Pharmacokinetic effects of endotracheal, intraosseous, and intravenous epinephrine in a swine model of traumatic cardiac arrest
This study compared the maximum concentration (Cmax), time to maximum concentration (Tmax), plasma concentration over time, return of spontaneous circulation (ROSC), time to ROSC, and odds of ROSC of epinephrine administered by the endotracheal (ETT), intraosseous (IO), and intravenous (IV) routes in a swine TCA model. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 23, 2019 Category: Emergency Medicine Authors: James M. Burgert, Arthur D. Johnson, Joseph C. O'Sullivan, Wayne J. Blalock, Brent C. Duffield, Brian P. Albright, Cory C. Herzog, Matthew S. Moore, Katelyn S. Dempster, Japeth W. Rauch Source Type: research

Closing the gap: Improving access to trauma care in New Mexico (2007 –2017)
Trauma is a major cause of death and disability in the United States, and significant disparities exist in access to care in non-urban settings. From 2007 to 2017 New Mexico expanded its trauma system by focusing on building capacity at the hospital level. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 22, 2019 Category: Emergency Medicine Authors: Erik S. Anderson, Margaret Greenwood-Ericksen, Nancy Ewen Wang, Daniel A. Dworkis Source Type: research

Effect of a legislative mandate on opioid prescribing for back pain in the emergency department
The objective was to determine the effect of this change on opioid prescribing for patients who presented to the emergency department (ED) for back pain. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 22, 2019 Category: Emergency Medicine Authors: Moteb Khobrani, Stephen Perona, Asad E. Patanwala Source Type: research

Risk stratification and timing for invasive approach in patients with non-STEMI
We decipher with interest the study by Langabeer II et al. with large cohort [1], which provide visionary points about gender disparities in patients presenting with non-STEMI acute coronary syndrome. Although its well-designed conception, we want to address some points that need more attention. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 22, 2019 Category: Emergency Medicine Authors: Kadir U ğur Mert, Gurbet Özge Mert Source Type: research

Reply to the letter entitled “Risk Stratification and Timing for Invasive Approach in Patients with non-STEMI”
We appreciate the supportive comments in the letter entitled “Risk stratification and Timing for Invasive Approach in Patients with Non-STEMI” in response to our original article entitled “Gender-Based Outcome Differences for Emergency Department Presentation of Non-STEMI Acute Coronary Syndrome” [1]. Current literature supports the use of coronary an giography and revascularization for the majority of patients with Non-ST-Segment Elevation Myocardial Infarction (NSTEMI). Although the timing of coronary angiography and revascularization remains controversial, we do agree that clinical features and r...
Source: The American Journal of Emergency Medicine - February 22, 2019 Category: Emergency Medicine Authors: James R. Langabeer, Tiffany Champagne-Langabeer, Raymond Fowler, Timothy Henry Source Type: research

How should we treat patients who wake up with a stroke? A review of recent advances in management of acute ischemic stroke
Acute ischemic strokes account for 85% of all strokes and are the fifth leading cause of mortality in the United States. About one in five of all ischemic strokes occur during sleep and are not noticed until the patient wakes up with neurological deficits. There is growing evidence to support that a significantly higher number of stroke patients could benefit from more aggressive care, especially those patients who wake up with strokes. There is increasing research to support a physiologically-based approach based on advanced imaging rather than simply a time-based determination of whether or not a patient would benefit fr...
Source: The American Journal of Emergency Medicine - February 21, 2019 Category: Emergency Medicine Authors: Danielle Biggs, Michael E. Silverman, Frank Chen, Brian Walsh, Peter Wynne Source Type: research

Evaluation of an emergency department to outpatient parenteral antibiotic therapy program for cellulitis
Emergency department (ED) patients with non-purulent skin and soft tissue infections (SSTIs) requiring intravenous antibiotics may be managed via outpatient parenteral antibiotic therapy (OPAT). Prospective studies describing the performance of an ED-to-OPAT clinic program are lacking. The primary objective was to determine the OPAT treatment failure rate for ED patients with non-purulent SSTIs. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 21, 2019 Category: Emergency Medicine Authors: Krishan Yadav, Kathryn N. Suh, Debra Eagles, Venkatesh Thiruganasambandamoorthy, George Wells, Ian G. Stiell Source Type: research

