12,016 results match your criteria American Journal Of Emergency Medicine[Journal]


A foreign body in the blood vessel: A diagnostic and therapeutic dilemma.

Am J Emerg Med 2020 Apr 17. Epub 2020 Apr 17.

Department of Orthopaedics, the Second Affiliated Hospital of Anhui Medical University, Hefei 230000, China. Electronic address:

Foreign body(FB) in soft tissue is a common injury in trauma, but it is rare for FB to enter the blood vessel. Typical causes of intravascular FB include iatrogenic and non-iatrogenic factors.A 65-year-old Chinese worker's left hand was hit by two colliding metal blocks while operating a machine tool. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.047DOI Listing

Lung ultrasound monitoring in patients with COVID-19 on home isolation.

Am J Emerg Med 2020 May 28. Epub 2020 May 28.

Emergency Department, Hospital Universitario La Paz, Madrid, Spain.

Many patients with COVID-19, the clinical illness caused by SARS-CoV-2 infection, exhibit mild symptoms and do not require hospitalization. Instead, these patients are often referred for 14-days of home isolation as symptoms resolve. Lung ultrasound is well-established as an important means of evaluating lung pathology in patients in the emergency department and in intensive care units. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.079DOI Listing

Sleep deprivation hormesis: The shift that doesn't kill you makes you stronger.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

University of Louisville, Department of Emergency Medicine, 550 South Jackson, Louisville, KY 40202, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2020.04.092DOI Listing

Diagnostic accuracy of combined WBC, ANC and CRP in adult emergency department patients suspected of acute appendicitis.

Am J Emerg Med 2020 Apr 29. Epub 2020 Apr 29.

Boulder Statistics, LLC, Boulder, CO, United States of America.

Objectives: To assess the sensitivity, specificity, and negative predictive value (NPV) of normal total white blood cell count (WBC) and normal absolute neutrophil count (ANC) combined with a normal proprietary C-reactive protein (pCRP) level in adult emergency department (ED) patients with abdominal pain suspected of possible acute appendicitis.

Methods: We prospectively enrolled patients ≥18 years of age at seven U.S. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.086DOI Listing

The financial implications of variability in decision to disposition times for patients placed in observation status.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

Department of Emergency Medicine, Temple University Hospital, 1316 W. Ontario Street, 10th floor Jones Hall, Philadelphia, PA 19140, United States. Electronic address:

Introduction: A host of variables beyond the control of the ED physician affect ED throughput. In-process time represents the period most directly affected by physician decision-making patterns. This study attempts to evaluate implications of variable decision-making for those patients placed in observation status for throughput and financial implications. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.069DOI Listing

An updated meta-analysis of AST and ALT levels and the mortality of COVID-19 patients.

Am J Emerg Med 2020 May 27. Epub 2020 May 27.

Department of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou 450001, China. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.05.063DOI Listing

"I Felt Invisible Most of the Time": Communication and satisfaction among patients treated in emergency department hallway beds.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

Emergency Department, Tampa General Hospital, Tampa, FL, USA; Department of Internal Medicine, Morsani College of Medicine at the University of South Florida, Tampa, FL, USA.

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http://dx.doi.org/10.1016/j.ajem.2020.04.059DOI Listing

Comparison of non-invasive CPAP with mask use in carbon monoxide poisoning: Some concerns about methodology.

Am J Emerg Med 2020 May 21. Epub 2020 May 21.

Hospital Morales Meseguer, Intensive Care Unit, Murcia, Spain.

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http://dx.doi.org/10.1016/j.ajem.2020.05.036DOI Listing

Dexmedetomidine and worsening hypoxemia in the setting of COVID-19: A case report.

Am J Emerg Med 2020 May 27. Epub 2020 May 27.

Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, United States of America.

Emergency department management of hypoxemia in the setting of COVID-19 is riddled with uncertainty. The lack of high-quality research has translated to an absence of clarity at the bedside. With disease spread outpacing treatment consensus, provider discretion has taken on a heightened role. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.066DOI Listing

Neuroleptic malignant syndrome in patients with COVID-19.

Am J Emerg Med 2020 May 22. Epub 2020 May 22.

Emergency and Critical Care Medicine, St. Luke's International Hospital, Tokyo, Japan.

