Non-invasive core temperature measurements in the emergency department: Where is the data?
Fever remains one of the most common patient complaints in the Emergency Department (ED), accounting for 15% of visits in the elderly and 5% in adult population [1]. Promptly identifying febrile patients in the ED can have a significant impact in medical management by allowing a diagnostic workup, starting early-goal-directed therapy, and ultimately favoring a positive outcome [2]. Temperature measurement in an ED patient should be done through a method that accurately and reliably correlates with core temperature (Tcore) [1,3]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 26, 2020 Category: Emergency Medicine Authors: Alan Araiza, Melanie Duran, Joseph Varon Source Type: research

Early predictors of mortality for moderate to severely ill patients with Covid-19
Determining the factors affecting the mortality and clinical conditions of the patients with Covid-19 are indispensable needs in developing patient treatment algorithms. We aimed to determine the parameters that can predict the mortality of moderate to severely ill patients with laboratory confirmed Covid-19. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 26, 2020 Category: Emergency Medicine Authors: G ökhan Aksel, Mehmet Muzaffer Islam, Abdullah Algin, Serkan Emre Eroğlu, Gökselin Beleli Yaşar, Enis Ademoğlu, Ümit Can Dölek Source Type: research

Impact of COVID-19 on professional and personal responsibilities of Massachusetts physicians
State and city-level stay-at-home orders/advisories during the COVID-19 pandemic are an essential part of the public health response. These advisories directly and indirectly impact the professional and personal lives of physicians [1]. Before the pandemic, gender differences in work-life balance were present [2,3], and pandemic related impacts will potentially exacerbate these inequities. Physician organizations have focused on physician wellness in the face of this pandemic. To target interventions, it is important to understand the pandemic-related impacts on physician work and life [4]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 26, 2020 Category: Emergency Medicine Authors: Kelsey A. Miller, Rebekah Mannix, Gillian Schmitz, Michael C. Monuteaux, Lois Lee Source Type: research

Efficacy of methylene blue in a murine model of amlodipine overdose
Amlodipine overdoses have significant cardiac toxicity and are difficult to treat. Methylene blue has potential as a treatment for overdoses. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 26, 2020 Category: Emergency Medicine Authors: Lisandra E. de Castro Br ás, Cecile L. Baccanale, Lex Eccleston, Trey Sloan, Jason C. St Antoine, Steven Matthew-Lewis Verzwyvelt, Peggy Pittman, Dorcas O'Rourke, William J. Meggs Source Type: research

The prognostic value of HEART score in patients with cocaine associated chest pain: An age-and-sex matched cohort study
HEART score is widely used to stratify patients with chest pain in the emergency department but has never been validated for cocaine-associated chest pain (CACP). We sought to evaluate the performance of HEART score in risk stratifying patients with CACP compared to an age- and sex-matched cohort with non-CACP. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 25, 2020 Category: Emergency Medicine Authors: Ziad Faramand, Christian Martin-Gill, Stephanie O. Frisch, Clifton Callaway, Salah Al-Zaiti Source Type: research

Effect of the abdominal aortic and junctional tourniquet on chest compressions in a swine model of ventricular fibrillation
Mortality for out-of-hospital cardiac arrest is high when traditional chest compressions are used without adjuncts. The abdominal aortic and junctional tourniquet (AAJT) is a device with a wedge-shaped air bladder that occludes the aortic bifurcation, augmenting blood flow to the heart and brain. Previously, the addition of AAJT during chest compression led to an increase in rate of survival in a model of traumatic cardiac arrest. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 25, 2020 Category: Emergency Medicine Authors: Christopher W. Hewitt, Matthew A. Pombo, Perry Blough, Maria G. Castaneda, Thomas J. Percival, Jason Rall Source Type: research

