Gil Joon Suh, Tae Gun Shin, Woon Yong Kwon, Kyuseok Kim, You Hwan Jo, Sung-Hyuk Choi, Sung Phil Chung, Won Young Kim, for the Korean Shock Society investigators
Clin Exp Emerg Med 2023;10(3):255-264. Published online July 13, 2023
Although the Surviving Sepsis Campaign guidelines provide standardized and generalized guidance, they are less individualized. This review focuses on recent updates in the hemodynamic management of septic shock. Monitoring and intervention for septic shock should be personalized according to the phase of shock. In the salvage phase, fluid resuscitation and vasopressors should be given to provide life-saving tissue perfusion. During the optimization phase, tissue perfusion should be optimized. In the stabilization and de-escalation phases, minimal fluid infusion and safe fluid removal should be performed, respectively, while preserving organ perfusion. There is controversy surrounding the use of restrictive versus liberal fluid strategies after initial resuscitation. Fluid administration after initial resuscitation should depend upon the patient’s fluid responsiveness and requires individualized management. A number of dynamic tests have been proposed to monitor fluid responsiveness, which can help clinicians decide whether to give fluid or not. The optimal timing for the initiation of vasopressor agents is unknown. Recent data suggest that early vasopressor initiation should be considered. Inotropes can be considered in patients with decreased cardiac contractility associated with impaired tissue perfusion despite adequate volume status and arterial blood pressure. Venoarterial extracorporeal membrane oxygenation should be considered for refractory septic shock with severe cardiac systolic dysfunction.
Citations
Citations to this article as recorded by
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
The impact of ketamine on ICU mortality in patients with sepsis: A retrospective cohort study Yifei Liu, Jie Yue, Guangdong Wang, Yuxia Jiang, Aihua Shu Journal of Critical Care.2026; 92: 155422. 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
Urinary biomarkers for diagnosing acute kidney injury in sepsis in the emergency department Sumin Baek, Inwon Park, Seonghye Kim, Young Woo Um, Hee Eun Kim, Kyunghoon Lee, Jae Hyuk Lee, You Hwan Jo Heliyon.2025; 11(1): e41252. CrossRef
Comparison between norepinephrine plus epinephrine and norepinephrine plus vasopressin after return of spontaneous circulation in patients with out-of-hospital cardiac arrest Sejoong Ahn, Bo-Yeong Jin, Sukyo Lee, Jong-Hak Park, Hanjin Cho, Sungwoo Moon, Sang Kuk Han, Phil Cho Choi, Young Hwan Lee, Sang O. Park, Jong Seok Lee, Ki Young Jeong, Sung Hyuk Choi, Young Hoon Yoon, Su Jin Kim, Kap Su Han, Min Seob Sim, Gun Tak Lee, Yo Scientific Reports.2025;[Epub] 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
Sepsis Heterogeneity and Precision Medicine: Typing Challenges from Clinical Syndromes to Molecular Mechanisms 硕 盛 Journal of Clinical Personalized Medicine.2025; 04(03): 259. CrossRef
The evolving landscape of emergency care Lewis J. Kaplan Current Opinion in Critical Care.2025; 31(3): 235. 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
From Fluid Responsiveness to Prognosis: The Emerging Role of Point-of-Care Echocardiography in Sepsis Andrea Piccioni, Gloria Rozzi, Giacomo Spaziani, Michela Novelli, Mariella Fuorlo, Marcello Candelli, Giulia Pignataro, Luca Santarelli, Marcello Covino, Antonio Gasbarrini, Francesco Franceschi Diagnostics.2025; 15(20): 2612. CrossRef
Impact of diastolic blood pressure time under range on mortality and acute kidney injury in septic patients: a retrospective cohort study Jian Zhao, Si Tong Lin, Ai Hua Qin, Cheng Rui Zhou, Xiang Dong Huang, Hua Guo Chen, Shu Qin Zhou, Hu Peng, Yuan Zhuo Chen BMC Anesthesiology.2025;[Epub] CrossRef
Comparison of non-invasive strategies to drive fluid resuscitation in sepsis or septic shock: a meta-analysis of RCTs Mara Graziani, Laura Gasperini, Claudia Gasperini, Giorgio Maraziti, Gennaro De Pascale, Cecilia Becattini Internal and Emergency Medicine.2025;[Epub] CrossRef
