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Guidelines

Resuscitation

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2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 5. Cardiac arrest in special circumstances
Clin Exp Emerg Med. 2026;13(Suppl 1):S61-S74.   Published online May 31, 2026
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2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 5. Cardiac arrest in special circumstances
Clin Exp Emerg Med. 2026;13(Suppl 1):S61-S74.   Published online May 31, 2026
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The 2025 update of the Korean guidelines for cardiac arrest under special circumstances incorporates new evidence and expert consensus to clarify when clinicians should modify standard resuscitation algorithms. For cardiac arrest caused by acute hyperkalemia, the guidelines suggest administering intravenous insulin with glucose; however, current evidence remains insufficient to recommend for or against routine use of sodium bicarbonate or calcium. In suspected pulmonary embolism–related cardiac arrest, thrombolytic therapy may be considered. In confirmed cases, thrombolysis, surgical embolectomy, or percutaneous mechanical thrombectomy may be appropriate, despite very low certainty of evidence. For opioid-related cardiac arrest, current evidence does not support the routine administration of naloxone in addition to standard advanced life support; however, naloxone may be administered when it is unclear whether the patient is in true cardiac arrest. The guidelines also emphasize managing cardiac arrest in the prone position. If the patient is intubated and immediate repositioning is unsafe or impractical, prone cardiopulmonary resuscitation and defibrillation may be attempted using invasive arterial pressure or end-tidal carbon dioxide monitoring to guide the timing of repositioning. Immediate supination is strongly recommended for non-intubated patients. Additional updates address drowning, severe hypothermia, pregnancy, anaphylaxis, and cardiac arrest during interventional procedures, underscoring the importance of early correction of reversible causes, appropriate airway strategies, and timely consideration of extracorporeal life support in selected cases. Overall, the 2025 recommendations highlight cautious, etiology-directed interventions and explicitly grade recommendation strength and certainty to support context-sensitive clinical decision-making in high-risk and resource-variable settings.
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Systematic Review

Trauma | Injury & Prevention

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Relationships between trauma death, disability, and geographic factors: a systematic review
Clin Exp Emerg Med. 2023;10(4):426-437.   Published online August 1, 2023
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Relationships between trauma death, disability, and geographic factors: a systematic review
Clin Exp Emerg Med. 2023;10(4):426-437.   Published online August 1, 2023
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Objective
Trauma is a global health problem. The causes of trauma-related deaths are diverse and may depend in part on socioeconomic and geographical factors; however, there have been few studies addressing such relationships. The aim of this study was to investigate the relationships between trauma and geographical factors in order to support policy recommendations to reduce trauma-related deaths and disability.
Methods
In accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we searched international and Korean databases to retrieve relevant literature published between 2000 and 2020.
Results
Thirty-two studies showed a positive relationship between the outcomes of major trauma and geographical factors. The study investigated regional factors including economic factors such as size of urban areas, gross domestic product, and poverty rate, as well as hospital parameters, such as presence of trauma centers and number of hospital beds. There was a tendency toward higher mortality rates in rural and low-income areas, and most of the studies reported that the presence of trauma centers reduced trauma-related mortality rates.
Conclusion
Our study showed that geographic factors influence trauma outcomes. The findings suggest geographical considerations be included in care plans to reduce death and disability caused by trauma.

