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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/30107966/diabetes-mellitus-and-hypoglycemia-as-a-complication-of-intravenous-insulin-to-treat-hyperkalemia-in-the-emergency-department
#1
LETTER
Jan Brož, Jana Urbanová, Marisa Nunes, Ludmila Brunerová
No abstract text is available yet for this article.
August 10, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30107968/national-trends-in-stroke-and-tia-care-in-u-s-emergency-departments-and-inpatient-hospitalizations-2006-2014
#2
Islam I Bedaiwi, Sukayna Z Alfaraj, Jesse M Pines
BACKGROUND: We examine recent trends in U.S. emergency department (ED) and hospital care for stroke and transient ischemic attack (TIA). METHOD: We used national ED and inpatient data from the Healthcare Cost and Utilization Project 2006-14. We explored trends in care and outcomes for patients treated in U.S. hospitals with stroke and TIA using descriptive statistics, as well as intracranial hemorrhage (ICH), a complication of stroke treatment. RESULTS: From 2006 to 14, there were 3...
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30104092/the-dagmar-score-d-dimer-assay-guided-moderation-of-adjusted-risk-improving-specificity-of-the-d-dimer-for-pulmonary-embolism
#3
Nancy Glober, Christopher R Tainter, Jesse Brennan, Mark Darocki, Morgan Klingfus, Michelle Choi, Brenna Derksen, Frances Rudolf, Gabriel Wardi, Edward Castillo, Theodore Chan
We generated a novel scoring system to improve the test characteristics of D-dimer in patients with suspected PE (pulmonary emboli). Electronic Medical Record data were retrospectively reviewed on Emergency Department (ED) patients 18 years or older for whom a D-dimer and imaging were ordered between June 4, 2012 and March 30, 2016. Symptoms (dyspnea, unilateral leg swelling, hemoptysis), age, vital signs, medical history (cancer, recent surgery, medications, history of deep vein thrombosis or PE, COPD, smoking), laboratory values (quantitative D-dimer, platelets, and mean platelet volume (MPV)), and imaging results (CT, VQ) were collected...
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30104091/laryngopyocele-a-deep-neck-infection-diagnosed-by-emergency-ultrasound
#4
Mehmet Ali Aslaner
Laryngopyocele is a rare diagnosis that can cause life-threating conditions such as airway obstruction and even death. Emergency ultrasound (POCUS) can be very helpful during the diagnosis and monitoring of the illness because it is both easy to apply and repeatable. A deep neck infection was diagnosed as laryngopyocele by POCUS in the emergency department; this is the first case in the literature.
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30100336/intravenous-paracetamol-versus-dexketoprofen-in-acute-musculoskeletal-trauma-in-the-emergency-department-a-randomised-clinical-trial
#5
Atakan Yilmaz, Ramazan Sabirli, Mert Ozen, Ibrahim Turkcuer, Bulent Erdur, Cuneyt Arikan, Ezgi Demirozogul, Ahmet Sarohan, Murat Seyit, Nusret Ok
INTRODUCTION: Musculoskeletal system traumas are among the most common presentations in the emergency departments. In the treatment of traumatic musculoskeletal pain, paracetamol and non-steroidal anti-inflammatory analgesics (NSAID) are frequently used. Our aim in this study is to compare the efficacy of intravenous dexketoprofen and paracetamol in the treatment of traumatic musculoskeletal pain. METHODS: This prospective, randomised, double blind, controlled study was conducted in a tertiary care emergency unit...
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30100335/utilization-of-chest-ct-for-injured-patients-during-visits-to-u-s-emergency-departments-2012-2015
#6
Brian J Yun, Robert M Rodriguez, Anand M Prabhakar, David A Peak, DaMarcus E Baymon, Ali S Raja
INTRODUCTION: Increased use of computed tomography (CT) during injury-related Emergency Department (ED) visits has been reported, despite increased awareness of CT radiation exposure risks. We investigated national trends in the use of chest CT during injury-related ED visits between 2012 and 2015. METHODS: Analyzing injury-related ED visits from the 2012-2015 United States (U.S.) National Hospital Ambulatory Medical Care Survey (NHAMCS), we determined the percentage of visits that had a chest CT and the diagnostic yield of these chest CTs for clinically-significant findings...
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30100334/tracheal-rupture-as-a-result-of-coughing
#7
Meltem Akkas, Canan Tiambeng, Nalan Metin Aksu, Ruhi Onur
No abstract text is available yet for this article.
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30100331/novel-method-of-infant-chest-compression-does-the-arrangement-of-the-thumbs-matter
#8
LETTER
Kurt Ruetzler, Jacek Smereka, Lukasz Szarpak, Michael Czekajlo
No abstract text is available yet for this article.
August 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30107967/point-of-care-influenza-testing-does-not-significantly-shorten-time-to-disposition-among-patients-with-an-influenza-like-illness
#9
Elissa M Schechter-Perkins, Patricia M Mitchell, Kerrie P Nelson, James H Liu, Angela Shannon, Jean Ahern, Beverley Orr, Nancy S Miller
INTRODUCTION: Availability of anti-viral agents and need to isolate infected patients increases the need to confirm the diagnosis of influenza before determining patient disposition. OBJECTIVES: We sought to determine if time-to-disposition (TTD) was shorter among patients tested for influenza using an Emergency Department (ED) Point-of-care (POC) test compared to core laboratory (lab) test and to determine difference in antibiotic use between groups. METHODS: We prospectively enrolled a convenience sample of ED patients for whom influenza testing was ordered during influenza season 2017...
