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"Gu Hyun Kang"

Original Articles

Critical Care

A quick Sequential Organ Failure Assessment–negative result at triage is associated with low compliance with sepsis bundles: a retrospective analysis of a multicenter prospective registry
Heesu Park, Tae Gun Shin, Won Young Kim, You Hwan Jo, Yoon Jung Hwang, Sung-Hyuk Choi, Tae Ho Lim, Kap Su Han, Jonghwan Shin, Gil Joon Suh, Gu Hyun Kang, Kyung Su Kim, Korean Shock Society investigators
Clin Exp Emerg Med 2022;9(2):84-92.   Published online June 30, 2022
DOI: https://doi.org/10.15441/ceem.22.230

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A quick Sequential Organ Failure Assessment–negative result at triage is associated with low compliance with sepsis bundles: a retrospective analysis of a multicenter prospective registry
Clin Exp Emerg Med. 2022;9(2):84-92.   Published online June 30, 2022
DOI: https://doi.org/10.15441/ceem.22.230
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A quick Sequential Organ Failure Assessment–negative result at triage is associated with low compliance with sepsis bundles: a retrospective analysis of a multicenter prospective registry
Clin Exp Emerg Med. 2022;9(2):84-92.   Published online June 30, 2022
DOI: https://doi.org/10.15441/ceem.22.230
Close
Objective
We investigated the effects of a quick Sequential Organ Failure Assessment (qSOFA)–negative result (qSOFA score <2 points) at triage on the compliance with sepsis bundles among patients with sepsis who presented to the emergency department (ED).
Methods
Prospective sepsis registry data from 11 urban tertiary hospital EDs between October 2015 and April 2018 were retrospectively reviewed. Patients who met the Third International Consensus Definitions for Sepsis and Septic Shock criteria were included. Primary exposure was defined as a qSOFA score ≥2 points at ED triage. The primary outcome was defined as 3-hour bundle compliance, including lactate measurement, blood culture, broad-spectrum antibiotics administration, and 30 mL/kg crystalloid administration. Multivariate logistic regression analysis to predict 3-hour bundle compliance was performed.
Results
Among the 2,250 patients enrolled in the registry, 2,087 fulfilled the sepsis criteria. Only 31.4% (656/2,087) of the sepsis patients had qSOFA scores ≥2 points at triage. Patients with qSOFA scores <2 points had lower lactate levels, lower SOFA scores, and a lower 28-day mortality rate. Rates of compliance with lactate measurement (adjusted odds ratio [aOR], 0.47; 95% confidence interval [CI], 0.29–0.75), antibiotics administration (aOR, 0.64; 95% CI, 0.52–0.78), and 30 mL/kg crystalloid administration (aOR, 0.62; 95% CI, 0.49–0.77) within 3 hours from triage were significantly lower in patients with qSOFA scores <2 points. However, the rate of compliance with blood culture within 3 hours from triage (aOR, 1.66; 95% CI, 1.33–2.08) was higher in patients with qSOFA scores <2 points.
Conclusion
A qSOFA-negative result at ED triage is associated with low compliance with lactate measurement, broad-spectrum antibiotics administration, and 30 mL/kg crystalloid administration within 3 hours in sepsis patients.