Clinical spectrum of previously undiagnosed pediatric cardiac disease
Previously undiagnosed pediatric cardiac disease represents a clinical challenge for the emergency physician. The clinical presentation of these disorders can mimic other conditions of the respiratory, gastrointestinal and neurologic systems at a time when the need for early identification and treatment is at a premium. A high index of suspicion and superb clinical acumen is required to make a timely diagnosis and initiate optimal care. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 21, 2019 Category: Emergency Medicine Authors: Jay D. Fisher, Robert J. Bechtel, Korrina N. Siddiqui, David G. Nelson, Ahmad Nezam Source Type: research

BLUE protocol ultrasonography in Emergency Department patients presenting with acute dyspnea
Dyspnea is a common Emergency Department (ED) symptom requiring prompt diagnosis and treatment. The bedside lung ultrasonography in emergency (BLUE) protocol is defined as a bedside diagnostic tool in intensive care units. The aim of this study was to investigate the test performance characteristics of the BLUE-protocol ultrasonography in ED patients presenting with acute dyspnea. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 20, 2019 Category: Emergency Medicine Authors: Burak Bekgoz, Isa Kilicaslan, Fikret Bildik, Ayfer Keles, Ahmet Demircan, Onur Hakoglu, Gulhan Coskun, Huseyin Avni Demir Source Type: research

Point-of-care ultrasound for the diagnosis of shoulder dislocation: A systematic review and meta-analysis
Shoulder dislocations are a common injury causing patients to present to the emergency department. Point-of-care ultrasound (POCUS) has the potential to reduce time, radiation exposure, and healthcare costs among patients presenting with shoulder dislocations. We performed this systematic review and meta-analysis to determine the diagnostic accuracy of ultrasound compared with plain radiography in the assessment of shoulder dislocations. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 19, 2019 Category: Emergency Medicine Authors: Michael Gottlieb, Dallas Holladay, Gary D. Peksa Source Type: research

Etiology and disposition associated with radiology discrepancies on emergency department patients
Diagnostic errors made by radiology resident physicians may lead to significant morbidity/mortality and patient dissatisfaction. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 19, 2019 Category: Emergency Medicine Authors: Liza Gergenti, Robert P. Olympia Source Type: research

Barriers and facilitators for emergency department initiation of buprenorphine: A physician survey
Implementation of evidence-based pharmacotherapy for individuals with opioid use disorder (OUD) is cornerstone of the response to the opioid crisis [1]. ED-initiated OUD treatment with buprenorphine has been shown to increase treatment engagement at 30  days [2], but this practice has not been widely adopted [3]. To better develop strategies for implementation, we sought to 1) describe ED physician preparedness to treat OUD and 2) rank physician-perceived barriers and facilitators of ED administration of buprenorphine and obtaining a Drug Addict ion Treatment Act of 2000 waiver to prescribe buprenorphine (X-waiver). (Sou...
Source: The American Journal of Emergency Medicine - February 18, 2019 Category: Emergency Medicine Authors: Margaret Lowenstein, Austin Kilaru, Jeanmarie Perrone, Zachary F. Meisel, M. Kit Delgado Source Type: research

Lack of associations of substance use and mental health with self-reported pain scores among emergency department patients
The most common complaint among Emergency Department (ED) patients is pain [1]. Pain scores have been shown to be influenced by factors such as race, age, and gender [2-4]. Addiction disorders are frequently encountered in the ED environment [5-7]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 18, 2019 Category: Emergency Medicine Authors: Catherine A. Marco, Dennis Mann, Christian Daahir, Harry Savarese, John Paul Detherage, Cameron McGlone Source Type: research

