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American Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/29929889/-i-m-pregnant-emergency-department-utilization-by-newly-pregnant-adolescents-a-community-based-study
#1
LETTER
Lindsey Ouellette, Stephanie Wigstadt, Adam Nicholson, Angela Zamarripa, Jeffrey Jones
No abstract text is available yet for this article.
June 13, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29914713/a-rare-case-of-synchronous-urinothorax-and-uroperitoneum
#2
Natalia Vallianou, Victoria Gennimata, Fotis Constantinou, Dimitrios Karamanolakis, Alkiviades Grigorakis
Urinothorax was first described in 1968 by Corriere et al. as the presence of urine in the pleural cavity due to retroperitoneal leakage of accumulated urine. Herein, we present a female patient, who complained of dyspnea due to urinothorax. This is the first case of urinothorax that developed so tardive after radiotherapy and was diagnosed due to high clinical evidence despite the negative scintigraphy.
June 12, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29898830/is-there-need-for-technical-investigations-in-order-to-predict-potential-length-of-hospital-stay-of-oral-infections
#3
Maximiliaan Smeets, Bert Gemels, Lisanne Groeneveldt, Constantinus Politis
OBJECTIVE: Oral and maxillofacial infections are generally treated by primary dental or medical caregivers. Nevertheless, because these infections are known to have life-threatening complications, there is a need of clear indicators for emergency services medical staff, particularly in determining when morbidity can be expected and when in-hospital treatment is required. This retrospective study aimed to identify variables that were observable at admission, which could indicate high complication rates, long hospital stays, and/or a need for tracheostomy...
June 10, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29907395/comparison-of-clinical-risk-scores-for-triaging-high-risk-chest-pain-patients-at-the-emergency-department
#4
Salah S Al-Zaiti, Ziad Faramand, Mohammad O Alrawashdeh, Susan M Sereika, Christian Martin-Gill, Clifton Callaway
BACKGROUND: Many of the clinical risk scores routinely used for chest pain assessment have not been validated in patients at high risk for acute coronary syndrome (ACS). We performed an independent comparison of HEART, TIMI, GRACE, FRISC, and PURSUIT scores for identifying chest pain due to ACS and for predicting 30-day death or re-infarction in patients arriving through Emergency Medical Services (EMS). METHODS AND RESULTS: We enrolled consecutive EMS patients evaluated for chest pain at three emergency departments...
June 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29903669/n-terminal-pro-brain-natriuretic-peptide-and-prediction-of-coronary-artery-dilatation-in-hyperacute-phase-of-kawasaki-disease
#5
Jae Yun Jung, Eun Mi Ham, Hyuksool Kwon, Young Ho Kwak, Do Kyun Kim, Jin Hee Lee, Jin Hee Jung
BACKGROUND: Coronary artery dilatation (CAD) is a great concern with Kawasaki disease (KD). This study aimed to investigate the relationship between serum N-terminal pro-brain natriuretic peptide (NT-proBNP) levels and CAD in patients with the hyperacute phase (≤4 days of fever) of KD. METHODS: Serum NT-proBNP levels were compared between patients with and those without CAD, who underwent transthoracic echocardiography (TTE) within 24 h of the hyperacute phase of KD in the pediatric emergency department (PED)...
June 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29910184/effectiveness-of-the-timed-up-and-go-tug-and-the-chair-test-as-screening-tools-for-geriatric-fall-risk-assessment-in-the-ed
#6
Richard B Chow, Andre Lee, Bryan G Kane, Jeanne L Jacoby, Robert D Barraco, Stephen W Dusza, Matthew C Meyers, Marna Rayl Greenberg
OBJECTIVE: We sought to evaluate the effectiveness of the "Timed Up and Go" (TUG) and the Chair test as screening tools in the Emergency Department (ED), stratified by sex. METHODS: This prospective cohort study was conducted at a Level 1 Trauma center. After consent, subjects performed the TUG and the Chair test. Subjects were contacted for phone follow-up and asked to self-report interim falling. RESULTS: Data from 192 subjects were analyzed...
June 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29910183/rhabdomyolysis-in-a-patient-complicated-with-hypopituitarism-and-multiple-organ-dysfunction-syndrome-and-the-literature-review
#7
Chuan Zhou, Shichao Lai, Yong Xie, Shu Zhang, Yiping Lu
INTRODUCTION: Muscular symptoms, including stiffness, myalgia, cramps, and fatigue, are present in the majority of the patients with hypopituitarism, adrenal insufficiency and hypothyroidism, but rhabdomyolysis, the rapid breakdown of skeletal muscle, is a rare manifestation. In most patients who develop rhabdomyolysis, precipitating factors, such as strenuous exercise or use of lipid-lowering drugs, can be identified. CASE REPORT: We report the case of a 23-year-old male with primary hypopituitarism who developed acute renal impairment (AKI) with rhabdomyolysis after strenuous physical activity (push-ups)...
June 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29903671/qsofa-score-in-identifying-the-septic-patients-according-to-sepsis-1-0-or-sepsis-2-0-putting-new-wine-into-old-bottles
#8
LETTER
Xianshi Zhou, Fanwei Wu
No abstract text is available yet for this article.
June 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29903668/acute-infectious-aortitis-presenting-as-pyelonephritis
#9
Goran Rimac, Alexandre Lafleur
No abstract text is available yet for this article.
June 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29903670/gastric-ultrasonography-in-evaluating-npo-status-of-pediatric-patients-in-the-emergency-department
#10
LETTER
Aftab M Azad, Hamad A Al Madi, Shaik Farid Abdull Wahab, Hamid Shokoohi, Ye Jin Kang, Andrew S Liteplo
No abstract text is available yet for this article.
