the HEARTS…