Review
Emergency Medicine
Summer Chavez, Alex Koyfman, Michael Gottlieb, William J. Brady, Brandon M. Carius, Stephen Y. Liang, Brit Long
Summary: Ebolavirus, the causative agent of Ebola virus disease (EVD), has been responsible for sporadic outbreaks in sub-Saharan Africa since 1976. EVD is highly transmissible, especially to healthcare workers. This review provides a concise overview of EVD presentation, diagnosis, and management for emergency clinicians. Treatment mainly involves supportive care and two approved monoclonal antibody treatments.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Infectious Diseases
Marie Jaspard, Sylvain Juchet, Beatrice Serra, Baweye Mayoum, Issa Malam Kanta, Mohamed Seto Camara, Placide Mbala, Richard Kojan, Denis Malvy
Summary: During the tenth EVD outbreak in the Democratic Republic of the Congo, mAbs were administered to 23 non-vaccinated contacts within a median delay of 1 day (interquartile range 1-2) after contact. All contacts remained symptom-free and tested negative on reverse transcriptase-polymerase chain reaction 14 days after contact.
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
(2021)
Article
Public, Environmental & Occupational Health
Akin Abayomi, Mobolanle R. Balogun, Munir Bankole, Aduragbemi Banke-Thomas, Bamidele Mutiu, John Olawepo, Morakinyo Senjobi, Oluwakemi Odukoya, Lanre Aladetuyi, Chioma Ejekam, Akinsanya Folarin, Madonna Emmanuel, Funke Amodu, Adesoji Ologun, Abosede Olusanya, Moses Bakare, Abiodun Alabi, Ismail Abdus-Salam, Eniola Erinosho, Abimbola Bowale, Sunday Omilabu, Babatunde Saka, Akin Osibogun, Ololade Wright, Jide Idris, Folasade Ogunsola
Summary: After the lessons learned from the 2014 Ebola outbreak, Lagos State government strengthened capacities for emergency response, including developing policies, enhancing surveillance systems, and setting up laboratories. With the onset of COVID-19, the state was able to respond promptly using established structures, partnerships, and political commitment. Lessons from past outbreaks should be shared with other states and countries to enhance preparedness and response to future disease outbreaks.
GLOBALIZATION AND HEALTH
(2021)
Article
Multidisciplinary Sciences
David Philpott, Neil Rupani, Monique Gainey, Eta N. Mbong, Prince Imani Musimwa, Shiromi M. Perera, Razia Laghari, Mija Ververs, Adam C. Levine
Summary: This study investigates the outcomes of pregnant women, fetuses, and newborns during the Ebola outbreak in Democratic Republic of Congo from 2018 to 2020. The results show that pregnancy was not associated with increased mortality among women with Ebola, but the outcomes of pregnancies were still poor.
Article
Medicine, General & Internal
Tae Han Kim, Kyoung Jun Song, Sang Do Shin, Ki Jeong Hong, Jung Kyu Lee
Summary: This study traced the long-term survival outcome of patients who visited the emergency department after suicide attempts. It found that patients who complied with the follow-up case management program had a lower mortality rate caused by suicide.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2022)
Article
Pediatrics
Ayumi Shishido, Shogo Otake, Makoto Kimura, Shinya Tsuzuki, Akiko Fukuda, Akihito Ishida, Masashi Kasai, Yoshiki Kusama
Summary: Outpatient medical facilities, particularly pediatric primary emergency care centers in Japan, face challenges in implementing conventional antimicrobial stewardship programs. A nudge-based ASP utilizing newsletters was found to significantly reduce unnecessary 3GC prescriptions in a Japanese PEC, showing potential for wider applications in outpatient settings.
EUROPEAN JOURNAL OF PEDIATRICS
(2021)
Editorial Material
Medicine, General & Internal
Anushree Rai, Nakyanzi Hamiidah, Mortada Abbass, Daniel Stephen Masunga, Hussein Shoumar, Burhan Ilyas Kantawala, Jack Wellington, Olivier Uwishema
Summary: The article discusses the declaration of the Ebola virus disease outbreak by the Ministry of Health of the Republic of Uganda, provides recommendations for response, and emphasizes effective isolation, triage, and screening of symptomatic patients.
