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Potential and limitations of large language models in acute chest pain triage. Response to Evaluating the predictive accuracy of ChatGPT in risk stratification for chest pain in the emergency department

Varsha Shinde, Pratik Kanani, Keyur Bhimani

15-05-2026

https://doi.org/10.4081/ecj.2026.15130

282

Downloads: 104
A legendary chest X-ray

Gea Nicoletti, Davide Tizzani , Paola Molino

22-07-2025

https://doi.org/10.4081/ecj.2025.13973

582

Downloads: 621
Automated mechanical chest compression as a bridge to primary percutaneous coronary intervention: Case report

Bebiana Faria, Marina Fernandes, Silvia Ribeiro, António Lourenço

04-09-2020

https://doi.org/10.4081/ecj.2020.8636

817

Downloads: 495
Massive subcutaneous emphysema and the “sentinel hole” phenomenon after chest drain placement in neoplastic trapped lung: a case report from the emergency department

Alessandro Rapino, Matteo Bolognesi, Michela Cascio, Giuseppe Romano, Raffaella Francesconi, Roberto De Giorgio, Matteo Guarino

14-07-2026

https://doi.org/10.4081/ecj.2026.14937

56

Downloads: 35
A direct comparison between five lung-US and chest-CT-scans in a patient infected by SARS-CoV-2

Valentina Poli, Stefano Spinelli, Manuela Toscano, Francesca Vitale, Alessandro Ranalli, Michele Tonerini, Chiara Romei, Annalisa De Liperi, Greta Barbieri

27-09-2022

https://doi.org/10.4081/ecj.2022.10492

863

Downloads: 1020
Evaluating the predictive accuracy of ChatGPT in risk stratification for chest pain in the emergency department

Fabio Malalan, Arian Zaboli, Armando Fiore, Nicola Fanton, Laura Sponga, Barbara Zaia, Giovanni Mantelli, Caterina Barberi, Paola Pisani, Laura Giorio, Gianni Turcato

06-06-2025

https://doi.org/10.4081/ecj.2025.13829

922

Downloads: 953
14 | Application of an artificial intelligence algorithm to patients presenting to the emergency department of the Pisa University Hospital for chest pain: retrospective assessment of diagnostic accuracy

Greta Barbieri, Alessandra Bionda, Valeria Natalini, Bianca Alderotti, Luca Pellungrini, Ada Colella, Lorenzo Ghiadoni

15-07-2026

https://doi.org/10.4081/ecj.2026.15954

70
qSOFA score and LqSOFA score as predictors of outcome in an elderly population with chest infection treated in the Emergency Department. A case series

Dimitrios Velissaris, Vasileios Karamouzos, Nikolaos Dimitrios Pantzaris, Loukas Kakoullis, Charalampos Pierrakos, Menelaos Karanikolas, Charalampos Gogos

17-10-2019

https://doi.org/10.4081/ecj.2019.8235

1291

Downloads: 596
15 | Use of lung ultrasound in patients hospitalized in the emergency department for pneumonia: distant follow-up and prognostic evaluation through LUS score

Greta Barbieri, Valeria Natalini, Alessandra Bionda, Bianca Alderotti, Luca Pellungrini, Ada Colella, Lorenzo Ghiadoni

15-07-2026

https://doi.org/10.4081/ecj.2026.15955

47
Multimarkers approach in chest pain management in Emergency department: a focus on the prognostic role of sST2 and suPAR

Andrea Piccioni, Silvia Baroni, Licia Antonella Scatà, Marta Scaccia, Martina Candela, Alessandra Bronzino, Francesca Sarlo , Gabriele Savioli, Marcello Candelli, Marcello Covino, Antonio Gasbarrini, Francesco Franceschi

18-06-2024

https://doi.org/10.4081/ecj.2024.12463

718

Downloads: 891
The use of the biomarker “copeptin” for the diagnosis of acute chest pain in the Emergency Department

Elisa Conti, Marcello Guidi, Cavazza Mario

9-12

09-09-2011

https://doi.org/10.4081/ecj.2011.3.9

1153

Downloads: 1885
Voluminous post-traumatic mediastinal haematoma: late presentation in DEA

Luciano Cardinale, Sandro Massimo Priola, Antonio Prato, Giovanni Volpicelli, Cesare Fava

