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Journals American Journal of Emergency ...

American Journal of Emergency Medicine

https://read.qxmd.com/read/33839632/comparison-of-qsofa-sirs-and-news-scoring-systems-for-diagnosis-mortality-and-morbidity-of-sepsis-in-emergency-department
#1
Ali Fuat Oduncu, Güçlü Selahattin Kıyan, Sercan Yalçınlı
PURPOSE: This study was aimed to compare the quick Sequential Organ Failure Assessment (qSOFA), Systemic Inflammatory Response Syndrome (SIRS), and National Early Warning Score (NEWS) scoring systems for diagnosing sepsis and predicting mortality and morbidity. PATIENTS AND METHODS: A prospective study was designed. qSOFA, SIRS, and NEWS scores were calculated at the admission. The diagnosis of sepsis was made with SOFA scoring initially. The morbidity and mortality of the patients were identified during follow-up...
April 6, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33840547/homelessness-among-ed-patients-assessing-the-true-incidence-and-barriers-to-establishing-a-domicile
#2
LETTER
Justin D Dickson, Catherine A Marco, Mitchell McMurray, Nicholas Seitz, Ahmed M Saeed, Parvaneh Shadkam-Farrokhi, Nikita Agrawal, Elysha Thoms
No abstract text is available yet for this article.
April 5, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33839633/continuous-chest-compressions-with-asynchronous-ventilation-improve-survival-in-a-neonatal-swine-model-of-asphyxial-cardiac-arrest
#3
Afrodite Aggelina, Ioannis Pantazopoulos, George Giokas, Athanasios Chalkias, Georgios Mavrovounis, Apostolos Papalois, Alexandros Douvanas, Theodoros Xanthos, Nicoletta Iacovidou
BACKGROUND: Guidelines for neonatal resuscitation recommend a 3:1 compression to ventilation ratio. However, this recommendation is based on expert opinion and consensus rather than strong scientific evidence. Our primary aim was to assess whether continuous chest compressions with asynchronous ventilations would increase return of spontaneous circulation (ROSC) rate and survival compared to the 3:1 chest compression to ventilation ratio. METHODS: This was a prospective, randomized, laboratory study...
April 5, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33838471/the-role-of-the-bun-albumin-ratio-in-predicting-mortality-in-covid-19-patients-in-the-emergency-department
#4
Kadir Küçükceran, Mustafa Kürşat Ayrancı, Abdullah Sadık Girişgin, Sedat Koçak, Zerrin Defne Dündar
INTRODUCTION: Due to the high mortality and spread rates of coronavirus disease 2019 (COVID-19), there are currently serious challenges in emergency department management. As such, we investigated whether the blood urea nitrogen (BUN)/albumin ratio (BAR) predicts mortality in the COVID-19 patients in the emergency department. METHODS: A total of 602 COVID-19 patients who were brought to the emergency department within the period from March to September 2020 were included in the study...
April 5, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33836931/green-urine-due-to-pseudomonas-urinary-tract-infection-an-unusual-occurence
#5
LETTER
Mohamad Moussa, Mohamad Abou Chakra, Athanasios G Papatsoris, Athanasios Dellis
No abstract text is available yet for this article.
April 5, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33845424/crowding-is-the-strongest-predictor-of-left-without-being-seen-risk-in-a-pediatric-emergency-department
#6
Jillian K Gorski, Tyler S Arnold, Holly Usiak, Cory D Showalter
BACKGROUND: Emergency Department (ED) patients who leave without being seen (LWBS) are associated with adverse safety and medico-legal consequences. While LWBS risk has been previously tied to demographic and acuity related factors, there is limited research examining crowding-related risk in the pediatric setting. The primary objective of this study was to determine the association between LWBS risk and crowding, using the National Emergency Department Overcrowding Score (NEDOCS) and occupancy rate as crowding metrics...