Citations

Citations to this article as recorded by  Crossref logo
  • AI-driven surgical decision making in oral and maxillofacial surgery: from diagnostic ambiguity to personalized therapy via data structuring, predictive modeling, and XR-enhanced execution
    Philipp Thoenissen, Jannik Schaaf, Sophie Zorn, Robert Sader, Keisuke Sugahara, Thomas Maal
    Innovative Surgical Sciences.2026;[Epub]     CrossRef
  • Construction of an emergency nursing-sensitive quality indicator system for patients with severe trauma: a modified Delphi study in the Chinese context
    La Xie, Meng He, Nianlu Xing, Mei Feng, Xiangping Liu
    BMJ Open.2026; 16(2): e110217.     CrossRef
  • A comparative analysis of trauma-related mortality in South Korea using classification models
    Yookyung Boo, Youngjin Choi
    International Journal of Medical Informatics.2025; 196: 105805.     CrossRef
  • Clinical Significance of Rotational Thromboelastometry (ROTEM) for Detection of Early Coagulopathy in Trauma Patients: A Retrospective Study
    Mohammad Asim, Ayman El-Menyar, Ruben Peralta, Suresh Arumugam, Bianca Wahlen, Khalid Ahmed, Naushad Ahmad Khan, Amani N. Alansari, Monira Mollazehi, Muhamed Ibnas, Ammar Al-Hassani, Ashok Parchani, Talat Chughtai, Sagar Galwankar, Hassan Al-Thani, Sandro
    Diagnostics.2025; 15(9): 1148.     CrossRef
  • Recent advances, mechanisms, and applications of natural medicines incorporated hydrogel-based drug delivery systems for enhancing wound-healing efficacy
    Awn Abbas, Muhammad Asim Raza, Xiaoyang Ai, Sadia, Hua Liao, Nanxin Li, Sameera Naseer, Dongbo Li, Yifan Zhang, Lian Chen, Wei Zhang, Gang Shu, Hualin Fu
    Journal of Biomaterials Science, Polymer Edition.2025; 36(16): 2490.     CrossRef
  • Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report
    Yang Chen, Yang Jing
    International Journal of Medical Case Reports.2025; 4(3): 47.     CrossRef
  • Split-bolus single-pass CT in splenic injury: does it miss relevant vascular injury?
    Sadia R. Qamar, Ferco H. Berger, Tjarda N. Tromp, Digna R. Kool, Ludo F.M. Beenen, Bernd P. Teunissen, Maeke J. Scheerder, Michael J.R. Edwards, Monique Brink
    Emergency Radiology.2025; 32(6): 829.     CrossRef
  • C-reactive Protein/Albumin Ratio as a Predictive Inflammatory Marker for Postoperative Systemic Inflammatory Response Syndrome and/or Sepsis in Polytraumatized Patients in ICU
    Ahmed S Salem, Mohamed A Zaghloul, Alfred M Boctor, Mohamed Maher Abd Elfattah, Oliver M Shehata
    Indian Journal of Critical Care Medicine.2025; 29(12): 1002.     CrossRef
  • Associations between traumatic dental injuries due to violence and various drinking behaviors in Korea: A cross‐sectional study
    Ji‐Young Son, Jaehyung Lim, Dong‐Hun Han
    Dental Traumatology.2024; 40(5): 537.     CrossRef
  • Return to Work One Year after Moderate to Severe Traumatic Injury in a Working Age Population
    Christoph Schäfer, Håkon Øgreid Moksnes, Mari Storli Rasmussen, Torgeir Hellstrøm, Cathrine Brunborg, Helene Lundgaard Soberg, Olav Røise, Cecilie Røe, Nada Andelic, Audny Anke
    Journal of Clinical Medicine.2024; 13(17): 5308.     CrossRef
  • Regional deprivation and cause-specific mortality in Russian adults in 2006–2022
    Anastasia Zelenina
    Global Health Journal.2024; 8(4): 190.     CrossRef
  • Portraying disability with trauma: A case study of documentary screenwriting in presenting visually impaired subject
    Ruohan Tang
    Journal of Screenwriting .2024; 15(3): 303.     CrossRef
  • 12,432 View
  • 186 Download
  • 10 Web of Science
  • 12 Crossref

Case Report

Toxicology

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Fatal arrhythmia following ingestion of hawthorn root (Crataegus pubescens) extract: a case report
Clin Exp Emerg Med. 2022;9(4):373-376.   Published online July 22, 2022
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Fatal arrhythmia following ingestion of hawthorn root (Crataegus pubescens) extract: a case report
Clin Exp Emerg Med. 2022;9(4):373-376.   Published online July 22, 2022
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The use of extracts from the hawthorn plant as cardiovascular agents dates back to the 1st century; recently, they have also been made available online as weight loss aids. Herein, we present a case of intentional intoxication with hawthorn root extract (HRE) in an adult patient that resulted in death. A 20-year-old female patient, who was clinically diagnosed with depression, developed hypotension, bradycardia, and depressed consciousness after ingestion of this extract. An electrocardiogram recorded a sinus arrest with a slow nodal rhythm, which rapidly deteriorated, leading to cardiac arrest. This case report illustrates the potentially fatal consequences of HRE for which the constituents have not yet been characterized. All physicians, especially those in the emergency department, should be aware of the dangerous, even potentially fatal interactions of HRE with prescription medications.

