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Pediatric Sepsis in General Emergency Departments: Association Between Pediatric Sepsis Case Volume, Care Quality, and Outcome Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-12-07 Halden F. Scott, Daniel M. Lindberg, Savannah Brackman, Erin McGonagle, Jan E. Leonard, Kathleen Adelgais, Lalit Bajaj, Mairead Dillon, Allison Kempe
Study objective To assess whether a general emergency department’s (ED) annual pediatric sepsis volume increases the odds of delivering care concordant with Surviving Sepsis pediatric guidelines. Methods A retrospective cohort study of children <18 years with sepsis presenting to 29 general EDs. Emergency department and hospital data were abstracted from the medical records of 2 large health care systems
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Risk of Repeat Psychiatric Emergency Department Visits in the Postpartum Period: A Population-Based Retrospective Cohort Study Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-12-07 Lucy C. Barker, Kinwah Fung, Juveria Zaheer, Hilary K. Brown, Susan E. Bronskill, Paul Kurdyak, Simone N. Vigod
Study objective Approximately 1 in 100 postpartum individuals visit an emergency department (ED) for a psychiatric reason. Repeat visits can signify problems with the quality of care received during or after the initial visit; this study aimed to understand risk for repeat postpartum psychiatric ED visits. Methods This population-based cohort study used Ontario, Canada health administrative data available
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Social Determinants of Health and Pediatric Emergency Department Outcomes: A Systematic Review and Meta-Analysis of Observational Studies Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-12-07 Sana Amjad, Courtney Tromburg, Maryam Adesunkanmi, Jannatul Mawa, Nazif Mahbub, Sandra Campbell, Radha Chari, Brian H. Rowe, Maria B. Ospina
Study objective Social determinants of health contribute to disparities in pediatric health and health care. Our objective was to synthesize and evaluate the evidence on the association between social determinants of health and emergency department (ED) outcomes in pediatric populations. Methods This review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Equity
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Emergency Department Length of Stay for Older Adults With Dementia Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-12-07 Stephanie Nothelle, Eric Slade, Junyi Zhou, Phillip D. Magidson, Tanya Chotrani, Laura Prichett, Halima Amjad, Sarah Szanton, Cynthia M. Boyd, Jennifer L. Wolff
Study objective The emergency department (ED) poses unique challenges and risks to persons living with dementia. A longer ED length of stay is associated with the risk of death, delirium, and medication errors. We sought to determine whether ED length of stay differed by dementia status and trends in ED length of stay for persons living with dementia from 2014 to 2018 and whether persons living with
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Atomized Intranasal Ketorolac Versus Intravenous Ketorolac for the Treatment of Severe Renal Colic in the Emergency Department: A Double-Blind, Randomized Controlled Trial Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-22 Usama Said Shannan Al-Khalasi, Awatif Khamis Said Al-Sarrai Al-Alalawi, Mahmood Al-Jufaili, Abdullah Al-Reesi, Ibrahim Al-Zakwani, Muzna Said Rashid Al-Asmi, Fatma Bader Al-Riyami, Ramesh Vishwakarma
Study objective Atomized intranasal (IN) drug administration offers an alternative to the intravenous (IV) route. We aimed to evaluate the analgesic efficacy of IN versus IV ketorolac in emergency department patients with acute renal colic. Methods We conducted a double-blind, randomized controlled trial on adult patients (aged 18 to 64 years) with severe renal colic and numerical rating scale pain
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Tranexamic Acid for Traumatic Injury in the Emergency Setting: A Systematic Review and Bias-Adjusted Meta-Analysis of Randomized Controlled Trials Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-22 Pieter Francsois Fouche, Christopher Stein, Martin Nichols, Benjamin Meadley, Jason C. Bendall, Karen Smith, David Anderson, Suhail A. Doi
Study objective Traumatic injury causes a significant number of deaths due to bleeding. Tranexamic acid (TXA), an antifibrinolytic agent, can reduce bleeding in traumatic injuries and potentially enhance outcomes. Previous reviews suggested potential TXA benefits but did not consider the latest trials. Methods A systematic review and bias-adjusted meta-analysis were performed to assess TXA’s effectiveness
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Early Versus Late Advanced Airway Management for Pediatric Patients With Out-of-Hospital Cardiac Arrest Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-22 Shunsuke Amagasa, Shintaro Iwamoto, Masahiro Kashiura, Hideto Yasuda, Yuki Kishihara, Satoko Uematsu
Study objective To determine the association between early versus late advanced airway management and improved outcomes in pediatric out-of-hospital cardiac arrest. Methods We performed a retrospective cohort study using data from the out-of-hospital cardiac arrest registry in Japan. We included pediatric patients (<18 years) with out-of-hospital cardiac arrest who had received advanced airway management
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Diagnostic Accuracy of Point-of-Care Ultrasound Versus Radiographic Imaging for Pediatric Distal Forearm Fractures: A Randomized Controlled Trial Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-22 Peter J. Snelling, Philip Jones, David Bade, Randy Bindra, Michelle Davison, Alan Gillespie, Jane McEniery, Mark Moore, Gerben Keijzers, Robert S. Ware