Citations

Citations to this article as recorded by  Crossref logo
  • Red Blood Cell Transfusion Beyond Restrictive Thresholds in Patients With Septic Shock and an Elevated Lactate Level: A Multicenter Observational Study
    Kyung Hun Yoo, Gil Joon Suh, Woon Yong Kwon, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, Kyuseok Kim, Yoo Seok Park, Tae Gun Shin, Byuk Sung Ko, Tae Ho Lim, Yongil Cho
    Journal of Korean Medical Science.2026;[Epub]     CrossRef
  • Clinical Risk Models in Emphysematous Pyelonephritis: Toward a Unified Prognostic Approach
    Erkan Arslan
    Ibnosina Journal of Medicine and Biomedical Sciences.2026; 18(01): 006.     CrossRef
  • Prognostic Value of the AST/ALT Ratio in Patients with Septic Shock: A Prospective, Multicenter, Registry-Based Observational Study
    Sungwoo Choi, Sangun Nah, Gil Joon Suh, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, Tae Ho Lim, Sangchun Choi, Tae Gun Shin, Sangsoo Han
    Diagnostics.2025; 15(14): 1773.     CrossRef
  • The usefulness of lactate/albumin ratio, C-reactive protein/albumin ratio, procalcitonin/albumin ratio, SOFA, and qSOFA in predicting the prognosis of patients with sepsis who presented to EDs
    Kyung Hun Yoo, Sung-Hyuk Choi, Gil Joon Suh, Sung Phil Chung, Han Sung Choi, Yoo Seok Park, You Hwan Jo, Tae Gun Shin, Tae Ho Lim, Won Young Kim, Juncheol Lee
    The American Journal of Emergency Medicine.2024; 78: 1.     CrossRef
  • Diagnostic Accuracy of Plasma Renin Concentration and Renin Activity in Predicting Mortality and Kidney Outcomes in Patients With Septic Shock and Hypoperfusion or Hypotension: A Multicenter, Prospective, Observational Study
    Gun Tak Lee, Byuk Sung Ko, Da Seul Kim, Minha Kim, Jong Eun Park, Sung Yeon Hwang, Daun Jeong, Chi Ryang Chung, Hyunggoo Kang, Jaehoon Oh, Tae Ho Lim, Bora Chae, Won Young Kim, Tae Gun Shin
    Annals of Laboratory Medicine.2024; 44(6): 497.     CrossRef
  • Impact of Point-of-Care Lactate Testing for Sepsis on Bundle Adherence and Clinical Outcomes in the Emergency Department: A Pre–Post Observational Study
    Sukyo Lee, Juhyun Song, Sungwoo Lee, Su Jin Kim, Kap Su Han, Sijin Lee
    Journal of Clinical Medicine.2024; 13(18): 5389.     CrossRef
  • Early Mortality Stratification with Serum Albumin and the Sequential Organ Failure Assessment Score at Emergency Department Admission in Septic Shock Patients
    Sang-Min Kim, Seung-Mok Ryoo, Tae-Gun Shin, You-Hwan Jo, Kyuseok Kim, Tae-Ho Lim, Sung-Phil Chung, Sung-Hyuk Choi, Gil-Joon Suh, Won-Young Kim
    Life.2024; 14(10): 1257.     CrossRef
  • Development and derivation of bacteremia prediction model in patients with hepatobiliary infection
    Jung Won Choi, Sung-Bin Chon, Sung Yeon Hwang, Tae Gun Shin, Jong Eun Park, Kyuseok Kim
    The American Journal of Emergency Medicine.2023; 73: 102.     CrossRef
  • Prognostic accuracy of initial and 24-h maximum SOFA scores of septic shock patients in the emergency department
    Tae Han Kim, Daun Jeong, Jong Eun Park, Sung Yeon Hwang, Gil Joon Suh, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, Gun Tak Lee, Tae Gun Shin
    Heliyon.2023; 9(9): e19480.     CrossRef
  • EARLY PREDICTION OF UNEXPECTED LATENT SHOCK IN THE EMERGENCY DEPARTMENT USING VITAL SIGNS
    Hansol Chang, Weon Jung, Juhyung Ha, Jae Yong Yu, Sejin Heo, Gun Tak Lee, Jong Eun Park, Se Uk Lee, Sung Yeon Hwang, Hee Yoon, Won Chul Cha, Tae Gun Shin, Taerim Kim
    Shock.2023; 60(3): 373.     CrossRef
  • A Simple Bacteremia Score for Predicting Bacteremia in Patients with Suspected Infection in the Emergency Department: A Cohort Study
    Hyelin Han, Da Seul Kim, Minha Kim, Sejin Heo, Hansol Chang, Gun Tak Lee, Se Uk Lee, Taerim Kim, Hee Yoon, Sung Yeon Hwang, Won Chul Cha, Min Sub Sim, Ik Joon Jo, Jong Eun Park, Tae Gun Shin
    Journal of Personalized Medicine.2023; 14(1): 57.     CrossRef
  • 8,667 View
  • 232 Download
  • 11 Web of Science
  • 11 Crossref

Cardiovascular

Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction
Seongsoo Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Jae Guk Kim, Yoonje Lee, Dong Geum Shin
Clin Exp Emerg Med 2022;9(1):18-23.   Published online March 31, 2022
DOI: https://doi.org/10.15441/ceem.21.163

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Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction
Clin Exp Emerg Med. 2022;9(1):18-23.   Published online March 31, 2022
DOI: https://doi.org/10.15441/ceem.21.163
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Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction
Clin Exp Emerg Med. 2022;9(1):18-23.   Published online March 31, 2022
DOI: https://doi.org/10.15441/ceem.21.163
Close
Objective
This study aimed to analyze the association between the culprit artery and the diagnostic accuracy of automatic electrocardiogram (ECG) interpretation in patients with ST-segment elevation myocardial infarction (STEMI).
Methods
This single-centered, retrospective cohort study included adult patients with STEMI who visited the emergency department between January 2017 and December 2020. The primary endpoint was the association between the culprit artery occlusion and the misinterpretation of ECG, evaluated by the chi-square test or Fisher exact test.
Results
The rate of misinterpretation of the automated ECG for patients with STEMI was 26.5% (31/117 patients). There was no significant correlation between the ST segment change in the four involved leads (anteroseptal, lateral, inferior, and aVR) and the misinterpretation of ECG (all P > 0.05). Single culprit artery occlusion significantly affected the misinterpretation of ECG compared with multiple culprit artery occlusion (single vs. multiple, 27/86 [31.3%] vs. 4/31 [12.9%], P = 0.045). There was no association between culprit artery and the misinterpretation of ECG (P = 0.132).
Conclusion
Single culprit artery occlusion might increase misinterpretation of ECG compared with multiple culprit artery occlusions in the automatic interpretation of STEMI.

Citations

Citations to this article as recorded by  Crossref logo
  • Implementation of a Novel Prehospital Clinical Decision Tool and ECG Transmission for STEMI Significantly Reduces Door-to-Balloon Time and Sex-Based Disparities
    Bryan D. Nelson, Conor J. McLaughlin, Orlando E. Rivera, Kashyap Kaul, Andrew J. Ferdock, Zachary M. Matuzsan, Ali R. Yazdanyar, Jay V. Gopal, Ayushi Y. Patel, Rachael M. Chaska, Bruce A. Feldman, Jeanne L. Jacoby
    Prehospital Emergency Care.2025; 29(2): 170.     CrossRef
  • An Overview of Artificial Intelligence in Primary Care and Administrative Medicine
    Vincent Morelli
    Primary Care: Clinics in Office Practice.2025; 52(4): 671.     CrossRef
  • Computer-Interpreted Electrocardiograms: Impact on Cardiology Practice
    Shyla Gupta, Anthony H. Kashou, Robert Herman, Stephen Smith, Adam May, Ana G. Múnera Echeverri, Mildren Del Sueldo, Ana C. Berni, Juan Farina, Sebastian Garcia-Zamora, Adrian Baranchuk
    International Journal of Cardiovascular Sciences.2024;[Epub]     CrossRef
  • 8,954 View
  • 231 Download
  • 2 Web of Science
  • 3 Crossref

