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An Unusual Case of Abdominal Pain in a Geriatric Man J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-27 Skyler Sloane, Rachna Subramony, Cameron Olandt, Colleen Campbell
Immunoglobulin A Vasculitis, historically known as Henoch-Schonlein Purpura is a rare form of autoimmune-induced vasculitis most common in children. This disease is characterized by a purpuric rash, arthritis, digestive tract complication, and renal inflammation (Hopkins). We present the case of a 78-year-old man in the emergency department with findings of weakness, abdominal pain, and bloody diarrhea
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Pediatric Asthma Exacerbations – 14 Day ED Return Visit Risk Factors J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-17 Ricardo Aguilar, Chloe Knudsen-Robbins, Louis Ehwerhemuepha, William Feaster, Sunil Kamath, Theodore W. Heyming
Asthma, the most common chronic disease of childhood, can affect a child's physical and mental health, and their social/emotional development. To identify factors associated with ED return visits for asthma exacerbations within 14 days of an initial visit. This was a retrospective review from Cerner Real-World Database for patients 5-18 seen at an ED for an asthma exacerbation and discharged home at
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Assessment of outcomes in patients with heart failure and end-stage kidney disease following fluid resuscitation for sepsis and septic shock J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-16 John Michael Herndon, Sarah B. Blackwell, Nathan Pinner, Thomas S. Achey, Hillary B. Holder, Cruz Tidwell
Sepsis fluid resuscitation is controversial, especially for patients with volume overload risk. The Surviving Sepsis Campaign recommends a 30 mL/kg crystalloid fluid bolus for patients with sepsis-induced hypoperfusion. Criticism of this approach includes excessive fluid resuscitation in certain patients. To assess the efficacy and safety of guideline-concordant fluid resuscitation in patients with
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Analysis of risk factors for severe acute pancreatitis in the early period (<24 hours) after admission J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-16 Qian Yang, Yunhan Gao, Zhongfu Li, Jiang Zheng, Hong Fu, Yu Ma
Severe acute pancreatitis (SAP) has high mortality.Early identification of high-risk factors that may progress to SAP and active intervention measures may improve the prognosis of SAP patients. Clinical data within 24 hours after admission were retrospectively analyzed to provide a evidence for early screening of high-risk factors in patients with SAP. A review of clinical data of acute pancreatitis
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Rapidly Progressive Myonecrosis Diagnosed by Point of Care Ultrasound J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-16 Skyler Sloane, Rachna Subramony, Cameron Andrew Olandt, Colleen Campbell
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Direct comparison of the European Society of Cardiology 0/1-hour versus 0/2-hour algorithms in acute chest pain patients J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-15 Agnes Engström, Arash Mokhtari, Ulf Ekelund
The recent guidelines from European Society of Cardiology recommends using high-sensitivity cardiac troponin (hs-cTn) in either 0/1-hour or 0/2-hour algorithms to identify or rule out acute myocardial infarction (AMI). Several studies have shown good diagnostic accuracy with both algorithms, but few have compared the algorithms directly. We aimed to compare the diagnostic accuracy of the algorithms
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Improvement of Emergency Department Chest Pain Evaluation Using Hs-cTnT and a Risk Stratification Pathway J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-10 Zhengqiu Zhou, Kevin S. Hsu, Joshua Eason, Brian Kauh, Joshua Duchesne, Mikiyas Desta, William Cranford, Alison Woodworth, James D. Moore, Seth T. Stearley, Vedant A. Gupta
Chest pain is amongst the most common reasons for presentation to the emergency department (ED) worldwide. Additional studies on most cost effective ways of differentiating serious versus benign causes of chest pain is needed. Our study aimed to evaluate the effectiveness of a novel risk stratification pathway utilizing 5 generation high-sensitivity cardiac troponin T assay (Hs-cTnT) and HEART score
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Identifying Colorectal Cancer Screening Status among Emergency Department Patients J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Kyle Martin, Chanjun Syd Park, Nancy Wood, David Adler, Beau Abar
