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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/29217178/factors-associated-with-advanced-cardiac-care-in-prehospital-chest-pain-patients
#1
Adam Frisch, Kenneth J Heidle, Stephanie O Frisch, Ashar Ata, Brandon Kramer, Caroline Colleran, Jestin N Carlson
INTRODUCTION: Many patients transported by emergency medical services (EMS) may require advanced cardiac care but do not have ST-segment elevation (STEMI) on the initial prehospital EKG. We sought to identify factors associated with the need for advanced cardiac care in undifferentiated EMS patients reporting chest pain in the absence of STEMI on EKG. METHODS: We performed a retrospective analysis of all adult patients, reporting atraumatic chest pain from a single EMS agency, presenting to a single, urban hospital over a 10-year period...
December 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29212601/autonomic-imbalance-in-sepsis
#2
LETTER
Funda Sungur Biteker, Bülent Özlek, Oğuzhan Çelik, Eda Özlek, Cem Çil, Volkan Doğan, Murat Biteker
No abstract text is available yet for this article.
December 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29208322/face-mask-leak-with-nasal-cannula-during-noninvasive-positive-pressure-ventilation-a-randomized-crossover-trial
#3
Derek J Brown, Stephen M Carroll, Michael D April
BACKGROUND: Nasal cannula can achieve apneic oxygenation during emergency intubation. However, pre-procedure nasal cannula placement may be difficult in patients undergoing non-invasive positive pressure ventilation (NPPV) prior to intubation. Our objective was to compare mask leak during NPPV with versus without simultaneous application of nasal cannula. We hypothesized mask leak would be no worse with concomitant use of nasal cannula (non-inferiority design). METHODS: We performed a randomized crossover non-inferiority study of healthy volunteers...
December 2, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29217177/c-reactive-protein-value-is-a-strong-predictor-of-acute-appendicitis-in-young-children
#4
LETTER
M Zouari, H Louati, I Abid, A K Ben Abdallah, M Ben Dhaou, M Jallouli, R Mhiri
No abstract text is available yet for this article.
December 1, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29208320/efficacy-of-a-massive-transfusion-protocol-for-hemorrhagic-trauma-resuscitation
#5
George Lim, Katrina Harper-Kirksey, Ram Parekh, Alex F Manini
OBJECTIVES: New paradigm shifts in trauma resuscitation recommend that early reconstitution of whole blood ratios with massive transfusion protocols (MTP) may be associated with improved survival. We performed a preliminary study on the efficacy of MTP at an urban, Level 1 trauma center and its impact on resuscitation goals. METHODS: A case-control study was performed on consecutive critically-ill trauma patients over the course of 1 year. The trauma captain designated patients as either MTP activation (cases) or routine care without MTP (controls) in matched, non-randomized fashion...
November 29, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29217179/more-questions-than-answers-advanced-life-support-interventions-for-out-of-hospital-cardiac-arrest
#6
LETTER
Ryan E Tsuchida, William J Meurer
No abstract text is available yet for this article.
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29212602/a-randomized-cross-over-study-comparing-surgical-cricothyrotomy-techniques-by-combat-medics-using-a-synthetic-cadaver-model
#7
Steven G Schauer, Jessie Renee D Fernandez, Jamie L Roper, Derek Brown, Kristine L Jeffers, Jonathan Srichandra, Neil B Davids, Michael D April
OBJECTIVE: Cricothyrotomy is a complex procedure with a high rate of complications including failure to cannulate and injury to adjacent anatomy. The Control-Cric™ System and QuickTrach II™ represent two novel devices designed to optimize success and minimize complications with this procedure. This study compares these two devices against a standard open surgical technique. METHODS: We conducted a randomized crossover study of United States Army combat medics using a synthetic cadaver model...
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29208321/predicting-72-hour-emergency-department-revisits-methodological-issues
#8
LETTER
Erfan Ayubi, Saeid Safiri
No abstract text is available yet for this article.
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29198518/the-interplay-between-autonomic-imbalance-cardiac-dysfunction-and-blood-pressure-variability-in-sepsis
#9
LETTER
Jacob E Nouriel, James H Paxton
No abstract text is available yet for this article.
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29196113/the-impact-of-a-cprezy%C3%A2-feedback-device-on-the-quality-of-chest-compressions-performed-by-nurses
#10
LETTER
Wojciech Wieczorek, Jacek Smereka, Jerzy R Ladny, Halla Kaminska, Robert Galazkowski, Lukasz Szarpak
No abstract text is available yet for this article.
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29196112/long-term-outcomes-and-prognostic-factors-in-patients-with-mild-hemoptysis
#11
Joonsung Choi, Jun Hyun Baik, Chi Hong Kim, So Hyang Song, Sung Kyung Kim, Myeongjong Kim, Sungeun Yun
OBJECTIVE: The aim of this retrospective study was to observe the long-term outcomes of conservative treatment and bronchial artery embolization (BAE) in patients with mild hemoptysis and to analyze the risk factors associated with hemoptysis recurrence. METHODS: Patients with mild hemoptysis from January 2005 to January 2016 were enrolled in this study. The patients' medical records, including smoking history, etiologic diseases, bronchoscopic findings, mortality, BAE information, and follow-up data of recurrent hemoptysis, were reviewed and analyzed...
