Iatrogenic Pseudoaneurysm-Associated Cerebral Hemorrhage: A Rare Complication of Burr Hole Drainage - A Case Report
Non-traumatic intracranial hemorrhage most commonly occurs due to hypertension and is treated nonoperatively. Iatrogenic pseudoaneurysm from prior neurosurgical therapy represents a rarely described etiology for intracranial hemorrhage that may require emergent surgical therapy. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 10, 2024 Category: Emergency Medicine Authors: Patrick J Maher, Channing Hui, Francisco Brun, Soren Singel Tags: Selected Topics: Neurological Emergencies Source Type: research
A 12-year Retrospective Cohort Study of Point-of-care Ultrasound and Aortic Dissection Risk Score in Type A Aortic Dissection
Aortic dissection (AD) is a vascular emergency with time-dependent mortality. Point-of-care ultrasound (POCUS) and aortic dissection risk score (ADRS) have been proposed as diagnostic tools to risk stratify patients and reduce time to diagnosis. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 9, 2024 Category: Emergency Medicine Authors: Danielle Aston, Thomas Burgess, Sarah Badach, Komal Paladugu, Brian Thompson, Elizabeth Schoenfeld, Gavin Budhram Tags: Ultrasound in Emergency Medicine Source Type: research
A case of a pediatric finger tendon rupture diagnosed by point-of-care ultrasound
Pediatric tendon injuries to the finger are rare, and their diagnosis can be challenging due to the difficulty in sensorimotor assessment in pediatric patients. Point-of-care ultrasound (POCUS) has currently been used for identifying tendon injury in adult acute care, but reports of its use in pediatric emergency departments are scarce. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 9, 2024 Category: Emergency Medicine Authors: Takaaki Mori, Sung Shin Teng Tags: Ultrasound in Emergency Medicine Source Type: research
Outcomes of Out-of-Hospital Cardiac Arrest Patients Who Received Naloxone in an EMS System with a High Prevalence of Opioid Overdose
Opioid-associated out-of-hospital cardiac arrest (OA-OHCA) is a subset of cardiac arrests that could benefit from measures outside of standard Advanced Cardiac Life Support (ACLS), such as naloxone. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 8, 2024 Category: Emergency Medicine Authors: Eric Quinn, Emily Murphy, Daniel Du Pont, Paul Comber, Marley Blood, Aman Shah, Alexander Kuc, Krystal Hunter, Gerard Carroll Tags: Selected Topics: Prehospital Care Source Type: research
The shock index among children presenting to the emergency department: analysis of a nationally-representative sample
The Shock Index (SI) is measured as the heart rate divided by systolic blood pressure and may be a useful marker of critical illness or injury. Prior work has suggested a role for the SI in the identification of injured children with critical injury [1-8]. The SI may additionally serve a role in the early identification of pediatric sepsis [9-14]. In contrast to adults, where a threshold value for the SI has been generally established (0.9) [15], approaches to the interpretation of SI in children must account for patient age. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 6, 2024 Category: Emergency Medicine Authors: Sriram Ramgopal Tags: Original Contributions Source Type: research
Navigating Care Refusal and Noncompliance in Patients with Opioid Use Disorder
For many EPs, deciding whether or not to allow a patient suffering the ill effects of opioid use to refuse care is the most frequent and fraught situation in which they encounter issues of decision-making capacity, informed refusal, and autonomy. Despite the frequency of this issue and the well-known impacts of opioid use disorder on decision-making, the medical ethics community has offered little targeted analysis or guidance regarding these situations. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 5, 2024 Category: Emergency Medicine Authors: Kenneth D. Marshall, Arthur R. Derse, Scott G. Weiner, Joshua W. Joseph Tags: Ethics Source Type: research
Cooling Modality Effectiveness and Mortality Associate with Prehospital Care of Exertional Heat Stroke Casualties
We read with great interest the article “Cooling Modality Effectiveness and Mortality Associate with Prehospital Care of Exertional Heat Stroke Casualties” by DeGroot et al. (1) We are extremely appreciative of the author's diligence in addressing this vital subject; they merit the highest regard. We concur with the study's concluding findings that although cold-water immersion or ice immersion should continue to be the preferred method for treating exertional heat stroke casualties; the study's data indicate that ice sheets may serve as a viable substitute in situations when cold-water immersion is impracticable (1). ...
