11,240 results match your criteria American Journal Of Emergency Medicine[Journal]


A-scan ultrasonography to detect intracranial hypertension in patients with hyponatremia.

Am J Emerg Med 2019 Apr 10. Epub 2019 Apr 10.

Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.

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http://dx.doi.org/10.1016/j.ajem.2019.04.009DOI Listing

Throwing it in reverse: An update on reversal of oral factor Xa inhibitors.

Am J Emerg Med 2019 Apr 8. Epub 2019 Apr 8.

Fetter Health Care Network, 51 Nassau St, Charleston, SC, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2019.04.007DOI Listing
April 2019
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WAMAMI: emergency physicians can accurately identify wall motion abnormalities in acute myocardial infarction.

Am J Emerg Med 2019 Apr 3. Epub 2019 Apr 3.

Department of Emergency Medicine, Maine Medical Center, Portland, ME, United States of America; Tufts University School of Medicine, Boston, MA, United States of America.

Objective: The ability to identify wall motion abnormalities may be useful for emergency clinicians, but is not typically evaluated in point-of-care echocardiograms. We sought to determine if emergency physicians with basic training in emergency echocardiography could identify regional wall motion abnormalities (RWMA) in patients admitted with ST-elevation myocardial infarction (STEMI).

Methods: We prospectively enrolled patients with admitted with STEMI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757193018
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http://dx.doi.org/10.1016/j.ajem.2019.03.037DOI Listing
April 2019
1 Read

Mechanical, inflammatory, and embolic complications of myocardial infarction: An emergency medicine review.

Am J Emerg Med 2019 Apr 8. Epub 2019 Apr 8.

Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States. Electronic address:

Introduction: Despite the declining incidence of coronary heart disease (CHD) in the United States, acute myocardial infarction (AMI) remains an important clinical entity, with many patients requiring emergency department (ED) management for mechanical, inflammatory, and embolic complications.

Objective: This narrative review provides an evidence-based summary of the current data for the emergency medicine evaluation and management of post myocardial infarction mechanical, inflammatory, and embolic complications.

Discussion: While 30-day mortality rate after AMI has decreased in the past two decades, it remains significantly elevated at 7. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.04.003DOI Listing

Developing neural network models for early detection of cardiac arrest in emergency department.

Am J Emerg Med 2019 Apr 7. Epub 2019 Apr 7.

Department of Emergency Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Republic of Korea.

Background: Automated surveillance for cardiac arrests would be useful in overcrowded emergency departments. The purpose of this study is to develop and test artificial neural network (ANN) classifiers for early detection of patients at risk of cardiac arrest in emergency departments.

Methods: This is a single-center electronic health record (EHR)-based study. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.04.006DOI Listing
April 2019
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Efficacy and safety of Shenfu injection for septic shock: A systematic review and meta-analysis of randomized controlled trials.

Am J Emerg Med 2019 Apr 5. Epub 2019 Apr 5.

Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China; Capital Medical University, Beijing 100010, China; Beijing institute of Traditional Chinese Medicine, Beijing 100010, China; Beijing Key Laboratory of Basic Research with Traditional Chinese Medicine on Infectious Diseases, Beijing 100010, China. Electronic address:

Objective: To evaluate the efficacy and safety of Shenfu injection (SFI) combined with standard therapy versus standard therapy for septic shock, three groups of patients with septic shock were analyzed based on the level of mean arterial lactate. They were mean arterial lactate level < 4.5 mmol/L, 4. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.032DOI Listing

A new marker identification of high risk stroke patients: Jugular saturation.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Department of Emergency Medicine, University of Health Sciences, Konya Education and Research Hospital, Konya, Turkey.

Objectives: The aim of this prospective study; to investigate in emergency patients with stroke the relationship between jugular saturation and National Institutes of Health Stroke Scale (NIHSS), lesion volume and mortality score.