34-37

18-10-2008

https://doi.org/10.4081/ecj.2008.5.34

1049

Downloads: 1731
Right-sided spontaneous, massive hemothorax in a 27-week pregnant lady: a case report

Pratisha Pradhan, Alok Kumar, Kabita Hada Batajoo, Trishna Shrestha, Sneha Pradhananga

08-09-2023

https://doi.org/10.4081/ecj.2023.11595

1896

Downloads: 501
Response to: Potential and limitations of large language models in acute chest pain triage

Arian Zaboli, Gianni Turcato

10-07-2026

https://doi.org/10.4081/ecj.2026.15676

78

Downloads: 37
20 | Clinical application of the new global definition of acute respiratory distress syndrome in a case of fat embolism syndrome

Emanuele Rollo, Marco Difonzo, Giuseppe Bavaro, Diana Carpaneto, Claudio Laterza, Claudio Zimatore, Pasquale Ferrara, Giovanni Maringelli, Michele Perrini, Mario Ribezzi, Luigi Pisani, Salvatore Grasso, Marco V. Ranieri

15-07-2026

https://doi.org/10.4081/ecj.2026.15960

60
Which clinical scoring system should we use for the evaluation of chest pain in the Emergency Department? A review

Nicola Parenti, Federica Agrusta, Antonio Luciani

22-12-2016

https://doi.org/10.4081/ecj.2016.6314

1707

Downloads: 848
Pulmonary scan

Roberto Copetti, Gino Soldati

36-43

09-08-2006

https://doi.org/10.4081/ecj.2006.4.36

974

Downloads: 1923
Painful burning lesions on the chest wall of a patient with advanced breast cancer

Erika Poggiali, Etilda Braho, Raffaella Bertè

05-12-2023

https://doi.org/10.4081/ecj.2023.12016

1334

Downloads: 553
An unusual case of chest pain: ultrasonographic diagnosis of Mondor’s disease

Bahjat Barakat, Raffaele Pezzilli

e5

04-07-2013

https://doi.org/10.4081/ecj.2013.e5

1463

Downloads: 2525
Feedback devices may not improve chest compression depth during simulated out-of-hospital cardiac arrest: a multicenter randomized controlled trial

Loric Stuby, Sylvain Simonet, Laurent Bourgeois, David Thurre, Laurent Suppan

09-06-2025

https://doi.org/10.4081/ecj.2025.13736

932

Downloads: 686
Bowel sounds in the chest of a 7-day-old baby: what’s going on?

Alessandra Di Nora, Francesco Pizzo, Piero Pavone

25-07-2023

https://doi.org/10.4081/ecj.2023.11570

1771

Downloads: 363
Safety and differences between direct oral anticoagulants and vitamin K antagonists in the risk of post-traumatic intrathoracic bleeding after rib fractures in elderly patients

Gianni Turcato, Arian Zaboli, Andrea Tenci, Giorgio Ricci, Massimo Zannoni, Christoph Scheurer, Anton Wieser, Antonio Maccagnani, Antonio Bonora, Norbert Pfeifer

20-12-2021

https://doi.org/10.4081/ecj.2021.10284

3474

Downloads: 463
If you hear a new worrisome heart murmur…

Erika Poggiali, Francesco Maria Sacco, Giudy Ragonesi

13-02-2025

https://doi.org/10.4081/ecj.2025.13573

780

Downloads: 1219
Pneumomediastinum as a manifestation of a bronchial carcinoid tumour: a very rare association of two uncommon diseases

Massimo Barakat, Costanza De Santis, Gabriella Zafarana, Ludovica Lotrecchiano, Thomas Galasso, Piero Candoli, Piergiorgio Solli, Niccolò Daddi

26-08-2024

https://doi.org/10.4081/ecj.2024.12651

601

Downloads: 473
Lung ultrasound: a valid help in the differential diagnosis between pneumothorax and pulmonary blebs

Francesca Sandionigi, Francesca Cortellaro, Elisa Forni, Daniele Coen

e3

17-06-2013

https://doi.org/10.4081/ecj.2013.e3

1890

Downloads: 3602
Young male with chest pain and abnormal T-waves

Amrithanand Velluridathil Thazhathidathil, Naman Agrawal, Roshan Mathew

29-04-2020

https://doi.org/10.4081/ecj.2020.8751

1343

Downloads: 596
Ischemic heart disease in the emergency room: state of the art, innovation and research

Giuseppe Lippi, Mario Cavazza, Andrea Peracino, Marco Tubaro, Alexandru Nechita, Paola Ballarino, Frank W. Peacock, Salvatore Di Somma

e7

12-07-2013

https://doi.org/10.4081/ecj.2013.e7

1580

Downloads: 1937
Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis

Rachel McLatchie, Sarah Wilson, Matthew Reed, Francoise Ticehurst, Kathryn Easterford, Salma Alawiye, Alicia Cowan, Aakash Gupta

28-03-2023

https://doi.org/10.4081/ecj.2023.11153

1627

Downloads: 1580
What does a floating mass in a young patient's heart do?