We report the first two cases of Coronavirus Disease 2019 (COVID-19) who were receiving intensive care including favipiravir, and were clinically diagnosed with neuroleptic malignant syndrome (NMS) to focus attention on NMS in COVID-19 management. Case 1: A 46-year-old-man with acute respiratory distress syndrome (ARDS) caused by COVID-19 infection was being administered favipiravir. Fentanyl, propofol, and rocuronium were also given. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242930PMC

Silent hypoxia: A harbinger of clinical deterioration in patients with COVID-19.

Am J Emerg Med 2020 May 22. Epub 2020 May 22.

Department of Emergency Medicine, University of Maryland Medical Center, Baltimore, MD, United States of America.

Patients infected with the SARS-CoV-2 virus can present with a wide variety of symptoms including being entirely asymptomatic. Despite having no or minimal symptoms, some patients may have markedly reduced pulse oximetry readings. This has been referred to as "silent" or "apathetic" hypoxia (Ottestad et al. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243756PMC

Features of COVID-19 post-infectious cytokine release syndrome in children presenting to the emergency department.

Am J Emerg Med 2020 May 23. Epub 2020 May 23.

Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place New York, New York, 11029, United States of America. Electronic address:

The 2019 coronavirus disease (COVID-19) has not appeared to affect children as severely as adults. However, approximately 1 month after the COVID-19 peak in New York City in April 2020, cases of children with prolonged fevers abruptly developing inflammatory shock-like states have been reported in Western Europe and the United States. This case series describes four previously healthy children with COVID-19 infection confirmed by serologic antibody testing, but negative by nasopharyngeal RT-PCR swab, presenting to the Pediatric Emergency Department (PED) with prolonged fever (5 or more days) and abrupt onset of hemodynamic instability with elevated serologic inflammatory markers and cytokine levels (IL-6, IL-8 and TNF-α). Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255141PMC

Critical medication shortages further dwindling hospital resources during COVID-19.

Am J Emerg Med 2020 May 23. Epub 2020 May 23.

Department of Emergency Medicine, Boston University School of Medicine, Boston, MA, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.05.059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255314PMC

Effect of parental pressure on emergency physicians for computerized tomography imaging request in children with head trauma.

Am J Emerg Med 2020 Apr 15. Epub 2020 Apr 15.

Emergency Department of Düzce University, Düzce 81620, Turkey.

Background: Both minor and major head traumas constitute an important proportion of childhood emergency admissions. In this study, the findings of cranial computed tomography (CCT) scans performed as a result of the parental pressure were evaluated.

Methods: The frequency and findings of CCT scans performed as a result of parental pressure were examined in a separate subgroup. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.040DOI Listing

Toluidine blue.

Am J Emerg Med 2020 Mar 25. Epub 2020 Mar 25.

Gokyuzu OSGB Lmt, Kahramanmaraş, Turkey.

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http://dx.doi.org/10.1016/j.ajem.2020.03.047DOI Listing

Intrathecal bupivacaine and morphine toxicity leading to transient hypotension and delayed status epilepticus.

Am J Emerg Med 2020 Apr 6. Epub 2020 Apr 6.

Pittsburgh Poison Center, Pittsburgh, PA, USA.

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http://dx.doi.org/10.1016/j.ajem.2020.03.064DOI Listing

Vital sign thresholds predictive of death in the combat setting.

Am J Emerg Med 2020 May 11. Epub 2020 May 11.

Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Brooke Army Medical Center, JBSA Fort Sam Houston, TX, USA; US Army Institute of Surgical Research, JBSA Fort Sam Houston, TX, USA; 59(th) Medical Wing, JBSA Lackland, TX, USA.

Introduction: Identifying patients at imminent risk of death is a paramount priority in combat casualty care. This study measures the vital sign values predictive of mortality among combat casualties in Iraq and Afghanistan.

Methods: We used data from the Department of Defense Trauma Registry from January 2007 to August 2016. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.012DOI Listing

Suture removal by emergency department patients.

Am J Emerg Med 2020 May 16. Epub 2020 May 16.

Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States of America; Spectrum Health Hospitals, Grand Rapids, MI, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.05.027DOI Listing

Hypoglycemic cardiac arrest and rapid return-of-spontaneous circulation (ROSC) with dextrose - A case report.

