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  1. Article ; Online: Novel 2019 coronavirus SARS-CoV-2 (COVID-19): An updated overview for emergency clinicians

    Giwa, A L / Desai, Akash / Duca, Andrea

    Emergency medicine practice

    2020  Volume 22, Issue 5, Page(s) 1–28

    Abstract: The novel coronavirus, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. This overview analyzes the best information from the early research, including epidemiologic and demographic features from SARS-CoV-1 and MERS-CoV ... ...

    Abstract The novel coronavirus, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. This overview analyzes the best information from the early research, including epidemiologic and demographic features from SARS-CoV-1 and MERS-CoV viruses; lessons learned from the experience of an emergency physician in Northern Italy, where the outbreak has devastated the healthcare system; evidence on transmission and prevention through safe use of PPE; evidence and advice on SARS-CoV-2 testing and co-infection; management options; airway management options; steps for rapid sequence intubation in the ED and managing disaster ventilation; and information on managing pediatric and pregnant patients.
    MeSH term(s) Adult ; Airway Management ; Betacoronavirus/genetics ; Betacoronavirus/pathogenicity ; COVID-19 ; Child ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Coronavirus Infections/transmission ; Disaster Planning ; Emergency Service, Hospital ; Female ; Humans ; Hydroxyethylrutoside ; Infection Control/methods ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Intubation/methods ; Italy/epidemiology ; Male ; Personal Protective Equipment ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Pneumonia, Viral/transmission ; Pregnancy ; Pregnancy Complications, Infectious ; Respiration, Artificial ; SARS-CoV-2
    Chemical Substances Hydroxyethylrutoside
    Keywords covid19
    Language English
    Publishing date 2020-03-24
    Publishing country United States
    Document type Journal Article
    ISSN 1559-3908
    ISSN (online) 1559-3908
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Novel 2019 coronavirus SARS-CoV-2 (COVID-19): an overview for emergency clinicians.

    Giwa, A L / Desai, Akash / Duca, Andrea

    Pediatric emergency medicine practice

    2020  Volume 17, Issue 5, Page(s) 1–24

    Abstract: The novel coronavirus, SARS-CoV-2, and its infection, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. It is essential for emergency clinicians to learn as much as possible about this pandemic to manage the unprecedented ... ...

    Abstract The novel coronavirus, SARS-CoV-2, and its infection, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. It is essential for emergency clinicians to learn as much as possible about this pandemic to manage the unprecedented burdens on healthcare providers and hospital systems. This review analyzes information from worldwide research and experience on the epidemiology, prevention, and treatment of COVID-19, and offers links to the most reliable and trustworthy resources to help equip healthcare professionals in managing this public health challenge. As the pandemic sweeps the United States, lessons learned from early centers of infection, notably New York and Northern Italy, can help localities to prepare.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Civil Defense ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Emergency Service, Hospital ; Health Resources ; Humans ; Italy ; New York ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; Public Health ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-02
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 1549-9669
    ISSN (online) 1549-9669
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Calculated Decisions: Brescia-COVID Respiratory Severity Scale (BCRSS)/Algorithm.

    Duca, Andrea / Piva, Simone / Focà, Emanuele / Latronico, Nicola / Rizzi, Marco

    Emergency medicine practice

    2020  Volume 22, Issue 5 Suppl, Page(s) CD1–CD2

    Abstract: The Brescia-COVID respiratory severity scale/algorithm is a stepwise management approach to COVID-19 patients based on clinical severity. The BCRSS was rapidly developed in Brescia, Italy, during that nation's COVID-19 crisis. The scale has not been ... ...

    Abstract The Brescia-COVID respiratory severity scale/algorithm is a stepwise management approach to COVID-19 patients based on clinical severity. The BCRSS was rapidly developed in Brescia, Italy, during that nation's COVID-19 crisis. The scale has not been validated or tested in other populations. The BCRSS uses patient examination features along with the need for escalating levels of respiratory support (NIV, intubation, proning) to suggest treatment recommendations. The scale simplifies the clinical summary of a patient's status, and allows clinicians to compare patients to one another and to track the trend of a patient's level of respiratory severity over time.
    MeSH term(s) Algorithms ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/therapy ; Decision Support Systems, Clinical ; Emergency Service, Hospital ; Humans ; Lung/pathology ; Lung/physiopathology ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/therapy ; Respiration ; Risk Assessment ; SARS-CoV-2 ; Severity of Illness Index
    Keywords covid19
    Language English
    Publishing date 2020-04-16
    Publishing country United States
    Document type Journal Article
    ISSN 1559-3908
    ISSN (online) 1559-3908
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Transient Ischemic Attacks: Advances in Diagnosis and Management in the Emergency Department.