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Alternative Causes Must Be Ruled Out Before Meningism Can Be Attributed to Acute Calcific Tendinitis of the Longus Colli Muscle J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Josef Finsterer
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Utilization of oncologic emergency department observation units by cancer patients presenting with pain J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Patrick S. Chaftari, Pavitra P. Krishnamani, Aiham Qdaisat, Monica K. Wattana, Demis N. Lipe, Marcelo Sandoval, Ahmed Elsayem, Maria T. Cruz Carreras, Sai-Ching J Yeung
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Immune-Related Adverse Events in Patients on Immunotherapy Presenting to the Emergency Department: A Retrospective Cohort Study J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Claire L Ruben, Dana M Jolley, Dwight H Owen, Jason J Bischof
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Understanding the Emergency Department Patient Journey from Referral to Cervical, Lung and Colorectal Cancer Screening J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Erica Andersen, Geena Choo, Nancy Wood, David Adler, Beau Abar
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The Effect of Ketamine Versus Etomidate for Rapid Sequence Intubation on Maximum Sequential Organ Failure Assessment Score: A Randomized Clinical Trial J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Shane Christopher Davis, Kiana Hosseinian
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Impact of the day of admission on the outcomes of Metastatic Epidural spinal cord compression J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Vaishali Deenadayalan, Ayobami Olafimihan, Maria Cristina Cuartas Mesa, Ekrem Turk, Muhammad Bilal Ibrahim
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Emergency Department Utilization for Patients Receiving Chimeric Antigen Receptor T Cell Infusion Therapy J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Aiham Qdaisat, Demis N. Lipe, Patrick Chaftari, Monica K. Wattana, Pavitra P. Krishnamani, Cielito Reyes-Gibby, Sai-Ching J. Yeung
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RESPONSE TO “ONDANSETRON SAFETY REGARDING PROLONG QTC FOR CHILDREN WITH HEAD TRAUMA” J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Justin K. Rice, Kyle D. Pires, Mark K. Su
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Cardiovascular Events as Oncologic Emergencies in Patients on Immune- Checkpoint Inhibitor Therapy J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Aiham Qdaisat, Cielito C. Reyes-Gibby, Jun-ichi Abe, Nicolas Palaskas, Sanjay S. Shete, Sai-ching Yeung
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Associations between Enroller Demographics and Subject Enrollment into a Randomized Cancer Prevention Trial J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Ivana-Re Baldie, Chanjun Syd Park, Nancy Wood, Beau Abar, David Adler
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Identifying Trends in Glycemic Management in the Acute Cancer Care Center at MD Anderson Cancer Center J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-09 Nupur Kikani, Sonali Thosani
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Primary Infection Site as a Predictor of Sepsis Development in Emergency Department Patients J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-05 Jason D. Vadhan, Joby Thoppil, Ofelia Vasquez, Arlen Suarez, Brett Bartels, Samuel McDonald, D. Mark Courtney, J. David Farrar, Bhaskar Thakur
Sepsis is a life-threatening condition but, predicting its development and progression remains a challenge. This study aimed to assess the impact of infection site on sepsis development among emergency department patients. Data was collected from a single-center emergency department between January 2016 and December 2019. Patient encounters with documented infections as defined by the Systematized
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Observational Behavioral Coding in the Pediatric Emergency Department: Development of the Emergency Department Child Behavior Coding System (ED-CBCS) J. Emerg. Med. (IF 1.5) Pub Date : 2024-02-02 Sarah R. Martin, Theodore W. Heyming, Brooke J. Valdez, Luis H. Salas, Lindsey L. Cohen, Michelle A. Fortier, Kent Lee, Sherrie Kaplan, Zeev N. Kain
Despite improvements over the past decade, children continue to experience significant pain and distress surrounding invasive procedures in the emergency department (ED). To assess the impact of newly developed interventions, we must develop more reliable and valid behavioral assessment tools that have been validated for the unique settings of pediatric EDs. This study aimed to create and test the
