introduct investig impact 4factor prothrombin complex concentr 4fpcc beriplex kcentra versus plasma time procedur patient acut sever gastrointestin bleed requir rapid vitamin antagonist vka revers prior invas procedur method post hoc analysi two phase iii trial 4fpcc versus plasma patient acut sever gastrointestin bleed the treatment arm were compar studi treatment volum infus time time from start studi treatment procedur result analysi includ 42 patient plasma 4fpcc median interquartil rang infus time signific shorter 4fpcc group than plasma group 16 13 26 min versus 210 149 393 min median infus volum were signific smaller 103 80 130 versus 870 748 1001 median time from studi treatment initi first procedur signific shorter 4fpcc group than plasma group 175 128 228 versus 239 185 620 conclus analysi patient acut sever gastrointestin bleed requir urgent vka revers prior invas procedur 4fpcc compar plasma associ smaller infus volum shorter infus time reduc time procedur

Majed A. Refaai

Truptesh H. Kothari

Shana Straub

Jacob Falcon

Ravi Sarode

Joshua N. Goldstein

Andres Brainsky

Laurel Omert

Martin L. Lee

Truman J. Milling

Four-Factor Prothrombin Complex Concentrate Reduces Time to Procedure in Vitamin K Antagonist-Treated Patients Experiencing Gastrointestinal Bleeding: A Post Hoc Analysis of Two Randomized Controlled Trials

introduct middl east respiratori syndrom mers outbreak have had consider negat impact health system saudi arabia aim studi psycholog impact middl east respiratori syndrom coronavirus merscov outbreak emerg room resid physician errps method assess mersrelat psycholog impact concern errps use selfreport questionnair result the major 91 errps agre work put them risk infect most 65 did agre should look after patient infect mers despit 54 errps report be afraid contract infect from infect patient onli 42 them were will chang current job the major errps 85 felt job would expos famili risk infect conclus our studi demonstr consider psycholog impact mers outbreak errps the errps concern psycholog impact mers outbreak should consid greater detail hospit policymak

Mohammed Al Ghobain

Turki Aldrees

Abdullah Alenezi

Saleh Alqaryan

Dana Aldabeeb

Najed Alotaibi

Abdulrahman Aldhabib

Shaker Alghalibi

Sami Alharethy

Perception and Attitude of Emergency Room Resident Physicians toward Middle East Respiratory Syndrome Outbreak

assess effect focus point care ultrasound pocus use critic nontraumat hypotens patient present emerg depart our hospit clinic decis physician whether led modif treatment modal this prospect clinic studi conduct emergenc depart antalya train research hospit nontraumat patient age 18 older who present our emerg depart whose systol blood pressur 100 mmhg shock index heart rate systol blood pressur 1 were includ studi while most probabl preliminari diagnosi establish physician befor pocus consist definit diagnosi 606 180 patient includ studi consist definit diagnosi 850 patient after pocus pocus perform critic hypotens patient present emerg depart appropri diagnost tool can use enabl physician make accur preliminari diagnosi start appropri treatment short time

M. Ikbal Sasmaz

Faruk Gungor

Ramazan Guven

K. Can Akyol

Nalan Kozaci

Mustafa Kesapli

Effect of Focused Bedside Ultrasonography in Hypotensive Patients on the Clinical Decision of Emergency Physicians

objectiv tranexam acid txa current onli drug prospect clinic evid support it use bleed trauma patient sought better understand barrier prevent it use elicit suggest further it use trauma patient state maryland method this crosssect studi result the overal respons rate 38 half all particip report be familiar crash2 trial matters studi half report be awar txa part institut massiv transfus protocol the major particip felt txa would have signific posit impact surviv trauma patient major also felt use txa would increas it administr respons both trauma surgeon emerg physician conclus onli half respond report be awar txa be part institut massiv transfus protocol lack awar clinic data support it use major barrier howev most trauma provid emerg physician have favor view txa support it incorpor massiv transfus protocol believ more studi kind both state nation level need