Materials And Methods: In this prospective study, 82 patients who fulfilling the criteria for inclusion in diagnosed with were enrolled in the study. Patients' demographic data, comorbid conditions and stroke type were recorded. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.040DOI Listing
March 2019
5 Reads

Berberine inhibits the ischemia-reperfusion induced testicular injury through decreasing oxidative stress.

Am J Emerg Med 2019 Apr 2. Epub 2019 Apr 2.

Department of Emergency Medicine, Faculty of Medicine, Karadeniz Technical University, 61080 Trabzon, Turkey.

Purpose: The aim of this study was to investigate the effect of berberine (BBR) on oxidative stress in an experimental testicular I/R injury model.

Methods: Eighteen rats were divided into three groups: control group, torsion-detorsion (T/D) group, and BBR + T/D group. In the pre-treatment of the BBR group, 200 mg/kg BBR was given intraperitoneally 30 min before detorsion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757193022
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http://dx.doi.org/10.1016/j.ajem.2019.04.001DOI Listing
April 2019
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A physician's (and private citizen's) right to privacy against internet data brokers: Maintaining safety in an unsafe profession.

Authors:
Kevin M Takakuwa

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

PO Box 27574, San Francisco, CA 94127, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.03.042DOI Listing

Intravenous fluid bolus rates and pediatric diabetic ketoacidosis resolution.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Kendall Regional Medical Center, Department of Emergency Medicine, 11750 SW 40th St., Miami, FL 33175, United States of America; Nova Southeastern University College of Allopathic Medicine, Davie, FL 33328, United States of America. Electronic address:

Background: Recent data have challenged the notion that rapid intravenous fluid administration results in adverse neurologic outcomes in children with diabetic ketoacidosis (DKA). While many physicians still administer a cautious 10 cc/kg bolus of intravenous fluids for pediatric DKA patients, there may be benefits to using a larger bolus.

Methods: This was a retrospective chart review of all pediatric patients with DKA presenting to a single emergency department (ED) between 2013 and 2015. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.039DOI Listing
March 2019
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Epidemiology of opioid-related visits to US Emergency Departments, 1999-2013: A retrospective study from the NHAMCS (National Hospital Ambulatory Medical Care Survey).

Am J Emerg Med 2019 Mar 31. Epub 2019 Mar 31.

Cooper Medical School of Rowan University, Department of Emergency Medicine, One Cooper Plaza, Camden, NJ, United States of America.

Goals: To characterize the epidemiology of opioid-related visits to United States (US) emergency departments (EDs) and describe trends in opioid-related visits over time.

Design: Retrospective cohort study CASES: The National Hospital Ambulatory Care Survey (NHAMCS) was used to identify opioid-related ED visits between 1999 and 2013.

Measurements: The NHAMCS is an annual, weighted, multi-stage survey which allows for the study of ambulatory care services within a nationally representative sample of US hospitals. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.052DOI Listing
March 2019
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Incidence and risk factors for hyperlactatemia in ED patients with acute metformin overdose.

Am J Emerg Med 2019 Mar 23. Epub 2019 Mar 23.

Division of Medical Toxicology, Department of Emergency Medicine, The Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, NY, New York, USA. Electronic address:

Introduction: The goals of this study are to describe clinical characteristics and risk factors for metabolic acidosis with hyperlactatemia in emergency department (ED) patients with acute metformin overdose.

Methods: This was a secondary analysis of data from a retrospective observational cohort of adult ED patients presenting with acute drug overdose at two tertiary care hospitals over 5 years. The primary outcomes were: (1) hyperlactatemia, defined as a lactate concentration ≥ 2 mmol/L at any point during hospital admission and, (2) metformin associated lactic acidosis (MALA), defined as a lactate concentration ≥ 5 mmol/L and pH <7. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.033DOI Listing
March 2019
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Dextrose dilution for pediatric hypoglycemia.

Am J Emerg Med 2019 Mar 31. Epub 2019 Mar 31.

Loma Linda University Medical Simulation Center, Loma Linda, CA, USA; Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA, USA.

