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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/28214064/response-to-the-letter-infection-should-be-an-essential-element-of-sepsis-and-the-superiority-of-the-newest-sepsis-definition
#1
LETTER
Kenan Ahmet Turkdogan
No abstract text is available yet for this article.
February 11, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28214062/an-uncommon-dissection-adding-to-the-evidence-of-celiac-artery-dissection
#2
Ryan K Dean, Dalvir Gill, Rashad Khan, Ioana Amzuta
No abstract text is available yet for this article.
February 10, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28209391/infection-should-be-an-essential-element-of-sepsis-and-the-superiority-of-the-newest-sepsis-definition
#3
Xianshi Zhou, Ye Ye, Jun Li, Guanghua Tang
No abstract text is available yet for this article.
February 9, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28214060/nursemaid-s-elbow
#4
Vincent Ndebwanimana, Amelia Y Pousson, Giles N Cattermole
No abstract text is available yet for this article.
February 7, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28214061/open-physeal-fracture-of-the-distal-phalanx-of-the-hallux-case-study-diagnosis-and-management
#5
Brandon Morris, Scott Mullen, Paul Schroeppel, Bryan Vopat
Open physeal fractures of the distal phalanx of the hallux are the lesser described counterpart to the same fracture of the finger, known by its eponym as a "Seymour fracture". Displaced Salter-Harris phalangeal fractures present with a concomitant nailbed or soft tissue injury. Often these fractures occur in the summer months when open-toe footwear can be worn, however, they may occur indoors as well. Frequently, the injury results from direct axial load of the toe, or "stubbing", which causes the fracture and associated soft tissue injury...
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28209241/st-elevation-due-to-hypercalcemia-case-report-and-review-of-the-literature
#6
Edward Durant, Amandeep Singh
Characteristic ECG changes with hypercalcemia include shortening of the QoT, QaT, and QeT intervals which are measured from the beginning of the QRS complex to the origin (O), apex (A), and end (E) of the T wave respectively. At very high serum calcium levels ECG changes include slight prolongation of the PR and QRS intervals, T wave flattening or inversion, and the appearance of a J wave at the end of the QRS complex. We present a case of a 22year-old male, who had been bedbound for 5months following a severe motor vehicle collision, presenting with shortening of the QoT and QaT intervals leading to anterior ST elevation mimicking acute myocardial infarction...
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202299/end-tidal-capnography-tracing-persists-in-fresh-frozen-cadavers
#7
Ian Ferguson, Cliff Reid, Brian Burns, Karel Habig, Ricardo Hamilton, Mohammed Shareef
No abstract text is available yet for this article.
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202296/psychosis-in-the-ed-a-case-of-nmda-receptor-antibody-encephalitis
#8
Joseph Fisher, Clifford Ellingson, Noah Tolby
Anti-N-methyl-d-aspartate antibody receptor (NMDAR) encephalitis is a newly recognized disease increasing in diagnostic frequency. A 27-year-old female presented with symptoms of oral dyskinesia, tachycardia, and altered mental status following a three-month history of depression, lethargy, catatonia, and auditory hallucinations. We utilized our facilities neurology and psychiatry consult services, performed a lumbar puncture (LP), and requested NMDAR antibody titers. Following admission the Anti-NMDAR antibody titer was elevated warranting treatment with intravenous immunoglobulin (IVIG), corticosteroids, and later rituximab...
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202293/therapeutic-hypothermia-attenuates-brain-edema-in-a-pig-model-of-cardiac-arrest-possible-role-of-the-angiopoietin-tie-2-system
#9
Jiebin Li, ChunSheng Li, Wei Yuan, JunYuan Wu, Jie Li, ZhenHua Li, YongZhen Zhao
OBJECTIVE: This study aimed to clarify whether therapeutic hypothermia protects against cerebral edema following cardiac arrest (CA) and cardiopulmonary resuscitation (CPR) in a porcine model via regulating the angiopoietin-Tie-2 ligand-receptor system. METHODS: Male pigs were randomized into the therapeutic hypothermia group, the normothermia group or the sham control group. CA was induced in pigs by untreated ventricular fibrillation for 8min. Brain edema was determined by measuring the cerebral cortical water content at 24h after the return of spontaneous circulation (ROSC)...
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28189379/acute-generalized-exanthematous-pustulosis-secondary-to-levetiracetam-and-valproic-acid-use
#10
Zachary David Levy, Megan Slowey, Michael Schulder
Acute generalized exanthematous pustulosis (AGEP) is a rare cutaneous eruption characterized by the appearance of diffuse, sterile pustules on an erythematous and edematous base. Most cases are attributed to drug reactions, with antibiotics being the most common offending agents. Only a handful of case reports have described AGEP in the setting of antiepileptic use. Here, we report a case of AGEP secondary to dual antiepileptic therapy with levetiracetam and valproic acid in a 73-year-old female. The patient presented to the emergency department with the characteristic AGEP rash, fever, and leukocytosis...