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30104090/communication-and-bed-reservation-decreasing-the-length-of-stay-for-emergency-department-trauma-patients
#10
Derrick Huang, Aveh Bastani, William Anderson, Janice Crabtree, Scott Kleiman, Shanna Jones
BACKGROUND: Prolonged emergency department (ED) length of stay (LOS) is associated with poorer clinical outcomes and patient experience. At our community hospital, trauma patients were experiencing extended ED LOS incommensurate with their clinical status. Our objective was to determine if operational modifications to patient flow would reduce the LOS for trauma patients. METHOD: We conducted a retrospective chart review of admitted trauma patients from January 1, 2015 to June 30, 2016 to study two interventions...
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30100333/on-demand-synchronous-audio-video-telemedicine-visits-are-cost-effective
#11
Garrison Nord, Kristin L Rising, Roger A Band, Brendan G Carr, Judd E Hollander
INTRODUCTION: Claims data raises the possibility that on demand telemedicine programs might increase new utilization, offsetting the cost benefits described in some retrospective analyses. We prospectively evaluated the cost of a synchronous audio-video on-demand telemedicine taking into account both what patients would have done instead of the telemedicine visit as well as the care patients received after the visit. MATERIALS AND METHODS: We conducted a prospective observational study of patients who received care from an on-demand telemedicine program...
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30100332/hospital-information-technology-is-critical-to-the-success-of-a-point-of-care-ultrasound-program
#12
LETTER
Arthur K Au, Srikar Adhikari, Benjamin H Slovis, Peter B Sachs, Resa E Lewiss
No abstract text is available yet for this article.
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30098837/preparation-of-lifeguards-to-basic-life-support-in-the-drowning
#13
LETTER
Jerzy Kiszka, Iwona Tabaczek-Bejster, Katarzyna Walicka-Cupryś
No abstract text is available yet for this article.
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30098836/platelet-indices-may-not-be-associated-with-diagnosis-and-prognosis-of-gastrointestinal-bleeding
#14
LETTER
Cengiz Beyan
No abstract text is available yet for this article.
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30098835/generalized-anxiety-disorder-among-emergency-department-patients
#15
LETTER
Catherine A Marco, Justin Anderson, Mitchell McMurray, Matthew Lovell, Jaree Naqvi, Nicholas Seitz
No abstract text is available yet for this article.
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30097276/diagnostic-accuracy-of-laboratory-and-ultrasound-findings-in-patients-with-a-non-visualized-appendix
#16
Laurie Malia, Jesse J Sturm, Sharon R Smith, R Timothy Brown, Brendan Campbell, Henry Chicaiza
Ultrasound (US) and laboratory testing are initial diagnostic tests for acute appendicitis. A diagnostic dilemma develops when the appendix is not visualized on US. OBJECTIVE: To determine if specific US findings and/or laboratory results predict acute appendicitis when the appendix is not visualized. METHODS: A prospective study was conducted on children (birth-18 yrs) presenting to the pediatric emergency department with suspected acute appendicitis who underwent right lower quadrant US...
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30097275/assessing-the-methodological-quality-of-retrospective-research-protocols
#17
LETTER
Lindsey Ouellette, Stacy L Gardner, Betsy Wilson, Angela D Faber, Jeffrey Jones
No abstract text is available yet for this article.
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30097273/reply-to-the-letter-titled-platelet-indices-may-not-be-associated-with-diagnosis-and-prognosis-of-gastrointestinal-bleeding
#18
LETTER
Tugba Senel, Burak Furkan Demir, Ihsan Ates
No abstract text is available yet for this article.
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30082186/pediatric-extracorporeal-cardiopulmonary-resuscitation-settled-in-an-emergency-room-for-a-propafenone-intentional-intoxication
#19
Marco Marano, Bianca M Goffredo, Mara Pisani, Sergio Filippelli, Corrado Cecchetti, Fabrizio Drago, Maria A Barbieri, Joseph Nunziata, Leonardo Genuini, Matteo Di Nardo
The use of drugs in suicide attempts is becoming more and more frequent among adolescents. Intentional intoxication with propafenone is very rare and mainly reported in adults associated with other drugs. The therapeutic approach is symptomatic, since there is no specific antidote for propafenone. We present a pediatric case of intentional ingestion of 1.8 g of propafenone that caused refractory cardiogenic shock. The patient was successfully rescued with extracorporeal cardiopulmonary resuscitation in the emergency room of a secondary level peripheral hospital...
August 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30078653/emergency-medicine-practice-environment-and-impact-on-concert-examination-performance
#20
Catherine A Marco, Robert P Wahl, James D Thomas, Ramon W Johnson, O John Ma, Anne L Harvey, Earl J Reisdorff
OBJECTIVE: The ABEM ConCert Examination is a summative examination that ABEM-certified physicians are required to pass once in every 10-year cycle to maintain certification. This study was undertaken to identify practice settings of emergency physicians, and to determine if there was a difference in performance on the 2017 ConCert between physicians of differing practice types and settings. METHODS: This was a mixed methods cross sectional-study, using a post-examination survey and test performance data...
August 1, 2018: American Journal of Emergency Medicine
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