Emergency Care Journal 2019-01-20T17:21:23+01:00 Francesca Baccino Open Journal Systems <p><strong>Emergency Care Journal </strong> is the official Journal of the <a href="" target="_blank" rel="noopener">Academy of Emergency Medicine and Care</a> (AcEMC). The journal is an international, peer-reviewed journal dedicated to improve the quality of care by publishing the highest quality science for acute medical care and related medical specialties. The journal welcomes submissions from international contributors and researchers of all specialties involved in acute medical conditions. <strong>Emergency Care Journal</strong> publishes <em>Original Articles, Review Articles, Opinion Reports, Case Reports, Images in Emergency, Letters to the Editors, Commentaries, Book Reviews, Editorials</em> and other educational information related to the practice, teaching, and environment of emergency medicine. In addition to general topics, ECJ also publishes articles on out-of-hospital emergency medical services, pediatric emergency medicine, injury and disease prevention, health policy and ethics, disaster management, toxicology, and related topics. Although most of published research is clinical, there is also strong interest for basic science research pertinent to emergency medicine, thus including all clinical, diagnostics and therapeutic areas of medicine involved in the emergency care management.</p> A case of embolic stroke from atrial myxoma 2019-01-20T17:21:18+01:00 Rosanna Varutti Giulio Trillò Rita Piazza Flavio Bassi <p>Not available.</p> 2018-12-12T11:46:16+01:00 ##submission.copyrightStatement## Ultrasound diagnosis of lung herniation: The push-out sign 2019-01-20T17:21:19+01:00 Luca Iaboli Luca Baldini Roberto Galassini Roberto Copetti <p>Lung ultrasound is an expanding field and is becoming a standard of care. Its various bedside applications have modified many diagnostic paths from the newborn to the geriatric patient. In this case report, we describe and show a new sign of the lung ultrasound semeiotics, the <em>push-out</em> sign.</p> 2018-12-12T11:31:23+01:00 ##submission.copyrightStatement## A comment on Critical issues of Emergency Medicine organization in Italy 2019-01-20T17:21:20+01:00 Vittorio Demicheli <p>Not available.</p> 2018-12-12T11:06:05+01:00 ##submission.copyrightStatement## Acute pancreatitis associated with massive paraesophageal hernia involving the presence of the pancreatic body and tail 2019-01-20T17:21:21+01:00 Bahjat Barakat Lucia Calculli Raffaele Pezzilli <p>Acute pancreatitis is an acute inflammation of the pancreas and, according to the 2013 Revised Atlanta Classification, the majority of cases have only a mild clinical course without organ dysfunction. The primary objectives in the treatment of acute pancreatitis are essentially relief of pain, electrolyte and fluid support and energy intake other than removal of the causal agent. Even if in Italy gallstones especially are the predominant etiological factor, there are also less frequent causes associated with acute pancreatitis and we believe that the case of acute pancreatitis associated with massive incarcerated paraesophageal hernia involving the presence of the body and tail of the pancreas in the thorax is worth reporting.</p> 2018-12-12T11:01:19+01:00 ##submission.copyrightStatement## Acute abdominal pain in emergency room: Is it always a simple diagnosis? 2019-01-20T17:21:22+01:00 Bahjat Barakat Francesco Bacci Raffaele Pezzilli <p>Acute abdominal pain is characterized by pain arising from the abdominal area, of non-traumatic origin with a maximum duration of five days and represents a true medical emergency. It is also one of the most common reasons for referral to an emergency department and the most common cause for no trauma-related hospital admissions. Hematologic disorders represent the 0.3% of all admissions for acute abdominal pain. We report a rare case of retroperitoneal bulky mass due to anaplastic large T-cell lymphoma. This entity represents a rare tumor and early diagnosis leads to a correct diagnosis of the origin of the acute abdominal pain and chemotherapy is vital to ensure good prognosis.</p> 2018-12-12T10:56:22+01:00 ##submission.copyrightStatement## A successful hybrid operation for life-threatening hemorrhagic shock secondary to an iatrogenic ruptured pseudoaneurysm of the external iliac artery following percutaneous arterial access 2019-01-20T17:21:23+01:00 Takahiro Shoji Hirohisa Harada Shinji Yamazoe Yoshihiro Yamaguchi <p>Intravascular treatments such as arterial embolization and resuscitative endovascular balloon occlusion of the aorta are being increasingly performed in emergency cases, in addition to the increasing use of arterial access as an intensive care monitoring tool. Thus, arterial access-related complications are being commonly reported. A 40- year-old man with renal artery stenosis underwent renal artery stent placement via the left inguinal puncture approach. After the procedure, his groin was manually compressed to hemostasis for 30 min. He unexpectedly developed shock the following day, and computed tomography revealed a ruptured pseudoaneurysm of the left external iliac artery (EIA) following iatrogenic vascular trauma owing to an inappropriately performed groin puncture. We initially controlled the hemorrhage using endovascular balloon occlusion of the left EIA. Subsequently, the injured EIA was repaired using a direct suture. The postoperative course was uneventful. Herein, we evaluated the causes of iatrogenic complications and the effectiveness of our treatment strategy.</p> 2018-12-11T17:37:07+01:00 ##submission.copyrightStatement##