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Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/28104360/brown-colored-buccal-mucosa-associated-with-methemoglobinemia-cyanosis-appears-different-in-varying-ethnic-groups
#1
Rafiq Kanji, Hank Joseph Schneider, Mark Pontin
No abstract text is available yet for this article.
January 16, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28104359/todd-s-paralysis-a-crucial-entity-masquerading-stroke-in-the-emergency-department
#2
Halil Onder
No abstract text is available yet for this article.
January 16, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28104358/comments-on-outbreak-of-mysterious-illness-among-hospital-staff-poisoning-of-iatrogenic-reinforced-mass-psychogenic-illness
#3
LETTER
Tejs Jansen, Eric C Jansen, Uno B Haastrup, Kurt Espersen
No abstract text is available yet for this article.
January 16, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28104357/viral-appendiceal-lymphoid-hyperplasia
#4
Shorok Hassan, Joshua Greenstein, Jeremy Neuman, Barry J Hahn
No abstract text is available yet for this article.
January 16, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28104356/spontaneous-valsalva-associated-right-sided-diaphragmatic-rupture
#5
Ciara J Barclay-Buchanan, Emily S Herzog
No abstract text is available yet for this article.
January 16, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28094079/a-stroke-mimic-methotrexate-induced-neurotoxicity-in-the-emergency-department
#6
Patrick Rogers, Wilbur J Pan, Richard A Drachtman, Christopher Haines
BACKGROUND: Acute lymphoblastic leukemia (ALL) is the most common form of childhood leukemia. The treatment of ALL involves multimodality therapy, and methotrexate (MTX) remains a mainstay of treatment. A complication of MTX therapy includes acute, subacute, and chronic neurotoxocity. Signs and symptoms may range from headaches, dizziness, and mood disorders to seizures and stroke-like symptoms. CASE REPORT: An 18-year-old woman with a history of ALL presented to the emergency department with acute onset of right-sided facial paralysis, right upper extremity flaccid paralysis, and right lower extremity weakness after receiving MTX therapy 3 days earlier...
January 13, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28094078/response-to-reassessing-claims-of-non-inferiority-of-daptomycin
#7
LETTER
George J Shaw, Christopher J Lindsell
No abstract text is available yet for this article.
January 13, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28087089/point-of-care-ultrasound-diagnosis-of-posterior-sternoclavicular-joint-dislocation
#8
Rachel R Bengtzen, Ryan C Petering
BACKGROUND: Posterior sternoclavicular dislocations can be challenging diagnostically, as traumatic force often happens to the lateral shoulder rather than directly to the sternoclavicular joint. Shoulder radiographs do not illustrate the sternoclavicular joint well, and can miss the diagnosis. This injury, however, has the potential for life-threatening complications due to proximity of mediastinal structures that might also be injured. CASE REPORT: The following case illustrates a delayed diagnosis of posterior sternoclavicular dislocation...
January 10, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28062190/lavage-redux
#9
EDITORIAL
Ken Kulig, Peter Rosen
No abstract text is available yet for this article.
January 3, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28057370/bilateral-pneumothoraces-as-a-complication-of-endoscopic-retrograde-cholangiopancreatography
#10
Douglas E Rappaport, Joshua J Solano, Jonathan A Edlow
No abstract text is available yet for this article.
January 2, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28012828/can-patient-variables-measured-on-arrival-to-the-emergency-department-predict-disposition-in-medium-acuity-patients
#11
John P Riordan, Wayne L Dell, James T Patrie
BACKGROUND: Emergency department crowding has led to innovative "front end" care models to safely and efficiently care for medium and lower acuity patients. In the United States, most treatment algorithms rely on the emergency severity index (ESI) triage tool to sort patients. However, there are no objective criteria used to differentiate ESI 3 patients. OBJECTIVE: We seek to derive and validate a model capable of predicting patient discharge disposition (DD) using variables present on arrival to the emergency department for ESI 3 patients...
December 21, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28007366/access-to-care-and-depression-among-emergency-department-patients
#12
Beau Abar, Steven Hong, Eric Aaserude, Ashley Holub, Vincent DeRienzo
BACKGROUND: The prevalence of depression among patients in the emergency department (ED) is significantly higher than in the general population, making the ED a potentially important forum for the identification of depression and intervention. Concomitant to the identification of depression is the issue of patient access to appropriate care. OBJECTIVE: This study sought to establish prevalence estimates of potential barriers to care among ED patients and relate these barriers with symptoms of depression...
December 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28007365/reassessing-claims-of-noninferiority-of-daptomycin
#13
LETTER
Danielle Stacey, Aaron Tejani
No abstract text is available yet for this article.