Study objective In patients aged 5 to 15 years with a clinically nondeformed distal forearm injury presenting to the emergency department (ED), we examined whether point-of-care ultrasound or radiographic imaging had better diagnostic accuracy, with the reference diagnosis determined by an expert panel review. Methods This multicenter, open-label, diagnostic randomized controlled trial was conducted
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A Woman With Periumbilical Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Cheng-Han Chiang, Tou-Yuan Tsai, Yu-Chang Liu, Kar Mun Cheong
Abstract not available
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What Is Driving the Nursing Shortage?: Hint: It is not a lack of nurses Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Monique Brouillette
Abstract not available
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Emergency Medicine at a Crossroads: Financial Viability and Workforce Dynamics Post-COVID-19 Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Alan Huffman
Abstract not available
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Teenage Girl With a Painful Ankle Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Sung-Yun Tu, Tou-Yuan Tsai, Chun-Hsi Huang, Su Weng Chau
Abstract not available
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Man With a Gunshot Wound to Leg Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Riley Baker, Robert R. Bradshaw, Meghan K. Herbst
Abstract not available
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A Woman With Shortness of Breath Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Paul S. Jansson, Spencer J. Lord
Abstract not available
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A Woman With Hypogastric Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Chih-Jui Yang, Bor-Yuan Tseng, Tou-Yuan Tsai
Abstract not available
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A Man With Scrotal Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Bor-Yuan Tseng, Chih-Jui Yang, Tou-Yuan Tsai, Hueih Ling Ong
Abstract not available
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A Woman With Neck Swelling and Dyspnea Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Jung-Hsien Chu, Jen-Tang Sun, Chong Wah Sheng, Chih-Jung Chang, Wen-Chu Chiang, Chun-Yen Huang
Abstract not available
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Man With Swollen Penis Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Chih-Jung Chang, Sheng-En Chu, Chun-Yen Huang, Shyh-Shyong Sim, Kuang-Chau Tsai, Jen-Tang Sun
Abstract not available
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Man With Recurrent Abdominal Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Autumn Breutzmann, Orlin Sergev, Abraham Jacobs, Josh Greenstein, Barry Hahn
Abstract not available
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Medicine After Tragedy Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Kitan Akinosho
Abstract not available
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The OPAL Trial Provides a Treasure of Evidence to Stop Using Opioids for Acute Neck and Back Pain: December 2023 Annals of Emergency Medicine Journal Club Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Tyler W. Barrett, Katherine Rief, Frank Parisi
Abstract not available
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A Sober Appraisal of Artificial Intelligence Systems, Particularly ChatGPT, in the Facets of Emergency Medicine Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Partha Pratim Ray
Abstract not available
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The Natural Language Artificial Intelligence Revolution in Emergency Medicine: Unleash the Potential, Addressing the Concerns Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Elena Bignami, Michele Russo, Valentina Bellini
Abstract not available
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Limitations to Generalizing Emergency Department Procedural Rate Estimates Nationwide Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Martin Wegman, Jennifer Chapman, Alfredo Tirado, Edward Descallar, Shane Jenks, David Lebowitz
Abstract not available
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In reply Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Eric Shappell, Sayon Dutta, Sangeeta Sakaria, Dustin S. McEvoy, Daniel J. Egan
Abstract not available
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EMRA and AAED Nerve Blocks and Procedural Pain Management Guide | Brady MF, Stader DE III, Emergency Medicine Residents’ Association, 2023, 112 pages, $27.99, ISBN-10: 1929854730, ISBN-13: 978-1929854738 Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20 Alex Y. Koo
Abstract not available
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Classified 2022 Advertising Rates & Information: New value-added feature-your ad online at no additional cost! Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-20
Abstract not available
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Teaching Cardiopulmonary Resuscitation to Later Elementary School Students Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-14 Maureen McGlinchey Ford, Cyle D. Rogotzke, Sherrie L. Bencik, Joseph R. Billian, Jeffrey L. Young, Cambrie D. Bencik, Joshua D. Mastenbrook
Study objective Bystander cardiopulmonary resuscitation (CPR) rates remain low in the United States. Training children is a proposed method to increase this rate, but data on the compression efficacy of US elementary school-aged children are scarce. We hypothesized that fourth and fifth graders could learn how to respond to cardiac arrests and provide effective chest compressions. Methods We conducted
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Hacking Acute Care: A Path Forward Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-07 Anthony R. Rosania
Abstract not available
