journal

American Journal of Emergency Medicine

journal
https://read.qxmd.com/read/32229222/reply-to-bhakta-et-al-mortality-benefit-shock-index-in-prehospital-level-care-our-reply-to-jouffroy-r-et-al
#1
Romain Jouffroy, Jean Pierre Tourtier, Papa Gueye, Emmanuel Bloch-Laine, Vincent Bounes, Guillaume Debaty, Josiane Boularan, Benoît Vivien
No abstract text is available yet for this article.
March 25, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32229223/clinical-features-and-prognosis-of-acute-myocardial-infarction-caused-by-non-tumor-origin-coronary-artery-embolism
#2
Guangze Xiang, Peiren Shan, Changzuan Zhou, Jian Zhou, Guang Ji, Hao Zhou, Sheng Li, Kaiyu Hu, Chenglv Hong, Weijian Huang
BACKGROUND: Several studies have indicated that acute myocardial infarction (AMI) secondary to coronary artery embolism (CE) has a poor prognosis. However, in the latter studies, CE of tumor origin accounts for a considerable proportion of cases and the clinical features and contribution to overall prognosis of non-tumor CE are unknown and therefore the subject of this study. METHODS: We retrospectively studied 2006 consecutive patients with AMI at our medical center from January 2014 to October 2018...
March 24, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32224041/the-rule-of-two-s-didn-t-work-a-case-of-meckel-s-diverticulum-with-hemorrhagic-shock-in-an-adolescent
#3
Hillary Spangler, Joseph Fisher
Meckel's diverticulum classically follows the rule of two's; presenting before the age of two years, found 2 ft. from the ileocecal valve, approximately 2 in. in length, and present in roughly 2% of the population. To our knowledge, there are few cases detailing emergent medicine management of hemorrhagic shock in patients with acute blood loss from a Meckel's diverticulum. We report the case of a 13-year-old male presenting in hemorrhagic shock secondary to an undifferentiated gastrointestinal bleed who was effectively resuscitated in a children's emergency department...
March 24, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32224039/the-authors-respond
#4
LETTER
Kellie Wang, Kathryn Samai
No abstract text is available yet for this article.
March 20, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32222316/a-plunge-in-the-number-of-traumatic-traffic-injuries-in-an-emergency-center-in-anhui-province-china
#5
LETTER
Wanbo Zhu, Jiazhao Yang, Lei Xu, Shiyuan Fang
No abstract text is available yet for this article.
March 20, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32222315/high-dose-intravenous-nitrates-in-acute-heart-failure-level-of-evidence-and-adherence
#6
Yonathan Freund, Judith Gorlicki
No abstract text is available yet for this article.
March 20, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32222313/evaluation-and-management-of-the-critically-ill-adult-asthmatic-in-the-emergency-department-setting
#7
Brit Long, Skyler Lentz, Alex Koyfman, Michael Gottlieb
INTRODUCTION: Asthma is a common reason for presentation to the Emergency Department and is associated with significant morbidity and mortality. While patients may have a relatively benign course, there is a subset of patients who present in a critical state and require emergent management. OBJECTIVE: This narrative review provides evidence-based recommendations for the assessment and management of patients with severe asthma. DISCUSSION: It is important to consider a broad differential diagnosis for the cause and potential mimics of asthma exacerbation...
March 19, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32220526/the-prognostic-value-of-immature-granulocyte-in-patients-with-acute-pancreatitis
#8
Serkan Karakulak, Hüseyin Narcı, Cüneyt Ayrık, Semra Erdoğan, Enver Üçbilek
BACKGROUND: Acute pancreatitis is the inflammation of the pancreas. It can range from mild forms to life-threatening severe cases. There is not yet a marker that can detect severe cases in the early period. Early diagnosis and treatment of this disease has critical importance for prognosis. In this study, we aimed to investigate the percentage of immature granulocyte (IG %) in patients with acute pancreatitis in order to predict the severity of the disease and in-hospital mortality. METHOD: This study was carried out retrospectively in academic emergency department (ED), faculty of medicine between 01...
March 19, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32220524/is-ketamine-sedation-without-local-anesthesia-sufficient-for-pediatric-laceration-repair-a-double-blind-randomized-clinical-trial
#9
Hyuksool Kwon, Jin Hee Lee, Yoo Jin Choi, Jae Yun Jung
PURPOSE: The objective of this study was to evaluate whether sedation with ketamine without local anesthesia was sufficient in children undergoing primary repair. METHODS: Randomized, double-blind trial conducted between December 2013 and October 2016 in a tertiary care pediatric emergency department in Korea. Children aged 1 to 10 years requiring sedation for primary repair were randomly assigned to receive local lidocaine anesthesia with ketamine sedation or local saline injection with ketamine sedation...
March 19, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32220523/building-your-emotional-bench-how-to-sustain-a-career-in-emergency-medicine
#10
Michael B Weinstock, Michael Pallaci, Annahieta Kalantari
No abstract text is available yet for this article.
March 19, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32229221/video-capsule-endoscopy-for-upper-gastrointestinal-hemorrhage-in-the-emergency-department-a-systematic-review-and-meta-analysis
#11
REVIEW
Nidhi Shah, Chen Chen, Nataly Montano, David Cave, Rebecca Siegel, Nina T Gentile, Alexander T Limkakeng, Anita B Kumar, Yan Ma, Andrew C Meltzer
OBJECTIVE: The assessment of the severity of upper gastrointestinal hemorrhage in emergency department (ED) patients is difficult to assess with commonly available diagnostic tools. Small studies have shown that video capsule endoscopy (VCE) is a promising risk-stratification method and may be better than current clinical decision rules such as the Rockall score and the Glasgow Blatchford score. This review aims to assess the accuracy of VCE to detect active upper gastrointestinal hemorrhage compared to a reference standard...
