Editorial Board
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Source Type: research

Toc
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Source Type: research

Info for authors
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Source Type: research

The effects of emergency department crowding on triage and hospital admission decisions
Emergency department (ED) crowding is a recognized issue and it has been suggested that it can affect clinician decision-making. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Wanyi Chen, Benjamin Linthicum, Nilay Tanik Argon, Thomas Bohrmann, Kenneth Lopiano, Abhi Mehrotra, Debbie Travers, Serhan Ziya Source Type: research

Neighborhood-level stroke hot spots within major United States cities
Identifying communities at high risk of stroke is an important step in improving systems of stroke care. Stroke is known to show spatial clustering at the state and county levels, but it is not known if clusters are present within city boundaries. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Daniel A. Dworkis, James Marvel, Nerses Sanossian, Sanjay Arora Source Type: research

Cardiomegaly on chest radiographs as a predictor of heart disease in the pediatric population
Cardiomegaly on chest radiographs (CXR) in pediatric patients leads to multiple tests. We aimed to determine the positive predictive value (PPV) of cardiomegaly on CXR in predicting subsequent heart disease and to assess the utility of obtaining a B-type Natriuretic Peptide level (BNP) and/or electrocardiogram (EKG) in such patients. We hypothesized that an echocardiogram may not be appropriate in all cases of cardiomegaly on CXR, particularly in a patient with a normal EKG and BNP level. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Soham Dasgupta, Michael Kelleman, Timothy Slesnick, Matthew Oster Source Type: research

Role of high-dose intravenous nitrates in hypertensive acute heart failure
Patients with hypertensive acute heart failure (HAHF) can decompensate rapidly and require immediate medical attention; the use of high-dose nitroglycerin is a topic of growing interest in this patient population. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Kellie Wang, Kathryn Samai Source Type: research

Use of the PEPTEST ™ tool for the diagnosis of GERD in the Emergency Department
Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal disorders in the general population, with a prevalence of 8.8% –25.9% in Europe [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Angela Saviano, Carmine Petruzziello, Mattia Brigida, Ilaria Tersigni, Alessio Migneco, Andrea Piccioni, Luisa Saviano, Marcello Covino, Francesco Franceschi, Veronica Ojetti Source Type: research

Differences in coagulopathy and massive transfusion strategy based on trauma type
Trauma is the sixth most common cause of mortality worldwide but is the most common cause of death in individuals under 35  years of age [1]. In trauma patients, hemorrhage (exsanguinating) is responsible for 30%–40% of all deaths, especially within 6 h of arrival [2] and mortality among trauma patients requiring massive transfusion (MT) for exsanguinating hemorrhage is>50% [3]. Exsanguinating hemorrhage is associated with trauma-induced coagulopathy, and both coagulopathy and hemorrhage contribute to trauma –associated mortality [4,5]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Kota Hoshino, Mamiko Naito, Yoshihiko Nakamura, Yuhei Irie, Takeshi Nishida, Taisuke Kitamura, Hiroyasu Ishikura Source Type: research

Concordance between blood and cerebrospinal fluid cultures in meningitis
To examine the association between cerebrospinal fluid (CSF) cultures and blood cultures in patients with suspected bacterial or fungal meningitis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Ryan J. Phillips, Kyle M. Watanabe, Jeffrey R. Stowell, Murtaza Akhter Source Type: research

Pneumatosis intestinalis and pneumoretroperitoneum post steroid use in a patient with superior mesenteric artery syndrome
Pneumatosis intestinalis (PI) refers to the presence of gas within the wall of the small or large intestine. PI can be both asymptomatic and life-threatening. The patient was a 50-year-old man with previous cervical spine abscess and osteomyelitis post debridement 4  years ago, with a heroin abuse history. He presented with abdominal distension ongoing for 4 days and vomiting for 3 times with fluid content. Abdominal computed tomography revealed pneumatosis with pneumoretroperitoneum.A surgeon was contacted and antibiotic treatment was started. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 24, 2019 Category: Emergency Medicine Authors: Ching-I Lee, Yen-Hung Wu Source Type: research