June 6, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29895482/the-wider-implications-of-ad-related-ar-and-pulmonary-oedema
#11
LETTER
Oscar M P Jolobe
No abstract text is available yet for this article.
June 6, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29903672/evaluation-of-tranexamic-acid-in-trauma-patients-a-retrospective-quantitative-analysis
#12
Michelle Ng, Jerrold Perrott, Sarah Burgess
INTRODUCTION: Tranexamic acid (TXA) has been shown to decrease mortality in adult trauma patients with or at significant risk of hemorrhage when administered within 3 h of injury. The use and appropriateness of TXA in adult trauma patients presenting to Royal Columbian Hospital (RCH) was investigated. METHODS: This retrospective chart review utilized the British Columbia Trauma Registry to identify 100 consecutive trauma patients that presented to the emergency department at RCH between April 2012 to June 2015 and met the following indications for TXA: systolic blood pressure <90 mm Hg and/or heart rate >110 bpm and presentation within 8 h of injury...
June 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29891123/molecular-diagnosis-and-outcome-in-patients-with-sepsis-are-emergency-clinicians-ready-for-it
#13
Daryelle S Varon, Joseph Varon
No abstract text is available yet for this article.
June 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29895483/successful-treatment-of-massive-thrombosis-in-different-locations-with-prolonged-thrombolytic-therapy-a-life-saving-intervention
#14
Ibrahim Rencuzogullari, Metin Cağdaş, Suleyman Karakoyun, Yavuz Karabağ, Tufan Çınar
Venous thrombosis is recognized as one of the most important complications of nephrotic syndrome (NS). In patients with NS, venous thrombosis may develop in the renal veins, the deep veins of the lower limb, and the inferior vena cava. Here, we describe a case report of an NS patient with multiple venous thrombosis in the right renal vein, the left iliac vein, the vena cava inferior, the right atrium, and the pulmonary arteries. Moreover, we describe the successful treatment of multiple venous thrombosis with prolonged thrombolytic treatment in spite of an increased risk of bleeding due to renal biopsy...
June 3, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29929888/national-unintentional-carbon-monoxide-poisoning-estimates-using-hospitalization-and-emergency-department-data
#15
Dorothy Stearns, Kanta Sircar
Unintentional non-fire-related (UNFR) carbon monoxide (CO) poisoning is a leading cause of poisoning in the US and a preventable cause of death. We generated national estimates of accidental CO poisoning and characterized the populations most at risk. UNFR CO poisoning cases were assessed using hospitalization and emergency department (ED) data from the Healthcare Costs and Utilization Project National Inpatient Sample and Nationwide Emergency Department Sample databases. We used hospitalization data from 2003 to 2013 and ED data from 2007 to 2013...
June 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29891125/sick-and-unsheltered-homelessness-as-a-major-risk-factor-for-emergency-care-utilization
#16
Stas Amato, Flavia Nobay, David Petty Amato, Beau Abar, David Adler
OBJECTIVE: Homelessness is a critical public health issue and socioeconomic epidemic associated with a disproportionate burden of disease and significant decrease in life expectancy. We compared emergency care utilization between individuals with documented homelessness to those enrolled in Medicaid without documented homelessness. METHODS: We conducted a retrospective cohort study consisting of electronic medical record review of demographics, chief complaints, and health care utilization metrics of adults with homelessness compared to a group enrolled in Medicaid without identified homelessness...
June 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29887196/novel-information-and-communication-technology-system-to-improve-surge-capacity-and-information-management-in-the-initial-hospital-response-to-major-incidents
#17
LETTER
Mami Yamada, Taka-Aki Nakada, Shota Nakao, Eiji Hira, Koichiro Shinozaki, Rui Kawaguchi, Yasuaki Mizushima, Tetsuya Matsuoka
No abstract text is available yet for this article.
June 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29887193/the-intracranial-number-of-foreign-bodies-as-a-predictor-of-mortality-after-penetrating-brain-injury
#18
Mustafa Bolatkale, Ahmet Cagdas Acara
Penetrating brain injury (PBI) is the most lethal form of traumatic brain injury, which is a leading cause of mortality. PBI has a mortality rate of 23%-93% and 87%-100% with poor neurological status. Despite the use of various prognostic factors there is still a need for a specific prognostic factor for early prediction of mortality in PBI to reduce mortality and provide good outcomes with cost-effective surgical treatments. The aim of this study was to investigate the predictive value of the number of intracranial foreign bodies (FBs) on mortality in PBI in the Emergency Department...
June 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29887192/eye-injury-from-electrical-weapon-probes-mechanisms-and-treatment
#19
Mark W Kroll, Mollie B Ritter, Eric A Kennedy, Nora K Siegal, Roman Shinder, Michael A Brave, Howard E Williams
PURPOSE: While generally reducing morbidity and mortality, TASER® electrical weapons have risks associated with their usage, including burn injuries and head and cervical trauma associated with uncontrolled falls. The primary non-fatal complications appear to be significant eye injury but no analysis of the mechanisms or suggested treatments has been published. METHODS: We used a biomechanical model to predict the risk of eye injury as a function of distance from the weapon muzzle to the eye...
June 2, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29885762/when-it-is-not-just-dka-diabetic-ketoacidosis-as-a-first-presentation-of-pancreatic-adenocarcinoma
#20
Danny Markabawi, Divya Kondapi, Vikrant Tambe, Rahul Seth
No abstract text is available yet for this article.
June 2, 2018: American Journal of Emergency Medicine
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