Effect of Intravenous Push and Piggyback Administration of Ceftriaxone on Mortality in Sepsis Sun Young Lim, Sumin Baek, You Hwan Jo, Jae Hyuk Lee, Young Woo Um, Hee Eun Kim, Dongkwan Han The Journal of Emergency Medicine.2024; 66(5): e632. CrossRef
Temperature trajectories and mortality in hypothermic sepsis patients Dongkwan Han, Seung Hyun Kang, Young Woo Um, Hee Eun Kim, Ji Eun Hwang, Jae Hyuk Lee, You Hwan Jo, Yoon Sun Jung, Hui Jai Lee The American Journal of Emergency Medicine.2024; 84: 18. CrossRef
Comparison of Early and Late Norepinephrine Administration in Patients With Septic Shock Chiwon Ahn, Gina Yu, Tae Gun Shin, Youngsuk Cho, Sunghoon Park, Gee Young Suh CHEST.2024; 166(6): 1417. CrossRef
Removal of circulating mitochondrial N-formyl peptides via immobilized antibody therapy restores sepsis-induced neutrophil dysfunction Woon Yong Kwon, Yoon Sun Jung, Gil Joon Suh, Sung Hee Kim, Areum Lee, Jeong Yeon Kim, Hayoung Kim, Heesu Park, Jieun Shin, Taegyun Kim, Kyung Su Kim, Kiyoshi Itagaki, Carl J Hauser Journal of Leukocyte Biology.2024; 116(5): 1169. 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
The mortality of patients with sepsis increases in the first month of a new academic year Sukyo Lee, Sungjin Kim, Sejoong Ahn, Hanjin Cho, Sungwoo Moon, Young Duck Cho, Jong-Hak Park Clinical and Experimental Emergency Medicine.2024; 11(2): 161. 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
External validation of a modified cardiovascular sequential organ failure assessment score in patients with suspected infection using the MIMIC-IV database Sung Yeon Hwang, Inkyu Kim, Byuk Sung Ko, Seung Mok Ryoo, Eunah Han, Hui Jai Lee, Daun Jeong, Tae Gun Shin, Kyuseok Kim, Vipa Thanachartwet PLOS ONE.2024; 19(11): e0312185. CrossRef
PiCCO or Cardiac Ultrasound? Which Is Better for Hemodynamic Monitoring in ICU? Maria Andrei, Nicoleta Alice Dragoescu, Andreea Stanculescu, Luminita Chiutu, Octavian Dragoescu, Octavian Istratoaie Medicina.2024; 60(11): 1884. CrossRef
Assessment of organ failure in sepsis patients in the emergency department: clinical evaluation, Sequential Organ Failure Assessment (SOFA) score, and future perspectives Tae Gun Shin Clinical and Experimental Emergency Medicine.2024; 11(4): 327. CrossRef
Hemşirelerin Sepsis Farkındalığı ve Sepsis Tanılı Hastalarda Hemşirelik Yönetimi Pınar Erman, Güler Balcı Alparslan Yoğun Bakım Hemşireliği Dergisi.2024; 28(3): 213. CrossRef
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
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
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
Objective Traumatic brain injury (TBI) is an important public health concern due to its high prevalence and mortality rate among young people. We investigated the clinical and social characteristics of patients who visited the emergency department due to TBI in whom brain computed tomography, was performed by age.
Methods We retrospectively analyzed 15,567 TBI patients who received a brain computed tomography evaluation at the emergency department of Korea University Hospital from March 2013 to February 2016. We divided patients into age groups by decade and analyzed factors such as sex, trauma mechanism, need for operation, hospitalization, and results of treatment.
Results The mean age was 42.0±22.8 years; the most common age group was the 50s (16.5%). Except for the age group over 70 years, males predominated. Under 9 years of age, public ambulance usage rate was lower than in other age groups. Regarding severity based on the Glasgow Coma Scale score, the proportion of mild cases was higher in those under 9 years of age (99.3%) and the proportion of severe cases was higher in those in their 20s (4.6%). The most common injury mechanism was blunt trauma, followed by car accidents. For those under 9 years of age, falls were more common than in other age groups. Only 20.5% of TBI patients were hospitalized and 11.9% were treated surgically, while 70.6% of patients were discharged home after treatment.
