13,914 results match your criteria American Journal Of Emergency Medicine[Journal]


Comment on "Effectiveness and safety of tranexamic acid in pediatric trauma: A systematic review and meta-analysis".

Am J Emerg Med 2022 May 6. Epub 2022 May 6.

West China School of Nursing, Sichuan University / Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, PR China. Electronic address:

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Optimal temperature in targeted temperature management without automated devices using a feedback system: A multicenter study.

Am J Emerg Med 2022 May 5;57:124-132. Epub 2022 May 5.

Department of Emergency Medicine, Yonsei University College of Medicine, Seoul 06273, Republic of Korea. Electronic address:

Purpose: Targeted temperature management (TTM) at 32 °C-36 °C improves patient outcomes following out-of-hospital cardiac arrest (OHCA). TTM using automated temperature management devices with feedback systems (TFDs) is recommended, but the equipment is often unavailable. This study aimed to investigate therapeutic relations between targeted temperatures and TFDs on the outcomes of OHCA patients with TTM. Read More

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Clinical update on COVID-19 for the emergency clinician: Cardiac arrest in the out-of-hospital and in-hospital settings.

Am J Emerg Med 2022 Apr 27;57:114-123. Epub 2022 Apr 27.

SAUSHEC Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Houston, TX, United States of America.

Introduction: Coronavirus disease of 2019 (COVID-19) has resulted in millions of cases worldwide. As the pandemic has progressed, the understanding of this disease has evolved. Its impact on the health and welfare of the human population is significant; its impact on the delivery of healthcare is also considerable. Read More

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Ability of pain scoring scales to differentiate between patients desiring analgesia and those who do not in the emergency department.

Am J Emerg Med 2022 May 5;57:107-113. Epub 2022 May 5.

Emergency Department, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland. Electronic address:

Background And Importance: Pain is one of the most reasons for a visit to an emergency department (ED). Pain scores as the verbal rating scale (VRS) or numerical rating scale (NRS) are used to determine pain management. While it is crucial to measure pain levels, it is equally important to identify patients who desire pain medication, so that adequate provision of analgesia can occur. Read More

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A celebration with unforeseen consequences: Celebratory gunfire causing injury.

Am J Emerg Med 2022 May 2. Epub 2022 May 2.

Department of Emergency Medicine, Vanderbilt University Medical Center, 1211 Hospital Dr., Nashville, TN, USA 37212.

A 41-year-old otherwise healthy women presented to the emergency department via emergency services after collapsing after feeling a "slap" on her head while celebrating a national holiday. Physical exam and computed tomography scan showed the presence of a retained ballistic fragment in her high parietal scalp, making her the victim of injury by celebratory gunfire, an illegal, but not uncommon, practice. She was admitted for concussive symptoms, her bullet was removed without incident and after a period of observation she was discharged in stable condition to home. Read More

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Evaluating atrial fibrillation artificial intelligence for the emergency department, statistical and clinical implications.

Am J Emerg Med 2022 Apr 25;57:98-102. Epub 2022 Apr 25.

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

Objective: An artificial intelligence (AI) algorithm has been developed to detect the electrocardiographic signature of atrial fibrillation (AF) present on an electrocardiogram (ECG) obtained during normal sinus rhythm. We evaluated the ability of this algorithm to predict incident AF in an emergency department (ED) cohort of patients presenting with palpitations without concurrent AF.

Methods: This retrospective study included patients 18 years and older who presented with palpitations to one of 15 ED sites and had a 12‑lead ECG performed. Read More

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Visual hallucination as presenting symptom for acute parieto-occipital cerebrovascular accident.

Am J Emerg Med 2022 Apr 30. Epub 2022 Apr 30.

St. Joseph's Mercy Hospital Ann Arbor, Department of Emergency Medicine, 5305 East Huron River Drive, Ann Arbor, MI 48106, United States of America.

