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Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-21 James H. Paxton, Kevin J. Keenan, John M. Wilburn, Stefanie L. Wise, Howard A. Klausner, Matthew T. Ball, Robert B. Dunne, K. Derek Kreitel, Larry F. Morgan, William D. Fales, Debbie Madhok, Nobl Barazangi, Steven T. McLean, Katherine Cross, Lisa Distenfield, Jordan Sykes, Paul Lovoi, Beth Johnson, Wade S. Smith
Large-vessel occlusion (LVO) stroke represents one-third of acute ischemic stroke (AIS) in the United States but causes two-thirds of poststroke dependence and >90% of poststroke mortality. Prehospital LVO stroke detection permits efficient emergency medical systems (EMS) transport to an endovascular thrombectomy (EVT)-capable center. Our primary objective was to determine the feasibility of using
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Trends in pediatric emergency department transfers from Indian Health Service and tribal health systems Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-22 Fiona A. Pirrocco, Hamy Temkit, Cherisse Mechem, Karen Yeager
ObjectiveTo describe the frequency and observed trends for all Indian Health Service (IHS) and tribal emergency department (ED) transfers to a pediatric referral center from January 1, 2017, to December 31, 2020, with a secondary analysis to describe trends in final dispositions, lengths of stay (LOS), and the most common primary ICD‐10 diagnoses.MethodsWe performed a retrospective chart review of
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Emergency physician gender and head computed tomography orders for older adults who have fallen Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-22 Rhys Kraft, Mathew Mercuri, Natasha Clayton, Andrew Worster, Eric Mercier, Marcel Emond, Catherine Varner, Shelley L. McLeod, Debra Eagles, Ian Stiell, David Barbic, Judy Morris, Rebecca Jeanmonod, Yoan K. Kagoma, Ashkan Shoamanesh, Paul T. Engels, Sunjay Sharma, Alexandra Papaioannou, Sameer Parpia, Ian Buchanan, Mariyam Ali, Kerstin de Wit
ObjectivePhysicians vary in their computed tomography (CT) scan usage. It remains unclear how physician gender relates to clinical practice or patient outcomes. The aim of this study was to assess the association between physician gender and decision to order head CT scans for older emergency patients who had fallen.MethodsThis was a secondary analysis of a prospective observational cohort study conducted
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Response to Pan et al. Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-22 Jordan E. Jenrette, Kyle Coronato, Matthew A. Miller, Kyle C. Molina, Alexander Quinones, Gabrielle Jacknin
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Cellular host response sepsis test for risk stratification of patients in the emergency department: A pooled analysis Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-21 Hollis R. O'Neal, Roya Sheybani, Chadd K. Kraus, Wesley H. Self, Ajay M. Shah, Christopher B. Thomas, Henry T. K. Tse, Robert Scoggins
ObjectivesSepsis is one of the most common, costly, and misdiagnosed conditions in U.S. emergency departments (EDs). ED providers often treat on nonspecific signs, subjective suspicion, or presumption of infection, resulting in over‐ and undertreatment. An increased understanding of host response has opened a new direction for sepsis diagnostics. The IntelliSep test is a U.S. Food and Drug Administration–cleared
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Response to the letter: “Utility of electroencephalography in toxin‐induced seizure” Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-13 Alexander M. Sidlak, Brent Dibble, Brian Schultz
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Editor‐in‐Chief Introduction Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-12 Jeffrey A. Kline, Susan B. Promes
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Examining adverse childhood experiences and Black youth's engagement in a hospital‐based violence intervention program using administrative data Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-12 Laura A. Voith, Meghan Salas Atwell, Alena Sorensen D'Alessio, Kylie E. Evans, Amy Korsch‐Williams
BackgroundStemming from poverty and systemic racism, Black youth are disproportionately represented in hospital‐based violence intervention programs (HVIPs) due to greater violence exposure. HVIPs are a critical intervention that have been shown to reduce rates of reinjury in urban hospitals and trauma centers across the United States; however, they are plagued by low enrollment and engagement rates
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Response to “Utility of electroencephalography in toxin‐induced seizures” Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-10 Marlis Gnirke, Mark K. Su
