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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/27912923/predictors-of-30-day-mortality-in-patients-admitted-to-emergency-departments-for-acute-heart-failure
#1
Matthieu Marchetti, Antoine Benedetti, Olivier Mimoz, Jean-Yves Lardeur, Jérémy Guenezan, Nicolas Marjanovic
OBJECTIVES: Acute heart failure (AHF) is a leading cause of admission in emergency departments (ED). It is associated with significant in-hospital mortality, suggesting that there is room for improvement of care. Our aims were to investigate clinical patterns, biological characteristics and determinants of 30-day mortality. METHODS: We conducted a single site, retrospective review of adult patients (≥18years) admitted to ED for AHF over a 12-month period. Data collected included demographics, clinical, biological and outcomes data...
November 22, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27899211/are-nurses-able-to-perform-blind-intubation-randomized-comparison-of-i-gel-and-laryngeal-mask-airway
#2
Jerzy R Ladny, Karol Bielski, Lukasz Szarpak, Michal Cieciel, Roman Konski, Jacek Smereka
No abstract text is available yet for this article.
November 22, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27890301/thrombolytic-therapy-associated-acute-myocardial-infarction-in-patients-with-acute-ischemic-stroke-a-treatment-dilemma
#3
Chih-Jen Yang, Po-Chuan Chen, Chin-Sheng Lin, Chia-Lin Tsai, Shih-Hung Tsai
Acute myocardial infarction (AMI) is uncommon in the acute phase of acute ischemic stroke (AIS) and occurs in approximately 1% of the population. Here, we report a paradoxical case of AMI during tissue plasminogen activator (t-PA) infusion for AIS. We review and analyze the previously reported cases. We found that only patients with AMI which occurred after thrombolytic therapy for AIS who received an adequate combination of anticoagulation plus percutaneous coronary intervention survived their events. Several mechanisms have been proposed for the development of AMI after thrombolytic therapy...
November 22, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27889095/continuous-insufflation-of-oxygen-without-endotracheal-intubation-improves-cardiopulmonary-resuscitation-a-manikin-based-model
#4
LETTER
Arnaud Gaillard, Cécile Ricard, Claire Vallenet, Olivier Baptiste, Vincent Peigne
No abstract text is available yet for this article.
November 22, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27889094/a-proposal-of-an-effective-coping-approach-to-esophageal-intubation
#5
Nobuyasu Komasawa, Toshiaki Minami
No abstract text is available yet for this article.
November 22, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27912922/agranulocytosis-occurrence-following-recent-acute-infectious-mononucleosis
#6
Anthony F Massoll, Stanlyn C Powers, David P Betten
Infectious mononucleosis secondary to Epstein-Barr virus typically follows a relatively benign and self-limited course. A small subset of individuals may develop further progression of disease including hematologic, neurologic, and cardiac abnormalities. A mild transient neutropenia occurring during the first weeks of acute infection is a common finding however in rare cases a more profound neutropenia and agranulocytosis may occur up to 6weeks following the onset of initial symptoms. We describe the case of an 18-year-old woman who presented 26days following an acute infectious mononucleosis diagnosis with agranulocytosis and fever...
November 19, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27894786/mr-angiography-can-guide-ed-management-of-suspected-acute-aortic-dissection
#7
Gary X Wang, Sandeep S Hedgire, Thang Q Le, Jonathan D Sonis, Brian J Yun, Michael H Lev, Ali S Raja, Anand M Prabhakar
BACKGROUND: Aortic dissection is typically evaluated with computed tomography angiography (CTA). However, the feasibility of using magnetic resonance angiography (MRA) in the ED is unclear. This study examined the indications and outcomes of MRA in suspected aortic dissection evaluation in the ED. METHODS: An IRB approved review identified patients who underwent MRA in the ED for acute thoracic aortic dissection from January 2010 to June 2016. Demographics, clinical assessment, CTA contraindications, outcomes, and ED disposition were analyzed...
November 17, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27884584/early-death-after-emergency-department-discharge-in-patients-with-psychiatric-illness
#8
Bernard P Chang, Maximilian J Pany, Ziad Obermeyer
No abstract text is available yet for this article.
November 17, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27876538/neutrophil-to-lymphocyte-ratio-and-the-hematoma-volume-and-stroke-severity-in-acute-intracerebral-hemorrhage-patients
#9
Yaming Sun, Shoujiang You, Chongke Zhong, Zhichao Huang, Lifang Hu, Xia Zhang, Jijun Shi, Yongjun Cao, Chun-Feng Liu
BACKGROUND: Neutrophil to lymphocyte ratio (NLR) serves as a powerful inflammatory marker for predicting cardiovascular events. Here, we investigate whether admission NLR is associated with hematoma volume, stroke severity, and 3-month outcomes in patients with acute intracerebral hemorrhage (ICH). METHODS: 352 patients with acute ICH were prospectively identified in this study. Demographic characteristics, lifestyle risk factors, NIHSS score, hematoma volumes, and other clinical features were recorded for all participants...