Adding eye protection to universal masking reduces COVID-19 among frontline emergency clinicians to the level of community spread
Healthcare workers (HCWs) in the emergency departments (EDs) are at high risk to contract COVID-19. There is consensus in the medical community that universal masking reduces infection rates of HCWs [1-3]. N-95 respirator masks or surgical masks, eye protection, and physical distancing of>1  m or more have all been shown to decrease transmission of SARS-CoV-2 and the related coronaviruses SARS-CoV-1 (SARS) and Middle East respiratory syndrome (MERS) [1]. There has only been one report thus far adding eye protection to universal masking, with no transmission to HCWs who added face shi elds in India during home visits [...
Source: The American Journal of Emergency Medicine - August 25, 2020 Category: Emergency Medicine Authors: Edward S. Hawkins, Baruch S. Fertel, McKinsey R. Muir, Stephen W. Meldon, Fernando J. Delgado, Courtney M. Smalley Source Type: research

COVID-19: Optimizing healthcare provider wellness and posttraumatic growth
SARS-2003, H1N1 Influenza 2009, MERS-2012, and now the COVID-2019 pandemic disrupt society in unpredictable ways [1]. Responses to COVID-19 include remote schooling, limited gatherings and suspension of economic activity [2]. Major stressors lead to diverse outcomes, negative and positive. Individuals who lose loved ones, suffer intimate partner violence, serve in violent military operations, and suffer from serious medical conditions can ultimately become stronger. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 25, 2020 Category: Emergency Medicine Authors: Martin Huecker, Jacob Shreffler, Daniel Danzl Source Type: research

A coronavirus disease 2019 (COVID-19) patient with bilateral orchitis: A case report
We describe a novel case of SARS-CoV2 bilateral orchitis in a previously healthy 37-year-old male who presented for testicular pain with constitutional symptoms. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 25, 2020 Category: Emergency Medicine Authors: Rachel E. Bridwell, Daniel R. Merrill, Sean A. Griffith, Jesse Wray, Joshua J. Oliver Source Type: research

Thrombolysis during CPR
Editor – Hamera et al. reported the successful cardiopulmonary resuscitation (CPR) of a 47-year-old patient with out-of-hospital cardiac arrest (OHCA) after administration of intravenous tissue plasminogen activator (t-PA) [1]. This well written case report relights the topic on systemic thrombolysis dur ing CPR. Thrombolytics may rapidly induce reduction of plasma viscosity by cleavage of fibrinogen [2]. Under the restricted conditions of ongoing CPR thrombolysis enhances microcirculation, improves coronary perfusion and most notably ameliorates cerebral reperfusion [3]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 23, 2020 Category: Emergency Medicine Authors: W. Lederer Source Type: research

Outpatient treatment of pulmonary embolism: A single center 4-year experience
Pulmonary embolus (PE) is associated with significant utilization of health resources. As patients can be risk-stratified, there is an opportunity for a subset of patients to be safely treated without hospitalization, thus reducing the associated costs of treatment. Our aim was to describe the population, treatment strategies, complications, and outcomes associated with outpatient management of PE following treatment in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 21, 2020 Category: Emergency Medicine Authors: Anne Huyler, Casey Z. MacVane, Tania Strout, Andrew D. Perron Source Type: research

Prehospital end-tidal CO2 as an early marker for transfusion requirement in trauma patients
Objective: Below normal end-tidal carbon dioxide measurement (ETCO2) is associated with worse outcomes in sepsis and trauma patients as compared to patients with normal ETCO2. We sought to determine if ETCO2 can be used in the prehospital setting to predict transfusion requirement, operative hemorrhage control, or mortality in the first 24  h after admission for trauma.Methods: This is a retrospective cohort study at a suburban, academic Level 1 Trauma Center. Patients were sequentially identified as prehospital trauma alerts from a single EMS system which requires, per policy, ETCO2 for all traumas. (Source: The America...
Source: The American Journal of Emergency Medicine - August 21, 2020 Category: Emergency Medicine Authors: Bryan R. Wilson, John Bruno, Marcus Duckwitz, Natalie Akers, Donald Jeanmonod, Rebecca Jeanmonod Source Type: research