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A Case of Cutaneous Leishmaniasis with Mucosal Involvement in the Northern United States J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-26 Timothy Graziano, Andrew J. Ferdock, Carla M. Rossi, Kristine L. Schultz
Background Cutaneous leishmaniasis (CL) is a vector-borne parasitic infection endemic to many sub-tropical regions worldwide. In the Americas, Leishmania braziliensis is responsible for most reported CL cases. Variable symptom presentation and susceptibility to secondary infection make diagnosing CL a difficult proposition for physicians who may not encounter cases frequently. Case Report We present
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Visual Diagnosis: Hematocolpometra Diagnosed with Point-of-Care Ultrasound in a Pediatric Patient with Right Lower Quadrant Abdominal Pain J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-24 Elspeth Pearce, Adrienne Malik
Abstract not available
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Just a Ginger Ale J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-24 Christiana Prucnal
Abstract not available
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Tips for Transient Perivascular Inflammation of the Carotid Artery (TIPIC) Syndrome J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-24 Alexandra Castro, Francisco Zerpa, Lyle Gesner
Background Idiopathic carotidynia, also known by the acronym of Transient Perivascular Inflammation of the Carotid artery (TIPIC) syndrome, is a rare self-limited clinical-radiologic entity. Over the years the diagnosis of carotidynia has been controversial, but recent pathologic, radiologic, and clinical/laboratory findings support an inflammatory etiology. Case Report A 61 year-old female with history
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Rate of successful shoulder reduction on first confirmatory imaging in the emergency department J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-23 Jeffrey R. Stowell, Levi Filler, Carl Mitchell, Ashkon Mahmoudi, Thomas Whiting, Carl Pastore, Matthew Kunz, Murtaza Akhter
Background The management of acute shoulder dislocation in the emergency department (ED) is common. Objectives This study describes the rate, risk factors, and length of stay (LOS) associated with shoulder dislocation reduction failure in the ED. Methods The study is a retrospective case control study of patients ≥18 years presenting to the ED with acute shoulder dislocation and underwent attempted
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MODIFIED PECS II BLOCK FOR AXILLARY HIDRADENITIS SUPPURATIVA J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-22 Michael Shalaby, Raghav Sahni, Daniel Puebla, Stephanie Fernandez
Background Hidradenitis suppurativa (HS) is a painful, chronic inflammatory skin condition. Patients experience exacerbations, leading them to present to the emergency department (ED) for incision and drainage. Direct injection of local anesthetic into these lesions is extremely painful and seldom provides adequate anesthesia. A modified method of the PECS II block can provide anesthesia to the skin
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The Great Mimicker - Secondary Syphilis Associated Nephrotic Syndrome in an Adolescent Patient J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-22 Alexander Bronzo, Elena Insley, Sharon Yellin, Vivian Levy Toledano, Nessy Dahan
Background Syphilis is long regarded as “The Great Mimicker” for its variety of symptoms and clinical manifestations. Rarely, it can present with renal involvement, particularly nephrotic syndrome. This is an uncommon initial presentation, particularly in pediatrics. Case Report We present the case of a 17-year-old male who presented to the emergency room with a chief complaint of abdominal pain. In
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Abdominal Compartment Syndrome Secondary to Bulimia Nervosa: A case report and systematic review of published cases J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-21 Nifesimi Olojede, Emanuel Cassimatis, Henry Tsao
Background: Abdominal compartment syndrome (ACS) is typically attributed to critically unwell patients with trauma, burns, post-surgery and massive ascites. A rare but fatal cause of ACS is bulimia nervosa (BN), which is an eating disorder characterized by bingeing followed by methods to avoid weight gain including purging. Case Report: We present a case of a twenty-year-old female who presented with
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Exploring D-lactate as a biomarker for acute intestinal necrosis in 2958 patients: a prospective cross-sectional study J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-19 David Straarup, Kåre A. Gotschalck, Peter A. Christensen, Rikke W. Rasmussen, Henrik Krarup, Søren Lundbye-Christensen, Aase Handberg, Ole Thorlacius-Ussing
