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"You Dong Sohn"

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"You Dong Sohn"

Case Report

Trauma

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Air reduction of intussusception after abdominal blunt trauma and a literature review
Clin Exp Emerg Med. 2016;3(1):59-62.   Published online March 31, 2016
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Air reduction of intussusception after abdominal blunt trauma and a literature review
Clin Exp Emerg Med. 2016;3(1):59-62.   Published online March 31, 2016
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The typical presentation of intussusception includes intermittent severe abdominal pain, vomiting, rectal bleeding, and the presence of an abdominal mass. We present a case of intussusception after abdominal blunt trauma along with a literature review. A 4-year-old girl was admitted to the emergency department after a bicycle accident. She complained of progressively worsening abdominal pain, but there was no vomiting, fever, bloody stool, or abdominal mass. She was finally diagnosed with traumatic intussusception by ultrasonography and treated with air reduction. Because the typical symptoms are unusual in traumatic intussusception, close attention must be paid to avoid a delayed diagnosis.

Citations

Citations to this article as recorded by  Crossref logo
  • Expectant management of a pediatric patient with traumatic intussusception: Case report with literature review
    Nouf Albalawi, Mohammed Wasili, Ahmed Alageel, Dina Sami, Khaled Aldraihem, Ethar Shabana
    Radiology Case Reports.2026; 21(2): 733.     CrossRef
  • Multiple intussusceptions after blunt abdominal trauma in a 9-year-old boy: A case report and literature review
    Shin Ae Lee, Joong Kee Youn, Ye Rim Chang
    Trauma Case Reports.2022; 38: 100630.     CrossRef
  • 12,523 View
  • 130 Download
  • 2 Crossref
Original Articles

Imaging | Orthopedics

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New, specific ultrasonographic findings for the diagnosis of pulled elbow
Clin Exp Emerg Med. 2014;1(2):109-113.   Published online December 31, 2014
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New, specific ultrasonographic findings for the diagnosis of pulled elbow
Clin Exp Emerg Med. 2014;1(2):109-113.   Published online December 31, 2014
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Objective
Among infants and preschool children with complaint of upper extremity immobility, pulled elbow, also known as nursemaid’s elbow or radial head subluxation is the most common cause presenting to pediatric emergency departments. However, proper tools to diagnose pulled elbow remain limited. We conducted a study to determine the feasibility of ultrasonography in diagnosing pulled elbow.
Methods
Infants and preschool children presenting to an urban emergency department with the complaint of upper extremity immobility between April and July 2013 were enrolled. The following ultrasonographic information was recorded: (1) whether there was a change in the shape of the supinator muscle, (2) whether there was an annular ligament in place, and (3) whether there was an enlargement of the synovial fringe. We used the affected arms’ ultrasonographic images as the study group and opposite arms’ ultrasonographic images as the control group.
Results
When we diagnosed pulled elbow using ultrasonographic findings (i.e., the annular ligament was not in place), we found the following results: sensitivity, 64.9% (95% CI, 47.5% to 79.8%); specificity, 100.0% (95% CI, 90.5% to 100.0%); positive predictive value, 100.0% (95% CI, 85.8% to 100.0%); and negative predictive, 74.0% (95% CI, 59.7% to 85.4%).
Conclusion
A pulled elbow can easily be confirmed by ultrasonography when the annular ligament is displaced.