Resuscitation | Trauma

Prognostic factors related with outcomes in traumatic out-of-hospital cardiac arrest patients without prehospital return of spontaneous circulation: a nationwide observational study
Gwang Soo Jun, Jae Guk Kim, Hyun Young Choi, Gu Hyun Kang, Wonhee Kim, Yong Soo Jang, Hyun Tae Kim
Clin Exp Emerg Med 2020;7(1):14-20.   Published online March 31, 2020
DOI: https://doi.org/10.15441/ceem.19.057

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Prognostic factors related with outcomes in traumatic out-of-hospital cardiac arrest patients without prehospital return of spontaneous circulation: a nationwide observational study
Clin Exp Emerg Med. 2020;7(1):14-20.   Published online March 31, 2020
DOI: https://doi.org/10.15441/ceem.19.057
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Prognostic factors related with outcomes in traumatic out-of-hospital cardiac arrest patients without prehospital return of spontaneous circulation: a nationwide observational study
Clin Exp Emerg Med. 2020;7(1):14-20.   Published online March 31, 2020
DOI: https://doi.org/10.15441/ceem.19.057
Close
Objective
To evaluate the prognostic factors associated with the sustained return of spontaneous circulation (ROSC) and survival to hospital discharge in traumatic out-of-hospital cardiac arrest (TOHCA) patients without prehospital ROSC.

Methods
We analyzed Korean nationwide data from the Out-of-Hospital Cardiac Arrest Surveillance, and included adult TOHCA patients without prehospital ROSC from January 2012 to December 2016. The primary outcome was sustained ROSC (>20 minutes). The secondary outcome was survival to discharge. Multivariate analysis was performed to investigate factors associated with the outcomes of TOHCA patients.

Results
Among 142,905 cases of OHCA, 8,326 TOHCA patients were investigated. In multivariate analysis, male sex (odds ratio [OR], 1.326; 95% confidence interval [CI], 1.103–1.594; P=0.003), and an initial shockable rhythm (OR, 1.956; 95% CI, 1.113–3.439; P=0.020) were significantly associated with sustained ROSC. Compared with traffic crash, collision (OR, 1.448; 95% CI, 1.086–1.930; P=0.012) was associated with sustained ROSC. Fall (OR, 0.723; 95% CI, 0.589– 0.888; P=0.002) was inversely associated with sustained ROSC. Male sex (OR, 1.457; 95% CI, 1.026–2.069; P=0.035) and an initial shockable rhythm (OR, 4.724; 95% CI, 2.451–9.106; P<0.001) were significantly associated with survival to discharge. Metropolitan city (OR, 0.728; 95% CI, 0.541–0.980; P=0.037) was inversely associated with survival to discharge. Compared with traffic crash, collision (OR, 1.745; 95% CI, 1.125–2.708; P=0.013) was associated with survival to discharge.

Conclusion
Male sex, an initial shockable rhythm, and collision could be favorable factors for sustained ROSC, whereas fall could be an unfavorable factor. Male sex, non-metropolitan city, an initial shockable rhythm, and collision could be favorable factors in survival to discharge.

