Jenny Chang, John Arbo, Michael P Jones, Joshua Silverberg, Jill Corbo
OBJECTIVES: Patients and their families frequently misclassify female physicians in the Emergency Department (ED) as non-physicians. Physician misidentification impacts the environment of care on multiple levels; including patient satisfaction and physician well-being. Implementing "DOCTOR" badges may be a low-cost tool to rectify these problems. METHODS: The study was conducted in a large urban academic medical center. Badges with the title "DOCTOR" was distributed to 83 Emergency Medicine (EM) residents and 28 EM Attendings in the department...
August 2021: American Journal of Emergency Medicine
Anton Nikouline, Andrew Quirion, James J Jung, Brodie Nolan
INTRODUCTION: Trauma resuscitation at dedicated trauma centers typically consist of ad-hoc teams performing critical tasks in a time-limited manner. This creates a high stakes environment apt or avoidable errors. Reporting of errors in trauma resuscitation is generally center-dependent and lacks common terminology. METHODS: We conducted a systematic review by searching Ovid Medline, Scopus and Embase from inception to February 24, 2021 for errors in adult trauma resuscitation...
July 2021: CJEM
Michael Gottlieb, Tina Sundaram, Daniel J Kim, Paul Olszynski
No abstract text is available yet for this article.
September 2021: CJEM
Rob Woods, Rebecca Schonnop, Sarah Henschke, Brittany Ellis
No abstract text is available yet for this article.
September 2021: CJEM
Amit Sunil Chopra, Daniel Alexander Goodman, David Carr
No abstract text is available yet for this article.
September 2021: CJEM
Sara A Finkelstein, Miguel A Cortel-LeBlanc, Achelle Cortel-LeBlanc, Jon Stone
We provide a narrative review of functional neurological disorder (FND, or conversion disorder) for the emergency department (ED). Diagnosis of FND has shifted from a "rule-out" disorder to one now based on the recognition of positive clinical signs, allowing the ED physician to make a suspected or likely diagnosis of FND. PubMed, Google Scholar, academic books, and a hand search through review article references were used to conduct a literature review. We review clinical features and diagnostic pitfalls for the most common functional neurologic presentations to the ED, including functional limb weakness, functional (nonepileptic) seizures, and functional movement disorders...
June 2021: Academic Emergency Medicine
Aleksandar Trajkovski, Eddy Lang
No abstract text is available yet for this article.
May 2021: CJEM
Ian G Stiell, Elisha Targonsky, Frank Scheuermeyer
No abstract text is available yet for this article.
July 2021: CJEM
Serena F Hagerty, Ryan C Burke, Linda M Isbell, Kate Barasz, Peter Smulowitz
No abstract text is available yet for this article.
November 2021: Academic Emergency Medicine
C Magnusson, J Gärskog, E Lökholm, J Stenström, R Wetter, C Axelsson, M Andersson Hagiwara, N Packendorff, K Jood, T Karlsson, J Herlitz
BACKGROUND: Dizziness is a relatively common symptom among patients who call for the emergency medical services (EMS). AIM: To identify factors of importance for the early identification of a time-sensitive condition behind the symptom of dizziness among patients assessed by the EMS. METHODS: All patients assessed by the EMS and triaged using Rapid Emergency Triage and Treatment (RETTS) for adults code 11 (=dizziness) in the 660,000 inhabitants in the Municipality of Gothenburg, Sweden, in 2016, were considered for inclusion...
March 25, 2021: BMC Emergency Medicine
Myla E Moretti, Wendy J Ungar, Stephen B Freedman, Suzanne Schuh
BACKGROUND: While electrolyte maintenance solution is recommended and commonly used in pediatric gastroenteritis, it can be more costly and less palatable than preferred fluids such as apple juice. OBJECTIVE: To assess the incremental cost-effectiveness of apple juice/preferred fluids versus electrolyte maintenance solution in reducing treatment failures in children in an emergency department from societal and health care perspectives. METHODS: A probabilistic cost-effectiveness analysis was performed using clinical trial and chart data...
March 21, 2021: CJEM
Rajan Arora, Meghna Shukla, Elizabeth McQuillen, Usha Sethuraman
BACKGROUND: Minor head injury (MHI) in children is a common emergency department (ED) presentation. It is well established that majority of these patients don't require imaging and can be safely discharged. What is less known is how often these children come back to the ED and the outcome of their revisits? The objective of this study was to describe the frequency and outcome of unscheduled return visits (RVs) for MHI in a pediatric ED. METHODS: A retrospective chart review of emergency department RV's database was conducted from August 2016 to July 2019...
