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"Hyuk Joong Choi"

Original Articles

Resuscitation | Epidemiology

Characteristics and outcomes of public bath-related out-of-hospital cardiac arrests in South Korea
Yung Jae Yoo, Gi Woon Kim, Choung Ah Lee, Yong Jin Park, Kyoung Mi Lee, Jin Seong Cho, Won Jung Jeong, Hyuk Joong Choi, Han Joo Choi, Nam Hun Heo, Hyung Jun Moon
Clin Exp Emerg Med 2020;7(3):225-233.   Published online September 30, 2020
DOI: https://doi.org/10.15441/ceem.19.071

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Characteristics and outcomes of public bath-related out-of-hospital cardiac arrests in South Korea
Clin Exp Emerg Med. 2020;7(3):225-233.   Published online September 30, 2020
DOI: https://doi.org/10.15441/ceem.19.071
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Characteristics and outcomes of public bath-related out-of-hospital cardiac arrests in South Korea
Clin Exp Emerg Med. 2020;7(3):225-233.   Published online September 30, 2020
DOI: https://doi.org/10.15441/ceem.19.071
Close
Objective
To analyze the differences in characteristics and outcomes between public bath (PB)- related and non-PB-related out-of-hospital cardiac arrest (OHCA) patients in South Korea.
Methods
We performed a retrospective observational analysis of collected data from the Smart Advanced Cardiac Life Support (SALS) registry between September 2015 and December 2018. We included adult OHCA patients (aged >18 years) with presumed OHCA of non-traumatic etiology who were attended by dispatched emergency medical services. SALS is a field advanced life support with smartphone-based direct medical direction. The primary outcome was the survival to discharge rate measured at the time of discharge.
Results
Of 38,995 cardiac arrest patients enrolled in the SALS registry, 11,889 were included in the final analysis. In total, 263 OHCAs occurred in PBs. Male sex and bystander cardiopulmonary resuscitation proportions appeared to be higher among PB patients than among non-PB patients. Percentages for shockable rhythm, witnessed rate, and number of underlying disease were lower in the PB group than in the non-PB group. Prehospital return of spontaneous circulation (11.4% vs. 19.5%, P=0.001), survival to discharge (2.3% vs. 9.9%, P<0.001), and favorable neurologic outcome (1.9% vs. 5.8%, P=0.007) in PB patients were significantly poorer than those in non-PB patients.
Conclusion
Patient characteristics and emergency medical services factors differed between PB and non-PB patients. All outcomes of PB-related OHCA were poorer than those of non-PB-related OHCA. Further treatment strategies should be developed to improve the outcomes of PBrelated cardiac arrest.

Citations

Citations to this article as recorded by  Crossref logo
  • Analysis of Anxiety or Depression and Long-term Mortality Among Survivors of Out-of-Hospital Cardiac Arrest
    Juncheol Lee, Yongil Cho, Jaehoon Oh, Hyunggoo Kang, Tae Ho Lim, Byuk Sung Ko, Kyung Hun Yoo, Sang Hwan Lee
    JAMA Network Open.2023; 6(4): e237809.     CrossRef
  • Impact of crowding in local ambulance demand on call-to-ambulance scene arrival in out-of-hospital cardiac arrest
    Dae Kon Kim, Tae Han Kim, Sang Do Shin, Young Sun Ro, Kyoung Jun Song, Ki Jeong Hong, Joo Jeong
    The American Journal of Emergency Medicine.2022; 52: 105.     CrossRef
  • Developing a Time-Adaptive Prediction Model for Out-of-Hospital Cardiac Arrest: Nationwide Cohort Study in Korea
    Ji Woong Kim, Juhyung Ha, Taerim Kim, Hee Yoon, Sung Yeon Hwang, Ik Joon Jo, Tae Gun Shin, Min Seob Sim, Kyunga Kim, Won Chul Cha
    Journal of Medical Internet Research.2021; 23(7): e28361.     CrossRef
  • 8,576 View
  • 129 Download
  • 3 Web of Science
  • 3 Crossref