Citations

Citations to this article as recorded by  Crossref logo
  • Prehospital Management of Adults With Traumatic Out-of-Hospital Circulatory Arrest—A Joint Position Statement
    Amelia M. Breyre, Nicholas George, Alexander R. Nelson, Charles J. Ingram, Thomas Lardaro, Wayne Vanderkolk, John W. Lyng
    Annals of Emergency Medicine.2025; 85(3): e25.     CrossRef
  • Prehospital Trauma Compendium: Prehospital Management of Adults with Traumatic Out-of-Hospital Circulatory Arrest – A Joint Position Statement and Resource Document of NAEMSP, ACS-COT, and ACEP
    Amelia M. Breyre, Nicholas George, Alexander R. Nelson, Charles J. Ingram, Thomas Lardaro, Wayne Vanderkolk, John W. Lyng
    Prehospital Emergency Care.2025; : 1.     CrossRef
  • Prehospital factors of survival to hospital admission in blunt traumatic out-of-hospital cardiac arrest: a nationwide 11-year study
    Thanakorn Laksanamapune, Welawat Tienpratarn, Chaiyaporn Yuksen, Danaiporn Suktarom, Phunyapat Pankeaw, Irada Somawong, Sittichok Leela-Amornsin
    Resuscitation Plus.2025; 26: 101086.     CrossRef
  • Description of the Public Safety Medical Response and Patient Encounters Within and During the Indianapolis (USA) Spring 2020 Civil Unrest
    Thomas P. Arkins, Mark Liao, Daniel O’Donnell, Nancy Glober, Gregory Faris, Elizabeth Weinstein, Michael W. Supples, Julia Vaizer, Benton R. Hunter, Thomas Lardaro
    Prehospital and Disaster Medicine.2024; 39(1): 73.     CrossRef
  • Retrospective Evaluation of Falls From Height Cases Admitted to the Pre-Hospital Emergency Healthcare System
    Ramiz Yazıcı
    Anatolian Journal of Emergency Medicine.2024; 7(3): 127.     CrossRef
  • Traumatic cardiac arrest – a nationwide Danish study
    Signe Amalie Wolthers, Theo Walther Jensen, Niklas Breindahl, Louise Milling, Stig Nikolaj Blomberg, Lars Bredevang Andersen, Søren Mikkelsen, Christian Torp-Pedersen, Helle Collatz Christensen
    BMC Emergency Medicine.2023;[Epub]     CrossRef
  • Prehospital traumatic cardiac arrest: a systematic review and meta-analysis
    Niek Johannes Vianen, Esther Maria Maartje Van Lieshout, Iscander Michael Maissan, Wichor Matthijs Bramer, Dennis Den Hartog, Michael Herman Jacob Verhofstad, Mark Gerrit Van Vledder
    European Journal of Trauma and Emergency Surgery.2022; 48(4): 3357.     CrossRef
  • A novel scoring system using easily assessible predictors of return of spontaneous circulation and mortality in traumatic out-of-hospital cardiac arrest patients: A retrospective cohort study
    I-Ming Kuo, Yi-Fu Chen, Chih-Ying Chien, Yi-Wen Hong, Shih-Ching Kang, Chih-Yuan Fu, Chih-Po Hsu, Chien-Hung Liao, Chi-Hsun Hsieh
    International Journal of Surgery.2022; 104: 106731.     CrossRef
  • Characteristics and outcome of traumatic cardiac arrest at a level 1 trauma centre over 10 years in Sweden
    Daniel Ohlén, Magnus Hedberg, Paula Martinsson, Erik von Oelreich, Therese Djärv, Malin Jonsson Fagerlund
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.2022;[Epub]     CrossRef
  • Association between emergency medical service transport time and survival in patients with traumatic cardiac arrest: a Nationwide retrospective observational study
    Hiromichi Naito, Tetsuya Yumoto, Takashi Yorifuji, Tsuyoshi Nojima, Hirotsugu Yamamoto, Taihei Yamada, Kohei Tsukahara, Mototaka Inaba, Takeshi Nishimura, Takenori Uehara, Atsunori Nakao
    BMC Emergency Medicine.2021;[Epub]     CrossRef
  • 8,091 View
  • 146 Download
  • 12 Web of Science
  • 10 Crossref

Airway | Education & Simulation

Pre-hospital i-gel blind intubation for trauma: a simulation study
Jae Guk Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Hyeongtae Kim, Minji Kim
Clin Exp Emerg Med 2018;5(1):29-34.   Published online March 30, 2018
DOI: https://doi.org/10.15441/ceem.16.188

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Pre-hospital i-gel blind intubation for trauma: a simulation study
Clin Exp Emerg Med. 2018;5(1):29-34.   Published online March 30, 2018
DOI: https://doi.org/10.15441/ceem.16.188
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Pre-hospital i-gel blind intubation for trauma: a simulation study
Clin Exp Emerg Med. 2018;5(1):29-34.   Published online March 30, 2018
DOI: https://doi.org/10.15441/ceem.16.188
Close
Objective
This study aimed to evaluate the efficacy of i-gel blind intubation (IGI) as a rescue device for definitive airway management in ground intubation for pre-hospital trauma patients.
Methods
A prospective randomized crossover study was conducted with 18 paramedics to examine intubation performance of two blind intubation techniques through a supraglottic airway devices (IGI and laryngeal mask airway Fastrach), compared with use of a Macintosh laryngoscope (MCL). Each intubation was conducted at two levels of patient positions (ground- and stretcher-level). Primary outcomes were the intubation time and the success rate for intubation.
Results
The intubation time (sec) of each intubation technique was not significantly different between the two positions. In both patient positions, the intubation time of IGI was shortest among the three intubation techniques (17.9±5.2 at the ground-level and 16.9±3.8 at the stretcher-level). In the analysis of cumulative success rate and intubation time, IGI was the fastest to reach 100% success among the three intubation techniques regardless of patient position (all P<0.017). The success of intubation was only affected by the intubation technique, and IGI achieved more success than MCL (odds ratio, 3.6; 95% confidence interval, 1.1 to 11.6; P=0.03).
Conclusion
The patient position did not affect intubation performance. Additionally, the intubation time with blind intubation through supraglottic airway devices, especially with IGI, was significantly shorter than that with MCL.

Citations

Citations to this article as recorded by  Crossref logo
  • Airway Management of Suspected Traumatic Brain Injury Patients in the Emergency Room
    Indubala Maurya, Ved Prakash Maurya, Rakesh Mishra, Luis Rafael Moscote-Salazar, Tariq Janjua, Mohd Yunus, Amit Agrawal
    Indian Journal of Neurotrauma.2024; 21(01): 001.     CrossRef
  • Medication-Facilitated Advanced Airway Management with First-Line Use of a Supraglottic Device – A One-Year Quality Assurance Review
    Bethany J. Johnston, Alison K. Leung, Charles W. Hwang, Jason M. Jones, Muhammad Abdul Baker Chowdhury, Alicia Buck, Desmond E. Fitzpatrick, David A. Meurer, Torben K. Becker
    Prehospital and Disaster Medicine.2022; 37(4): 561.     CrossRef
  • Fiberoptic-Guided and Blind Tracheal Intubation Through iLTS-D, Ambu® Auragain™, and I-Gel® Supraglottic Airway Devices: A Randomized Crossover Manikin Trial
    Mostafa Somri, Ibrahim Matter, Luis A. Gaitini, Anan Safadi, Nasir Hawash, Manuel Á. Gómez-Ríos
    The Journal of Emergency Medicine.2020; 58(1): 25.     CrossRef
  • Transtracheal ultrasonographic confirmation of endotracheal intubation using I-gel and an endotracheal tube introducer
    Sin-Youl Park, Jong Kun Kim
    The American Journal of Emergency Medicine.2020; 38(12): 2629.     CrossRef
  • Comparison of blind intubation with different supraglottic airway devices by inexperienced physicians in several airway scenarios: a manikin study
    Andrzej Bielski, Jacek Smereka, Marcin Madziala, Dawid Golik, Lukasz Szarpak
    European Journal of Pediatrics.2019; 178(6): 871.     CrossRef
  • Comparison of i-Gel as a Conduit for Intubation between under Fiberoptic Guidance and Blind Endotracheal Intubation during Cardiopulmonary Resuscitation: A Randomized Simulation Study
    Hyun Young Choi, Wonhee Kim, Yong Soo Jang, Gu Hyun Kang, Jae Guk Kim, Hyeongtae Kim
    Emergency Medicine International.2019; 2019: 1.     CrossRef
  • Translation of learning objectives in medical education using high-and low-fidelity simulation: Learners' perspectives
    Katarzyna A. Naylor, Kamil C. Torres
    Journal of Taibah University Medical Sciences.2019; 14(6): 481.     CrossRef
  • 13,573 View
  • 193 Download
  • 7 Web of Science
  • 7 Crossref