Quick-SOFA score  ≥ 2 predicts prolonged hospital stay in geriatric patients with influenza infection
The quick Sepsis-Related Organ Failure Assessment (qSOFA) score was designed to predict mortality among sepsis patients. However, it has never been used to identify prolonged length of hospital stay (pLOS) in geriatric patients with influenza infection. We conducted this study to clarify this issue. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 24, 2019 Category: Emergency Medicine Authors: Chien-Chun Yeh, Yen-An Chen, Chien-Chin Hsu, Jiann-Hwa Chen, Wei-Lung Chen, Chien-Cheng Huang, Jui-Yuan Chung Source Type: research

Fibrinogen level on admission is a predictive marker of the need for massive blood transfusion after pelvic fracture
This study aimed to evaluate the usefulness of coagulation biomarkers as predictors of the need for massive transfusion (MT) in patients with pelvic fractures. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 24, 2019 Category: Emergency Medicine Authors: Naoki Notani, Masashi Miyazaki, Shozo Kanezaki, Toshinobu Ishihara, Tomonori Sakamoto, Testsutaro Abe, Masashi Kataoka, Hiroshi Tsumura Source Type: research

What do I do with this stuff now? Drug retention and disposal practices among ED patients
Misuse of opioids (e.g., the “opioid epidemic”) and antibiotics (e.g., the “antibiotic resistance crisis”) has become priority public health concerns. Opioid overdose has increased approximately three fold since 2000 [1]. Many opioid prescriptions are not being used as directed and proper disposal methods are frequently not being used, resulting in patient and household risk [2]. With regard to antibiotics, the CDC approximates that 2 million people/year become sick with antibiotic resistant ailments in the U.S. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 22, 2019 Category: Emergency Medicine Authors: Ashley Holub, Caitlin C. Abar, Michael Kamali, Kenneth Conner, Beau Abar Source Type: research

Clinician burnout and its association with team based care in the Emergency Department
Recent work has noted the alarming prevalence of clinician burnout among providers, particularly among acute care physicians [1]. Burnout is characterized by emotional exhaustion, physical fatigue, and cognitive weariness, which may lead to feelings of depersonalization and reduced accomplishment [2]. The consequences of burnout are broad and has been shown to adversely influence both clinician well-being and patient care outcomes [3,4]. An emerging body of literature has found that aspects of the acute care environment may play a role in moderating the effects of burnout among emergency providers. (Source: The American Jo...
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: Bernard P. Chang, Kenrick Dwain Cato, Mary Cassai, Lorna Breen Source Type: research

Changing U.S. guidelines on lidocaine for stable monomorphic ventricular tachycardia: Have emergency medical services kept pace?
U.S. guidelines for the treatment of stable monomorphic wide-complex tachycardia (WCT)/ventricular tachycardia (VT) have evolved over the years to reflect accumulating evidence. Dynamic recommendations for lidocaine are illustrative. In the 1985 Standards and Guidelines for Emergency Cardiac Care, the consensus of multidisciplinary experts stated: “In hemodynamically stable patients with ventricular tachycardia, the first approach is antiarrhythmic therapy such as lidocaine” [1]. In the ensuing 20 years, the indication for lidocaine for stable monomorphic VT was limited and the recommendation weakened. (Sourc...
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: Daphne D. Le, Ashley S. Abraham, David R. Vinson Source Type: research

The impact of a multidisciplinary algorithmic approach to acute lower gastrointestinal bleeding
Acute lower gastrointestinal bleeding (LGIB) is associated with significant morbidity and mortality and is a leading cause for presentation to the emergency department (ED) [1-4]. LGIB is responsible for>160,000 hospitalizations in the US every year, costing nearly $1.5 billion annually [3]. Standardized treatment algorithms for LGIB have been associated with improved outcomes [4,5]. We therefore sought to improve the care of patients presenting to our ED with LGIB by developing and testing a standardized, multidisciplinary evaluation and management algorithm. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: Matthew Petersile, Mustafa Haroon, Dimitri Belkin, Adlin Pinheiro, Janice Weinberg, Hemant K. Roy, Brian C. Jacobson Source Type: research

Optimizing the month of the year backwards test for delirium screening of older patients in the emergency department
Different scoring methods exist for the Month of the Year Backward Test (MBT), which is designed to detect inattention, the core feature of delirium. When used as a part of the modified Confusion Assessment Method for the Emergency Department (mCAM-ED), each error in the MBT scores one point. Because this scoring procedure is complex, we aimed to simplify the scoring method of the MBT. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: Wolfgang Hasemann, Florian F. Grossmann, Roland Bingisser, Martina Hafner, Dieter Breil, Reto W. Kressig, Christian H. Nickel Source Type: research