Airway

Study on the effect of a cold environment on the quality of three video laryngoscopes: McGrath MAC, GlideScope Ranger, and Pentax Airway Scope
Jin Won Park, Hyuk Joong Choi
Clin Exp Emerg Med 2019;6(4):351-355.   Published online December 31, 2019
DOI: https://doi.org/10.15441/ceem.18.063

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Study on the effect of a cold environment on the quality of three video laryngoscopes: McGrath MAC, GlideScope Ranger, and Pentax Airway Scope
Clin Exp Emerg Med. 2019;6(4):351-355.   Published online December 31, 2019
DOI: https://doi.org/10.15441/ceem.18.063
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Study on the effect of a cold environment on the quality of three video laryngoscopes: McGrath MAC, GlideScope Ranger, and Pentax Airway Scope
Clin Exp Emerg Med. 2019;6(4):351-355.   Published online December 31, 2019
DOI: https://doi.org/10.15441/ceem.18.063
Close
Objective
Several environmental factors influence the prehospital use of video laryngoscopes (VLs). For example, fogging of the VL lens can occur in cold environments, and the low temperature can cause the VLs to malfunction. As relevant research on the effect of environment on VLs is lacking, we aimed to study the effect of a cold environment on three commonly used VLs.
Methods
McGrath MAC, Pentax Airway Scope (AWS), and GlideScope Ranger were exposed to temperatures of -5°C, -10°C, -20°C, and -25°C for 1 hour each and then applied to a manikin in a thermohydrostat room 5 times. Immediately after turning on the power and inserting the blade, the time until an appropriate glottic image appeared on the screen was measured.
Results
McGrath MAC was able to accomplish immediate intubation regardless of the temperature drop. However, GlideScope Ranger required an average of 4.9 seconds (-5°C to -20°C) and 10.1 seconds (-25°C) until appropriate images were obtained for intubation. AWS showed adequate image acquisition immediately after blade insertion despite slight fogging at -20°C, but at -25°C, images suitable for intubation did not appear on the screen for an average of 4.7 minutes.
Conclusion
All three devices appear to be usable without any limitations up to -20°C. However, GlideScope Ranger and AWS may not produce images immediately at temperatures below -25°C. Thus, medical practitioners performing VL in a cold environment should be aware of the characteristics of the VL devices in advance.

Citations

Citations to this article as recorded by  Crossref logo
  • Optical and video stylets for airway management: an expert review
    Manuel Á. Gómez-Ríos, Samuel Ern Hung Tsan, Tomasz Gaszyński, Pavel Michalek, Uxía Gutierrez-Couto, André A.J. Van Zundert
    Expert Review of Medical Devices.2026; 23(7): 779.     CrossRef
  • Comparative Evaluation of Ease of Nasotracheal Intubation Using C-MAC versus TuoRen Video Laryngoscope in Adult Surgical Patients: A Randomized Study
    Sunil Rajan, Rejitha Chandrasekharan, Jacob Mathew, Roniya Ann Roy, Reshma Rajkumar, Jerry Paul
    Journal of Head & Neck Physicians and Surgeons.2024; 12(1): 69.     CrossRef
  • An optimal tracheal tube preshaping strategy for endotracheal intubation using video laryngoscopy: a randomized controlled trial
    Ya Cao, Lianxiang Jiang, Yan Zhang, Weidong Yao, Yongquan Chen, Zeping Dai
    Journal of Clinical Monitoring and Computing.2022; 36(6): 1629.     CrossRef
  • 16,134 View
  • 81 Download
  • 3 Web of Science
  • 3 Crossref