A snapshot of emergency department volumes in the “epicenter of the epicenter” of the COVID-19 pandemic
[hospital name masked for blind review] was one of the first and hardest hit hospitals in the coronavirus disease 2019 (COVID-19) pandemic, prompting politicians to dub it the “epicenter of the epicenter” of the crisis [1]. Emergency department (ED) clinicians anecdotally noted increased patient volumes as early as late February 2020, which rose precipitously before dropping to strikingly low levels, though patients who continued to present generally seemed more serio usly ill than usual. This paper quantifies [hospital] ED volumes from early March to late May 2020 and compares them to corresponding 2019 volume...
Source: The American Journal of Emergency Medicine - August 21, 2020 Category: Emergency Medicine Authors: Nicola Feldman, Rikki Lane, Laura Iavicoli, Veronica Delgado, Phillip Fairweather, Stuart Kessler, Suzanne Bentley Source Type: research

Acute necrotizing encephalopathy: A case report
We report a previously healthy two-year-old boy who presented to our emergency department (ED) after a seizure in the setting of fever and diarrhea. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 21, 2020 Category: Emergency Medicine Authors: Evan L. Jackson, Wesley Eilbert, Amber M. Hathcock Source Type: research

Diversity and inclusion among U.S. emergency medicine residency programs and practicing physicians: Towards equity in workforce
Emergency Medicine is a unique field in which patient populations often comprise a wide-variety of racial, ethnic, socioeconomic, and gender backgrounds. US Census Bureau projections predict that minority groups will comprise more than half of the population by the year 2044 [1]. Such projections indicate the need for a proportionate increase in diversity in the field of medicine. Increased diversity within medicine brings benefits to underserved and multicultural patient populations through reduction of health disparities and improved outcomes [2-8]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 21, 2020 Category: Emergency Medicine Authors: Tori Ehrhardt, Aaron Shepherd, Kyle Kinslow, Mark McKenney, Adel Elkbuli Source Type: research

U.S. alcohol associated traffic injuries and fatalities from 2014 to 2018
This study aims to evaluate an association between blood alcohol concentration (BAC) and number of crash injuries and fatalities from 2014 to 2018 in the U.S. Additionally, we aim to recommend solutions to reduce alcohol-impaired driving related injuries and fatalities. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Authors: Sabrina Gill, Mason Sutherland, Mark McKenney, Adel Elkbuli Source Type: research

More on Heyde ’s syndrome (Referencing MS. 24019)
We agree that finding a loud systolic murmur in a patient with a history of gastrointestinal bleeding and anemia should raise the suspect of Heyde ’s syndrome [1]. Physical examination has been historically viewed as a stand-alone tool in patient care and there is consensus that a well-performed cardiac examination and auscultation are cost-effective and have an excellent sensitivity and specificity for recognizing aortic stenosis or other v alve disorders even in this era with increasing demand for sophisticated imaging techniques. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Authors: Giuseppe Famularo, Marzia Marrollo Source Type: research

Adoption of 2016 EpiPen administration instructions by pediatric emergency department staff
Anaphylaxis is a severe allergic reaction affecting 1 –5% of the United States population [1,2,3]. Patients and caregivers of young patients with anaphylaxis should receive instruction on proper epinephrine autoinjector (EAI) use [5]. To prevent injuries, EAI users must hold the device against the thigh for the minimum recommended time and receive co unseling on restraining young children. Previously, the EpiPen (Mylan, Canonsburg, PA) label recommended 10-second injection. In 2016 [8], this was revised to 3-second injection following studies demonstrating safe one-second administration, along with instructions to ho...
Source: The American Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Authors: Miriam Samstein, Timmy Li, Michael Cassara, Artemio Jongco Source Type: research

Gender-based differences of copeptin alone or combined with troponin for early rule-out of non-ST-elevation myocardial infarction
Little is known about the role of gender in the dual biomarker strategy using copeptin and troponin for the early rule-out of non-ST-elevation myocardial infarction (NSTEMI). We aimed to evaluate gender-based differences on copeptin levels, combined negative predictive value (NPV) and predictors of copeptin elevation at admission. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Authors: Kris G. Vargas, Milos Tajsic, Ardashel Latsuzbaia, Sascha Bastian, Tijana Andric, Mona Kassem, Bernhard J äger, Kurt Huber Source Type: research