Tommaso Sonnessa, Daniela Vaira

31-10-2023

https://doi.org/10.4081/ecj.2023.11717

1250

Downloads: 552
Efficacy and tolerability of fixed association of oxycodone and naloxone in elderly patients with ribs fracture: An 18-month retrospective study

Alessandro Riccardi, Beatrice Spinola, Pierangela Minuto, Marco Licenziato, Valeria Ghiglione, Roberto Lerza

09-08-2019

https://doi.org/10.4081/ecj.2019.8119

1760

Downloads: 576
RAPID score in Covid-19 patients: a clinical-radiological index for the safe discharge from the Emergency Department. A preliminary report

Filippo Vaccher, Ciro Paolillo, Nunzia Di Meo, Marco Ramanzin, Marco Ravanelli, Roberto Maroldi, Davide Farina

23-12-2020

https://doi.org/10.4081/ecj.2020.9192

1249

Downloads: 542
Penetrating cardiac stab wounds: A case report with management algorithm and review of the literature

Antonino M. Grande, Filippo Antonacci, Paolo Aseni

02-08-2018

https://doi.org/10.4081/ecj.2018.7384

2809

Downloads: 1042
A rhythmic chest pain

Lorenzo Cristoni, Andrea Tampieri, Tiziano Lenzi

e25

22-11-2013

https://doi.org/10.4081/ecj.2013.e25

3169

Downloads: 2427
Imaging of community-acquired pneumonias

Cristina Valentini, Luca Bertini, Annarita Scala, Federica Trenta, Valentina Martines, Emanuele Casciani, Elisabetta Polettini, Gian Franco Gualdi

36-43

15-04-2009

https://doi.org/10.4081/ecj.2009.2.36

1412

Downloads: 19711
A simple pleural effusion or not?

Victoria Wen Yeng Teoh, Mohd Adli Deraman, Alexander Loch

23-06-2023

https://doi.org/10.4081/ecj.2023.11431

844

Downloads: 1376
Role of bedside-focused ultrasonographic evaluation in the critical patient: a case report

Andrea Bruzzone, Irene Ponassi, Caterina Passalia, Eleonora Arboscello, Riccardo Ghio

5-8

09-09-2011

https://doi.org/10.4081/ecj.2011.3.5

1388

Downloads: 1259
SARS-CoV-2 management in Emergency Department: risk stratification and care setting identification proposal based on first pandemic wave in Pisa University Hospital

Greta Barbieri, Alessandro Cipriano, Stella Carrara, Stefano Spinelli, Francesco Cinotti, Francesca Foltran, Matteo Filippi, Ferruccio Aquilini, Michele Tonerini, Massimo Santini, Paolo Malacarne, Lorenzo Ghiadoni

20-12-2021

https://doi.org/10.4081/ecj.2021.9859

2758

Downloads: 472
Transient global amnesia: an atypical presentation of acute aortic dissection

Monica Masoero, Giannina Leotta, Federico Vischia, Antonio Sechi

e11

18-07-2013

https://doi.org/10.4081/ecj.2013.e11

1139

Downloads: 1747
The cause of fever and pulmonary infiltrate: a difficult etiological diagnosis

Bahjat Barakat, Raffaele Pezzilli

26-04-2017

https://doi.org/10.4081/ecj.2017.6412

1750

Downloads: 878
Diagnostic value of N-terminal ProB-Type Natriuretic Peptide in Emergency Department: Analysis by subgroups

P. Villa, A. Dolci, R. Dominici, M. Panteghini, C. Fundarò, S. Guzzetti

34-38

13-12-2012

https://doi.org/10.4081/ecj.2012.3.34

1111

Downloads: 1291
Training in the ABCDE approach by simulation for medical students