Citations

Citations to this article as recorded by  Crossref logo
  • Ultrasonographic natural history of irreducible pulled elbow managed by supervised neglect
    Masanori Wako, Tetsuhiro Hagino, Tetsuo Hagino, Jiro Ichikawa, Hirotaka Haro
    Journal of Orthopaedic Science.2026;[Epub]     CrossRef
  • The beauty of pediatric musculoskeletal ultrasound
    Elena E Drakonaki, Miraude Adriaensen, Paolo Simoni, Maria Pilar Aparisi Gomez
    RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren.2025; 197(02): 172.     CrossRef
  • Irreducible (nursemaid’s) pulled elbow: a literature review of sonographic diagnostic criteria
    Philip Colucci, Olivia Tracey, Diego Jaramillo, David Scher
    Pediatric Radiology.2025; 56(2): 284.     CrossRef
  • What is the utility of point‐of‐care ultrasound for suspected pulled elbow? A single‐centre case series
    David J McCreary, Nikhil Tambe, Niall Mullen
    Journal of Paediatrics and Child Health.2024; 60(11): 698.     CrossRef
  • Ultrasound as a Diagnostic Tool for Nursemaid’s Elbow with Typical Sonographic “J Sign”
    Chun-Hin Lo, Kai-Yuan Cheng
    Formosan Journal of Musculoskeletal Disorders.2024; 15(4): 151.     CrossRef
  • The Usefulness of Dynamic Ultrasonography in Nursemaid’s Elbow: A Prospective Case Series of 13 Patients Reconsideration of the Pathophysiology of Nursemaid’s Elbow
    Chia-Che Tsai, Yi-Pin Chiang
    Journal of Pediatric Orthopaedics.2023; 43(6): e440.     CrossRef
  • Investigating the Necessity of Radiological Analysis in Pulled Elbow
    Batuhan GENCER, İhsaniye SÜER DOĞAN, Nuri Koray ÜLGEN, Mehmet Murat ARSLAN, Özgür DOĞAN
    Online Türk Sağlık Bilimleri Dergisi.2023; 8(2): 200.     CrossRef
  • A Boy With a Painful Elbow
    Jer-Ruey Chang, Tou-Yuan Tsai, Yi-Kung Lee, Su Weng Chau
    Annals of Emergency Medicine.2023; 82(5): e173.     CrossRef
  • Role of the supinator muscle in the pathophysiological mechanism of a pulled elbow
    Masahiko Kimura
    Acta Paediatrica.2022; 111(4): 756.     CrossRef
  • Ultrasound imaging in diagnostics of Monteggia lesion in children
    Martin Čepelík, Jan Hendrych, Hana Melínová, Petr Havránek, Tomáš Pešl
    Journal of Children's Orthopaedics.2022; 16(4): 262.     CrossRef
  • Two- plane point of care ultrasonography helps in the differential diagnosis of pulled elbow
    Marcell Varga, Szilvia Papp, Tamás Kassai, Tamás Bodzay, Nikoletta Gáti, Sándor Pintér
    Injury.2021; 52: S21.     CrossRef
  • Acute Ligament Injuries of the Elbow
    Diogo Guilherme Leão Edelmuth, Paulo Victor Partezani Helito, Marcos Felippe de Paula Correa, Marcelo Bordalo-Rodrigues
    Seminars in Musculoskeletal Radiology.2021; 25(04): 580.     CrossRef
  • Current Approach to the Management of Forearm and Elbow Dislocations in Children
    Michael Gottlieb, Linda I. Suleiman
    Pediatric Emergency Care.2019; 35(4): 293.     CrossRef
  • The usefulness of ultrasound and the posterior fat pad sign in pulled elbow
    Soon Hyuck Lee, Seul Gi Kim, Donghee Kwak, Seok Ha Hong, Young Keun Lee, Woo Young Jang
    Injury.2019; 50(6): 1227.     CrossRef
  • Point-of-Care Ultrasonography to Assist in the Diagnosis and Management of Subluxation of the Radial Head in Pediatric Patients: A Case Series
    Faruk Güngör, Taylan Kılıç
    The Journal of Emergency Medicine.2017; 52(5): 702.     CrossRef
  • 33,279 View
  • 198 Download
  • 15 Web of Science
  • 15 Crossref

Resuscitation

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Early hyperoxemia may not increase mortality after cardiac arrest: a pilot study
Clin Exp Emerg Med. 2014;1(1):28-34.   Published online September 30, 2014
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Early hyperoxemia may not increase mortality after cardiac arrest: a pilot study
Clin Exp Emerg Med. 2014;1(1):28-34.   Published online September 30, 2014
Close
Objective

International Liaison Committee on Resuscitation guidelines advocate an arterial saturation of 94% to 96% after return of spontaneous circulation (ROSC). However, a few clinical trials have investigated the impact of postresuscitative O2 therapy after cardiac arrest. We studied whether early hyperoxemia is associated with a poor post-ROSC outcome after in-hospital cardiac arrest.

Methods

We retrospectively reviewed patients who experienced an in-hospital cardiac arrest from January 2005 to January 2011. Based on the results of the first arterial blood gas analysis (ABGA) within 10 minutes and a second ABGA from 60 to 120 minutes after ROSC, patients were classified into three groups: hyperoxemia (PaO2 ≥ 300 mmHg), normoxemia (300 mmHg > PaO2 ≥ 60 mmHg), and hypoxemia (PaO2 < 60 mmHg or ratio of PaO2 to fraction of inspired oxygen < 300). We examined whether early hyperoxemia was associated with survival and neurological outcome.

Results

There were 792 patients who met the inclusion criteria: 638 (80.6%) in the hypoxemia group, 62 (7.8%) in the normoxemia group, and 92 (11.6%) in the hyperoxemia group. Multiple logistic regression analysis showed that hyperoxemia was not associated with survival (odds ratio [OR], 1.07; 95% confidence interval [CI], 0.30 to 3.84) or neurological outcome (OR, 1.03; 95% CI, 0.31 to 3.40).

Conclusion

Postresuscitation hyperoxemia was not associated with survival or neurological outcome in patients with ROSC after in-hospital cardiac arrest.