Conclusion TBI may present with different characteristics depending on the age of the patients, thus prevention policies and clinical practice should be tailored to age.
Citations
Citations to this article as recorded by
Simultaneous High-Frame-Rate Acoustic Plane-Wave and Optical Imaging of Intracranial Cavitation in Polyacrylamide Brain Phantoms during Blunt Force Impact Eric J. Galindo, Riley R. Flores, Ricardo Mejia-Alvarez, Adam M. Willis, Michaelann S. Tartis Bioengineering.2024; 11(2): 132. CrossRef
Area-Level Socioeconomic Inequalities in Intracranial Injury-Related Hospitalization in Korea: A Retrospective Analysis of Data From Korea National Hospital Discharge Survey 2008–2015 Hang A Park, Federico E. Vaca, Kyunghee Jung-Choi, Hyesook Park, Ju Ok Park Journal of Korean Medical Science.2023;[Epub] CrossRef
Mortality and incidence rate of acute severe trauma patients in the emergency department: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018–2022 Jung-Youn Kim, Young-Hoon Yoon, Sung Joon Park, Won Pyo Hong, Young Sun Ro Clinical and Experimental Emergency Medicine.2023; 10(S): S55. CrossRef
Trends in traumatic brain injury–related emergency department visits in Korea: a report from the National Emergency Department Information System (NEDIS) 2018–2022 Hang A Park, Borami Lim, Young Sun Ro Clinical and Experimental Emergency Medicine.2023; 10(S): S63. CrossRef
The circadian clock regulator Bmal1 affects traumatic brain injury in rats through the p38 MAPK signalling pathway Bing Li, Di Li, Haibo Ni, Chenglin Liu, Jian Xiong, Huixiang Liu, Rong Gao, Li Zhang, Gang Chen Brain Research Bulletin.2022; 178: 17. CrossRef
Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System Sung Joon Park, Jung-Youn Kim, Young-Hoon Yoon, Eu Sun Lee, Hyun-Jin Kim, Seoung Bum Kim, Hyun Gu Kahng, Yan-Ren Lin Emergency Medicine International.2021; 2021: 1. CrossRef
Objective To assess the learning curve of novice residents in diagnosing acute appendicitis using abdominal computed tomography (CT) scans.
Methods This prospective observational study was conducted within a 4-month period from March 1 to June 30, 2015. After CT scans for right lower quadrant pain or similar acute abdomen were evaluated, postgraduate year 1 (PGY-1) residents completed an interpretation checklist. The primary outcome was evaluation of the learning curve for competent CT scan interpretation under suspicion of acute appendicitis. Secondary outcomes were cumulative numbers of accurate abdominal CT interpretations regardless of initial clinical impression and training period.
Results PGY-1 residents recorded a total of 230 interpretation checklists. There were 53, 51, 46, 44, and 36 checklists recorded by individual residents and 92, 92, 91, 91, and 61 respective training days in the emergency department, excluding rotation periods in other departments. After 16 to 20 interpretations of abdominal CT scans performed under suspicion of acute appendicitis, the residents could diagnose acute appendicitis with more than 95% accuracy. Overall, the sensitivity and specificity for diagnosing acute appendicitis were 97% (95% confidence interval, 94 to 100) and 83% (95% confidence interval, 80 to 87), respectively. After 61 to 80 abdominal CT interpretations regardless of suspicion of acute appendicitis and after 41 to 50 days in training, PGY-1 emergency department residents could diagnose acute appendicitis with more than 95% accuracy.
Conclusion PGY-1 residents require 16 to 20 checklist interpretations to acquire acceptable abdominal CT interpretation. After performing 61 to 80 CT scans regardless of suspicion of acute appendicitis, they could diagnose acute appendicitis with acceptable accuracy.
