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Comments on "Opioid Prescribing by Emergency Physicians: Trends Study of Medicare Part D Prescriber Data 2013-2019". J. Emerg. Med. (IF 1.2) Pub Date : 2024-10-01 Gillian Cooper,Kathy Chu,Jeffrey Rea,Quincy K Tran,Tucker Lurie
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Reply to "Simultaneous Juvenile Stroke and Myocardial Infarction Require Clarification of the Underlying Etiology and Adequate Treatment". J. Emerg. Med. (IF 1.2) Pub Date : 2024-10-01 Carl Pastore,Levi Filler
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LETTER TO THE EDITOR: PEDIATRIC POISONINGS ASSOCIATED WITH INGESTION OF MARIJUANA PRODUCTS. J. Emerg. Med. (IF 1.2) Pub Date : 2024-09-01 Sandya Bai,Anjlee Sawlani,Fnu Vishaka
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Tell Them Yourself: It's Not Your Day to Die. Butler F, O'Connor K, and Butler J. Oldsmar, Florida, Breakaway Media, 2024, 284 pages, $48. J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-24 Edward J. Otten MD FACMT FAWM
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Determinants of Early Mortality Among Deaths at Adult Emergency Departments in Southern Ethiopia J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-14 Gelane Geleto Gobena MSc, Fikru Tadesse MSc, Bereket Beyene MSc, Tomas Yeheyis MSc, Wegene Jemebere MSc, Aklile Tsega Chekol MSc, Yacob Abraham Borie MSc, Ezedin Molla MSc, Yared Reta MSc, Mastewal Aschale Wale MSc, Zelalem Mekonen MSc, Yunuka Marufa Tunushe MSc, Beyene Feleke MSc, Amdehiwot Aynalem MSc
In Ethiopia, the first 3 days (72 h) after admission to the emergency department (ED) account for more than half (59.8%) of all deaths. However, little is known about the prevalence of early mortality and its associated factors in southern Ethiopia. The main objective of this study is to assess the prevalence and associated factors of early mortality among deaths in adult EDs at selected public hospitals
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A Teenager with Bleeding Lips J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-12 Laila Azan MD, Megan Patton MD, Rosibell Arcia-Diaz MD, Alisa McQueen MD
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A Cluster-Randomized Control Study Comparing a New Cue “Two Compressions per Second” with “100–120 Compressions per Minute” in Training of Bystander Cardiopulmonary Resuscitation J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-10 Ming-Ju Hsieh M.D. Ph.D., Hao-Yang Lin M.D. MSc, Ying‑Chih Ko M.D., Chih-Wei Yang M.D. Ph.D., Wen-Chu Chiang M.D. Ph.D., Matthew Huei-Ming Ma M.D. Ph.D.
Chest compression at a rate of 100–120 compressions per minute (cpm) during cardiopulmonary resuscitation (CPR) is associated with the highest survival rates. Performing compressions at a faster rate may exhaust the rescuers. To compare a new cue of ‘two compressions per second’ to the traditional cue of ‘100–120 compressions per minute’ on compression rate in CPR training. In this cluster-randomized
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Examining Emergency Medical Services: Delay Time, Response Time, On-Scene Time In Six Peaks of the COVID-19 Pandemic in Eastern Iran J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-10 Kheizaran Miri PhD, Mohammadreza Sabbaghi MS, Mohammad Namazinia MS
Time indices are key elements in prehospital medical emergencies. The number of calls to Emergency Medical Services (EMS) and the number of missions they have undertaken have been impacted by the COVID-19 epidemic. This study's goal was to evaluate prehospital EMS time indices at the apex of the COVID-19 outbreak. Data were extracted retrospectively from the Asayar Automation System, which records
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Development of a bleeding arteriovenous fistula task trainer J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-06 Emily K. Pauw MD, Ryan Walsh MD
As end-stage renal disease becomes more prevalent in the United States, the number of Americans with arteriovenous (AV) fistulas continues to increase. One of the most feared complications of AV fistulas is life-threatening hemorrhage, as patients can exsanguinate within minutes. As frontline healthcare workers, emergency medicine (EM) providers need to be able to provide rapid and effective treatment
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Leg Pain—An Unexpected Twist J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-03 Rahul Gupta MD, Cameron Gaines BA, Catherine Ginty MD