Citations

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  • When herbal supplements cause heart problems: Clinical case report and forensic toxicological analysis
    Theresa Theuer, Katrin Faber, Lisa Oberli, Thomas Schweingruber, Marie-Alice Fraiture, Nancy Roosens, Adrian Kindler, Alain Rudiger, Roman Leist, Celine Vanhee
    Toxicology Reports.2026; 16: 102239.     CrossRef
  • Interactions Between Depression, Alcohol Intake, and Smoking on the Risk of Acute Coronary Syndrome
    Eujene Jung, Hyun Ho Ryu, Young Ju Cho, Byeong Jo Chun
    Psychiatry Investigation.2024; 21(1): 1.     CrossRef
  • A case report of cardiac glycoside-like intoxication following reported exposure to tejocote
    Mounir Contreras Cejin, Jason D. Vadhan, Kelsey Martin, Kapil Sharma, Mengchen Cao
    Medical Reports.2024; 6: 100080.     CrossRef
  • Analysis of Adverse Reactions Associated with the Use of Crataegus-Containing Herbal Products
    Herman J. Woerdenbag, Melissa Ursidae, Corine Ekhart, Martina Schmidt, Annabella Vitalone, Florence P. A. M. van Hunsel
    Pharmaceuticals.2024; 17(11): 1490.     CrossRef
  • Multiple drugs

    Reactions Weekly.2023; 1944(1): 422.     CrossRef
  • Tejocote Root's Role in Symptomatic Mobitz Type 1 Heart Block: A Compelling Case Report
    Heabah Assi, Carolina Najera, Omar Aboudawoud, Sahithi Nadella, Jared J Bies, Mariam Hassan, Chanwit Roongsritong
    Cureus.2023;[Epub]     CrossRef
  • 32,819 View
  • 307 Download
  • 3 Web of Science
  • 6 Crossref
Original Articles

Critical Care

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In-hospital mortality in the emergency department: clinical and etiological differences between early and late deaths among patients awaiting admission
Clin Exp Emerg Med. 2021;8(4):325-332.   Published online December 31, 2021
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In-hospital mortality in the emergency department: clinical and etiological differences between early and late deaths among patients awaiting admission
Clin Exp Emerg Med. 2021;8(4):325-332.   Published online December 31, 2021
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Objective
Given that there are no studies on diseases that occur by waiting for hospitalization, we aimed to evaluate the main causes of death in the emergency room (ER) and their relationship with overcrowding.
Methods
Patients who died in the ER in the past 2 years (pediatrics and trauma victims excluded) were divided into two groups: patients who died within 6 hours of arrival (emergency department [ED] group) and patients who died later (LD group). We compared the causes of death, total vital signs, diagnostic tests performed, and therapy between the groups. We assessed for possible correlation between the number of monthly deaths per group and four variables of overcrowding: number of patients treated per month, waiting time before medical visit (W-Time), mean intervention time (I-Time), and number of patients admitted to the ward per month (NPA).
Results
During the two years, 175 patients had died in our ER (52% in ED group and 48% in LD group). The total time spent in the ER was, respectively, 2.9±0.2 hours for ED group and 17.9± 1.5 hours for LD group. The more frequent cause of death was cardiovascular syndrome (30%) in ED group and sepsis (27%) and acute respiratory failure (27%) in LD group. Positive correlations between number of monthly deaths and W-Time (R2 0.51, P<0.001), I-Time (R2 0.73, P< 0.0001), and NPA (R2 0.37, P<0.01) were found only in LD group.
Conclusion
Patients with sepsis and acute respiratory failure die after a long stay in the ER, and the risk increases with overcrowding. A fast-track pathway should be considered for hospital admission of critical patients.