Citations
Citations to this article as recorded by
Factors affecting incorrect interpretation of abdominal computed tomography in non-traumatic patients by novice emergency physicians Seong Geun Lee, Hanjin Cho, Joo Yeong Kim, Juhyun Song, Jong-Hak Park Clinical and Experimental Emergency Medicine.2021; 8(3): 207. CrossRef
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
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
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 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
Sex differences in in-hospital management in patients with sepsis and septic shock: a prospective multicenter observational study Sejoong Ahn, Bo-Yeong Jin, Sukyo Lee, Sungjin Kim, Sungwoo Moon, Hanjin Cho, Kap Su Han, You Hwan Jo, Kyuseok Kim, Jonghwan Shin, Gil Joon Suh, Woon Yong Kwon, Tae Gun Shin, Han Sung Choi, Sangchun Choi, Yoo Seok Park, Sung Phil Chung, Won Young Kim, Hong Scientific Reports.2024;[Epub] CrossRef
Door-to-antibiotic time and mortality in patients with sepsis: Systematic review and meta-analysis Ling Yan Leung, Hsi-Lan Huang, Kevin KC Hung, Chi Yan Leung, Cherry CY Lam, Ronson SL Lo, Chun Yu Yeung, Peter Joseph Tsoi, Michael Lai, Mikkel Brabrand, Joseph H Walline, Colin A Graham European Journal of Internal Medicine.2024; 129: 48. CrossRef
The prognostic utility of Lactate/Albumin*Age score in septic patient with normal lactate level Sungjin Kim, Sukyo Lee, Sejoong Ahn, Jonghak Park, Sungwoo Moon, Hanjin Cho, Sung-Hyuk Choi Heliyon.2024; 10(17): e37056. CrossRef
Mortality among adult patients with sepsis and septic shock in Korea: a systematic review and meta-analysis Myeong Namgung, Chiwon Ahn, Yeonkyung Park, Il-Youp Kwak, Jungguk Lee, Moonho Won Clinical and Experimental Emergency Medicine.2023; 10(2): 157. CrossRef
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 Clinical and Experimental Emergency Medicine.2022; 9(2): 84. CrossRef
Association between Vitamin C Deficiency and Mortality in Patients with Septic Shock Jong Eun Park, Tae Gun Shin, Daun Jeong, Gun Tak Lee, Seung Mok Ryoo, Won Young Kim, You Hwan Jo, Gil Joon Suh, Sung Yeon Hwang Biomedicines.2022; 10(9): 2090. CrossRef
Machine Learning Model Development and Validation for Predicting Outcome in Stage 4 Solid Cancer Patients with Septic Shock Visiting the Emergency Department: A Multi-Center, Prospective Cohort Study Byuk Sung Ko, Sanghoon Jeon, Donghee Son, Sung-Hyuk Choi, Tae Gun Shin, You Hwan Jo, Seung Mok Ryoo, Youn-Jung Kim, Yoo Seok Park, Woon Yong Kwon, Gil Joon Suh, Tae Ho Lim, Won Young Kim Journal of Clinical Medicine.2022; 11(23): 7231. CrossRef
Impact of COVID-19 Pandemic on Management and Outcomes in Patients with Septic Shock in the Emergency Department Daun Jeong, Gun Tak Lee, Jong Eun Park, Tae Gun Shin, Kyunga Kim, Doeun Jang, Won Young Kim, You Hwan Jo, Sung Phil Chung, Jin Ho Beom, Sung-Hyuk Choi, Woon Yong Kwon, Gil Joon Suh, Byuk Sung Ko, Kap Su Han, Jong Hwan Shin, Hanjin Cho, Sung Yeon Hwang Journal of Personalized Medicine.2022; 12(11): 1803. CrossRef
Hypochloraemia is associated with 28-day mortality in patients with septic shock: a retrospective analysis of a multicentre prospective registry Min Sung Lee, Tae Gun Shin, Won Young Kim, You Hwan Jo, Yoon Jung Hwang, Sung Hyuk Choi, Taeho Lim, Kap Su Han, JongHwan Shin, Gil Joon Suh, Kyung Su Kim, Gu Hyun Kang Emergency Medicine Journal.2021; 38(6): 423. CrossRef
