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American Journal of Emergency Medicine

https://read.qxmd.com/read/36964113/the-association-of-carotid-artery-stenosis-and-syncope-in-the-context-of-multivessel-disease
#1
LETTER
Oscar M P Jolobe
No abstract text is available yet for this article.
March 20, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36964111/high-dose-nitroglycerin-infusion-for-acute-pulmonary-edema
#2
LETTER
Chia-Chun Hsu, Min-Po Ho
No abstract text is available yet for this article.
March 20, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36965470/cyclobenzaprine-utilization-for-musculoskeletal-back-pain-analysis-of-2007-2019-national-hospital-ambulatory-medical-care-survey-data
#3
JOURNAL ARTICLE
Ali Pourmand, Rashed AlRemeithi, Santiago Martinez, Cody Couperus, Maryann Mazer-Amirshahi, Jerry Yang, Quincy K Tran
BACKGROUND: With musculoskeletal back pain being one of the most common presentations in the emergency department, evidence-based management strategies are needed to address such complaints. Along with other medications, cyclobenzaprine is a muscle relaxant commonly prescribed for patients complaining of musculoskeletal pain, in particular, pain associated with muscle spasms. However, with recent literature questioning its efficacy, the role of cyclobenzaprine use in patients with musculoskeletal back pain remains unclear...
March 18, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36964114/spontaneous-globe-rupture-in-a-patient-with-extensive-ocular-surgical-history
#4
Timothy Kolosionek, Danielle A Sultan, Katherine Tsay, Kristine L Schultz, Richard S MacKenzie, Nicole C Elliott
Globe rupture is visually dramatic in appearance for emergency clinicians and is a sight-threatening injury for the patient. It requires prompt ophthalmologic surgical intervention for optimal outcomes. Cases are typically the result of ocular trauma; however, this case highlights a rare instance of spontaneous globe rupture in a patient with an extensive ocular surgical history.
March 17, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36963177/stroke-thrombolysis-given-by-emergency-physicians-the-time-is-here
#5
JOURNAL ARTICLE
Karen Greenberg, Erol Veznedaroglu, Kenneth Liebman, Zakaria Hakma, Thomas Kurtz, Mandy Binning
Emergency Medicine core clinical privileges include administration of thrombolytic therapy for myocardial infarction and stroke. However, emergency medicine providers have created their own paradigm to rely on neurology specialty consultation to treat acute stroke patients. A 2013 study supported by the American Academy of Neurology showed an 11% shortage of neurologists at that time and projected a 19% shortage by 2025. The lack of neurologists is a worldwide problem. To help ease the shortage, teleneurology and telestroke care has been implemented by neurologists, most notably for acute ischemic stroke (AIS) patients...
March 17, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36963176/early-unplanned-return-visits-to-pediatric-emergency-departments-in-israel-during-the-sars-cov-2-pandemic
#6
JOURNAL ARTICLE
Firas Abu Hanna, Itai Shavit, Salvatore Campisi-Pinto, Gilad Chayen, Ron Jacob
INTRODUCTION: During the SARS-CoV-2 pandemic there was a considerable drop in the number of visits to Pediatric Emergency Departments (PED). Unplanned return visits (URV) might represent inadequate emergency care. We assessed the impact of the pandemic on early URV to PEDs in Israel. METHODS: This multicenter cross-sectional study analyzed the 72-h URV to PEDs among patients under the age of 18 years during a one-year pandemic period (March 1st, 2020, to February 28th, 2021), and compared them with the 72-h URV of the corresponding pre-pandemic period (March 1st, 2019, to February 28th, 2020)...