Critical Care

Korean Shock Society septic shock registry: a preliminary report
Tae Gun Shin, Sung Yeon Hwang, Gu Hyun Kang, Won Young Kim, Seung Mok Ryoo, Kyuseok Kim, You Hwan Jo, Sung Phil Chung, Young Seon Joo, Jin Ho Beom, Sung-Hyuk Choi, Young Hoon Yoon, Woon Yong Kwon, Tae Ho Lim, Kap Su Han, Han Sung Choi, Gil Joon Suh
Clin Exp Emerg Med 2017;4(3):146-153.   Published online September 30, 2017
DOI: https://doi.org/10.15441/ceem.17.204

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Korean Shock Society septic shock registry: a preliminary report
Clin Exp Emerg Med. 2017;4(3):146-153.   Published online September 30, 2017
DOI: https://doi.org/10.15441/ceem.17.204
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Korean Shock Society septic shock registry: a preliminary report
Clin Exp Emerg Med. 2017;4(3):146-153.   Published online September 30, 2017
DOI: https://doi.org/10.15441/ceem.17.204
Close
Objective
To evaluate the clinical characteristics, therapeutic interventions, and outcomes of patients with septic shock admitted to the emergency department (ED). Methods This study was a preliminary, descriptive analysis of a prospective, multi-center, observational registry of the EDs of 10 hospitals participating in the Korean Shock Society. Patients aged 19 years or older who had a suspected or confirmed infection and evidence of refractory hypotension or hypoperfusion were included. Results A total of 468 patients were enrolled (median age, 71.3 years; male, 55.1%; refractory hypotension, 82.9%; hyperlactatemia without hypotension, 17.1%). Respiratory infection was the most common source of infection (31.0%). The median Sepsis-related Organ Failure Assessment score was 7.5. The sepsis bundle compliance was 91.2% for lactate measurement, 70.3% for blood culture, 68.4% for antibiotic administration, 80.3% for fluid resuscitation, 97.8% for vasopressor application, 68.0% for central venous pressure measurement, 22.0% for central venous oxygen saturation measurement, and 59.2% for repeated lactate measurement. Among patients who underwent interventions for source control (n=117, 25.1%), 43 (36.8%) received interventions within 12 hours of ED arrival. The in-hospital, 28-day, and 90-day mortality rates were 22.9%, 21.8%, and 27.1%, respectively. The median ED and hospital lengths of stay were 6.8 hours and 12 days, respectively. Conclusion This preliminary report revealed a mortality of over 20% in patients with septic shock, which suggests that there are areas for improvement in terms of the quality of initial resuscitation and outcomes of septic shock patients in the ED.

