Showing papers in "Hong Kong Journal of Emergency Medicine in 2021"
TL;DR: Emergency healthcare worker has a high rate of burnout especially among the nurses, and the factors leading to burnout were frequent exposure to angry public, job overload, lack of clear guidelines, and perception of underpaid.
Abstract: Introduction:Burnout is a syndrome occurring from an overwhelming workplace stress. The study was done at a large teaching hospital identified as a COVID-19 treating hospital. During COVID-19 pande...
19 citations
TL;DR: In this article, the authors examined professional quality of life of healthcare professionals in emergency departments during the COVID-19 pandemic and found that they may be compromised during the pandemic.
Abstract: Background:The professional quality of life of healthcare professionals in emergency departments may be compromised during the COVID-19 pandemic.Objectives:This study aims to examine professional q...
10 citations
TL;DR: Using a home-bed mattress did not decrease the chest compression quality, except chest compression rate of soft-firmness mattress, and it may be effective to initiate chest compression on aHome- bed mattress if the bystander cannot move the patient to the floor.
Abstract: Background:Bystander cardiopulmonary resuscitation is a key component of life-saving after an out-of-hospital cardiac arrest. In the pre-arrival instructions for out-of-hospital cardiac arrest, it ...
9 citations
TL;DR: LUS has better diagnostic accuracy and sensitivity in COVID-19 patients with ARDS than the chest X-ray, and has evident advantages in detecting lung consolidation, patchy shadows, and Pleural thickening, and pleural line changes in particular.
Abstract: Background:An outbreak of coronavirus disease 2019 (COVID-19) took place in Wuhan, China, by the end of 2019, and the disease continues to spread all over the world. The number of patients is incre...
8 citations
TL;DR: Examination showed visual acuity with pinhole of hand movement over the right eye, right relative afferent pupillary defect and normal intraocular pressure of 15 mmHg, and extraocular movement was full without diplopia or pain.
Abstract: A 60-year-old hypertensive lady experienced painless sudden visual loss in the right eye when resting at home. There was no traumatic injury, no eye pain, or flashes or floaters, or nausea, but mil...
8 citations
TL;DR: By identifying problematic areas of prescribing and using targeted interventions, the proportion of STOPP errors made in clinical decision unit reduced significantly.
Abstract: Background:Polypharmacy and inappropriate prescribing are risk factors for adverse drug reactions, which commonly cause complications in older people. The STOPP (Screening Tool of Older Persons’ Pr...
7 citations
TL;DR: The inter-method agreement between plain pelvic radiographs and computer tomography scans was fair in classifying pelvic fractures, and moderate in detection of unstable pelvic fractures.
Abstract: Background:While there are intrinsic differences in the pros and cons between plain radiographs and computer tomography, the role of pelvic radiographs in polytrauma management is diminishing as co...
7 citations
TL;DR: This 14th annual report provided updated epidemiological information on the pattern of poisoning in Hong Kong and highlighted a number of important changes compared with previous reports.
Abstract: Background:The Hong Kong Poison Information Centre (HKPIC) provides consultation service to health care professionals and collect epidemiological data on poisoning in Hong Kong since 2005.Objective...
6 citations
TL;DR: A meta-analysis indicates that Pcv-aCO2/Ca-vO2 has predictive value for mortality in patients with sepsis or septic shock.
Abstract: Background:Sepsis patients with insufficient tissue perfusion and hypoxia should be identified and resuscitated immediately. Recently, venous-to-arterial carbon dioxide pressure changes and the art...
6 citations
TL;DR: This preliminary report demonstrated that with careful patient selection, adoption of guidelines, and availability of expertise, critical care service can be safely implemented in the emergency medicine ward.
Abstract: Background:Bloodstream infection is a life-threatening clinical condition posing significant morbidities and mortalities. An “Emergency Critical Care Management Program” has been implemented in the...
6 citations
TL;DR: Resuscitative endovascular balloon occlusion of the aorta is a useful adjunctive skill for trauma surgeons, and a brief training course can help in the implementation of the procedure.
Abstract: Background:Resuscitative endovascular balloon occlusion of the aorta is used as adjunctive management for a profound shock in some trauma centers. We report our early experience of resuscitative en...
TL;DR: This work aims to identify whether the intubation characteristics between attending and non-attending emergency physicians in Southeast Asia are similar, and if so, whether these characteristics should be influenced by prior prior treatment or not.
Abstract: Background:To our knowledge, there has been no study comparing intubation characteristics between attending and non-attending emergency physicians in Southeast Asia. We aim to identify whether the ...
TL;DR: The majority of first-aid learners in Hong Kong supported the enactment of Good Samaritan Law, indicating that overcoming the fear of litigation and improving bystander cardiopulmonary resuscitation rate is a priority for improving survival rates from sudden cardiac arrest inHong Kong.
Abstract: Background:Similar to many Asian cities, there is no statutory provision for the determination of the duty borne by bystander first aiders when assisting victims in Hong Kong.Objectives:The aim of ...
TL;DR: In this study, radiologists and clinicians have presented similar and good diagnostic performances in the evaluation of coronavirus disease 2019–suspected patients with chest computed tomography in high-epidemic area.
Abstract: Background:Effective triage and early detection are very important for the control and treatment of coronavirus disease 2019. For this purpose, reverse transcription polymerase chain reaction and c...
TL;DR: This work presents a novel and scalable approach called “SmartIntubation” for rapid intubation of high-performance liquid nitrogen-filled balloons using a simple, scalable, and efficient apparatus called a “solid state apparatus”.
Abstract: Backgrounds:Since its first definition and publication on 1970, Rapid Sequence Induction / Intubation (RSI) technique has been accepted globally as the “standard” for doing rapid intubation after i...
