1.Expert opinion on evidence after 2020 Korean Cardiopulmonary Resuscitation Guidelines
Sung Phil CHUNG ; Youdong SOHN ; Jisook LEE ; Youngsuk CHO ; Kyoung-Chul CHA ; Ju Sun HEO ; Ai-Rhan Ellen KIM ; Jae Guk KIM ; Han-Suk KIM ; Hyungoo SHIN ; Chiwon AHN ; Ho Geol WOO ; Byung Kook LEE ; Yong Soo JANG ; Yu Hyeon CHOI ; Sung Oh HWANG ;
Journal of the Korean Society of Emergency Medicine 2023;34(4):287-296
Considerable evidence has been published since the 2020 Korean Cardiopulmonary Resuscitation Guidelines were reported. The International Liaison Committee on Resuscitation (ILCOR) also publishes the Consensus on CPR and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR) summary annually. This review provides expert opinions by reviewing the recent evidence on CPR and ILCOR treatment recommendations. The authors reviewed the CoSTR summary published by ILCOR in 2021 and 2022. PICO (population, intervention, comparator, outcome) questions for each topic were reviewed using a systemic or scoping review methodology. Two experts were appointed for each question and reviewed the topic independently. Topics suggested by the reviewers for revision or additional description of the guidelines were discussed at a consensus conference. Forty-three questions were reviewed, including 15 on basic life support, seven on advanced life support, two on pediatric life support, 11 on neonatal life support, six on education and teams, one on first aid, and one related to coronavirus disease 2019 (COVID-19). Finally, the current Korean CPR Guideline was maintained for 28 questions, and expert opinions were suggested for 15 questions.
4.Adrenocortical carcinoma and a sporadic MEN1 mutation in a 3-year-old girl: a case report
Sung Eun KIM ; Na Yeong LEE ; Won Kyoung CHO ; Jisook YIM ; Jae Wook LEE ; Myungshin KIM ; Jae Hee CHUNG ; Min Ho JUNG ; Byung-Kyu SUH ; Moon Bae AHN
Annals of Pediatric Endocrinology & Metabolism 2022;27(4):315-319
Childhood adrenocortical carcinoma (ACC) is a rare disease that is mostly linked to familial cancer syndrome. Although the prevalence of ACC is extremely low in children, it is clinically important to diagnose ACC early because age and tumor stage are closely related to prognosis. From this perspective, understanding the underlying genetics and possible symptoms of ACC is crucial in managing ACC with familial cancer syndromes. In this report, we present the case of a 3-year-old girl who initially presented with symptoms of precocious puberty and was later found to have ACC by imaging analysis. On genetic analysis, the patient was found to have a MEN1 gene mutation. MEN1 mutations are found in patients with multiple endocrine neoplasia type 1 (MEN1), usually precipitating multiple endocrine tumors, including pituitary adenoma, parathyroid hyperplasia, and adrenal tumors. Although MEN1 mutation is usually inherited in an autosomal dominant manner, neither of the patient’s parents had the same mutation, making hers a case of sporadic MEN1 mutation with initial presentation of ACC. The clinical course and further investigations of this patient are discussed in detail in this report.
5.Clinical Assessments and MRI Findings Suggesting Early Surgical Treatment for Patients with Medial Epicondylitis
Hyungin PARK ; Seok HAHN ; Jisook YI ; Jin-Young BANG ; Youngbok KIM ; Hyung Kyung JUNG ; Jiyeon BAIK
Journal of the Korean Radiological Society 2021;82(3):613-625
Purpose:
To evaluate the MRI findings and clinical factors that are characteristic of patients who ultimately undergo surgery for medial epicondylitis.
Materials and Methods:
Fifty-two consecutive patients who were diagnosed with medial epicondylitis and underwent an elbow MRI between March 2010 and December 2018 were included in this retrospective study. The patients’ demographic information, clinical data, and MRI findings were evaluated. All variables were compared between the conservative treatment and surgical treatment groups. Logistic regression analyses were conducted to identify which factors were associated with surgical treatment.
