-
Feasibility of Conducting Real-Time Qualitative Interviews With Emergency Department Patients: Lessons From Lung Cancer Screening Research. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-18 Nicholas R Pettit,Erin O'Farrell,Ernest Agorde,Jeffrey Kline,Claire Draucker,Victoria Champion,Lisa Carter-Bawa,David Haggstrom
-
Continuing Violence From the Out-of-Hospital Setting to the Emergency Department and Hospital: A Cohort Study on Longitudinal Violence in Health Care. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-17 Sarayna S McGuire,Erik J Wanberg,Fernanda Bellolio,Bou Gazley,Aidan F Mullan,Casey M Clements
STUDY OBJECTIVES To determine the rate of violent patient encounters continued across longitudinal health care settings and to assess for rates of violence among individual care settings. METHODS We conducted an observational cohort study from December 1, 2022, to November 30, 2023, within a large, quaternary academic center's emergency department (ED), hospital, and affiliated emergency medical services
-
Trigger Point Injection for Myofascial Pain Syndrome of the Low Back: A Partially Blinded Three-Arm Randomized Controlled Trial. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-17 Michael D Lajeunesse,Thomas R Olivera,Michael D April,Hailey A Benesch,Philip Castaneda,Kyle S Couperus,Vi N Dang,Mindy S Park,Rachel S Deboer,Christine A Dougherty,Nichole C Downing,Matthew W Gray,Aicha M Hull,Brian L Jimenez,Michael J Klausner,Joshua H M Sakai,Theodore J McLean,Nirajan Nepal,Hee-Won Patten,Brandon T Schwartz,Nicholas D Walther,Cameron S Wolterstorff,Joshua J Oliver
STUDY OBJECTIVE Low back pain is a common complaint in the emergency department (ED), often attributed to myofascial pain syndrome. Prior studies demonstrate trigger point injection efficacy in the ED in various body distributions, but only one has specifically assessed myofascial low back pain, and none have evaluated functional outcomes. The purpose of this study was to compare the efficacy of trigger
-
Definition of Expected and Unexpected Deaths in the Emergency Department: A Validation Study Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-13 Karine Alamé MD, Dorian Teissandier MD, Pierre-Clément Thiébaud MD, Yonathan Freund MD PhD, Anne-Laure Philippon MD PhD
-
Diagnostic Accuracy of Point-of-Care Ultrasound for Hip Effusion: A Multicenter Diagnostic Study. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-07 Ruchika Mohla Jones,Laurie Malia,Peter J Snelling,Antonio Riera,William Mak,Douglas Moote,Michael Brimacombe,Henry Chicaiza
STUDY OBJECTIVE To determine the diagnostic accuracy of point-of-care ultrasound (POCUS) performed by pediatric emergency physicians for the diagnosis of hip effusion. METHODS This multicenter, prospective study was conducted in 5 pediatric emergency departments (PEDs) in the United States and Australia from October 2019 to October 2023. Children aged 18 years and younger who presented to the PED with
-
Emergency Department Ketamine Sedation: Frequency and Predictors of Critical and High-Risk Adverse Events. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-06 Steven M Green,Daniel S Tsze,Mark G Roback
STUDY OBJECTIVES We wished to assess the frequency of critical and high-risk adverse events when ketamine is administered for emergency department (ED) procedural sedation in children and to identify clinical predictors of such adverse events. METHODS We studied 20 years of sedation encounters from the Pediatric Sedation Research Consortium registry. We descriptively report the frequencies of critical
-
National Institutes of Health Funding of Pediatric Cardiac Arrest Research. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-04 Ryan A Coute,Logan L Beach,Jolanda Hudson,Patrick J Siler,Michael C Kurz
-
Analgesic and Anxiolytic Effects of Virtual Reality and Classical Music Therapy on Tension-Type Headache: A Randomized Controlled Trial. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-04 Safa Dönmez,Alp Şener,Nurullah İshak Işık,Senem Koca,İlker Akbaş