Hollow adrenal gland sign on dual-phase contrast-enhanced CT in critically ill patients with sepsis Jong Eun Park, Gun Tak Lee, Jiyeong Lee, Young-Min Kim, Tae Gun Shin, Se Uk Lee, Taerim Kim, Hee Yoon, Won Chul Cha, Sung Yeon Hwang The American Journal of Emergency Medicine.2021; 46: 430. CrossRef
Characteristics and clinical outcomes of culture-negative and culture-positive septic shock: a single-center retrospective cohort study June-sung Kim, Youn-Jung Kim, Won Young Kim Critical Care.2021;[Epub] CrossRef
Short and Long-Term Mortality Trends for Cancer Patients with Septic Shock Stratified by Cancer Type from 2009 to 2017: A Population-Based Cohort Study Youn-Jung Kim, Min-Ju Kim, Ye-Jee Kim, Won Young Kim Cancers.2021; 13(4): 657. CrossRef
Pulse pressure during the initial resuscitative period in patients with septic shock treated with a protocol-driven resuscitation bundle therapy Sang-Hun Lee, Youn-Jung Kim, Gi Na Yu, Jae Cheon Jeon, Won Young Kim The Korean Journal of Internal Medicine.2021; 36(4): 924. CrossRef
Effect of rapid fluid administration on the prognosis of septic shock patients with isolated hyperlactatemia: A prospective multicenter observational study Heekyung Lee, Sung-Hyuk Choi, Kyuseok Kim, Tae Gun Shin, Yoo Seok Park, Seung Mok Ryoo, Gil Joon Suh, Woon Yong Kwon, Tae Ho Lim, Donghee Son, Won Young Kim, Byuk Sung Ko Journal of Critical Care.2021; 66: 154. CrossRef
Impact of Vitamin C and Thiamine Administration on Delirium-Free Days in Patients with Septic Shock Jong Eun Park, Tae Gun Shin, Ik Joon Jo, Kyeongman Jeon, Gee Young Suh, Minsu Park, Hojeong Won, Chi Ryang Chung, Sung Yeon Hwang Journal of Clinical Medicine.2020; 9(1): 193. CrossRef
Korean Registry for Improving Sepsis Survival (KISS): Protocol for a Multicenter Cohort of Adult Patients with Sepsis or Septic Shock Jong Hun Kim, Nam Su Ku, Youn Jeong Kim, Hong Bin Kim, Hyeri Seok, Dong-Gun Lee, Jin Seo Lee, Su Jin Jeong, Jung-Hyun Choi, Jang Wook Sohn, Min Ja Kim, Dae Won Park Infection & Chemotherapy.2020; 52(1): 31. CrossRef
Normothermia in Patients With Sepsis Who Present to Emergency Departments Is Associated With Low Compliance With Sepsis Bundles and Increased In-Hospital Mortality Rate* Sunghoon Park, Kyeongman Jeon, Dong Kyu Oh, Eun Young Choi, Gil Myeong Seong, Jeongwon Heo, Youjin Chang, Won Gun Kwack, Byung Ju Kang, Won-Il Choi, Kyung Chan Kim, So Young Park, Yoon Mi Shin, Heung Bum Lee, So Hee Park, Seok Chan Kim, Sang Hyun Kwak, Ja Critical Care Medicine.2020; 48(10): 1462. CrossRef
Development and validation of the VitaL CLASS score to predict mortality in stage IV solid cancer patients with septic shock in the emergency department: a multi-center, prospective cohort study Youn-Jung Kim, Jihoon Kang, Min-Ju Kim, Seung Mok Ryoo, Gu Hyun Kang, Tae Gun Shin, Yoo Seok Park, Sung-Hyuk Choi, Woon Yong Kwon, Sung Phil Chung, Won Young Kim BMC Medicine.2020;[Epub] CrossRef
Prognostic performance of disease severity scores in patients with septic shock presenting to the emergency department Arom Choi, Yoo Seok Park, Tae Gun Shin, Kap Su Han, Won Young Kim, Gu Hyun Kang, Kyuseok Kim, Sung-Hyuk Choi, Tae Ho Lim, Gil Joon Suh The American Journal of Emergency Medicine.2019; 37(6): 1054. CrossRef
