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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/28094082/the-lma-fastrach%C3%A2-as-a-conduit-for-endotracheal-intubation-during-simulated-cardiopulmonary-resuscitation
#1
Jacek Smereka, Lukasz Szarpak, Jerzy R Ladny
No abstract text is available yet for this article.
January 11, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28096032/creation-of-an-intensive-care-unit-and-organizational-changes-in-an-adult-emergency-department-impact-on-acute-stroke-management
#2
Laurent Puy, Chantal Lamy, Sandrine Canaple, Audrey Arnoux, Nicolas Laine, Ella Iacob, Jean-Marc Constans, Olivier Godefroy
BACKGROUND AND PURPOSE: Following the reorganization of a University Medical Center onto a single campus, an Intensive Care Unit was created within the adult Emergency Department (ED ICU). We assessed the effects of these organizational changes on acute stroke management and the intravenous administration of recombinant tissue plasminogen activator (IV rtPA), as characterized by the thrombolysis rate, door-to-needle time (DNT) and outcome at 3months. METHODS: Between October 2013 and September 2015, we performed a retrospective, observational, single-center, comparative study of patients admitted for ischemic stroke and treated with IV rtPA during two 321-day periods (before and after the creation of the ED ICU)...
January 10, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28087095/some-questions-on-the-use-of-xuebijing-in-treating-patients-with-sepsis
#3
LETTER
Xianshi Zhou, Guanghua Tang, Jun Li
A meta-analysis of randomized controlled trials on evaluating the clinical efficacy of Xuebijing in treating patients with sepsis had been recently published in this journal, however, in our opinion, at least 6 questions or doubts existed about the content and methodology of the systematic review, thus, we write this letter to the journal to share these questions with the editor and readers with the hope of getting these questions solved and learning more about the true effects which Xuebijing should have on in treating patients with sepsis...
January 7, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28089240/comparison-of-pao2-and-paco2-in-arterial-blood-gas-analysis-between-ecolite%C3%A2-and-conventional-medium-concentration-face-mask
#4
LETTER
Hiroaki Sano, Nobuyasu Komasawa, Yuki Konishi, Toshiaki Minami
No abstract text is available yet for this article.
January 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28089498/anticoagulants-in-ischemia-guided-management-of-non-st-elevation-acute-coronary-syndromes
#5
REVIEW
Martin Mayer
BACKGROUND: The most recent joint guidelines from the American Heart Association (AHA) and American College of Cardiology (ACC) on the management of non-ST-elevation acute coronary syndromes (NSTE-ACS) are a result of a substantial and considered undertaking, and those involved deserve much recognition for their efforts. However, the handling of anticoagulants seems somewhat inadequate, and this is a highly-relevant matter when managing NSTE-ACS. OBJECTIVE OF THE REVIEW: Among areas of potential uncertainty, emergency medicine professionals might still be left wondering about the particulars of anticoagulant therapy when pursuing ischemia-guided management of NSTE-ACS (that is, managing NSTE-ACS without an intent for early invasive measures, such as coronary angiography and revascularization)...
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28087097/quick-epinephrine-administration-induces-favorable-neurological-outcomes-in-out-of-hospital-cardiac-arrest-patients
#6
H Ueta, H Tanaka, S Tanaka, R Sagisaka, H Takyu
OBJECTIVE: This research is to study if quick administration of adrenaline on OHCA prior to hospitalization has an effect on improving CPC1-2 at one month. METHODOLOGY: A total 13,326 cases were extracted from 2011 to 2014 Utstein data for this retrospective cohort study, also, EMT reached the patients within 16min after 119 called and adrenaline was then administered within 22min of after contact. PATIENTS DIVIDED INTO TWO GROUPS: Patients were contacted within 8min of the 119 call (n=6956), and were contacted between 8 and 16min after the call (n=6370)...
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28082162/neck-anteflexion-method-for-facilitating-videolaryngoscopic-tracheal-intubation-while-applying-cricoid-pressure
#7
Nobuyasu Komasawa, Kazuo Hattori, Toshiaki Minami
No abstract text is available yet for this article.
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28082161/global-registry-of-acute-coronary-events-risk-score-predicts-mortality-and-neurological-outcome-in-out-of-hospital-cardiac-arrest
#8
Takayuki Otani, Hirotaka Sawano, Tomoaki Natsukawa, Reiko Matsuoka, Masaya Morita, Yasuyuki Hayashi
PURPOSE: The aim of this study was to assess the usefulness of the Global Registry of Acute Coronary Events (GRACE) risk score in predicting in-hospital mortality and neurological outcome of patients resuscitated after out-of-hospital cardiac arrest (OHCA). METHODS: We retrospectively analyzed the data of patients admitted to our hospital between October 2009 and October 2015 with OHCA and shockable initial cardiac rhythm who were resuscitated via conventional cardiopulmonary resuscitation...
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28077253/a-survey-of-patients-with-bed-bugs-in-the-emergency-department
#9
Johnathan M Sheele, Stephanie Gaines, Nicholas Maurer, Katirina Coppolino, Jennifer S Li, Amy Pound, Jeffrey H Luk, Ed Mandac
Bed bugs are one of the most important human ectoparasites in the United States, and a growing problem in the emergency department. We evaluated 40 emergency department (ED) patients found with a bed bug. The data show that ED patients with bed bugs are statistically more likely to be male, older, more likely to be admitted to the hospital, have higher triage emergency severity index (ESI) scores, and arrive by ambulance than the general ED patient population (p<0.05). On average bed bugs were found 108min after a patient arrived to the ED, after 35% of subjects had already received a blood draw, and after 23% had already received a radiology study; putting other ED patients and staff at risk for acquiring the infestation...