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Finding the professional age “sweet spot” in emergency medicine Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-10 Joe Nemeth, Eddy Lang, Sara Gray, Suzanne Beno, Nisreen Maghraby
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Validation of the Appendicitis Inflammatory Response (AIR) score during pregnancy: A nested case–control study Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-10 Elin Moltubak, Kalle Landerholm, Marie Blomberg, Roland E. Andersson
ObjectivesAppendicitis poses diagnostic challenges. A correct diagnosis is important during pregnancy to avoid unnecessary surgery on the one hand and delayed surgery on the other hand, as both may negatively affect pregnancy outcomes. Clinical scores for risk‐stratified management of suspected appendicitis are well established in adults but have not been validated during pregnancy. This nested case–control
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Clinical relevance rather than evidence existence: The SAEM GRACE pragmatism Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-10 Lucas Oliveira J. e Silva, Fernanda Bellolio, Christopher R. Carpenter
CONFLICT OF INTEREST STATEMENT Dr. Bellolio receives grant funding from the Agency for Healthcare Research and Quality for the Study of Diagnostic Errors, the National Institutes of Health, Food and Drug Administration, and the Kern Center, Mayo Clinic, for palliative and geriatric care–related research. Dr. Carpenter is the Deputy Editor-in-Chief Academic Emergency Medicine; Associate Editor, Annals
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Perspectives from persons living with dementia and their caregivers on emergency department visits, care transitions, and outpatient follow‐up: A qualitative study Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-09 Megan C. McHugh, Kayla M. Muschong, Sara M. Bradley, Alexander X. Lo
BackgroundPersons living with dementia (PLWD) experience frequent and costly emergency department (ED) visits, with poor outcomes attributed to suboptimal care and postdischarge care transitions. Yet, patient‐centered data on ED care experiences and postdischarge needs are lacking. The objective of this study was to examine the facilitators and barriers to successful ED care and care transitions after
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Early versus late advanced airway management for adult patients with out‐of‐hospital cardiac arrest: A time‐dependent propensity score–matched analysis Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-08 Shunsuke Amagasa, Shintaro Iwamoto, Masahiro Kashiura, Hideto Yasuda, Yuki Kishihara, Satoko Uematsu, Takashi Moriya
ObjectiveThe objective was to investigate whether early advanced airway management during the entire resuscitation period is associated with favorable neurological outcomes and survival in patients with out‐of‐hospital cardiac arrest (OHCA).MethodsWe performed a retrospective cohort study of patients with OHCA aged ≥18 years enrolled in OHCA registry in Japan who received advanced airway management
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Fluid volumes in adults with sepsis Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-03 Brit Long, Michael Gottlieb
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Identifying signs and symptoms of urinary tract infection from emergency department clinical notes using large language models Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-03 Mark Iscoe, Vimig Socrates, Aidan Gilson, Ling Chi, Huan Li, Thomas Huang, Thomas Kearns, Rachelle Perkins, Laura Khandjian, R. Andrew Taylor
BackgroundNatural language processing (NLP) tools including recently developed large language models (LLMs) have myriad potential applications in medical care and research, including the efficient labeling and classification of unstructured text such as electronic health record (EHR) notes. This opens the door to large‐scale projects that rely on variables that are not typically recorded in a structured
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Pediatric mental health emergency department visits from 2017 to 2022: A multicenter study Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-02 Jennifer A. Hoffmann, Camille P. Carter, Cody S. Olsen, David Ashby, Kamali L. Bouvay, Susan J. Duffy, James M. Chamberlain, Sofia S. Chaudhary, Nicolaus W. Glomb, Jacqueline Grupp-Phelan, Maya Haasz, Erin P. O'Donnell, Mohsen Saidinejad, Bashar S. Shihabuddin, Leah Tzimenatos, Neil G. Uspal, Joseph J. Zorc, Lawrence J. Cook, Elizabeth R. Alpern
The COVID-19 pandemic adversely affected children's mental health (MH) and changed patterns of MH emergency department (ED) utilization. Our objective was to assess how pediatric MH ED visits during the COVID-19 pandemic differed from expected prepandemic trends.