January 16, 2021: American Journal of Emergency Medicine
Amber E Hoek, Marieke Joosten, Diederik W J Dippel, Ed F van Beeck, Leandra van den Hengel, Björn Dijkstra, Dafni Papathanasiou, Daphne van Rijssel, Maaike van den Hamer, Stephanie C E Schuit, Alex Burdorf, Juanita A Haagsma, Pleunie P M Rood
STUDY OBJECTIVE: We measure the effect of video discharge instructions on postconcussion symptoms in patients with mild traumatic brain injury in the emergency department. METHODS: A multicenter randomized controlled trial was conducted in which patients with mild traumatic brain injury were randomly assigned to either intervention (verbal, written, and video discharge information) or control (verbal and written discharge information only). All patients were interviewed 1 week and 3 months from randomization...
March 2021: Annals of Emergency Medicine
Brit Long, Skyler Lentz, Alex Koyfman, Michael Gottlieb
INTRODUCTION: Diabetic ketoacidosis is an endocrine emergency. A subset of diabetic patients may present with relative euglycemia with acidosis, known as euglycemic diabetic ketoacidosis (EDKA), which is often misdiagnosed due to a serum glucose <250 mg/dL. OBJECTIVE: This narrative review evaluates the pathogenesis, diagnosis, and management of EDKA for emergency clinicians. DISCUSSION: EDKA is comprised of serum glucose <250 mg/dL with an anion gap metabolic acidosis and ketosis...
June 2021: American Journal of Emergency Medicine
Adam Reuben, Andrew Appelboam, Kara N Stevens, Jane Vickery, Paul Ewings, Wendy Ingram, Alison N Jeffery, Richard Body, Malcolm Hilton, Jason Coppell, Brian Wainman, Andy Barton
STUDY OBJECTIVE: Epistaxis is a common emergency department (ED) presentation and, if simple first aid measures fail, can lead to a need for anterior nasal packing. Tranexamic acid is an agent that contributes to blood clot stability. The aim of this study is to investigate the effectiveness of topical intranasal tranexamic acid in adult patients presenting to the ED with persistent epistaxis, and whether it reduces the need for anterior nasal packing. METHODS: From May 5, 2017, to March 31, 2019, a double-blind, placebo-controlled, multicenter, 1:1, randomized controlled trial was conducted across 26 EDs in the United Kingdom...
June 2021: Annals of Emergency Medicine
Kirsty Challen, Christopher Bond, Lauren Westafer, Corey Heitz, William K Milne
No abstract text is available yet for this article.
July 2021: Academic Emergency Medicine
Catherine Varner, Cameron Thompson, Kerstin de Wit, Bjug Borgundvaag, Reaves Houston, Shelley McLeod
OBJECTIVE: To identify risk factors associated with persistent concussion symptoms in adults presenting to the emergency department (ED) with acute mild traumatic brain injury (TBI). METHODS: This was a secondary analysis of a randomized controlled trial conducted in three Canadian EDs whereby the intervention had no impact on recovery or healthcare utilization outcomes. Adult (18-64 years) patients with a mild TBI sustained within the preceding 48 h were eligible for enrollment...
May 2021: CJEM
Caberry W Yu, Abirami Kirubarajan, Matthew Yau, Dawn Armstrong, Davin E Johnson
OBJECTIVES: Corneal abrasions are common ophthalmic presentations to emergency departments. Among emergency physicians and ophthalmologists, there are highly variable practice patterns with regard to management of resultant pain and discomfort. The goal of this study was to review and analyze the efficacy and safety of topical pain therapies for corneal abrasions, including topical anesthetics, nonsteroidal anti-inflammatory drugs (NSAIDs), cycloplegics, steroids, pressure patching, and the use of a bandage contact lens (BCL)...
August 2021: Academic Emergency Medicine
Timothy S H Kwok, Victoria Y Y Xu, Shirley L Lake
No abstract text is available yet for this article.
February 1, 2021: Canadian Medical Association Journal: CMAJ
Anna J M Verbeek, Janneke de Valk, Ditmar Schakenraad, Jan F M Verbeek, Anna A Kroon
BACKGROUND: E-bike usage is increasingly popular and concerns about e-bike-related injuries and safety have risen as more injured e-bikers attend the emergency department (ED). Traumatic brain injury (TBI) is the main cause of severe morbidity and mortality in bicycle-related accidents. This study compares the frequency and severity of TBI after an accident with an e-bike or classic bicycle among patients treated in the ED. METHODS: This was a prospective cohort study of patients with bicycle-related injuries attending the ED of a level 1 trauma centre in the Netherlands between June 2016 and May 2017...
April 2021: Emergency Medicine Journal: EMJ
2021-01-24 15:13:16
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