March 17, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36948083/impact-of-intravesical-administration-of-tranexamic-acid-on-gross-hematuria-in-the-emergency-department-a-before-and-after-study
#7
JOURNAL ARTICLE
Hyunwoo Choi, Dong Wook Kim, Euigi Jung, Yu Chan Kye, Jungyoup Lee, Sion Jo, Minwoo Kang, Dongsung Kim, Byunghyun Kim
INTRODUCTION: Local applications of tranexamic acid (TXA) have been effective in treating various hemorrhagic conditions. In patients with gross hematuria, the main treatment in the emergency department (ED) is continuous bladder irrigation (CBI). However, CBI has no pharmacological effects except blood clot removal from dilution. The aim of this study was to evaluate the impact of the intravesical TXA injection before CBI. METHODS: This study was a before-and-after, retrospective, and single-center study...
March 16, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36958094/association-between-advanced-care-planning-and-emergency-department-visits-a-systematic-review
#8
REVIEW
Ayaka Sakamoto, Ryota Inokuchi, Masao Iwagami, Yu Sun, Nanako Tamiya
BACKGROUND: Advance care planning can help provide optimal medical care according to a patient's wishes as a part of patient-centered discussions on end-of-life care. This can prevent undesired transfers to emergency departments. However, the effects of advance care planning on emergency department visits and ambulance calls in various settings or specific conditions remain unclear. AIM: To evaluate whether advanced care planning affected the frequency of emergency department visits and ambulance calls...
March 13, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36933335/evaluation-of-missed-influenza-vaccination-opportunities-in-the-emergency-department
#9
JOURNAL ARTICLE
Erin L Simon, Bethany Crouse, Mackenzie Wilson, McKinzey Muir, Stephen Sayles, Chris Ramos, Michael P Phelan
BACKGROUND: Seasonal influenza is associated with significant healthcare resource utilization. An estimated 490,000 hospitalizations and 34,000 deaths were attributed to influenza during the 2018-2019 season. Despite robust influenza vaccination programs in both the inpatient and outpatient setting, the emergency department (ED) represents a missed opportunity to vaccinate patients at high risk for influenza who do not have access to routine preventive care. Feasibility and implementation of ED-based influenza vaccination programs have been previously described but have stopped short of describing the predicted health resource impact...
March 13, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36948989/retropharyngeal-hematoma-mimicking-angioedema-after-intravenous-thrombolysis-for-acute-ischemic-stroke
#10
Allison Jolley, Madison McKnight, Kacie Clark
Tissue plasminogen activator (tPA) is a cornerstone treatment for acute ischemic stroke (AIS). Administration of tPA is not without risk, and can provoke life threatening adverse reactions. Retropharyngeal hematoma (RPH) following tPA administration has only been reported after tenecteplase (TNK) administration for ST elevation myocardial infarction (STEMI). A 78 year old patient received tPA for AIS. Following administration of tPA, this patient developed acute signs and symptoms of what appeared to be a more well-known adverse reaction of tPA administration - angioedema...
March 12, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36958095/previous-exposure-to-violence-among-emergency-department-patients-without-trauma-related-complaints-a-cross-sectional-analysis
#11
JOURNAL ARTICLE
Neeraj Chhabra, Samantha Hernandez, Errick Christian, Lum Rizvanolli
INTRODUCTION: The Emergency Department (ED) is a critical setting for the treatment of acute violence-related complaints and violent victimization is associated with numerous long-term negative health outcomes. A trauma-informed care framework can prevent re-traumatization of victims within the healthcare setting, but currently there are insufficient mechanisms to detect previous exposures to community violence within the ED. The current study sought to determine the prevalence of community violence and characterize the types of violence exposures among adult ED patients without trauma-related complaints to determine if there may be a need for expanded screening for previous exposure to violence for ED patients...
March 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36933989/impact-of-body-mass-index-on-venous-thromboembolism-recurrence-with-direct-oral-anticoagulants
#12
LETTER
Shiva Jashwanth Gaddam, Udhayvir Singh Grewal, Tyiesha Sharron Brown, McKailey Salard, Pranav Bhargava, Fatima Iqbal, Sahith Reddy Thotamgari, Deepti Kantamani, Samip Master, Poornima Ramadas
No abstract text is available yet for this article.