Citations

Citations to this article as recorded by  Crossref logo
  • Non-Surgical Causes of Death in the Emergency Department: A Five-Year Monocentric Clinicopathological Study
    Adrian-Iosif Moldoveanu, Diana Maria Orzata, Gabriel Veniamin Cozma, Radu Gheorghe Dan, Ovidiu Alexandru Mederle, Flavia Zara
    Medicina.2026; 62(2): 293.     CrossRef
  • Using space technology approach to improve quality in emergency departments in India: a quality improvement program
    Saravana Kumar, Gunaseelan Vikneswaran, Jitendra Suryavamshi, Srinath Kumar, Manzoor Shaik, G K Reshma, M R Suresh, Alben Sigamani, V C Shanmuganandan, Alexander Thomas, A N Venkatesh, Imron Subhan, M Rajadurai, Sateesh Kumar Kailasam, B Nivetha, K U Sham
    International Journal for Quality In Health Care.2026;[Epub]     CrossRef
  • Standardized Perioperative Protocols Are Associated With Reduced Length of Stay and Readmission in Cushing Disease: Results From the Multicenter RAPID Study
    Carter M. Suryadevara, Jorge E. Salcedo-Sifuentes, Andrew S. Little, Kevin C. J. Yuen, Michelle Magana Mendoza, Paul Gardner, Georgios Zenonos, Julie M. Silverstein, Albert H. Kim, James J. Evans, Garni Barkhoudarian, Juan C. Fernandez-Miranda, William T.
    Neurosurgery.2026;[Epub]     CrossRef
  • Neutrophil to lymphocyte ratio (NLR) and short-term mortality risk in elderly acute medical patients admitted to a University Hospital Emergency Department
    Gioacchino Galardo, Luca Crisanti, Andrea Gentile, Marco Cornacchia, Francesca Iatomasi, Iacopo Egiddi, Emanuele Puscio, Danilo Menichelli, Francesco Pugliese, Daniele Pastori
    Internal and Emergency Medicine.2025; 20(2): 553.     CrossRef
  • Diagnostic performance of S100B assay for intracranial hemorrhage detection in patients with mild traumatic brain injury under antiplatelet or anticoagulant therapy
    Paul-André Poislane, Mathilde Papin, Damien Masson, Nicolas Goffinet, Arthur David, Quentin Le Bastard, Hugo De Carvalho
    Scientific Reports.2025;[Epub]     CrossRef
  • Invited Editorial: Waiting Room Care is Not the Solution to Emergency Department Boarding
    Andrew J. Bouland, Juan A. March
    JACEP Open.2025; 6(3): 100161.     CrossRef
  • Shortening emergency department length of stay: Fast track, short-stay unit and acute medical unit
    Bei Huang
    Exploratory Research in Clinical and Social Pharmacy.2025; 19: 100626.     CrossRef
  • Multidisciplinary Staff Experiences of Providing End-of-Life Care in an Acute Hospital Setting
    Mia Werrett, Joanna McIlveen, Mim Fox
    Hospitals.2025; 2(3): 15.     CrossRef
  • OrthoMortPred: Predicting one-year mortality following orthopedic hospitalization
    Filipe Ricardo Carvalho, Paulo Jorge Gavaia, António Brito Camacho
    International Journal of Medical Informatics.2024; 192: 105657.     CrossRef
  • Comment on: "30 days mortality prognostic value of POCT bio-adrenomedullin and proenkephalin in patients with sepsis in the emergency department"
    Gabriele VALLI, Francesca DE MARCO, Silvia CASALBONI, Maria P. RUGGIERI
    Italian Journal of Emergency Medicine.2023;[Epub]     CrossRef
  • Can Acute Care Biomarkers Change Patient’s Management in Sepsis?
    Salvatore Di Somma, Luca Crisanti
    Eurasian Journal of Emergency Medicine.2022; 21(2): 79.     CrossRef
  • Characteristics and timing of mortality in children dying in pediatric intensive care: a 5-year experience
    Edin Botan, Emrah Gün, Emine Kübra Şden, Cansu Yöndem, Anar Gurbanov, Burak Balaban, Fevzi Kahveci, Hasan Özen, Hacer Uçmak, Ali Genco Gençay, Tanil Kendirli
    Acute and Critical Care.2022; 37(4): 644.     CrossRef
  • 30 Days Mortality Prognostic Value of POCT Bio-Adrenomedullin and Proenkephalin in Patients with Sepsis in the Emergency Department
    Silvia Casalboni, Gabriele Valli, Ferdinando Terlizzi, Marina Mastracchi, Giacomo Fidelio, Francesca De Marco, Caterina Bernardi, Anastasia Chieruzzi, Alessia Curcio, Francesco De Cicco, Nicola Colella, Ilaria Dafne Papasidero, Emanuele Tartarone, Maria P
    Medicina.2022; 58(12): 1786.     CrossRef
  • Impact of the 24-hour time target policy for emergency departments in South Korea: a mixed method study in a single medical center
    Sookyung Park, Hansol Chang, Weon Jung, Se Uk Lee, Sung Yeon Hwang, Hee Yoon, Won Chul Cha, Tae Gun Shin, Min Seob Sim, Ik Joon Jo, Taerim Kim
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Utility of Measuring Circulating Bio-Adrenomedullin and Proenkephalin for 30-Day Mortality Risk Prediction in Patients with COVID-19 and Non-COVID-19 Interstitial Pneumonia in the Emergency Department
    Ilaria Dafne Papasidero, Gabriele Valli, Dario Marin, Alberto Del Sasso, Antonio De Magistris, Elisa Cennamo, Silvia Casalboni, Francesca De Marco, Roberta Rocchi, Brice Ndogmo Beumo, Valeria Cusani, Mariarosa Gaudio, Oliver Hartmann, Andreas Bergman, Mar
    Medicina.2022; 58(12): 1852.     CrossRef
  • Usefulness of High-Sensitivity Troponin I in Risk Stratification and Final Disposition of Patients with Acute Heart Failure in the Emergency Department: Comparison between HFpEF vs. HFrEF
    Luca Crisanti, Gabriele Valli, Elisa Cennamo, Alessandro Capolino, Paolo Fratini, Claudio Cesaro, Gloria Adducchio, Antonio De Magistris, Ferdinando Terlizzi, Maria Pia Ruggieri, Enrico Mirante, Claudio Savoriti, Kalyarat Sukruang, Valentina Valeriano, Fr
    Medicina.2022; 59(1): 7.     CrossRef
  • 11,410 View
  • 223 Download
  • 14 Web of Science
  • 16 Crossref