Thromboelastometry-guided anticoagulation reversal in a patient with ventricular assist device with intracranial hemorrhage
We present a case of a 42-year-old male with a VAD and on warfarin who presented to the emergency department with ICH necessitating anticoagulant reversal. An attenuated dose of 15  units/kg of 4-factor prothrombin complex-concentrates (4F-PCC) was given and the patient’s coagulation profile was subsequently assessed using rotational thromboelastometry (ROTEM®) to determine appropriateness of reversal. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 20, 2020 Category: Emergency Medicine Authors: Veronica A. Bonderski, Josue Portillo, Lydia Sharp, Megan A. Rech Source Type: research

Intravenous thiamine for septic shock: A meta-analysis of randomized controlled trials
The efficacy of intravenous thiamine to treat septic shock remains controversial. We conduct a systematic review and meta-analysis to explore the impact of intravenous thiamine on treatment efficacy of septic shock. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 19, 2020 Category: Emergency Medicine Authors: Xiangfeng Qian, Zhe Zhang, Feng Li, Longchuan Wu Source Type: research

Erector spinae block versus serratus anterior block in chest wall trauma, which is better?
Dear editor, (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2020 Category: Emergency Medicine Authors: Andrew Houghton Source Type: research

Digital health innovation to integrate palliative care during the COVID-19 pandemic
The novel coronavirus (SARS-CoV-2) pandemic has raised difficult questions about how we will allocate hospital resources as the volume of severely ill patients threatens to exceed conventional capacity [1,2]. As emergency physicians, we are skilled at performing intubations and other critical life-saving procedures when patients arrive to us in extremis. However, palliative care is not as readily available in most emergency departments [3,4]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2020 Category: Emergency Medicine Authors: Lucinda Lai, Rintaro Sato, Kei Ouchi, Adam B. Landman, Haipeng Mark Zhang Source Type: research

Emergent reversal of oral factor Xa inhibitors with four-factor prothrombin complex concentrate
Controversy exists regarding first-line use of the recently approved reversal agent andexanet alfa due to limitations of the ANEXXA-4 study, thrombotic risks, and high medication acquisition cost. The purpose of this study was to evaluate the safety and effectiveness of 4F-PCC for the reversal of emergent oral fXa inhibitor-related bleeding. Furthermore, we aimed to evaluate a subgroup using strict ANNEXA-4 patient selection criteria. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2020 Category: Emergency Medicine Authors: Louis Lipari, Sam Yang, Brian Milligan, Joseph Blunck Source Type: research

Severe sepsis and septic shock in patients transported by prehospital services versus walk in patients to the emergency department
Sepsis is a leading cause of death in the hospital for which aggressive treatment is recommended to improve patient outcomes. It is possible that sepsis patients brought in by emergency medical services (EMS) have a unique advantage in the emergency department (ED) which could improve sepsis bundle compliance. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2020 Category: Emergency Medicine Authors: Angelica Loza-Gomez, Erik Hofmann, Chun NokLam, Michael Menchine Source Type: research

Cancer is associated with coronavirus disease (COVID-19) severity and mortality: A pooled analysis
Coronavirus disease 2019 (COVID-19) is a rapidly escalating pandemic that has spread to many parts of the world. As such, there is urgent need to identify predictors of clinical severity in COVID-19 patients. This may be useful for early identification of patients who may require life-saving interventions. In this meta-analysis, we evaluated whether malignancies are associated with a significantly enhanced odds of COVID-19 severity and mortality. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2020 Category: Emergency Medicine Authors: Isaac Cheruiyot, Vincent Kipkorir, Brian Ngure, Musa Misiani, Jeremiah Munguti Source Type: research