Am J Emerg Med 2020 May 19. Epub 2020 May 19.

Department of Emergency Medicine, Tan Tock Seng Hospital, Singapore. Electronic address:

Hypoglycemia was part of the "H's and T's" in the 2005 American Heart Association ACLS guidelines for reversible causes of cardiac arrest but was removed in subsequent editions. We present a case of return of spontaneous circulation in a patient with cardiac arrest after administration of dextrose for hypoglycemia. Routine administration of dextrose to patients in cardiac arrest has been shown to be associated with increased mortality and worse neurological outcomes. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.025DOI Listing

Anaphylaxis induced bradycardia, renal failure, AV-nodal blockade, shock, and hyperkalemia: A-BRASH in the emergency department.

Authors:
Stefan Flores

Am J Emerg Med 2020 May 16. Epub 2020 May 16.

Department of Emergency Medicine, Columbia University, 622 West, 168th Street VC-260, New York, NY 10032, United States of America. Electronic address:

The emergency department (ED) is responsible for managing a variety of acute illnesses including undifferentiated shock. A newer less recognized syndrome termed BRASH - bradycardia, renal failure, AV-node blockers, shock and hyperkalemia - is a cycle of synergy between hyperkalemia and AV-blockade that can result in shock. This entity is more common amongst the elderly, considering polypharmacy and co-morbid diseases. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.033DOI Listing

Influence of emergency department patient volumes on CT utilization rate of the physician in triage.

Am J Emerg Med 2020 Apr 29. Epub 2020 Apr 29.

Ascension Genesys Hospital, One Genesys Parkway, Grand Blanc, MI 48439, United States of America.

Background: Physician in triage (PIT) has been used as a potential solution to emergency department (ED) overcrowding and to decrease ED length of stay (LOS). This study examined the relationship between computerized tomography (CT) utilization of PIT and ED patient volumes. We hypothesized that despite the pressure on PIT to improve throughput on the busiest days, they will continue to utilize CT at the same rate. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.085DOI Listing

Heart rate outcomes with concomitant parenteral calcium channel blockers and beta blockers in rapid atrial fibrillation or flutter.

Am J Emerg Med 2020 May 8. Epub 2020 May 8.

Department of Pharmacy, Massachusetts General Hospital, 55 Fruit St, GRB-005, Boston, MA 02114, United States of America. Electronic address:

Background: Patients who present with atrial fibrillation (AF) or flutter with rapid ventricular response (RVR) and hemodynamic stability may be managed with either an intravenous (IV) nondihydropyridine calcium channel blocker (CCB) or a beta-blocker (BB). Patients without improved heart rates may need to switch to, or add, a second AV nodal blocker.

Objective: To evaluate the incidence of rate control achievement and bradycardia in patients in AF or atrial flutter with RVR who receive both an intravenous CCB and a BB. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.093DOI Listing

Spontaneous celiac artery dissection.

Am J Emerg Med 2020 May 6. Epub 2020 May 6.

Background: Spontaneous celiac artery dissection is a rare visceral artery dissection that typically presents with acute abdominal or flank pain.

Case Report: We describe a case of a 54-year old previously healthy male who presented to the Emergency Department with subacute back pain and was found to have a spontaneous celiac artery dissection. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency medicine physicians frequently consider acute aortic dissection in patients presenting to the Emergency Department with acute chest, back, and/or upper abdominal pain. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.041DOI Listing

Gun violence during COVID-19 pandemic: Paradoxical trends in New York City, Chicago, Los Angeles and Baltimore.

Am J Emerg Med 2020 May 7. Epub 2020 May 7.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204738PMC

Intradermal sterile water injection versus diclofenac sodium in acute renal colic pain: A randomized controlled trial.

Am J Emerg Med 2020 Apr 29. Epub 2020 Apr 29.

Faculty of Medical Sciences, Department of Urology, Lebanese University, Beirut, Lebanon. Electronic address:

Objectives: We aimed to evaluate the efficacy of intracutaneous sterile water injection (ISWI) to relieve the pain of acute renal colic compared with diclofenac and placebo.