Obturator hernia is a rare condition, often presenting with non-specific symptoms, such as thigh pain, groin pain, nausea, or vomiting. Obturator hernias are most common in thin, elderly women. Oftentimes, they are diagnosed late in the disease course resulting in complications and high morbidity and mortality. We present the case of a 75-year-old female who presented with right thigh pain with no
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Increased Human Chorionic Gonadotropin Level in a Nonsexually Active Young Female J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-03 Natalie Mira Elder MD PharmD, Ashley McCormick DO
Quantitative and qualitative human chorionic gonadotropin (hCG) tests are obtained in the emergency department (ED) to determine if a female of child-bearing age is pregnant. A positive hCG result is commonly assumed to indicate an intrauterine or other form of pregnancy. However, elevated hCG levels can also result from various other conditions, such as ovarian tumors, pituitary tumors, and thyroid
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Direct Fetal Head Injury after Maternal Motor Vehicle Crash J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-03 Shreela Natarajan MD, Tonya S. Wright MD
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Mortality Outcomes with Tenecteplase Versus Alteplase in the Treatment of Massive Pulmonary Embolism J. Emerg. Med. (IF 1.2) Pub Date : 2024-08-03 Luke R. Murphy MD, Adam Singer MD, Brandon Okeke BS, Krishna Paul BS, Matthew Talbott DO, Dietrich Jehle MD
Pulmonary embolism (PE) leads to many emergency department visits annually. Thrombolytic agents, such as alteplase, are currently recommended for massive PE, but genetically modified tenecteplase (TNK) presents advantages. Limited comparative studies exist between TNK and alteplase in PE treatment. The aim of this study was to assess the safety and mortality of TNK compared with alteplase in patients
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Epidemiology of Testicular Trauma in Sports: Analysis of the National Electronic Injury Surveillance System Database J. Emerg. Med. (IF 1.2) Pub Date : 2024-07-09 Rishubh Jain BA, Mohnish Nadella BS, Rory Byrne BA, Nishant Jayachandran, Matthew Quinn MD, Brett D. Owens MD
The epidemiology of testicular trauma in sports on a national scale has not been well studied. Timely management and treatment after testicular trauma is critical to avoid serious, long-term ramifications of mismanagement. The aim was to analyze trends in sports-related testicular trauma based on specific sports and patient demographic characteristics over time. The National Electronic Injury Surveillance
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Modified PECS II Block for Axillary Hidradenitis Suppurativa. J. Emerg. Med. (IF 1.2) Pub Date : 2024-07-01 Amiya Kumar Barik,Anju Gupta,Chitta Ranjan Mohanty,Rakesh Vadakkethil Radhakrishnan
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A Spinal Tap Does Not Require Skin Markings. J. Emerg. Med. (IF 1.2) Pub Date : 2024-07-01 Peyton J Ware,Emmanuelle C Issa,Paula Bitange,Garrett J Cooper,Victoria Galea,Deena I Bengiamin,Timothy P Young
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Response to Comment on Cryoneurolysis of Intercostal Nerve for Rib Trauma and Intercostal Neuralgia in the Emergency Department. J. Emerg. Med. (IF 1.2) Pub Date : 2024-07-01 Mani Hashemi,S M Mahmood,Jorge Fernandez,Iv John J Finneran,Jessica Oswald
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Comment on Modified PECS II Block for Axillary Hidradenitis Suppurativa. J. Emerg. Med. (IF 1.2) Pub Date : 2024-07-01 Michael Shalaby,Raghav Sahni
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A Parasite Living Beneath the Conjunctiva J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-25 Mark Curato DO, Anfei Li MD PhD
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A Young Woman with Apparent Brain Death J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-21 Christiana K. Prucnal MD ScM, Paul S. Jansson MD MS, Peter R. Chai MD MS, Stephen D. Hallisey MD, Derek L. Monette MD MHPE, Kathleen A. Wittels MD
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The Role of Language in Hospital Admissions: The COVID-19 Experience in a Safety-Net Hospital Emergency Department J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-15 Emily Bacon PhD, Molly E. Thiessen MD, Jody Vogel MD MSc, Jennifer Whitfield MD MPH, Lilia Cervantes MD, Laura Jean Podewils MS PhD
