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Journal of Emergency Medicine

Meghan Gaffney Liroff
No abstract text is available yet for this article.
June 30, 2018: Journal of Emergency Medicine
Alexander Philip, Daniel Klein, Tatiana Carrillo, Josh Greenstein, Barry Hahn
No abstract text is available yet for this article.
June 27, 2018: Journal of Emergency Medicine
Robert L Dickson, Guy Gleisberg, Michael Aiken, Kevin Crocker, Casey Patrick, Tyler Nichols, Christopher Mason, Joseph Fioretti
BACKGROUND: Tube thoracostomy has long been the standard of care for treatment of tension pneumothorax in the hospital setting yet is uncommon in prehospital care apart from helicopter emergency medical services. OBJECTIVE: We aimed to evaluate the performance of simple thoracostomy (ST) for patients with traumatic cardiac arrest and suspected tension pneumothorax. METHODS: We conducted a retrospective case series of consecutive patients with traumatic cardiac arrest where simple thoracostomy was used during the resuscitation effort...
June 26, 2018: Journal of Emergency Medicine
Joshua W Joseph, Bryan A Stenson, Nicole M Dubosh, Matthew L Wong, David T Chiu, Jonathan Fisher, Larry A Nathanson, Leon D Sanchez
BACKGROUND: Transitions of care and patient hand-offs between physicians have important implications for patient care. However, what effect caring for signed-out patients has on providing care to new patients and education is unclear. OBJECTIVE: We sought to determine whether the number of patients a physician receives in sign-out affects productivity. METHODS: This was a retrospective cohort study, conducted at an emergency medicine residency program...
June 25, 2018: Journal of Emergency Medicine
Ali Pourmand, Hannah Robinson, Maryann Mazer-Amirshahi, Jesse M Pines
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Common in COPD are acute exacerbations (AE-COPD) that cause acute dyspnea, cough, and bronchospasm. Symptoms of AE-COPD mimic pulmonary embolism (PE). METHODS: We conducted a systematic review of the literature to assess the prevalence of PE in patients admitted to the hospital with a clinical diagnosis of AE-COPD. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, we queried PubMed and MEDLINE databases from 1990 to 2017...
June 23, 2018: Journal of Emergency Medicine
Nicholas M McManus, Ryan P Offman, Tammy L Provatas, Erik E Sievertsen
BACKGROUND: A carotid cavernous fistula is a rare type of arteriovenous (AV) fistula due to an abnormal communication between the cavernous sinus and the carotid arterial system. Normal venous return to the cavernous sinus is impeded as high-pressure arterial blood enters the cavernous sinus. The classical triad of symptoms is characterized by pulsating exophthalmos, ocular bruit, and conjunctival chemosis. However, it is important to note that some patients do not exhibit this triad of symptoms...
June 22, 2018: Journal of Emergency Medicine
Irem Kapucu, Mehmet Kocak, Marinos Kontzialis
No abstract text is available yet for this article.
June 22, 2018: Journal of Emergency Medicine
Mary E Wermuth, Rais Vorha, Nena Bowman, R Brent Furbee, Daniel E Rusyniak
BACKGROUND: A variety of plants contain cardiac glycosides. This has resulted in many of them being used to commit suicide. In southeast Asia, Cerebera odollam (pong-pong or suicide tree) is frequently used for suicidal ingestion. Seeds, or kernels, of this plant can cause hyperkalemia, heart block, and death due to the effects of its cardiac glycosides. CASE REPORT: We describe six cases of pong-pong seed ingestion reported to US poison centers. The most common symptoms were vomiting and bradycardia...
June 22, 2018: Journal of Emergency Medicine
Stephen R Hayden
No abstract text is available yet for this article.
June 22, 2018: Journal of Emergency Medicine
Shan Yin, Jonathan Colvin, Alysha Behrman
BACKGROUND: After the widespread introduction of single-use liquid laundry detergent packs (LLDPs), a prospective observational study was initiated among 12 U.S. poison control centers (PCCs), serving 25% of the population. OBJECTIVES: To evaluate qualitative and quantitative data, including demographics, route of exposure, clinical effects, medical outcome, management site, level of care, and circumstantial variables surrounding the LLDP exposure. METHODS: Analysis of LLDP exposures involving children (age < 6 years) reported to PCCs participating in the prospective study (March 2012-February 2016)...