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Reframing conflict in the emergency department as an expected and modifiable source of moral injury Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-04-02 James R. Miner, Adam Rieves, Rebecca Nahum
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Diagnostic and prognostic value of cardiac troponins in emergency department patients presenting after a fall: A prospective, multicenter study Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-27 Tanguy Espejo, Lukas Terhalle, Alexandra Malinovska, Henk B. Riedel, Laura Arntz, Livia Hafner, Karen Delport‐Lehnen, Joanna Zuppinger, Nicolas Geigy, Jörg Leuppi, Rajan Somasundaram, Roland Bingisser, Christian H. Nickel
BackgroundEmergency department (ED) presentations after a ground‐level fall (GLF) are common. Falls were suggested to be another possible presenting feature of a myocardial infarction (MI), as unrecognized MIs are common in older adults. Elevated high‐sensitivity cardiac troponin (hs‐cTn) concentrations could help determine the etiology of a GLF in ED. We investigated the prevalence of both MI and
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Not a crime scene: The need to examine the impact of police in the pediatric emergency department Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-26 Anna Abrams, Elinore Kaufman, Lalit Bajaj
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Eligibility of emergency department patients for public benefit programs Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-26 Joseph Harrison, Grace McDermott, Erica L. Dixon, Michael Mehta, Aliza Haider, Charles Rareshide, Lauren Southwick, Anish K. Agarwal, Raina M. Merchant, Austin S. Kilaru
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Paxlovid for nonhospitalized patients with COVID‐19 Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-22 Fatima Johari, Rajesh Verma
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Assessing the one‐month mortality impact of civilian‐setting prehospital transfusion: A systematic review and meta‐analysis Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-22 David W. Schoenfeld, Carlo L. Rosen, Tim Harris, Stephen H. Thomas
BackgroundBased on convincing evidence for outcomes improvement in the military setting, the past decade has seen evaluation of prehospital transfusion (PHT) in the civilian emergency medical services (EMS) setting. Evidence synthesis has been challenging, due to study design variation with respect to both exposure (type of blood product administered) and outcome (endpoint definitions and timing).
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Full‐dose challenge of moderate, severe, and unknown beta‐lactam allergies in the emergency department Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-21 Adam M. Anderson, Stephanie Coallier, Reid E. Mitchell, Lisa E. Dumkow, Lauren M. Wolf
ObjectiveThis study aims to assess the outcome of challenging documented moderate, severe, or unknown beta‐lactam allergies with full dose administration of a beta‐lactam antibiotic in emergency department (ED) patients admitted for acute bacterial infection.MethodsA single‐center, retrospective, descriptive study of adult patients challenged with a full dose of beta‐lactam in the ED from January 2021
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Patient perceptions of behavioral flags in the emergency department: A qualitative analysis Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-21 Rachel E. Gonzales, Emily F. Seeburger, Ari B. Friedman, Anish K. Agarwal
BackgroundTo combat increasing levels of violence in the emergency department (ED), hospitals have implemented several safety measures, including behavioral flags. These electronic health record (EHR)‐based notifications alert future clinicians of past incidents of potentially threatening patient behavior, but observed racial disparities in their placement may unintentionally introduce bias in patient
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Troponin or not troponin, what is the (clinical) question? Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-21 Alfred Z. Wang, Benton R. Hunter
Troponin testing was first approved and employed as a test for myocardial infarction (MI) in 1995 and, with its improved specificity, quickly made other cardiac biomarkers essentially obsolete,1 so much so that troponins, and no other biomarkers, are now part of the diagnostic criteria for both MI and “myocardial injury.”1 In cases of Type 1 MI, or acute coronary syndrome (ACS), troponin elevations
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Timing and causes of death to 1 year among children presenting to emergency departments Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-18 Stefanie G. Ames, Apoorva Salvi, Amber Lin, Susan Malveau, N. Clay Mann, Peter C. Jenkins, Matthew Hansen, Linda Papa, Sabrina Schmitz, Cesar Sabogal, Craig D. Newgard
A better characterization of deaths in children following emergency care is needed to inform timely interventions. This study aimed to describe the timing, location, and causes of death to 1 year among a cohort of injured and medically ill children.