Emergency departments (EDs) are often patients’ first point of contact with the health care system. Race, ethnicity, and language all influence factors leading up to ED visits and patient experiences within the ED. There is limited evidence showing how race, ethnicity, and language interact to shape ED experiences, particularly during the COVID-19 pandemic when EDs were extremely strained. Using a
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Low Incidence of Delayed Intracranial Hemorrhage in Geriatric Emergency Department Patients on Preinjury Anticoagulation Presenting with Blunt Head Trauma J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-13 Richard D. Shih MD, Scott M. Alter MD, Joshua J. Solano MD, Gabriella Engstrom PhD RN, Mike Wells MBBCh PhD, Lisa M. Clayton DO, Patrick G. Hughes DO, Lara Nicole Goldstein MBBCh PhD, Faris K. Azar MD, Joseph G. Ouslander MD
Delayed intracranial hemorrhage (ICH) after head injury in older patients taking anticoagulants has been reported to be as high as 7.2%. Other studies suggest much lower rates. Its incidence and clinical management are controversial, with some recommending observation and repeat head imaging at 24 h. Our study aims to assess the incidence of delayed ICH in geriatric Emergency Department (ED) head trauma
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An Unusual Case of Failure to Thrive: Respiratory Failure from a Vallecular Cyst in a Young Infant J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-10 Tamara Casas MD, Matthew Murray MD, Tara Glenn MD, Karen Yaphockun DO
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Emergency Department Screening and Interventions for Adolescents With Substance Use: A Narrative Review J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-10 Madeline H. Renny MD MS, Jennifer S. Love MD, Maureen A. Walton MPH PhD, Sharon Levy MD MPH, Roland C. Merchant MD MPH ScD
Adolescent substance use is a growing public health concern, particularly given rising mortality rates from drug overdose deaths. The emergency department (ED) provides a unique opportunity to screen adolescents for substance use and provide brief interventions and linkage to care. This article provides a narrative review of the current evidence for ED screening and brief interventions for adolescents
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Factors Associated with Take Home Naloxone Refusal among Emergency Department Patients Participating in an Opioid Overdose Prevention Program. J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-04 Clare O'Brien-Lambert,Keri Althoff,Jennifer Barvincak,Halle Cirbus,Safia Singer-Pomerantz,Ethan Cowan
BACKGROUND Increasing the equitable distribution of take home naloxone (THN) may result in reduced deaths from opioid overdose (OD). OBJECTIVES The primary study objective is to describe the demographic and clinical characteristics of emergency department (ED) patients who decline THN. The findings of this descriptive study may generate new hypotheses for successful THN distribution. METHODS Retrospective
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Investigation of the Relationship Between the Measured Alpha Angle in Capnography and Readmission Within Thirty Days in Chronic Obstructive Pulmonary Disease Patients Who Presented to the Emergency Department J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-04 Murat Tuncekin, Asim E. Ozbek, Emre Sanci (Şancı), Fatma Emre Turan Tasolar, Huseyin C. Halhalli
Individuals with chronic obstructive pulmonary disease (COPD) constitute a significant portion of patients who present to the emergency department with dyspnea. However, there is no ideal method for predicting mortality or making hospitalization decisions in the emergency department (ED). In this regard, objective findings are needed for these patients. Since there are no objective findings regarding
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Parsing Out Potential Language Barriers for Their Effects on Imaging. J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-01 Neeraj Chhabra,Errick Christian,Lum Rizvanolli
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Parsing Out Potential Language Barriers for Their Effects on Imaging. J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-01 Murtaza Akhter,Jeffrey R Stowell
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Lipid Emulsion-Mediated Alterations in Blood Pressure Caused By Acute Tramadol Toxicity. J. Emerg. Med. (IF 1.2) Pub Date : 2024-06-01 Ju-Tae Sohn