Splenic volvulus of a wandering spleen
Wandering spleen is a rare condition in which the spleen is not anchored properly, due to congenital or acquired weakness of the splenic ligaments. This allows the spleen to migrate to any portion of the abdomen or pelvis, and can cause complications, including a splenic volvulus. The presentation of splenic volvulus of a wandering spleen ranges from mild pain to a surgical emergency. Splenic volvulus of a wandering spleen can cause significant morbidity and mortality, and often warrants surgical intervention. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 17, 2020 Category: Emergency Medicine Authors: William J. Schaeffer, S.M. Jafar Mahmood, Sarah A. Vermillion, Raphael Sweet, Nathan L. Haas Source Type: research

Appropriateness of tacrolimus therapeutic drug monitoring timing in the emergency department
Evaluate the appropriateness of the timing of serum samples collected in the emergency department (ED) for tacrolimus (TAC) measurement. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 17, 2020 Category: Emergency Medicine Authors: Emma L. Chee-How, Nicole M. Acquisto, Y. Victoria Zhang Source Type: research

Factors associated with avoidable interhospital transfers for children with a minor head injury
Children with minor head injuries (MHI) are routinely transferred to a pediatric trauma center for definitive care. Unwarranted transfers result in minimal benefit to the patient and add substantially to healthcare costs. The purpose of this study is to explore the factors associated with avoidable interhospital transfers of children with MHI. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 17, 2020 Category: Emergency Medicine Authors: Fabrice Mowbray, Rajan Arora, Meghna Shukla, Hadeel Shihan, Nirupama Kannikeswaran Source Type: research

Role of hydrogen peroxide injection for penetrating abdominal injury in creating CT Tractogram
Penetrating abdominal trauma is responsible for approximately 35% of patients admitted to urban trauma centers, and up to 12% of those admitted in suburban or rural centers in the United States. Current protocol relies heavily on CT imaging as the diagnostic tool in evaluating for peritoneal violation in hemodynamically stable patients, however it is associated with false negative rates. In addition, visualization of the fascia of the rectus abdominis, the transversalis fascia, and the peritoneum cannot be reliably identified with CT. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Alexander X. VanFleet, Yasmine S. Humeda, Christian R. Schuetz Source Type: research

Discharge in pandemic: Suspected Covid-19 patients returning to the Emergency Department within 72 hours for admission
This study seeks to characterize Emergency Department (ED) discharges suspected of Covid-19 that are admitted within 72  h. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Colton Margus, Samuel E. Sondheim, Nathan M. Peck, Bess Storch, Ka Ming Ngai, Hsi En Ho, Trent She Source Type: research

Clinical characteristics of neutrophilic, eosinophilic and mixed-type exacerbation phenotypes of COPD
Chronic obstructive pulmonary disease (COPD) comprises a significant number of emergency department (ED) presentations, and hematological phenotypes may have prognostic significance. The aim of this study was to investigate the effect of hematological phenotypes on serious outcomes in COPD exacerbations. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Yasemin Kandemir, Nurettin Özgür Doğan, Elif Yaka, Murat Pekdemir, Serkan Yilmaz Source Type: research

Using social media for telemedicine during the COVID-19 epidemic
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes a respiratory illness called 2019 coronavirus disease (COVID-19) leading to a pandemic. Since there is currently no vaccine or designated specific drug treatment for COVID-19, the government can take necessary public health prevention and control measures to prevent the spread of the epidemic [1-3]. As the first country to discover COVID-19, China has taken strict precautionary measures. On January 23, 2020, China raised the national public health emergency level to the highest level [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Yan Li, Kai Zhang Source Type: research

COVID-19 cardiac arrest management: A review for emergency clinicians
A great deal of literature has recently discussed the evaluation and management of the coronavirus disease of 2019 (COVID-19) patient in the emergency department (ED) setting, but there remains a dearth of literature providing guidance on cardiac arrest management in this population. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Mark Ramzy, Tim Montrief, Michael Gottlieb, William J. Brady, Manpreet Singh, Brit Long Source Type: research