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Language barriers and pain disparities in pediatric emergency settings: A call for action Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-18 Paulina S. Lim, Michelle A. Fortier, Miriam Bender, Belinda Campos, Theodore Heyming, Zeev N. Kain
CONFLICT OF INTEREST STATEMENT PSL, MF, and ZNK's institution has received grant funding from the National institute of health for investigator-initiated research. TH declares no conflict of interest.
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SGLT‐2 inhibitors and GLP‐1 receptor agonists for Type 2 diabetes Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-18 Esteban Davila, James McCormack
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Prospective validity evidence for the abbreviated emergency medicine Copenhagen Burnout Inventory Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-18 Earl J. Reisdorff, Mary M. Johnston, Michelle D. Lall, Dave W. Lu, Karl Y. Bilimoria, Melissa A. Barton
BackgroundPrior research has provided retrospective validity evidence for an abbreviated Copenhagen Burnout Inventory (CBI) to measure burnout among emergency medicine (EM) residents. We sought to provide additional validity and reliability evidence for the two‐factor, six‐item abbreviated CBI.MethodsThis cross‐sectional study used data from the abbreviated CBI that was administered following the 2022
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The emergency department trigger tool: Multicenter trigger query validation Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-18 Richard T. Griffey, Ryan M. Schneider, Keith E. Kocher, Edmund S. H. Kwok, Ellen Salmo, Nora Malone, Carrie Smith, Catie Guarnacia, April Rick, Tamara Clavet, Phil Asaro, Rich Medlin, Alexandre A. Todorov
ObjectivesWe previously described derivation and validation of the emergency department trigger tool (EDTT) for adverse event (AE) detection. As the first step in our multicenter study of the tool, we validated our computerized screen for triggers against manual review, establishing our use of this automated process for selecting records to review for AEs.MethodsThis is a retrospective observational
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Hot off the press: Microaggressions in the emergency department Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-11 Christopher Bond, Suchisimita Datta, William K. Milne
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Public support for and concerns regarding pediatric dose optimization for seizures in emergency medical services: An exception from informed consent (EFIC) trial Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-07 Caleb E. Ward, Kathleen M. Adelgais, Maija Holsti, Kammy K. Jacobsen, Harold K. Simon, Claudia R. Morris, Victor M. Gonzalez, Gonzalo Lerner, Kimia Ghaffari, John M. VanBuren, E. Brooke Lerner, Manish I. Shah
Federal regulations allow exception from informed consent (EFIC) to study emergent conditions when obtaining prospective consent is not feasible. Little is known about public views on including children in EFIC studies. The Pediatric Dose Optimization for Seizures in EMS (PediDOSE) trial implements age-based, standardized midazolam dosing for pediatric seizures. The primary objective of this study
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The association of prehospital systemic corticosteroids with emergency department and in‐hospital outcomes for patients with asthma exacerbations Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-08 Sriram Ramgopal, Vishal V. Naik, Sho Komukai, Sylvia Owusu‐Ansah, Remle P. Crowe, Masashi Okubo, Christian Martin‐Gill
BackgroundTimely administration of systemic corticosteroids is a cornerstone of asthma exacerbation treatment, yet little is known regarding potential benefits of prehospital administration by emergency medical services (EMS) clinicians. We examined factors associated with prehospital corticosteroid administration with hospitalization and hospital length of stay (LOS).MethodsWe performed a retrospective
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Eligibility for anticoagulation initiation in atrial fibrillation: Agreement between emergency physician and medical record review Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-08 Darshana Seeburruth, X. Catherine Tong, Christopher Kirwan, Sophie Ramsden, Aqsa Kibria, Jaimie Carter, Johnny Huang, Robyn McArthur, Natasha Clayton, Kerstin de Wit
CONFLICT OF INTEREST STATEMENT This was a secondary analysis of an implementation study which was funded by a grant from Bayer HealthCare Pharmaceuticals Inc. (manufacturers of rivaroxaban).