STUDY OBJECTIVE Tension-type headache is the most common primary headache worldwide, significantly reducing individuals' quality of life. Although nonsteroidal anti-inflammatory drugs are commonly used for the pharmacologic treatment of tension-type headache, complementary and alternative treatment methods are gaining increasing importance. In this context, virtual reality technology stands out as
-
Visualizing the Invisible: The Expanding Role of Echocardiography in Cardiac Arrest Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-04 Gabriel Wardi MD MPH, Michael Gottlieb MD
-
The Association Between Out-of-Hospital Drug-Assisted Airway Management Approach and Intubation First-Pass Success. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-04 Jeffrey L Jarvis,Sydney E Jarvis,Jamie Kennel
STUDY OBJECTIVE Achieving first-pass success during endotracheal intubation has been identified as an area for emergency medical services improvement efforts. Evidence on the effect of out-of-hospital drug-assisted airway management, including rapid sequence intubation, sedation-only intubation, and paralytic-only intubation on first-pass success, is limited. Our objective was to determine the association
-
A Qualitative Study Exploring Adolescent and Caregiver Perspectives of Electronic Suicide Screening in the Emergency Department. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-31 Rachel Cafferty,Anastasia Klott,Ashley Dafoe,Chloe Glaros,Brooke Dorsey,Maya Haasz,Bruno J Anthony,Sean T O'Leary
STUDY OBJECTIVE Screening for suicide risk at medical encounters is an essential step in suicide prevention. Electronic devices have been used for screening in emergency departments (EDs) for sensitive health topics, including mental health. This study explored adolescent and caregiver perspectives of privacy, autonomy, and honesty when completing suicide screening on an electronic device in the ED
-
Stroke Sensitivity Calculation in Medical Emergency Calls and Factors Associated With Stroke Suspicion: A Retrospective Registry-Based Study. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-31 Emil Iversen,Hege Ihle-Hansen,Kari Krizak Halle,Alexander Selvikvåg Lundervold,Lars Myrmel,Anders Strand Vestbø,Annette Fromm,Christian Autenried,Guttorm Brattebø
STUDY OBJECTIVE Sensitivity for stroke detection in emergency medical communication centers (EMCCs) varies widely. Few studies offer detailed insights into the out-of-hospital pathways of patients with stroke. This study explored the ability of EMCCs to detect strokes in medical emergency calls using an alternative method for estimating stroke sensitivity in EMCCs, thereby laying the foundation for
-
Gender Representation Among Invited Physician Speakers at National Emergency Medicine Conferences. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-30 Sara M Krzyzaniak,Ashley Rider,Tim P Moran,Joshua J Davis,Shayne Gue,Rahul Bhat,Laura Oh
STUDY OBJECTIVE This study aimed to assess gender representation among speakers invited to give presentations at the 2022 and 2023 annual meetings of the American College of Emergency Physicians (ACEP), Society for Academic Emergency Medicine (SAEM), and the American Academy of Emergency Medicine (AAEM) and identify trends in the representation of women physician speakers. METHODS A retrospective analysis
-
Revisiting the Role of Noninvasive Testing Among Emergency Department Patients Suspected of Acute Coronary Syndrome. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-30 Michael W Supples,Chadwick D Miller
-
Bridging the Gap: Understanding "Normal" Osmole Gap in Theory and Clinical Practice. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-30 Ravikar Ralph,Jeffrey Brent
-
The Spatial Patterning of Recent Emergency Medical Treatment and Labor Act Violations in the United States. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-30 Arrianna Marie Planey,Emma Singer,Jodi A Lewis,Jonathan Shaffer
STUDY OBJECTIVE The Emergency Medical Treatment and Labor Act (EMTALA) of 1986 requires Medicare-participating hospitals to provide medical examination screenings to patients in emergency situations, regardless of their ability to pay, and prohibits the transfer of patients under these circumstances, unless essential or requested. This study examines spatial clustering of EMTALA violations between
-