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http://dx.doi.org/10.1016/j.ajem.2019.03.054DOI Listing
March 2019
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Physical findings in sexual assault cases when victims delay reporting.

Am J Emerg Med 2019 Apr 4. Epub 2019 Apr 4.

Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.04.005DOI Listing

Effects of videolaryngoscopes on cognitive workload during tracheal intubation performed by emergency residents.

Am J Emerg Med 2019 Apr 2. Epub 2019 Apr 2.

Emergency Department and Prehospital Care, University Hospital of Poitiers, Poitiers, France.

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http://dx.doi.org/10.1016/j.ajem.2019.04.002DOI Listing

Pentraxin 3 level in acute migraine attack with aura: Patient management in the emergency department.

Am J Emerg Med 2019 Apr 4. Epub 2019 Apr 4.

Dicle University, School of Medicine, Department of Physiology, Diyarbakır, Turkey.

Objectives: We investigated the state of inflammation, PTX3 level and other routine inflammatory markers (high sensitivity C-reactive protein [hsCRP], and white blood cells [WBC]), in patients who presented to the emergency department (ED) with migraine. We also investigated the relationship between the clinical presentation, PTX3 level, and other routine inflammatory markers in the emergency management of these patients.

Methods: The study included 44 patients (group 1) who presented to the ED due to a migraine attack with aura and 44 controls (group 2) with similar demographic characteristics. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.04.004DOI Listing

"Bandemia" without leukocytosis: A potential Emergency Department diagnostic pitfall.

Am J Emerg Med 2019 Mar 29. Epub 2019 Mar 29.

Emergency Medicine Department, George Washington University School of Medicine and Health Sciences, Washington, DC, United States. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.03.050DOI Listing

N95 filtering facepiece respirators do not reliably afford respiratory protection during chest compression: A simulation study.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Statistics and Data Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: N95 filtering facepiece respirators (N95 respirators) may not provide adequate protection against respiratory infections during chest compression due to inappropriate fitting.

Methods: This was a single-center simulation study performed from December 1, 2016, to December 31, 2016. Each participant underwent quantitative fit test (QNFT) of N95 respirators according to the Occupational Safety and Health Administration protocol. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.041DOI Listing
March 2019
2 Reads
1.152 Impact Factor

Is my baby normal? A review of seemingly worrisome but normal newborn signs, symptoms and behaviors.

Am J Emerg Med 2019 Mar 20. Epub 2019 Mar 20.

Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Utah, Salt Lake City, UT, USA.

Infant patients are a unique challenge to emergency department (ED) physicians as the spectrum of normal infant signs, symptoms and behaviors are often difficult to differentiate from abnormal and potentially life-threatening conditions. In this article, we address some common chief complaints of neonates and young infants presenting to the ED, and contrast reassuring neonatal and young infant signs and symptoms against those that need further workup and intervention. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.028DOI Listing

Angiotensin converting enzyme inhibitor intoxication: Naloxone to the rescue? Naloxone for ACE inhibitor intoxication.

Am J Emerg Med 2019 Mar 28. Epub 2019 Mar 28.

Intensive Care Department, Hôpitaux IRIS-Sud, Brussels, Belgium.

We report here the case of a patient with perindopril intoxication inducing severe bradycardia together with a profound hypotension. Initiation of a naloxone infusion completely resolved those symptoms. As a consequence, we could recommend as a first step the use of naloxone in order to prevent the use of more invasive therapeutic tools. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.046DOI Listing

Motorized scooter injuries in the era of scooter-shares: A review of the national electronic surveillance system.

Am J Emerg Med 2019 Mar 30. Epub 2019 Mar 30.

Emory University School of Medicine, Department of Orthopaedics, Atlanta, GA, United States of America. Electronic address:

Introduction: There has been a spike in recent news regarding motorized scooter injuries due to the expansion of scooter sharing companies. Given the paucity of literature on this topic, the purpose of our study was to describe and quantify emergency department encounters associated with motorized scooter related injuries.