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Congenital Long QT Syndrome Unmasked by Albuterol in an Adolescent with Asthma J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-31 Jad Zreik BS, Martin J. LaPage MD, Hani Zreik MD
Patients with congenital long QT syndrome (LQTS) are prone to ventricular dysrhythmia but may be initially asymptomatic with a normal QTc interval on resting electrocardiogram (ECG). Albuterol is listed as a medication that poses a “special risk” to patients with congenital LQTS, but its effects have been rarely described. We present a case of previously unknown, asymptomatic congenital LQTS unmasked
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An Uncommon Cause of Testicular Infarct: A Case Report and Review of the Literature of Testicular Infarcts From Laparoscopic Inguinal Hernia Repair J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-25 Jared Wenn DO, Brian Patrick Murray DO, Ross W. Kynast MD, Jessica Zhen MD
Testicular ischemia requires timely diagnosis and definitive management to avoid serious consequences such as orchiectomy. It is almost always caused by testicular torsion; however, there are other causes to be aware of. A 32-year-old man developed testicular ischemia following a laparoscopic robotic-assisted inguinal hernia repair with preperitoneal mesh. The ischemia progressed to a fully infarcted
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The Role of Troponin Testing in Patients with Supraventricular Tachycardia, Systematic Review and Meta-Analysis J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-19 Ali Pourmand MD MPH RDMS, Hannah Checkeye BS, Bennet Varghese BS, Allen J Solomon MD, Quincy K Tran MD PhD
Supraventricular tachycardia (SVT) is commonly evaluated in the emergency department (ED). While troponin has been shown to be elevated in SVT, its usefulness for predicting coronary artery disease and future adverse cardiovascular outcomes has not been shown. We aimed to evaluate the prognostic utility of troponin measurement as part of SVT management in the ED. We performed a literature search in
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Can I Discharge This Adult Patient with Abnormal Vital Signs From the Emergency Department? J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-19 Brit Long, Samuel M. Keim, Michael Gottlieb, Jestin Carlson, John Bedolla, Earl J. Reisdorff
Vital signs are an essential component of the emergency department (ED) assessment. Vital sign abnormalities are associated with adverse events in the ED setting and may indicate a risk of poor outcomes after ED discharge. What is the risk of adverse events among adult patients with abnormal vital signs at the time of ED discharge? Studies retrieved included 6 retrospective studies with adult patients
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A Perplexing Purple Rash J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-19 Jesse Butler MD, Sarah Hirner MD, Charlotte Crist BS, Michelle Crispo MD
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Improvising on the Fly: Comparison of a Novel Technique for Emergent Zipper Release to a Well-Established Technique in a Simulated Setting J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-17 Alex Piszker DO, Jennifer Goodrich DO, Tracy Koehler PhD, Ryan Offman DO
Penile skin zipper entrapment is an emergent medical condition in which the penile skin, scrotal skin, or foreskin gets caught within the teeth of a zipper or the slider itself. This can lead to complications such as urethral involvement, skin loss, or tissue necrosis. We propose a novel technique to aid in the release of entrapped skin utilizing wire cutters directed at the inferior portion of the
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The Combination of Systemic Immune-Inflammation Index and Serum Procalcitonin has High Auxiliary Predictive Value for Short-Term Adverse Prognosis in Septic Shock Patients J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-17 Liang Li BSN, Le Yang BSN, Zhenmin Yuan BSN, Quanli Wu BSN, Xia LYU BSN
Septic shock is the most serious complication of sepsis, with more secure and efficient biomarkers urgently needed. Systemic immune-inflammation index (SII) and serum procalcitonin (PCT) show involvement in predicting septic shock prognosis. Herein, we explored the clinical value of the SII-PCT combination in the short-term prognosis of septic shock patients. Totally 200 septic shock patients were
