Medical needs of emergency department patients presenting with acute alcohol and drug intoxication
Some contend that patients with acute alcohol or illicit substance intoxication should be treated in outpatient detoxification centers rather than in the ED. However, these patients often have underlying acute medical needs. We sought to determine the frequency of medical interventions required by ED patients with alcohol or illicit substance intoxication. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 1, 2021 Category: Emergency Medicine Authors: Jamie L. Stang, Paige A. DeVries, Lauren R. Klein, Jon B. Cole, Marc Martel, Mackenzie L. Reing, Abagail M. Raiter, Brian E. Driver Source Type: research

Priapism in COVID-19: A thromboembolic complication
SARS-CoV-2 (COVID-19) infection is frequently associated with thromboembolic complications. In this case report, we describe the diagnosis and management of priapism as a thromboembolic complication of severe COVID-19. To our knowledge, this is only the second case report of penile thrombosis in a patient with COVID-19. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 31, 2020 Category: Emergency Medicine Authors: Matthew L. Silverman, Seth J. VanDerVeer, Thomas J. Donnelly Source Type: research

A primer for managing cardiac transplant patients in the emergency department setting
Cardiac transplant is an effective long-term management option for several severe cardiac diseases. These cardiac transplant patients may present to the emergency department with a range of issues involving the cardiac transplantation, including complications due to their transplant as well as altered presentations of disease resulting from their transplant. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 31, 2020 Category: Emergency Medicine Authors: Brit Long, William J. Brady, Alin Gragossian, Alex Koyfman, Michael Gottlieb Source Type: research

The burden of the pandemic on the non-SARS-CoV-2 emergencies: A multicenter study
Governments have implemented social distancing interventions to curb the speed of SARS-CoV-2 spread and avoid hospital overload. SARS-CoV-2 social distancing interventions have modified several aspects of society, leading to a change in the emergency medical visit profile. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 31, 2020 Category: Emergency Medicine Authors: Milton Steinman, Jorge Henrique Bento de Sousa, Francisco Tustumi, Nelson Wolosker Source Type: research

Tension pneumocephalus and bilateral orbital compartment syndrome relieved by lateral canthotomies
Traumatic tension pneumocephalus and orbital compartment syndrome are rare, tend to be associated with severe craniofacial injuries, and can occur following both blunt and penetrating injury. Early recognition and high index of clinical suspicion are important in both cases. Emergency decompression results in improvement in vast majority of cases. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 31, 2020 Category: Emergency Medicine Authors: Zachary Vanderlaan, Matt Singh, Melisa Gagrica, Jeffrey S. Jones Source Type: research

EMS responses and non-transports during the COVID-19 pandemic
The COVID-19 pandemic may affect both use of 9 –1-1 systems and prehospital treatment and transport practices. We evaluated EMS responses in an EMS region when it experienced low to moderate burden of COVID-19 disease to assess overall trends, response and management characteristics, and non-transport rates. Our goal is to inform current and f uture pandemic response in similar regions. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 31, 2020 Category: Emergency Medicine Authors: Timothy Satty, Sriram Ramgopal, Jonathan Elmer, Vincent N. Mosesso, Christian Martin-Gill Source Type: research

Neutrophil to lymphocyte ratio, lymphocyte to monocyte ratio and platelet to lymphocyte ratio to predict the severity of COVID-19
Dear Editor, (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 30, 2020 Category: Emergency Medicine Authors: Murat Seyit, Esin Avci, Rukiye Nar, Hande Senol, Atakan Yilmaz, Mert Ozen, Alten Oskay, Hulya Aybek Source Type: research

The analgesic effect of ketorolac addition for renal colic pain: A meta-analysis of randomized controlled studies
The effect of ketorolac addition for the pain control of renal colic remains controversial. We conduct a systematic review and meta-analysis to explore the analgesic efficacy of ketorolac addition for renal colic. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 30, 2020 Category: Emergency Medicine Authors: Shengcheng Tai, Yi Fan, Jiaguo Huang, Runmiao Hua Source Type: research