March 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36933334/focused-cardiac-ultrasound-with-mitral-annular-plane-systolic-excursion-mapse-detection-of-left-ventricular-dysfunction
#13
JOURNAL ARTICLE
Alexandra L Schick, Josh C Kaine, Nehal A Al-Sadhan, Timmy Lin, Janette Baird, Kamil Bahit, Kristin H Dwyer
OBJECTIVES: Detecting reduced left ventricular ejection fraction (LVEF) by an emergency physician (EP) is an important skill. The subjective ultrasound assessment of LVEF by EPs correlates with comprehensive echocardiogram (CE) results. Mitral annular plane systolic excursion (MAPSE) is an ultrasound measure of vertical movement of the mitral annulus, which correlates to LVEF in the cardiology literature, but has not been studied when measured by an EP. Our objective is to determine whether EP measured MAPSE can accurately predict LVEF <50% on CE...
March 11, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36932002/ain-t-no-mountain-same-enough
#14
LETTER
Jelena Brcic
No abstract text is available yet for this article.
March 10, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36964112/rapid-sequence-tandem-intubation-to-navigate-a-subglottic-obstruction
#15
Ravi V Chacko, Nisha X Jain, Brandon J Baird, Alejandro A Palma
Emergency airway management requires matching the appropriate intubation tools to anticipated obstacles. Video laryngoscopy and flexible endoscopy are often used for difficult airways. Here we describe a case where neither method alone was anticipated to be sufficient. A 53-year-old female with an obstructing lung mass required intubation for a mixed type 1 and 2 respiratory failure. Chest x-ray revealed a tortuous subglottic obstruction. The patient could not be temporized on maximized non-invasive airway support...
March 9, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36958093/updates-in-pediatric-emergency-medicine-for-2022
#16
REVIEW
Sarah Cavallaro, Joshua Easter
As a relatively new field, there has been a recent explosion in evidence around the management of children in the emergency department (ED). This review highlights 10 articles published in the last year providing evidence that is germane to the care of children by emergency medicine (EM) physicians. There is a focus on high prevalence conditions, such as fever and trauma, as well as interventions that can improve mortality, such as cardiopulmonary resuscitation and massive transfusion.
March 9, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36925351/public-emotions-and-opinions-following-the-sudden-cardiac-arrest-of-a-young-athlete-a-sentiment-analysis
#17
LETTER
Nicholas Grubic, Katherine S Allan, Jonathan A Drezner, Braeden Hill, Amer M Johri
No abstract text is available yet for this article.
March 9, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36925350/importance-of-nutritional-assessment-in-evaluating-patients-with-chemotherapy-induced-febrile-neutropenia-insights-from-heo-et-al-s-study-and-future-implications
#18
LETTER
Yalcin Golcuk, Burcu Kaymak Golcuk
No abstract text is available yet for this article.
March 9, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36933987/bottle-it-up-prehospital-management-of-an-av-fistula-bleed-using-a-bottle-cap-a-case-report
#19
Rebecca Greenstein, Philip Nawrocki, Chadd Nesbit
Hemorrhage from arteriovenous fistula sites is a known complication with potentially fatal consequences. The management of AV fistula hemorrhage has historically included direct pressure, tourniquet use, and/or surgical management. We describe a case of a 71-year-old female with hemorrhage from an AV fistula site that was successfully managed in the prehospital setting using a simple bottle cap.
March 8, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36933333/home-oxygen-therapy-from-the-emergency-department-for-covid-19-an-observational-study
#20
JOURNAL ARTICLE
Andrew Schoenling, Adam Frisch, Clifton W Callaway, Donald M Yealy, Alexandra Weissman
STUDY OBJECTIVE: During the COVID-19 pandemic, prescribing supplemental oxygen was a common reason for hospitalization of patients. We evaluated outcomes of COVID-19 patients discharged from the Emergency Department (ED) with home oxygen as part of a program to decrease hospital admissions. METHODS: We retrospectively observed COVID-19 patients with an ED visit resulting in direct discharge or observation from April 2020 to January 2022 at 14 hospitals in a single healthcare system...
March 8, 2023: American Journal of Emergency Medicine
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