Citations

Citations to this article as recorded by  Crossref logo
  • Neurological outcomes and mortality following hyperoxemia in adult patients with acute brain injury: an updated meta-analysis and meta-regression
    Nekane Romero-Garcia, Chiara Robba, Berta Monleón, Ana Ruiz-Zarco, Maria Pascual-González, Alberto Ruiz-Pacheco, Felipe Perdomo, Maria Luisa García-Pérez, Ana Mugarra, Laura García, Jose Carbonell, Lavienraj Premraj, Fabio Silvio Taccone, Rafael Badenes
    Critical Care.2025;[Epub]     CrossRef
  • Early restricted oxygen therapy after resuscitation from cardiac arrest (ER-OXYTRAC): protocol for a stepped-wedge cluster randomised controlled trial
    Ryo Yamamoto, Kazuma Yamakawa, Akira Endo, Koichiro Homma, Yasunori Sato, Ryo Takemura, Takeshi Yamagiwa, Keiki Shimizu, Daiki Kaito, Masayuki Yagi, Taku Yonemura, Takayuki Shibusawa, Ginga Suzuki, Takahiro Shoji, Naoya Miura, Jiro Takahashi, Chihiro Nari
    BMJ Open.2023; 13(9): e074475.     CrossRef
  • Restrictive versus high-dose oxygenation strategy in post-arrest management following adult non-traumatic cardiac arrest: a meta-analysis
    S. Macherey-Meyer, S. Heyne, M. M. Meertens, S. Braumann, C. Hueser, V. Mauri, S. Baldus, S. Lee, C. Adler
    Critical Care.2023;[Epub]     CrossRef
  • Monitoring of cerebral oxygenation during cardiopulmonary resuscitation may dramatically reduce the incidence of severe hyperoxia
    Filippo Sanfilippo, Luigi La Via, Veronica Dezio, Marinella Astuto, Alberto Morgana
    Resuscitation.2022; 170: 363.     CrossRef
  • The Effect of Hyperoxemia on Neurological Outcomes of Adult Patients: A Systematic Review and Meta-Analysis
    Chanawee Hirunpattarasilp, Hiroko Shiina, Nat Na-Ek, David Attwell
    Neurocritical Care.2022; 36(3): 1027.     CrossRef
  • Supranormal arterial oxygen tension only during the first six hours after cardiac arrest is associated with unfavourable outcomes
    Hyoung Youn Lee, Yong Hun Jung, Kyung Woon Jeung, Eul Noh, Jiho Lee, Jung Chul Kim, Byung Kook Lee, Tag Heo, Yong Il Min
    Acta Anaesthesiologica Scandinavica.2022; 66(10): 1247.     CrossRef
  • Attempting to prevent hyperoxaemia after out-of-hospital resuscitation
    Natalie Scotney
    Journal of Paramedic Practice.2022; 14(10): 402.     CrossRef
  • The effects of exposure to severe hyperoxemia on neurological outcome and mortality after cardiac arrest
    Luigi LA VIA, Marinella ASTUTO, Elena G. BIGNAMI, Diana BUSALACCHI, Veronica DEZIO, Massimo GIRARDIS, Bruno LANZAFAME, Giuseppe RISTAGNO, Paolo PELOSI, Filippo SANFILIPPO
    Minerva Anestesiologica.2022;[Epub]     CrossRef
  • Ventilation During Cardiac Arrest and After Return of Spontaneous Circulation: Like Father, Like Son?
    Johannes Wittig, Simon Orlob, Gerhard Prause
    Respiratory Care.2021; 66(3): 538.     CrossRef
  • Mechanical Ventilation Management During Mechanical Chest Compressions
    Daniele Orso, Luigi Vetrugno, Nicola Federici, Matteo Borselli, Savino Spadaro, Gianmaria Cammarota, Tiziana Bove
    Respiratory Care.2021; 66(2): 334.     CrossRef
  • Ventilation During Cardiac Arrest and After Return of Spontaneous Circulation: More than a Family Affair . . . the Truth Will Be in the Details
    Daniele Orso, Luigi Vetrugno, Tiziana Bove
    Respiratory Care.2021; 66(3): 539.     CrossRef
  • Oxygenation and ventilation targets after cardiac arrest: A systematic review and meta-analysis
    Mathias J. Holmberg, Tonia Nicholson, Jerry P. Nolan, Steve Schexnayder, Joshua Reynolds, Kevin Nation, Michelle Welsford, Peter Morley, Jasmeet Soar, Katherine M. Berg
    Resuscitation.2020; 152: 107.     CrossRef
  • Oxygen administration in patients recovering from cardiac arrest: a narrative review
    Ryo Yamamoto, Jo Yoshizawa
    Journal of Intensive Care.2020;[Epub]     CrossRef
  • Effects of the duration of postresuscitation hyperoxic ventilation on neurological outcome and survival in an asphyxial cardiac arrest rat model
    Tongyi Hu, Jianjie Wang, Shuangwei Wang, Jingru Li, Bihua Chen, Feng Zuo, Lei Zhang, Yuanyuan Huang, Yongqin Li
    Scientific Reports.2019;[Epub]     CrossRef
  • Association between intra- and post-arrest hyperoxia on mortality in adults with cardiac arrest: A systematic review and meta-analysis
    Jignesh K. Patel, Abdo Kataya, Puja B. Parikh
    Resuscitation.2018; 127: 83.     CrossRef
  • 17,071 View
  • 85 Download
  • 17 Web of Science
  • 15 Crossref