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28073612/gonorrhea-and-chlamydia-in-the-emergency-department-continued-need-for-more-focused-treatment-for-men-women-and-pregnant-women
#10
Sean P Wilson, Taher Vohra, McKenna Knych, Jared Goldberg, Christopher Price, Sean Calo, Meredith Mahan, Joseph Miller
INTRODUCTION: Delay in current nucleic acid amplification testing for Neisseria gonorrhoeae and Chlamydia trachomatis has led to recommendations for presumptive treatment in patients with concern for infection and unreliable follow-up. In the urban setting, it is assumed that many patients have unreliable follow-up, therefore presumptive therapy is thought to be used frequently. We sought to measure the frequency of disease and accuracy of presumptive treatment for these infections. METHODS: This was an observational cohort study performed at an urban academic Level 1 trauma center ED with an annual census of 95,000 visits per year...
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28073611/propofol-versus-midazolam-for-procedural-sedation-in-the-emergency-department-a-study-on-efficacy-and-safety
#11
Heleen Lameijer, Ytje T Sikkema, Albert Pol, Maike G E Bosch, Femke Beije, Rieneke Feenstra, Bas W J Bens, Ewoud Ter Avest
BACKGROUND: Procedural sedation for painful procedures in the emergency department (ED) can be accomplished with various pharmacological agents. The choice of the sedative used is highly dependent on procedure- and patient characteristics and on personal- or local preferences. METHODS: We conducted a multicenter retrospective cohort study of procedural sedations performed in the EDs of 5 hospitals in the Netherlands over a 4year period to evaluate the efficacy- (success rate of the intended procedure) and safety (incidence of sedation (adverse) events) of propofol sedations compared to midazolam sedations...
January 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28063718/second-date-appendectomy-operating-for-failure-of-nonoperative-treatment-in-perforated-appendicitis
#12
Marco Lotti
BACKGROUND: Nonoperative treatment of acute appendicitis is embraced by many surgical teams, driven by low to moderate quality randomized studies that support noninferiority of antibiotics versus appendectomy for treatment of acute uncomplicated appendicitis. Several flaws of these studies have emerged, especially in the recruitment strategy and in the diagnostic criteria that were used. The growing confidence given to antibiotics, together with the lack of reliable criteria to distinguish between uncomplicated and perforated appendicitis, exposes patients with perforated appendicitis to the likelihood to be treated with antibiotics instead of surgery...
January 2, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28065557/manual-laryngeal-fixation-facilitates-tracheal-intubation-during-chest-compression-a-randomized-crossover-manikin-study
#13
Takanobu Fujisawa, Nobuyasu Komasawa, Kazuo Hattori, Ryosuke Mihara, Toshiaki Minami
PURPOSE: We compared the effectiveness of external manual laryngeal fixation (MLF) for tracheal intubation during chest compression using three laryngoscopes, the Macintosh laryngoscope (McL), McGRATH® MAC (McGRGTH), and Pentax-AWS Airwayscope® (AWS) on an adult manikin. METHODS: Sixteen novice doctors and 15 experienced anesthesiologists performed tracheal intubation during chest compression on an adult manikin using the McL, McGRATH, and AWS with or without MLF...
December 30, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28087098/emergency-department-crowding-associated-with-differences-in-cxr-interpretations-between-emergency-physicians-and-radiologists
#14
Bernard P Chang, Darnell Cain, Stephen R Mitroff
No abstract text is available yet for this article.
December 29, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28087096/a-letter-to-the-editor-treatment-in-carbon-monoxide-poisoning-patients-with-headache-a-prospective-multicenter-double-blind-controlled-clinical-trial
#15
LETTER
Daria Falkowitz, Robert S Hoffman
No abstract text is available yet for this article.
December 29, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28062206/new-method-of-infant-chest-compression-authors-response
#16
Jacek Smereka, Lukasz Szarpak, Adam Smereka, Steve Leung, Kurt Ruetzler
No abstract text is available yet for this article.
December 29, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28043727/what-is-the-best-chest-compression-technique-for-infant-cardiopulmonary-resuscitation
#17
Je Hyeok Oh
No abstract text is available yet for this article.
December 29, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28057379/comparison-of-the-kingvision-video-laryngoscope-to-the-macintosh-laryngoscope-for-intubation-of-patient-with-cervical-spine-immobilization-using-extrication-collars
#18
LETTER
Pawel Gawlowski, Lukasz Iskrzycki
No abstract text is available yet for this article.
December 28, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28063719/communication-of-imaging-recommendations-to-ed-patients-pulmonary-embolus-ct
#19
LETTER
Jonathan D Sonis, Yadiel Sánchez, H Benjamin Harvey, Brian J Yun, Ali S Raja, Anand M Prabhakar
No abstract text is available yet for this article.
December 27, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28041756/trauma-induced-acute-myocardial-infarction-due-to-delayed-dissection-of-the-left-anterior-descending-coronary-artery
#20
Magdalena Wilczynska-Golonka, Pawel Rostoff, Aleksander Siniarski, Agnieszka Skrzypek, Andrzej Gackowski, Ewa Konduracka, Jadwiga Nessler
Acute myocardial infarction is a very rare, life-threatening complication of blunt chest trauma. A 27-year-old man with no previous medical history was admitted to the emergency department due to multiple trauma following a car accident. After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain. A 12-lead ECG showed a sinus tachycardia at 120bpm with significant ST-segment elevation in leads V1 to V5, pathologic Q wave in I, aVL, and QS complex in leads V1 to V4...
December 27, 2016: American Journal of Emergency Medicine
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