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Effect of emergency critical care nurses and emergency department boarding time on in-hospital mortality in critically ill patients
We hypothesized that establishing a program of specialized emergency critical care (ECC) nurses in the ED would improve mortality of ICU patients boarding in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 28, 2020 Category: Emergency Medicine Authors: Jason Nesbitt, Tsuyoshi Mitarai, Garett Chan, Jennifer G. Wilson, Kian Niknam, Matthew J.R. Nudelman, Cristopher Cinkowski, Michael A. Kohn Source Type: research

The diamond of death: Hypocalcemia in trauma and resuscitation
Early recognition and management of hemorrhage, damage control resuscitation, and blood product administration have optimized management of severe trauma. Recent data suggest hypocalcemia exacerbates the ensuing effects of coagulopathy in trauma. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 27, 2020 Category: Emergency Medicine Authors: Jesse P. Wray, Rachel E. Bridwell, Steven G. Schauer, Stacy A. Shackelford, Vikhyat S. Bebarta, Franklin L. Wright, James Bynum, Brit Long Source Type: research

The reverse vagal manoeuvre: A new tool for treatment of supraventricular tachycardia?
Supraventricular tachycardia is a common cardiac arrhytmia with recurrent episodes. The rapid resolution of supraventricular tachycardia remains a challenge. Vagal manoeuvres are simple and non-invasive but yield positive results in less than half the cases. Currently, the modified Valsalva manoeuvre appears to be the most effective technique. We have tested the effectiveness of the reverse Valsalva manoeuvre without swallowing as new vagal manoeuvre for the treatment of supraventricular tachycardia. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 26, 2020 Category: Emergency Medicine Authors: Philippe Gaudard, Nicolas Cazes, Kimberley Simon, Denis Larger, Jean-Claude Deharo Source Type: research

L1 SMI from CT and mortality in CAP in the ED
Introduction: Low muscle mass is associated with an increased mortality risk due to medical comorbidities such as chronic obstructive pulmonary disease, cardiovascular disease, and cerebrovascular disease. Computed tomography (CT) has been identified as the gold standard for measuring body composition. We evaluated the relationship between the L1 SMI measured from CT and in-hospital mortality in patients with community-acquired pneumonia (CAP).Methods: From January 2015 to June 2015, 311 patients who were diagnosed with CAP and underwent CT in the ED were retrospectively analyzed. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 26, 2020 Category: Emergency Medicine Authors: Jeong Woo Han, Hwan Song, Soo Hyun Kim Source Type: research

A reappraisal of childhood drowning in a pediatric emergency department
In the present study, we aimed to investigate the demographic and clinical features, laboratory and radiologic characteristics, management, and outcomes of pediatric drowning patients in order to identify predictors of hospital admission, and to evaluate the need for respiratory support, and prognosis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 25, 2020 Category: Emergency Medicine Authors: Nihan Şık, Hüseyin Bahadır Şenol, Ali Öztürk, Durgül Yılmaz, Murat Duman Source Type: research

Emergency department care coordination strategies and perceived impact under Maryland's hospital payment reforms
Emergency department (ED) care coordination plays an important role in facilitating care transitions across settings. We studied ED care coordination processes and their perceived effectiveness in Maryland (MD) hospitals, which face strong incentives to reduce hospital-based care through global budgets. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 25, 2020 Category: Emergency Medicine Authors: Jessica E. Galarraga, Derek DeLia, Daniel Wilhite, Ronald Romero-Barrientos, Kaitlin O ’Sullivan, Donna Noccolino, Laura Pimentel, Cynthia Woodcock, Rollin J. Fairbanks, Jesse M. Pines Source Type: research

Beyond the bedside: Clinicians as guardians of public health, medicine and science
COVID-19 has upended clinical practice across the globe. In a milieu of shifting scientific knowledge, clinicians have been tasked with rapidly evolving their practice while defending the validity of science. Historically, clinicians have been a trusted source for the evaluation and interpretation of medical knowledge. In this “digital age” pandemic, partisan messaging, heightened awareness, and rapid transmission of information, have placed medicine in a fragile position. Providers must fight for patients at the bedside, and battle mistruths and distrust emerging from avenues far beyond hospitals or clinics. (Source: ...
Source: The American Journal of Emergency Medicine - December 25, 2020 Category: Emergency Medicine Authors: Anish K. Agarwal, Megan L. Ranney, Bernard P. Chang Source Type: research

