UNLABELLED The management and treatment of adult asthma has been associated with utilization of health services. OBJECTIVES First, to investigate the likelihood of health service utilization, including primary care, emergency department, and hospital stays, among persons diagnosed with an asthma condition relative to those that do not have an asthma condition. Second, to examine the likelihoo...

INTRODUCTION Over-triage of patients by emergency medical services (EMS) dispatch is thought to be an acceptable alternative to under-triage, which may delay how quickly life-saving care reaches a patient. Previous studies have looked at advanced life support (ALS) misutilization in urban- and county-based EMS systems and have attempted to analyze how dispatch methods either contribute to or al...

, Abstract—Background: Optic neuritis is an inflammatory demyelinating condition of the optic nerve that causes subacute visual loss. It is often the result of an underlying systemic condition, such as multiple sclerosis. Due to the possible long-term morbidity associated with this condition, it is essential that the emergency physician recognizes the diagnosis and expedites treatment. Objectiv...

conclusions according to the results, there was a direct correlation between access to physical space in ed and waiting time. in addition, improving the physical access did not necessarily result in shorter waiting time. therefore, to improve triage process, improvement of waiting time indices, and modifying forms of work process in ed are recommended. results the correlation between the waitin...

Cutaneous infestation by the human botfly, Dermatobia hominis, results in furuncular myiasis. This condition is endemic to the forested areas of Mexico, Central and South America. However, because of widespread travel, furuncular myiasis has become more common in North America. Misdiagnosis and mismanagement can occur owing to limited awareness of the condition outside endemic areas. To our kno...

INTRODUCTION Pneumocephalus is usually a self-limiting condition commonly associated with neurosurgical interventions, head and facial trauma. In contrast, tension pneumocephalus is extremely rare, and considered a neurosurgical emergency. CASE PRESENTATION We present a rare case of post-traumatic epidural tension pneumocephalus in a 30-year-old white man who deteriorated rapidly after a blun...

BACKGROUND To identify and analyze factors that influence the grading and zoning management model of emergency triage as a first step in the improvement of the system. METHODS Questionnaires were used to extract data from clinical histories of 286 patients who attended the Emergency Department of Binzhou Central Hospital (Binzhou City, Shandong Province, China) from September to November of 2...

evidence- based medicine (ebm) aims to bring the best available evidence into clinical practice.  different clinical methods of education such as in-patient rounds, follow up rounds, out-patients rounds, group sessions, grand rounds, lectures, and journal clubs could be held by ebm approach. the current text presents two interrelated case reports; a case report of ebm decision making in an emer...