Visual hallucinations are visual perceptions that are not associated with a real object. Visual hallucinations are often associated with dementia, eye disease, visual pathway disease, psychiatric disorders, delirium, migraines, ictal phenomena, or medication effects. We report a case of a 74-year-old woman with a previous cerebrovascular accident(CVA) without residual deficit and no previous psychiatric history presenting for one week of worsening hallucinations progressing from shapes to cats to human figures in the left visual field. Read More

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Cookie monster: A case report of a pediatric ingestion of zinc phosphide.

Am J Emerg Med 2022 Apr 30. Epub 2022 Apr 30.

Department of Emergency Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA; Department of Emergency Medicine, Kings County Hospital Center, Brooklyn, NY, USA.

Background: Zinc phosphide is a highly toxic rodenticide that reacts with hydrochloric acid in the stomach to form phosphine gas. Ingestion of zinc phosphide can result in consequential toxicity even when ingested in small quantities. Clear guidelines are lacking on appropriate personal protective equipment for providers to avoid additional exposure. Read More

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Stroke-mimicking unilateral hypokalemic paralysis: A case report and literature review.

Am J Emerg Med 2022 Apr 30. Epub 2022 Apr 30.

Department of Neurology, Hwa Mei Hospital, University of Chinese Academy of Science, Ningbo, Zhejiang 315010, PR China. Electronic address:

Unilateral paralysis is an alarming symptom with broad differential diagnoses, including stroke, Todd's paralysis, myelopathy, and peripheral neuropathy. Hypokalemic paralysis (HP), a neuromuscular disorder associated with muscle dysfunction, is caused by hypokalemia and manifests as symmetric proximal extremity muscle weakness. Unilateral paralysis has rarely been reported in the literature. Read More

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Further considerations regarding spinal epidural abscess in the ED setting.

Am J Emerg Med 2022 Apr 30. Epub 2022 Apr 30.

Department of Emergency Medicine, UT Southwestern, Dallas, TX, USA.

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A potential for missed diagnosis of intracardiac thrombi.

Authors:
Oscar M P Jolobe

Am J Emerg Med 2022 May 2. Epub 2022 May 2.

British Medical Association, BMA House, Tavistock Square, London WC 1 H 9JP, United Kingdom. Electronic address:

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Impact of COVID-19 on emergency department management of stroke and STEMI. A narrative review.

Am J Emerg Med 2022 May 1;57:91-97. Epub 2022 May 1.

Department of Emergency Medicine University of Virginia Health Systems, Charlottesville, VA, United States. Electronic address:

The novel coronavirus of 2019 (COVID-19) has resulted in a global pandemic; COVID-19 has resulted in significant challenges in the delivery of healthcare, including emergency management of multiple diagnoses, such as stroke and ST-segment myocardial infarction (STEMI). The aim of this study was to identify the impacts of the COVID-19 pandemic on emergency department care of stroke and STEMI patients. In this study a review of the available literature was performed using pre-defined search terms, inclusion criteria, and exclusion criteria. Read More

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A scoping review of qualitative studies on pre-hospital analgesia administration and practice.

Am J Emerg Med 2022 May 1;57:81-90. Epub 2022 May 1.

Emergency Medical Services Department, Singapore Civil Defence Force, Singapore. Electronic address:

Background: Pain is an exceedingly common complaint in the pre-hospital setting. Despite advancements in organizational protocols and guidelines, many emergency medical services (EMS) systems still fail to provide optimal pain management. This scoping review thus aimed to map the body of qualitative literature pertaining to factors influencing pre-hospital analgesia administration and practice in order to clarify concepts and understanding as well as to identify any knowledge gaps. Read More

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Outcomes of patients discharged from the pediatric emergency department with abnormal vital signs.

Am J Emerg Med 2022 Apr 26;57:76-80. Epub 2022 Apr 26.

Division of Emergency Medicine, Department of Pediatrics, Nemours Children's Hospital Delaware, Wilmington, DE, USA.

Background: Vital signs (VS) are used to triage and identify children at risk for severe illness. Few studies have examined the association of pediatric VS at emergency department (ED) discharge with patient outcomes.

Objective: To determine if children discharged from the ED with abnormal VS have high rates of return visits, admission or adverse outcomes. Read More

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High risk and low prevalence diseases: Tubo-ovarian abscess.