June 22, 2018: Journal of Emergency Medicine
Cameron P Upchurch, Nathan L Haas, George Magnone, Jeffrey Compton
BACKGROUND: Recurrent abdominal pain, particularly in the right upper quadrant (RUQ) in a patient with a history of cholecystectomy, known as postcholecystectomy syndrome, requires a broad differential diagnosis. Pathology of a retained gallbladder remnant is an exceedingly rare etiology of this pain. CASE REPORT: A 49-year-old woman who had previously undergone an open cholecystectomy presented to the emergency department with several hours of postprandial RUQ pain and emesis...
June 22, 2018: Journal of Emergency Medicine
Bryant Allen, David Callaway, Michael Gibbs, Erin Noste, Kathryn West, M Austin Johnson, David Caro, Andrew Godwin
No abstract text is available yet for this article.
June 21, 2018: Journal of Emergency Medicine
Bernd Rosenhammer, Philipp J Spachmann, Maximilian Burger, Hans-Martin Fritsche, Marco J Schnabel
BACKGROUND: Acute renal colic (ARC) is an emergency that can mostly be treated conservatively, but can be life threatening in combination with urinary tract infection (UTI). Assessment for infection includes white blood cell (WBC) count and C-reactive protein (CRP), but these parameters are often unspecifically elevated and might lead to antibiotic over-therapy. In times of increasing antibiotic resistance, however, unnecessary antibiotic therapy should be avoided. OBJECTIVES: The goal of the study was to investigate the prevalence of UTI proven by urine culture (UC) in patients with ARC and to identify predictive factors in the emergency setting...
June 21, 2018: Journal of Emergency Medicine
Chelsea Boe, Sanjeev Kakar
BACKGROUND: We describe a modified string technique for ring removal from an edematous finger, a critical step in the initial treatment of a patient with upper-extremity trauma. TECHNIQUE: This technique involves multiple sutures looped around the ring to provide differential tension on the ring as it is advanced distally over a lubricated digit. With the use of an assistant, the ring can be advanced in caterpillar fashion without sliding back proximal when the direct pressure is released as a result of edema...
June 19, 2018: Journal of Emergency Medicine
Chao-Hung Yeh, Chien-Ming Chao
No abstract text is available yet for this article.
June 19, 2018: Journal of Emergency Medicine
Adam J Singer, Merry Taylor, Deborah LeBlanc, Kristen Meyers, Karol Perez, Henry C Thode, Jesse M Pines
BACKGROUND: Core laboratory testing may increase length of stay and delay care. OBJECTIVES: We compared length of emergency department (ED) care in patients receiving point-of-care testing (POCT) at triage vs. traditional core laboratory testing. METHODS: We conducted a prospective, case-controlled trial of adult patients with prespecified conditions requiring laboratory testing and had POCT performed by a nurse after triage for: a basic metabolic panel, troponin I, lactate, INR (i-STAT System), urinalysis (Beckman Coulter Icon), or urine pregnancy test...
June 7, 2018: Journal of Emergency Medicine
Jesse A Guittard, Gabe Wardi, Edward M Castillo, Blake J Stock, Shannon Heuberger, Christian A Tomaszewski
BACKGROUND: Despite sufficient literature analyzing macroscopic and microscopic methods of addressing emergency department (ED) operations, there is a paucity of studies that analyze methods between these extremes. OBJECTIVE: We conducted a quasi-experimental study incorporating a pre/post-intervention comparison to determine whether interdepartmental cooperation is effective at improving ED operations by combining microscopic and macroscopic concepts. METHODS: We performed an analysis of operational and financial data from a cooperative investment in imaging transport personnel between the emergency and radiology departments...
June 6, 2018: Journal of Emergency Medicine
Dong Keon Lee, Yong Sung Cha, Oh Hyun Kim, Kyoung Chul Cha, Kang Hyun Lee, Sung Oh Hwang, Hyun Kim, Young Hwan Lee, Minjung Kathy Chae
BACKGROUND: An automatic simultaneous sternothoracic cardiopulmonary resuscitation (SST-CPR) device is an apparatus that performs CPR by providing simultaneous cyclic compressions of the thorax with a thoracic strap and compression of the sternum with a piston. OBJECTIVE: This study was conducted to compare the hemodynamic effects of CPR with an automatic SST-CPR device to those with standard CPR (STD-CPR) in cardiac arrest patients. METHODS: A randomized trial was performed on victims of out-of-hospital cardiac arrest resistant to initial 20 min of CPR after emergency department (ED) arrival...
June 6, 2018: Journal of Emergency Medicine
Zhaoxin Mike Yang, Elizabeth Pontius, Sakib Motalib, Jonathan E Davis
No abstract text is available yet for this article.
June 2, 2018: Journal of Emergency Medicine
Elie Harmouche, Mark K Su
No abstract text is available yet for this article.
June 2, 2018: Journal of Emergency Medicine
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