Diaphragm dysfunction detected with ultrasound to predict noninvasive mechanical ventilation failure: A prospective cohort study
This study aimed to examine the use of point-of-care ultrasonography (POCUS) in detecting diaphragmatic dysfunction (DD) and evaluate its ability to predict noninvasive mechanical ventilation (NIV) failure in patients presented to the emergency department with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Huseyin Kocyigit, Muge Gunalp, Sinan Genc, Ahmet Burak Oguz, Ayca Koca, Onur Polat Source Type: research

Impact of mobility on degree of hydration in octogenarian population examined in the emergency department
Adequate hydration and physical activity have a significant impact on quality of life among all age-groups, especially in the elderly [1,2]. Muscle strength and coordination decrease with age and preserving mobility in the elderly has proven to improve health-related quality of life in a variety of chronic illnesses [1-3]. Hydration and muscle water content have been related to muscle strength, functional capacity and frailty risk [4]. Adequate intake is an important prerequisite for fluid homeostasis [5]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 16, 2020 Category: Emergency Medicine Authors: Sara Hoteit, Alen Babacanli, Marina Repu šić Babacanli, Aljoša Šikić, Vida Olujić, Sandra Radovanić, Vjekoslav Radeljić, Matea Kolačević Zeljković, Šime Manola, Ivan Zeljković Source Type: research

Potential risk factors for case fatality rate of novel coronavirus (COVID-19) in China: A pooled analysis of individual patient data
This study aims to perform the meta-analysis of risk factors for the case fatality rate (CFR) of the 2019 novel coronavirus (COVID-19). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Jinqiu Zhao, Xiaosong Li, Wenxiang Huang, Junyi Zheng Source Type: research

Important caveats in refractory cardiac arrest
Notwithstanding the successful outcome from the use of systemic thrombolysis in the patient with cardiac arrest of presumed acute myocardial infarction(AMI) etiology [1], the fundamental issue of contention is that the precaution had not been taken to use point-of care transthoracic echocardiography(TTE) [2] to rule out dissecting aortic aneurysm(DAA). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Oscar M.P. Jolobe Source Type: research

Comparison of ibuprofen and piroxicam gel in the treatment of trauma pain: A randomized double-blind trial of geriatric population
This study aimed to compare the analgesic efficacy of topical ibuprofen and topical piroxicam for acute musculoskeletal injuries. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Sinem Dogruyol, Abdullah Osman Kocak, Ilker Akbas, Tugba Sanalp Menekse, Sultan Tuna Akogal Gur, Talha Dogruyol, Zeynep Cakir Source Type: research

The efficacy of inhaled hypertonic saline for bronchiectasis: a meta-analysis of randomized controlled studies
The efficacy of inhaled hypertonic saline for bronchiectasis remains controversial. We conduct a systematic review and meta-analysis to explore the influence of inhaled hypertonic saline versus 0.9% isotonic saline for the treatment of bronchiectasis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Bingfeng Xie, Ping Liu, Weineng Xiang, Li Liu, Yan Ou, Jinqiu Zhao Source Type: research

Older adults on involuntary hold status in the emergency department
This study aims to identify factors in the older adult that may contribute to involuntary hold status in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Patricia Y. Chipi, M. Caroline Burton, Priyanka Vijapura, Christian Lachner, Tyler F. Vadeboncoeur, Sandeep R. Pagali, Michael J. Maniaci Source Type: research

Intensive care for seriously ill patients affected by novel coronavirus sars - CoV – 2: Experience of the Crema Hospital, Italy
In this work, the survival and mortality data of 54 consecutive patients admitted to the Intensive Care Unit (ICU) and suffering from severe respiratory insufficiency imputable to viral SARS - CoV - 2 infection were analyzed and shared, after a critical review of the evidence in order to optimize the most dedicated clinical and treatment strategy, for a future ‘targeted’ management in the care of the possible return flu outbreak. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Paolo Comassi, William Zuccon, Luca Adriani, Giulio Bergamaschini, Elena Bertin, Raffaella Borromeo, Serena Corti, Federica De Petri, Francesco Dolci, Attilio Galmozzi, Alberto Gigliotti, Livio Gualdoni, Claudia Guerra, Anna Khosthiova, Giovanni Leati, Gi Source Type: research