Purpose Timely diagnosis of acute intestinal necrosis (AIN) is lifesaving but challenging due to unclear clinical presentation. D-lactate has been proposed as an AIN biomarker and we aimed to test the diagnostic performance in a clinical setting. Methods We performed a cross-sectional prospective study, including all adult patients with acute referral to a single tertiary gastrointestinal surgical
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Association between frailty and head impact location after ground-level fall in older adults J. Emerg. Med. (IF 1.5) Pub Date : 2024-01-19 Xavier Dubucs, Éric Mercier, Valérie Boucher, Samuel Lauzon, Frederic Balen, Sandrine Charpentier, Marcel Emond
Background Mild Traumatic Brain Injuries (TBI) are highly prevalent in older adults, and ground-level falls are the most frequent mechanism of injury. Objective This study aims to assess whether frailty is associated with the head impact location among older patients who sustained a ground-level fall-related mild TBI. The secondary objective was to measure the association between frailty and intracranial
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Pseudogestational Sac Delaying Diagnosis of Ectopic Pregnancy – A Case Report J. Emerg. Med. (IF 1.5) Pub Date : 2023-12-19 Maya Fontenot, Jake Valentine
Background Diagnosis of ectopic pregnancy can be complicated by nonspecific laboratory and radiographic findings. The multiple alternative diagnoses must be weighed against each other based on the entire clinical presentation. Case Report We present a case of a 20-year-old female who arrived to the emergency department with abdominal pain and ended up being transferred for an obstetrics evaluation
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Effect of intravenous push and piggyback administration of ceftriaxone on mortality in sepsis J. Emerg. Med. (IF 1.5) Pub Date : 2023-12-16 Sun Young Lim, Sumin Baek, You Hwan Jo, Jae Hyuk Lee, Um Young Woo, Hee Eun Kim, Dongkwan Han
Background : There is a lack of evidence-based guidelines for the administration methods of ceftriaxone in emergency departments (EDs), resulting in the reliance on individual institutional protocols for decision-making. Objective : This study was performed to compare the effects of administering ceftriaxone via intravenous push (IVP) and intravenous piggyback (IVPB) on 28-day mortality in patients
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Deaths among ambulance patients released from the emergency department within the first 24 hours with non-specific diagnoses – expected or not? J. Emerg. Med. (IF 1.5) Pub Date : 2023-12-14 Guðný Halla Harðardóttir, Johnny Strøm Petersen, Anne L. Krarup, Erika F. Christensen, Morten B. Søvsø
Background Emergency patients are frequently assigned non-specific diagnoses. Non-specific diagnoses describe observations or symptoms and are found in chapters R and Z of the International Classification of Diseases, 10th edition (ICD-10). Patients with such diagnoses have relatively low mortality, but due to patient volume, the absolute number of deaths is substantial. However, information on cause
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Accuracy of Prehospital Services’ Estimated Time to Arrival for Ground Transport to the Emergency Department J. Emerg. Med. (IF 1.5) Pub Date : 2023-12-14 Jessica Fozard, Brent Becker, Tucker Lurie, Aizad Dasti
Background Emergency medical services (EMS) transporting patients to the emergency department (ED) typically call ahead to provide an estimated time to arrival (ETA). Accurate ETA facilitates ED preparation and resource allotment in anticipation of patient arrival. Objective The study purposed to determine the accuracy of estimated time to arrival (ETA) provided by emergency medical services (EMS)
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Now You See It, Now You Don't: Point-of-Care Ultrasound Identification of Left Ventricular Thrombus-in-Transit J. Emerg. Med. (IF 1.5) Pub Date : 2023-12-10 Zachary Boivin, Zhayna Spooner, Christina Jiang, Kirstin Acus, Christina Lu, Trent She
Background: Left-sided intracardiac thrombi are most commonly seen in conditions with decreased cardiac flow such as myocardial infarction or atrial fibrillation. They can be propagated into the systemic circulation leading to a cerebrovascular accident. Identification of thrombus-in-transit via point-of-care ultrasound (POCUS) has the potential to change patient management given its association with
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The Association Between C-Reactive Protein Levels and Pediatric Appendicitis Score with the Severity of Appendicitis in Children J. Emerg. Med. (IF 1.5) Pub Date : 2023-12-09 Jill Fennell, Heather M Territo, Nadya Telt, Brian H. Wrotniak, Rafal Kozielski, Earl Pape, Michelle Penque