Am J Emerg Med 2022 Apr 27;57:70-75. Epub 2022 Apr 27.

SAUSHEC, Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:

Introduction: Tubo-ovarian abscess (TOA) is a rare but serious condition that carries with it a high rate of morbidity and even mortality.

Objective: This review highlights the pearls and pitfalls of TOA, including diagnosis, initial resuscitation, and management in the emergency department (ED) based on current evidence.

Discussion: TOA is associated with pelvic inflammatory disease (PID) as well as intrauterine devices, uterine procedures, multiple sexual partners, diabetes mellitus, and immunocompromised states. Read More

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Outcome of cardiopulmonary resuscitation with different ventilation modes in adults: A meta-analysis.

Am J Emerg Med 2022 Apr 27;57:60-69. Epub 2022 Apr 27.

Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Emergency Medicine, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. Electronic address:

Background: The optimal airway management strategy for cardiac arrest remains unclear. This study aimed to compare the effects of different initial airway interventions on improving clinical outcomes based on the 2010 cardiopulmonary resuscitation (CPR) guidelines and later.

Methods: We searched PubMed, EMBASE, and the Cochrane Library for CPR articles tailored to each database from October 19, 2010, to July 31, 2021, to compare endotracheal intubation (ETI), supraglottic airway (SGA), or bag-valve-mask ventilation (BMV). Read More

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The role of a noninvasive index 'Spo2/ Fio2' in predicting mortality among patients with COVID-19 pneumonia.

Am J Emerg Med 2022 Apr 27;57:54-59. Epub 2022 Apr 27.

Department of Emergency Medicine, Universty of Health Sciences Umraniye Research and Training Hospital, Istanbul, Turkey.

Introduction: Noninvasive risk assessment is crucial in patients with COVID-19 in emergency department. Since limited data is known about the role of noninvasive parameters, we aimed to evaluate the role of a noninvasive parameter 'SpO2/FiO2' in independently predicting 30-day mortality in patients with COVID-19 and its prognostic utility in combination with a noninvasive score 'CRB-65'.

Methods: A retrospective study was performed in a tertiary training and research hospital, which included 272 patients with COVID-19 pneumonia diagnosed with polymerase chain reaction in emergency department. Read More

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Letter to Editor regarding: "High risk and low prevalence diseases: Spinal epidural abscess".

Am J Emerg Med 2022 Apr 28. Epub 2022 Apr 28.

Department of Diagnostic Imaging, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.

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Comment on "A new approach to the management of acute appendicitis: Decision tree method".

Am J Emerg Med 2022 Apr 27. Epub 2022 Apr 27.

Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey. Electronic address:

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Impact of video laryngoscope shape on first-attempt success during non-supine emergency department intubations.

Am J Emerg Med 2022 Apr 27;57:47-53. Epub 2022 Apr 27.

Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.

Introduction: Laryngoscope blade shape may differentially facilitate first-attempt success in patients intubated in non-supine positions in the emergency department (ED). Therefore, we analyzed first-attempt success in ramped and upright positions stratified by hyperangulated or standard geometry video laryngoscopes (VL).

Methods: We performed a secondary analysis of the National Emergency Airway Registry (NEAR) on ED intubations from January 1, 2016 to December 31, 2018. Read More

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South Texas orbital fracture protocol for emergency department evaluation of orbital fractures.

Am J Emerg Med 2022 Apr 27;57:42-46. Epub 2022 Apr 27.

Brooke Army Medical Center, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234, USA.

Purpose: Facial trauma and orbital fractures are common reasons for ophthalmology consultation in the emergency department (ED). The purpose of this study is to assess intervention rates and evaluate the acuity of ophthalmology consultation for orbital fractures in the ED.

Basic Procedures: A retrospective chart review of orbital fractures was conducted over a 23-month period. Read More

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Vaccine-induced immune thrombotic thrombocytopenia: why, what, who, and how?

Am J Emerg Med 2022 Apr 25. Epub 2022 Apr 25.