Universal Suicide Screening in the Emergency Department: What Next? Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-30 Joyce Li,Mohsen Saidinejad
-
Commercial Price Variation for Emergency Services Evaluation and Management. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-27 Alexander P Philips,Christopher M Whaley
-
Diagnostic Challenges in Vertigo: Concerns About the Sudbury Vertigo Risk Score. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-01 Serkan Günay,Arda Tuna Pakkan,Ahmet Öztürk,Seval Komut
-
HEALing Communities? The Effectiveness of Evidence-Based Practices to Reduce Opioid Deaths: June 2025 Annals of Emergency Medicine Journal Club. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-06-01 Rory J Spiegel,Ryan P Radecki,Tyler W Barrett
-
Differences in Productivity and Clinical Care Between Permanent Staff, Employed Travel, and Locum Tenens Emergency Physicians. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-13 Dhimitri A Nikolla,Mark S Zocchi,Bernard S Black,Jonathan J Oskvarek,Laura G Burke,Marika M Kachman,Ali Moghtaderi,Nishad Rahman,John Bedolla,Jestin N Carlson,Jesse M Pines,
STUDY OBJECTIVE Emergency department (ED) staffing shortages have increased reliance on locum tenens physicians (locums). We compared productivity, quality, utilization, and clinical practice measures between permanent staff, employed travelers, and locums during their first 100 shifts at a site. METHODS We performed a retrospective cohort study comparing outcomes between the 3 physician types with
-
Application-Based Education for Corneal Foreign Body Removal in an Emergency Medicine Residency. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-06 Viran Jayanetti,James Miers,Angela L Chiew
STUDY OBJECTIVE To assess whether Emergency Procedures App (EPApp) use among emergency physicians improves knowledge and skill in performing corneal foreign body removal compared with usual practice. METHODS This single-blinded, multicenter, randomized trial involved emergency physicians assessing their knowledge and performance in corneal foreign body removal. Participants were randomized into 2 groups
-
Housing Status and Longitudinal Care Patterns After Injury. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-06 Hannah Decker,Jennifer Evans,Dave Graham Squire,Sara Colom,Kenneth Perez,Maria Raven,Rebecca Plevin,Hemal K Kanzaria,Anne Stey
STUDY OBJECTIVE Injury is a leading cause of hospitalization in people experiencing homelessness, yet post-injury care use is unknown. We sought to understand care use patterns in the 12 months after injury in people experiencing homelessness versus housed low-income Medicaid beneficiaries. METHODS We conducted a retrospective cohort study examining injured Medicaid beneficiaries in San Francisco from
-
Is Short-Course Antibiotic Therapy as Effective as Long-Course Therapy for Treatment of Pediatric Community-Acquired Pneumonia? Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-02 Summer Villa,Michael Gottlieb,Brit Long
-
Formative Evaluation to Inform Implementation of Sepsis Bundles in Emergency Departments. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-02 Hannah E Frank,Nima Sarani,Jacqueline F Hayes,Ruben G Martinez,Jessyca Goldstein,Laura Evans,Gary Phillips,R Phillip Dellinger,David Portelli,Christa Schorr,Kathleen M Terry,Lori Harmon,Sean Townsend,Mitchell M Levy
STUDY OBJECTIVE Sepsis bundles are effective in reducing mortality for sepsis, the leading cause of admissions to intensive care units. However, little is known about factors that hinder and facilitate the delivery of sepsis bundles in emergency departments. Guided by the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework, the objective of the present study was to characterize
-
Emergency Medicine: A Career or Just a Pit Stop? Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-24 Michelle P. Lin MD MPH MS, Richelle J. Cooper MD MSHS
-
The Role of Emergency Medicine in Hospital-at-Home. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-23 Austin S Kilaru,Hashem E Zikry
