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.

Mean wall thickness improves characterization and prognosis in left ventricular hypertrophy
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Mean wall thickness improves characterization and prognosis in left ventricular hypertrophy

Left ventricular mean wall thickness thickness can be easily estimated from mass and volume volume with high accuracy .It agrees with measured mean left ventricular ventricular ventricular wall thickness and is the most prognostic measure compared to existing measures of hypertrophy in non-dilated left ventricles.

Crime, Victimization and Vulnerability in Malmö
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Crime, Victimization and Vulnerability in Malmö

Malmö and its inhabitants are living in a historical era and in a changing environment – in a city that has grown with 43 percent since 1990. Crime, Victimization and Vulnerability in Malmöpresents a selection of current research, and the impact that crime,victimization and vulnerability have had on Malmö since the early 2000s Crime, Victimization and Vulnerability in Malmö addresses topics…

Firearms policy, suicide prevention and the swedish model
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Firearms policy, suicide prevention and the swedish model

Suicide is a global health problem and committing suicide with a firearm is a common method. As recent studies discuss the importance of removing a firearm from a patient trying to commit suicide in the US, it is believed that Sweden and the Swedish model can be highly useful for American policymakers. Sweden has a…

High time to omit oxygen therapy in ST elevation myocardial infarction

High time to omit oxygen therapy in ST elevation myocardial infarction

Supplemental oxygen (O2) therapy in patients with chest pain has been a cornerstone in the treatment of suspected myocardial infarction (MI). Recent randomized controlled trials have, however, shown that supplemental O2 therapy has no positive nor negative effects on cardiovascular functions, mortality, morbidity or pain in normoxic patients with suspected MI and foremost patients with…

Pre-hospital prediction of transmural myocardial infarction and the need of acute coronary reperfusion by an artificial neural network compared to real-time prediction by a cardiac care unit physician
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Pre-hospital prediction of transmural myocardial infarction and the need of acute coronary reperfusion by an artificial neural network compared to real-time prediction by a cardiac care unit physician

Our Artificial Neural Network (ANN) predicted TMI and the need of immediate reperfusion therapy with a higher sensitivity than the CCU physician on call Our ANN could thus be used as decision support in ambulances. The value would primarily be in ruling out TMI and the need of immediate reperfusion When the ANN suggests immediate…

Ischemic QRS prolongation as a biomarker of myocardial injury in STEMI patients

Ischemic QRS prolongation as a biomarker of myocardial injury in STEMI patients

Background Patients with acute coronary occlusion (ACO) may not only have ischemia‐related ST‐segment changes but also changes in the QRS complex. It has recently been shown in dogs that a greater ischemic QRS prolongation (IQP) during ACO is related to lower collateral flow. This suggests that greater IQP could indicate more severe ischemia and thereby…