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Prospective evaluation of single‐dose aminoglycosides for treatment of complicated cystitis in the emergency department Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-07 Jordan E. Jenrette, Kyle Coronato, Matthew A. Miller, Kyle C. Molina, Alexander Quinones, Gabrielle Jacknin
BackgroundAntimicrobial resistance among Enterobacterales continues to be a growing problem, particularly in those with urinary infections. Previous studies have demonstrated safety and efficacy with the use of single‐dose aminoglycosides in uncomplicated cystitis. However, data in complicated infections are limited. Single‐dose aminoglycosides may provide a convenient alternative for those with or
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Predicting posthospitalization falls in Brazilian older adults: External validation of the Carpenter instrument Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-07 Pedro K. Curiati, Marcela dos S. Arruda, Christopher R. Carpenter, Christian V. Morinaga, Hugo M. A. Melo, Thiago J. Avelino‐Silva, Marlon R. Aliberti
ObjectivesThis study sought to explore and externally validate the Carpenter instrument's efficacy in predicting postdischarge fall risk among older adults admitted to the emergency department (ED) for reasons other than falls or related injuries.MethodsA prospective cohort study was conducted on 779 patients aged ≥ 65 years from a tertiary hospital in São Paulo, Brazil, who were monitored for up to
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Hot off the press: I ain't missing you—Spinal epidural abscess Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-01 Kirsty Challen, Lauren M. Westafer, W. Ken Milne
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
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Epidemiology of brief resolved unexplained events and impact of clinical practice guidelines in general and pediatric emergency departments Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-03-01 Nassr Nama, Amy M. DeLaroche, Mark I. Neuman, Manoj K. Mittal, Bruce E. Herman, Daniela Hochreiter, Ron L. Kaplan, Allayne Stephans, Joel S. Tieder
ObjectivesThe aim of this study was to describe the incidence of brief resolved unexplained events (BRUEs) and compare the impact of a national clinical practice guideline (CPG) on admission and diagnostic testing practices between general and pediatric emergency departments (EDs).MethodsUsing the Nationwide Emergency Department Sample for 2012–2019, we conducted a cross‐sectional study of children
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Peripheral nervous system and neuromuscular disorders in the emergency department: A review Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-29 Ajith Sivadasan, Miguel A. Cortel‐LeBlanc, Achelle Cortel‐LeBlanc, Hans Katzberg
IntroductionAcute presentations and emergencies in neuromuscular disorders (NMDs) often challenge clinical acumen. The objective of this review is to refine the reader's approach to history taking, clinical localization and early diagnosis, as well as emergency management of neuromuscular emergencies.MethodsAn extensive literature search was performed to identify relevant studies. We prioritized meta‐analysis
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Conflict in emergency medicine: A systematic review Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-28 Timothy Edward Tjan, Lee Yung Wong, Andrew Rixon
BackgroundThe emergency department (ED) is a demanding and time‐pressured environment where doctors must navigate numerous team interactions. Conflicts between health care professionals frequently arise in these settings. We aim to synthesize the individual‐, team‐, and systemic‐level factors that contribute to conflict between clinicians within the ED and explore strategies and opportunities for future
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Blood biomarkers for the differentiation between central and peripheral vertigo in the emergency department: a systematic review and meta‐analysis Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-26 Vincent W. Klokman, Fiona N. Koningstein, Job W. W. Dors, Marieke S. Sanders, Sam W. Koning, Dominique P. V. de Kleijn, Kim E. Jie
Background/introductionIn patients with acute vestibular syndrome (AVS), differentiating between stroke and nonstroke causes is challenging in the emergency department (ED). Correct diagnosis of vertigo etiology is essential for early optimum treatment and disposition.ObjectivesThe aim of this systematic review and meta‐analysis was to summarize the published evidence on the potential of blood biomarkers
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Troponin thresholds for myocardial infarction risk stratification Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-24 John W. Pickering
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Evaluating the performance of the HEART score in a Tanzanian emergency department Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-24 Braylee Grisel, Olanrewaju Adisa, Francis M. Sakita, Tumsifu G. Tarimo, Godfrey L. Kweka, Jerome J. Mlangi, Amedeus V. Maro, Marilyn Yamamoto, Lauren Coaxum, David Arthur, Alexander T. Limkakeng, Julian T. Hertz
ObjectiveThe HEART score successfully risk stratifies emergency department (ED) patients with chest pain in high‐income settings. However, this tool has not been validated in low‐income countries.MethodsThis is a secondary analysis of a prospective observational study that was conducted in a Tanzanian ED from January 2019 through January 2023. Adult patients with chest pain were consecutively enrolled
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Finding success in failure Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-24 Huma Farid
CONFLICT OF INTEREST STATEMENT The author has no conflicts of interest to disclose.