April 3, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33838469/clinical-predictors-of-delayed-neurological-sequelae-in-charcoal-burning-carbon-monoxide-poisoning
#7
Ekrem Taha Sert, Kamil Kokulu, Hüseyin Mutlu
BACKGROUND: The main objective of the treatment of acute carbon monoxide (CO) poisoning is to prevent delayed neurological sequelae (DNS). However, today there is still no objective screening tool to identify patients at high risk of developing DNS. The aim of this study was to identify clinical factors that could predict DNS after acute charcoal-burning CO poisoning. METHODS: This prospective observational study was conducted from September 1, 2019 to August 31, 2020 in a single academic medical center...
April 3, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33836388/topical-ketamine-as-a-local-anesthetic-agent-in-reducing-venipuncture-pain-a-randomized-controlled-trial
#8
Farhad Heydari, Sanaz Khalilian, Keihan Golshani, Saeed Majidinejad, Babak Masoumi, Abaris Massoumi
AIM: Pain control is an important aspect of ED patient management, and there are many different protocols used around the world influenced by both availability of local resources as well as staff competency and experience. This study aims to evaluate the use of topical ketamine in acute pain reduction by directly comparing it to lidocaine-prilocaine (EMLA) cream. MATERIALS AND METHODS: In this randomized clinical trial, 300 adult patients classified as level 4 or 5 by ESI triage system were enrolled...
April 3, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33836932/effects-of-the-covid-19-pandemic-in-a-psychiatric-emergency-service-utilization-patterns-and-patient-perceptions
#9
LETTER
A Shobassy, A E Nordsletten, A Ali, K A Bozada, N M Malas, V Hong
No abstract text is available yet for this article.
April 2, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33836387/impacts-and-challenges-of-the-covid-19-pandemic-on-emergency-medicine-physicians-in-the-united-states
#10
Jackie Nguyen, Amy Liu, Mark McKenney, Huazhi Liu, Darwin Ang, Adel Elkbuli
BACKGROUND: Emergency medicine (EM) physicians have been on the front line of the COVID-19 pandemic. This study aims to determine the impact of COVID-19 pandemic and other related factors such as resource availability and institutional support on well-being, burnout and job-satisfaction of EM physicians in the United States. METHODS: A cross-sectional survey study of EM physicians was conducted through the Emergency Medicine Practice Research Network of the ACEP...
April 2, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33836386/the-impact-of-covid-19-on-patients-with-suspected-cancer-an-analysis-of-ed-presentation-and-referrals-to-a-quick-diagnosis-unit
#11
Xavier Bosch, Aina Capdevila, Ignacio Grafia, Andrea Ladino, Pedro J Moreno, Alfonso López-Soto
PURPOSE: Patients evaluated in the emergency department (ED) who have concerning symptoms suggestive of a cancer diagnosis are mostly referred to the quick diagnosis unit of our tertiary hospital. This study analyzed the impact of the Covid-19 pandemic on the volume, disease patterns, and accessibility to essential investigations of patients with suspected cancer referred by the ED to this unit. METHODS: Trends in referrals were analyzed from January 1 to July 8, 2020 and the corresponding dates of 2019...
April 2, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33813148/emergency-department-utilization-for-mental-health-conditions-before-and-after-the-covid-19-outbreak
#12
Stephanie Stroever, Chelsea Brett, Katherine Michael, Joann Petrini
INTRODUCTION: The outbreak of COVID-19 disrupted lives across the United States. Evidence shows that such a climate is deleterious to mental health and may increase demand for mental health services in emergency departments. The purpose of this study was to determine the difference in emergency department utilization for mental health diagnoses before and after the COVID-19 surge. METHODS: We conducted a cross-sectional study between January-August 2019 and January-August 2020 with emergency department encounter as the sampling unit...
