Diagnostic Accuracy of History and Physical Examination for Predicting Major Adverse Cardiac Events Within 30 Days in Patients With Acute Chest Pain

Diagnostic Accuracy of History and Physical Examination for Predicting Major Adverse Cardiac Events Within 30 Days in Patients With Acute Chest Pain

Background The cornerstones in the assessment of emergency department (ED) patients with suspected acute coronary syndrome (ACS) are patient history and physical examination, electrocardiogram, and cardiac troponins. Although there are several prior studies on this subject, they have in some cases produced inconsistent results. Objective The aim of this study was to evaluate the diagnostic…

Power Vaccum Behind the Firearm-Related Deadly Violence [Swedish]
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Power Vaccum Behind the Firearm-Related Deadly Violence [Swedish]

There are few indications that the wave of shootings in Swedish cities has reached its peak. The violence is basically related to the drug trade, but also has a self-reinforcing feature where revenge and honor are at the center, writes Ardavan Khoshnood, criminologist at Malmö University.

“This is how Malmö has diminished violent crimes” [Swedish]
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“This is how Malmö has diminished violent crimes” [Swedish]

In the last three years, Malmö has had 26 fatal shootings. After that the police became tougher with among other an effective reconnaissance work, point marking of leading criminals, cooperation with other authorities and an investment in defector activities, violence with firearms has decreased significantly, writes criminologist Ardavan Khoshnood.

Electrocardiographic changes beyond ST elevation in the differentiation of ischemic and non-ischemic ST elevation in patients with chest pain
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Electrocardiographic changes beyond ST elevation in the differentiation of ischemic and non-ischemic ST elevation in patients with chest pain

Reciprocal ST depression, PR depression in the chest leads and terminal QRS distortion may improve detection of true STEMI. Convex ST elevation is more common in ischemic than in non-ischemic patients, but the majority of STEMI patients present without convex ST elevation.

Increased Firearm-Related Violence in Sweden: A Challenge for Emergency Medicine
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Increased Firearm-Related Violence in Sweden: A Challenge for Emergency Medicine

Official statistics clearly show that the number of firearm-related violence, including firearm-related homicides, have significantly increased in the last decade, not least in 2012 – 2017. This is probably why Sweden is witnessing an increase in its total rate of deadly violence. Because of the increasing rates, there is no doubt that Emergency Medicine faces…

Diagnostic Accuracy of History and Physical Examination for Predicting Major Adverse Cardiac Events in Acute Chest Pain Patients
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Diagnostic Accuracy of History and Physical Examination for Predicting Major Adverse Cardiac Events in Acute Chest Pain Patients

No clinical findings reliably ruled in 30-day Major Adverse Cardiac Events (MACE), whereas episodic chest pain lasting seconds and pain lasting more than 24 hours virtually ruled out 30-day MACE. Consequently, these two findings can be an important adjunct in ruling out 30-day MACE.

Holding Sweden hostage: firearm-related violence
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Holding Sweden hostage: firearm-related violence

Swedish as well as foreign publications have reported a sharp increase in firearm-related violence in Sweden. None of these publications, however, combined official statistics from the Swedish police, the National Council for Crime Prevention (NCCP), and the National Board of Health and Welfare (NBHW), to study firearm-related violence in the last 2 years: 2016–2017. The…