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Clinically significant differences in self‐reported pain scores in children with headaches Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-24 Daniel S. Tsze, Christian Thiele, Gerrit Hirschfeld, Peter S. Dayan
ObjectivesChanges in pain scores that represent clinically significant differences in children with headaches are necessary for study design and interpretation of findings reported in studies. We aimed to determine changes in pain scores associated with a minimum clinically significant difference (MCSD), ideal clinically significant difference (ICSD), and patient‐perceived adequate analgesia (PPAA)
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“I don't want to be the squeaky wheel”: Addressing bias as a leader in emergency medicine Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-23 Ambuj Suri, David Yang, Wendy W. Sun, Mariame Fofana, Emily S. Binstadt, Paul Logan Weygandt, Joel L. Moll, Tania D. Strout, Katrina Gipson, Marquita S. Norman, Ryan E. Tsuchida, Al'ai Alvarez, Kamna S. Balhara
BackgroundImplicit bias poses a barrier to inclusivity in the health care workforce and is detrimental to patient care. While previous studies have investigated knowledge and training gaps related to implicit bias, emergency medicine (EM) leaders’ self‐awareness and perspectives on bias have not been studied. Using art to prompt reflections on implicit bias, this qualitative study explores (1) the
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Acute care utilization for ambulatory care–sensitive conditions among publicly insured children Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-22 Daniel J. Shapiro, Matt Hall, Sriram Ramgopal, Elizabeth R. Alpern, Pradip P. Chaudhari, Mohamed Eltorki, Oluwakemi Badaki‐Makun, Kelly R. Bergmann, Michelle L. Macy, Carolyn C. Foster, Mark I. Neuman
BackgroundAlthough characteristics of preventable hospitalizations for ambulatory care–sensitive conditions (ACSCs) have been described, less is known about patterns of emergency and other acute care utilization for ACSCs among children who are not hospitalized. We sought to describe patterns of utilization for ACSCs according to the initial site of care and to determine characteristics associated
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Utility of electroencephalography in toxin-induced seizures Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-22 Alexander M. Sidlak, Brent Dibble, Brian Schultz
Toxin-induced seizures differ from seizures occurring in epilepsy and have a high rate of complications. Electroencephalography (EEG) is routinely obtained when there is concern for nonconvulsive status epilepticus (NCSE). The purpose of this study was to characterize the typical findings after toxin-induced seizures, assess the rate of epileptiform discharges and NCSE, and identify any changes in
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Response to “troponin thresholds for MI risk stratification” by Dr. Pickering Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-21 Michael W. Supples, Anna C. Snavely, Nicklaus P. Ashburn, Brandon R. Allen, Simon A. Mahler
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Biomarkers for acute dizziness: Nowhere near ready for prime time Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-21 Jonathan A. Edlow, Evie Marcolini
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Implementation and analysis of a multifaceted intervention for alcohol use disorder from a single academic urban emergency department Acad. Emerg. Med. (IF 4.4) Pub Date : 2024-02-21 Eva Duvalyan, Israel Falade, Winnie Fan, Meghan Foe, Audrey Mvemba, Jay W. Zussman, Curtis Geier, Kathy T. LeSaint, Sally Graglia
BackgroundFrom 2006 to 2014, alcohol‐related visits to the emergency department (ED) increased by 76% in the United States, highlighting the need for improved ED‐driven interventions addressing alcohol use disorder (AUD). Naltrexone is an FDA‐approved medication for AUD shown to decrease craving and self‐administration of alcohol. While oral naltrexone and extended‐release naltrexone have been long