Hospital-at-home is an evidence-based model for delivering care in patient homes in lieu of a traditional hospital admission. Recent policy changes and technological advancement have spurred growth in hospital-at-home programs across the United States. The role of emergency medicine in hospital-at-home programs has not been clearly defined. We argue that emergency medicine should contribute to the
-
Can the Association of the Biomarkers GFAP and UCH-L1 Predict Intracranial Injury After Mild Traumatic Brain Injury in Adults? A Systematic Review and Meta-Analysis. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-23 Antoine Puravet,Charlotte Oris,Bruno Pereira,Samy Kahouadji,Ben A Dwamena,Vincent Sapin,Damien Bouvier,
STUDY OBJECTIVES Brain biomarkers have been used to predict intracranial injury in both adults and children following mild traumatic brain injury (mTBI). Several biomarkers have been evaluated, including S100B, NfL, Tau, glial fibrillary acidic protein (GFAP), and ubiquitin carboxy-terminal hydrolase L1 (UCH-L1). The combined measurement of GFAP and UCH-L1 has recently been recommended by scientific
-
Essential Assistant Microskills for Bougie-Assisted Critical Care Intubations. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-01 Megan Mackenzie,Julie Cooray,Barbara Payne,Cliff Reid
-
The Silent Language of Pain: Learning Cultural Fluency in Unspoken Suffering. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-01 Layla S Abubshait
-
Woman With Worsening Dyspnea and Chest Pain. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-01 Ana Veljaca,Tomislav Tokic,Lea Miklic,Marija Brestovac,Hrvoje Gasparovic,Zvonimir Ante Korda
-
I Fought the Decision-Support Law - and No One Won: May 2025 Annals of Emergency Medicine Journal Club. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-01 Ryan P Radecki
-
Amiodarone Should Be the First-Line Antiarrhythmic Treatment for Pulseless Ventricular Tachycardia and Ventricular Fibrillation. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-01 Megan A Rech,Michael Gottlieb
-
Lidocaine as First-Line Treatment for Pulseless Ventricular Tachycardia and Ventricular Fibrillation. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-05-01 Lance Ray,Laura E Celmins
-
Upper Respiratory Infections and Respiratory Adverse Events and Interventions in Emergency Department Sedation of Children. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-22 Daniel S Tsze,Nick Barrowman,Maala Bhatt
STUDY OBJECTIVE Children with upper respiratory infections (URIs) have an increased risk of respiratory adverse events when undergoing operative anesthesia and in general populations of children receiving procedural sedation. It is unclear if children with URI undergoing emergency department (ED) sedation share the same increased risk. We aimed to determine if the presence of a URI in children undergoing
-
A Qualitative Study Exploring Adolescent and Caregiver Perspectives of Emergency Department Response After a Positive Suicide Screen. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-22 Rachel Cafferty,Anastasia Klott,Ashley Dafoe,Chloe Glaros,Brooke Dorsey,Maya Haasz,Bruno J Anthony,Sean T O'Leary
STUDY OBJECTIVE As a safety net for adolescents, the emergency department (ED) is considered an opportune setting for suicide screening and response (ie, safety assessments, brief interventions, and referrals). This study explored adolescent and caregiver perspectives on the ED's response when nonacute suicide risk was identified during universal screening. METHODS This was a qualitative study of adolescents
-
Youth Suicide Prevention in the Emergency Department: Lethal Means Counseling 101. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-17 Bijan Ketabchi,Sofia Chaudhary,Kristine Cieslak,Kristol Das,Ashley A Foster,Maya Haasz,Jennifer A Hoffmann,Leslie Hueschen,Elizabeth Lehto,Sagar Devendra Mehta,Shilpa J Patel,Wendy J Pomerantz,Christian D Pulcini,Curt Stankovic,Amanda Stewart,Sindhu Sudanagunta,Irma T Ugalde,Eric Fleegler,Susan Duffy
Suicide remains one of the leading causes of death among youth, as the incidence of suicidal ideation and attempts continue to rise. Mental health-related concerns now account for nearly 1 in 7 presentations to the emergency department (ED) among youth-approximately 7.5 million visits annually. For many children in the United States, the ED serves as their first or only point of medical contact, placing