Triage in Emergency Department Early Warning Score (TREWS) is predicting in-hospital mortality in the emergency department
The purpose is to assess the adequacy of the National Early Warning Score (NEWS) in the emergency department (ED) and the usefulness of the Triage in Emergency Department Early Warning Score (TREWS) that has been developed using the NEWS in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 17, 2019 Category: Emergency Medicine Authors: Sang Bong Lee, Dong Hoon Kim, Taeyun Kim, Changwoo Kang, Soo Hoon Lee, Jin Hee Jeong, Seong Chun Kim, Yong Joo Park, Daesung Lim Source Type: research

Awareness during resuscitation: Where is the data?
For the last several centuries, efforts at improving outcomes from sudden cardiac death have been challenging [1,2]. Improvements in early defibrillation and cardiopulmonary resuscitation (CPR) techniques have made reanimation from cardiac arrest no longer a rarity. Indeed, over the past 3 decades there has significant emphasis on good quality CPR, either manually or utilizing chest compression systems in order to improve return of spontaneous circulation (ROSC) [3]. In addition to obtaining ROSC, the goal of such techniques has been to improve cerebral blood flow, therefore, the term cardio-cerebral resuscitation (CCR) is...
Source: The American Journal of Emergency Medicine - February 16, 2019 Category: Emergency Medicine Authors: Joseph Varon Source Type: research

Interrater reliability of pediatric point-of-care lung ultrasound findings
We sought to assess interrater reliability (IRR) of lung point-of-care ultrasound (POCUS) findings among pediatric patients with suspected pneumonia. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 15, 2019 Category: Emergency Medicine Authors: Cynthia A. Gravel, Michael C. Monuteaux, Jason A. Levy, Andrew F. Miller, Rebecca L. Vieira, Richard G. Bachur Source Type: research

Association between ambulance response time and neurologic outcome in patients with cardiac arrest
The objective of this study was to determine whether short EMS response time was associated with improved neurologic outcome of patients with OHCA through prospective analysis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 15, 2019 Category: Emergency Medicine Authors: Dong Wook Lee, Hyung Jun Moon, Nam Hun Heo, KoCARC Source Type: research

Acute disseminated encephalomyelitis in children - clinical and MRI decision making in the emergency department
Acute disseminated encephalomyelitis (ADEM) is an uncommon, treatable, primarily pediatric, immune-mediated disease. Diagnosis of ADEM requires two essential elements: typical clinical presentation and magnetic resonance imaging (MRI) findings. The aim of this study was to evaluate how clinical findings in the initial emergency department (ED) presentation influenced the timing of MRI. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 15, 2019 Category: Emergency Medicine Authors: Orly Bisker Kassif, Rotem Orbach, Ayelet Rimon, Dennis Scolnik, Miguel Glatstein Source Type: research

Mastoiditis with concomitant Lemierre's syndrome: A case report
We present a case of a six year-old girl with otalgia for over two months who presented to our Emergency Department (ED) with clinical mastoiditis, confirmed on CT scan, as well as an incidental diagnosis of complete thrombosis of the internal jugular (IJ) vein, Lemierre's syndrome. The true prevalence of Lemierre's from mastoiditis is difficult to discern. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 14, 2019 Category: Emergency Medicine Authors: Mark Olaf, Lindsey Duguet Source Type: research

Mastoiditis with concomitant Lemierre's syndrome
We present a case of a six year-old girl with otalgia for over two months who presented to our Emergency Department (ED) with clinical mastoiditis, confirmed on CT scan, as well as an incidental diagnosis of complete thrombosis of the internal jugular (IJ) vein, Lemierre's syndrome. The true prevalence of Lemierre's from mastoiditis is difficult to discern. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 14, 2019 Category: Emergency Medicine Authors: Mark Olaf, Lindsey Duguet Tags: Case Report Source Type: research