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A Rare Case of an Adult with Spinal Cord Injury Without Neuroimaging Abnormality (SCIWONA) J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-17 Colleen A. McGrail MD, Vivian Burton MD, Taylor Brown MD, Robin B. Levenson MD, Carlo L. Rosen MD
Spinal cord injury without radiographic abnormality (SCIWORA) is defined as having clinical symptoms of traumatic myelopathy with no radiographic or computed tomographic features of spinal fracture or instability. An abnormal finding, such as a fracture, subluxation, or abnormal intersegmental motion at the level of the spinal cord injury, excludes SCIWORA as the diagnosis. Prevalence of SCIWORA is
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It's Not Cyclic Vomiting Syndrome Until Dietl's is Ruled Out: A Case for Point of Care Renal Ultrasound J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-16 Christopher Thom MD RDMS, Michael Larsen MD, Matthew Kongkatong MD, Jakob Ottenhoff DO, James Moak MD RDMS
Abdominal pain and vomiting are frequent complaints for pediatric patients presenting to the Emergency Department (ED). When a diagnosis such as chronic abdominal pain, cyclic vomiting, or abdominal migraine has previously been made, it can lead to diagnostic momentum and confirmation bias on behalf of the treating physician. Dietl's crisis is a commonly missed diagnosis in the pediatric population
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Utilization of Multi-Parameter Blood Gas Analysis in Prehospital Emergency Medicine—A Scoping Review J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-09 Martin Rief MD PHD, Michael Eichinger MD MSC, Michael Eichlseder MD, Alexander Pichler MD, Gerhard Prause MD, Helmar Bornemann-Cimenti MD DMedSci, Paul Zajic MD PHD
Prehospital blood gas analysis (BGA) is an evolving field that offers the potential for early identification and management of critically ill patients. However, the utility and accuracy of prehospital BGA are subjects of ongoing debate. We aimed to provide a comprehensive summary of the current literature on prehospital BGA, including its indications, methods, and feasibility. We performed a scoping
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Is Phenobarbital an Effective Treatment for Alcohol Withdrawal Syndrome? J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-08 Brit Long MD, Samuel M. Keim MD, Michael Gottlieb MD, Niels Rathlev MD
Alcohol use disorder is associated with a variety of complications, including alcohol withdrawal syndrome (AWS), which may occur in those who decrease or stop alcohol consumption suddenly. AWS is associated with a range of signs and symptoms, which are most commonly treated with GABAergic medications. Is phenobarbital an effective treatment for AWS? Studies retrieved included two prospective, randomized
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Left Ventricular Pseudoaneurysm J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-07 Sudipto Banerjee MBBS, Manphool Singhal MD, Ashok Kumar Pannu MD
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Exertional Heat Stroke Best Practices in U.S. Emergency Medical Services Guidelines J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-03 Faton Tishukaj PHD, Rebecca L. Stearns PHD, Margaret C. Morrissey PHD, John F. Jardine MD, Douglas J. Casa PHD
Exertional heat illnesses (EHIs), specifically exertional heat stroke (EHS), are a top cause of nonaccidental death among U.S. laborers. EHS management requires coordination between Emergency Medical Services (EMS) and workplace officials to implement cold water immersion (CWI) and cool first, transport second (CFTS). The purpose of this article was to quantify and identify existing statewide EMS guidelines
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Evaluation of the Efficacy and Safety of Nicardipine Versus Clevidipine for Blood Pressure Control in Hypertensive Crisis J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-03 Cortney Storey PHARMD MBA, Jonathon Pouliot MS PHARMD BCPS
Hypertensive crisis is an acute increase in blood pressure >180/120 mm Hg. A titratable antihypertensive agent is preferred to lower blood pressure acutely in a controlled way and prevent an abrupt overcorrection. Nicardipine and clevidipine are both dihydropyridine calcium channel blockers that provide unique benefits for blood pressure control. The purpose of this study was to compare the efficacy