Citations

Citations to this article as recorded by  Crossref logo
  • Red Blood Cell Transfusion Beyond Restrictive Thresholds in Patients With Septic Shock and an Elevated Lactate Level: A Multicenter Observational Study
    Kyung Hun Yoo, Gil Joon Suh, Woon Yong Kwon, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, Kyuseok Kim, Yoo Seok Park, Tae Gun Shin, Byuk Sung Ko, Tae Ho Lim, Yongil Cho
    Journal of Korean Medical Science.2026;[Epub]     CrossRef
  • Comparison of prognosis in emergency department elderly septic shock patients with initial hypotension versus delayed hypotension
    Chaeeun Lee, Gil Joon Suh, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, Tae Ho Lim, Sangchun Choi, Tae Gun Shin, Sangun Nah, Sangsoo Han
    European Journal of Emergency Medicine.2026;[Epub]     CrossRef
  • Early prediction of renal replacement therapy within 24 hours after septic shock recognition in the emergency department using machine learning: a retrospective analysis of a prospectively collected multicenter registry
    Sangun Nah, Tae Ho Lim, Sung Phil Chung, Gil Joon Suh, Sung-Hyuk Choi, Woon Yong Kwon, Won Young Kim, Kyuseok Kim, Sangchun Choi, Je Sung You, Han Sung Choi, Tae Gun Shin, Sangsoo Han
    BMC Emergency Medicine.2026;[Epub]     CrossRef
  • Hypertension and 28-day mortality in sepsis patients: An observational and mendelian randomization study
    Lichang Sun, Cong Zhang, Ping Song, Xiaoni Zhong, Biao Xie, Yingzhu Huang, Yuanjia Hu, Ximing Xu, Xun Lei
    Heart & Lung.2025; 70: 147.     CrossRef
  • Using machine learning techniques for early prediction of tracheal intubation in patients with septic shock: a multi-center study in South Korea
    Ji Han Heo, Taegyun Kim, Tae Gun Shin, Gil Joon Suh, Woon Yong Kwon, Hayoung Kim, Heesu Park, Heejun Kim, Sol Han
    Acute and Critical Care.2025; 40(2): 221.     CrossRef
  • Prognostic Value of the AST/ALT Ratio in Patients with Septic Shock: A Prospective, Multicenter, Registry-Based Observational Study
    Sungwoo Choi, Sangun Nah, Gil Joon Suh, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, Tae Ho Lim, Sangchun Choi, Tae Gun Shin, Sangsoo Han
    Diagnostics.2025; 15(14): 1773.     CrossRef
  • Development and Validation of a Minimum Dataset for a Pediatric Septic Shock Registry: A Descriptive and Cross‐Sectional Study
    Fariba Shabani, Seyedeh Narjes Ahmadizadeh, Shahabedin Rahmatizadeh, Seyedeh Masumeh Hashemi, Reza Rabiei, Azita Behzad
    Health Science Reports.2025;[Epub]     CrossRef
  • The usefulness of lactate/albumin ratio, C-reactive protein/albumin ratio, procalcitonin/albumin ratio, SOFA, and qSOFA in predicting the prognosis of patients with sepsis who presented to EDs
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    Sang-Hun Lee, Youn-Jung Kim, Gi Na Yu, Jae Cheon Jeon, Won Young Kim
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  • 181 Download
  • 30 Web of Science
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Guidelines

Guidelines

Part 3. Advanced cardiac life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Mi Jin Lee, Tai Ho Rho, Hyun Kim, Gu Hyun Kang, June Soo Kim, Sang Gyun Rho, Hyun Kyung Park, Dong Jin Oh, Seil Oh, Jin Wi, Sangmo Je, Sung Phil Chung, Sung Oh Hwang
Clin Exp Emerg Med 2016;3:S17-S26.   Published online July 5, 2016
DOI: https://doi.org/10.15441/ceem.16.134

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Part 3. Advanced cardiac life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S17-S26.   Published online July 5, 2016
DOI: https://doi.org/10.15441/ceem.16.134
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Part 3. Advanced cardiac life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S17-S26.   Published online July 5, 2016
DOI: https://doi.org/10.15441/ceem.16.134
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Citations

Citations to this article as recorded by  Crossref logo
  • Gastric Inflation in Prehospital Cardiopulmonary Resuscitation: Aspiration Pneumonia and Resuscitation Outcomes
    Tae Youn Kim, Soyeong Kim, Sang Il Han, Sung Oh Hwang, Woo Jin Jung, Young Il Roh, Kyoung-Chul Cha
    Reviews in Cardiovascular Medicine.2023;[Epub]     CrossRef
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    Eujene Jung, Young Sun Ro, Hyun Ho Ryu, So Yeon Kong, Sun Young Lee
    The American Journal of Emergency Medicine.2022; 51: 79.     CrossRef
  • Impact of crowding in local ambulance demand on call-to-ambulance scene arrival in out-of-hospital cardiac arrest
    Dae Kon Kim, Tae Han Kim, Sang Do Shin, Young Sun Ro, Kyoung Jun Song, Ki Jeong Hong, Joo Jeong
    The American Journal of Emergency Medicine.2022; 52: 105.     CrossRef
  • Right-to-Left Shunts Occur During Cardiopulmonary Resuscitation: Echocardiographic Observations
    Woo Jin Jung, Kyoung-Chul Cha, Young-Il Roh, Kyung Soo Bae, Tae Hyun Kwon, Jae Hun Han, Sung Oh Hwang
    Critical Care Medicine.2022; 50(10): 1486.     CrossRef
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    Young Su Kim, Ki Hong Kim, Kyoung Jun Song, Sang Do Shin, Jeong Ho Park
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    Kyoung-Chul Cha, Hyung Il Kim, Yong Won Kim, Gyo Jin Ahn, Yoon Seob Kim, Sun Ju Kim, Jun Hyuk Lee, Sung Oh Hwang, Theodoros Xanthos
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Original Articles

Airway | Education & Simulation

Comparison of blind intubation through supraglottic devices and direct laryngoscopy by novices: a simulation manikin study
Young Yong Kim, Gu Hyun Kang, Won Hee Kim, Hyun Young Choi, Yong Soo Jang, Young Jae Lee, Jae Guk Kim, Hyeongtae Kim, Gyoung Yong Kim
Clin Exp Emerg Med 2016;3(2):75-80.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.069

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Comparison of blind intubation through supraglottic devices and direct laryngoscopy by novices: a simulation manikin study
Clin Exp Emerg Med. 2016;3(2):75-80.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.069
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Comparison of blind intubation through supraglottic devices and direct laryngoscopy by novices: a simulation manikin study
Clin Exp Emerg Med. 2016;3(2):75-80.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.069
Close
Objective
This study aimed to compare intubation performance between blind intubation through supraglottic airway devices and direct laryngoscopy by novices under manikin simulation. We hypothesized that the intubation time by novices using supraglottic airway devices was superior to that with the Macintosh laryngoscope (MCL).
Methods
A prospective, randomized crossover study was conducted with 95 participants, to evaluate i-gel, air-Q, LMA Fastrach, and MCL devices. Primary outcomes were the intubation time and the success rate for intubation.
Results
The i-gel showed the shortest insertion and tube passing time among the four devices; the i-gel and air-Q also showed the shortest total intubation time (all P<0.0083; i-gel vs. air-Q, P=0.03). The i-gel and MCL showed the highest cumulative success rate (all P<0.0083; i-gel vs. MCL, P=0.12).
Conclusion
Blind intubation through the i-gel showed almost equal intubation performance compared to direct laryngoscopy.