    Duca, Andrea / Jagoda, Andy

    Emergency medicine clinics of North America

    2016  Volume 34, Issue 4, Page(s) 811–835

    Abstract: The definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients ...

    Abstract The definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients within 48 hours of the TIA and 10% within 90 days. This rate is decreasing, likely due to improved diagnostic and management strategies. Decision support scores have been developed to risk stratify patients, which include clinical and radiological elements. Antiplatelet and anticoagulant therapy, as well as carotid endarterectomy/stenting have been shown to reduce the stroke occurrence after TIA.
    MeSH term(s) Brain/diagnostic imaging ; Computed Tomography Angiography ; Emergency Service, Hospital ; Humans ; Ischemic Attack, Transient/diagnosis ; Ischemic Attack, Transient/diagnostic imaging ; Ischemic Attack, Transient/therapy ; Magnetic Resonance Imaging ; Neuroimaging ; Stroke/diagnosis
    Language English
    Publishing date 2016-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605637-4
    ISSN 1558-0539 ; 0733-8627
    ISSN (online) 1558-0539
    ISSN 0733-8627
    DOI 10.1016/j.emc.2016.06.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Bridging Anticoagulation in Patients with Atrial Fibrillation.

    Duca, Andrea / Jagoda, Andy

    The New England journal of medicine

    2016  Volume 374, Issue 1, Page(s) 90–91

    MeSH term(s) Anticoagulants/administration & dosage ; Atrial Fibrillation/drug therapy ; Elective Surgical Procedures ; Female ; Heparin, Low-Molecular-Weight/administration & dosage ; Humans ; Male ; Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Heparin, Low-Molecular-Weight
    Language English
    Publishing date 2016-01-07
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc1513255#SA1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: qSOFA should replace SIRS as the screening tool for sepsis.

    Franchini, Stefano / Duca, Andrea

    Critical care (London, England)

    2016  Volume 20, Issue 1, Page(s) 409

    Language English
    Publishing date 2016-12-28
    Publishing country England
    Document type Letter
    ZDB-ID 2051256-9
    ISSN 1466-609X ; 1466-609X
    ISSN (online) 1466-609X
    ISSN 1466-609X
    DOI 10.1186/s13054-016-1562-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Novel 2019 coronavirus SARS-CoV-2 (COVID-19): An updated overview for emergency clinicians

    Giwa, A L / Desai, Akash / Duca, Andrea

    Emerg Med Pract

    Abstract: The novel coronavirus, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. This overview analyzes the best information from the early research, including epidemiologic and demographic features from SARS-CoV-1 and MERS-CoV ... ...

    Abstract The novel coronavirus, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. This overview analyzes the best information from the early research, including epidemiologic and demographic features from SARS-CoV-1 and MERS-CoV viruses; lessons learned from the experience of an emergency physician in Northern Italy, where the outbreak has devastated the healthcare system; evidence on transmission and prevention through safe use of PPE; evidence and advice on SARS-CoV-2 testing and co-infection; management options; airway management options; steps for rapid sequence intubation in the ED and managing disaster ventilation; and information on managing pediatric and pregnant patients.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32207910
    Database COVID19

    Kategorien

  8. Article: Novel 2019 coronavirus SARS-CoV-2 (COVID-19): an overview for emergency clinicians

    Giwa, A L / Desai, Akash / Duca, Andrea

    Pediatr Emerg Med Pract

    Abstract: The novel coronavirus, SARS-CoV-2, and its infection, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. It is essential for emergency clinicians to learn as much as possible about this pandemic to manage the unprecedented ... ...