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A late career crisis in emergency medicine J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-03 Richard F. Clark MD
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Intravenous Acetaminophen Versus Ketorolac for Prehospital Analgesia: A Retrospective Data Review J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-03 Robert McArthur MD, Rebecca E. Cash PhD, Zubaid Rafique MD, Robert Dickson MD, Kevin Crocker AAS, Remle P. Crowe PhD, Michael Wells BS, Katherine Chu BS, James Nguyen BS, Casey Patrick MD
Parenteral ketorolac and intravenous (IV) acetaminophen have been used for prehospital analgesia, yet limited data exist on their comparative effectiveness. To evaluate the comparative effectiveness of IV acetaminophen and parenteral ketorolac for analgesia in the prehospital setting. We conducted a retrospective cross-sectional evaluation of patients receiving IV acetaminophen or parenteral ketorolac
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The Effect of Contrast Rationing on the Development of Acute Kidney Injury During the Global Contrast Shortage J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-03 Shawna D. Bellew MD MPH, Zachary Kahler MD MSCR, Jacob Hamm MD, Alexandra M. Koberlein MS, Mirinda Ann Gormley PhD MSPH
In April of 2022, the COVID-19 pandemic resulted in a global shortage of intravenous contrast media (ICM), which led our health care system to implement rationing measures. We set out to determine if the reduction in ICM use was associated with a change in the incidence of acute kidney injury (AKI). We conducted a multicenter retrospective cohort analysis to compare the incidence of AKI in patients
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No Venlafaxine Intoxication is Required, Epileptic Seizures Alone Prolong QRS and QTC. J. Emerg. Med. (IF 1.2) Pub Date : 2024-05-01 Josef Finsterer,Claudia Stöllberger
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Delayed Diagnosis of Labial Hair Thread Tourniquet Syndrome in a Postmenarchal Adolescent: A Case Report J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-30 Hannah M. McCoy MS, Michelle F. Meglin MD, Hannah M. Hayward MD
Hair thread tourniquet syndrome occurs when tissue is strangulated by a hair thread. It occurs most commonly in the digits of infants and young children, but can also occur in the genitalia. A 13-year-old postmenarchal girl with several days of severe vulvar pain and swelling presented to the emergency department. Diagnosis was unclear and she was referred to pediatric and adolescent gynecology. Pelvic
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Tracheal Intubation and Mechanical Ventilation in Adults with Severe Salicylate Poisoning J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-27 Brooke A. McDonald DO MA, Megan Conlon MD, Alexandru Ulici PharmD, Jon B. Cole MD FACEP FACMT FAACT, Travis D. Olives MD MPH MED, Robert R. Kempainen MD, Matthew E. Prekker MD MPH
Salicylate poisoning may lead to critical acid–base disturbances. Tracheal intubation and mechanical ventilation for patients with severe salicylism has been strongly discouraged. This study aims to describe pH trends, complications, and outcomes in a cohort of salicylate-poisoned patients who were intubated. This retrospective observational study included adults presenting to the emergency department
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Iatrogenic Pseudoaneurysm-Associated Cerebral Hemorrhage: A Rare Complication of Burr Hole Drainage – A Case Report J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-11 Patrick J. Maher MD MS, Channing Hui DO, Francisco Brun MD, Soren Singel MD
Nontraumatic intracranial hemorrhage occurs most commonly due to hypertension and is treated nonoperatively. Iatrogenic pseudoaneurysm from prior neurosurgical therapy represents a rarely described etiology for intracranial hemorrhage that may require emergent surgical therapy. An elderly female patient was brought to the emergency department with fatigue but no recent trauma. Subsequent computed tomography
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A Case of a Pediatric Finger Tendon Rupture Diagnosed by Point-of-Care Ultrasound J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-10 Takaaki Mori MD MRCPCH MSc, Sung Shin Teng MBBS MRCPCH FAMS