Emergency Medicine Practice and Administration

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Concordance between the underlying causes of death on death certificates written by three emergency physicians
Clin Exp Emerg Med. 2019;6(3):218-225.   Published online September 30, 2019
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Concordance between the underlying causes of death on death certificates written by three emergency physicians
Clin Exp Emerg Med. 2019;6(3):218-225.   Published online September 30, 2019
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Objective
This study was conducted to evaluate the concordance between the underlying causes of death (UCOD) on the death certificates written by three emergency physicians (EPs). We investigated errors on the death certificates committed by each EP.
Methods
This study included 106 patients issued a death certificate in the emergency department of an academic hospital. Three EPs reviewed the medical records retrospectively and completed 106 death certificates independently. The selection of the UCOD on the death certificates by each EP (EP-UCOD) was based on the general principle or selection rules. The gold standard UCOD (GS-UCOD) was determined for each patient by unanimous consent between three EPs. We also compared between the EP-UCOD and the GS-UCOD. In addition, we compared between UCODs of three EPs. The errors on the death certificates were investigated by each EP.
Results
The rates of concordance between EP-UCOD and the GS-UCOD were 86%, 81%, and 67% for EP-A, EP-B, and EP-C, respectively. The concordance rates between EP-A and EP-B were the highest overall percent agreement (0.783), and those between EP-A and EP-C were the lowest overall percent agreement (0.651). Although each EP had differences in the errors they committed, none of them listed the mode of dying as UCOD.
Conclusion
This study confirmed that each EP wrote death certificates indicating different causes of death for the same decedents; however, the three EPs made fewer errors on the patients’ death certificates compared with those reported in previous studies.