Background Acute appendicitis is a common cause of abdominal pain leading to emergent abdominal surgery in children. C-Reactive Protein (CRP), an inflammatory marker typically elevated in acute appendicitis, and the Pediatric Appendicitis score (PAS), a clinical scoring system used for the diagnosis of appendicitis, have the potential to predict the severity of inflammation of appendix. This may be
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Metformin Associated Lactic Acidosis – Is This on Your Radar? J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-29 Erin L. Simon, Alexandra C. Sherry, Jeffrey Rabinowitz
Background Metformin is a biguanide hyperglycemic agent used to manage non-insulin-dependent diabetes mellitus. Adverse reactions mainly include mild gastrointestinal side effects, but severe complications such as metformin-associated lactic acidosis (MALA) can occur. Metformin is renally excreted, and therefore, not recommended in patients with renal impairment. The reported incidence of metformin-associated
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CALCIFIC PERITENDINITIS IN THE GLUTEUS MAXIMUS TENDON J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-28 Shibin Mathews, Andres Rodrigues Sein, Gunnye Pak, David M. Vu, Natalie Zelenko, Oleg Opsha
Background Calcific tendinitis is classically a painful condition that most commonly affects the rotator cuff, but may infrequently involve other tendons. Case Report We discuss a 57-year-old man who presented to the emergency department with a 4-day history of right hip pain, described as the “worst pain in (his) life.” The pain was first noticed at night and had progressively worsened. History, physical
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INTRACUTANEOUS STERILE WATER INJECTION: SAFE AND EFFECTIVE ALTERNATIVE FOR RELIEF OF ACUTE RENAL COLIC IN THE EMERGENCY DEPARTMENT J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-27 Adem Az, Ozgur Sogut, Tarik Akdemir, Yunus Dogan
Background The optimal pain relief method for acute renal colic in the emergency department remains controversial. Objective We compared the safety and efficacy of intradermal sterile water injection (ISWI) to treatment with intramuscular (IM) diclofenac, intravenous (IV) opioids, and IV paracetamol in patients with acute renal colic. Methods This randomized, single-blind study included 320 patients
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THE PITFALLS OF USING POP-OFF VALVES IN ADULT EMERGENCY AIRWAY MANAGEMENT J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-27 Anthony Rauschenbach, Sahini Pothireddy, Paul Young, Robert F. Reardon, Brian E. Driver
Background Although common in pediatric airway equipment, positive-pressure relief (“pop-off”) valves are also present on some adult resuscitator bags. These valves are designed to decrease barotrauma but, in doing so, limit the airway pressure provided during manual bag-assisted ventilation. In critically ill adult patients with high airway pressures, these valves can be detrimental and result in
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Relationship between Shock Index, diastolic SI, modified SI, and age SI with 28-day mortality among patients with prehospital septic shock J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-25 Romain Jouffroy, Sonia Gille, Basile Gilbert, Stéphane Travers, Emmanuel Bloch-Laine, Patrick Ecollan, Josiane Boularan, Vincent Bounes, Benoît Vivien, Papa Gueye
Background A relative hypovolemia occurs during septic shock (SS) early phase clinically reflected by tachycardia and low-blood pressure. In the prehospital setting, simple objective tools, to assess hypovolemia severity are needed to optimize triaging. Objectives The aim of this study was to evaluate the relationship between shock index (SI), diastolic SI (DSI), modified SI (MSI), and age SI (ASI)
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Does Size Matter? A Prospective Study on the Feasibility of Using a Handheld Ultrasound Device in Place of a Cart-based System in the Evaluation of Trauma Patients J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-24 Josie Acuña, Elaine Situ-LaCasse, Adrienne A. Yarnish, Neil L McNinch, Srikar Adhikari
Background As emergency physicians are looking at handheld devices as alternatives to the traditional, cart-based systems, concerns center around whether they are forsaking image quality for a lower price point and if the handheld can be trusted for medical decision making. Objectives We aimed to determine the feasibility of using a handheld ultrasound device in place of a cart-based system during