December 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28007364/factor-eight-inhibitor-bypassing-agent-feiba-for-reversal-of-target-specific-oral-anticoagulants-in-life-threatening-intracranial-bleeding
#14
Gordon Mao, Lauren King, Sarah Young, Richard Kaplan
INTRODUCTION: As increasing number of patients present to emergency departments with life threatening hemorrhages, particularly intracranial hemorrhage on anticoagulation physicians must be cognizant of the limitations of the available reversal options. Based upon the available literature, our institution formulated a reversal algorithm for patients with life-threatening bleeding on factor Xa inhibitors by administering factor eight inhibitor bypassing agent (FEIBA) 20 units/kg. METHODS: A retrospective chart review was performed to include all patients who received FEIBA per institutional protocol...
December 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28007363/an-emergency-medicine-focused-review-of-seizure-mimics
#15
James Webb, Brit Long, Alex Koyfman
BACKGROUND: Seizures result in a change in motor, sensory, and behavioral symptoms caused by abnormal neurologic electrical activity. The symptoms share similar presentations of several other conditions, leading to difficulties in diagnosis and frequent improper management. OBJECTIVE: This review evaluates adult patients with suspected seizure, signs and symptoms of seizure, mimics of seizure, and an approach to management of seizure mimics. DISCUSSION: A seizure is caused by abnormal neurologic electrical activity resulting in altered motor, sensory, and behavioral symptoms...
December 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28007362/best-clinical-practice-controversies-in-outpatient-management-of-acute-pulmonary-embolism
#16
Brit Long, Alex Koyfman
BACKGROUND: Pulmonary embolism (PE) is a common condition managed in the emergency department (ED), with a wide range of morbidity and mortality. Patients are classically admitted for treatment and monitoring of anticoagulation. OBJECTIVE: We sought to evaluate the controversy concerning outpatient therapy for patients with acute PE and investigate the feasibility, safety, and efficacy of outpatient management. DISCUSSION: Patients with venous thromboembolism have historically been admitted for treatment and monitoring for concern of worsening disease or side effects of anticoagulation (bleeding)...
December 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28007361/a-perfect-storm-tyrosine-kinase-inhibitor-associated-polymorphic-ventricular-tachycardia
#17
Alexander Beyer, Beejal Ganti, Allen Majkrzak, Nik Theyyunni
BACKGROUND: Oral tyrosine kinase inhibitors (TKIs) are becoming increasingly common in oncology practice due to ease of administration and patient preference. This class of medications is relatively unknown to emergency physicians. CASE REPORT: Here we present a case of electrical storm (ES) thought to be associated with ibrutinib, a TKI. The ES was unabated despite antidysrhythmic therapy and electrical cardioversion, and was treated with supportive care, which eventually included the use of extracorporeal membrane oxygenation...
December 19, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27998636/use-of-point-of-care-ultrasound-for-the-diagnosis-of-ovarian-hyperstimulation-syndrome
#18
Sowdhamani Bellapu, Joshua Guttman
BACKGROUND: Ovarian hyperstimulation syndrome (OHSS) occurs when ovaries are overstimulated and enlarged due to fertility treatments resulting in a shift of serum from the intravascular space to the third space, mainly the abdominal cavity. It is the most serious complication of ovarian hyperstimulation for assisted reproduction. CASE REPORT: We present the case of a 40-year-old woman who presented with abdominal bloating and nausea 2 weeks after undergoing in vitro fertilization (IVF); she was diagnosed by an outside radiology ultrasound as having a ruptured ovarian cyst...
December 17, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27998635/predictors-of-intrathoracic-injury-after-blunt-torso-trauma-in-children-presenting-to-an-emergency-department-as-trauma-activations
#19
Caitlin McNamara, Irina Mironova, Erik Lehman, Robert P Olympia
BACKGROUND: Thoracic injuries are a major cause of death associated with blunt trauma in children. Screening for injury with chest x-ray study, compared with chest computed tomography (CT) scan, has been controversial, weighing the benefits of specificity with the detriment of radiation exposure. OBJECTIVE: To identify predictors of thoracic injury in children presenting as trauma activations to a Level I trauma center after blunt torso trauma, and to compare these predictors with those previously reported in the literature...
December 17, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27998634/transient-coagulopathy-due-to-wasp-sting-a-case-report
#20
Jeremy Shaowei Mong, Chee Kheong Ooi
BACKGROUND: Insect venom anaphylaxis is a potentially life-threatening disorder. Transient coagulopathy in insect venom anaphylaxis is a rare phenomenon. CASE REPORT: A 41-year-old man presented to the Emergency Department (ED) with hypotension after a run in a park. History and examination revealed signs of anaphylactic shock. A deranged coagulation profile with a normal platelet count led to the diagnosis of wasp sting anaphylaxis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Transient deranged coagulation profile with a normal platelet count may arise from insect venom anaphylaxis...
December 17, 2016: Journal of Emergency Medicine
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