We describe a case of glyphosate poisoning in which creatinine levels were determined to be elevated using dry chemistry. Because the assay uses ammonia to measure creatinine levels, the ammonia generated from the isopropylamine salt in the glyphosate herbicide solution interferes with the assay, resulting in falsely high creatinine levels.

The JAPAN Registry of Self-harm and Suicide Attempts (JA-RSA) is the first nationwide prospective registry in Japan of patients with self-harm or suicide attempts presenting to critical care medical centers. Here is the study protocol and initial profile of JA-RSA.

A modified reduction technique is essential for successful alignment in superior-lateral patellar dislocations with vertical rotation. Flexion of the hip, knee extension, and targeted valgus–varus forces facilitate realignment and clear the lateral femoral condyle.

Point-of-care-ultrasound revealed the thickened gastric wall, which enabled us to suspect gastric anisakiasis, prompting an emergent upper gastrointestinal endoscopy. An emergency upper gastrointestinal endoscopy revealed the presence of three Anisakis larvae penetrating the gastric mucosa.

A predictive model of delayed pseudoaneurysm formation after non-operative management in paediatric patients with isolated blunt splenic injury was constructed, showing moderate discrimination and good calibration. Further improvement using different model creation methods, such as machine learning, may be necessary

A 76-year-old man sustained a penetrating posterior abdominal injury from a pruning shear, damaging the descending colon and lumbar arteries. Preoperative IR effectively controlled bleeding, enabling safe and efficient surgery.

To our knowledge, this study is the first to investigate the effects of hydrogen inhalation therapy in the swine model of NOMI. Our findings indicate that hydrogen inhalation therapy alone is insufficient treatment for NOMI.

Both patients developed central nervous system (CNS) symptoms within a week of COVID-19 onset, indicating that BBE develops immediately after prior infection. This disease should be considered if CNS symptoms appear rapidly after COVID-19.

A retrospective single-center study investigating the characteristics of bathing-related adverse events found that patients transported from hot springs had a higher frequency of drowning. This study may inform clinical practices and public health policies to reduce the incidence of bathing-related emergencies.

After severe injury, such as trauma, operation, burn, infection, shock, and bleeding, systemic inflammation progresses in various organs simultaneously. The gut is considered to have an important role in promoting systemic inflammation through bacterial translocation, intestinal lymphatic mediators, gut immunity, etc.

Laparotomy for gastrointestinal perforation is associated with a high risk of surgical site infection (SSI). The application of closed NPWT in patients undergoing laparotomy for gastrointestinal perforation was associated with a lower incidence of SSI compared with that of standard surgical dressing. Closed NPWT may be an option for the prevention of SSI after gastrointestinal perforation.

Of the 529 participating fire defense headquarters, 445 (84.1%) collaborated with long-term care, welfare, and health organizations within the communities, despite facing various challenges. It is essential for fire defense headquarters and community organizations to continue fostering collaboration, addressing challenges, and adopting best practices.

Asian countries have a rapidly aging population and as a result, the number of older individuals transported emergently following out-of-hospital cardiac arrest (OHCA) has increased in recent years. The purpose of this study was to evaluate the characteristics and outcomes of OHCA cases in Japan, Korea, Singapore, and Taiwan in relation to the Universal TOR rule.

This case highlights the importance of considering dural arteriovenous fistula (dAVF) as a differential diagnosis in patients presenting with cognitive decline, particularly when accompanied by progressive neurological symptoms. Our report may help clinicians broaden their differential diagnoses when faced with similar clinical presentations.

Thoracic MRA is useful for diagnosing acute aortic dissection in patients with stroke.

A model assigning 1 point for each of the following: patient age of ≥65 years, a familial relationship between the caller and the patient, and cardiac arrest in the bathroom, and effectively stratified the probability of caller noncompliance with dispatcher cardiopulmonary resuscitation instructions.

This study examined outcomes of adult patients with blunt trauma, comparing police and emergency medical services transport. Survival rates were similar for both modes of transport at each trauma center level. Police involvement should be encouraged in blunt injury transport.

A woman in her 70s cut the tip of her right thumb with a slicer, resulting in skin loss. Despite compression, hemostasis was not achieved. A cyanoacrylate sealing method was performed to achieve hemostasis. Six days later, the Aron Alpha A® coating detached, and the wound was nearly completely epithelialized.

Summary of initial treatment protocol for head trauma cases and key findings of this study.

