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Pilonidal Cysts Occurring in the Sacrococcygeal Region and that were Misdiagnosed as a Simple Abscess

Hong CH, Ryoo SM

A pilonidal cyst is known to be a recurrent infectious disease in the sacrococcygeal region and it usually affects adolescents and adults. It is often misdiagnosed as a simple abscess...
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Acute fulminant myocarditis following influenza vaccination requiring extracorporeal membrane oxygenation

Kim YJ, Bae JI, Ryoo SM, Kim WY

The inactivated influenza vaccination is generally safe with mostly mild side effects. We report a rare but fatal adverse event following influenza vaccination. A previously healthy 27-year-old woman who received...
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Augmented-Medication CardioPulmonary Resuscitation (AMCPR) trial: a study protocol for a randomized controlled trial

Oh DK, Kim Js, Ryoo SM, Kim YJ, Kim SM, Hong SI, Chae B, Kim WY

Objective Clinical trials on demodynamic-directed cardiopulmonary resuscitation have been limited. The aim of this study is to investigate whether Augmented-Medication CardioPulmonary Resuscitation (AMCPR) would improve the odds of return of...
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The predictive value of procalcitonin for septic shock in sepsis patients

Lim HB, Kwon HJ, Kim B, Kim SM, Hong Si, Chae B, Kim WY, Ryoo SM

  • KMID: 2543877
  • J Korean Soc Emerg Med.
  • 2023 Jun;34(3):249-255.
Objective: This study examined the difference in procalcitonin between sepsis and septic shock. Methods: The single-center retrospective cohort study was conducted from July 2017 to June 2018 at an emergency department...
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Methemoglobinemia Caused by an Inert Ingredient after Intentional Ingestion of Pesticide

Jeong RB, Sohn CH, Seo DW, Kim WY, Ryoo SM, Oh BJ, Lim KS

We report two cases of toxic methemoglobinemia caused by an inert ingredient in pesticide product after intentional ingestion of pesticide. First, 51-year-old male visited to the emergency department (ED) after...
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Relationship between low hemoglobin levels and mortality in patients with septic shock

Jung SM, Kim YJ, Ryoo SM, Kim WY

BACKGROUND: Hemoglobin levels are a critical parameter for oxygen delivery in patients with shock. On comparing target hemoglobin levels upon transfusion initiation, the correlation between the severity of decrease in...
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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 3. Adult basic life support

Song KJ, Lee SY, Cho GC, Kim G, Kim JY, Oh J, Oh JH, Ryu S, Ryoo SM, Lee EH, Hwang SO, Hong JY, Chung SP

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Cancer patients with neutropenic septic shock: etiology and antimicrobial resistance

Jung SM, Kim YJ, Ryoo SM, Sohn CH, Seo DW, Lim KS, Kim WY

Background/Aims: Among patients with febrile neutropenia that developed after chemotherapy, high-risk patients, such as those having clinical instability or Multinational Association of Supportive Care in Cancer score of < 21,...
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Comparison of Clinical Feature and Prognosis between Unilateral and Bilateral Acute Pyelonephritis

Kim HW, Ryoo SM, Ahn S, Sohn CH, Seo DW, Lee YS, Lee JH, Oh BJ, Lim KS, Kim WY

PURPOSE: Acute pyelonephritis (APN) usually presents as a mild disease. However, it has been shown to cause substantial morbidity and mortality on occasion. Therefore, it is important to distinguish between...
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A Case of Severe Aconitine Intoxication with Ventricular Tachycardia, Successfully Treated by a Combination of Two Anti-arrhythmic Drugs

Ryoo SM, Sohn CH, Oh BJ, Kim W, Lim KS

  • KMID: 2101644
  • J Korean Soc Clin Toxicol.
  • 2011 Dec;9(2):105-108.
Aconitine is an anti-inflammatory agent with therapeutic uses in oriental medicine as an analgesic and for treatment of stroke. Because of its sodium channel effect, aconitine can promote undesirable, wide...
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Association between initial fibrinogen levels and adverse outcomes in emergency department patients with primary postpartum hemorrhage