Methods: The National Electronic Injury Surveillance System (NEISS) was queried for motorized scooter related injuries from 2013 to 2017. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.049DOI Listing
March 2019
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A checklist manifesto: Can a checklist of common diagnoses improve accuracy in ECG interpretation?

Am J Emerg Med 2019 Mar 29. Epub 2019 Mar 29.

Mount Sinai School of Medicine, Department of Emergency Medicine, New York University, United States of America.

Objective: To determine whether a checklist of possible etiologies for syncope provided alongside ECGs helps Emergency Medicine (EM) residents identify ECG patterns more accurately than with ECGs alone.

Methods: We developed a test of ten ECGs with syncope-related pathology from ECG Wave-Maven. We reviewed the literature and used expert consensus to develop a checklist of syncope-related pathologies commonly seen and diagnosed on ECGs. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.048DOI Listing
March 2019
4 Reads

Slime product injuries managed at emergency departments.

Am J Emerg Med 2019 Mar 30. Epub 2019 Mar 30.

4600 Monterey Oaks Boulevard #F2335, Austin, TX 78749, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.03.051DOI Listing

Role of dantrolene in dinitrophenol (DNP) overdose: A continuing question?

Am J Emerg Med 2019 Mar 23. Epub 2019 Mar 23.

Department of Emergency Medicine, Division of Medical Toxicology, Indiana University, Indianapolis, IN, United States of America. Electronic address:

Background: 2,4-Dinitrophenol (DNP) is a known uncoupler of oxidative phosphorylation that clinically results in hyperthermia, tachycardia, tachypnea, and metabolic acidosis. Overdoses of DNP are often fatal and there is no specific reversal therapy. Dantrolene interferes with calcium release in skeletal muscle and is traditionally used to treat malignant hyperthermia. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.035DOI Listing
March 2019
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Point of care ultrasound is associated with decreased emergency department length of stay for symptomatic early pregnancy.

Am J Emerg Med 2019 Mar 21. Epub 2019 Mar 21.

Beth Israel Deaconess Medical Center, Department of Emergency Medicine, 1 Deaconess Rd, Rosenberg 2, Boston, MA 0215, USA. Electronic address:

Introduction: Emergency physicians (EP) can accurately rule out ectopic pregnancy with pelvic point of care ultrasound (PPOCUS). Multiple studies have suggested that PPOCUS may decrease length of stay (LOS) for emergency department (ED) patients presenting with early symptomatic pregnancy compared to comprehensive ultrasound (CUS). This systematic review and meta-analysis examines the association between the use of PPOCUS vs CUS and ED LOS. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.025DOI Listing
March 2019
2 Reads

Pharmacologic anisocoria due to nebulized ipratropium bromide: A diagnostic challenge.

Am J Emerg Med 2019 Mar 28. Epub 2019 Mar 28.

Department of Emergency Medicine, Ümraniye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey.

Anisocoria may be physiological or seen in fatal conditions, such as intracranial hemorrhage. Newly developing anisocoria may cause confusion and diagnostic difficulty in the emergency department (ED). A 35-year-old female was admitted to the ED with an asthma attack and dyspnea. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.047DOI Listing
March 2019
2 Reads

Effect of two tourniquet techniques on peripheral intravenous cannulation success: A randomized controlled trial.

Am J Emerg Med 2019 Mar 23. Epub 2019 Mar 23.

Department of Emergency Medicine, Mayo Clinic, Rochester, MN, United States of America. Electronic address:

Objectives: Peripheral intravenous (IV) cannulation is the most common procedure performed in the emergency department (ED). Elastic tourniquets (ETs) and blood pressure cuffs (BPCs) are frequently used for venodilation. Although BPCs lead to increased venodilation and decreased compressibility, it is unclear whether this translates into a meaningful patient-centered outcome. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.034DOI Listing
March 2019
1 Read

Principles of safety for ultrasound-guided single injection blocks in the emergency department.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Alameda Health System/Highland General Hospital, Department of Emergency Medicine, United States of America.

