The American Journal of Emergency Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Provider-in-triage prediction of hospital admission after brief patient interaction
We sought to determine if emergency physician providers working in the triage area (PIT) of the ED could accurately predict the likelihood of admission for patients at the time of triage. Such predictions, if accurate, could decrease the time spent in the ED for patients who are admitted to the hospital by hastening downstream workflow. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 9, 2020 Category: Emergency Medicine Authors: Michael D. Zwank, Jenny J. Koops, Nell R. Adams Source Type: research

The causality between suicide-related mortality and previous emergency psychiatric consultation
In a recent research article, Jeong et al. [1] concluded that previous emergency psychiatric consultation could decrease the suicide-related mortality for suicide re-attempts. The research results showed the patients who had received psychiatric treatment in previous suicide attempts had lower suicide-related mortality compared to patients who did not. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 9, 2020 Category: Emergency Medicine Authors: Zheli Chen, Liang Xu Source Type: research

Trends in outpatient emergency department visits during the COVID-19 pandemic at a large, urban, academic hospital system
The objective of this study was to explore trends in the number of outpatient (treat and release) ED visits during the COVID-19 pandemic. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 9, 2020 Category: Emergency Medicine Authors: Theodoros V. Giannouchos, Joseph Biskupiak, Michael J. Moss, Diana Brixner, Elena Andreyeva, Benjamin Ukert Source Type: research

Emergency service experience following the terrorist attack in Mogadishu, 14 October 2017, a scene of lay rescuer triage
In this study, we aimed to share our experience and to discuss the importance of triage and prehospital care systems. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 8, 2020 Category: Emergency Medicine Authors: Mustafa Enes Demirel, İbrahim Hussein Ali, Mustafa Boğan Source Type: research

Resident physician perception on how food choice affects wellness and professional development
The wellness of physicians in training has received significant attention in recent years as physicians have been found to be at higher risk of burnout, depression, and suicide than the general population [1-3]. The American Council on Graduate Medical Education (ACGME) now requires residency programs to provide education to residents regarding wellness strategies and resources [4]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 8, 2020 Category: Emergency Medicine Authors: Yudith Diaz Baez, Jason D. Chodakowski, Mark B. Mycyk, Amy V. Kontrick Source Type: research

Mosquito borne illness in a Floridian hiker
Chikungunya is an arboviral infection that manifests as an acute viral illness associated with an inflammatory arthritis. It was first described during an outbreak in Tanzania in 1952 and, until 2013, outbreaks had been limited in Africa, Asia, Europe and the Indian and Pacific Oceans. In late 2013, the first local transmission of Chikungunya was identified in Caribbean countries with subsequent spread throughout Central and South America. In 2019, the CDC reported 171 travel-associated cases of Chikungunya in the United States. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 7, 2020 Category: Emergency Medicine Authors: Aleem Azal Ali, Belinda Bajric, Carmen L. Isache, Ravindra P. Maharaj Source Type: research

“Bring 'em all”: The ED in a tradition of refuge
The rapid deployment of advanced emergency medical care is a celebrated function of the modern emergency department. However, as anyone who has worked in an ED can attest, a wide array of conditions and situations are cared for which defy straightforward medical categorization. It is not uncommon for victims of human trafficking; the cold, hungry, and homeless; the estranged elderly; those in custody by law enforcement; and many others with nowhere else to turn to find their way into a local ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 7, 2020 Category: Emergency Medicine Authors: Nicholas H. Kluesner, Charles J. Holden Source Type: research

Fentanyl-contaminated cocaine outbreak with laboratory confirmation in New York City in 2019
Illicitly manufactured fentanyl and fentanyl analogues (IMFs) are being increasingly suspected in overdose deaths. However, few prior outbreaks have been reported thus far of patients with laboratory-confirmed IMF toxicity after reporting intent to use only nonopioid substances. Herein we report a case series of nine patients without opioid use disorder who presented to two urban emergency departments (EDs) with opioid toxicity after insufflating a substance they believed to be cocaine. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 7, 2020 Category: Emergency Medicine Authors: Philip DiSalvo, Gail Cooper, Jessica Tsao, Michelle Romeo, Larissa K. Laskowski, Gregg Chesney, Mark K. Su Source Type: research