    Abstract The novel coronavirus, SARS-CoV-2, and its infection, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. It is essential for emergency clinicians to learn as much as possible about this pandemic to manage the unprecedented burdens on healthcare providers and hospital systems. This review analyzes information from worldwide research and experience on the epidemiology, prevention, and treatment of COVID-19, and offers links to the most reliable and trustworthy resources to help equip healthcare professionals in managing this public health challenge. As the pandemic sweeps the United States, lessons learned from early centers of infection, notably New York and Northern Italy, can help localities to prepare.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32286766
    Database COVID19

    Kategorien

  9. Article ; Online: Non-invasive ventilation in COPD exacerbation: how and why.

    Duca, Andrea / Rosti, Valentina / Brambilla, Anna Maria / Cosentini, Roberto

    Internal and emergency medicine

    2018  Volume 14, Issue 1, Page(s) 139–142

    MeSH term(s) Emergency Service, Hospital ; Humans ; Noninvasive Ventilation/methods ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Disease, Chronic Obstructive/therapy ; Treatment Outcome
    Language English
    Publishing date 2018-10-27
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2454173-4
    ISSN 1970-9366 ; 1828-0447
    ISSN (online) 1970-9366
    ISSN 1828-0447
    DOI 10.1007/s11739-018-1974-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: No difference in clinical and radiological outcomes following fixation of transverse patella fractures with either suture tape or metallic cerclage: A retrospective comparative study.

    Monaco, Edoardo / Saithna, Adnan / Cardarelli, Silvia / Bruni, Giorgio / Carrozzo, Alessandro / Annibaldi, Alessandro / Daggett, Matthew / Del Duca, Andrea / Ferretti, Andrea

    Orthopaedics & traumatology, surgery & research : OTSR

    2021  Volume 108, Issue 7, Page(s) 103053

    Abstract: Introduction: Several surgical techniques have been proposed for the treatment of patellar fractures. The aim of this study is to compare the clinical efficacy and complication rates of treatment using suture tape circumferential cerclage (STCC) and ... ...

    Abstract Introduction: Several surgical techniques have been proposed for the treatment of patellar fractures. The aim of this study is to compare the clinical efficacy and complication rates of treatment using suture tape circumferential cerclage (STCC) and metallic wire circumferential cerclage (MWCC) for the surgical treatment of displaced transverse patellar fractures (TPFs).
    Hypothesis: The hypothesis is that the use of the suture tape would be associated with a significantly lower rate of re-operation than metallic cerclage but no differences in other clinical outcomes.
    Patients and methods: A retrospective comparative analysis of the clinical outcomes of consecutive patients undergoing fixation of TPFs with either MWCC or STCC between January 2017 and December 2018 was undertaken. All patients underwent evaluation with standardised radiographs at one, three, and six months after surgery to determine rates of union, non-union, loss of fixation and malunion. All patients underwent a final clinical evaluation at 18 months postoperatively to evaluate clinical scores and complications.
    Results: A total of 26 patients were included in the study. Thirteen patients underwent STCC and 13 underwent MWCC. There were no complications in the STCC group. In the MWCC group, one patient underwent hardware removal at 2 months postoperatively due to painful prominence. There was no significant difference in re-operation rates between the STCC and MWCC groups (p=1). There were no cases of non-union, malunion or loss of fixation throughout the series. At the final clinical follow-up of 18months, there were no significant differences in KSS, KOOS or Böstman scores between the groups.
    Conclusion: No significant differences were identified when comparing the clinical outcomes of fixation of AO/OTA 34C1/2 fractures with suture tape or metallic cerclage fixation concerning re-operation rates, union rates, loss of fixation and functional outcome measures. These results cannot be extrapolated to more complex injury patterns or surgical techniques in which prominence of implanted material is more likely.
    Level of evidence: III.
    MeSH term(s) Humans ; Patella/diagnostic imaging ; Patella/surgery ; Patella/injuries ; Retrospective Studies ; Fracture Fixation, Internal/methods ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery ; Bone Wires ; Sutures ; Knee Injuries ; Treatment Outcome
    Language English
    Publishing date 2021-09-13
    Publishing country France
    Document type Journal Article
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2021.103053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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