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American Journal of Emergency Medicine

https://read.qxmd.com/read/38036411/direct-bilirubin-test-to-predict-hematoma-expansion-after-intracerebral-hemorrhage
#1
LETTER
Chen-Hao Li, Min-Po Ho
No abstract text is available yet for this article.
November 26, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38040519/letter-to-the-editor-regarding-the-fallen-athlete-fellow-athletes-are-not-performing-cardiopulmonary-resuscitation-when-a-teammate-suffers-sudden-cardiac-arrest
#2
LETTER
Shane J T Balthazaar, Robert Duguid, Tom E Nightingale, Paul Clift
No abstract text is available yet for this article.
November 24, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38039564/emergency-department-hospice-care-pathway-associated-with-decreased-ed-and-hospital-length-of-stay
#3
JOURNAL ARTICLE
Sarah K Wendel, Mackenzie Whitcomb, Ariel Solomon, Angela Swafford, Jeanie Youngwerth, Jennifer L Wiler, Kelly Bookman
INTRODUCTION: While increasing evidence shows that hospice and palliative care interventions in the ED can benefit patients and systems, little exists on the feasibility and effectiveness of identifying patients in the ED who might benefit from hospice care. Our aim was to evaluate the effect of a clinical care pathway on the identification of patients who would benefit from hospice in an academic medical center ED setting. METHODS: We instituted a clinical pathway for ED patients with potential need for or already enrolled in hospice...
November 23, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38006636/introduction-of-a-high-sensitivity-troponin-reduces-ed-length-of-stay
#4
JOURNAL ARTICLE
Adam J Singer, Samita Heslin, Hal Skopicki, Chen On, Lisa B Senzel, Mathew Tharakan, Henry C Thode, Frank Peacock
BACKGROUND: High sensitivity cardiac troponins (hs-cTn) allow earlier identification and exclusion of acute myocardial infarction. We determined if transitioning from contemporary to high sensitivity troponin T (hs-cTnT) would reduce ED length of stay in chest pain (CP) patients. METHODS: We conducted a pragmatic, prospective, before and after study of implementing a hs-cTnT by reviewing the electronic health records in all adult ED patients presenting to a large, suburban academic medical center during the 3 months before and after transitioning from a 4th generation troponin to a 5th generation hs-cTnT (Elecsys® Troponin T-high sensitive, Roche Diagnostics, Indianapolis, IN)...
November 21, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38006635/chest-compression-quality-comparing-1-min-vs-2-min-rotation-of-rescuers-wearing-n95-masks
#5
JOURNAL ARTICLE
Maria J Mathew, Pankaj Kundra, Stalin Vinayagam
BACKGROUND: During the COVID-19 pandemic, cardiopulmonary resuscitation (CPR) performed by rescuers wearing well-sealed respirators such as N95 masks, was associated with significant reduction in the chest compression rate and depth. This was attributed to fatigue during the standard 2-min rescuer rotations. We hypothesized that in such situations, rotating rescuers every one minute, instead of the standard two minutes would improve CPR quality. AIM: To compare the quality of chest compressions when rescuers wearing N95 masks are rotated every one minute, instead of the standard practice of two-minute rotations...
November 21, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38000987/effect-of-mannequin-sex-on-the-quality-of-chest-compressions
#6
LETTER
Kaoru Kobayashi, Yukinobu Hiiragi
No abstract text is available yet for this article.
November 21, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38000986/nitrous-oxide-myeloneuropathy-as-the-differential-diagnosis-of-guillain-barre-syndrome
#7
LETTER
Oscar M P Jolobe
No abstract text is available yet for this article.
November 19, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37996281/researching-outcomes-in-septic-shock-plenty-to-ponder
#8
LETTER
Nitin Choudhary, Rohan Magoon, Varun Suresh
No abstract text is available yet for this article.
