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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/29661665/combining-early-post-resuscitation-eeg-and-hrv-features-improves-the-prognostic-performance-in-cardiac-arrest-model-of-rats
#1
Chenxi Dai, Zhi Wang, Liang Wei, Gang Chen, Bihua Chen, Feng Zuo, Yongqin Li
OBJECTIVE: Early and reliable prediction of neurological outcome remains a challenge for comatose survivors of cardiac arrest (CA). The purpose of this study was to evaluate the predictive ability of EEG, heart rate variability (HRV) features and the combination of them for outcome prognostication in CA model of rats. METHODS: Forty-eight male Sprague-Dawley rats were randomized into 6 groups (n=8 each) with different cause and duration of untreated arrest. Cardiopulmonary resuscitation was initiated after 5, 6 and 7min of ventricular fibrillation or 4, 6 and 8min of asphyxia...
April 9, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29656947/effectiveness-of-interventions-to-improve-the-efficiency-of-emergency-department-operations-an-evidence-map
#2
LETTER
Sean M O'Neill, Isomi Miake-Lye, Christopher P Childers, Selene Mak, Jessica M Beroes, Melinda Maggard-Gibbons, Paul G Shekelle
No abstract text is available yet for this article.
April 9, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29655502/effect-of-regional-cerebral-oximetry-to-estimate-neurologic-prognostic-outcomes-in-patients-administered-targeted-temperature-management
#3
Aykut Sarıtaş, Burcu Acar Çinleti, Çiler Zincircioğlu, Uğur Uzun, Işıl Köse, Nimet Şenoğlu
PURPOSE: The aim of our study is to research the role and efficacy of cerebral oximetry in predicting neurologic prognosis when applied during TTM to patients experiencing coma after CA. METHODS: This study was performed on surviving adult comatose patients after CA treated with TTM. The average scores of rSO2 was measured at 6h intervals for the first 2days and once a day for the following 3days with a NIRS device during TTM. The CPC scale was used to define the neurologic outcomes of patients...
April 9, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29661668/no-association-between-metoclopramide-treatment-in-ed-and-reduced-risk-of-post-concussion-headache
#4
Natalie Bresee, Mary Aglipay, Alexander Sasha Dubrovsky, Andrée-Anne Ledoux, Franco Momoli, Jocelyn Gravel, Stephen B Freedman, Karen Barlow, Lawrence Richer, Nicholas J Barrowman, Roger Zemek
OBJECTIVE: There is a lack of definitive pediatric literature on effective pharmacotherapy for persistent post-concussion headache symptoms. This study assessed whether acute metoclopramide treatment in the Emergency Department (ED) was associated with a reduction in persistent headache in children at 1- and 4-weeks post-concussion. METHODS: Children aged 8-17years with acute concussion presenting to 9-Canadian Pediatric EDs were enrolled in a prospective cohort study, from August 2013-June 2015...
April 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29661667/quantifying-the-operational-impact-of-boarding-inpatients-on-emergency-department-radiology-services
#5
LETTER
Benjamin A White, Stephen C Dorner, Brian J Yun, Michael H Lev, Marjory A Bravard, Anand M Prabhakar, Ali S Raja
No abstract text is available yet for this article.
April 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29661666/pseudo-wellens-syndrome-and-intermittent-left-bundle-branch-block-in-a-case-of-acute-cholecystitis
#6
Steffen Grautoff, Martin Balog, Guenther Winde
We present a case of a 54-year-old male patient who was admitted to our Emergency Department (ED) with localized epigastric pain. Inflammation markers, ultrasound, and CT scan were inconsistent with an initial diagnosis of cholecystitis. However, there was additional evidence of cholecystolithiasis. The ECG showed new anterior biphasic T waves typical for a Wellens' type A ECG. Additionally, the patient had an intermittent left bundle branch block (LBBB). The diagnostic challenges in differentiating possible diagnoses will be described, to which in this case, were either acute cholecystitis or acute coronary syndrome (ACS)...
April 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29656946/impact-of-rapid-response-car-system-on-ecmo-in-out-of-hospital-cardiac-arrest
#7
LETTER
Junpei Komagamine
No abstract text is available yet for this article.
