Utility of laboratory markers in evaluating for acute compartment syndrome in the emergency department

Weingart, Gregory S.; Jordan, Phillip; Yee, Kei‐Lwun; Green, Lauren

doi:10.1002/emp2.12334

Cited by 4 publications

(3 citation statements)

References 10 publications

(11 reference statements)

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“…This study demonstrated a sensitivity of only 2.9%, indicating that serum markers are not useful in helping to clinically rule out a diagnosis of ACS, limiting their utility in the ED setting. 14 Evans syndrome, first described in 1951, is defined as the concomitant or sequential occurrence of immune thrombocytopenia and autoimmune hemolytic anemia. 8 It is a rare syndrome, accounting for only 7% of AIHA cases and 2% of ITP cases.…”

Section: Discussionmentioning

confidence: 99%

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Acute Isolated Thenar Compartment Syndrome in a Patient with Evans Syndrome: A Case Report

Jiang

Kim

Babigian

2022

Clinical Practice and Cases in Emergency Medicine

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Introduction: Acute compartment syndrome of the hand is a rare medical emergency, most often associated with trauma or fracture. Case Report: Here, we describe a rare case of isolated thenar compartment syndrome of the hand in the absence of major trauma as the presenting symptom of pancytopenia due to Evans syndrome, an uncommon autoimmune hematologic disorder. Conclusion: In cases of atraumatic compartment syndrome, it is critical to evaluate for underlying coagulopathy in patients presenting to the emergency department.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Isolated Thenar Compartment Syndrome in a Patient with Evans Syndrome: A Case Report

Jiang

Kim

Babigian

2022

Clinical Practice and Cases in Emergency Medicine

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“…Emergency laboratory tests are a vital component of emergency medical treatment. A comprehensive array of emergency laboratory test items and accurate and timely test reports provide adequate support for emergency patients to receive effective care within the optimal rescue window [ 4 , 5 ]. Moreover, the rapid evaluation of patients can be achieved within the emergency department in case of sudden onset of disease, trauma, or public health emergencies.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive improvements in the emergency laboratory test process based on information technology

Zhang,

Liu,

et al. 2023

BMC Med Inform Decis Mak

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Objective To explore the application effects of information technology (IT) on emergency laboratory testing procedures. Methods In this study, IT-based optimisation of the emergency laboratory testing process was implemented between October and December 2021. Thus, the emergency laboratory test reports from January to September 2021 were placed into the pre-optimised group, while those from January to September 2022 were categorised into the post-optimised group. Besides, the emergency laboratory test report time, emergency laboratory test report time limit coincidence rate, error rate, and employee and patient satisfaction levels in individual months and across the whole period were described. Moreover, changes in the above indicators before and after the implementation of IT-based optimisation were explored and the application effects of IT-based optimisation were also evaluated. Results The emergency laboratory test report times after the implementation of IT-based optimisation were shorter than those before IT-based optimisation (P < 0.05). The total number of laboratory test items before and after information optimization amounted to 222,139 and 259,651, respectively. Also, IT-based optimisation led to an increase in the emergency laboratory test report time limit coincidence rate from 98.77% to 99.03% (P < 0.05), while the emergency laboratory test report error rate fell from 0.77‱ to 0.15‱ (P < 0.05). Additionally, IT-based optimisation resulted in increases in both employee satisfaction, from 80.65% to 93.55% (N = 31, P > 0.05), and patient satisfaction, from 93.06% to 98.44% (P < 0.05). Conclusion The automation and IT-based optimisation of the emergency laboratory testing process significantly reduces the emergency laboratory test report time and error rate. Additionally, IT-driven optimization enhances the alignment of emergency laboratory test report deadlines and enhances the overall quality and safety of emergency laboratory testing.

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Non-traumatic lower limb compartment syndrome

Ambrož

2023

Vnitr Lek

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Netraumatický kompartment syndrom dolních končetinDavid Ambrož II. interní klinika kardiologie a angiologie, Všeobecná fakultní nemocnice v Praze a 1. lékařská fakulta Univerzity Karlovy v Praze Netraumatický kompartment syndrom je závažný stav, který postihuje svalové prostory typicky u nemocných po ischemickém inzultu při akutní končetinové ischemii a může mít vážné následky pro postiženou končetinu a celkový zdravotní stav pacienta. Tento syndrom je charakterizován zvýšeným tlakem v uzavřeném intrafasciálním prostoru, což vede ke kompresi svalů, cév a nervů vedoucí k prohloubení ischemie a až nevratnému poškození těchto struktur. Včasná diagnóza a léčba jsou klíčové pro minimalizaci rizika komplikací a zachování funkce končetiny. V tomto článku se zaměříme na definici, patofyziologii a důležité klinické aspekty netraumatického kompartmentového syndromu.Klíčová slova: kompartment syndrom, akutní končetinová ischemie, fasciotomie. Non-traumatic lower limb compartment syndromeNon-traumatic compartment syndrome is a serious condition that affects muscle compartments typically in patients after ischemic insult during acute limb ischemia and can have serious consequences for the affected limb and the patient's overall health. This syndrome is characterized by increased pressure in the intrafascial space, leading to compression of muscles, blood vessels and nerves leading to worsening ischemia and even irreversible damage to these structures. Early diagnosis and treatment are crucial to reduce the risk of complications and preserve limb function. In this article, we review the definition, pathophysiology and important clinical aspects of non-traumatic compartment syndrome.

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Utility of laboratory markers in evaluating for acute compartment syndrome in the emergency department

Cited by 4 publications

References 10 publications

Acute Isolated Thenar Compartment Syndrome in a Patient with Evans Syndrome: A Case Report

Acute Isolated Thenar Compartment Syndrome in a Patient with Evans Syndrome: A Case Report

Comprehensive improvements in the emergency laboratory test process based on information technology

Non-traumatic lower limb compartment syndrome

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