Abdulaziz Alburaih

Tranexamic Acid (TXA) in Trauma Patients: Barriers to Use among Trauma Surgeons and Emergency Physicians

introduct medic prepared mass gather challeng littl known about optim plan most studi case report base mass casualti incid result cannot extrapol mass gather aim studi evalu preclin medic structur frequenc specif injuri medic emerg dure event method retrospect analysi prospect collect databas three onsit medic assist point were set complet mobil team coordin onsit oper manag team medic staff requir were calcul use maurer formula result total 1533 patient were treat dure threeday event overal medic usag rate mur patient per 10000 visitor 511 total 58 patient 38 requir hospit transfer 1063 case 693 diagnosi document 503 patient 473 suffer from hymenoptera sting two most common nontraumarel diagnos were alcohol drug intox 41 gastrointestin diseas 40 conclus overal onsit medic care work well howev high frequenc hymenoptera sting occur result shortag antihistamin medic moreov more than half patient were manag second largest medic assist point prospect critic evalu medic care mass gather crucial order optim onsit medic prepared futur event

Simone Hostettler-Blunier

Nora Müller

Tobias Haltmeier

Andreas Hosner

Heinz Bähler

Frank Neff

Daniel Baumberger

Aristomenis Exadaktylos

Beat Schnüriger

Public Medical Preparedness at the &#x201c;Swiss Wrestling and Alpine Games 2013&#x201d;: Descriptive Analysis of 1,533 Patients Treated at the Largest 3-Day Sporting Event in Switzerland

background purpos trauma lead caus death youth develop countri given preval head trauma societi it complic burden epidemiolog studi head trauma necessari main aim studi materi method this retrospect populationbas survey describ epidemiolog head injuri defin popul ardabil citi includ all 204 patient head injuri refer univers hospit ardabil iran dure 20132014 data were collect checklist analyz statist method spss19 signific level consid result all regist case 146 716 were male rest them were femal most patient live ardabil citi 608 the mean age patient 226 259 most victim were young 245 traumat patient have injuri sever critic level grade 34 the most caus trauma accid 417 most injuri occur night 559 summer season 422 caus were traffic accid 417 conclus result show lead caus head trauma especi warm season accid design program reduc road accid can dramat reduc rate trauma futur ardabil provinc

Esmaeil Farzaneh

Ghasem Fattahzadeh-Ardalani

Vahid Abbasi

Fariba Kahnamouei-aghdam

Behnam Molaei

Elham Iziy

Habib Ojaghi

The Epidemiology of Hospital-Referred Head Injury in Ardabil City

introduct sought investig triathlet adher recommend followup particip who receiv event medic care method particip 2011 ironman syracus 703 syracus who sought evalu care design finish line medic tent were contact telephon approxim 3 month after initi encount measur adher recommend seek followup care after event result out 750 race particip 35 46 athlet receiv event medic care 35 twentyeight 2835 80 consent particip studi 17 61 were avail telephon followup 17 athlet 11 1117 65 particip report had follow medic profession sinc race onli 5 517 29 confirm had seen medic provid some fashion sinc race onli 2 217 12 sought formal medic followup result from recommend wherea remain athlet mere saw medic provid coincident part routin care conclus onli 2 217 12 athlet who receiv event medic care obtain postrac followup within onemonth time period follow race event medic care provid must awar potenti nonadher followup recommend

Jeremy D. Joslin

Jarem B. Lloyd

Nikoli Copeli

Derek R. Cooney

Adherence to Follow-Up Recommendations by Triathlon Competitors Receiving Event Medical Care

About this journal

Emergency Medicine International publishes original research articles, review articles, and clinical studies related to prehospital care, disaster preparedness and response, acute medical and paediatric emergencies, critical care and wound care

Journal profile

Meet the editorial board

Emergency Medicine International maintains an Editorial Board of practicing researchers from around the world, to ensure manuscripts are handled by editors who are experts in the field of study.

Editor spotlight

Submit to Special Issue

We currently have a number of Special Issues open for submission. Special Issues highlight emerging areas of research within a field, or provide a venue for a deeper investigation into an existing research area.

Emergency Medicine International