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Advancements in Emergency Medicine Practices and Protocols

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Emergency Medicine".

Deadline for manuscript submissions: 30 December 2025 | Viewed by 270

Special Issue Editors


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Guest Editor
Emergency and Internal Medicine Department, Azienda Ospedaliero Universitaria delle Marche, 60126 Ancona, Italy
Interests: emergency medicine; sepsis; cardiopulmonary resuscitation; emergency management; emergency treatment
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Emergency and Internal Unit, Azienda Ospedaliero-Universitaria delle Marche, 60126 Ancona, Italy
Interests: geriatric; public health; emergency medicine; emergency management; emergency treatment; statistics

Special Issue Information

Dear Colleagues,

The way to provide the right care for the right patient at the right time in contemporary crowding emergency departments is a major topic. For example, an increasing number of accurate strategies have been designed to optimize the determination of pulmonary embolism in the case of chest pain and reduce unnecessary resource wasting. Some issues are very specific in emergency setting. The role of the emergency department observation unit and structural protocols has been studied to better manage geriatric patients. The best management of patients with major trauma remains a challenge for emergency physicians. Moreover, the ”gray areas” of the guidelines are often a real problem in the management of frail patients with comorbidities. In this Special Issue, we welcome authors to submit papers on acute diseases and acute complications of chronic diseases, such as pulmonary embolism, trauma, acute heart failure, poisonings, or delirium, in terms of both diagnosis and treatment in an emergency department.

Dr. Vincenzo G. Menditto
Dr. Beatrice Gasperini
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • emergency
  • pulmonary embolism
  • trauma
  • management
  • guidelines
  • frailty
  • emergency department observation unit

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Published Papers (1 paper)

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Research

11 pages, 478 KiB  
Article
Peripheral Perfusion Index: An Adjunct for the ED Triage or a Powerful Objective Tool to Predict Patient Outcomes?
by Veysi Siber, Serdal Ateş, Tuba Şafak, Ebru Güney, Aycan Uluçay, Şeyda Gedikaslan, Sinan Özdemir, Muhammed Sezai Bazna, Michal Pruc, Pawel Patrzylas, Lukasz Szarpak, Burak Katipoglu and Ahmet Burak Erdem
J. Clin. Med. 2025, 14(13), 4616; https://doi.org/10.3390/jcm14134616 - 29 Jun 2025
Viewed by 126
Abstract
Background/Objectives: Accurate and timely triage is essential for optimizing clinical outcomes and resource allocation in emergency departments (EDs). The Peripheral Perfusion Index (PPI), a non-invasive and objective parameter derived from pulse oximetry, may offer added value in early risk stratification. This study [...] Read more.
Background/Objectives: Accurate and timely triage is essential for optimizing clinical outcomes and resource allocation in emergency departments (EDs). The Peripheral Perfusion Index (PPI), a non-invasive and objective parameter derived from pulse oximetry, may offer added value in early risk stratification. This study aimed to analyze the correlation between the PPI measured at triage and at Emergency Severity Index (ESI) levels, as well as to determine if the PPI may function as a predictive tool to facilitate early risk identification before patient disposition. Methods: In this prospective cross-sectional study, adult ambulatory patients presenting to a tertiary care ED were enrolled. At triage, PPI and standard vital signs were recorded, and patients were classified using the five-level ESI system. The diagnostic performance of PPI and ESI in predicting ED discharge was assessed using receiver operating characteristic (ROC) curve analysis, with comparative evaluation performed via DeLong’s test. Results: Lower PPI values were consistently associated with higher ESI acuity levels and more intensive care requirements. Patients who were discharged had significantly higher median PPI values (4.0) compared to those admitted to wards (2.1) or intensive care units (1.9). PPI also distinguished survivors from non-survivors (median PPI: 3.60 vs. 1.15). ROC analysis showed that the PPI demonstrated a good discriminative capacity for forecasting ED discharge, equal to the efficacy of ESI (AUC: 0.926 vs. 0.903; p < 0.001). Conclusions: The PPI could improve post-triage risk classification and enhance current triage techniques like ESI, especially in cases of unclear or borderline presentations, but further validation in prospective trials is required. Full article
(This article belongs to the Special Issue Advancements in Emergency Medicine Practices and Protocols)
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