Citalopram overdose and severe serotonin syndrome in an intermediate metabolizing patient
We report a case of citalopram overdose in an intermediate CYP2C19 metabolizer complicated by severe serotonin syndrome. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: Rachel F. Schult, Anna J. Morris, Lindsey Picard, Timothy J. Wiegand Source Type: research

Successful use of the two-tube approach for the treatment of phenobarbital poisoning without hemodialysis
Half-life of the antipsychotic vegetamin is very long, partially due to the presence of phenobarbital, and mortality due to phenobarbital poisoning is high. Here, we present the case of a 22-year-old female admitted to the emergency department with disturbed consciousness due to vegetamin overdose. Her blood phenobarbital level was elevated to 123  μg/ml. Phenobarbital undergoes enterohepatic circulation, and its retention in the intestine causes its blood levels to remain sustained. The utility of hemodialysis for drug poisoning has been previously reported; however, its efficiency is not yet established and its effi...
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: Atsushi Tanikawa, Seki Satoshi, Takuya Yasuda, Eiju Hasegawa Source Type: research

Pelvic organ prolapse: An unusual cause of small bowel obstruction
We present the rare case of a small bowel obstruction secondary to pelvic organ prolapse (POP). A 77-year-old female presented with four days of abdominal pain, nausea, and vomiting. She had a history of abdominal hysterectomy with bilateral salpingo-opherectomy and a mildly symptomatic cystocele. She was found to have an enterocele causing small bowel obstruction. The enterocele was manually reduced and subsequently managed non-operatively with a pessary. Prior case reports of small bowel obstructions secondary to POP required emergent surgical intervention. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 21, 2019 Category: Emergency Medicine Authors: K. Hope Wilkinson, Arielle Thomas, Jillian Theobald Source Type: research

Multiple intubation attempts in the emergency department and in-hospital mortality: A retrospective observational study
Multiple intubation attempts in the Emergency Department (ED) have been associated with adverse events, but no study examined the influence of multiple intubation attempts on survival during hospitalization. Our aim was to compare one or more intubation attempts in the ED with risk of morbidity and mortality during hospitalization. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 20, 2019 Category: Emergency Medicine Authors: Syunsuke Yamanaka, Ran D. Goldman, Tadahiro Goto, Hiroyuki Hayashi Source Type: research

Multiple boluses of alteplase followed by extracorporeal membrane oxygenation for massive pulmonary embolism
We present the case of a patient with massive PE who received two boluses of alteplase fo r recurrent cardiac arrest, followed by initiation of ECMO. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 19, 2019 Category: Emergency Medicine Authors: Irene Li, Arielle Filiberti, Robert Mokszycki, Gayle Galletta Source Type: research

Point-of-care ultrasound diagnosis of small bowel-small bowel vs ileocolic intussusception
Identification of intussusception is feasible with emergency department (ED) point-of-care ultrasound (PoCUS) due to its ease-of-use and high accuracy. Little is known about the clinical characteristics and outcomes of small bowel-small bowel intussusception (SB-SBI) relative to ileocolic intussusception (ICI) identified by PoCUS. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 17, 2019 Category: Emergency Medicine Authors: Brian L. Park, Joni E. Rabiner, James W. Tsung Source Type: research

A rare case of influenza A (H3N2)-associated encephalitis with seizure
Influenza-associated acute encephalopathy (IAE) is more prevalent in children than in adults and often results in neurological sequelae or even death. Diagnosis of IAE is difficult as clinical presentation varies significantly and the influenza virus is rarely detected in cerebrospinal fluid. Moreover, seizures in adults due to influenza infection are rare. Herein, we describe the case of an adult presenting with both acute encephalitis and seizures.A 38-year-old female was admitted to the emergency department with acute respiratory symptoms and fever, followed by quick progression to stupor within 24  h. (Source: The Am...
Source: The American Journal of Emergency Medicine - June 16, 2019 Category: Emergency Medicine Authors: Hao-Tang Yuan, Tsung-Han Ho, Jiunn-Tay Lee, Po-Chuan Chen, Chih-Wei Wang, Fu-Chi Yang Source Type: research