Citations

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  • Success Rate of Endotracheal Intubation
    Usman Nasir, Salahu Dalhat, Mamuda Atiku, Abdullahi Mustapha, Adesope Saheed, Ahmad Adam, Abdullahi Mohammad, Ahmed Ado
    Nigerian Journal of Basic and Clinical Sciences.2022; 19(1): 34.     CrossRef
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    Sin Ryul Park, Won Joon Jeong
    Journal of Clinical Ultrasound.2021; 49(3): 290.     CrossRef
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    Sol Kim, Dong Eun Lee, Sungbae Moon, Jae Yun Ahn, Won Kee Lee, Jong Kun Kim, Jungbae Park, Hyun Wook Ryoo
    Clinical and Experimental Emergency Medicine.2020; 7(1): 21.     CrossRef
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    Wojciech Piechowski, Timothy C Clapper, Joel C Park, Kevin Ching, Jonathan St. George
    BMJ Simulation and Technology Enhanced Learning.2020; : bmjstel-2020-000721.     CrossRef
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    Lorenzo Gamberini, Marzia Baldazzi, Carlo Coniglio, Giovanni Gordini, Tommaso Bardi
    Air Medical Journal.2019; 38(5): 366.     CrossRef
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    Jae Guk Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Hyeongtae Kim, Minji Kim
    Clinical and Experimental Emergency Medicine.2018; 5(1): 29.     CrossRef
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    Dawid Aleksandrowicz, Tomasz Gaszyński
    Trends in Anaesthesia and Critical Care.2018; 21: 53.     CrossRef
  • Comparison of the Success Rate of Intubation Between the LMA Fastrach and AirQ-ILA Methods in Patients Undergoing Elective Surgery During General Anaesthesia
    Seydalireza Seyed Siamdoust, Faranak Rokhtabnak, Soudabeh Djalali Motlagh, Poupak Rahimzadeh, Valiollah Hassani, Mahdi Farnaghizad
    Anesthesiology and Pain Medicine.2018;[Epub]     CrossRef
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    Łukasz Szarpak
    The American Journal of Emergency Medicine.2017; 35(3): 509.     CrossRef
  • 11,962 View
  • 143 Download
  • 7 Web of Science
  • 9 Crossref

Resuscitation

Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Byung Kook Lee, Kyu Nam Park, Gu Hyun Kang, Kyung Hwan Kim, Giwoon Kim, Won Young Kim, Jin Hong Min, Yooseok Park, Jung Bae Park, Gil Joon Suh, Yoo Dong Son, Jonghwan Shin, Joo Suk Oh, Yeon Ho You, Dong Hoon Lee, Jong Seok Lee, Hoon Lim, Tae Chang Jang, Gyu Chong Cho, In Soo Cho, Kyoung Chul Cha, Seung Pill Choi, Wook Jin Choi, Chul Han, The Korean Hypothermia Network Investigators
Clin Exp Emerg Med 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007

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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007
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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007
Close
Objective

Therapeutic hypothermia (TH) has become the standard strategy for reducing brain damage in the postresuscitation period. The aim of this study was to investigate current TH performance and outcomes in out-of-hospital cardiac arrest (OHCA) survivors using data from the Korean Hypothermia Network (KORHN) registry.

 Methods

We used the KORHN registry, a web-based multicenter registry that includes 24 participating hospitals throughout the Republic of Korea. Adult comatose OHCA survivors treated with TH between 2007 and 2012 were included. The primary outcomes were neurological outcome at hospital discharge and in-hospital mortality. The secondary outcomes were TH performance and adverse events during TH.

 Results

A total of 930 patients were included, of whom 556 (59.8%) survived to discharge and 249 (26.8%) were discharged with good neurologic outcomes. The median time from return of spontaneous circulation (ROSC) to the start of TH was 101 minutes (interquartile range [IQR], 46 to 200 minutes). The induction, maintenance, and rewarming durations were 150 minutes (IQR, 80 to 267 minutes), 1,440 minutes (IQR, 1,290 to 1,440 minutes), and 708 minutes (IQR, 420 to 900 minutes), respectively. The time from the ROSC to coronary angiography was 1,045 hours (IQR, 121 to 12,051 hours). Hyperglycemia (46.3%) was the most frequent adverse event.

 Conclusion

More than one-quarter of the OHCA survivors (26.8%) were discharged with good neurologic outcomes. TH performance was appropriately managed in terms of the factors related to its timing, including cooling start time and rewarming duration.