Pulmonary

Changes in electrocardiographic findings after closed thoracostomy in patients with spontaneous pneumothorax
Wonjae Lee, Yoonje Lee, Changsun Kim, Hyuk Joong Choi, Bossng Kang, Tae Ho Lim, Jaehoon Oh, Hyunggoo Kang, Junghun Shin
Clin Exp Emerg Med 2017;4(1):38-47.   Published online March 30, 2017
DOI: https://doi.org/10.15441/ceem.16.154

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Changes in electrocardiographic findings after closed thoracostomy in patients with spontaneous pneumothorax
Clin Exp Emerg Med. 2017;4(1):38-47.   Published online March 30, 2017
DOI: https://doi.org/10.15441/ceem.16.154
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Changes in electrocardiographic findings after closed thoracostomy in patients with spontaneous pneumothorax
Clin Exp Emerg Med. 2017;4(1):38-47.   Published online March 30, 2017
DOI: https://doi.org/10.15441/ceem.16.154
Close
Objective
We aimed to describe electrocardiographic (ECG) findings in spontaneous pneumothorax patients before and after closed thoracostomy.
Methods
This is a retrospective study which included patients with spontaneous pneumothorax who presented to an emergency department of a tertiary urban hospital from February 2005 to March 2015. The primary outcome was a difference in ECG findings between before and after closed thoracostomy. We specifically investigated the following ECG elements: PR, QRS, QTc, axis, ST segments, and R waves in each lead. The secondary outcomes were change in ST segment in any lead and change in axis after closed thoracostomy.
Results
There were two ECG elements which showed statistically significant difference after thoracostomy. With right pneumothorax volume of greater than 80%, QTc and the R waves in aVF and V5 significantly changed after thoracostomy. With left pneumothorax volume between 31% and 80%, the ST segment in V2 and the R wave in V1 significantly changed after thoracostomy. However, majority of ECG elements did not show statistically significant alteration after thoracostomy.
Conclusion
We found only minor changes in ECG after closed thoracostomy in spontaneous pneumothorax patients.

Citations

Citations to this article as recorded by  Crossref logo
  • Methods of measurement for pneumothorax in pediatric patients: a systematic review
    Grant S. Owen, Kelly A. Harmon, Gwyneth A. Sullivan, Hayley J. Petit, Jennifer Westrick, James R. Cameron, Brian C. Gulack, Ami N. Shah
    Pediatric Surgery International.2024;[Epub]     CrossRef
  • Electrocardiographic manifestations in a large right-sided pneumothorax
    Hiroyuki Yamamoto, Kazuhiro Satomi, Yoshiyasu Aizawa
    BMC Pulmonary Medicine.2021;[Epub]     CrossRef
  • Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
    Lavinia Maria Florescu, Călina-Patricia Țentea, Csilla-Andrea Eötvös, Roxana-Daiana Lazar, Iulia-Georgiana Zehan, Wissam Sabha, Sorin Pop, Doina Adina Todea, Dan Blendea
    Diagnostics.2021; 11(6): 1069.     CrossRef
  • Electrocardiographic changes in young patients with spontaneous pneumothorax
    Baruch Klin, Itai Gueta, Haim Bibi, Shaul Baram, Ibrahim Abu-Kishk
    Medicine.2021; 100(30): e26793.     CrossRef
  • 12,611 View
  • 104 Download
  • 6 Web of Science
  • 4 Crossref

Airway

Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departments
Joon Ki Lee, Hyunggu Kang, Hyuk Joong Choi
Clin Exp Emerg Med 2016;3(4):213-218.   Published online December 30, 2016
DOI: https://doi.org/10.15441/ceem.16.148

