Successful use of methylene blue for catecholamine‐refractory vasoplegic shock due to metformin intoxication: A case report and literature review
Acute Medicine & Surgery
by Yuji Takahashi, Hidehiko Nakano, Maiko Motoki, Yuji Wakimoto, Daisuke Ikechi, Yasuaki Koyama, Hideki Hashimoto
2d ago
Herein, we present a case of severe metformin intoxication that was treated with methylene blue (MB). It was suggested that MB may be beneficial for both MALA and vasoplegic shock, regardless of the blood concentration of metformin or the time elapsed after the onset of symptoms. Abstract Background Severe metformin intoxication can lead to lactic acidosis and vasoplegic shock, for which the optimal management strategy remains uncertain, especially in cases of severe circulatory collapse. Case Presentation A 45-year-old diabetic woman on metformin therapy presented with impaired consciousnes ..read more
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Extracorporeal membrane oxygenation‐facilitated palliative radiotherapy for severe airway obstruction due to lung cancer: A case report
Acute Medicine & Surgery
by Hitoshi Mori, Masahiro Kashiura, Yuya Yoshimura, Yuki Yamahata, Tomohisa Tokura, Tatsuya Nodagashira, Akihide Konn, Takashi Moriya
2d ago
Novel Approach: Our study reveals the life-saving potential of combining VV-ECMO with radiotherapy for MCAO. This multimodal approach offers hope in complex cases, requiring careful patient selection and comprehensive management strategies. Abstract Background The use of venovenous extracorporeal membrane oxygenation (VV-ECMO), particularly during radiotherapy, for severe malignant central airway obstruction has rarely been reported. Case Presentation A 47-year-old female presented to our emergency department with severe respiratory distress. Given her medical history, she was initially diag ..read more
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Seizure occurrences among hypoglycemic patients in the emergency department
Acute Medicine & Surgery
by Seigo Urushidani, Mao Tanabe, Kwangsoo Baek, Koki Miyaguchi, Tetsunori Ikegami
1w ago
Seizures due to hypoglycemia carry a risk of being misdiagnosed as epilepsy. Our current study showed that approximately 5% of patients with hypoglycemia presented to the emergency department with seizures. Although 84% of these patients with seizures had diabetes mellitus, none had a history of epilepsy. Abstract Aim Symptomatic hypoglycemia is a common problem in the emergency department (ED). However, without appropriate recognition and management, hypoglycemia remains a potentially fatal condition. The cause of sudden death associated with hypoglycemia might be attributed to cardiac arrh ..read more
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The timing of death in burn patients
Acute Medicine & Surgery
by Kazuhiro Yoneda, Akinori Osuka, Shinya Ohnishi, Hiroshi Matsuura, Jun Oda
2w ago
The timing of death in burn patients is bimodal, within 1 week and after 1 month. The burn size and age contribute to death to similar extent. Abstract Aim When treating burn patients, some patients die in the chronic phase, even if they overcome the acute phase of the burn. To elucidate the timing of death and its underlying causes among burn patients. Methods Patients evaluated were admitted to our burn center between January 2015, and December 2019. Patient information, time, and cause of death were retrospectively collected from their medical records. Results Among 342 admitted patients ..read more
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Guidance for clinical practice using emergency and point‐of‐care ultrasonography
Acute Medicine & Surgery
by Toru Kameda, Hiromoto Ishii, Seiro Oya, Kenichi Katabami, Takamitsu Kodama, Makoto Sera, Hirokazu Takei, Hayato Taniguchi, Shunichiro Nakao, Hiraku Funakoshi, Satoshi Yamaga, Satomi Senoo, Akio Kimura
3w ago
This guidance describes the overview and future direction of ultrasonography for acute care physicians and can be utilized for emergency ultrasound education in Japan. We hope this guidance will contribute to the effective use of ultrasonography in acute care settings. Abstract Owing to the miniaturization of diagnostic ultrasound scanners and their spread of their bedside use, ultrasonography has been actively utilized in emergency situations. Ultrasonography performed by medical personnel with focused approaches at the bedside for clinical decision-making and improving the quality of invas ..read more
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Systemic immune response of burns from the acute to chronic phase
Acute Medicine & Surgery
by Akinori Osuka, Ayami Shigeno, Hiroshi Matsuura, Shinya Onishi, Kazuhiro Yoneda
1M ago
Abstract Immune responses that occur following burn injury comprise a series of reactions that are activated in response to damaged autologous tissues, followed by removal of damaged tissues and foreign pathogens such as invading bacteria, and tissue repair. These immune responses are considered to be programmed in living organisms. Developments of modern medicine have led to the saving of burned patients who could not be cured previously; however, the programmed response is no longer able to keep up, and various problems have arisen. This paper describes the mechanism of immune response speci ..read more
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Migration of a pericardial drainage catheter into the right main pulmonary artery
Acute Medicine & Surgery
by Yuko Ono, Kauzaki Shinohara, Tokiya Ishida, Isamu Yamada, Joji Kotani
1M ago
Migration of a pericardial drainage catheter into the right main pulmonary artery. If clinical symptoms of cardiac tamponade are unresolved and dense hemorrhagic fluid is evacuated after pericardial drain placement, this rare but lethal complication is a possibility ..read more
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A well‐managed case of discontinuous anorectal injury caused by a personal watercraft treated by combining surgery and colonoscopy
Acute Medicine & Surgery
by Hiraaki Okuzawa, Akira Endo, Tomohiro Akutsu, Keisuke Suzuki, Hiromasa Hoshi, Shunichiro Kato, Koji Ito, Yasuhiro Otomo, Koji Morishita
1M ago
Anorectal injury caused by personal watercraft (PWC)-related trauma is rare. However, PWC accidents have increased recently. We encountered a case of multiple noncontinuous anorectal injuries due to a PWC accident that was successfully treated using a combination of surgery and intraoperative endoscopy. Abstract Background Anorectal injury caused by personal watercraft (PWC)-related trauma is rare. However, PWC accidents have increased recently, and since patients tend to be younger, treatment strategies should consider anal function preservation in addition to saving lives. Case Presentatio ..read more
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Cerebral air embolism followed by endoscopic balloon dilatation for esophageal strictures
Acute Medicine & Surgery
by Ryoichi Shoji, Naruaki Otake, Takeo Nagura, Jushi Numata, Junya Tsurukiri
1M ago
Acute Medicine &Surgery, Volume 11, Issue 1, January/December 2024 ..read more
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Do‐not‐attempt‐resuscitation orders, end‐of‐life care discussions, and advance care planning for deteriorating patients in Japan
Acute Medicine & Surgery
by Tatsuya Tsuji, Yoshiki Sento, Kazuya Sobue
1M ago
Acute Medicine &Surgery, Volume 11, Issue 1, January/December 2024 ..read more
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