https://www.pagepressjournals.org/ecj/issue/feedEmergency Care Journal2024-03-26T10:56:04+00:00Teresa Carrarateresa.carrara@pagepress.orgOpen Journal Systems<p><strong>Emergency Care Journal </strong> is the official Journal of the <a href="https://acemc.it/" 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 contributions on 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="https://acemc.it/" target="_blank" rel="noopener">Academy of Emergency Medicine and Care</a>).</p>https://www.pagepressjournals.org/ecj/article/view/12488Two silent epidemics: air pollution and climate change. “Slow and sustainable medicine” as part of the solution2024-03-19T14:02:09+00:00Erika Poggialipoggiali.erika@gmail.comLorenzo Ghiadonilorenzo.ghiadoni@unipi.itDaniele Coendacoen53@gmail.com<p style="font-weight: 400;">Human health is one of the earliest biosensors of climate change, which increases the frequency and severity of many diseases, as reported by Bellone.<sup>1</sup> In Europe, air pollution is becoming a severe health problem that needs to be addressed by physicians of all specialties as well as governments and the general public.</p> <p style="font-weight: 400;">Unfortunately, it is acknowledged that the Po Valley in Italy is among the most polluted areas in Europe. As physicians practicing in this area, we feel we must remind our colleagues of the increasing impact of the environment on the health of ourselves and our patients. Along with having a substantial negative influence on both human and environmental health, air pollution also has a financial cost since it raises medical expenses and reduces productivity due to missed workdays. We can define this situation as a silent epidemic that affects all people, regardless of age. [...]</p>2024-03-26T00:00:00+00:00Copyright (c) 2024 the Author(s)https://www.pagepressjournals.org/ecj/article/view/12435AREA CRITICA | ROMA, Centro Congressi Fontana di Trevi 30 novembre - 1 dicembre 20232024-02-27T14:33:35+00:00The Editorsinfo@pagepress.org<p>Abstract from the AREA CRITICA congress in Rome, Centro Congressi Fontana di Trevi, November 30th - December 1st 2023</p> <p> </p>2024-02-27T00:00:00+00:00Copyright (c) 2023 the Author(s)https://www.pagepressjournals.org/ecj/article/view/12373A slow and dangerous swelling of the tongue and the face2024-03-11T15:58:34+00:00Erika Poggialipoggiali.erika@gmail.comLaura PaganiL.Pagani@ausl.pc.itBenedetta PergolottiB.Pergolotti@ausl.pc.itAndrea VercelliA.Vercelli@ausl.pc.it<p style="font-weight: 400;">A 91-year-old man presented at our emergency room complaining of sialorrhea and facial edema, especially around his lips and palpebral region. The symptoms started in the morning and got worse over two hours. He had a history of hypertension and hypokinetic ischemic cardiomyopathy treated with ramipril, doxazosin, aspirin, furosemide, amiodarone, ranolazine, atorvastatin, and pantoprazole. He referred an allergy to clopidogrel. He did not introduce any novel medications or foods. His vital signs were BP 150/70, HR 57 bpm, sO2 97% in room ambient, RR 18/min, and BT 36.4 °C. He presented a severe edema of the tongue with tirage and cornage. He was immediately treated IV with hydrocortisone 1 g chlorpheniramine maleate 10 mg, and icatibant 30 mg SC and he was intubated through the nose.</p>2024-03-11T00:00:00+00:00Copyright (c) 2024 the Author(s)https://www.pagepressjournals.org/ecj/article/view/12290We can and must do something2024-02-29T10:32:27+00:00Andrea Belloneandreabellone@libero.it<p style="font-weight: 400;">The environmental consequences of climate change are well known. The rise in the sea-level, increasing temperatures and more extreme weather events, increased droughts, flooding, and wildfires are impacting human health and lives. Temperature and humidity are the most consistent associations with infectious diseases and respiratory, cardiovascular, and neurological outcomes. Temperature is also directly related to mortality and healthcare service use.<sup>1-3</sup></p> <p style="font-weight: 400;">The most important cause of global warming is the emissions of greenhouse gases in the atmosphere, mainly carbon dioxide (CO<sub>2</sub>). The last year (2023) the amount of CO<sub>2</sub> production in the world (fossil origin), was the largest.<sup>4 </sup>[...]</p>2024-02-29T00:00:00+00:00Copyright (c) 2024 the Author(s)https://www.pagepressjournals.org/ecj/article/view/12268Prognostic value of lung ultrasound score performed in the Emergency Department in COVID-19 patients: a prospective multicenter study in central Italy2024-03-04T16:15:26+00:00Greta Barbierigreta.barbieri@phd.unipi.itStefano De Vuonostefano.devuono@ospedale.perugia.itLuna Garganiluna.gargani@unipi.itSokol Berishasokol.berisha@ospedale.perugia.itStefano Spinellispinellistefano.unipi@gmail.comChiara Del Carloc.delcarlo4@studenti.unipi.itChiara Deric.deri1@studenti.unipi.itGennaro D'Angelogennaro.dangelo@unipi.itPaolo Groffpaolo.groff@ospedale.perugia.itLorenzo Ghiadonilorenzo.ghiadoni@unipi.it<p style="font-weight: 400;">Lung ultrasound (LUS) is an essential tool for respiratory disease differential diagnosis at Emergency Department (ED), due to easy applicability and safety. During Sars-Cov 2 pandemic, LUS was widely used in every setting. This study aims to demonstrate the prognostic role of LUS independently of other factors and the identification of an LUS score cut-off to be applied in the ED. A multi-center prospective study was conducted on 285 patients, 123 from Pisa University Hospital, 162 from S. Maria Misericordia Hospital of Perugia. All patients received LUS examination by expert sonographers within 48 hours of admission with the same methodology. Univariate logistic analysis demonstrated that LUS is a mortality predictor, OR 2.8 (CL1.5-5.1). Using LUS score cut-off 1.3, the OR was 6.7 (CL2.7-1.6). In multivariate logistic analysis, LUS score significantly predicted death, independently of other factors. ROC curves comparison demonstrated that the introduction of LUS score <1.3 to a multifactorial model improved the association with mortality (AUC 0.76vs0.84, p=0.04). LUS combined with clinical, anamnestic, laboratory, and blood gas parameters, would allow an effective prognostic stratification in Sars-Cov2 patients at ED.</p>2024-03-04T00:00:00+00:00Copyright (c) 2024 the Author(s)https://www.pagepressjournals.org/ecj/article/view/12230Hydronephrosis and pelvic rupture due to calculus with completely normal laboratory results2024-02-29T10:32:29+00:00Burak Demircidrburakdemirci@hotmail.comBurak Akınburakakin3232@hotmail.comSelman Gündoğanselman.gundogan26@gmail.comGöker İhsan Özbilirgoker_1996@hotmail.comMehmet Oktay Alkanmoktayalkan26@hotmail.comAbuzer Coşkundr.acoskun44@hotmail.com<div> <p class="MDPI62BackMatter" align="left"><span lang="EN-US">Both side pain and urinary system pathologies are common reasons for admission to emergency departments. Spontaneous renal pelvic rupture is also very rare. Existing renal anomalies and calculi also increase the risk of rupture. Here, we present a 50-year-old male case who developed unilateral renal pelvis rupture spontaneously without trauma.</span></p> </div>2024-02-27T00:00:00+00:00Copyright (c) 2024 the Author(s)