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A Novel Intubation Technique: Bougie Introduction Via DuCanto Suction Catheter J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-24 Nicholas Cochran-Caggiano, Jordan Holliday, Cory Howard
Background Airway management is a defining skill that demands mastery by emergency medicine physicians. Airway emergencies pose significant morbidity and mortality risks. Familiarity with, and mastery of, a variety of airway management approaches and equipment can prove invaluable for management of anatomically and/or physiologically difficult airways. Case Report A 67-year-old female presented as
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Emergency Department Intraarticular Corticosteroid Injection for Sacroiliac Joint Dysfunction J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-23 Michael Shalaby, Joseph McShannic, Alejandro Sanoja, Michael Rosselli
Background Sacroiliac joint (SIJ) dysfunction is a common but underrecognized source of low back pain (LBP). With provocative testing, emergency physicians can diagnose SIJ dysfunction and begin appropriate treatment in the emergency department (ED). Discussion For patients with significant pain from SIJ dysfunction, ultrasound-guided SIJ injection of anesthetic and corticosteroid can significantly
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A Novel Tool for Predicting an Abnormal Echocardiogram in Patients with Pulmonary Embolism- The PEACE Score J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-22 Nour Al Jalbout, Irene Ma, Hamid Shokoohi, Kathleen McFadden, Christopher Kabrhel, Nicholas Giordano, Andrew Liteplo
Background Transthoracic echocardiography (TTE) is an essential tool for risk stratifying pulmonary embolism patients, but its availability is limited often requiring hospitalization. Minimal research exists evaluating clinical and laboratory criteria to predict lack of abnormal TTE findings. Objective We aimed to identify predictors associated with abnormal TTE results in PE patients to potentially
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Letter in Response to “Short Axis In-Plane Ultrasound-Guided Technique for Internal Jugular Vein Cannulation” J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-16 Robert Allen, Ian S. deSouza
Abstract not available
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Cranial Nerve Six Palsy After Vaginal Delivery with Epidural Anesthesia, a case report. J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-20 Jennifer Olivarez, Scott Gutovitz, Caylyne Arnold
Background This case report describes a 34-year-old female who developed diplopia and strabismus two weeks after a vaginal delivery and epidural anesthesia. Case Report A 34-year-old female presented to the Emergency Department (ED) with continued headache and new onset diplopia after having undergone epidural anesthesia for a vaginal delivery two weeks prior. During that time, she underwent two blood
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Utilizing Nurse Practitioners and Physician Assistants in Academic Emergency Departments Does Not Reduce Residents' Exposure to More-Complex Patients J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-18 Meghal Mehta, Sara Scott, Lawrence H. Brown
Background Whether integration of nurse practitioners (NPs) and physician assistants (PAs) into academic emergency departments (EDs) affects emergency medicine (EM) resident clinical learning opportunities is unclear. Objective We sought to compare EM resident exposure to more-complex patients, as well as patients undergoing ACGME-required procedures, at non-pediatric academic EDs with lower, moderate
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Multifactorial Dependence of Muscle Relaxant Efficacy in Lower Back Pain J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-16 Josef Finsterer, Fulvio A. Scorza
Abstract not available
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Letter to the Editor: Ultrasound Measurement of the Intervertebral Space in the Lateral Recumbent Versus Sitting Positions J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-16 Sobul Khan
Abstract not available
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The Effect of Ketamine Versus Etomidate for Rapid Sequence Intubation on Maximum Sequential Organ Failure Assessment Score: A Randomized Clinical Trial; Some Concerns J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-16 Muhammed Shaji, Amiya Kumar Barik, Rakesh Vadakkethil Radhakrishnan, Chitta Ranjan Mohanty
Abstract not available
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Body core temperature assessment in emergency care departments J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-14 Hein A.M. Daanen, Gercora Hoitinga, David J. Kruijt, Kevin S. Koning, Pooh P. Verheijen, Sanne I.M. de Baas, Anouk R. Bergsma, Cathelijne E. Snethlage, Iman Al-Bander, Lennart P.J. Teunissen