Exposure and confidence across critical airway procedures in pediatric emergency medicine: An international survey study
Airway management procedures are critical for emergency medicine (EM) physicians, but rarely performed skills in pediatric patients. Worldwide experience with respect to frequency and confidence in performing airway management skills has not been previously described. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 30, 2020 Category: Emergency Medicine Authors: Joshua Nagler, Marc Auerbach, Michael C. Monuteaux, John A. Cheek, Franz E. Babl, Ed Oakley, Lucia Nguyen, Arjun Rao, Sarah Dalton, Mark D. Lyttle, Santiago Mintegi, Rakesh D. Mistry, Andrew Dixon, Pedro Rino, Guillermo Kohn-Loncarica, Stuart R. Dalziel, Source Type: research

Inflammatory and hematologic markers as predictors of severe outcomes in COVID-19 infection: A systematic review and meta-analysis
Laboratory testing is commonly performed in patients with COVID-19. Each of the laboratory parameters has potential value for risk stratification and prediction of COVID-19 outcomes. This systematic review and meta-analysis aimed to evaluate the difference between these parameters in severe and nonsevere disease and to provide the optimal cutoff value for predicting severe disease. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 30, 2020 Category: Emergency Medicine Authors: Timotius Ivan Hariyanto, Karunia Valeriani, Felix Kwenandar, Vika Damay, Jeremia Siregar, Nata Pratama Hardjo Lugito, Margaret Merlyn Tjiang, Andree Kurniawan Source Type: research

COVID-19 publications in emergency medicine journals in 2020
The COVID-19 pandemic has influenced emergency medicine (EM) practice tremendously in 2020. The impact also emerged in EM journals. We did a brief study on the trend of COVID-19 related publications in EM journals in 2020. Journal list was adopted from 2019 Journal Citation Reports (JCR) category of EM [1]. All publication data were retrieved from SCOPUS database on December 25, 2020 [2]. A total of 762 COVID-19 related publications were found in 7287 (10.46% of total) EM journal publications. The American Journal of Emergency Medicine (AJEM) published the most COVID-19 related publications (183, 72 published, 111 in press...
Source: The American Journal of Emergency Medicine - December 29, 2020 Category: Emergency Medicine Authors: Ching-Hsing Lee Source Type: research

Haematological inflammatory prognostication in COVID-19: Points to ponder!
Dear Editor, (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 29, 2020 Category: Emergency Medicine Authors: Rohan Magoon, Ankur Jain Source Type: research

Electrocardiographic manifestations of COVID-19
Coronavirus disease of 2019 (COVID-19) is a lower respiratory tract infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This disease can impact the cardiovascular system and lead to abnormal electrocardiographic (ECG) findings. Emergency clinicians must be aware of the ECG manifestations of COVID-19. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 28, 2020 Category: Emergency Medicine Authors: Brit Long, William J. Brady, Rachel E. Bridwell, Mark Ramzy, Tim Montrief, Manpreet Singh, Michael Gottlieb Source Type: research

Calming the storm – Stellate ganglion block in refractory ventricular arrhythmia in the emergency department
Incidence and prevalence of coronary artery disease continues to rise in low- and middle-income countries (LMICs) [1]. Cardiac arrest management in emergency departments across LMICs remains poor and this is largely due to lack of trained personnel in acute and critical care, lack of established emergency care paraphernalia and lack of collaborative definitive care management. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 28, 2020 Category: Emergency Medicine Authors: Mohd. Yaseen, Akshay Kumar, Irtiqa Sheikh, Afroz Fatima, Sanjeev Bhoi, Nayer Jamshed, Praveen Aggarwal Source Type: research

Is “pain before vomiting” useful?: Diagnostic performance of the classic patient history item in acute appendicitis
In most surgical textbooks, it has been stated that pain almost always precedes vomiting in patients with appendicitis. However, the usefulness of this classic history item, “pain before vomiting”, has been investigated in only one study nearly 50 years ago, in which the cause of abdominal pain could not be identified in more than 40% of patients. Accordingly, our objective was to evaluate the performance of pain before vomiting for the diagnosis of acute appendic itis in patients who presented with both acute abdominal pain and vomiting. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 28, 2020 Category: Emergency Medicine Authors: Toshihiko Takada, Ryota Inokuchi, Hongja Kim, Sho Sasaki, Kazuhiko Terada, Hajime Yokota, Shinya Hattori, Wakako Mikami, Tadao Kubota, Shunichi Fukuhara Source Type: research