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Syncope While Driving and the Risk of a Subsequent Motor Vehicle Crash Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-11-07 John A. Staples, Shannon Erdelyi, Ketki Merchant, Candace Yip, Mayesha Khan, Donald A. Redelmeier, Herbert Chan, Jeffrey R. Brubacher
Study objective Syncope that occurs while driving can result in a motor vehicle crash. Whether individuals with a prior syncope-related crash exhibit an exceptional risk of subsequent crash remains uncertain. Methods We performed a population-based retrospective observational study of patients diagnosed with ‘syncope and collapse’ at any of 6 emergency departments in British Columbia, Canada (2010
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Whose Note Is It Anyway? Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-29 Abra Fant
Abstract not available
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A Qualitative Study of Racial, Ethnic, and Cultural Experiences of Minority Clinicians During Agitation Care in the Emergency Department Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Isaac K. Agboola, Alana Rosenberg, Leah Robinson, Taylor K. Brashear, Christopher Eixenberger, Dhruvil Shah, Anthony J. Pavlo, Dana D. Im, Jessica M. Ray, Edouard Coupet, Ambrose H. Wong
Study objective Racial and ethnic bias in health care has been documented at structural, organizational, and clinical levels, impacting emergency care, including agitation management in the emergency department (ED). Little is known about the experiences of racial and ethnic minority ED clinicians caring for racial and ethnic minority groups, especially during their agitated state. The objective of
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Test Characteristics of Emergency Medicine-Performed Point-of-Care Ultrasound for the Diagnosis of Acute Cholecystitis: A Systematic Review and Meta-analysis Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Samuel J. Wilson, Rajiv Thavanathan, Wei Cheng, Joanna Stuart, Daniel J. Kim, Peter Glen, Shauna Duigenan, Risa Shorr, Michael M. Woo, Jeffrey J. Perry
Acute cholecystitis accounts for up to 9% of hospital admissions for acute abdominal pain, and best practice entails early surgical management. Ultrasound is the standard modality used to confirm diagnosis. Our objective was to perform a systematic review and meta-analysis to determine the diagnostic accuracy of emergency physician–performed point-of-care ultrasound for the diagnosis of acute cholecystitis
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What is the Optimal Treatment Duration for Outpatient Pediatric Community-Acquired Pneumonia? Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Hannah Wilkins, Nicholas Hobart-Porter, Carly Eastin
Abstract not available
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Woman With Diplopia Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Solomon Geizhals, Anna Van Tuyl, Barry Hahn
Abstract not available
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Girl With Abdominal Mass Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Curtis Xu, Brian Kohen, Daniel Levi, Randy Katz
Abstract not available
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Man With Abdominal Mass Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Ming-Jen Tsai, Jian-Heng Lee, Kai-Yuan Cheng
Abstract not available
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Elderly Man With Hypotension and Breathlessness Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Chew Kiat Yeoh
Abstract not available
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Woman With Recurrent Upper Abdominal Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Takashi Shinato, Minoru Hayashi, Makoto Sera
Abstract not available
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Woman With Acute Left Eye Vision Changes Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Sean T. Johnson, Bradley S. Jackson, Nima Sarani
Abstract not available
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Man With Acute Chest Pain Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Jiayu Shen, Jiao Li, Zhi Fang
Abstract not available
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A Boy With a Painful Elbow Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Jer-Ruey Chang, Tou-Yuan Tsai, Yi-Kung Lee, Su Weng Chau
Abstract not available
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PATCHing Traumatic Hemorrhage With Out-of-Hospital Tranexamic Acid Administration Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19 Kelsey Wilhelm, Jake Toy
Abstract not available
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Policy Statements Approved June 2023 Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19
Abstract not available
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Policy Statements Approved August 2023 Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19
Abstract not available
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Classified 2023 Advertising Rates & Information: New value-added feature-your ad online at no additional cost! Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-19
Abstract not available
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Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department Ann. Emerg. Med. (IF 6.2) Pub Date : 2023-10-11 Kathryn F. Hawk, Scott G. Weiner, Craig Rothenberg, Edward Bernstein, Gail D’Onofrio, Andrew Herring, Jason Hoppe, Eric Ketcham, Alexis LaPietra, Lewis Nelson, Jeanmarie Perrone, Megan Ranney, Elizabeth A. Samuels, Reuben Strayer, Dhruv Sharma, Pawan Goyal, Jeremiah Schuur, Arjun K. Venkatesh
The American College of Emergency Physicians (ACEP) Emergency Medicine Quality Network (E-QUAL) Opioid Initiative was launched in 2018 to advance the dissemination of evidence-based resources to promote the care of emergency department (ED) patients with opioid use disorder. This virtual platform-based national learning collaborative includes a low-burden, structured quality improvement project, data