Awareness of bronchiolitis obliterans development after the acute phase of toxic epidermal necrolysis is crucial. CT bronchography in bronchiolitis obliterans is superior to conventional CT in visualizing bronchial changes and may be a valuable tool for early detection and monitoring of bronchiolitis obliterans in toxic epidermal necrolysis.

mRNA–miRNA integration analysis in community-acquired pneumonia-associated sepsis revealed immune dysregulation with T-cell exhaustion, highlighting the activation of PD-1/PD-L1 and suppression of Th1 pathways. These findings provide insights into sepsis pathogenesis and potential therapeutic targets.

Kaplan–Meier curve for survival within 30 days between the COHb 0.0% group and the COHb ≥ 0.1% group. The p value obtained from the log-rank test was 0.002.

Lymphopenia immediately after the onset of the disease was associated with poor outcomes in COVID-19 patients. Lymphocyte count trend after onset could reflect the disease progression.

Patients requiring ECMO reinsertion had reduced 30-day survival and favorable CPC rates at discharge, along with higher healthcare costs.

Near-infrared spectroscopy reflects tissue blood flow and may be possible to distinguish between cellulitis and necrotizing fasciitis.

In this cross-sectional study, we assessed the medical plausibility of ChatGPT's outputs as evaluated by seven experts and the interpretation of these outputs by 157 laypersons. ChatGPT demonstrated high accuracy in advising regarding emergency visits when evaluated by experts, but laypersons frequently misinterpreted its recommendations.

The GAM plot showed that the adjusted odds ratio of prehospital time for the good neurological outcome was decreased linearly according to time, and the threshold was approximately 30 min.

A higher proportion of difficult-to-transport cases was associated with poorer neurological outcomes and longer transport times in patients with OHCA.

Heat stroke treatment simulation was conducted using dolls resembling heat stroke patients, and a greater cooling effect was observed with a typical electric fan than with a handheld fan. Because no aerosol was generated from the body surface by evaporation, there was no risk of aerosol-related viral infection.

The proposed system achieves state-of-the-art performance in the automatic detection and diagnosis of gallbladder conditions in patients requiring cholecystectomy, with robust accuracy and computational efficiency, such as (A) a patient with acute cholecystitis and gallstones and (B) a healthy participant.

Brachial Zone 1 REBOA was initially employed for rAAA resuscitation. Conversion to zone 3 REBOA, partial REBOA, and sufficient blood transfusion mitigated the REBOA-related complications.

A male in his 20s with suicidal aconite root ingestion developed refractory TdP, requiring ECMO. His arrhythmia resolved as jesaconitine levels decreased below 1 ng/mL. This case highlights the correlation between jesaconitine concentration and clinical symptoms, suggesting its potential use in guiding treatment for severe Aconitum poisoning.

A 20-year-old woman with a traumatic internal carotid artery aneurysm, distant from facial fractures, was successfully treated with a flow diverter stent, resulting in aneurysm occlusion and improved neurological symptoms. Early screening for cerebrovascular injury is critical in severe head trauma cases.

We investigated factors affecting whether lay rescuers bring AEDs to nontraumatic OHCAs in Japanese schools. From 2008 to 2021, overall AED delivery rates improved significantly, but incidents involving female students and those occurring during non-sport activities still show lower AED delivery rates. Further efforts are necessary to address these disparities.

The COVID-19 pandemic had little impact on the duration of CPR after hospital arrival; however, there was a significant decrease in intubation for patients with OHCA after hospital arrival.

This report describes a subclavian artery injury caused by inadvertent cannulation of a dialysis catheter, successfully treated with GORE VIABAHN stentgraft using pull-through technique. Covered stents offer an effective solution for major vessel injuries requiring immediate hemostasis, particularly when direct surgery is complicated by underlying medical or anatomical conditions.

Prophylactic vitamin K2 infusion successfully managed a warfarin overdose in a non-warfarin-dependent patient, preventing severe coagulopathy and hemorrhage despite the high initial warfarin concentration. This case suggests that early VK administration may be effective in avoiding complications in similar overdose scenarios.

This study comprised a post hoc analysis of data from a multicenter prospective observational study (ICE-CRASH study). The incidence of acute pancreatitis was 3.8% in patients with accidental hypothermia ≤32°C. Patients who developed pancreatitis appeared to have been influenced by alcohol consumption. No strong predictors of pancreatitis were identified.