Tenecteplase for thrombolysis in stroke patients: Systematic review with meta-analysis
Alteplase is an approved treatment for acute ischemic stroke. Tenecteplase is a genetically modified form of alteplase, with lower cost and a more favourable pharmacokinetic profile allowing bolus injection. The aim of this study was to compare both drugs in adult patients with acute ischemic stroke undergoing thrombolysis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 24, 2020 Category: Emergency Medicine Authors: M. Oliveira, M. Fidalgo, L. Font ão, J. Antão, S. Marques, V. Afreixo, T. Gregório Source Type: research

Ventricular tachycardia in an adolescent with severe diabetic ketoacidosis
We present the case of an adolescent who presented with severe DKA and wide complex tachycardia that was unresponsive to multiple doses of adenosine and ultimately required synchronized cardioversion. This case reminds the clinician of the importance of cardiac monitoring in children with DKA, particularly in the setting of hyperkalemia. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 23, 2020 Category: Emergency Medicine Authors: Kelly R. Bergmann, Valerie Whitcomb Source Type: research

The coping styles to stress of Italian emergency health-care professionals after the first peak of COVID 19 pandemic outbreak
In Italy, thousands of Emergency healthcare professionals were involved during the first COVID 19 pandemic outbreak, fighting at the frontline to address the challenges posed to the healthcare systems by almost 250.000 patients infected by the end of June 2020. Poor coping strategies to stress may lead to impaired job performance and risk of infection, as well as psychological distress and burnout, also in relation to coping styles [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 23, 2020 Category: Emergency Medicine Authors: Andrea Fabbri, Fabio De Iaco, Giulio Marchesini, Francesco Rocco Pugliese, Clemente Giuffrida, Mario Guarino, Giuseppina Fera, Alessandro Riccardi, Salvatore Manca, by Societ à Italiana di Emergenza Urgenza (SIMEU) Study Center and Research Group Source Type: research

Management of migraine in the emergency department: Findings from the 2010 –2017 national hospital ambulatory medical care surveys
The study objective was to describe trends in the medical management of migraine in the emergency department (ED) using the 2010 —2017 National Hospital Ambulatory Medical Care Survey (NHAMCS) datasets. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 23, 2020 Category: Emergency Medicine Authors: Philip R. Wang, Rocio Lopez, Spencer S. Seballos, Matthew J. Campbell, Belinda L. Udeh, Michael P. Phelan Source Type: research

Lidocaine versus dexketoprofen in treatment of tension-type headache: A double-blind randomized controlled trial
Tension-type headache, with a life time prevalence in the general population ranging between 30% and 78%, can be episodic or chronic [1,2]. Episodic tension-type headache, which can be infrequent episodic or frequent, has a high socio-economic impact [1,3]. Tension-type headache was reported as the third most prevalent disorder among all diseases in Global Burden of Diseases Study in 2016 [4], and headache composes one of the most common reasons for visiting primary care and emergency departments (EDs) [5,6]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 23, 2020 Category: Emergency Medicine Authors: Ilker Akbas, Abdullah Osman Kocak, Sultan Tuna Akgol Gur, Elif Oral Ahiskalioglu, Sinem Dogruyol, Turgut Dolanbay, Mehmet Demir, Zeynep Cakir Source Type: research

Abdominal mycotic aortic aneurysm presenting as chronic constipation
We describe a case of an abdominal mycotic aortic aneurysm presenting as chronic constipation for 3  weeks, without fever or abdominal pain. Point-of-care ultrasound has the ability to detect silent abdominal aortic aneurysms and serves as a follow-up tool for patients under medical treatment. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 22, 2020 Category: Emergency Medicine Authors: Yaw-Tzeng Liou, Chun-Yi Tsai Source Type: research

A prospective study of the incidence of intracranial hemorrhage in survivors of out of hospital cardiac arrest
This study aims to identify the incidence of ICH in US patients with OHCA who obtain return of spontaneous circulation (ROSC). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 21, 2020 Category: Emergency Medicine Authors: Jonathan Gelber, Martha E. Montgomery, Amandeep Singh Source Type: research

Isopropyl alcohol nasal inhalation for nausea in the triage of an adult emergency department
Nausea and vomiting (N&V) are among the most common complaints in the emergency department (ED). However, low acuity is assigned to most of these patients at the triage, and waiting for long hours without medication decreases patient safety and satisfaction. We aimed to compare the inhalation of isopropyl alcohol (IPA) with placebo (P) to treat nausea at the triage area of an ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 20, 2020 Category: Emergency Medicine Authors: Hande Candemir, Haldun Akoglu, Erkman Sanri, Ozge Onur, Arzu Denizbasi Source Type: research