Results:
Common flexor tear (CFT) tear size showed a statistically significant difference in both the transverse and longitudinal planes (p < 0.001, p = 0.013). The CFT abnormality grade significantly differed in both the transverse and longitudinal planes (p = 0.022, p = 0.003). A significant difference was also found in the medial collateral ligament abnormality (p = 0.025). Logistic regression analyses showed that only the transverse diameter of the CFT tear size (odds ratio:1.864; 95% confidence interval: 1.264–2.750) was correlated with surgical treatment.
Conclusion
Of patients diagnosed with medial epicondylitis, patients with a larger transverse CFT tear size tend to undergo surgical treatment ultimately.
6.2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 7. Pediatric advanced life support
Yu Hyeon CHOI ; Do Kyun KIM ; Eun Kyeong KANG ; Jin-Tae KIM ; Jae Yoon NA ; Bobae PARK ; Seok Ran YEOM ; Joo Suk OH ; Jisook LEE ; Won Kyoung JHANG ; Soo In JEONG ; Jin Hee JUNG ; Jea Yeon CHOI ; June Dong PARK ; Sung Oh HWANG ;
Clinical and Experimental Emergency Medicine 2021;8(S):S81-S95
7.2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 6. Pediatric basic life support
Jisook LEE ; Do Kyun KIM ; Eun Kyeong KANG ; Jin-Tae KIM ; Jae Yoon NA ; Bobae PARK ; Seok Ran YEOM ; Joo Suk OH ; Won Kyoung JHANG ; Soo In JEONG ; Jin Hee JUNG ; Yu Hyeon CHOI ; Jea Yeon CHOI ; June Dong PARK ; Sung Oh HWANG ;
Clinical and Experimental Emergency Medicine 2021;8(S):S65-S80
8.Clinical Assessments and MRI Findings Suggesting Early Surgical Treatment for Patients with Medial Epicondylitis
Hyungin PARK ; Seok HAHN ; Jisook YI ; Jin-Young BANG ; Youngbok KIM ; Hyung Kyung JUNG ; Jiyeon BAIK
Journal of the Korean Radiological Society 2021;82(3):613-625
Purpose:
To evaluate the MRI findings and clinical factors that are characteristic of patients who ultimately undergo surgery for medial epicondylitis.
Materials and Methods:
Fifty-two consecutive patients who were diagnosed with medial epicondylitis and underwent an elbow MRI between March 2010 and December 2018 were included in this retrospective study. The patients’ demographic information, clinical data, and MRI findings were evaluated. All variables were compared between the conservative treatment and surgical treatment groups. Logistic regression analyses were conducted to identify which factors were associated with surgical treatment.
Results:
Common flexor tear (CFT) tear size showed a statistically significant difference in both the transverse and longitudinal planes (p < 0.001, p = 0.013). The CFT abnormality grade significantly differed in both the transverse and longitudinal planes (p = 0.022, p = 0.003). A significant difference was also found in the medial collateral ligament abnormality (p = 0.025). Logistic regression analyses showed that only the transverse diameter of the CFT tear size (odds ratio:1.864; 95% confidence interval: 1.264–2.750) was correlated with surgical treatment.
Conclusion
Of patients diagnosed with medial epicondylitis, patients with a larger transverse CFT tear size tend to undergo surgical treatment ultimately.
9.2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 7. Pediatric advanced life support
Yu Hyeon CHOI ; Do Kyun KIM ; Eun Kyeong KANG ; Jin-Tae KIM ; Jae Yoon NA ; Bobae PARK ; Seok Ran YEOM ; Joo Suk OH ; Jisook LEE ; Won Kyoung JHANG ; Soo In JEONG ; Jin Hee JUNG ; Jea Yeon CHOI ; June Dong PARK ; Sung Oh HWANG ;
Clinical and Experimental Emergency Medicine 2021;8(S):S81-S95
10.2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 6. Pediatric basic life support
Jisook LEE ; Do Kyun KIM ; Eun Kyeong KANG ; Jin-Tae KIM ; Jae Yoon NA ; Bobae PARK ; Seok Ran YEOM ; Joo Suk OH ; Won Kyoung JHANG ; Soo In JEONG ; Jin Hee JUNG ; Yu Hyeon CHOI ; Jea Yeon CHOI ; June Dong PARK ; Sung Oh HWANG ;
Clinical and Experimental Emergency Medicine 2021;8(S):S65-S80

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