Ultrasound-guided nerve blocks (UGNBs) allow emergency physicians an opportunity to provide optimal pain management for acute traumatic conditions. Over the past decade, a growing body of literature has detailed the novel ways clinicians have incorporated UGNBs for analgesia and an alternative to procedural sedation. UGNBs are considered a relatively safe procedure, and have been shown to increase rates of success and reduce complications (as compared to older techniques). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757193019
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http://dx.doi.org/10.1016/j.ajem.2019.03.045DOI Listing
March 2019
3 Reads

Electronic health record triggered hepatitis C screening in the ED.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2019.03.043DOI Listing

Thrombolysis for atlantoaxial dislocation mimicking acute ischemic stroke: Case report and review.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

The frequency of stroke mimics among stroke patients has been reported to be up to 30%, and that in patients who receive thrombolytic therapy ranges between 1% and 16%. Atlantoaxial dislocation with myelopathy mimicking stroke is extremely rare. An 83-year-old man with a history of old cerebellar infarction presented to the emergency department with acute left hemiplegia after a chiropractic manipulation of the neck and back several hours before symptom onset. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.044DOI Listing
March 2019
2 Reads

An analysis of randomized controlled trials underpinning ST-elevation myocardial infarction management guidelines.

Am J Emerg Med 2019 Mar 28. Epub 2019 Mar 28.

Oklahoma State University Center for Health Sciences, Dept. of Institutional Research, United States of America.

Background: The fragility index (FI) is calculated by iteratively changing one outcome "event" to a "non-event" within a trial until the associated p-value exceeds 0.05.

Purpose: To investigate the FI and fragility quotient (FQ) of trial endpoints referenced in the ACCF/AHA/SCAI guidelines in the management of ST-elevation myocardial infarctions. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.038DOI Listing
March 2019
2 Reads

Angiotensin II in septic shock.

Am J Emerg Med 2019 Mar 19. Epub 2019 Mar 19.

Clinical Associate Professor, Critical care/Neurocritical care, Mercy Hospital St.Louis, St. Louis University School of Medicine Program, United States of America.

Septic shock is a life threatening condition and a medical emergency. It is associated with organ dysfunction and hypotension despite optimal volume resuscitation. Refractory septic shock carries a very high rate of mortality and is associated with ischemic and arrhythmogenic complications from high dose vasopressors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757193017
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http://dx.doi.org/10.1016/j.ajem.2019.03.026DOI Listing
March 2019
5 Reads

A novel method of palpating the pancreas in children: Three cases of pediatric acute pancreatitis.

Am J Emerg Med 2019 Mar 22. Epub 2019 Mar 22.

Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Japan.

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http://dx.doi.org/10.1016/j.ajem.2019.03.031DOI Listing

Orthostatic vital signs do not predict 30 day serious outcomes in older emergency department patients with syncope: A multicenter observational study.

Am J Emerg Med 2019 Mar 25. Epub 2019 Mar 25.

Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Heath & Science University, Portland, OR, United States of America.

Background: Syncope is a common chief complaint among older adults in the Emergency Department (ED), and orthostatic vital signs are often a part of their evaluation. We assessed whether abnormal orthostatic vital signs in the ED are associated with composite 30-day serious outcomes in older adults presenting with syncope.

Methods: We performed a secondary analysis of a prospective, observational study at 11 EDs in adults ≥ 60 years who presented with syncope or near syncope. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.036DOI Listing
March 2019
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Comments on GEDI vs. CVP goal-directed fluid resuscitation for chronic obstructive pulmonary disease patients with septic shock: A randomized controlled trial.

Am J Emerg Med 2019 Mar 11. Epub 2019 Mar 11.

The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.03.019DOI Listing
March 2019
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Tungiasis, a rare case of plantar inflammatory disease, a review of travelers skin lesions for emergency providers.

Am J Emerg Med 2019 Mar 20. Epub 2019 Mar 20.

Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States. Electronic address:

Parasitic infections while common in underdeveloped nations are rarely seen in developed urban centers. We report a case of a thirty-three-year-old male with no past medical history who presented to the emergency department with a chief complaint of "eggs coming out of my foot" after returning home from Brazil. Based on clinical presentation, travel history, and appearance of the lesion, diagnosis was most consistent with tungiasis infection which was confirmed by the pathology examination. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.030DOI Listing
March 2019
2 Reads

Stimulant drugs are associated with violent and penetrating trauma.

Am J Emerg Med 2019 Apr 3;37(4):645-650. Epub 2018 Jul 3.

Clinical Toxicology and Environmental Biomonitoring Laboratory, UCSF, San Francisco, CA, USA. Electronic address:

Background: Substance abuse is associated with traumatic injuries. Prior studies of drug use and injury have relied on urine drug of abuse screens, which have false positives, false negatives and inability to detect novel drugs. Our study characterizes the relationship between injury mechanism and drugs of abuse detected in serum via confirmatory testing. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.06.071DOI Listing
April 2019
1.152 Impact Factor

Injury patterns and mechanisms related to refrigerator and freezer utilization in the United States.

Am J Emerg Med 2019 Apr 26;37(4):627-631. Epub 2018 Jun 26.

Department of Trauma, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

Introduction: Refrigerators and freezers (R/F) are a common household item and injury patterns associated with these appliances are not well characterized. We aimed to characterize the injury patterns, mechanisms, and affected body parts in patients treated in the emergency departments nationally, hypothesizing that injury patterns would differ by age group.

Methods: A retrospective review of the National Electronic Injury Surveillance System for all patients injured using R/F during 2010-2016 was performed. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.06.060DOI Listing
April 2019
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Variability in emergency department electronic medical record default opioid quantities: A national survey.

Am J Emerg Med 2019 Mar 12. Epub 2019 Mar 12.

Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, United States of America; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, United States of America; Center for Health Incentives and Behavioral Economics, University of Pennsylvania, United States of America; Penn Injury Science Center, University of Pennsylvania, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2019.03.023DOI Listing

Frequency of emergency medicine resident dosing miscalculations treating pediatric patients.

Authors:
William Bonadio

Am J Emerg Med 2019 Mar 20. Epub 2019 Mar 20.

Pediatric Emergency Medicine Department, Mount Sinai St. Luke's Medical Center, New York, NY, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.03.027DOI Listing

Designing efficient emergency departments: Discrete event simulation of internal-waiting areas and split flow sorting.

Am J Emerg Med 2019 Mar 12. Epub 2019 Mar 12.

University of Colorado School of Medicine, Aurora, CO, United States of America; University of Colorado Denver School of Business, Denver, CO, United States of America. Electronic address:

Objective: Evaluate nine different models, the interaction of three flow models (ESI, intake attending physician, and no split flow) and three physical design typologies (zero, one, and two internal-waiting areas), on Emergency Department (ED) flow and patient-centered metrics.

Methods: Discrete Event Simulation (DES) was used to systematically manipulate flow and physical design. Three base models were developed and validated using ED and patient specific data. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.017DOI Listing

Comments on GEDI vs. CVP goal-directed fluid resuscitation for COPD patients with septic shock: A randomized controlled trial.

Am J Emerg Med 2019 Feb 28. Epub 2019 Feb 28.

Department of Cardiology, Dongguan Traditional Chinese Medicine Hospital, Dongguan, Guangdong Province, China.

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http://dx.doi.org/10.1016/j.ajem.2019.02.041DOI Listing
February 2019
2 Reads

Methamphetamine psychosis: Lack of association with stimulant prescription ADHD medications.

Am J Emerg Med 2019 Mar 12. Epub 2019 Mar 12.

Wright State University Boonshoft School of Medicine, Department of Emergency Medicine, 3585 Southern Blvd, Kettering, OH, 45429, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2019.03.018DOI Listing

Antibiotics with nasal packing-The authors reply.