Acute coronary syndrome after cannabis use: Correlation with quantitative toxicology testing
We report the first ever published case of ACS precipitated by cannabis use that was confirmed with concomitant rising quantitative plasma levels of 11-nor-9-carboxy- Δ9-tetrahydrocannabinol, a secondary metabolite of cannabis. A 63-year-old non-tobacco smoking male with no prior medical history presented to the emergency department with chest pain immediately after smoking cannabis, and anterior ST-segment elevation pattern was observed on his electrocardiogram . (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 13, 2019 Category: Emergency Medicine Authors: John R. Richards, Gagan D. Singh, Aman K. Parikh, Sandhya Venugopal Source Type: research

Traumatic coronary artery dissection leading to ventricular tachycardia: A case report
We present a case report of a 42-year-old male who presented with ventricular tachycardia following a high-speed motorcycle collision that was found to have a coronary artery dissection. The patient had multiple complications, highlighting the importance of early recognition. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 13, 2019 Category: Emergency Medicine Authors: Andrew E. Donovan, Rachel E. Bridwell, Brandon Carius, Chloe Kot, Joshua J. Oliver Source Type: research

Traumatic coronary artery dissection leading to ventricular tachycardia
We present a case report of a 42-year-old male who presented with ventricular tachycardia following a high-speed motorcycle collision that was found to have a coronary artery dissection. The patient had multiple complications, highlighting the importance of early recognition of this disease process. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 13, 2019 Category: Emergency Medicine Authors: Andrew E. Donovan, Rachel E. Bridwell, Brandon Carius, Chloe Kot, Joshua J. Oliver Source Type: research

Aspartate-aminotransferase to platelet ratio index score for predicting HELLP syndrome
HELLP (hemolysis, elevated liver enzyme levels, low platelet counts)-syndrome is a rare but dramatic pregnancy-related illness. The difficult part of this syndrome is the lack of standardised diagnostic criterias and tests to be used to predict it. The aim of this study is determining the role of APRI score in the diagnosis of HELLP syndrome. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 12, 2019 Category: Emergency Medicine Authors: Muhammed İkbal Şaşmaz, Muhammed Ali Ayvaz, Ahmet Cumhur Dülger, Eylem Kuday Kaykısız, Ramazan Güven Source Type: research

Nursing driven approaches to improving emergency department discharge
Emergency departments (EDs) are critiqued for wait times, delayed or inadequate pain management, and poor communication [1-3]. ED volumes are projected to increase, likely exacerbating these issues [4,5]. Systems are increasingly relying on EDs to provide not only high-quality clinical care, but also to promote the patient experience [1,6-8].The overlap between efficiency, quality of care and patient satisfaction is significant [3,7,9]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 12, 2019 Category: Emergency Medicine Authors: Anish K. Agarwal, Sean Foster, Carolina Garzon Mrad, Brooks Martino, Christopher K. Snider, Leighann Mazzone, Allen Fasnacht, Kelly Patton, Christopher Edwards, John Flamma Source Type: research

Implications of culture collection after the first antimicrobial dose in septic emergency department patients
Previous research has illustrated the importance of collection of microbiologic cultures prior to first antimicrobial dose (FAD) in septic patients to avoid sterilization of pathogens and thus allowing confirmation of infection, identification of pathogen(s), and de-escalation of antimicrobial therapy. There is currently a lack of literature characterizing the implications and clinical courses of patients who have cultures collected after FAD. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 12, 2019 Category: Emergency Medicine Authors: Vincent J. Cascone, Rose S. Cohen, Nicholas P. Dodson, Chad M. Cannon Source Type: research

Ultrasound guided supra-inguinal Fascia Iliaca Compartment Blocks in hip fracture patients: An alternative technique
The objective was to determine analgesic effects of an ultrasound-guided supra-inguinal FICB in hip fracture patients in the Emergency Department. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Authors: M.L. Ridderikhof, E. De Kruif, M.F. Stevens, H.M. Baumann, P.B. Lirk, J.C. Goslings, M.W. Hollmann Source Type: research