Characterization of emergency department abandonment using a real-time location system
Patients who present to emergency departments (EDs) for evaluation but are noted to have left without being seen (LWBS) are potentially at great risk. Governmental agencies, such as the Centers for Medicare and Medicaid, as well as hospitals and health organizations, are examining the factors which drive LWBS, including accurately quantifying patient tolerance to wait times and targeting interventions to improve patient tolerance to waiting. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 15, 2019 Category: Emergency Medicine Authors: Jenna M. Geers, Kalyan S. Pasupathy, Kimberly K. Lovik, Janet L. Finley, Thomas R. Hellmich, Gomathi Marisamy, David M. Nestler, Annie T. Sadosty, Mustafa Y. Sir, Heather A. Heaton Source Type: research

Adoption of low tidal volume ventilation in the emergency department: A quality improvement intervention
Ventilator tidal volumes of>8  mL/kg of predicted body weight (PBW) may increase the risk of lung injury. We sought to evaluate the impact of a quality improvement intervention among intubated Emergency Department (ED) patients to protocolize the prescription of low tidal volume ventilation. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 15, 2019 Category: Emergency Medicine Authors: Matthew E. Prekker, Crystal Donelan, Sum Ambur, Brian E. Driver, Alex O'Brien-Lambert, Daniel G. Hottinger, Alexander B. Adams Source Type: research

Short versus long axis ultrasound guided approach for internal jugular vein cannulations: A prospective randomized controlled trial
Ultrasound-guided internal jugular vein cannulation is a standard procedure performed in ICUs worldwide. According to the guidelines, the short-axis approach is recommended over the long-axis approach for IJV cannulation. Double-operator cannulation is more convenient for the said procedure. However, the guidelines favor single-operator cannulation due to limited trials. We hypothesized that double-operator long-axis cannulation will be faster and have fewer complications than double-operator short-axis cannulation. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 14, 2019 Category: Emergency Medicine Authors: Arun Rath, Shakti Bedanta Mishra, Bhabani Pati, Sanjib Kumar Dhar, Snigdha Ipsita, Samir Samal, Afzal Azim Source Type: research

Initial ED oxygen saturation ≤90% increases the risk of a complicated hospital course in pediatric asthmatics requiring admission
We examined the hypothesis that an initial room air pulse oximetry ≤90% elevates the risk of a complicated hospital course in children who require admission with acute asthma. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 14, 2019 Category: Emergency Medicine Authors: Jay D. Fisher, Rishika P. Sakaria, Korrina N. Siddiqui, Kristopher J. Ivey, Lauren Bali, Kreg Burnette Source Type: research

Does physician gender have a significant impact on first-pass success rate of emergency endotracheal intubation?
This study aimed to prove this hypothesis using a prospective airway registry. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 14, 2019 Category: Emergency Medicine Authors: Whei Jung, Joonghee Kim Source Type: research

Determination of the value of fetuin-A as a potential biomarker for early recognition of prognosis of fatality in patients with carbon monoxide poisoning
To investigate the role of fetuin-A as a potential biomarker for prognosis of fatality in patients with carbon monoxide (CO) poisoning. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 14, 2019 Category: Emergency Medicine Authors: Yusuf Kenan Tekin Source Type: research

Videotelephony-assisted medical direction to improve emergency medical service
In South Korea, on-line medical direction using voice calls has been implemented to improve the quality of the emergency medical system. However, in the same, short time span, video will be able to convey more information than by voice. The purpose of this study is to find out if videotelephony-assisted medical direction (VAMD) can change the intervention of the emergency medical technician compared to using conventional voice calls. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 14, 2019 Category: Emergency Medicine Authors: Sangsoo Han, Hoon Lim, Hyun Noh, Hee Jun Shin, Gi Woon Kim, Young Hwan Lee Source Type: research

Initiation of the ABCD3-I algorithm for expediated evaluation of transient ischemic attack patients in an emergency department
The use of ABCD3-I score for Transient ischemic attack (TIA) evaluation has not been widely investigated in the ED. We aim to determine the performance and cost-effectiveness of an ABCD3-I based pathway for expedited evaluation of TIA patients in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 10, 2019 Category: Emergency Medicine Authors: Robert T. Dahlquist, Joe M. Young, Karina Reyner, Ali Farzad, Richard B. Moleno, Gautami Gandham, Amy F. Ho, Hao Wang Source Type: research