Methods: The study included 150 patients presented to the Emergency Department with renal colic randomized into 3 groups: control group received intracutaneous injections of 0.5 cm isotonic saline in the flank, group A received intracutaneous injections of 0. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.079DOI Listing

Atypical presentation of COVID-19.

Am J Emerg Med 2020 May 11. Epub 2020 May 11.

Dr DY Patil University, Pune, India.

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http://dx.doi.org/10.1016/j.ajem.2020.05.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211592PMC

Non-tuberculosis cold abscess.

Am J Emerg Med 2020 May 7. Epub 2020 May 7.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan. Electronic address:

An 85-year-old cachectic man was found unconscious in his home. He had no specific medical history. On arrival, he was in a deep coma and hypothermic state. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.096DOI Listing

Emergency Burr Hole utilizing the EZ-IO™ drill: A pilot cadaver study.

Am J Emerg Med 2020 May 8. Epub 2020 May 8.

Charleston Area Medical Center Health Education and Research Institute, 3200 MacCorkle Ave. SE, Charleston, WV 25304, USA.

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http://dx.doi.org/10.1016/j.ajem.2020.05.008DOI Listing

An unusual presentation of pulmonary artery sarcoma: Several pseudoaneurysms with massive hemoptysis.

Am J Emerg Med 2020 May 7. Epub 2020 May 7.

Department of Radiology, Hacettepe University School of Medicine, Ankara 06100, Turkey.

A 53-year-old woman was admitted to the emergency department with sudden onset of massive hemoptysis. She had previous history of dyspnea and cough for two months. She had no history of chronic disease, smoking, or use of anticoagulant and antiplatelet drugs. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.004DOI Listing

Neurologic complications of COVID-19.

Am J Emerg Med 2020 May 16. Epub 2020 May 16.

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

Background: Much of the focus regarding the global pandemic of coronavirus disease of 2019 (COVID-19) has been on the cardiovascular, pulmonary, and hematologic complications. However, neurologic complications have arisen as an increasingly recognized area of morbidity and mortality.

Objective: This brief report summarizes the neurologic complications associated with COVID-19 with an emphasis on the emergency medicine clinician. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229718PMC

Nitrous oxide inhalant abuse and massive pulmonary embolism in COVID-19.

Am J Emerg Med 2020 May 16. Epub 2020 May 16.

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America.

A patient presented to the emergency department with altered mental status and lower extremity weakness in the setting of nitrous oxide inhalant abuse and Coronavirus Disease-2019 (COVID-19) infection. He subsequently developed hypotension and severe hypoxia, found to have a saddle pulmonary embolus (PE) with right heart strain requiring alteplase (tPA). Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229475PMC

COVID-19 infection with extensive thrombosis: A case of phlegmasia cerulea dolens.

Am J Emerg Med 2020 May 15. Epub 2020 May 15.

Cleveland Clinic Akron General, Department of Emergency Medicine, Akron, OH, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2020.05.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227523PMC

Place of prefilled syringes in COVID-19 patient based on current evidence.

Am J Emerg Med 2020 May 11. Epub 2020 May 11.

Hounter Holmes McGuire Center for Simulation and Healthcare, Virginia Commonwealth University, Richmond, VA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.05.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212984PMC

COVID-19 in healthcare workers.

Am J Emerg Med 2020 May 8. Epub 2020 May 8.

Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland.

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http://dx.doi.org/10.1016/j.ajem.2020.05.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7207112PMC

The impact on outcomes of the ACS committee on trauma delayed trauma center verifications secondary to COVID19.

Am J Emerg Med 2020 May 3. Epub 2020 May 3.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.04.087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252128PMC

Non-Covid-19 clinical research in the era of pandemic.

Am J Emerg Med 2020 May 8. Epub 2020 May 8.

Massachusetts General Hospital Department of Emergency Medicine, 326 Cambridge Street, Suite 410, Boston, MA 02114 United States.

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http://dx.doi.org/10.1016/j.ajem.2020.05.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7207130PMC

Weakness and elevated creatinine kinase as the initial presentation of coronavirus disease 2019 (COVID-19).

Am J Emerg Med 2020 May 11. Epub 2020 May 11.