April 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29656945/ketamine-versus-ketamine-pluses-atropine-for-pediatric-sedation-a-meta-analysis
#8
REVIEW
Jiaxiao Shi, Ang Li, Zhijian Wei, Yang Liu, Cong Xing, Hongyu Shi, Han Ding, Dayu Pan, Guangzhi Ning, Shiqing Feng
OBJECTIVES: The application of atropine for pediatric sedation in the emergency department remains controversial. Our objective was to perform a comprehensive review of the literature and assess the clinical indexes in groups with and without atropine use. METHODS: PubMed, EMBASE, and the Cochrane Library were searched for randomized and non-randomized studies that compared ketamine and ketamine plus atropine for pediatric sedation. The risk ratio with 95% confidence interval was calculated using either a fixed- or random-effects model according to the value of I2 ...
April 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29655501/acute-streptococcal-meningitis-presenting-as-bilateral-conductive-hearing-loss
#9
Matthew J Dougherty, Austin T Smith
Bacterial meningitis is a relatively uncommon condition encountered in the emergency department and the constellation of symptoms varies. Hearing loss has been well documented in the literature as a complication of the disease process, but not as the presenting complaint. We describe a case of a 59-year-old female who presented to the emergency department with sudden onset bilateral hearing loss who was found to have S. pneumonia meningitis bacterial meningitis. Even with advances in therapy, bacterial meningitis still carries a significant mortality rate...
April 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29653787/the-early-chain-of-care-in-bacteraemia-patients-early-suspicion-treatment-and-survival-in-prehospital-emergency-care
#10
Henrik Andersson, Christer Axelsson, Anna Larsson, Anders Bremer, Martin Gellerstedt, Angela Bång, Johan Herlitz, Lars Ljungström
INTRODUCTION: Bacteraemia is a first stage for patients risking conditions such as septic shock. The primary aim of this study is to describe factors in the early chain of care in bacteraemia, factors associated with increased chance of survival during the subsequent 28days after admission to hospital. Furthermore, the long-term outcome was assessed. METHODS: This study has a quantitative design based on data from Emergency Medical Services (EMS) and hospital records...
April 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29661664/temporal-variations-in-dispatcher-assisted-and-bystander-initiated-resuscitation-efforts
#11
Akira Yamashita, Tetsuo Maeda, Yasuhiro Myojo, Yukihiro Wato, Keisuke Ohta, Hideo Inaba
PURPOSE: To investigate temporal variations in dispatcher-assisted and bystander-initiated resuscitation efforts and their association with survival after bystander-witnessed out-of-hospital cardiac arrests (OHCAs). METHODS: We retrospectively analyzed the neurologically favorable 1-month survival and the parameters related to dispatcher assisted cardiopulmonary resuscitation (DA-CPR) and bystander CPR (BCPR) for 227,524 OHCA patients between 2007 and 2013 in Japan...
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29655503/headache-in-a-patient-with-influenza
#12
Jill M Fuller, Jestin Carlson, Jason Ball
Complications from influenza have been documented in the literature, but this patient case represents a rare and potentially deadly result in an otherwise healthy adult. Providers in the emergency department should be vigilant when assessing patients with influenza symptoms and monitoring those that don't always present with common symptoms and complaints. This patient's cerebral edema and tonsillar herniation was life-threatening and was caused from the influenza B virus.
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29653789/comparative-analysis-of-incapacitated-versus-forcible-sexual-assault-in-a-community-based-population
#13
LETTER
Linda Rossman, Stephanie Solis, Lindsey Ouellette, Brook Woolley, Colleen Bush, J S Jones
No abstract text is available yet for this article.
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29653786/compression-with-a-pocket-sized-ultrasound-device-to-diagnose-proximal-deep-vein-thrombosis
#14
Sarah Pujol, Jeremy Laurent, Thibaut Markarian, Pierre-Géraud Claret, Jean Yves Lefrant, Claire Roger, Laurent Muller, Jean Emmanuel de La Coussaye, Antonia Perez-Martin, Xavier Bobbia
INTRODUCTION: Compression ultrasonography (CUS) is a validated technique for the diagnosis of deep venous thrombosis (DVT), but has never been studied with pocket-sized ultrasound device (PUD). The main objective of this study was to assess the diagnostic performance of CUS made by emergency physicians (EPs) using a PUD. MATERIALS: This was a prospective, diagnostic test assessment, single-center study. Patients underwent VCU performed by a trained EP with PUD (CUS-PUD) for searching proximal DVT (PDVT) and were then seen by an expert vascular physician who blindly performed a duplex venous ultrasound, which was the criterion standard...