Background There is concern that the values provided by devices using infrared thermometry in emergency departments (ED) do not reflect body core temperature accurately. Objectives Evaluation of three commonly used thermometers in ED. Methods Two infrared ear thermometers and an infrared forehead thermometer were evaluated using 1) the Voltcraft IRS-350 calibration device, 2) comparing temperature
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Impact of triage systems on time to diagnosis and treatment of traumatic brain injuries J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-10 Marcel Nwizu, Thomas Weiner, Tony Downs, Jessica Krizo, Caroline Mangira, Stacy Cowan, Ali Mallat, Ashley Heaney
Background : Intracerebral hemorrhage (ICH) is a potential complication from traumatic brain injury with a 30-day mortality rate of 35-52%. Rapid diagnosis allows for earlier treatment, which impacts patient outcomes. A trauma activation (TA) is called when injury severity meets institutional criteria. The patient is immediately roomed, and a multispecialty team is present. A trauma evaluation (TE)
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Bedside Leukocyte Esterase Testing to Aid in Diagnosing Bacterial Conjunctivitis in Children J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-09 Sandra J. Cunningham, Linda Solomon
Background Conjunctivitis is a frequent complaint in pediatric emergency departments; however, the etiology of conjunctivitis is difficult to clinically differentiate. Objective Our study objective was to evaluate the test performance characteristics of leukocyte esterase (LE) test strips in diagnosing bacterial conjunctivitis. Methods Patients 3 months to 21 years presenting to an emergency department
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Effects of Intravenous Lipid Emulsion Administration in Acute Tramadol Poisoning: A Randomized Controlled Trial J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-07 Amir Hossein Behnoush, Nafiseh Alizadeh, Mahdi Emami, Elham Bazmi, Yousef Alimohamadi, Behnam Behnoush
Background As the prevalence of tramadol toxicity is increasing, managing these patients with the aim of treatment and complete recovery has become a major challenge for healthcare professionals. Objectives This study evaluates the short-term effects of intravenous lipid emulsion (ILE) administration in cases of tramadol poisoning. Methods In this double-blind, randomized controlled trial, 120 patients
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Invasive Fungus Balls Diagnosed by Point-of-Care Ultrasound in the Emergency Department J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-04 Sean Beckman, Rebecca Goett, Bianca Yugar, Stephen Alerhand
Background Genitourinary tract fungus balls are a rare complication of urinary tract infections (UTI). They arise from dense aggregations of hyphae that combine with surrounding urothelial cells and debris. Symptoms can progress to urosepsis and systemic dissemination. Unfortunately, fungus balls may remain unrecognized without further imaging. Even with computed tomography (CT) and magnetic resonance
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Accuracy and feasibility of three-dimensional ultrasound testing in eye clinic and emergency department patients with vision complaints J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-03 Rebecca G. Theophanous, Alexander Gordee, Erica Peethumnongsin, Wennie Huang, Kevin Gurysh, Matthew Coco, Santiago Cantillo Campos, Brandon Ruderman, Maragatha Kuchibhatla, Joshua Broder
Background : Ocular emergencies comprise 2-3% of emergency department (ED) visits, with retinal detachment requiring emergency surgery. 2D ultrasound (US) is a rapid bedside tool but is highly operator dependent. Objective : We determined 3DUS feasibility, acceptability, and usability in eye pathology detection using the ophthalmologist exam as reference standard. Methods : We performed a prospective
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The Impact of the City of Miami's Decision to Revoke Electric Scooter Company Permits on Orthopedic Trauma at a Level I Trauma Center J. Emerg. Med. (IF 1.5) Pub Date : 2023-11-02 Moses Markowitz, Eric Kholodovsky, David Constantinescu, Jonathan Weinerman, Giselle Hernandez, Seth D. Dodds
Background Since the introduction of electric-scooter (e-scooter) mobile applications, there has been a marked increase in e-scooter related injury. On January 19th, 2022, the City of Miami revoked permits to five major mobile applications for violation of safety protocols. Objectives The purpose of our study was to assess the effects of this notice on the orthopedic patients seen at our corresponding