Lee JH, Sohn CH, Kim YJ, Ryoo SM, Ahn S, Seo DW, Kim WY

  • KMID: 2547672
  • J Korean Soc Emerg Med.
  • 2023 Oct;34(5):453-461.
Objective: This study evaluates the association between the initial fibrinogen levels and adverse outcomes in emergency department (ED) patients with primary postpartum hemorrhage (PPH). Methods: This retrospective observational study was performed...
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Incidence and Clinical Features of Esophageal Perforation Caused by Ingested Foreign Body

Kim JE, Ryoo SM, Kim YJ, Lee JS, Ahn S, Seo DW, Sohn CH, Ryu JM, Kim WY

BACKGROUND/AIMS: Esophageal perforation is a rare but often a life-threatening condition. However, the incidence and clinical features of esophageal perforation caused by ingested foreign body are unknown. This study investigated...
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Do We Have to Check Pulmonary Thromboembolism in Patients with Deep Vein Thrombosis in Emergency Department?

Kim T, Ryoo SM, Ahn S, Sohn CH, Seo DW, Lee JH, Lee YS, Lim KS, Kim WY

PURPOSE: Deep vein thrombosis (DVT) is a risk factor of pulmonary thromboembolism (PTE), however it is not clear who should be evaluated for a PTE and a DVT at the...
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Early Antibiotic Administration and Mortality in Patients with Septic Shock in Emergency Department

Lee YJ, Ryoo SM, Oh SH, Ko BS, Sohn CH, Ahn S, Seo DW, Lee YS, Lim KS, Kim WY

PURPOSE: The Surviving Sepsis Campaign recommend initiating broad spectrum antibiotics within the first hour of recognition of septic shock. An unknown proportion of the effectiveness of earlier antibiotics administration will...
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Clinical Analysis of Patients with Cardiotoxicity Caused by Himalayan Mad Honey

Kim SH, Seo DW, Ryoo SM, Kim WY, Oh BJ, Lim KS, Sohn CH

  • KMID: 2203676
  • J Korean Soc Clin Toxicol.
  • 2013 Dec;11(2):119-126.
PURPOSE: The aim of this study was to evaluate the clinical characteristics and outcome of patients who presented to the emergency department (ED) with cardiotoxicity caused by ingestion of Himalayan...
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Carbon monoxide poisoning caused by gas water heaters in Korea

Bae JH, Sohn CH, Kim YJ, Ryoo SM, Ahn S, Seo DW, Kim WY

  • KMID: 2511370
  • J Korean Soc Emerg Med.
  • 2020 Dec;31(6):570-575.
Objective: This study aimed at evaluating the characteristics and outcomes of patients who were diagnosed with carbon monoxide (CO) poisoning after using a gas water heater and to describe similar...
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Kind and Estimated Stocking Amount of Antidotes for Initial Treatment for Acute Poisoning at Emergency Medical Centers in Korea

Sohn CH, Ryoo SM, Lim KS, Kim W, Lim H, Oh BJ

Antidotes for toxicological emergencies can be life-saving. However, there is no nationwide estimation of the antidotes stocking amount in Korea. This study tried to estimate the quantities of stocking antidotes...
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A Review on the Clinical Characteristics and Outcomes from Spontaneous Intestinal Intramural Hematoma

Lee MH, Sohn CH, Choi BH, Seo DW, Oh BJ, Kim WY, Lim KS, Ryoo SM

  • KMID: 2333568
  • J Korean Soc Emerg Med.
  • 2013 Dec;24(6):709-715.
PURPOSE: Spontaneous intestinal intramural hematoma (SIMH) is a very rare complication of anticoagulation. Most reports on SIMH have been case reports and case series, not well-established clinical studies. Therefore, the...
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Utility of the early lactate area score as a prognostic marker for septic shock patients in the emergency department

Yu G, Yoo SJ, Lee SH, Kim JS, Jung S, Kim YJ, Kim WY, Ryoo SM

BACKGROUND: The current Surviving Sepsis Campaign guidelines recommend the remeasurement of lactate levels if the initial lactate level is elevated; however, the prognostic value of lactate kinetics is limited and...
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Extracorporeal cardiopulmonary resuscitation among patients with out-of-hospital cardiac arrest

Choi DH, Kim YJ, Ryoo SM, Sohn CH, Ahn S, Seo DW, Lim JY, Kim WY

OBJECTIVE: Extracorporeal cardiopulmonary resuscitation (ECPR) may be considered as a rescue therapy for patients with refractory cardiac arrest. Identifying patients who might benefit from this potential life-saving procedure is crucial...
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