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29650397/assessment-of-five-different-probes-for-lung-ultrasound-in-critically-ill-patients-a-pilot-study
#15
Xavier Bobbia, Margaux Chabannon, Thierry Chevallier, Jean Emmanuel de La Coussaye, Jean Yves Lefrant, Sarah Pujol, Pierre-Géraud Claret, Laurent Zieleskiewicz, Claire Roger, Laurent Muller
INTRODUCTION: The present study was aimed at comparing the diagnosis concordance of five echo probes of lung ultrasound (LUS) with CT scans in intensive care and emergency patients with acute respiratory failure. MATERIALS: This prospective, observational, pilot study involved 10 acute patients in whom a thoracic CT scan was performed. An expert performed an LUS reference exam using five different probes: three probes with a high-quality conventional echo machine (cardiac phased-array probe, abdominal convex probe, linear probe) and two probes (cardiac and linear) with a pocket ultrasound device (PUD)...
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29650396/association-between-acidosis-and-outcome-in-out-of-hospital-cardiac-arrest-patients
#16
LETTER
Chi-Chun Lin, Cheng-Yu Lin, Chien-Hsiung Huang, Li-Heng Tsai, Chan-Wei Kuo, Cheng-Yu Chien
No abstract text is available yet for this article.
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29631922/should-paramedics-use-automated-external-defibrillators-preliminary-data
#17
LETTER
W Gawel, W Wieczorek, M Dabrowski, H Kaminska
No abstract text is available yet for this article.
April 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29636293/diagnostic-value-of-qrs-and-s-wave-variation-in-patients-with-suspicion-of-acute-pulmonary-embolism
#18
Metin Çağdaş, Süleyman Karakoyun, İbrahim Rencüzoğulları, Yavuz Karabağ, İnanç Artaç, Doğan İliş, Şerif Hamideyin, Sibel Karayol, Handan Çiftçi, Tufan Çınar
BACKGROUND: This study aimed to investigate the diagnostic value of QRS and S wave variation in patients admitted to the emergency department with suspicion of acute pulmonary embolism (APE). METHOD: Computerized tomographic pulmonary angiography (CTPA) was performed in 118 consecutive patients to evaluate patients with suspected APE, and 106 subjects with appropriate electrocardiogram and CT images constituted the study population. RESULTS: Using CTPA, APE was diagnosed in 48...
March 29, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29653788/shift-in-u-s-payer-responsibility-for-the-acute-care-of-violent-injuries-after-the-affordable-care-act-implications-for-prevention
#19
Edouard Coupet, David Karp, Douglas J Wiebe, M Kit Delgado
BACKGROUND: Investment in violence prevention programs is hampered by lack of clearly identifiable stakeholders with a financial stake in prevention. We determined the total annual charges for the acute care of injuries from interpersonal violence and the shift in financial responsibility for these charges after the Medicaid expansion from the Affordable Care Act in 2014. METHODS: We analyzed all emergency department (ED) visits from 2009 to 2014 with diagnosis codes for violent injury in the Nationwide Emergency Department Sample (NEDS)...
March 28, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29631921/a-case-of-rapidrhino-herniation-causing-airway-obstruction
#20
Bi Wen Lau, Alex Paspaliaris
Epistaxis is commonly managed with RapidRhino in emergency departments. We report a case of RapidRhino herniation during air inflation in a 99-year-old female, leading to significant airway obstruction. Upon re-inflation of the RapidRhino for persistent epistaxis, our patient suddenly developed acute respiratory distress. Throat examination revealed a large clot-like circular mass occluding the oropharynx. Initially mistaken as a massive blood clot, the mass was identified as the distal end of the RapidRhino...
March 28, 2018: American Journal of Emergency Medicine
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