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Hyperbaric oxygen therapy in carbon monoxide poisoning in pregnancy: Maternal and fetal outcome
Closer monitoring and treatment is vital for pregnant carbon monoxide (CO) poisoning cases due to fetal poisoning component. Permanent damage can occur in both the mother and the baby. It may cause stillbirth even though no serious clinical symptoms occur in the mother. Hyperbaric oxygen (HBO) treatment is advised for all pregnant patients regardless of their clinical symptoms. Pregnant CO poisoning patients that received HBO treatment and their fetal status were evaluated in this study. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 10, 2021 Category: Emergency Medicine Authors: Abdullah Arslan Source Type: research

The impact of sleep on In-Training Examination (ITE) scores among emergency medicine residents
Sleep deprivation is a fundamental challenge of shift work and has been shown to impact emergency medicine (EM) physician-residents' performance and coordination [1-3]. It is not known if sleep deprivation impacts performance on the in-training emergency medicine examination (ITE), an examination used to inform EM residents and faculty about preparedness for the American Board of Emergency Medicine (ABEM) Qualifying Examination. We hypothesized that more sleep the night prior to the examination would be associated with higher ITE examination scores. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 9, 2021 Category: Emergency Medicine Authors: KristinS. Weeks, Joelle Borhart, Christian Defazio, Michael Takacs Source Type: research

Neutrophil-to-lymphocyte ratio on admission to predict the severity and mortality of COVID-19 patients: A meta-analysis
The neutrophil-to-lymphocyte ratio (NLR), an inflammatory marker, was suggested to be predictive of severity and mortality in COVID-19 patients. Here, we investigated whether NLR levels on admission could predict the severity and mortality of COVID-19 patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 8, 2021 Category: Emergency Medicine Authors: Daniel Martin Simadibrata, Julius Calvin, Alya Darin Wijaya, Naufal Arkan Abiyyu Ibrahim Source Type: research

Vasovagal syncope with asystole during repeated emesis in the emergency department
We describe the case of a 53-year-old female who presented to the Emergency Department (ED) with a one-day history of nausea, vomiting and diarrhea, who developed several subsequent syncopal episodes with asystole on the cardiac monitor. Both episodes were in the context of continued nausea and retching. The patient had no history of such events, no cardiac history, and no seizure history. The vasovagal response can be triggered by a variety of situations including positional changes, prolonged standing, and extreme emotional response, stress, or pain. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 8, 2021 Category: Emergency Medicine Authors: Zachary McCabe, Adam Schwartz, Sanjay Shetty Source Type: research

CPR by foot. An alternative in special circumstances? A randomized simulation study
To assess the differences in the quality and self-perception of CPR performed with foot technique compared to the standard technique with the hands in nursing students. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 8, 2021 Category: Emergency Medicine Authors: Mart ín Otero-Agra, Noemí Santiago-Urgal, María Teresa Hermo-Gonzalo, María Fernández-Méndez, Felipe Fernández-Méndez Source Type: research

Acuity patterns of heart failure among emergency departments in a large health system
The prognostic important of Emergency Heart Failure Mortality Risk Grade (EHMRG) score in assessing short term mortality in Congestive Heart Failure (CHF) patients has been validated in the past, however, few studies have examined acuity patterns in the CHF population across healthcare settings. We aim to understand acuity patterns of CHF patients across a large health system for better resource utilization. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 8, 2021 Category: Emergency Medicine Authors: Nidhi Garg, Jeff Yang, Renee Pekmezaris, Gerin Stevens, Adan Z. Becerra, Phillip Levy, Pridha Kumar, Mohanapriya Sayeen Nagarajan, Lance Becker Source Type: research

A comparison of in-hospital cardiac arrests between a United States and United Kingdom hospital
Cardiac arrest may be attributed to heart rhythm disturbances, drugs, poisoning, pre-existing heart disease, traumatic injury, coagulopathies, respiratory arrest, and anaphylaxis, amidst others [1]. Within 4 –5 min of circulation cessation, neurons in the brain and myocytes within the heart begin dying, resulting in brain damage and eventually, death [2,3]. Cardiopulmonary resuscitation (CPR), if administered within the first minutes of cardiac or respiratory arrest, can be a life-saving technique a llowing for continued circulation of oxygenated blood to vital organs [4,5]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 8, 2021 Category: Emergency Medicine Authors: Lauren E. Powell, William J. Brady, Robert C. Reiser, Daniel J. Beckett Source Type: research