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202297/delayed-onset-diabetic-striatopathy-hemichorea-hemiballism-one-month-after-a-hyperglycemic-episode
#11
Chiu-Jung Lin, Poyin Huang
Diabetic striatopathy is an uncommon and life threatening manifestation of diabetes mellitus. It has a tendency to occur in the elderly, female and people of Asian descent. Patients usually present with hemichorea-hemiballism caused by non-ketotic hyperglycemia. However, patients could develop diabetic striatopathy weeks after the hyperglycemic event, even when blood sugar has been well controlled. Herein, we report a case of delayed onset diabetic striatopathy and discuss the importance of detailed history and brain magnetic resonance imaging for making prompt and accurate diagnosis...
February 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202295/feasibility-of-upright-patient-positioning-and-intubation-success-rates-at-two-academic-emergency-departments
#12
Joseph S Turner, Timothy J Ellender, Enola R Okonkwo, Tyler M Stepsis, Andrew C Stevens, Erik G Sembroski, Christopher S Eddy, Anthony J Perkins, Dylan D Cooper
OBJECTIVES: Endotracheal intubation is most commonly taught and performed in the supine position. Recent literature suggests that elevating the patient's head to a more upright position may decrease peri-intubation complications. However, there is little data on the feasibility of upright intubation in the emergency department. The goal of this study was to measure the success rate of emergency medicine residents performing intubation in supine and non-supine, including upright positions...
February 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28189380/ct-ordering-patterns-for-abdominal-pain-by-physician-in-triage
#13
Kaitlyn Matz, Todd Britt, Virginia LaBond
BACKGROUND: Overcrowding in the Emergency Department is a problem with many strategies for intervention such as the physician in triage (PIT). This brief evaluation is designed to minimize diagnostic uncertainty and expedite the work up when the patient is seen in the Emergency Department. We hypothesized that this would increase CT imaging which would be increasingly negative as the pressure to maintain throughput rises on busy days in the Emergency Department. METHODS: We designed a retrospective study in which ordering patterns of Emergency physicians was explored using a group of patients with abdominal pain, presenting to triage in a 2year period...
February 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28188059/validity-of-emergency-department-triage-tools-addressing-heterogeneous-definitions-of-over-triage-and-under-triage
#14
Brian A Lentz, Alexander Jenson, Jeremiah S Hinson, Scott Levin, Stephanie Cabral, Kevin George, Edbert B Hsu, Gabor Kelen, Bhakti Hansoti
No abstract text is available yet for this article.
February 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28209392/transfer-of-do-not-resuscitate-orders-to-the-emergency-department-from-extended-care-facilities
#15
Colleen M McQuown, Jennifer A Frey, Ahmad Amireh, Ali Chaudhary
PURPOSE/OBJECTIVE: With an elderly and chronically ill patient population visiting the emergency department, it is important to know patients' wishes regarding care preferences and advanced directives. Ohio law states DNR orders must be transported with the patient when they leave an extended care facility (ECF). We reviewed the charts of ECF patients to evaluate which patients presenting to the ED had their DNR status recognized by the physician and DNR orders that were made during their hospital stay...
February 4, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202298/blind-intubation-through-supraglottic-devices-a-word-of-caution
#16
Emanuela Parotto, Paolo Persona, Carlo Ori
No abstract text is available yet for this article.
February 4, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28188057/fatal-adenovirus-infection-in-an-immunocompetent-host
#17
Zabeer Bhatti, Amit Dhamoon
No abstract text is available yet for this article.
February 4, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28188055/the-emergency-medicine-management-of-severe-alcohol-withdrawal
#18
Drew Long, Brit Long, Alex Koyfman
INTRODUCTION: Alcohol use is widespread, and withdrawal symptoms are common after decreased alcohol intake. Severe alcohol withdrawal may manifest with delirium tremens, and new therapies may assist in management of this life-threatening condition. OBJECTIVE: To provide an evidence-based review of the emergency medicine management of alcohol withdrawal and delirium tremens. DISCUSSION: The underlying pathophysiology of alcohol withdrawal syndrome (AWS) is central nervous system hyperexcitation...
February 4, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28185745/how-emergency-department-ed-admission-decisions-differ-when-the-same-physician-works-in-two-different-eds
#19
Jesse M Pines, Jessica E Galarraga, Michael Granvosky, Ori Litvak, Samuel Davis, Leah Honigman Warner
STUDY OBJECTIVE: Emergency physicians often work in multiple hospital emergency departments (EDs). We study how emergency physician admission decisions vary in different settings. METHODS: We conducted a retrospective, cross-sectional study over two years (2012-3) in six EDs in three states. Included physicians had ≥200 encounters per site in two different EDs. "Admissions" were ED encounters resulting in admission to the hospital or transfer to another hospital...
February 2, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28202294/point-of-care-lung-ultrasound-in-children-with-community-acquired-pneumonia
#20
Hayri Levent Yilmaz, Ahmet Kağan Özkaya, Sinem Sarı Gökay, Özlem Tolu Kendir, Hande Şenol
OBJECTIVES: To present lung ultrasound findings in children assessed with suspected pneumonia in the emergency department and to show the benefit of lung ultrasound in diagnosing pneumonia in comparison with chest X-rays. METHODS: This observational prospective study was performed in the pediatric emergency department of a single center. Point of care lung ultrasound was performed on each child by an independent sonographer blinded to the patient's clinical and chest X-ray findings...
February 1, 2017: American Journal of Emergency Medicine
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