March 31, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33839634/how-does-the-side-of-approach-impact-the-force-delivered-during-external-chest-compression
#13
Jui-Yi Tsou, Chia-Lung Kao, Ming-Yuan Hong, Chih-Jan Chang, Fong-Chin Su, Chih-Hsien Chi
BACKGROUND: We investigated the biomechanics of four external chest compression (ECC) approaches involving different sides of approach and hand placement during cardiopulmonary resuscitation (CPR). METHODS: A total of 60 participants (30 women and 30 men) with CPR certification performed standard continuous 2-min ECC on a Resusci Anne manikin with real-time feedback in four scenarios: rescuer at the manikin's right side with right hand chest contact (RsRc), rescuer at the manikin's right side with left hand chest contact (RsLc), rescuer at the manikin's left side with left hand chest contact (LsLc), and rescuer at the manikin's left side with right hand chest contact (LsRc)...
March 30, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33831783/accidental-hypothermia-factors-related-to-a-prolonged-hospital-stay-a-nationwide-observational-study-in-japan
#14
Shuhei Takauji, Toru Hifumi, Yasuaki Saijo, Shoji Yokobori, Jun Kanda, Yutaka Kondo, Kei Hayashida, Keiki Shimizu, Hiroyuki Yokota, Arino Yaguchi
BACKGROUND: The incidence of accidental hypothermia (AH) is low, and the length of hospital stay in patients with AH remains poorly understood. The present study explored which factors were related to prolonged hospitalization among patients with AH using Japan's nationwide registry data. METHODS: The data from the Hypothermia STUDY 2018, which included patients ≥18 years old with a body temperature ≤ 35 °C, were obtained from a multicenter registry for AH conducted at 89 institutions throughout Japan, collected from December 1, 2018, to February 28, 2019...
March 29, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33814205/the-projected-oversupply-in-the-emergency-medicine-physician-workforce-time-for-solutions-to-save-the-future-generations-of-emergency-physicians
#15
LETTER
Mitchell Bourne, Mark McKenney, Adel Elkbuli
No abstract text is available yet for this article.
March 29, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33814204/effect-of-methylene-blue-treatment-on-amlodipine-toxicity-induced-myocardial-depression
#16
LETTER
Ju-Tae Sohn
No abstract text is available yet for this article.
March 29, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33812761/trends-in-outpatient-emergency-department-census-during-the-covid-19-pandemic-at-a-california-health-system
#17
LETTER
Nick Kwan, Steve Giordano, Ching-Hsiu Ketty Chiu, Chia-Hsing Yeh, John Chon, Wen-Hsiang Teng, Su-Yen Wu, Stanley Toy, Wen-Ta Chiu, Jonathan Wu
No abstract text is available yet for this article.
March 28, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33812331/characterization-of-ketamine-usage-in-a-large-tertiary-care-emergency-department
#18
Kelly McKinley, Patricia Panakos, Daniel Yousef
INTRODUCTION: Ketamine is a phencyclidine derivative first used in clinical practice in the 1970's. Specifically within the emergency department (ED), ketamine is utilized for a wide variety of indications including but not limited to procedural sedation, rapid sequence intubation, agitation, and pain. As providers continue to utilize ketamine more frequently and for additional indications, additional data describing its safety and efficacy in the ED setting is warranted. OBJECTIVES: To describe current trends in ketamine usage within a large tertiary-care Emergency Department...
March 28, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33838936/the-role-of-co-administration-of-magnesium-sulfate-with-qtc-prolonging-medications-in-the-emergency-department
#19
LETTER
Megan Hoffer, Maryann Mazer-Amirshahi, Ryan Hodgson, Ali Pourmand
No abstract text is available yet for this article.
March 27, 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33813147/evaluation-of-the-patients-with-flank-pain-in-the-emergency-department-by-modified-stone-score
#20
Suphi Bahadirli, Ali Baris Sen, Mehtap Bulut, Sinan Kaya
BACKGROUND/AIM: Computed tomography (CT) is generally used for ureteral stone diagnosis. Unnecessary imaging use should be reduced to prevent increased radiation exposure and lower costs. For this reason, scoring systems that evaluate the risk of ureteral stones have been developed. In this study, we aimed to investigate the diagnostic accuracy of the modified STONE score (MSS) and its ability to predict ureteral stones. MATERIALS AND METHODS: The research was conducted as a multi-center, prospective and observational study...
March 27, 2021: American Journal of Emergency Medicine
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