Early Vitamin C and Thiamine Administration to Patients with Septic Shock in Emergency Departments: Propensity Score-Based Analysis of a Before-and-After Cohort Study Tae Gun Shin, Youn-Jung Kim, Seung Mok Ryoo, Sung Yeon Hwang, Ik Joon Jo, Sung Phil Chung, Sung-Hyuk Choi, Gil Joon Suh, Won Young Kim Journal of Clinical Medicine.2019; 8(1): 102. CrossRef
Impact of timing to source control in patients with septic shock: A prospective multi-center observational study Hongjung Kim, Sung Phil Chung, Sung-Hyuk Choi, Gu Hyun Kang, Tae Gun Shin, Kyuseok Kim, Yoo Seok Park, Kap Su Han, Han Sung Choi, Gil Joon Suh, Won Young Kim, Tae Ho Lim, Byuk Sung Ko Journal of Critical Care.2019; 53: 176. CrossRef
Optimal antimicrobial therapy and antimicrobial stewardship in sepsis and septic shock Hyeri Seok, Dae Won Park Journal of the Korean Medical Association.2019; 62(12): 638. CrossRef
Prognosis of patients excluded by the definition of septic shock based on their lactate levels after initial fluid resuscitation: a prospective multi-center observational study Byuk Sung Ko, Kyuseok Kim, Sung-Hyuk Choi, Gu Hyun Kang, Tae Gun Shin, You Hwan Jo, Seung Mok Ryoo, Jin Ho Beom, Woon Yong Kwon, Kap Su Han, Han Sung Choi, Sung Phil Chung, Gil Joon Suh, Tae Ho Lim, Won Young Kim Critical Care.2018;[Epub] CrossRef
Prognostic Value of The Lactate/Albumin Ratio for Predicting 28-Day Mortality in Critically ILL Sepsis Patients Jikyoung Shin, Sung Yeon Hwang, Ik Joon Jo, Won Young Kim, Seung Mok Ryoo, Gu Hyun Kang, Kyuseok Kim, You Hwan Jo, Sung Phil Chung, Young Seon Joo, Jin Ho Beom, Young Hoon Yoon, Kap Su Han, Tae Ho Lim, Han Sung Choi, Woon Yong Kwon, Gil Joon Suh, Sung-Hyu Shock.2018; 50(5): 545. CrossRef
Significance of Biomarkers as a Predictive Factor for Post-Traumatic Sepsis Kyung-Wuk Lee, Sung-Hyuk Choi, Young-Hoon Yoon, Jung-Youn Kim, Young-Duck Cho, Han-Jin Cho, Sung-Jun Park Journal of Trauma and Injury.2018; 31(3): 166. CrossRef
Objective We compared patient satisfaction with scarring after facial laceration repair in the emergency department (ED) based on the specialty of the provider.
Methods Patients with facial lacerations admitted to the ED from 2009 to 2013 were divided into two groups. One group of patients underwent repair by an emergency physician (EP) and the other by a plastic surgeon (PS). From August 2014 to September 2014, we randomly selected 10% of all patients and assessed their degree of satisfaction with scarring over the phone using a 5-point Likert scale.
Results The male to female ratio was 2.81 in the EP group and 2.05 in PS (P<0.001). The proportion of those aged 0 to 9 years among all the patients was higher in the PS group than in the EP group (50.8% vs. 30.1%, respectively, P<0.001). The duration of ED stay was 107.8±84.6 minutes in the EP group and 225.9 ± 161.8 minutes in the PS group (P<0.001). Among these patients, 228 responded to a telephone survey. A poor satisfaction score of 1 to 2 was more common in female or young patients who underwent repair by an EP (P<0.05). However, the overall satisfaction among all respondents did not differ between the two groups.
Conclusion Although female patients and the guardians of young children who underwent simple facial laceration repair by a PS were more satisfied than those treated by an EP, the satisfaction of the entire group of patients did not differ according to the treatment provider.