Flexible nasotracheal intubation compared to blind nasotracheal intubation in the setting of simulated angioedema
Nasotracheal intubation is rarely performed in the emergency department (ED) but may be required in specific situations such as angioedema. Both blind and flexible nasal intubation (FNI) may be utilized; however, the preferred technique is unknown. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Authors: Seth Parkey, Thomas Erickson, Emily M. Hayden, Calvin A. Brown III, Jestin N. Carlson Source Type: research

A case of purulent pneumococcal pericarditis
Purulent bacterial pericarditis is a rare and potentially fatal disease. The course may be fulminant, and the presentation may pose a diagnostic challenge. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Authors: Itay Zmora, Yonit Wiener-Well, Evan Avraham Alpert Source Type: research

Hyperbaric oxygen therapy and mortality from carbon monoxide poisoning: A nationwide observational study
We examined the effects of HBOT on CO poisoning and further strived to delineate its inherent effects on specific subgroups of patients using a nationwide inpatient database. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 10, 2019 Category: Emergency Medicine Authors: Mikio Nakajima, Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga Source Type: research

Asking the correct questions of push dose vasopressors
I read with interest the article published by Rotando and colleagues entitled “Push dose pressors: Experience in critically ill patients outside of the operating room” [1]. Research regarding the efficacy of bolus or “push dose” vasopressors important and more research is necessary. The results of trial merit further discussion, particularly those pertaining to push d ose phenylephrine. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 8, 2019 Category: Emergency Medicine Authors: Nicholas Farina Source Type: research

The Ottawa subarachnoid hemorrhage clinical decision rule for classifying emergency department headache patients
Subarachnoid hemorrhage (SAH) is a serious cause of headaches. The Ottawa subarachnoid hemorrhage (OSAH) rule helps identify SAH in patients with acute nontraumatic headache with high sensitivity, but provides limited information for identifying other intracranial pathology (ICP). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 7, 2019 Category: Emergency Medicine Authors: Wei-Ting Wu, Hsiu-Yung Pan, Kuan-Han Wu, Yi-Syun Huang, Chien-Hung Wu, Fu-Jen Cheng Source Type: research

Lactate and NEWS-L are fair predictors of mortality in critically ill geriatric emergency department patients
In this study, we aimed to investigate the prognostic power of the first lactate level measured in the emergency department (ED), National Early Warning Score (NEWS), and NEWS-lactate (NEWS-L) on ED admission in critically ill geriatric patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 7, 2019 Category: Emergency Medicine Authors: Zerrin Defne Dundar, Sedat Kocak, Abdullah Sadik Girisgin Source Type: research

Emergency department sepsis huddles: Achieving excellence for sepsis benchmarks in New York State
The sepsis order set at our institution was created with the intent to facilitate the prompt initiation of appropriate sepsis care. Once clinical features meeting criteria for systemic inflammatory response syndrome (SIRS) are identified and an infectious source is considered, a “sepsis huddle” is concomitantly initiated. The sepsis huddle was implemented in March of 2016 in order to increase compliance with the sepsis bundles. The sepsis huddle is called via overhead paging system in the emergency department (ED) to notify all staff that there is a patient present who meets SIRS criteria with concern for sepsi...
Source: The American Journal of Emergency Medicine - February 7, 2019 Category: Emergency Medicine Authors: Danielle Walsh, Robert Gekle, Robert Bramante, Eric Decena, Christopher Raio, David Levy Source Type: research

The impact of an emergency care access point on pediatric attendances at the emergency department: An observational study
Crowding is a growing concern in general and pediatric Emergency Departments (EDs). The Emergency Care Access Point (ECAP) - a collaboration between general practitioners and the ED - has been established to reduce the number of self-referrals and non-urgent ED visits. The aim of this study was to determine the impact of an ECAP on pediatric attendances in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 6, 2019 Category: Emergency Medicine Authors: Mireille E.M. Platter, Roel A.J. Kurvers, Loes Janssen, Marjoke M.J. Verweij, Dennis G. Barten Source Type: research