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Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departments
Clin Exp Emerg Med. 2016;3(4):213-218.   Published online December 30, 2016
DOI: https://doi.org/10.15441/ceem.16.148
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Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departments
Clin Exp Emerg Med. 2016;3(4):213-218.   Published online December 30, 2016
DOI: https://doi.org/10.15441/ceem.16.148
Close
Objective
The aim of this study was to assess the success rate of the GlideScope video laryngoscope (GVL) and direct laryngoscope (DL) over ten years in two academic emergency departments.
Methods
We used adult intubation data using DL and GVL collected from airway management registries at two academic emergency departments. We analyzed changes in first-pass success (FPS) rate by device and operator training level. We conducted a multivariate logistic regression analysis to predict the FPS according to time period.
Results
Over the study period (2006 to 2010, season I; 2013-2015, season II) the DL usage rate dropped from 91.6% to 45.0% while the GVL usage rate increased from 8.4% to 55.4%. The FPS rate using DL also declined from 90.8% in 2007 to 75.5% in 2015. On the other hand, the FPS rate using GVL increased from 87.8% to 95.2%. With DL, all operators’ FPS rate declined by approximately 10% in season II compared to season I. The FPS rate with GVL was significantly higher in the providers of postgraduate year over 3 years (P=0.043). Multivariate logistic regression analysis revealed an adjusted odds ratio for GVL FPS of 0.799 during season I (P=0.274). However, the adjusted odds ratio for GVL FPS was 3.744 during season II (P<0.001).
Conclusion
We found that the FPS rates of GVL have slightly increased but DL’s FPS rate has significantly decreased during the last ten years.

Citations

Citations to this article as recorded by  Crossref logo
  • Hyper-angulated (Glidescope) versus intermediate-angled (UED-A) videolaryngoscopy for routine tracheal intubation in adults: a prospective randomized controlled trial
    Sabrina Migliorelli, Alessandro Strumia, Fabio Costa, Giada Puricelli, Alessandro Ruggiero, Lorenzo Schiavoni, Alessia Mattei, Massimiliano Carassiti, Rita Cataldo, Felice Eugenio Agrò, Giuseppe Pascarella
    Scientific Reports.2026;[Epub]     CrossRef
  • Comparison of Video Laryngoscopy and Direct Laryngoscopy in a Simulated Environment for Respiratory Therapy Students
    Raid M. Al Zhranei, Ziyad O. Aljohani, Sultan M. Alghamdi, Yazeed K. Algarni, Ziyad F. Al Nufaiei
    Respiratory Care.2026; 71(7): 748.     CrossRef
  • Recent Advances in Direct and Video Laryngoscopy for the Emergency Physician
    Timothy Chalom, Alexander Sonaglia, Kalyyanee Nanaaware, Mark Sprague, Michael Mason, James H. Paxton
    Current Emergency and Hospital Medicine Reports.2026;[Epub]     CrossRef
  • Sensitivity and Specificity of Mahasarakham Hospital Upper Airway Obstruction Score (MSKH-UAO Score) for Predicting Emergency Airway Intervention
    Intira A nantpinijwatna, Akkharadet Nammuntri, Patorn Piromchai
    Biomedical & Pharmacology Journal.2026; 2(19): 1879.     CrossRef
  • Training approaches and devices utilization during endotracheal intubation in French Emergency Departments: a nationwide survey
    Pierrick Le Borgne, Karine Alamé, Aline Chenou, Anne Hoffmann, Véronique Burger, Sabrina Kepka, Pascal Bilbault, Quentin Le Bastard, Maelle Martin, Jean-Baptiste Lascarrou
    European Journal of Emergency Medicine.2024; 31(1): 46.     CrossRef
  • The utilization of video laryngoscopy in nasotracheal intubation for oral and maxillofacial surgical procedures: a narrative review
    Seung-Hwa Ryoo, Kyung Nam Park, Myong-Hwan Karm
    Journal of Dental Anesthesia and Pain Medicine.2024; 24(1): 1.     CrossRef
  • Airway registries in primarily adult, emergent endotracheal intubation: a scoping review
    Sarah Meulendyks, Daniel Korpal, Helen Jingshu Jin, Sameer Mal, Jacob Pace
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.2023;[Epub]     CrossRef
  • Success of Pediatric Intubations Performed by a Critical Care Transport Service
    Sriram Ramgopal, Sean E. Button, Sylvia Owusu-Ansah, Mioara D. Manole, Richard A. Saladino, Francis X. Guyette, Christian Martin-Gill
    Prehospital Emergency Care.2020; 24(5): 683.     CrossRef
  • Akute Atemnot bei Stenose hinter der Glottis
    J. Grande, S. Schröder, T. Speer
    Notfall + Rettungsmedizin.2020; 23(8): 618.     CrossRef
  • Quelle est la place des vidéolaryngoscopes pour l’intubation en réanimation ?
    J.-B. Lascarrou, M. Martin, J. Reignier, David Schnell, Pierre-Emmanuel Charles
    Médecine Intensive Réanimation.2019; 28(1): 4.     CrossRef
  • Acute Upper Airway Obstruction
    Dan L. Longo, Antoine Eskander, John R. de Almeida, Jonathan C. Irish
    New England Journal of Medicine.2019; 381(20): 1940.     CrossRef
  • Effect of the tube-guiding channel on intubation success with videolaryngoscopes
    S. Nabecker, X. Koennecke, L. Theiler, C. Riggenbach, R. Greif, M. Kleine-Brueggeney
    Trends in Anaesthesia and Critical Care.2018; 18: 16.     CrossRef
  • Quality Improvement Program Outcomes for Endotracheal Intubation in the Emergency Department
    Sung Yeon Hwang, Joo Hyun Park, Hee Yoon, Won Chul Cha, Ik Joon Jo, Min Seob Sim, Keun Jeong Song, Hyo Jung Woo, Sung Geun Jeong, Tae Gun Shin
    Journal of Patient Safety.2018; 14(4): e83.     CrossRef
  • 13,585 View
  • 146 Download
  • 13 Web of Science
  • 13 Crossref