Francesco Pepe, Giuseppe Trainito, Valerio Mazzilli, Bruna Lupo, Maria Antonella Pinelli, Simone Vanni, Linda Vignozzi, Francesca Innocenti

24-06-2025

https://doi.org/10.4081/ecj.2025.13745

934

Downloads: 565
Determinants of troponin T and I elevation in old patients without acute coronary syndrome

Antonio Di Micoli, Chiara Scarciello, Stefania De Notariis, Mario Cavazza, Antonio Muscari

30-01-2019

https://doi.org/10.4081/ecj.2019.7798

1466

Downloads: 714
The search for a myocardial ischemia marker. The case of albumin modified by ischemia

Marco Bagnati, Matteo Basile, Barbara Toto, Giorgio Bellomo

26-29

20-02-2006

https://doi.org/10.4081/ecj.2006.1.26

799

Downloads: 2362
When infection strikes the heart: identifying and treating non-rheumatic streptococcal myocarditis in a young man with chest pain and concurrent streptococcal pharyngitis

Matic Mihevc

08-09-2023

https://doi.org/10.4081/ecj.2023.11606

2732

Downloads: 668
A common complaint does not always mean a common diagnosis

Francesco Cavaleri, Lorenzo Porta, Erika Poggiali

29-07-2024

https://doi.org/10.4081/ecj.2024.12724

782

Downloads: 1329
Myocardic extended ischemia after scombroid syndrome

Maria Serena Bassoni, Marco Biancardi, Viviana Magnani, Donato Alini, Renato Guido Martinotti

14-19

09-08-2006

https://doi.org/10.4081/ecj.2006.4.14

1175

Downloads: 2107
A serious fit of cough: A 66-year-old patient with myasthenia gravis presenting with spontaneous intercostal lung herniation after coughing. Case report and pathophysiological discussion

Riccardo Gerloni, Nicola Artusi, Ugo Giulio Sisto, Saverio Tollot, Roberto Copetti

23-12-2020

https://doi.org/10.4081/ecj.2020.8911

2799

Downloads: 546
A rapidly progressive rash with mucosal involvement

Carolina Bologna, Eleonora Solaro, Loredana Tibullo

02-07-2026

https://doi.org/10.4081/ecj.2026.14934

106

Downloads: 36
A silent case of aortic dissection: a case report

Marco Passaretti, Carlo Maino

22-08-2025

https://doi.org/10.4081/ecj.2025.13751

530

Downloads: 366
A ripping bike race: spontaneous coronary dissection complicated by cardiac tamponade, unmasking vascular Ehlers-Danlos in a young man

Inne Hendrickx, Benjamin Scott

27-02-2019

https://doi.org/10.4081/ecj.2019.7802

1106

Downloads: 602
07 | Dizziness that makes the emergency physician tremble

Pietro Soriano, Giuseppe Dipaola, Sebastiano Cicco

15-07-2026

https://doi.org/10.4081/ecj.2026.15940

47
That purplish huge hole on the chest wall

Paola Rienzo, Erika Poggiali

23-08-2024

https://doi.org/10.4081/ecj.2024.12790

2242

Downloads: 613
Takotsubo cardiomyopathy: diagnosis in an emergency department

Marina Mancini, Davide Bartolini, Mauro Zanna

30-06-2014

https://doi.org/10.4081/ecj.2014.1188

1273

Downloads: 904
A case of cardiotoxicity following intramuscular injection of tropicamide and phenylephrine ophthalmic solution in a drug-addicted young woman

Antonio Agosti, Andrea Vercelli, Elena Demichele, Francesco Mariani, Andrea Biagi, Stefano Ferraro, Gianfranco Cervellin, Erika Poggiali

07-09-2023

https://doi.org/10.4081/ecj.2023.11320

1427

Downloads: 760
Role of lung ultrasound in identifying COVID-19 pneumonia in patients with negative swab during the outbreak

Giuseppe Aiosa, Romina Gianfreda, Marco Pastorino, Piero Davio

08-05-2020

https://doi.org/10.4081/ecj.2020.9026

3203

Downloads: 1052
A case of esophageal perforation: Clinical and diagnostic management in emergency medicine

Marco Di Serafino, Maurizio Martorano, Pamela Delmonaco, Chiara Gullotto, Andrea Baglioni, Leonardo Martinelli, Riccardo Savastano, Enrico Scarano, Francesco Lisanti

