Hong Kong Journal of Emergency Medicine, Ahead of Print ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print. Objective:To examine whether a 2-week or 4-week virtual patient simulation program can improve clinical competence for undergraduate emergency medicine education during COVID-19.Methods:This randomized controlled trial was conducted between October and December 2021. Final-year medical students were randomized into a 2-week short exposure group and a 4-week long exposure group on a 1:1 allocation. They were assessed using a virtual case with structured scoring system before and after the virtual patient simulation learning program. An en ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print. Background:Patients with severe euvolemic hyponatremia can be challenging to treat, and the COVID-19 pandemic has added to the complexity of the situation.Methods:Data were collected from all patients treated in a local intensive care unit (ICU) with the protocolized proactive desmopressin plus 3% saline (PD-3 S) approach in March 2022.Results:Six patients were treated with the protocol, whose initial serum sodium level (SNa) ranged from 98 to 108 mmol/L. SNa of one patient dropped further due to delayed initiation of protocolized PD-3 S ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print. Background:Traveller patients have distinctive clinical characteristics compared to non-traveller patients. Local information about the clinical features of traveller patients is lacking.Objectives:The objective of this study is to evaluate the clinical characteristics of traveller patients presenting to a hospital near the Hong Kong International Airport.Methods:This was a single-centred, retrospective cohort study. Medical records of all traveller patients presenting to the Accident and Emergency Department of North Lantau Hospital in ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print. Objective:The prevalence of sexually transmitted infections in Hong Kong is not high. The objective of this study was to determine the risk factors that associated with occurrence of sexually transmitted infections in local sexual assault victims, so as to facilitate the counseling and management of victims upon their initial attendance at an Accident and Emergency Department.Methods:This was a retrospective cohort of sexual assault victims presented to Accident and Emergency Department of Kwong Wah Hospital between 1 January 2016 and 31 ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print. Background:In Hong Kong, the post-dispatch advice on cardiopulmonary resuscitation has been implemented since October 2018. Our study aimed to (1) evaluate the impact of post-dispatch advice on the bystander cardiopulmonary resuscitation rate and out-of-hospital cardiac arrest survival and (2) characterise the reasons for not providing dispatch-assisted cardiopulmonary resuscitation, which have important implications in public cardiopulmonary resuscitation education.Method:We retrospectively analysed the records of 749 adult patients wit ..read more

Hong Kong Journal of Emergency Medicine, Ahead of Print. Introduction:Recreational use of methamphetamine is increasing worldwide, but epidemiology studies from Asia are lacking. We aimed to characterise the trends, drug use pattern, clinical presentations and health services utilisation of acute methamphetamine toxicity presenting to emergency departments and the current practice of emergency department psychosocial interventions in Hong Kong.Methods:This was a secondary analysis of a retrospective study on emergency department patients reported to the Hong Kong Poison Information Centre betw ..read more