Citations

Citations to this article as recorded by  Crossref logo
  • Nationwide estimates of all-cause and cause-specific mortality among individuals with gender dysphoria in Sweden, 2001–2023: a register-based cohort study
    Kristen D. Clark, Richard A. White, Sarah S. Jackson, Alkistis Skalkidou, Thomas Frisell, Fotios C. Papadopoulos
    eClinicalMedicine.2026; 98: 104088.     CrossRef
  • Do Death Certificate Errors Decrease as Clinical Experience in an Emergency Department Increases?
    Jung Jun Kim, Sun Hyu Kim, Sangyup Chung, Byeong Ju Park, Soobeom Park, Song Yi Park
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • Causes of death in children with congenital anomalies up to age 10 in eight European countries
    Anke Rissmann, Joachim Tan, Svetlana V Glinianaia, Judith Rankin, Anna Pierini, Michele Santoro, Alessio Coi, Ester Garne, Maria Loane, Joanne Given, Abigail Reid, Amaia Aizpurua, Diana Akhmedzhanova, Elisa Ballardini, Ingeborg Barisic, Clara Cavero-Carbo
    BMJ Paediatrics Open.2023; 7(1): e001617.     CrossRef
  • Factors Associated with Major Errors on Death Certificates
    Sangyup Chung, Sun-Hyu Kim, Byeong-Ju Park, Soobeom Park
    Healthcare.2022; 10(4): 726.     CrossRef
  • Errors in pediatric death certificates issued in an emergency department
    Byeong Ju Park, Sun Hyu Kim
    Pediatric Emergency Medicine Journal.2022; 9(1): 17.     CrossRef
  • 8,733 View
  • 131 Download
  • 4 Web of Science
  • 5 Crossref

Trauma

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Preventable trauma death rate in Daegu, South Korea
Clin Exp Emerg Med. 2015;2(4):236-243.   Published online December 28, 2015
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Preventable trauma death rate in Daegu, South Korea
Clin Exp Emerg Med. 2015;2(4):236-243.   Published online December 28, 2015
Close
Objective
This study investigated the preventable death rate in Daegu, South Korea, and assessed affecting factors and preventable factors in order to improve the treatment of regional trauma patients.
Methods
All traumatic deaths between January 2012 and December 2012 in 5 hospitals in Daegu were analyzed by panel review, which were classified into preventable and non-preventable deaths. We determined the factors affecting trauma deaths and the preventable factors during trauma care.
Results
There were overall 358 traumatic deaths during the study period. Two hundred thirty four patients were selected for the final analysis after excluding cases of death on arrival, delayed death, and unknown causes. The number of preventable death was 59 (25.2%), which was significantly associated with mode of arrival, presence of head injury, date, and time of injury. A multivariate analysis revealed that preventable death was more likely when patients were secondly transferred from another hospital, visited hospital during non-office hour, and did not have head injuries. The panel discovered 145 preventable factors, which showed that majority of factors occurred in emergency departments (49.0%), and were related with system process (76.6%).
Conclusion
The preventable trauma death rate in Daegu was high, and mostly process-related.