Department of Medical Education, Saint Michael's Medical Centre, New York Medical College, NJ, United States; Department of Infectious Disease, Saint Michael's Medical Centre, New York Medical College, NJ, United States.

COVID-19 is a global public health emergency with more than one million positive cases across the globe. COVID-19 has a multifaceted presentation. We are herein to report two cases of SARS-CoV-2 induced rhabdomyolysis with an initial presentation of weakness and elevated creatinine kinase (CK). Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211689PMC

The relationship between two laboratory assays: High sensitivity troponin T and N-terminal pro-brain natriuretic peptide.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, United States of America; Emergency Services Institute, Cleveland Clinic Health System, Cleveland, OH, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2020.04.074DOI Listing

Incidence of adverse events among elderly vs non-elderly patients during procedural sedation and analgesia with propofol.

Am J Emerg Med 2020 May 3. Epub 2020 May 3.

Department of Emergency Medicine, University of New Mexico, 1 University of New Mexico, Albuquerque, NM 87131, USA.

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http://dx.doi.org/10.1016/j.ajem.2020.04.094DOI Listing

Spanish proficiency and interpreter use among emergency providers: A survey study.

Am J Emerg Med 2020 May 3. Epub 2020 May 3.

Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, 3 East 101st Street, Second Floor, New York, NY 10029, USA.

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http://dx.doi.org/10.1016/j.ajem.2020.04.078DOI Listing

Use of drape/patient covering during potentially aerosolizing procedures.

Am J Emerg Med 2020 May 7. Epub 2020 May 7.

Carolinas Medical Center, Department of Emergency Medicine, Charlotte, NC, United States of America.

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http://dx.doi.org/10.1016/j.ajem.2020.05.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204666PMC

Front-loaded diazepam versus lorazepam for treatment of alcohol withdrawal agitated delirium.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

UConn Health, Farmington, Connecticut, United States of America; Department of Medicine, Hartford, Connecticut, United States of America.

Background: Front-loaded diazepam is used to rapidly control agitation in patients with severe alcohol withdrawal syndrome (AWS). Our institution began using front-loaded lorazepam in August 2017 secondary to a nation-wide shortage of intravenous (IV) diazepam. Currently, there are no studies comparing lorazepam to diazepam for frontloading in severe AWS. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.095DOI Listing

Alarming trends in US domestic violence during the COVID-19 pandemic.

Am J Emerg Med 2020 Apr 28. Epub 2020 Apr 28.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2020.04.077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195322PMC

Non-evidenced based treatment: An unintended cause of morbidity and mortality related to COVID-19.

Am J Emerg Med 2020 May 6. Epub 2020 May 6.

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

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http://dx.doi.org/10.1016/j.ajem.2020.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202810PMC

ST segment elevation in an adult chest pain patient: A case of coronary artery vasospasm.

Am J Emerg Med 2020 Apr 25. Epub 2020 Apr 25.

Rochester General Hospital, Rochester, NY, United States of America.

Chest pain is one of the most common symptoms of patients presenting to the emergency department (ED) in the United States, accounting for up to eight million cases annually. We present a 55-year-old male who was brought in to the ED with sudden onset chest pain and was found to have ST-segment elevations in the infero-lateral leads on electrocardiogram (ECG). These changes resolved with nitroglycerin. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.066DOI Listing

Cardiopulmonary resuscitation may cause paradoxical embolism.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

Department of Emergency Medicine, Yonsei University Wonju College of Medicine, 20 ilsanro, Wonju 26427, Republic of Korea. Electronic address:

This paper reports a case of paradoxical embolism of right heart thrombi visualized on transesophageal echocardiography during cardiopulmonary resuscitation (CPR). CPR may cause a right-to-left shunt by producing a sudden increase in right atrial pressure during the compression phase. In cardiac arrest patients with right heart thrombi who have received CPR, systemic embolization can occur owing to paradoxical embolism. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.088DOI Listing

The prognostic value of routine coagulation tests for patients with heat stroke.

Am J Emerg Med 2020 Apr 22. Epub 2020 Apr 22.

Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Objective: To evaluate the prognostic value of routine coagulation tests for patients with heat stroke.

Methods: This was a multi-center retrospective study. Patients who arrived at the hospital <24 h after the onset of Heat Stroke (HS) were included. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.04.062DOI Listing