Source: The Journal of Emergency Medicine - April 1, 2024 Category: Emergency Medicine Authors: Rabab Jahangir Khan, Satesh Kumar, Mahima Khatri Tags: Letter to the Editor Source Type: research
Diverging Trends in Left Without Being Seen Rates During the Pandemic Era: Emergency Department Length of Stay May Be a Key Factor
We are writing in response to the article entitled “Leaving without Being Seen from the Pediatric Emergency Department: A New Baseline” by Kappy et al. (1). We would like to commend the authors for their thorough and detailed analysis of the left without being seen (LWBS) rates observed in the pediatric patient population they studied, as well a s their in-depth and granular breakdown of systemic and hospital factors that offer compelling explanations for the observed trends within their hospital during the 4-year study period. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 1, 2024 Category: Emergency Medicine Authors: Stanley Toy, Wen-Ta Chiu, John Chon, Kaveh Aflakian, Wan-Yi Lin, Pei-Chen Pan, Yu-Tien Lin, Jessica Toy, Su-Yen Wu, Jonathan Wu Tags: Letter to the Editor Source Type: research
Response to “Diverging Trends in Left Without Being Seen Rates During the Pandemic Era: Emergency Department Length of Stay May Be a Key Factor”
We appreciate the response to our recent article describing left without being seen (LWBS) rates and associated systematic slowdowns in a pediatric emergency department (ED) (1). We agree with other studies that the length of stay (LOS) a family experiences prior to being seen by a provider is one of the most important determinants in a family's decision to leave without being seen, while also acknowledging that LOS is itself the result of many interrelated input –throughput–output factors that encompass inpatient and ED occupancy, staffing, and efficiency (2–8). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 1, 2024 Category: Emergency Medicine Authors: Brandon Kappy, Kenneth McKinley, James Chamberlain, Sarah Isbey Tags: Letter to the Editor Source Type: research
American Academy of Emergency Medicine
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 1, 2024 Category: Emergency Medicine Source Type: research
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A clinician/researcher colleague of mine has a sign over her office that reads “In God we trust, everyone else bring data.” When I reviewed the first edition of this book, in 2008, it was 290 pages, now it is 750. I have to assume that the amount of scientific data in emergency medicine has increased to account for this. The medical students, residents, and fellows that I teach on a regular basis know that until their experience “bucket” is full they will have to rely on what evidence they can find to support their practice in the emergency department (ED). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 1, 2024 Category: Emergency Medicine Authors: Edward J. Otten Tags: Book and Other Media Reviews Source Type: research
Increasing Uptake of Lung Cancer Screening Among ED Patients: A Pilot Study
Lung cancer is the leading cause of cancer death in the United States. Lung cancer screening (LCS) decreases lung cancer mortality. Emergency department (ED) patients are at disproportionately high-risk for lung cancer. The ED, therefore, is an optimal environment for interventions to promote LCS. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 30, 2024 Category: Emergency Medicine Authors: David H. Adler, Nancy Wood, Kevin Fiscella, M. Patricia Rivera, Brenda Hernandez-Romero, Sydney Chamberlin, Beau Abar Tags: Selected Topics: Oncological Emergencies Source Type: research
Effect of the MISSION Act scribes trial on emergency department provider productivity and patient throughput time
To help improve access to care, section 507 of the VA MISSION Act of 2018 mandated a 2-year trial of medical scribes in the Veterans Health Administration (VHA). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 29, 2024 Category: Emergency Medicine Authors: Sivagaminathan Palani, Iman Saeed, Aaron Legler, Izabela Sadej, Carol MacDonald, Susan R. Kirsh, Steven D. Pizer, Paul R. Shafer Tags: Administration of Emergency Medicine Source Type: research
Grey-to-white matter ratio values in early head CT as a predictor of neurological outcomes in survivors of out-of-hospital cardiac arrest based on severity of hypoxic-ischemic brain injury
Out-of-hospital cardiac arrest (OHCA) is a global public health challenge experienced by approximately 3.8 million people annually, with only 8 –12% surviving to hospital discharge, imposing a considerable socioeconomic burden1,2. Hypoxic-ischemic brain injury (HIBI) is the most frequent cardiac arrest complication, resulting in poor neurological outcomes and low survival rates in OHCA survivors3-6. Only 10% of people who experience OHCA can expect to survive with a good neurological outcome1. The international guidelines for post-cardiac arrest syndrome care recommend that prognostic predictions be made after 72 h of th...
Source: The Journal of Emergency Medicine - March 29, 2024 Category: Emergency Medicine Authors: Sidonio J. da Silva Pereira, Dong Hoon Lee, Jung Soo Park, Changshin Kang, Byung Kook Lee, In Sool Yoo, In Ho Lee, Mijoo Kim, Jae Gwang Lee Tags: Selected Topics: Prehospital Care Source Type: research
Visual Diagnosis in Emergency Medicine Traumatic Pseudoaneurysm of the Temporal Artery
A 36-year-old male presented to the Emergency Department complaining of a pulsatile mass on his right temple. It had occurred two weeks earlier following blunt trauma to his forehead whilst playing rugby. He was concerned as it was increasing in size. Examination of the lump revealed a non-tender pulsatile mass to the right frontotemporal region (figure 1). There were no other traumatic injuries, and the patient was otherwise well. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 29, 2024 Category: Emergency Medicine Authors: Tom Jaconelli, Bahir Almazedi, Aidan Adams Tags: Visual Diagnosis in Emergency Medicine Source Type: research
