Emergency Care Journal https://www.pagepressjournals.org/index.php/ecj <p><strong>Emergency Care Journal </strong> is the official Journal of the <a href="http://www.acemc.it/index.html" 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> <p>This journal does not apply charge for publication to Authors as it is fully supported by institutional funds (<a href="http://www.acemc.it/index.html" target="_blank" rel="noopener">Academy of Emergency Medicine and Care</a>).</p> PAGEPress Scientific Publications, Pavia, Italy en-US Emergency Care Journal 1826-9826 <p><strong>PAGEPress</strong> has chosen to apply the&nbsp;<a href="http://creativecommons.org/licenses/by-nc/4.0/" target="_blank" rel="noopener"><strong>Creative Commons Attribution NonCommercial 4.0 International License</strong></a>&nbsp;(CC BY-NC 4.0) to all manuscripts to be published.<br><br> An Open Access Publication is one that meets the following two conditions:</p> <ol> <li>the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.</li> <li>a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.</li> </ol> <p>Authors who publish with this journal agree to the following terms:</p> <ol> <li>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</li> <li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li> <li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.</li> </ol> What we have learned from the Rigopiano tragedy https://www.pagepressjournals.org/index.php/ecj/article/view/8725 <p>On the afternoon of 18 January 2017, a major avalanche occurred on Gran Sasso d’Italia massif, destroying an hotel in Rigopiano, and killing twenty-nine people. A staff of psychologists trained in emergency psychology was involved to assist the families of the missing persons without ever abandoning them for eight consecutive days. Particular care was posed to identify an appropriate setting where families and psychologists could interact, favoring emotional containment and protection of intimacy in moments of intense pain. It was considered paramount that the team shared their intervention method, and that nobody operated individually, because this would support both families and members of the professional group. The long waiting for news about the missing persons’ fate was a suspended time, during which the psychologists engaged in emotional rescue were called to express their empathy understanding and sharing silence. Once the bodies were retrieved, the recognition of corpses required the sharing of a common operational strategy to face lucid or contradictory communications, and the alternate feelings of disbelief, anger, or guilt. As a consequence of the Rigopiano tragedy, in the year 2018 the Abruzzo region wrote a new plan for maxi health emergencies, recognizing psychological suffering among the needs to be met in case of disaster.</p> Antonella Pescini Paola D’alfonso ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-12-23 2019-12-23 15 3 10.4081/ecj.2019.8725 EMDR intervention after a disaster: The Morandi Bridge collapse https://www.pagepressjournals.org/index.php/ecj/article/view/8634 <p>Survivors involved in natural or man-made disasters can develop a range of psychological problems including Post-Traumatic Stress Disorder (PTSD), depression, other forms of psychological distress, and a poor quality of life. Therefore, the principal focus of early psychological interventions, according to World Health Organization, is to provide a rapid and effective therapeutical approach like EMDR therapy. The EMDR approach enables the assimilation and integration of the various aspects of a traumatic experience at a somatic, sensorial, cognitive, behavioral and emotional level. In this article will be presented data of 47 patients collected after the partial collapse of Morandi bridge, in Genoa, in August 2018. Survivors were treated applying the Recent Traumatic Episode Protocol (R-TEP); in order to evaluate the effect of the traumatic event and to monitor the intervention outcome, the Impact of Event Scale- Revised (IES-R) was administered to each person pre and after EMDR treatment. Results show that regardless the number of sessions and the time elapsed after the disaster in which they were performed, EMDR significantly reduced participants’ IES-R scores from pre-treatment to posttreatment. Clinical implications and limits of the study will be discussed.</p> Isabel Fernandez Chiara Callerame ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-12-19 2019-12-19 15 3 10.4081/ecj.2019.8634 Mind in emergency: Needs, criteria, priorities and methods https://www.pagepressjournals.org/index.php/ecj/article/view/8641 <p>Not available.</p> Fabio Sbattella ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-10-30 2019-10-30 15 3 10.4081/ecj.2019.8641 Transient global amnesia: Isolated event or healthy predictor? Clinical experience of an Italian Emergency Department https://www.pagepressjournals.org/index.php/ecj/article/view/8217 <p>Transient global amnesia (TGA) is a clinical syndrome characterized by reversible anterograde amnesia, in which the patient is alert, self-awareness appears intact and other neurological symptoms are absent. The diagnosis is based on the following criteria: i) witnessed event; ii) acute onset of anterograde amnesia; iii) no accompanying neurological symptoms; iv) no alteration of consciousness; v) no epileptic features; vi) resolution within 24 hours; vii) exclusion of other causes. We conducted a cohort study at the Department of Emergency Medicine on 119 patients with TGA diagnosis from 2010 to 2014, with follow-up evaluation by telephone interview. The objectives of our study were to evaluate the frequency of subsequent episodes, to identify predisposing factors, and to investigate whether TGA is a possible predictor of neurological disease. The frequency of comorbidity in our population was in line with literature. We observed a recurrence rate of 9.5%, with a prevalence for the male gender, while no other factor correlates with TGA recurrence. TGA was not a predictor of further neurological diseases. In conclusion, TGA is a benign pathology with a low probability of relapse. Accordingly, management in Emergency Department should be based on a correct initial clinical classification for rapid discharge.</p> Greta Barbieri Alessandro Cipriano Simona Luly Viola Del Nista Eugenio Orsitto Massimo Santini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-10-25 2019-10-25 15 3 10.4081/ecj.2019.8217 qSOFA score and LqSOFA score as predictors of outcome in an elderly population with chest infection treated in the Emergency Department. A case series https://www.pagepressjournals.org/index.php/ecj/article/view/8235 <p>The objective of this study is to assess the prognostic value regarding 28-day outcome of the quick sequential organ failure assessment (qSOFA) score and the combined score calculated from blood lactate levels + qSOFA (LqSOFA) score in elderly patients initially treated in the Emergency Department (ED) for sepsis due to pneumonia or other chest infections. This is a prospective observational study, conducted at the ED in a Greek University Hospital. Forty-one patients with sepsis due to chest infection were enrolled in the study. All patients were treated in the Resuscitation Room of the ED according to the international treatment protocols for sepsis. The qSOFA score was calculated on admission for all patients, and one point was added in the calculation of the LqSOFA score in patients with blood lactate levels &gt;2 mmol/L. Both the qSOFA and the LqSOFA scores had high sensitivity and specificity in predicting unfavorable outcome in elderly patients with chest infection and sepsis. In the ongoing debate of early diagnosis of sepsis and identification of prognostic indexes of the syndrome, qSOFA score alone or in combination with lactate levels could serve as a reliable predictor of outcome. Large prospective studies are needed to further evaluate the role and prognostic validity of these scores in the ED.</p> Dimitrios Velissaris Vasileios Karamouzos Nikolaos Dimitrios Pantzaris Loukas Kakoullis Charalampos Pierrakos Menelaos Karanikolas Charalampos Gogos ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-10-17 2019-10-17 15 3 10.4081/ecj.2019.8235 A case of successful organ donation after extremely prolonged manual cardiopulmonary resuscitation in a buried hypothermia victim of avalanche https://www.pagepressjournals.org/index.php/ecj/article/view/8338 <p>We report a case of a 41-year-old man, victim of accidental avalanche burial, who donated his organs for transplantation after prolonged cardiopulmonary resuscitation and extracorporeal membrane oxygenation.</p> Rosanna Varutti Giulio Trillò Adriana Di Silvestre Roberto Peressutti Flavio Bassi Nicola Latronico ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-10-17 2019-10-17 15 3 10.4081/ecj.2019.8338