09-03-2018

https://doi.org/10.4081/ecj.2017.6848

1500

Downloads: 699
09 | Critical care echocardiography to guide haemodynamic management in dilated cardiomyopathy with pneumonia-associated acute respiratory distress syndrome: the role of dynamic indices beyond ejection fraction

Angelo Tozzi, Rossana Soloperto, Rosanna Greco, Luciana Finizia, Nadia Mascolini, Annamaria Cerracchio, Maria Gabriella Coppola

15-07-2026

https://doi.org/10.4081/ecj.2026.15943

58
Emergency care of adult patients with congenital heart disease: are we prepared? Data from a tertiary center and long-term follow-up

Isabelle Piazza, Irdi Memaj, Lorenzo Della Bella, Carlo Preti, Pierpaolo Bassareo, Roberto Cosentini, Paolo Ferrero

26-09-2024

https://doi.org/10.4081/ecj.2024.12879

2846

Downloads: 602
New instruments to diagnose acute dyspnoea of cardiogenic origin

Fabrizio Elia, Franco Aprà, Federico Olliveri

36-45

22-04-2008

https://doi.org/10.4081/ecj.2008.2.36

1097

Downloads: 4480
Comments on “Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis”

Andrea Vercelli, Eleonora Berardi, Erika Poggiali

23-06-2023

https://doi.org/10.4081/ecj.2023.11433

447

Downloads: 707
Ventricular fibrillation following accidental ingestion of aluminum cleaner containing hydrogen fluoride and sulfuric acid

Anna K. Vaclavek, Lauren E. Harris, Peter Nathan, Joshua D. Stilley, Jared A. Lammert

13-05-2026

https://doi.org/10.4081/ecj.2026.14730

929

Downloads: 226
Things are not always what they seem

Massimo Barakat, Stefania Sartoni Galloni, Nilde Di Paolo

16-06-2025

https://doi.org/10.4081/ecj.2025.13942

619

Downloads: 467
Kounis syndrome after almonds ingestion: From the diagnostic approach to new therapeutic options

Giorgio Fiore, Carlo Gaspardone, Silvana Di Maio, Michele Oppizzi, Alberto Margonato

21-09-2021

https://doi.org/10.4081/ecj.2021.9806

933

Downloads: 740
Eating vegetables is not always a good advice. A case report and literature review of acquired methemoglobinemia

Andrea Vercelli, Irene Nasone, Laura Pagani, Alessandro Dacrema, Alberto Veneziani, Antonio Agosti, Erika Poggiali

26-01-2024

https://doi.org/10.4081/ecj.2024.12034

1700

Downloads: 712
Lung ultrasound monitoring of CPAP effectiveness on SARS-CoV-2 pneumonia: A case report

Marco Montanari, Pierpaolo De Ciantis, Andrea Boccatonda, Marta Venturi, Giuseppe d'Antuono, Gianfilippo Gangitano, Giulio Cocco, Damiano D'Ardes, Cosima Schiavone, Fabrizio Giostra, Tiziana Perin

23-12-2020

https://doi.org/10.4081/ecj.2020.9333

1612

Downloads: 585
Accidental ingestion of dishwasher detergent by an elderly patient: a case of successful conservative management

Maria Floresta, Annamaria Venturi, Eleonora Tubertini, Loredana Mele, Jacopo Fantini, Fabrizio Giostra

15-10-2025

https://doi.org/10.4081/ecj.2025.14278

550

Downloads: 577
SOS: a silent threat. A case report on paracetamol overdose

Shreya Nagraj, Akshay Kumar N S, Manjari Sharma, Praveen Kumar

09-04-2025

https://doi.org/10.4081/ecj.2025.13421

1336

Downloads: 1263
Pulmonary scan in evaluating alveolar-interstitial syndrome in ER

Giovanni Volpicelli, Alessandro Mussa, Giovanna Casoli, Giorgio Garofalo, Luciano Cardinale, Fabio Perotto, Mauro Frascisco

25-29

20-10-2006

https://doi.org/10.4081/ecj.2006.5.25

1504

Downloads: 7359
Copeptin for risk stratification in acute illness: beyond cardiological problems

Roberto Cemin, Giuseppe Lippi, Luca Donazzan, Massimiliano Manfrin, Massimo Daves

e19

02-10-2013

https://doi.org/10.4081/ecj.2013.e19

1579

Downloads: 1931

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