Hyperthermia associated with methamphetamine and cocaine use: A case series
Hyperthermia is defined as a core body temperature in excess of 40  °C (104 °F). It is distinguished from a fever, or pyrexia, which is body temperature greater than euthermia 38 °C (100.4 °F), and hyperpyrexia, defined as a core temperature greater than 41.5 °C (106.7 °F), by the lack of an alteration in the hypothalamic homeoregulatory set point from either severe infection or central nervous system hemorrhage [1]. This occurs when excess core energy needed to be dissipated to maintain euthermia exceeds the body's regulatory mechanisms, either through a significant increase in core heat by external warm...
Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Catherine A. Marco, Kunal Gupta, Janet Lubov, Aisha Jamison, Brian Patrick Murray Source Type: research

COVID-19-associated pancytopenia and typhlitis
Neutropenic enterocolitis is also known as typhlitis, is characterized by severe inflammation in the bowel loops. It is often seen in immunosuppressed patients, and it has high morbidity and mortality. Although the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily affects the respiratory system and causes COVID-19 (Coronavirus Disease 2019), it may affect hematopoietic and gastrointestinal systems. Herein, we present a rare case of COVID-19-associated pancytopenia and typhlitis in a 60-year-old female who presented with abdominal pain. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Furkan Ufuk, Emre Bulgurcu, Tugba Sari Source Type: research

Outcomes of new-onset atrial fibrillation in patients with sepsis: A systematic review and meta-analysis of 225,841 patients
The outcomes of new-onset atrial fibrillation (AF) during sepsis are inconsistent and inconclusive. This meta-analysis aims to provide a comprehensive description of the impact of new-onset AF on the prognosis of sepsis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Fang-ping Xiao, Ming-yue Chen, Lei Wang, Hao He, Zhi-qiang Jia, Lin Kuai, Hai-bo Zhou, Meng Liu, Mei Hong Source Type: research

Pilot randomized trial of pre-hospital advanced therapies for the control of hemorrhage (PATCH) using pelvic binders
Pelvic fractures represent a small percent of all skeletal injuries but are associated with significant morbidity and mortality secondary to hemodynamic instability from bleeding bone surfaces and disrupted pelvic vasculature. Stabilization of the pelvis prior to arrival at a treatment facility may mitigate the hemodynamic consequences of pelvic ring injuries and improve morbidity and mortality. Whether pelvic compression devices such as pelvic binders or sheets can be safely applied in the prehospital setting has not been well-studied. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Sarah N. Pierrie, Rachel B. Seymour, Meghan K. Wally, Jon Studnek, Allison Infinger, Joseph R. Hsu, Evidence-based Musculoskeletal Injury and Trauma Collaborative (EMIT) Source Type: research

Riot-related injuries managed at a hospital in Beirut, Lebanon
This study describes the clinical presentation, management, outcome, and healthcare costs of injuries. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Tharwat El Zahran, Hala Mostafa, Hani Hamade, Zeina Mneimneh, Ziad Kazzi, Mazen J. El Sayed Source Type: research

Prospective validation of the bedside sonographic acute cholecystitis score in emergency department patients
Acute cholecystitis can be difficult to diagnose in the emergency department (ED); no single finding can rule in or rule out the disease. A prediction score for the diagnosis of acute cholecystitis for use at the bedside would be of great value to expedite the management of patients presenting with possible acute cholecystitis. The 2013 Tokyo Guidelines is a validated method for the diagnosis of acute cholecystitis but its prognostic capability is limited. The purpose of this study was to prospectively validate the Bedside Sonographic Acute Cholecystitis (SAC) Score utilizing a combination of only historical symptoms, phys...
Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Sally Graglia, Hamid Shokoohi, Michael Loesche, Daniel Dante Yeh, Rachel M. Haney, Calvin K. Huang, Christina C. Morone, Caitlin Springer, Heidi H. Kimberly, Andrew S. Liteplo Source Type: research

Treatment of opioid and alcohol withdrawal in a cohort of emergency department patients
In this study we examine a cohort of patients treated with buprenorphine and phenobarbital or benzodiazepines for co-occurring opioid and alcohol withdrawal. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 2, 2021 Category: Emergency Medicine Authors: Sally Mahmoud, Erik Anderson, Aidan Vosooghi, Andrew A. Herring Source Type: research

Rapid and severe neurologic deterioration due to influenza associated encephalopathy in a healthy child
We present the clinical details of a previously well child with two days of mild viral symptoms who progressed from playful and active to severe neurologic injury over the course of eight hours. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 2, 2021 Category: Emergency Medicine Authors: Dominic DiPrinzio, Taylor Roth, Jay D. Fisher Source Type: research