November 19, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37980255/corrigendum-to-prolonged-hypothermic-duration-phd-causes-delayed-rewarming-thrombocytopenia-drt-a-revolutionary-new-concept-based-on-five-novel-observations-american-journal-of-emergency-medicine-73-2023-224-225
#9
https://read.qxmd.com/read/37995523/influence-of-antibiotic-therapy-with-hemodynamic-optimization-on-30-day-mortality-among-septic-shock-patients-cared-for-in-the-prehospital-setting
#10
JOURNAL ARTICLE
Romain Jouffroy, Matthieu Holub, Basile Gilbert, St├ęphane Travers, Emmanuel Bloch-Laine, Patrick Ecollan, Vincent Bounes, Josiane Boularan, Benoit Vivien, Papa Gueye-Ngalgou
BACKGROUND: In order to reduce septic shock mortality, international guidelines recommend early treatment implementation, antibiotic therapy (ABT) and hemodynamic optimisation, within 1-h. This retrospective multicentric study aims to investigate the relationship between prehospital ABT delivered within 1st hour and mean blood pressure (MAP) ≥ 65 mmHg at the end of the prehospital stage, and 30-day mortality among patients with septic shock. METHODS: From May 2016 to December 2021, patients with septic shock requiring pre-hospital Mobile Intensive Care Unit intervention (MICU) were retrospectively analysed...
November 14, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38006637/amidst-the-clamor-effects-of-emergency-department-noise-on-physicians-health-and-attention
#11
JOURNAL ARTICLE
Omer Taskin, Nezihat Rana Disel, Mustafa Yilmaz
OBJECTIVE: This study aims to assess effects of noise on physicians' stress levels and attention capacities within an emergency department. METHODS: In this prospective cross-sectional study, 15 physicians from a state hospital emergency department with 300,000 annual visits provided demographics, work factors, and physiologic data. Attention was evaluated through smartphone-based Stroop tests, while noise and heart rates were monitored via smartwatches. RESULTS: Median physician age was 26, with 16 months' emergency department experience...
November 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38006634/inequities-among-patient-placement-in-emergency-department-hallway-treatment-spaces
#12
JOURNAL ARTICLE
Kwame Tuffuor, Huifeng Su, Lesley Meng, Edieal Pinker, Asim Tarabar, Reinier Van Tonder, Chris Chmura, Vivek Parwani, Arjun K Venkatesh, Rohit B Sangal
BACKGROUND: Limited capacity in the emergency department (ED) secondary to boarding and crowding has resulted in patients receiving care in hallways to provide access to timely evaluation and treatment. However, there are concerns raised by physicians and patients regarding a decrease in patient centered care and quality resulting from hallway care. We sought to explore social risk factors associated with hallway placement and operational outcomes. STUDY DESIGN/METHODS: Observational study between July 2017 and February 2020...
November 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37995525/video-stylet-vs-channeled-hyperangulated-videolaryngoscope-efficacy-in-simulated-ludwig-s-angina-randomized-cadaver-trial
#13
JOURNAL ARTICLE
Tzu-Yao Hung, Cheng-Wei Tseng, Chung-Shiung Wen, Sheng-Han Yu, Hsin-Ling Chen, Chen-Wei Lee, Yung-Cheng Su, Chieh-Hung Lin
INTRODUCTION: Ludwig's angina (LA) is a life-threatening infection that can affect the floor of the mouth and neck, potentially causing serious airway obstruction. In such cases, rescue airway management and oxygenation can be challenging due to swelling of the mouth floor, trismus, and limited mouth opening. The aim of this study was to assess the efficacy of the Trachway video-stylet (VS) and Pentax AWS hyperangulated videolaryngoscope with channel (HAVL-C) compared to the standard geometric video-laryngoscope (SGVL, Macintosh 3, Trachway) in simulating Ludwig's angina with cadavers...
November 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37995524/high-risk-and-low-prevalence-diseases-spontaneous-cervical-artery-dissection
#14
REVIEW
Brit Long, Jessica Pelletier, Alex Koyfman, Rachel E Bridwell
INTRODUCTION: Spontaneous cervical artery dissection (sCAD) is a serious condition that carries with it a high rate of morbidity and mortality. OBJECTIVE: This review highlights the pearls and pitfalls of sCAD, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence. DISCUSSION: sCAD is a condition affecting the carotid or vertebral arteries and occurs as a result of injury and compromise to the arterial wall layers...
November 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37980256/the-backspace-association-of-type-2-respiratory-failure-and-st-segment-elevation
#15
LETTER
Oscar M P Jolobe
No abstract text is available yet for this article.