ANNALS OF MEDICINE AND SURGERY
(2022)
Article
Health Care Sciences & Services
Hassan Al-Thani, Ayman El-Menyar, Naushad Ahmad Khan, Rafael Consunji, Gladys Mendez, Tarik S. Abulkhair, Monira Mollazehi, Ruben Peralta, Husham Abdelrahman, Talat Chughtai, Sandro Rizoli
Summary: This study analyzed and compared the performance of the Level I Hamad Trauma Centre with other TQIP participating centers, finding an improvement in performance during the Fall 2021 report, which reflects the continuous effort of the trauma team.
Article
Public, Environmental & Occupational Health
Natalie Sullivan, Jeffery Tully, Christian Dameff, Chibuzo Opara, Mackenzie Snead, Jordan Selzer
Summary: Objective: To assess the preparedness of American hospitals for cybersecurity attacks, a survey was conducted among hospital emergency managers. The results showed that although most hospitals included cybersecurity disasters in their Hazard Vulnerability Analyses (HVAs) and ranked it as a top priority, a significant number of them did not specifically mention cybersecurity in their Emergency Operations Plans (EOPs).
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
(2023)
Article
Public, Environmental & Occupational Health
Jia Bainga Kangbai, Christian Heumann, Michael Hoelscher, Foday Sahr, Guenter Froeschl
Summary: During the peak of the 2013-2016 Ebola outbreak in Sierra Leone, a retrospective study was conducted to investigate the impact of treatment delay, length of symptomatic period, patient demographics, and clinical characteristics on the treatment outcomes of 205 laboratory-confirmed EVD patients. The study found a significant association between the distance traveled to seek treatment and the length of stay for surviving patients, but other factors such as occupation, age, and gender did not show statistically significant correlations with the length of stay.
ARCHIVES OF PUBLIC HEALTH
(2021)
Article
Genetics & Heredity
Serge Amselem, Sonia Gueguen, Jerome Weinbach, Annick Clement, Paul Landais
Summary: Rare diseases affect nearly 3 million people in France and at least 26-30 million people in Europe. The RaDiCo program aims to develop RD e-cohorts via a national platform to study the natural history, disease genes, phenotype-genotype correlations, pathophysiology, societal and medico-economic impact of rare diseases.
ORPHANET JOURNAL OF RARE DISEASES
(2021)
Article
Public, Environmental & Occupational Health
Salman Zarka, Eyal Furman, Olga Polyakov
Summary: A hospital's operating modes include routine, mass-casualty, and interim states. Medical staff must be prepared for sudden increases in service demand, while continuing to support existing patients and those arriving at the hospital. This paper aims to describe the principles and methods for hospital operation during disaster-level events.
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
(2021)
Article
Emergency Medicine
Christopher R. Carpenter, Stacy Abrams, D. Mark Courtney, Stephen C. Dorner, Pamela Dyne, Tala Elia, Daniel N. Jourdan, Amy H. Kaji, Ian B. K. Martin, Angela M. Mills, Kat Nagasawa, Malford Pillow, Martin Reznek, Andrew Starnes, Elizabeth Temin, Richard Wolfe, Sharon Chekijian
Summary: The survey revealed that APPs are widely present in academic emergency departments and work in various settings. Chairs and residency program directors have different opinions on the contributions of APPs and their impact on the medical environment. Balancing between physicians and APPs and providing training opportunities for effective collaboration is crucial.
ACADEMIC EMERGENCY MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Tefera Alemu, Belay Bezabih, Abraham Amsalu, Eyaya Hassen, Mahteme Haile, Melkamu Abite
Summary: This study provided healthcare and nutrition services to about 79,041 internally displaced Amhara/Agew people in Ethiopia. The results showed that essential health services were provided for a period of 8 months, with various medical facilities and activities carried out. The study also emphasized the importance of establishing an incident management system, coordination platforms, and comprehensive preparedness plans.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Emergency Medicine
Jonathan J. Oskvarek, Amer Aldeen, Jason Shawbell, Arvind Venkat, Mark S. Zocchi, Jesse M. Pines
Summary: A personalized feedback and peer comparison intervention led to a significant and sustained reduction in opioid prescribing by emergency clinicians. Direct feedback to clinicians and an electronic dashboard for peer comparison proved to be effective in decreasing opioid prescription rates.
ANNALS OF EMERGENCY MEDICINE
(2022)