Heart rate variability in patients presenting with neurally mediated syncope in an emergency department
In this study, we investigated the pathophysiology of NMS using HRV in our emergency department. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 6, 2019 Category: Emergency Medicine Authors: Hikaru Akizuki, Naoyuki Hashiguchi Source Type: research

Intravenous dexketoprofen versus paracetamol in non-traumatic musculoskeletal pain in the emergency department: A randomized clinical trial
This study sets out to compare the effectiveness of intravenous dexketoprofen and paracetamol in musculoskeletal pain relief. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 4, 2019 Category: Emergency Medicine Authors: Ezgi Demirozogul, Atakan Yilmaz, Mert Ozen, Ibrahim Turkcuer, Murat Seyit, Cuneyt Arikan Source Type: research

Ultrasound and optic neuritis
We were really interested in the paper by Yee et al. concerning four patients with optic neuritis, diagnosed with ultrasound [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 4, 2019 Category: Emergency Medicine Authors: Palmiro Cornetta, Giuseppe Marotta, Maddalena De Bernardo, Livio Vitiello, Nicola Rosa Source Type: research

Diagnostic considerations in detecting apical hypertrophic cardiomyopathy while utilizing point-of-care ultrasound
The emergency department (ED) clinical approach to patients with unexplained syncope has ushered in an era of advances in the point-of-care ultrasound (POCUS) practice. Cardiac ultrasound (US) is a key application that is often utilized in young patients with syncope when screening for structural abnormalities such as hypertrophic cardiomyopathy (HCM). The application of the cardiac US for this screening, however, can be hindered by phenotypic variability of hereditary HCM. The apical variant of HCM constitutes a minority of all cases ( (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2019 Category: Emergency Medicine Authors: Melanie F. Molina, Andrew S. Liteplo, Calvin Huang, Hamid Shokoohi Tags: Correspondence Source Type: research

Pre-hospital modified shock index for prediction of massive transfusion and mortality in trauma patients
Modified shock index (MSI) is a useful predictor in trauma patients. However, the value of prehospital MSI (preMSI) in trauma patients is unknown. The aim of this study was to investigate the accuracy of preMSI in predicting massive transfusion (MT) and hospital mortality among trauma patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2019 Category: Emergency Medicine Authors: Il-Jae Wang, Byung-Kwan Bae, Sung-Wook Park, Young-Mo Cho, Dae-Sup Lee, Mun-Ki Min, Ji-Ho Ryu, Gil-Hwan Kim, Jae-Hoon Jang Source Type: research

Nurse practitioners and physician assistants in emergency medical services who billed independently, 2012 –2016
As nurse practitioners (NPs) and physician assistants (PAs) become an integral part of delivering emergency medical services, we examined the involvement of NPs and PAs who billed independently in emergency departments (EDs). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2019 Category: Emergency Medicine Authors: Ge Bai, Gabor D. Kelen, Kevin D. Frick, Gerard F. Anderson Source Type: research

Lev's Syndrome: A rare case of progressive cardiac conduction disorder presenting to the emergency department
Lev's Syndrome is a rare, progressive cardiac conduction defect (PCCD) due to myocardial fibrosis first described by Maurice Lev in 1964. This condition, proposed to start in the fourth decade of life, involves a sclerotic fibro-fatty degeneration of the Bundle of His and Purkinje fibers, which Lev proposed caused increasing AV delay with age. With the prevalence of electrocardiogram (ECG) use in the emergency department (ED) for cardiac- and non-cardiac complaints, dysrhythmias can be incidentally found and confuse diagnosis and disposition. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2019 Category: Emergency Medicine Authors: Brandon Carius, Brit Long, Steve Schauer Source Type: research

Traumatic cerebrovascular injury: Prevalence and risk factors
Traumatic cerebrovascular injury (TCVI) is uncommon in traumatic brain injury (TBI). Although TCVI is a rare condition, this complication is serious. A missed or delayed diagnosis may lead to an unexpected life-threatening hemorrhagic event or persistent neurological deficit. The object of this study was to determine the prevalence and risk factors associated with TCVI. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2019 Category: Emergency Medicine Authors: Thara Tunthanathip, Nakornchai Phuenpathom, Sakchai Saehaeng, Thakul Oearsakul, Ittichai Sakarunchai, Anukoon Kaewborisutsakul Source Type: research