TL;DR: Suction-Assisted Laryngoscopy and Airway Decontamination 1 has the best performance and was the most favorable method for endotracheal intubation in this manikin study by the participants.
Abstract: Background:The Suction-Assisted Laryngoscopy and Airway Decontamination techniques are newly designed emergency airway management skills to assist endotracheal intubation with the complementary use...
TL;DR: CVPLC model (at a cutoff point of 9), which is a non-linear regression model and is in terms of parameter lactate clearance, was the most accurate model for predicting the central venous pressure range.
Abstract: Background:Generally, in traumatic patients, uncontrolled bleeding leads to shock and ultimately death. So, any early detection of shock can reduce the likelihood of a patient’s death. At present, ...
TL;DR: In prehospital settings, ambulance personnel should not hesitate to apply tourniquets when encountering critical circumstances in which they must choose between saving life and potential complications and Combat Application Tourniquet appeared to be better than other commercial tournique applications in terms of occlusion of distal blood flow.
Abstract: Background:Globally, terrorist attacks have major impact because of high rates of mortality and severe injury. Compression with direct pressure may be time-consuming in limb exsanguination and acce...
TL;DR: Malnutrition determined by Controlling Nutritional Status score predicts complications in hospitalized patients with community-acquired pneumonia.
Abstract: Objective:We aimed to investigate the prevalence and prognostic value of malnutrition assessed by Controlling Nutritional Status score in community-acquired pneumonia patients.Methods:All adult pat...
TL;DR: No significant difference was found between patients with positive troponin values compared to patients with negative troponIn values in terms of 30- and 90-day mortality rates, andCoronary artery disease was found to be higher in patients withpositive Troponin than patients withnegative tropononin.
Abstract: Background:This study aims to determine the relationship between troponin levels and 30- and 90-day mortality rates in patients who applied to emergency service with paroxysmal supraventricular tac...
TL;DR: One-third (33.6%) of Hong Kong secondary schools offer cardiopulmonary resuscitation training, and a majority (69.1% (76/110) of secondary school students) agreed or strongly agreed that cardiopULmonary resuscitate training should be compulsory for secondary schoolStudents.
Abstract: Background:Hong Kong rates of bystander cardiopulmonary resuscitation are very low by international standards. Several Hong Kong secondary schools have begun incorporating cardiopulmonary resuscita...
TL;DR: Performing endotracheal intubation by placing patients in a ramped position has been shown to improve the ease of intubations and to reduce complications.
Abstract: Background:Performing endotracheal intubation by placing patients in a ramped position has been shown to improve the ease of intubation and to reduce complications. The above findings, however, wer...
TL;DR: In this article, non-compressible torso hemorrhage, which is caused by abdominopelvic and thoracic injuries, is an important cause of subseque...
Abstract: Background:Hemorrhage is the leading cause of death in trauma settings. Non-compressible torso hemorrhage, which is caused by abdominopelvic and thoracic injuries, is an important cause of subseque...
TL;DR: Electrical cardiometry monitoring indicated new possibility to anticipate prognosis of community-acquired pneumonia patient as increased thoracic fluid content value would relate worse outcome of the patient like mortality and intensive care unit admission.
Abstract: Background:Thoracic impedance monitoring able to detect pneumonia in the very early phase of emerging infiltration prior the patient developed remarkable clinical symptoms. However, no studies have...
TL;DR: The current triage scale demonstrates reasonable validity and reliability for use in older people in a regional Hong Kong emergency department, and considerations highlighting the unique characteristics of older people emergency department presentations are recommended.
Abstract: Background:Older people (⩾65 years) present a unique challenge in emergency department triage. Hong Kong’s Hospital Authority adopts a five-level emergency department triage system, with no special...
TL;DR: Awake proning potentially minimizes complications from invasive ventilation and provides a low-cost low-risk treatment option in COVID-19 patients with respiratory failure, particularly important when healthcare resources are strained at times of a pandemic.
Abstract: Introduction:Significant ventilator-associated pneumonia and mortality were found in COVID-19 patients who required mechanical ventilation which calls for non-invasive means in managing respiratory...
TL;DR: Increased red blood cell distribution width may be an important predictor of disease progression and prognosis in patients with sepsis and septic shock.
Abstract: Background:Sepsis is a dangerous disease with rapid development and high mortality rate, which is an important cause of death for critically ill patients. Therefore, timely and accurate assessment ...
TL;DR: This narrative review provides an overview of the prognostic prediction models out-of-hospital cardiac arrest patients for use in the emergency department and concludes that these models are potentially useful in clinical, administrative and research settings.
Abstract: Introduction:Accurate prognostic prediction of out-of-hospital cardiac arrest is challenging but important for the emergency team and patient’s family members. A number of prognostic prediction mod...
TL;DR: Within limits of the pilot study, the aerosol box had no statistical significant difference but an increasing trend of prolonged endotracheal intubation interval in the Grade IIb airway and negative impact on first-pass success, and could potentially be used to protect healthcare workers during the aerosoli-generating Intubation procedure.
Abstract: Background:Personal protective equipment used for protection of healthcare workers in the combat against Severe Acute Respiratory Syndrome Coronavirus 2 pandemic is in limited supply worldwide at p...
TL;DR: Multicentered studies, with standardized procedures and well-defined patient profile, are needed to improve the predictive ability of Identification of Seniors at Risk tool to screen elderly who require additional support after hospitalization.
Abstract: Background:Elderly people are at risk for mortality, functional decline, reattendance, and hospitalization after an emergency department visit.Objective:The aim of this study was to evaluate the pe...