November 16, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27884585/the-successful-treatment-of-5-fluorouracil-5-fu-overdose-in-a-patient-with-malignancy-and-hiv-aids-with-uridine-triacetate
#10
Cynthia Santos, Brent W Morgan, Robert J Geller
According to the NIH, about 275000 patients receive treatment with 5-Fluorouracil (5-FU) and more than 1300 die from 5-FU toxicity every year from life-threatening myelosuppression, gastrointestinal complications, and neurotoxicity. Immunocompromised persons are at higher risk of developing toxicity. Recently uridine triacetate (Vistagard®) has been approved by the Food and Drug Administration (FDA) as the only specific antidote available for 5-FU poisoning. In a clinical trial (n=135), 96% of patients with 5-FU toxicity recovered after treatment, where as in a historical control group only 10% survived...
November 15, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27865572/salmonella-colitis-as-an-unusual-cause-of-elevated-serum-lipase
#11
Ryan Dean, Dalvir Gill, Debra Buchan
Authors and clinicians advocate lipase as the preferred serological test for the diagnosis for acute pancreatitis. While acute pancreatitis is among the differential diagnosis for elevated lipase levels, several other causes of elevated lipase levels have been identified including several reports Salmonella species as a causative agent. There also have been retrospective studies that have reported clinical pancreatitis associated with Salmonella infection. These studies concluded that clinical pancreatitis should be considered as a complication of Salmonella infections...
November 14, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27865571/authors-respond-to-shock-index-modified-shock-index-and-age-shock-index-for-prediction-of-mortality-methodological-issues
#12
LETTER
Mehdi Torabi, Shahrzad Moeinaddini, Amirhossein Mirafzal
No abstract text is available yet for this article.
November 13, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27884586/the-x-factor-lack-of-bleeding-after-an-acute-apixaban-overdose
#13
Scott M Leikin, Hina Patel, Katherine L Welker, Jerrold B Leikin
No abstract text is available yet for this article.
November 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27884582/education-in-resuscitation-the-need-for-a-new-teaching-method
#14
LETTER
Athanasios Chalkias, Petroula Antoniou, Theodoros Xanthos
No abstract text is available yet for this article.
November 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27876540/a-rare-case-of-laryngotracheal-separation-following-blunt-neck-trauma
#15
Kayla M Humenansky, Tucker M Harris, Darryl M Hoffman
No abstract text is available yet for this article.
November 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27866693/an-unexpected-complication-of-acute-pancreatitis-intra-cardiac-thrombus
#16
Muhammed Keskin, Ayça Gümüşdağ, Edibe Betül Börklü, Şennur Ünal Dayı, İlhan İlker Avcı, Tolga Sinan Güvenç, Barış Güngör, Can Yücel Karabay, Ömer Kozan
Left atrial thrombus after acute pancreatitis (AP) is a rare clinical statement. Because of induction of systemic prothrombotic process by AP; some patients with underlying risk factors may develop an intra-cardiac thrombus. We present a 53years-old-woman with moderate mitral stenosis and atrial fibrillation. However the patient was under warfarin treatment, she developed a big left atrial big thrombus which was originated from left atrial appendage after she was suffered from AP.
November 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27865574/comparison-of-blind-intubation-through-the-i-gel-and-the-air-q%C3%A2-by-novice-physicians-during-cardiopulmonary-resuscitation-a-randomized-crossover-manikin-trial
#17
LETTER
Łukasz Szarpak
No abstract text is available yet for this article.
November 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27865573/polyarteritis-nodosa-presenting-as-bilateral-wunderlich-syndrome-rare-cause-of-flank-pain-in-a-young-woman
#18
Sun Hwa Lee, Seong Jong Yun
No abstract text is available yet for this article.
November 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27884587/butyrate-pretreatment-attenuates-heart-depression-in-a-mice-model-of-endotoxin-induced-sepsis-via-anti-inflammation-and-anti-oxidation
#19
Fangyan Wang, Zengyou Jin, Kaiyi Shen, Tingting Weng, Zhisong Chen, Jiahui Feng, Zhengzheng Zhang, Jiaming Liu, Xiaolong Zhang, Maoping Chu
OBJECTIVES: The depressed heart function is the main complication to cause death of septic patients in clinic. It is urgent to find effective interventions for this intractable disease. In this study, we investigated whether butyrate could be protective for heart against sepsis and the underlying mechanism. METHODS: Mice were randomly divided into three groups. Model group challenged with LPS (30 mg/kg, i.p.) only. Butyrate group received butyrate (200 mg/kg·d) for 3days prior to LPS administration (30 mg/kg)...
November 11, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27876541/diagnostic-performance-of-a-biomarker-panel-as-a-negative-predictor-for-acute-appendicitis-in-adult-emergency-department-patients-with-abdominal-pain
#20
David S Huckins, Karen Copeland, Wesley Self, Cheryl Vance, Phyllis Hendry, Keith Borg, Joseph Gogain
OBJECTIVES: Evaluate the diagnostic accuracy of the APPY1TM biomarker panel, previously described for use in pediatric patients, for identifying adult ED patients with abdominal pain who are at low risk of acute appendicitis. METHODS: This study prospectively enrolled subjects >18years of age presenting to seven U.S. emergency departments with <72hours of abdominal pain suggesting possible acute appendicitis. The APPY1 panel was performed on blood samples drawn from each patient at the time of initial evaluation and results were correlated with the final diagnosis either positive or negative for acute appendicitis...
November 11, 2016: American Journal of Emergency Medicine
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