Citations

Citations to this article as recorded by  Crossref logo
  • Association Between the Timing of Coronary Angiography, Targeted Temperature Management, and Neurological Outcomes After Out‐of‐Hospital Cardiac Arrest: A Nationwide Population‐Based Registry Study in Korea
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    Journal of the American Heart Association.2025;[Epub]     CrossRef
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    Hwan Song, Sang Hoon Oh, Hye Rim Woo
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    Soo Hyun Kim, Kyu Nam Park, Chun Song Youn, Minjung Kathy Chae, Won Young Kim, Byung Kook Lee, Dong Hoon Lee, Tae Chang Jang, Jae Hoon Lee, Yoon Hee Choi, Je Sung You, In Soo Cho, Su Jin Kim, Jong-Seok Lee, Yong Hwan Kim, Min Seob Sim, Jonghwan Shin, Yoo
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    Therapeutic Hypothermia and Temperature Management.2019; 9(3): 190.     CrossRef
  • Recovery from acute kidney injury as a potent predictor of survival and good neurological outcome at discharge after out-of-hospital cardiac arrest
    Yoo Seok Park, Yoon Hee Choi, Je Hyeok Oh, In Soo Cho, Kyoung-Chul Cha, Byung-Sun Choi, Je Sung You
    Critical Care.2019;[Epub]     CrossRef
  • Association between acute kidney injury and neurological outcome or death at 6 months in out-of-hospital cardiac arrest: A prospective, multicenter, observational cohort study
    Je Hyeok Oh, Dong Hoon Lee, In Soo Cho, Chun Song Youn, Byung Kook Lee, Jung Hee Wee, Kyoung-Chul Cha, Minjung Kathy Chae, Jonghwan Shin
    Journal of Critical Care.2019; 54: 197.     CrossRef
  • Prognostic Factors for Re-Arrest with Shockable Rhythm during Target Temperature Management in Out-Of-Hospital Shockable Cardiac Arrest Patients
    Seung Mok Ryoo, Dong Hun Lee, Byung Kook Lee, Chun Song Youn, Youn-Jung Kim, Su Jin Kim, Yong Hwan Kim, Won Young Kim
    Journal of Clinical Medicine.2019; 8(9): 1360.     CrossRef
  • Quantitative analysis of relative volume of low apparent diffusion coefficient value can predict neurologic outcome after cardiac arrest
    Hyung Ki Moon, Jinhee Jang, Kyu Nam Park, Soo Hyun Kim, Byung Kook Lee, Sang Hoon Oh, Kyung Woon Jeung, Seung Pill Choi, In Soo Cho, Chun Song Youn
    Resuscitation.2018; 126: 36.     CrossRef
  • Optic nerve sheath diameter measured using early unenhanced brain computed tomography shows no correlation with neurological outcomes in patients undergoing targeted temperature management after cardiac arrest
    Dong Hoon Lee, Sun Hwa Lee, Je Hyeok Oh, In Soo Cho, Young Hwan Lee, Chul Han, Wook Jin Choi, You Dong Sohn
    Resuscitation.2018; 128: 144.     CrossRef
  • Neurologic outcome after out-of-hospital cardiac arrest could be predicted with the help of bispectral-index during early targeted temperature management
    Jeong Ho Park, Jae Hun Oh, Seung Pill Choi, Jung Hee Wee
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.2018;[Epub]     CrossRef
  • Continuous neuromuscular blockade infusion for out-of-hospital cardiac arrest patients treated with targeted temperature management: A multicenter randomized controlled trial
    Byung Kook Lee, In Soo Cho, Joo Suk Oh, Wook Jin Choi, Jung Hee Wee, Chang Sun Kim, Won Young Kim, Chun Song Youn, Salvatore De Rosa
    PLOS ONE.2018; 13(12): e0209327.     CrossRef
  • The association of body mass index with outcomes and targeted temperature management practice in cardiac arrest survivors
    Yong Hun Jung, Byung Kook Lee, Dong Hun Lee, Sung Min Lee, Yong Soo Cho, Kyung Woon Jeung
    The American Journal of Emergency Medicine.2017; 35(2): 268.     CrossRef
  • Predictors of good neurologic outcome after resuscitation beyond 30 min in out-of-hospital cardiac arrest patients undergoing therapeutic hypothermia
    Shin Ahn, Byung Kook Lee, Chun Song Youn, Youn-Jung Kim, Chang Hwan Sohn, Dong-Woo Seo, Won Young Kim
    Internal and Emergency Medicine.2017;[Epub]     CrossRef
  • Prognostic value of gray matter to white matter ratio in hypoxic and non-hypoxic cardiac arrest with non-cardiac etiology
    Byung Kook Lee, Won Young Kim, Jonghwan Shin, Joo Suk Oh, Jung Hee Wee, Kyoung Chul Cha, Yooseok Park, Jae Hyung Choi, Kyung Woon Jeung
    The American Journal of Emergency Medicine.2016; 34(8): 1583.     CrossRef
  • Treatment of acute carbon monoxide poisoning with induced hypothermia
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    Won Chul Cha, Eui Jung Lee, Seung-sik Hwang
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  • Adverse events associated with poor neurological outcome during targeted temperature management and advanced critical care after out-of-hospital cardiac arrest
    Young-Min Kim, Chun Song Youn, Soo Hyun Kim, Byung Kook Lee, In Soo Cho, Gyu Chong Cho, Kyung Woon Jeung, Sang Hoon Oh, Seung Pill Choi, Jong Hwan Shin, Kyoung-Chul Cha, Joo Suk Oh, Hyeon Woo Yim, Kyu Nam Park
    Critical Care.2015;[Epub]     CrossRef
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    Resuscitation.2015; 96: 46.     CrossRef
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    Clinical and Experimental Emergency Medicine.2015; 2(4): 210.     CrossRef
  • Continuous Amplitude-Integrated Electroencephalographic Monitoring Is a Useful Prognostic Tool for Hypothermia-Treated Cardiac Arrest Patients
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    Circulation.2015; 132(12): 1094.     CrossRef
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CEEM : Clinical and Experimental Emergency Medicine