-
A Snapshot of National Institutes of Health Funding for Sepsis Research: 2019-2023. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-15 Joseph Morrison,Joshua Pei Le,Atul Malhotra,Shamim Nemati,Gabriel Wardi,James S Ford
-
Short-Stay Hospitalizations and Hospital Capacity Constraints. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-11 Alexander T Janke,Wendy W Sun,Courtney Gibson,Craig Rothenberg,Sara Lin,Kwame Tuffuor,Monisha Dilip,Austin Buchla,Keith E Kocher,Rohit B Sangal,Arjun K Venkatesh
STUDY OBJECTIVE Mismatches in the supply and demand for hospital care are important causes of emergency department (ED) crowding. The extent to which short-stay hospitalizations contribute to overall hospital capacity constraints has not been well described. METHODS Retrospective cross-sectional analysis of hospitalizations at 4 US EDs (January 2018 to June 2024). Total occupancy hours were calculated
-
Evaluating Acute Stroke Diagnosis Using Simulation Scenarios. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-09 Ava L Liberman,Daniel Apley,Jingyu Zhu,Elida Romo,Jane L Holl,Rebeca Khorzad,Matthew Maas,Scott J Mendelson,Christopher T Richards,Sarah Song,Shyam Prabhakaran
STUDY OBJECTIVE This study sought to explore the clinical and process factors that, alone or in combination, influence the accuracy of stroke diagnosis in the emergency department (ED) by applying a novel design of experiments methodology. METHODS We used design of experiments, a branch of applied statistics, to create a screening experiment comprised of patient simulation scenarios in which purposeful
-
Severity Indices of Diquat Poisoning for Triage and Prognosis in Acute Diquat Poisoning: A Multicenter Prospective Cohort Study Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-09 Yuewei Ling BEng, Zhengsheng Mao PhD, Wen Liu MBBS, Chuhan Zhou MBBS, Jinquan Li MD, Lili Jiang RN, Meng Li MD, Hongmei Zhao MD, Shinan Nie MD, Chao Wu MD, Jianjun Chen MD, Yifei Chen MD, Guangfu Bai MD, Guoqing Ren MD, Jianing Xu MD, Yu Zheng MD PhD, Feng Chen PhD, Jinsong Zhang MD PhD, Hao Sun MD PhD
To enable emergency physicians to make well-informed triage and treatment decisions, accurate tools to evaluate the severity of diquat poisoning are needed. This study establishes severity indices for diquat poisoning (SIDPs) in assessing the risk of death for patients with acute diquat poisoning for triage purposes and 28-day mortality.
-
Effectiveness of Point-of-Care High-Sensitivity Troponin Testing in the Emergency Department: A Randomized Controlled Trial. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-08 Viola I L Thulin,Silje M F Jordalen,Gard M S Myrmel,Ole Christian Lekven,Jeyaseelan Krishnapillai,Ole Thomas Steiro,Richard Body,Paul Collinson,Fred S Apple,Louise Cullen,Tone M Norekvål,Torbjørn Wisløff,Kjell Vikenes,Rune O Bjørneklett,Torbjørn Omland,Kristin M Aakre
STUDY OBJECTIVE To compare the effectiveness of high-sensitivity cardiac troponin (hs-cTn) point-of-care testing to central laboratory hs-cTn measurements when investigating patients presenting to the emergency department (ED) with symptoms of acute coronary syndrome. METHODS The WESTCOR point-of-care study was a single-center prospective randomized controlled trial where we randomized patients presenting
-
Association of Early Noninvasive Cardiac Stress Testing With Acute Myocardial Infarction and Mortality Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-08 Aniket A. Kawatkar PhD MS, Aileen S. Baecker PhD, Adam L. Sharp MD MS, Rita F. Redberg MD MSc, Ming-Sum Lee MD PhD, Maros Ferencik MD PhD, Steve Goodacre PhD, Praveen Thokala PhD, Yi-Lin Wu MS, Chengyi Zheng PhD, Ernest Shen PhD, Benjamin C. Sun MD MPP
The evaluation for suspected acute coronary syndrome is a common and high-risk presentation in emergency departments (EDs). After exclusion of acute myocardial infarction (MI), patients often undergo early (within 72 hours) noninvasive cardiac testing. We evaluated the association between early noninvasive testing and death/acute MI in ED patients suspected of acute coronary syndrome.