Citations
Citations to this article as recorded by
Emergent Facial Laceration Repair Variations Between Plastic Surgery, Otolaryngology, Ophthalmology, Emergency Medicine, and Oral Maxillofacial Surgery Holly Gates, Gemma Toogood, Devra Becker Journal of Craniofacial Surgery.2026; 37(3/4): 435. CrossRef
Using the endoscopic snare to facilitate two-port laparoscopic appendectomy Mohamed Farid, Azza Baz, Mohamed Riad, Ashraf Abdelmonem Elsayed, Ahmed Salah Arafa, Rasha S. Elsayed, Alaaedin Ramadan, Ibrahim A. Heggy, Mostafa M. Elaidy Surgical Endoscopy.2025; 39(6): 3814. CrossRef
Comparison of characteristics and injury patterns between minor and adult patients seeking emergency cosmetic suture for facial lacerations: data from a tertiary plastic surgery hospital in Beijing, China Ziyuan Chen, Xiaoyue Mao, Huaizheng Wu, Yakun Shi, Chao Nian Frontiers in Public Health.2025;[Epub] CrossRef
Cosmetic outcomes of simple facial laceration suturing in the pediatric emergency department Eyal Reiss, Yoav Gronovich, Eyal Heiman, Elad Sela, Giora Weiser Pediatric Emergency Medicine Journal.2024; 11(2): 65. CrossRef
Surgical Specialty Consultation for Pediatric Facial Laceration Repair Andrew F. Miller, Jason A. Levy, Todd W. Lyons Pediatric Emergency Care.2024; 40(8): e120. CrossRef
RETRACTED: Evaluating the impact of recombinant human epidermal growth factor on scar formation in oral and maxillofacial traumatic wound healing Bin Zhu, Guoyong Tong, Peiyi Gao, Mengxiong Yan International Wound Journal.2024;[Epub] CrossRef
Evaluation of Facial Trauma Scars After Treating by Refining Plastic Surgery Techniques: A Follow-Up Study Yibing Wu, Zuguang Hua, Yang Xiang, Shengqian Zhu, Weiwei Chen, Peng Wei Journal of Craniofacial Surgery.2023; 34(4): e376. CrossRef
Predictors of Caregiver Satisfaction With Pediatric Laceration Repair in the Pediatric Emergency Department Soyun Hwang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Jin Hee Jung, Jae Yun Jung, Hyuksool Kwon, Dongbum Suh, Yoo Jin Choi, Se Uk Lee, Joong Wan Park Pediatric Emergency Care.2023; 39(5): 324. CrossRef
Therapeutic downregulation of neuronal PAS domain 2 (Npas2) promotes surgical skin wound healing Yoichiro Shibuya, Akishige Hokugo, Hiroko Okawa, Takeru Kondo, Daniel Khalil, Lixin Wang, Yvonne Roca, Adam Clements, Hodaka Sasaki, Ella Berry, Ichiro Nishimura, Reza Jarrahy eLife.2022;[Epub] CrossRef
A Quality Improvement Initiative to Increase the Number of Pediatric Resident Laceration Repairs Tracey L. Wagner, Michael W. Dunn, Maya S. Iyer, Don Buckingham, Sandra P. Spencer Journal of Graduate Medical Education.2020; 12(1): 51. CrossRef
Comparison of cosmetic appearances after facial lacerations repaired by junior residents and experts Jin Hong Min, Yeon Ho You, Yong Chul Cho, Won Joon Jeong, Jung Soo Park, Se Kwang Oh, Sung Uk Cho, Yong Nam In, Chi Hwan Kwack, In Sool Yoo The American Journal of Emergency Medicine.2019; 37(5): 817. CrossRef
Updates in emergency department laceration management Karalynn Otterness, Adam J Singer Clinical and Experimental Emergency Medicine.2019; 6(2): 97. CrossRef
Pre-emptive ice cube cryotherapy for reducing pain from local anaesthetic injections for simple lacerations: a randomised controlled trial JaeWoo Song, HyukHoon Kim, EunJung Park, Jung Hwan Ahn, Eunhui Yoon, Samsun Lampotang, Nikolaus Gravenstein, SangChun Choi Emergency Medicine Journal.2018; 35(2): 103. CrossRef
Early Complications Following Facial Laceration Repair Performed by Emergency Physicians After One Year of Wound Closure Training Ryo Yamamoto, Koichiro Homma, Yuya Masuzawa, Chikako Shimizu, Toshio Ogata, Shingo Hori, Junichi Sasaki, Teresa Man‐Yee Chan AEM Education and Training.2018; 2(4): 259. CrossRef
Factors associated with satisfaction with pediatric emergency department services in Korea: analysis of Korea Health Panel Data 2010 to 2012 Kyeong Jae Lee, Min Joung Kim, Joon Min Park, Kyung Hwan Kim, Junseok Park, Dong Wun Shin, Hoon Kim, Woochan Jeon, Hyunjong Kim Clinical and Experimental Emergency Medicine.2018; 5(3): 156. CrossRef
Consultation for Simple Laceration Repair When On-Call in the Emergency Department: Potential Quagmire Ross I.S. Zbar, Edward Monico, Arthur Calise Plastic and Reconstructive Surgery - Global Open.2017; 5(7): e1428. CrossRef
First
Prev