November 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37979228/impact-of-emergency-medicine-clinical-pharmacist-practitioner-driven-sepsis-antibiotic-interventions
#16
JOURNAL ARTICLE
Aubrie Hammond, Regan Porter, Kevin E Lynch, Taylor H Cason, Patrick Passaretti
BACKGROUND: The 2021 Surviving Sepsis Campaign Guidelines recommend administration of antimicrobials within the first hour of recognition of sepsis. Over the last decade, several studies have demonstrated improved time-to-antibiotic administration and antibiotic appropriateness when a pharmacist was involved in the care of patients with sepsis. To our knowledge, no studies evaluating the appropriate use of antibiotics in sepsis driven entirely by an Emergency Medicine (EM) Clinical Pharmacist Practitioner (CPP) have been published...
November 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38007380/a-case-report-of-spontaneous-tumor-lysis-syndrome-in-a-patient-with-chronic-myeloid-leukemia-treated-successfully-with-allopurinol
#17
Ariella Gartenberg, Maia Winkel, Nicole Leonard
Tumor Lysis Syndrome (TLS) is an oncologic emergency that may occur in any patient with a hematologic malignancy, even prior to initiation of chemotherapy. Spontaneous TLS massive tumor cell destruction with intracellular electrolyte release prior to the initiation of chemotherapy. Spontaneous tumor lysis syndrome is a rare presentation, mainly occurring in Acute Leukemia and non-Hodgkin Lymphoma. Chronic Myeloid Leukemia (CML) is a low-risk disease based on TLS risk stratification. To the best of our knowledge, spontaneous TLS in the chronic phase of CML successfully treated with allopurinol and aggressive hydration has yet to be reported in the literature...
November 10, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37980725/patient-sex-racial-and-ethnic-disparities-in-emergency-department-triage-a-multi-site-retrospective-study
#18
JOURNAL ARTICLE
Mehul D Patel, Peter Lin, Qian Cheng, Nilay T Argon, Christopher S Evans, Benjamin Linthicum, Yufeng Liu, Abhi Mehrotra, Laura Murphy, Serhan Ziya
OBJECTIVES: There is limited evidence on sex, racial, and ethnic disparities in Emergency Department (ED) triage across diverse settings. We evaluated differences in the assignment of Emergency Severity Index (ESI) by patient sex and race/ethnicity, accounting for age, clinical factors, and ED operating conditions. METHODS: We conducted a multi-site retrospective study of adult patients presenting to high-volume EDs from January 2019-February 2020. Patient-level data were obtained and analyzed from three EDs (academic, metropolitan community, and rural community) affiliated with a large health system in the Southeastern United States...
November 10, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37972504/comparisons-of-the-vertical-one-handed-chest-compressions-according-to-the-rescuer-s-handedness
#19
JOURNAL ARTICLE
Jiwoon Kim, Je Hyeok Oh, Kyeongil Min, Du Hwan Kim
OBJECTIVE: The vertical one-handed chest compression (OHCC) technique has demonstrated superior compression power and chest compression depth (CCD) compared to conventional OHCC. This study aimed to determine if a rescuer's handedness influences the CCD during the vertical OHCC. METHODS: This prospective randomized crossover simulation trial included 59 medical doctors. Each performed a 2-min single-rescuer cardiopulmonary resuscitation (CPR) on a pediatric manikin using the vertical OHCC, once with the dominant hand (Test 1) and once with the non-dominant hand (Test 2)...
November 10, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/37988980/sodium-bicarbonate-ringer-s-solution-for-hemorrhagic-shock-a-meta-analysis-comparing-crystalloid-solutions
#20
JOURNAL ARTICLE
Muhammad Ashir Shafique, Noman Adil Shaikh, Abdul Haseeb, Abdullah Mussarat, Muhammad Saqlain Mustafa
BACKGROUND: The choice of fluid resuscitation in Traumatic Hemorrhagic shock (THS) remains a critical aspect of patient management. Bicarbonated Ringers solution (BRS) has shown promise due to its composition resembling human Extracellular Fluid and its potential benefits on hemodynamics. OBJECTIVE: To evaluate the efficacy, mortality rates, hemodynamic effects, and adverse outcomes of Sodium Bicarbonate Ringer's Solution in the treatment of hemorrhagic shock, as compared to other relevant interventions...
November 5, 2023: American Journal of Emergency Medicine
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