Authors:
Tiffany Murano

Am J Emerg Med 2019 Mar 12. Epub 2019 Mar 12.

Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2019.03.022DOI Listing

Reliability of smartphone measurements of vital parameters: A prospective study using a reference method.

Am J Emerg Med 2019 Mar 16. Epub 2019 Mar 16.

University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Department of Emergency Medicine, Tıbbiye Street, Üsküdar, İstanbul, Turkey.

Objective: In this study, we aimed to evaluate the accuracy of HR and SaO data obtained using a smartphone compared with the measurements of a vital signs monitor (VSM) and an arterial blood gas (ABG) device, respectively.

Material And Methods: In this single-center prospective study, the HR and SaO measurements were performed using the built-in sensor and light source of a Samsung Galaxy S8 smartphone and compared to the results of VSM and ABG device. The Bland-Altman analysis was used to evaluate and visualize the agreement between the methods. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.021DOI Listing

Intranasal hydromorphone for treatment of acute pain in children: A pilot study.

Am J Emerg Med 2019 Mar 13. Epub 2019 Mar 13.

Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA.

Objectives: We aimed to describe the analgesic efficacy, duration of analgesia, and adverse event profile associated with intranasal hydromorphone in children with acute pain presenting to an emergency department.

Methods: Prospective dose titration pilot study of otherwise healthy children 4 to 17-years-old with moderate to severe pain who required a parenteral opioid. All patients received an initial intranasal hydromorophone dose of 0. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.013DOI Listing

Rhabdomyolysis - Go big or go home.

Am J Emerg Med 2019 Mar 14. Epub 2019 Mar 14.

St Joseph's University Medical Center, Paterson, NJ, United States of America.

Objective: To evaluate the occurrence of renal injury in hospitalized patients with the diagnosis of rhabdomyolysis among a series of patients presenting to an urban emergency department.

Methods: A retrospective chart review between January 2006 and February 2017 was conducted on patients aged 21-65 years old that were admitted with a diagnosis of Rhabdomyolysis. We included patients with an initial serum creatinine (Cr) level < 1. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.024DOI Listing

Incorporation of Transcranial Doppler into the emergency department for the neurocritical care patient.

Am J Emerg Med 2019 Mar 10. Epub 2019 Mar 10.

Department of Emergency Medicine, Jackson Memorial Health System, Miami, FL 33136, USA.

Introduction: In the catastrophic neurologic emergency, a complete neurological exam is not always possible or feasible given the time-sensitive nature of the underlying disease process, or if emergent airway management is indicated. As the neurologic exam may be limited in some patients, the emergency physician is reliant on the assessment of brainstem structures to determine neurological function. Physicians thus routinely depend on advanced imaging modalities to further investigate for potential catastrophic diagnoses. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.003DOI Listing
March 2019
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Accuracy of ultrasound for endotracheal intubation between different transducer types.

Am J Emerg Med 2019 Mar 12. Epub 2019 Mar 12.

Department of Emergency Medicine, Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, IL, United States of America.

Introduction: Ultrasound has been increasingly utilized for the identification of endotracheal tube (ETT) location after an intubation attempt, particularly among patients in cardiac arrest. However, prior studies have varied with respect to the choice of transducer and no studies have directly compared the accuracy between transducer types. Our study is the first to directly compare the accuracy of ETT confirmation between the linear and curvilinear transducer. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.016DOI Listing
March 2019
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Life-threatening foreign body airway obstruction: Case series and new classification proposal.

Am J Emerg Med 2019 Mar 9. Epub 2019 Mar 9.

Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital, Tokyo, Japan.

Introduction: Foreign body airway obstruction (FBAO) is a common medical emergency; however, few studies of life-threatening FBAO have been reported and no standard classification system is available.

Methods: We retrospectively evaluated patients who presented to the emergency departments of two hospitals and were diagnosed with FBAO. The primary outcome was cerebral performance category (CPC) score at discharge. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.015DOI Listing