Pediatric tendon injuries to the finger are rare, and their diagnosis can be challenging due to the difficulty in sensorimotor assessment in pediatric patients. Point-of-care ultrasound (POCUS) has currently been used for identifying tendon injury in adult acute care, but reports of its use in pediatric emergency departments are scarce. A previously healthy 14-year-old male patient visited our emergency
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A 12-year Retrospective Cohort Study of Point-of-care Ultrasound and Aortic Dissection Risk Score in Type A Aortic Dissection J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-10 Danielle Aston DO, Thomas Burgess DO, Sarah Badach DO, Komal Paladugu MD, Brian Thompson DO, Elizabeth Schoenfeld MD, Gavin Budhram MD
Aortic dissection (AD) is a vascular emergency with time-dependent mortality. Point-of-care ultrasound (POCUS) and AD risk score (ADRS) have been proposed as diagnostic tools to risk stratify patients and reduce time to diagnosis. We evaluate POCUS findings and ADRS in a retrospective cohort of patients with known type A AD. The objective of this study is to describe the prevalence of POCUS findings
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Outcomes of Out-of-Hospital Cardiac Arrest Patients Who Received Naloxone in an Emergency Medical Services System With a High Prevalence Of Opioid Overdose J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-09 Eric Quinn MD, Emily Murphy MD, Daniel Du Pont MD, Paul Comber MD, Marley Blood EMT-P, Aman Shah MD, Alexander Kuc MD, Krystal Hunter PhD MBA, Gerard Carroll MD
Opioid-associated out-of-hospital cardiac arrest (OA-OHCA) is a subset of cardiac arrests that could benefit from measures outside of standard Advanced Cardiac Life Support (ACLS), such as naloxone. In this study, we sought to examine whether OHCA patients chosen for naloxone therapy by emergency medical services (EMS) clinicians in a system with high rates of opioid overdose would have increased rates
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The Shock Index among Children Presenting to the Emergency Department: Analysis of Nationally Representative Sample J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-07 Sriram Ramgopal MD
The Shock Index (SI) is emerging as a potentially useful measure among children with injury or suspected sepsis. The aim of this study was to evaluate the distribution of the SI and evaluate its association with clinical outcomes among all children presenting to the emergency department (ED). A complex survey of nonfederal U.S. ED encounters from 2016 through 2021 was analyzed. Among children, the
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Navigating Care Refusal and Noncompliance in Patients with Opioid Use Disorder J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-06 Kenneth D. Marshall MD MA FACEP, Arthur R. Derse MD JD FACEP, Scott G. Weiner MD MPH FACEP, Joshua W. Joseph MD MS MBE FAAEM
For many emergency physicians (EPs), deciding whether or not to allow a patient suffering the ill effects of opioid use to refuse care is the most frequent and fraught situation in which they encounter issues of decision-making capacity, informed refusal, and autonomy. Despite the frequency of this issue and the well-known impacts of opioid use disorder on decision-making, the medical ethics community
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Response to "Diverging Trends in Left Without Being Seen Rates During the Pandemic Era: Emergency Department Length of Stay May Be a Key Factor". J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-01 Brandon Kappy,Kenneth McKinley,James Chamberlain,Sarah Isbey
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Diverging Trends in Left Without Being Seen Rates During the Pandemic Era: Emergency Department Length of Stay May Be a Key Factor. J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-01 Stanley Toy,Wen-Ta Chiu,John Chon,Kaveh Aflakian,Wan-Yi Lin,Pei-Chen Pan,Yu-Tien Lin,Jessica Toy,Su-Yen Wu,Jonathan Wu
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Evidence Based Emergency Care, 3rd edition. Pines JM, Bellolio F, Carpenter CR, and Raja AS. Hoboken, NJ, John Wiley and Sons, 2023, paperback 750 pages, $102. Also published as an eBook. J. Emerg. Med. (IF 1.2) Pub Date : 2024-04-01 Edward J. Otten MD FACMT FAWM
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Traumatic Pseudoaneurysm of the Temporal Artery J. Emerg. Med. (IF 1.2) Pub Date : 2024-03-30 Tom Jaconelli MB BS DLM FRCEM FHEA, Bahir Almazedi MB CHB MRCS FRCR MSC EBIR, Aidan Adams MBBS (Hons) BChD (Hons) MFDS FRCS (OMFS) Ed