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29196111/the-effect-of-early-urine-alkalinization-on-occurrence-rhabdomyolysis-and-hospital-stay-in-high-dose-doxylamine-ingestion
#12
Eun Kim, Yoon Hee Choi, Ji Yeon Lim, Jaehee Lee, Duk Hee Lee
No abstract text is available yet for this article.
November 27, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29174326/goodbye-to-the-sirs-the-reason-why-we-do-not-need-you
#13
LETTER
Simeng Wu, Xianshi Zhou, Ye Ye
No abstract text is available yet for this article.
November 22, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29174329/initial-inferior-vena-cava-diameter-predicts-massive-transfusion-requirements-in-blunt-trauma-patients-a-retrospective-cohort-study
#14
Hiroaki Takada, Toru Hifumi, Hayato Yoshioka, Ichiro Okada, Nobuaki Kiriu, Junichi Inoue, Kohei Morimoto, Junichi Matsumoto, Yuichi Koido, Hiroshi Kato
OBJECTIVES: The inferior vena cava (IVC) diameter is associated with shock and increased mortality in trauma patients. However, there are no reports examining the association between the IVC diameter and massive transfusion (MT) requirements in trauma patients. The aim of this study was to evaluate the association between IVC diameter and MT requirements in patients with blunt trauma. METHODS: We retrospectively reviewed all patients who were consecutively hospitalized with blunt trauma (Injury Severity Score [ISS] ≥16) between from November 1, 2011 to March 30, 2016...
November 21, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29174327/a-case-of-cardiac-arrest-associated-with-aortic-valve-regurgitation
#15
Hyun Suk Chai, Suk Woo Lee, Jung Soo Park, Sang Chul Kim, Ji Han Lee, Hoon Kim
Blunt chest trauma can cause not only damage to the thoracic cage, but can also injure intracardiac structures including the papillary muscles, chordae tendineae, and valve leaflets. Aortic valve (AV) injury secondary to blunt chest trauma is a rare occurrence. Clinically, AV injury may be missed during the initial post-trauma assessment due to the lack of suspicion of cardiac involvement. Thus, the diagnosis of AV injury is often delayed or missed for a time interval of days to months. As a consequence, the traumatic AV regurgitation can rapidly or progressively lead to congestive heart failure unless surgically corrected...
November 20, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29169889/transitory-effusive-constrictive-pericarditis
#16
Silvia Paiardi, Marta Pellegrino, Francesco Cannata, Monica Bocciolone, Antonio Voza
Pericardial effusion of various sizes is a quite common clinical finding, while its progression to effusive-constrictive pericarditis occurs in about 1.4-14% of cases. Although available evidence on prevalence and prognosis of this rare pericardial syndrome is poor, apparently a considerable proportion of patients conservatively managed has a spontaneous resolution after several weeks. A 61-year-old female presented to our emergency department reporting fatigue, effort dyspnea and abdominal swelling. The echocardiography showed large pericardial effusion with initial hemodynamic impact, so she underwent a pericardiocentesis with drainage of 800-850cm(3) of exudative fluid, on which diagnostic investigations were undertaken: possible viral and bacterial infections, medical conditions, iatrogenic causes, neoplastic and connective tissue diseases were all excluded...
November 20, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29169888/prevalence-and-treatment-of-anxiety-among-emergency-department-patients-with-pain
#17
LETTER
Katie Wells, Philip Craven, Jacob Steenblik, Margaret Carlson, Caitlynn Cooper, Troy Madsen
No abstract text is available yet for this article.
November 20, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29169886/a-potential-diagnostic-pitfall-in-acute-chest-pain-massive-pulmonary-embolism-mimicking-acute-st-elevation-myocardial-infarction
#18
Ya-Wen Lu, Yi-Lin Tsai, Chun-Chin Chang, Po-Hsun Huang
BACKGROUND: Pulmonary embolism (PE) represents a clinical challenge for clinicians because of nonspecific presentations, including dyspnea, chest pain, and tachycardia. The immediate 12-lead electrocardiogram (ECG) is commonly used to facilitate differential diagnosis of acute chest pain. Although relative rare, massive pulmonary embolism could induce ST segment elevation and mimic acute myocardial infarction. CASE PRESENTATION: We present a challenging scenario that ECG showed ST segment elevation, nevertheless, urgent coronary angiogram revealed non-obstructive coronary artery disease...
November 20, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29169885/model-performance-and-variable-selection-method-a-reply-to-the-reader
#19
LETTER
Gene Pellerin, Kelly Gao, Laurence Kaminsky
No abstract text is available yet for this article.
November 20, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29169884/the-spiked-helmet-sign-a-potential-relationship-to-takotsubo-cardiomyopathy
#20
Fuad Samadov, Emil Gasimov, Farid Aliyev, Elnur Isayev
The "Spiked Helmet" sign (SHs), is a recently described electrocardiographic sign which is associated with critical illness and with very high risk of impending death. Here, we report the SHs in patient with sepsis and a possible diagnosis of Takotsubo cardiomyopathy (TC).
November 20, 2017: American Journal of Emergency Medicine
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