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.

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S100ß protein for non-traumatic subarachnoid hemorrhage diagnosis.

Am J Emerg Med 2022 Apr 25;57:39-41. Epub 2022 Apr 25.

Bataillon de marins-pompiers de Marseille, Groupement Santé, Service Médical d'Urgence, 9 boulevard de Strasbourg, 13233 Marseille cedex 20, France.

Introduction: The S100ß protein (PS100ß) is a biomarker, which has demonstrated its importance in diagnoses ruling out intracranial hemorrhages in people with light head traumas This study aims to evaluate if the PS100ß presents an interest in the diagnostic strategy for subarachnoid hemorrhages (SAH).

Methods: Prospective non-randomized multicentric study in three hospitals from October 2018 to January 2020. Every patient who came into the emergency department for an intense non-traumatic headache lasting less than 3 h received an PS100ß assay and a non-injected head computed tomography (CT) scan. Read More

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Implementation of an EMS protocol to improve prehospital sepsis recognition.

Am J Emerg Med 2022 Apr 25;57:34-38. Epub 2022 Apr 25.

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Emory University, Atlanta, GA, United States of America; Emory Critical Care Center, Emory Healthcare, Atlanta, GA, United States of America.

Purpose: Optimal sepsis outcomes are achieved when sepsis is recognized early. Recognizing sepsis in the prehospital, EMS setting can be challenging and unreliable. The purpose of this study is to evaluate whether implementation of an EMS sepsis screening and prehospital alert protocol called PRESS (PREhospital SepsiS) is associated with improved sepsis recognition by EMS providers. Read More

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The derivation and validation of the Manchester Acute Coronary Syndrome Electrocardiograph model for the identification of non-ST-elevation myocardial ischaemia in the Emergency Department.

Am J Emerg Med 2022 Apr 16;57:27-33. Epub 2022 Apr 16.

University of Manchester, United Kingdom; Manchester NHS Foundation trust, United Kingdom.

Objective: Acute coronary syndromes (ACS) are a diagnostic challenge for Emergency Medicine (EM) clinicians. To help clinicians assess patients with non-ST-elevation ACS (NSTEACS), clinical decision aids have been developed, combining clinical history, cardiac troponin and the electrocardiograph (ECG). These models ask the clinician to subjectively assess the ECG variable, introducing reliability issues. Read More

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COVID-19 outbreak impact on discharge against medical advice from the ED: A retrospective study.

Am J Emerg Med 2022 Apr 14;57:21-26. Epub 2022 Apr 14.

Department of Emergency Medicine, University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Background: The COVID-19 pandemic has profoundly affected the habits of patients, as well as its negative effects on human health. The aim of this study is to investigate the factors associated with discharge against medical advice (DAMA) from the emergency department (ED) during the COVID-19 pandemic.

Methods: We conducted a retrospective study of the charts of DAMA cases (pandemic group) between May 1 and October 30, 2021 in a tertiary hospital in Istanbul, Turkey. Read More

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Disruptive behavior among emergency department patients.

Am J Emerg Med 2022 Apr 25. Epub 2022 Apr 25.

Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States of America.

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The conundrum of thrombosis with thrombocytopenia syndrome following COVID-19 vaccines.

Am J Emerg Med 2022 Apr 21. Epub 2022 Apr 21.

Department of Internal Medicine of Internal Medicine, University of Patras Medical School, Patras, Greece.

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Missed abortion with negative biomarkers: A case report.

Am J Emerg Med 2022 Apr 25. Epub 2022 Apr 25.

Department of Emergency Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA; Department of Emergency Medicine, Kings County Hospital Center, Brooklyn, NY, USA.

Background: First-trimester bleeding and pregnancy loss are common reasons for presentation to emergency departments. Women of childbearing age frequently receive urine and serum pregnancy tests, which are thought to be reliable markers of pregnancy.

Case Presentation: We report a case of a 34-year-old woman who presented to an emergency department with vaginal bleeding and abdominal pain and was found to have negative urine and serum markers of pregnancy. Read More

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