Neutrophil to lymphocyte ratio, lymphocyte to monocyte ratio and platelet to lymphocyte ratio to predict the severity of COVID-19
In this study, we aimed to investigate and compare the prognostic impacts of C-reactive protein (CRP), white blood cell (WBC) count, neutrophil (NEU)-to-lymphocyte (LYM) ratio (NLR), platelet-to-lymphocyte ratio (PLR), Red Cell Distribution Width (RDW) biomarkers in laboratory-confirmed COVID-19 cases as well as to explore the most useful diagnostic biomarkers and optimal cutoff values in COVID-19 patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 6, 2020 Category: Emergency Medicine Authors: Murat Seyit, Esin Avci, Rukiye Nar, Hande Senol, Atakan Yilmaz, Mert Ozen, Alten Oskay, Hulya Aybek Source Type: research

Violence prevention emergency tool (VPET) screening of youth in the pediatric ED
BackgroundViolence is an increasingly common and significant problem for youth worldwide. Youth who rely on treatment at urban EDs are more likely to die as the result of violence than any other disease/condition for which they seek care. The first step in helping youth that are at risk, is identifying them. We developed a 7 –item screening tool called VPET. The purpose of this study is to validate the VPET screening tool in identifying high-risk youth.Methods and findingsWe prospectively enrolled a convenience sample of children during the index ED visit who were called 3 months and 6 months after this visit. (Sourc...
Source: The American Journal of Emergency Medicine - December 5, 2020 Category: Emergency Medicine Authors: Danielle Chenard, Griffin Stryuck, Sharon Smith, Maua Mosha, Kevin Borrup, Steven C. Rogers Source Type: research

Identifying acute myocardial infarction in ventricular-paced patients: A case report on the effectiveness of modified Sgarbossa criteria
We report a case where application of the Modified Sgarbossa criteria (mSC) would have immediately identified AMI in a patient with a VP and merited strong advocacy for emergent cardiac catheterization.A 94-year-old male with VP presented to the emergency department (ED) after he had burning sensation in his chest. Initial ECG demonstrated>5  mm of discordant ST elevation in leads III and aVF which gave him 2 points per original Sgarbossa Criteria (oSC) and not meeting criteria for activation for cardiac catheterization. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 4, 2020 Category: Emergency Medicine Authors: Joshua M. Newson, Nana Sefa, David A. Berger Source Type: research

Antibiotic prescribing for adult bacteriuria and pyuria in community hospital emergency departments
To describe emergency department (ED) antibiotic prescribing for urinary tract infections (UTIs) and asymptomatic bacteriuria (ASB) and to identify improvement opportunities. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 4, 2020 Category: Emergency Medicine Authors: John J. Veillette, C. Dustin Waters, Stephanie S. Gelman, Lisa Hoopes, George Vargyas, Alyssa McKay, Tatiana Good, Jared Olson, Todd J. Vento Source Type: research

Ocular trauma secondary to exercise resistance bands during the COVID-19 pandemic
To characterize injuries caused by exercise resistance bands. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 4, 2020 Category: Emergency Medicine Authors: Hasenin Al-khersan, Thomas A. Lazzarini, Anne L. Kunkler, Diana M. Laura, Kenneth C. Fan, Lily Zhang, David W. Redick, Humberto Salazar, Charles M. Medert, Nimesh A. Patel Source Type: research

Increased age, neutrophil-to-lymphocyte ratio (NLR) and white blood cells count are associated with higher COVID-19 mortality
Coronavirus disease 19 (COVID-19) caused by the highly pathogenic SARS-CoV-2, was first reported from Wuhan, China, in December 2019. The present study assessed possible associations between one-month mortality and demographic data, SpO2, underlying diseases and laboratory findings, in COVID-19 patients. Also, since recent studies on COVID-19, have focused on Neutrophil-to-lymphocyte ratio (NLR) as an independent risk factor of the in-hospital death and a significant prognostic biomarker of outcomes in critically ill patients, in this study, we assessed predictive potential of this factor in terms of one-month mortality. (...
Source: The American Journal of Emergency Medicine - December 4, 2020 Category: Emergency Medicine Authors: Elnaz Vafadar Moradi, Ali Teimouri, Ramin Rezaee, Negar Morovatdar, Mahdi Foroughian, Parvaneh Layegh, Behrang Rezvani Kakhki, Seyed Reza Ahmadi Koupaei, Vahideh Ghorani Source Type: research

Inter- ED transfer for patents with acute large vessel stroke: Efficiency vs thoroughness tradeoff
We thank the authors for their interest and agree that timely intervention for patients with large vessel occlusion (LVO) is associated with improved outcomes. Given the clear importance of timely treatment, the primary exposure we were interested in was the time spent at transferring EDs for patients who were transferred and ultimately received mechanical thrombectomy for LVO. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 3, 2020 Category: Emergency Medicine Authors: MichaelJ. Ward, Michael Froehler, William L. Scheving, Kimberly Hart, Candace D. McNaughton Source Type: research