Citations

Citations to this article as recorded by  Crossref logo
  • Relationships between trauma death, disability, and geographic factors: a systematic review
    Bona Hwang, Taewook Jeong, Jiyeon Jo
    Clinical and Experimental Emergency Medicine.2023; 10(4): 426.     CrossRef
  • Analysis of Surgical Mortalities Using the Fishbone Model for Quality Improvement in Surgical Disciplines
    M. S. Moeng, T. E. Luvhengo
    World Journal of Surgery.2022; 46(5): 1006.     CrossRef
  • A Propensity Score-Matched Comparison of In-Hospital Mortality between Dedicated Regional Trauma Centers and Emergency Medical Centers in the Republic of Korea
    Yuri Choi, Jinwoo Jeong, Sung Woo Lee, Kap Su Han, Su Jin Kim, Won Young Kim, Hyunggoo Kang, Eun Seog Hong, Roberto Cirocchi
    Emergency Medicine International.2022; 2022: 1.     CrossRef
  • Preventable death in trauma: A systematic review on definition and classification
    N.A.G. Hakkenbrak, S.Y. Mikdad, W.P. Zuidema, J.A. Halm, L.J. Schoonmade, U.J.L. Reijnders, F.W. Bloemers, G.F. Giannakopoulos
    Injury.2021; 52(10): 2768.     CrossRef
  • Distribution of Trauma Deaths in a Province of Korea: Is “Trimodal” Distribution Relevant Today?
    Kyungjin Hwang, Kyoungwon Jung, Junsik Kwon, Jonghwan Moon, Yunjung Heo, John Cook-Jong Lee, Yo Huh
    Yonsei Medical Journal.2020; 61(3): 229.     CrossRef
  • Effects of Trauma Center Establishment on the Clinical Characteristics and Outcomes of Patients with Traumatic Brain Injury : A Retrospective Analysis from a Single Trauma Center in Korea
    Jang Soo Kim, Sung Woo Jeong, Hyo Jin Ahn, Hyun Ju Hwang, Kyu-Hyouck Kyoung, Soon Chan Kwon, Min Soo Kim
    Journal of Korean Neurosurgical Society.2019; 62(2): 232.     CrossRef
  • External injuries, trauma and avoidable deaths in Agincourt, South Africa: a retrospective observational and qualitative study
    Idara J Edem, Anna J Dare, Peter Byass, Lucia D’Ambruoso, Kathleen Kahn, Andy J M Leather, Stephen Tollman, John Whitaker, Justine Davies
    BMJ Open.2019; 9(6): e027576.     CrossRef
  • Characteristics and Outcomes of Trauma Patients via Emergency Medical Services
    Dae Hyun Cho, Jae Gil Lee
    Journal of Trauma and Injury.2017; 30(4): 120.     CrossRef
  • Proposal for stabilization of regional trauma centers in Korea
    Hyun Min Cho
    Journal of the Korean Medical Association.2016; 59(12): 931.     CrossRef
  • 13,789 View
  • 149 Download
  • 9 Web of Science
  • 9 Crossref

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Preventable deaths in patients with traumatic brain injury
Clin Exp Emerg Med. 2015;2(1):51-58.   Published online March 31, 2015
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Preventable deaths in patients with traumatic brain injury
Clin Exp Emerg Med. 2015;2(1):51-58.   Published online March 31, 2015
Close
Objective
The objective of this study is to evaluate the rate of and etiology for preventable deaths in patients with traumatic brain injuries (TBIs).
Methods
We conducted a retrospective, multicenter review of patients with TBIs who died within 7 days of their traumatic event from June 2008 to May 2009. Three board certified emergency physicians independently reviewed every case using a structured survey format. Cases were considered preventable deaths only if all physicians independently agreed the death was preventable. Management errors contributing to the preventable death were determined.
Results
Forty-one patients who died from TBI were eligible. Preventable deaths were identified in nine (22%; 95% confidence interval [CI], 11 to 28) cases. Fifty-six management errors were identified including 36 (64%; 95% CI, 50 to 77) in the emergency department and 13 (23%; 95% CI, 13 to 36) in the prehospital phase. Thirty (54%; 95% CI, 40 to 67) management errors were process-related, and 26 (46%; 95% CI, 33 to 60) were structure-related.
Conclusion
An important and measurable rate of preventable mortality occurs in the initial care of TBI patients. Errors were common and most occurred in the emergency department. In addition, errors were common in the prehospital phase but did not always lead to mortality. When analyzed by type of problem, both process-related and structure-related errors occurred in similar proportions.

Citations

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