-
A Preliminary Evaluation of State Emergency Medical Services Protocols for Behavioral Health Emergencies in the United States Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-05 Gregory A. Peters MD, Scott A. Goldberg MD MPH, Lily M. Kolb MPH, Diana M. Bongiorno MD MPH, Anjali Misra MD MPH, Xi Lin BA, Rebecca E. Cash PhD MPH
-
A Prospective Cohort Study to Determine Which Opioid-Naïve Emergency Department Patients Are at Risk of Persistent Opioid Use. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-04 Lorena Abril,Lauren Gilbert,Fernanda Pacheco,Mai Takematsu,Michelle Davitt,Kristen Schimmrich,Jesse Baer,Gregory Mazarin,Chiraag Gupta,Victoria Adewunmi,Eddie Irizarry,Benjamin W Friedman
STUDY OBJECTIVE It is unclear which opioid-naïve emergency department (ED) patients prescribed an opioid progress to opioid use disorder. We tested the hypothesis that opioid-induced euphoria and persistent pain 2 weeks after an ED visit would be associated with persistent prescribed opioid use among opioid-naïve ED patients who presented to the ED with pain and were discharged with an opioid prescription
-
Cardiac Arrest Management in United States Emergency Departments During the First Year of the COVID-19 Pandemic, 2020 Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-02 Jesus R. Torres MD MPH, James H. Paxton MD MBA, Eliezer Santos León MS MPH, Kari K. Harland MPH PhD, Anusha Krishnadasan PhD, Nicholas M. Mohr MD MS, Richard Rothman MD PhD, William R. Mower MD PhD, Kelli Wallace MS, David A. Talan MD, Project COVERED Emergency Department Network, Monica Bahamon MPH, Jestin N. Carlson MD, Makini Chisolm-Straker MD MPH, Brian Driver MD, Patrick Ten Eyck PhD, Brett Faine
The COVID-19 pandemic posed exposure risk for health care personnel, potentially affecting the care for patients with cardiac arrest. We compare emergency department (ED) cardiac arrest management in patients who were suspected and not suspected of COVID-19 early in the pandemic in 2020.
-
The Implementation of Dynamic Appraisal of Situational Aggression Score at Emergency Department Triage. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Amy D Costigan,Laurel C O'Connor,Christopher Slocum,Kimberly Barry,Maureen M Canellas,Alexandra M Sanseverino,Erin Proudman,Karen Plainte,Mathew Shatsky,Janell Forget,Martin A Reznek
STUDY OBJECTIVE Violence in health care settings is a growing threat to patients and clinicians. This study's objective was to describe the demographic distribution of the Dynamic Appraisal of Situational Aggression (DASA) score at emergency department (ED) triage, identifying patterns in score variability across different patient groups and exploring associations with demographic factors. METHODS
-
Abnormal Placement of Flow Directed Balloon Pacemaker. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-03-27 Alfred Sacchetti,Monika Smith,Allyson Raymond
Blind placement of a transvenous pacemaker is a core emergency medicine resuscitative procedure. The commonly used balloon-tipped pacing wire is designed to allow the flow of blood returning to the heart to carry the pacer wire through the tricuspid valve and into the right ventricle. Presented here is a case of misdirection of such a pacemaker into the left pericardiophrenic vein.