Imaging | Education & Simulation

Variation of availability and frequency of emergency physician-performed ultrasonography between adult and pediatric patients in the academic emergency department in Korea
Chiwon Ahn, Changsun Kim, Bo Seung Kang, Hyuk Joong Choi, Jun Hwi Cho
Clin Exp Emerg Med 2015;2(1):16-23.   Published online March 31, 2015
DOI: https://doi.org/10.15441/ceem.14.020

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Variation of availability and frequency of emergency physician-performed ultrasonography between adult and pediatric patients in the academic emergency department in Korea
Clin Exp Emerg Med. 2015;2(1):16-23.   Published online March 31, 2015
DOI: https://doi.org/10.15441/ceem.14.020
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Variation of availability and frequency of emergency physician-performed ultrasonography between adult and pediatric patients in the academic emergency department in Korea
Clin Exp Emerg Med. 2015;2(1):16-23.   Published online March 31, 2015
DOI: https://doi.org/10.15441/ceem.14.020
Close
Objective
This study investigates the availability and frequency of emergency physician-performed ultrasonography (USG) in the emergency department (ED) and the status of USG training programs in emergency medicine residencies in academic EDs in Korea.
Methods
In spring 2014, a link to a 16-question, multiple-choice, and rating scale web-based survey was e-mailed to all 97 academic ED residency training directors in Korea.
Results
The response rate was 83.5% (81/97). All respondents had their own USG machines in the ED. In total, 82.7% of respondents reported that emergency physician-performed adult USGs were usually conducted daily, whereas only 23.6% performed pediatric USGs daily. Moreover, 55.5% performed pediatric USG fewer than once a week. 74.1% of respondents had education programs for adult USG in residency training, but only 21.0% had programs for pediatric USG. There was a high association between the presence of education programs and the use of USG in both groups. The faculty members who most commonly participated in teaching ED residents how to perform USG were emergency physicians (67.9%). Only 17.3% of respondents reported that they always supported a quality assurance process. The training directors generally agreed with the advantages in emergency physician-performed USGs.
Conclusion
The availability of ultrasound machines was high both for adult and pediatric EDs. Nevertheless, the frequency of Emergency physician-performed USG for pediatric patients was low, which was related to the lack of the training programs for treating pediatric patients.