March 12, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32222317/is-caval-index-an-appropriate-tool-for-predicting-hypovolemia-in-stroke
#12
LETTER
Engin Ozakin, Kadir Ugur Mert
No abstract text is available yet for this article.
March 12, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32222314/interventions-to-improve-older-adults-emergency-department-patient-experience-a-systematic-review
#13
REVIEW
Michelle J Berning, Lucas Oliveira J E Silva, Nataly Espinoza Suarez, Laura E Walker, Patricia Erwin, Christopher R Carpenter, Fernanda Bellolio
STUDY OBJECTIVE: To summarize interventions that impact the experience of older adults in the emergency department (ED) as measured by patient experience instruments. METHODS: This is a systematic review to evaluate interventions aimed to improve geriatric patient experience in the ED. We searched Ovid CENTRAL, Ovid EMBASE, Ovid MEDLINE and PsycINFO from inception to January 2019. The main outcome was patient experience measured through instruments to assess patient experience or satisfaction...
March 12, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32197718/impact-of-changing-the-admission-process-of-patients-with-pneumonia-on-the-length-of-stay-in-the-emergency-department
#14
Seung Baik Han, Ji Hye Kim, Yu Jin Lee, Areum Durey
No abstract text is available yet for this article.
March 12, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32197717/hemorrhagic-pancreatic-pseudocyst-a-rare-complication
#15
Pujitha Kudaravalli, Nikita Garg, Venkata Satish Pendela, Harvir Singh Gambhir
Pancreatic pseudocysts are seen both in acute and chronic pancreatitis. Prevalence of pancreatic pseudocyst in chronic pancreatitis is 20% to 40% and is most commonly seen in alcoholic chronic pancreatitis. Intracystic hemorrhage from a pseudoaneurysm is a rare and potentially a lethal complication of pancreatic pseudocyst with an incidence of less than 10%. We herein present a case of a 42-year-old male with a past medical history of chronic alcoholic pancreatitis, stable pseudocyst in the tail of pancreas, alcohol abuse and seizures who presented with abdominal pain and acute anemia had this rare complication of hemorrhagic pseudocyst...
March 12, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32197716/hemophagocytic-syndrome-with-severe-sepsis-caused-by-capnocytophaga-canimorsus
#16
Shinya Terashima, Koichi Hayakawa, Fukuki Saito, Daiki Wada, Hiromu Iwamura, Atsuyuki Kuro, Yujiro Ozaki, Yasushi Nakamori, Kazuyoshi Ishii, Yasuyuki Kuwagata
Capnocytophaga canimorsus, commonly transmitted by dog bites, can cause severe sepsis, and the mortality rate is very high. We experienced a case of hemophagocytic lymphohistiocytosis (HLH) complicated by severe sepsis caused by C. canimorsus. A 58-year-old man with no remarkable medical history was admitted to another hospital with fever and mild consciousness disorder developed 3 days after being bitten by his dog. The next day, the patient developed disseminated intravascular coagulation and shock and was transferred to our emergency medical center...
March 12, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32192896/the-effects-of-a-morphine-shortage-on-emergency-department-pain-control
#17
Ellen Kettler, Jesse Brennan, Christopher J Coyne
OBJECTIVE: In 2018, due to a national morphine shortage, our two study emergency departments (EDs) were unable to administer intravenous (IV) morphine for over six months. We evaluated the effects of this shortage on analgesia and patient disposition. METHODS: This was a retrospective study in two academic EDs. Our control period (with morphine) was 4/1/17-6/30/17 and our study period (without morphine) was 4/1/18-6/30/18. We included all adult patients with a chief complaint of pain, initial pain score ≥4, and ≥2 recorded pain scores...
March 11, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32216994/early-short-term-prediction-of-emergency-department-length-of-stay-using-natural-language-processing-for-low-acuity-outpatients
#18
Chien-Hua Chen, Jer-Guang Hsieh, Shu-Ling Cheng, Yih-Lon Lin, Po-Hsiang Lin, Jyh-Horng Jeng
BACKGROUND: Low-acuity outpatients constitute the majority of emergency department (ED) patients, and these patients often experience an unpredictable length of stay (LOS). Effective LOS prediction might improve the quality of ED care and reduce ED crowding. OBJECTIVE: The objective of this study was to explore the potential of natural language processing (NLP) of the first ED physicians' clinical notes and to evaluate NLP-based short-term prediction models based on mixed-type clinical data...
March 10, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32192898/the-relationship-between-staff-teaming-models-and-emergency-department-efficiency
#19
LETTER
Khalid N Almulhim, Robert Shesser, Ali Pourmand, Tess Whiteside, Erin Kane
No abstract text is available yet for this article.
March 10, 2020: American Journal of Emergency Medicine
https://read.qxmd.com/read/32192895/aeromedical-helicopter-transport-of-prisoners-the-mexico-city-experience
#20
Emmanuel Urquieta, Alexa Bello, Daryelle Samantha Varon, Joseph Varon
INTRODUCTION: Helicopter medical transport of prisoner patients has unique logistical and medical challenges, as well as potential risks to healthcare providers. Prisoners have specific requirements for safe transport, and it is of paramount importance to know the variables related to transport related mortality since most prisoners that need air evacuation are critically ill. Because we understand that there is a potentially dangerous nature of transport of this population, and because of the unique nature of them, we aimed to provide a detailed insight on predictors of outcome in prisoners who were injured as a result of trauma and that needed to be transported via air medical transport in Mexico City...
March 10, 2020: American Journal of Emergency Medicine
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