Single dose phenobarbital in addition to symptom-triggered lorazepam in alcohol withdrawal
The purpose of this study was to evaluate the safety and efficacy of a single parenteral dose of phenobarbital in addition to symptom-triggered lorazepam for the acute management of alcohol withdrawal syndrome (AWS). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 30, 2019 Category: Emergency Medicine Authors: Francisco Ibarra Source Type: research

Comparison of intravenous lidocaine/ketorolac combination to either analgesic alone for suspected renal colic pain in the ED
To compare analgesic efficacy and safety of intravenous lidocaine and ketorolac combination to each analgesic alone for ED patients with suspected renal colic. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2019 Category: Emergency Medicine Authors: Sergey Motov, Catsim Fassassi, Jefferson Drapkin, Mahlaqa Butt, Rukhsana Hossain, Antonios Likourezos, Ralph Monfort, Jason Brady, Nechama Rothberger, Stefan S. Mann, Peter Flom, Vishal Gulati, John Marshall Source Type: research

Comparing intravenous lidocaine/ketorolac combination to either analgesic alone for suspected renal colic pain in the ED
To compare analgesic efficacy and safety of intravenous lidocaine and ketorolac combination to each analgesic alone for ED patients with suspected renal colic. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2019 Category: Emergency Medicine Authors: Sergey Motov, Jefferson Drapkin, Mahlaqa Butt, Catsim Fassassi, Rukhsana Hossain, Antonios Likourezos, Ralph Monfort, Jason Brady, Nechama Rothberger, Stefan S. Mann, Peter Flom, Vishal Gulati, John Marshall Source Type: research

Descriptive study of drug-drug interactions attributed to prescriptions written upon discharge from the emergency department
The primary purpose of this study was to identify the most common drug-drug interactions (DDI'S) in patients prescribed medications upon discharge from the emergency department. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2019 Category: Emergency Medicine Authors: Tara Jawaro, Patrick J. Bridgeman, Jude Mele, Grant Wei Source Type: research

Effect of insonation angle on peak systolic velocity variation
As point of care ultrasound (POCUS) has become more integrated into emergency and critical care medicine, there has been increased interest in utilizing ultrasound to assess volume status. However, recent studies of carotid POCUS on volume status and fluid responsiveness fail to recognize the effect insonation angle has on their results. To address this, we studied the effect of insonation angle on peak systolic velocity (PSV) change associated with respiratory variation (RV) and passive leg raise (PLR). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2019 Category: Emergency Medicine Authors: Joshua R. Radparvar, George Lim, Alan T. Chiem Source Type: research

Approach to cardiopulmonary resuscitation induced consciousness, an emergency medicine perspective
Cardiopulmonary resuscitation (CPR) remains the key intervention following cardiac arrest because of its ability to continue circulation. Recent focus on high quality compressions during CPR has coincided with more frequent encounters of CPR Induced Consciousness (CPRIC). CPRIC represents a poorly understood patient experience during CPR and defined as signs of consciousness and pain perception during CPR. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2019 Category: Emergency Medicine Authors: A. Pourmand, B. Hill, D. Yamane, E. Kuhl Source Type: research

Emergency physician care of family members, friends, colleagues and self
Emergency Physicians are frequently called upon to treat family members, friends, colleagues, subordinates or others with whom they have a personal relationship; or they may elect to treat themselves. This may occur in the Emergency Department (ED), outside of the ED, as an informal, or “curbside” consultation, long distance by telecommunication or even at home at any hour. In surveys, the vast majority of physicians report that they have provided some level of care to family members, friends, colleagues or themselves, sometime during their professional career. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 26, 2019 Category: Emergency Medicine Authors: Joel M. Geiderman, Catherine A. Marco, Kenneth V. Iserson Source Type: research