Citations

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  • POCUS in family medicine/GPs curriculum (basic and advanced level)
    Mihai Iacob
    Medic.ro.2023; 3(153): 38.     CrossRef
  • Disponibilités et utilisations de l’échographie clinique dans les structures d’urgences : une étude nationale descriptive, transversale et multicentrique
    A. Bidault, T. Markarian, P. Pes, X. Bobbia
    Annales françaises de médecine d’urgence.2023; 13(4): 210.     CrossRef
  • Impact of Insurance Benefits and Education on Point-of-Care Ultrasound Use in a Single Emergency Department: An Interrupted Time Series Analysis
    Soo-Yeon Kang, Sookyung Park, Ik-Joon Jo, Kyeongman Jeon, Seonwoo Kim, Guntak Lee, Jong-Eun Park, Taerim Kim, Se-Uk Lee, Sung-Yeon Hwang, Won-Chul Cha, Tae-Gun Shin, Hee Yoon
    Medicina.2022; 58(2): 217.     CrossRef
  • The utility of point of care ultrasonography (POCUS)
    Ahmed Hashim, Muhammad Junaid Tahir, Irfan Ullah, Muhammad Sohaib Asghar, Haziq Siddiqi, Zohaib Yousaf
    Annals of Medicine and Surgery.2021; 71: 102982.     CrossRef
  • Diagnostic value of a power Doppler ultrasound-based malignancy index for differentiating malignant and benign solid breast lesions
    Ali Enshaei, Afshin Mohammadi, SeyedBabak Moosavi Toomatari, Zahra Yekta, SeyedEhsan Moosavi Toomatari, Mohammad Ghasemi-Rad, SaberZafar Shamspour, ZahraKarimi Sarabi, Nariman Sepehrvand
    Indian Journal of Cancer.2020; 57(1): 44.     CrossRef
  • Point-of-Care Ultrasound Could Streamline the Emergency Department Workflow of Clinically Nonspecific Intussusception
    Jung Heon Kim, Jeong-Yong Lee, Jae Hyun Kwon, Hyung-Rae Cho, Jong Seung Lee, Jeong-Min Ryu
    Pediatric Emergency Care.2020; 36(2): e90.     CrossRef
  • Assessing the validity of two-dimensional carotid ultrasound to detect the presence and absence of a pulse
    Stephen Sanchez, Matthew Miller, Stephen Asha
    Resuscitation.2020; 157: 67.     CrossRef
  • Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations
    Bjarte Sorensen, Steinar Hunskaar
    The Ultrasound Journal.2019;[Epub]     CrossRef
  • The reliability of carotid ultrasound in determining the return of pulsatile flow: A pilot study
    Biljana Germanoska, Matthew Coady, Sheyin Ng, Gary Fermanis, Matthew Miller
    Ultrasound.2018; 26(2): 118.     CrossRef
  • A Feasibility Study of Smartphone-Based Telesonography for Evaluating Cardiac Dynamic Function and Diagnosing Acute Appendicitis with Control of the Image Quality of the Transmitted Videos
    Changsun Kim, Hyunmin Cha, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh
    Journal of Digital Imaging.2016; 29(3): 347.     CrossRef
  • Comparison of internal jugular vein dilation between Valsalva maneuver and proximal internal jugular vein compression
    Hyeonjoo Seong, Bora Kang, Giwoon Kim
    Clinical and Experimental Emergency Medicine.2016; 3(4): 193.     CrossRef
  • Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED
    Changsun Kim, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh, Youngjoon Chee
    The American Journal of Emergency Medicine.2015; 33(10): 1354.     CrossRef
  • High Time to Discuss Future-Oriented Telemedicine
    In Ho Kwon
    Healthcare Informatics Research.2015; 21(4): 211.     CrossRef
  • 34,579 View
  • 113 Download
  • 12 Web of Science
  • 13 Crossref

