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> Out-of-hospital cardiac arrest survival in Athens: Data from a Greek public hospital https://www.pagepressjournals.org/index.php/ecj/article/view/8249 <p>Although out-of-hospital cardiac arrests (OHCA) are a major cause of mortality internationally, data regarding survival in Greece remains scarce and inconclusive. The aim of this study is to assess the immediate and 24-hour survival of OHCA sufferers during a 5-year period in a public hospital in Athens. A retrospective study was conducted on all cardiac arrests that were transferred to our hospital during a five-year period (2011-2015). Our primary objective was to calculate return of spontaneous circulation (ROSC) and 24-hour survival ratios. Our secondary objective was to estimate 30-day survival. Demographic data was also collected. 283 OHCA were included in the study. The mean age was 67.2 years and the male: female ratio was 2. Medical history was available for 33.6% of patients. 72.1% of cases were transferred to the emergency department by ambulance and 2.8% by private means of transport. Cardiopulmonary resuscitation was attempted on 57.6% of cardiac arrests, 8.6% regained ROSC and 6.1% survived for 24 hours. The 30-day survival was expected to be less than 3.5%. In our institution, ROSC, 24-hour and expected 30-day survival were lower than the European average and in accordance with the recent prospective Eureca One study. However, data from our institution cannot be generalised and multicenter studies are required in order to clarify OHCA outcomes in Greece.</p> Zisimangelos S. Solomos Maria S. Tatsi Victoria E. Psomiadou Angeliki D. Tsifi Dimitrios S. Theodoridis Aikaterini P. Petropoulou Konstantinos G. Miltiadou ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-07-09 2019-07-09 15 2 10.4081/ecj.2019.8249 A rare cause of inguinal region swelling and pain in women: Hydrocele of the canal of Nuck https://www.pagepressjournals.org/index.php/ecj/article/view/8275 <p>The most common diagnoses of pelvic/supra-pubic pain are related to uterine, gonadal, renal, and bladder complications. Hydrocele of the canal of Nuck is a rare cause of inguinal swelling in women, which occurs due to a patent processus vaginalis. The canal of Nuck typically closes in infancy, however, in some women, the canal of Nuck remains patent, allowing for the development of canal of Nuck cysts or indirect inguinal hernias. Until now, about 400 cases of this illness have been reported worldwide. Clinically, these cysts are usually fluctuant, painless, or may present locally painful masses in the labia or inguinal regions which are not reducible; we report the case of a young female which was characterized by persistent suprapubic pain in which the diagnosis initially made by ultrasonography was further confirmed by contrast-enhanced computed tomography, surgery and pathological examination.</p> Bahjat Barakat Massimo Barakat Francesco Vasuri Raffaele Pezzilli ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-07-04 2019-07-04 15 2 10.4081/ecj.2019.8275 The point-of-care testing in the emergency department https://www.pagepressjournals.org/index.php/ecj/article/view/8019 <p>The decentralization of analysis at the emergency room is a well-established practice, in particular for the use of blood gas analysis. Recently, many other analyzers have been proposed, with rapid methods that can potentially reduce the response time of the tests. Here we consider the various analyzers that can be used at the bedside, their advantages and limits, the related scientific evidences. Finally, we discuss their impact both on patient care and on accelerating the patient’s flow in the emergency room.</p> Paolo Carraro ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-07-04 2019-07-04 15 2 10.4081/ecj.2019.8019 Volvulus of ileum: A rare case of small bowel obstruction and the effectiveness of abdominal ultrasound imaging for the diagnosis https://www.pagepressjournals.org/index.php/ecj/article/view/8154 <p>Primary type small bowel volvulus is observed mainly in children and young adults, whereas the secondary type is usually found between the ages of 40 and 90 years and is mainly due to adhesions after previous surgery: tumors and mesenteric lymph nodes can also be responsible for the secondary type. Diagnosis is difficult and the computed tomography scan is the most relevant imaging modality. For this reason we believe that the case presented in which diagnosis was primary made by abdominal ultrasonography and then confirmed first by computed tomography scan and definitively by surgical exploration is worth reporting.</p> Bajhat Barakat Raffaele Pezzilli ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-07-04 2019-07-04 15 2 10.4081/ecj.2019.8154 Hospital admissions for alcohol-related problems in concomitance with weekends, New Year’s Eve and Christmas Eve: Myth or reality? https://www.pagepressjournals.org/index.php/ecj/article/view/8024 <p>This retrospective observational study was carried out by searching the database of the laboratory information system for identifying all requests for alcohol testing placed from emergency departments and intensive care units of the University Hospital of Verona between June 29th, 2012 and December 31st, 2018. The study population consisted of 7488 patients. The number of alcohol tests was more than double in concomitance with New Year’s Eve than in the rest of the year (7.6±6.1 <em>vs</em> 3.1±2.8 requests/day; P&lt;0.001), whereas blood alcohol concentration was similar (1.55 <em>vs</em> 1.12 g/L; P=0.308). The risk of measuring alcohol concentrations &gt;0.1 g/L and &gt;1.0 g/L was 1.9-fold and 1.6-fold higher in concomitance with New Year’s Eve. In multivariate analysis, younger age, female sex and alcohol testing during New Year’s Eve remained significant predictors of alcohol concentrations &gt;0.1 g/L and &gt;1.0 g/L. The requests for alcohol testing were similar in concomitance with Christmas Eve and in other periods of the year, whilst number of requests (4.0±3.2 <em>vs</em> 2.8±2.5 requests/day; P&lt;0.001) and concentration (1.37 <em>vs</em> 0.77 g/L; P&lt;0.001) were higher during weekends than in other weekdays.</p> Giuseppe Lippi Anna Ferrari Chiara Bovo Gianfranco Cervellin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-07-04 2019-07-04 15 2 10.4081/ecj.2019.8024 La liaison fructueuse: Laboratory and emergency medicine https://www.pagepressjournals.org/index.php/ecj/article/view/8344 <p>Not available.</p> Giuseppe Lippi Gianfranco Cervellin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2019-07-04 2019-07-04 15 2 10.4081/ecj.2019.8344