The Florida COVID-19 mystery: Lessons to be learned
WHO has released a series of governmental guidelines that should be met before reopening for normal operations, to minimize the risk from COVID-19. One recommendation detailed that COVID-19 positive testing rates5% [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 15, 2020 Category: Emergency Medicine Authors: Brendon Sen-Crowe, Mason Sutherland, Mark McKenney, Adel Elkbuli Source Type: research

Pyogenic liver abscess and endogenous endophthalmitis secondary toKlebsiella pneumoniae
This article reports the identification of a pyogenic liver abscess and associated endogenous endophthalmitis in a patient presenting to the emergency department. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: Genevieve S. Pentecost, Jacob Kesterson Source Type: research

Erector spinae block versus serratus anterior block in chest wall trauma, which is better?: A response and decision making guide
We thank A.Houghton for his input on this important topic [1]. The aim of our exploratory study was to confirm the efficacy and safety of the erector spinae plane block (ESP) and serratus anterior block (SAB) in an effort to guide future research [2]. We agree that currently there is very little evidence to support the efficacy of one regional anesthesia technique over another for the management of rib fractures. In response to the risks associated with the ESP and SAB, both can result in damage to deeper structures [1,3]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: L. White, B. Riley, U. Malla, N. Snels, A. Mitchell, C. Abi-Fares, W. Basson, C. Anstey Source Type: research

Melkersson-Rosenthal syndrome induced by COVID-19: A case report
We present a case of a female patient presenting with edema. We present a case of a female patient presenting with edema. Her examination revealed edema in the right lower lip, right facial paralysis, and fissured tongue. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: Bahad ır Taşlıdere, Liljana Mehmetaj, Ayşe Büşra Özcan, Bedia Gülen, Nazan Taşlıdere Source Type: research

WITHDRAWN: Regional anesthesia for rib fractures: A decision making guide
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.ajem.2020.08.004. The duplicate article has therefore been withdrawn.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: L. White, B. Riley, U. Malla, N. Snels, A. Mitchell, C. Abi-Fares, W. Basson, C. Anstey Source Type: research

ESB vs SAB in chest wall trauma, which is better?: A response and decision making guide
We thank A.Houghton for his input on this important topic [1]. The aim of our exploratory study was to confirm the efficacy and safety of the erector spinae plane block (ESP) and serratus anterior block (SAB) in an effort to guide future research [2]. We agree that currently there is very little evidence to support the efficacy of one regional anesthesia technique over another for the management of rib fractures. In response to the risks associated with the ESP and SAB, both can result in damage to deeper structures [1,3]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: L. White, B. Riley, U. Malla, N. Snels, A. Mitchell, C. Abi-Fares, W. Basson, C. Anstey Source Type: research

Exploration on the safe management of multi-hospital transportation in a large public hospital during the pandemic of 2019-nCoV
During the pandemic of 2019-nCoV, large public hospitals are facing great challenges. Multi-hospital development will be the main mode of hospital administrative management in China in the future. West China Hospital of Sichuan University implemented multi-hospital integrated management, in which the branch district established the administrative multi-department collaboration mode. As an important part of the operation of branch district, how to effectively organize transportation of staffs and patients and to prevent and control the pandemic of 2019-nCoV simultaneously between different hospitals have been the key and di...
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: Lin Zeng, B.D. Zhao Xin, B.D. Min Yang, M.D. Ying Ouyang, M.M. Shi-yu Li, M.M. Xiu-qing Ma Source Type: research

Corrigendum to “Clinical Use of Copeptin in Migraine Patients Admitted to the Emergency Department” [American Journal of Emergency Medicine, Volume 38, Issue 9, September 2020, P1910–1914]
The authors regret. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: Derya Yal çin Yilmaz, Hamit Hakan Armağan, Kıvanç Karaman, Fevziye Burcu Şirin, Mustafa Bozkurt, Adnan Karaibrahimoğlu, İsa Gökhan Yalçin, Nesrin Gökben Beceren, Önder Tomruk Tags: Corrigendum Source Type: research