Red blood cell transfusions for emergency department patients with gastrointestinal bleeding within an integrated health system
To assess trends over time in red blood cell (RBC) transfusion practice among emergency department (ED) patients with gastrointestinal (GI) bleeding within an integrated healthcare system, inclusive of 21 EDs. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 10, 2019 Category: Emergency Medicine Authors: Dustin G. Mark, Jie Huang, Colleen Plimier, Mary E. Reed, Gabriel J. Escobar, David R. Vinson, Nareg H. Roubinian Source Type: research

Sharing the sidewalk: A case of E-scooter related pedestrian injury
The popularity of rideshare electric scooters is due to their availability, accessibility, and low cost. The recent increase in electric scooter use has raised concerns regarding the safety of both riders and pedestrians. Previous studies characterize the incidence and pattern of injury for riders, but there is a lack of literature concerning electric scooters' impact on pedestrians. Pedestrians injured by electric scooters face potential financial burdens from hospitalization costs, medical interventions, taking time off from work, and rehabilitation therapies. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 7, 2019 Category: Emergency Medicine Authors: N. Sikka, C. Vila, M. Stratton, M. Ghassemi, A. Pourmand Source Type: research

Trends in emergency physician opioid prescribing practices during the United States opioid crisis
Prescription opioid related deaths have increased dramatically over the past 17  years. Although emergency physicians (EPs) have not been the primary force behind this rise, previous literature have suggested that EPs could improve their opioid prescribing practices. We designed this study to evaluate the trend in emergency department (ED) opioid prescriptions over time durin g the US opioid epidemic. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 6, 2019 Category: Emergency Medicine Authors: Ryan Gleber, Gary M. Vilke, Edward M. Castillo, Jesse Brennan, Leslie Oyama, Christopher J. Coyne Source Type: research

Safety of parenteral ketorolac use for analgesia in geriatric emergency department patients
To assess the safety of a single dose of parenteral ketorolac for analgesia management in geriatric emergency department (ED) patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 5, 2019 Category: Emergency Medicine Authors: Gabrielle L. Anderson, Alicia E. Mattson, Caitlin S. Brown, Daniel Cabrera, Kristin C. Mara, M. Fernanda Bellolio Source Type: research

A dermatologic emergency; Sweet's syndrome
Sweet's syndrome (SS), also known as acute febrile neutrophilic dermatosis, is a rare condition characterized by recurrent erythematous skin lesions. Skin lesions appear as papules, nodules and plaques located on the upper extremity, trunk, neck and face. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 5, 2019 Category: Emergency Medicine Authors: Mustafa Korkut Source Type: research

The relationship between the severity of pain and stone size, hydronephrosis and laboratory parameters in renal colic attack
In this study, we investigated the relationship between the severity of pain level and hydronephrosis, hematuria and pyuria presence in the acute renal colic attack and whether there was a correlation between the stone size and inflammatory markers. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 5, 2019 Category: Emergency Medicine Authors: Muhammed İkbal Şaşmaz, Vedat Kırpat Source Type: research

Racial and ethnic disparities in the management of acute pain in US emergency departments: Meta-analysis and systematic review
This review aims to quantify the effect of minority status on analgesia use for acute pain management in US Emergency Department (ED) settings. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 5, 2019 Category: Emergency Medicine Authors: Paulyne Lee, Maxine Le Saux, Rebecca Siegel, Monika Goyal, Chen Chen, Yan Ma, Andrew Meltzer Source Type: research

Correspondence: Comparison of pediatric post-reduction fluoroscopic- and ultrasound forearm fracture images
We appreciate the interest in our manuscript, which highlights a role for point of care ultrasound (POCUS) in pediatric forearm fracture care when fluoroscopy is not available [1]. We believe our limitations are well described and have taken care not to overstate our findings. Specifically, we have highlighted that a single sonographer obtained all ultrasound images, which limits generalizability to other providers with different levels of experience. The importance of reproducibility between different observers within a study reporting a diagnostic test has been well described [2]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 5, 2019 Category: Emergency Medicine Authors: Jonathan D. Auten, Nicole D. Hurst, John T. Kanegaye Source Type: research

Ultrasonography utilization in forearm fractures at the emergency department
We have read the article by Auten et al. [1] published in American Journal of Emergency Medicine. In this article, it is concluded that ultrasonography accurately predicts adequacy of reduction with a high concordance between emergency medicine and radiology interpretations of post-reduction images. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 5, 2019 Category: Emergency Medicine Authors: Alberto S ánchez-García, Enrique Salmerón-González, Elena García Vilariño, Nieves Vanaclocha, Alfonso Valverde-Navarro Source Type: research

Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis
It is unclear whether point-of-care ultrasound (POCUS) by emergency medicine physicians is as accurate as radiology-performed ultrasound (RADUS). We aim to summarize the diagnostic accuracy of ultrasonography for intussusception and to compare the performance between POCUS and RADUS. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 4, 2019 Category: Emergency Medicine Authors: Po-Yang Tsou, Yu-Hsun Wang, Yu-Kun Ma, Julia K. Deanehan, Jason Gillon, Eric H. Chou, Tzu-Chun Hsu, Yuan-Chun Huang, Judy Lin, Chien-Chang Lee Source Type: research

Factors associated with unsuccessful follow-up in patients undertreated for gonorrhea and chlamydia infections
Neisseria gonorrhea (GC) and Chlamydia trachomatis (CT) are two commonly encountered sexually transmitted infections in the Emergency Department (ED). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 4, 2019 Category: Emergency Medicine Authors: Jaxson Burkins, Joshua M. DeMott, Giles W. Slocum, Michael Gottlieb, Gary D. Peksa Source Type: research

Basic life support training: Demonstration versus lecture – A randomised controlled trial
Basic life support (BLS) and the use of an automated external defibrillator (AED) improve survival from cardiac arrest. The gold standard for teaching BLS/AED is yet to be identified. The aim of this study was to compare the learning outcome of an instructor-led demonstration with a formal lecture for introducing BLS/AED skills. We hypothesized that a demonstration was superior to a lecture. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 4, 2019 Category: Emergency Medicine Authors: Camilla Hansen, Camilla Bang, Stinne Eika Rasmussen, Mette Amalie Nebsbjerg, Kasper G. Lauridsen, Katrine Bj ørnshave Bomholt, Kristian Krogh, Bo Løfgren Source Type: research

Skin flap-like wounds debridement considerations: What to do in Emergency Department
We have carefully read the article by Qiu et al. [1] published in American Journal of Emergency Medicine. We would like to acknowledge the authors for the evidence presented and also thought that some issues should be addressed. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 3, 2019 Category: Emergency Medicine Authors: Alberto S ánchez-García, Enrique Salmerón-González, Elena García-Vilariño, Nieves Vanaclocha, Alfonso Valverde-Navarro Source Type: research

Point-of-care lung ultrasound in children with non-cardiac respiratory distress or tachypnea
The purpose of this study was to evaluate the feasibility and diagnostic benefit of point-of-care ultrasound (PoCLUS) in children with non-cardiac respiratory distress or tachypnea. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 3, 2019 Category: Emergency Medicine Authors: Ahmet Ka ğan Özkaya, Fevziye Başkan Vuralkan, Şenol Ardıç Source Type: research

Side effects from opioids used for acute pain after emergency department discharge
The objective of this study was to evaluate the short-term incidence of opioid-induced side effects (constipation, nausea/vomiting, dizziness, drowsiness, sweating, and weakness) in patients discharged from the ED with an opioid prescription. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 3, 2019 Category: Emergency Medicine Authors: Raoul Daoust, Jean Paquet, Alexis Cournoyer, Éric Piette, Judy Morris, Justine Lessard, Véronique Castonguay, David Williamson, Jean-Marc Chauny Source Type: research

Discontinuing involuntary mental health holds for children: Does psychiatrist specialty matter?: A pilot study
Involuntary mental health detainments should only be utilized when less restrictive alternatives are unavailable and should be discontinued as soon as safety can be ensured. The study objective was to determine if child and adolescent psychiatrists discontinue a greater proportion of involuntary holds than general psychiatrists for similar pediatric patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 3, 2019 Category: Emergency Medicine Authors: Genevieve Santillanes, Kathleen Rowland, Matthew Demarest, Chun Nok Lam, Michael Wilson, Ilene Claudius, Michael Menchine Source Type: research

Discharges against medical advice from U.S. emergency departments
In this study, we describe patient-level and hospital-level characteristics associated with discharges AMA form the ED among a nationally representative cohort of acute care hospitals. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 3, 2019 Category: Emergency Medicine Authors: Maher Kazimi, Joshua D. Niforatos, Justin A. Yax, Ali S. Raja Source Type: research