-
Predictors of Emergency Physician Productivity in a National Emergency Medicine Group. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-03-27 Jonathan J Oskvarek,Mark S Zocchi,Bernard S Black,Laura G Burke,Marika Kachman,Andrew Leubitz,Ali Moghtaderi,Dhimitri A Nikolla,Nishad Rahman,Jesse M Pines
STUDY OBJECTIVES We sought to identify physician and environmental factors (eg, crowding) associated with emergency physician productivity, measured as patients per hour. We also assessed whether physician productivity is associated with higher emergency department (ED) return rates. METHODS We used data from 184 EDs in 24 states staffed by a national ED group from January 2021 to December 2022. Clinical
-
Clindamycin Should Remain the Toxin-Neutralizing Antibiotic of Choice for Necrotizing Soft Tissue Infections. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Jennifer Koehl,Gavin T Howington
-
A Critical Issue in the Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning: Approved by the ACEP Board of Directors January 22, 2025. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 ,Richard D Shih,Christian A Tomaszewski,Amy Kaji,Deborah B Diercks,,Deborah B Diercks,John D Anderson,Richard Byyny,Christopher R Carpenter,Benjamin W Friedman,Seth R Gemme,Charles J Gerardo,Steven A Godwin,Benjamin W Hatten,Jason S Haukoos,Heemun Kwok,Bruce M Lo,Sharon E Mace,Amal Mattu,Susan B Promes,Kaushal H Shah,Richard D Shih,Scott M Silvers,Andrea Slivinski,Michael D Smith,Molly E W Thiessen
-
Inferolateral ST-Elevation in a Patient Presenting With Abdominal Pain. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Jose Reyes,Kyle T Ackerman,Tarlan Hedayati,Joseph S Palter,Joseph Weber
-
Evaluating Extracorporeal Cardiopulmonary Resuscitation Outcomes: April 2025 Annals of Emergency Medicine Journal Club. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Matthew M T Carvey,Allyson M Hynes
-
Linezolid Is the Preferred Empiric Antitoxin Antibiotic for Group A Streptococcal Necrotizing Soft Tissue Infections. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Megan A Rech,Michael Gottlieb
-
A Young Man With an Unusual Presentation of a Well-Known Entity. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Ezhilkugan Ganessane,András Vereckei,Aswin Kumaran,Balamurugan Nathan,Vishwanath Balassoundaram,Anuusha Subathra Sadasivam,Anas Mohammed Muthanikkatt
-
Boy With Left Eye Blurred Vision. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Szu-Han Chen,Wei-Chieh Tseng,Meng-Chang Lee,Po-Yuan Wang,Yen-Ju Chu,Jhong-Lin Wu,Chao-Wen Lin,Hsin-Ming Liu
-
Between the Curtains of Noise and Grief. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Brittany Ellis
-
Hidden Depths: A Mysterious Mass in the Mouth. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Lea Dikranian,Nirupama Kannikeswaran,Curt Stankovic
-
Man With Eye Pain and Lateral Gaze Palsy. Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-04-01 Benjamin A Johnson,Timothy J Batchelor,Marc Gabriel Berenson
-
Adherence to “Choosing Wisely” Recommendations in Pediatric Emergency Medicine Ann. Emerg. Med. (IF 5.0) Pub Date : 2025-03-18 Tara F. Corcoran MD, Sriram Ramgopal MD, Jennifer A. Hoffmann MD MS, Kenneth A. Michelson MD MPH
In 2022, Choosing Wisely released recommendations to decrease the frequency of low-value testing in pediatric emergency medicine. The extent to which low-value testing occurs in US emergency departments (EDs) may vary by ED experience. We compared the frequency of low-value testing with ED volume.