Procedures | Imaging

Ultrasound-guided regional anesthesia for the pain management of elderly patients with hip fractures in the emergency department
Hee Kyung Lee, Bo Seung Kang, Chang Sun Kim, Hyuk Joong Choi
Clin Exp Emerg Med 2014;1(1):49-55.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.008

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Ultrasound-guided regional anesthesia for the pain management of elderly patients with hip fractures in the emergency department
Clin Exp Emerg Med. 2014;1(1):49-55.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.008
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Ultrasound-guided regional anesthesia for the pain management of elderly patients with hip fractures in the emergency department
Clin Exp Emerg Med. 2014;1(1):49-55.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.008
Close
Objective

We examined the pain-relieving effect of ultrasound-guided regional anesthesia performed by emergency physicians on elderly hip fracture patients.

 Methods

This study is a prospective, non-randomized, case-control study. The subjects were patients older than 65 years who visited the emergency department with a hip fracture. After we obtained informed consent, two emergency physicians performed an ultrasound-guided three-in-one femoral block using 20 mL of 0.5% bupivacaine. The pain score was measured just before regional anesthesia, and 0.25, 0.5, 1, 2, 3, and 4 hours after the procedure. Another group of patients was given multiple doses of morphine to control the pain. We compared the change in pain score and the development of adverse reactions between the two groups.

 Results

A total of 47 patients were enrolled in this study, of which 25 were given regional anesthesia. Successful pain control (pain score<4) was significantly higher in the regional anesthesia group (96.0% vs. 40.9%; P<0.001). The decrease in pain score was significantly higher in the regional anesthesia group (7 [interquartile range, 6 to 7] vs. 4 [interquartile range, 3 to 5]; P< 0.001). The only adverse reaction observed was mild nausea in 4 patients (1 out of 25 from the regional anesthesia group and 3 out of 22 from the morphine group).

 Conclusion

Ultrasound-guided regional anesthesia administered by emergency physicians treating elderly hip fracture patients provided faster pain relief and a larger decrease in pain than conventional intravenous injections of morphine.

Citations

Citations to this article as recorded by  Crossref logo
  • Rapid Proficiency in Femoral and Popliteal Nerve Identification Is Achievable After a Brief Educational Intervention
    Ashley Grant, Colin Sullivan, Brandon Buchel, Charlotte Derr
    Cureus.2025;[Epub]     CrossRef
  • Complications of Ultrasound-Guided Peripheral Nerve Blocks in the Emergency Department: A Systematic Review and Meta-Analysis
    Joyce Hanyue Gu, Adrian Cotarelo, Mark Samarneh
    The Journal of Emergency Medicine.2025; 75: 256.     CrossRef
  • Precision and safety advantages of ultrasound-guided nerve blocks in geriatric anesthesia: current status and future prospects
    Xiao-yin Lin, Ya-mei Yang, Yang Liu, Qing-qing Dang, Kan Zhang
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • Unique considerations in regional anesthesia for emergency department and non-or procedures
    Elizabeth A. Scholzen, John B. Silva, Kristopher M. Schroeder
    International Anesthesiology Clinics.2024; 62(1): 43.     CrossRef
  • Serratus Anterior Plane Block Remote Learning Curriculum
    Gabriel Weingart, Di Coneybeare
    MedEdPORTAL.2024;[Epub]     CrossRef
  • Comparative study lumbar plexus block and lumbar erector spinae plane block for postoperative pain relief after proximal femoral nail for proximal femoral fractures
    Sandeep Diwan, Abhishek Lonikar, Himaunshu Dongre, Parag Sancheti, Abhijit S. Nair, Suhrud Panchawagh
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CEEM : Clinical and Experimental Emergency Medicine