Lymphocyte-to-monocyte ratio predicts mortality in cirrhotic patients with septic shock
Patients with liver cirrhosis and septic shock have a significantly higher risk of mortality and morbidity compared with non-cirrhotic patients. The peripheral blood lymphocyte-to-monocyte ratio (LMR) can determine the prognosis of cirrhotic patients. Our study aimed to investigate the usefulness of LMR as a predictive marker of mortality risk in cirrhotic patients with septic shock. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 3, 2020 Category: Emergency Medicine Authors: Yin-Chou Hsu, Yong-Ye Yang, I-Ting Tsai Source Type: research

Comparison of sustained rate control in atrial fibrillation with rapid ventricular rate: Metoprolol vs. Diltiazem
The objective of this study was to compare sustained rate control with intravenous (IV) diltiazem vs. IV metoprolol in acute treatment of atrial fibrillation (AF) with rapid ventricular rate (RVR) in the emergency department (ED). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 3, 2020 Category: Emergency Medicine Authors: Kristi L. Hargrove, Ellen E. Robinson, Kathleen A. Lusk, Darrel W. Hughes, Luke A. Neff, Amanda L. Fowler Source Type: research

Early, awake proning in emergency department patients with COVID-19
Proning has been shown to improve oxygenation and mortality in certain populations of intubated patients with acute respiratory distress syndrome. Small observational analyses of COVID-19 patients suggest awake proning may lead to clinical improvement. Data on safety and efficacy is lacking. We sought to describe the effect of proning on oxygenation in nonintubated COVID-19 patients. We also evaluated feasibility, safety, and other physiological and clinical outcomes associated with this intervention. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 3, 2020 Category: Emergency Medicine Authors: Nicole M. Dubosh, Matthew L. Wong, Anne V. Grossestreuer, Ying K. Loo, Leon D. Sanchez, David Chiu, Evan L. Leventhal, Annette Ilg, Michael W. Donnino Source Type: research

The association between scene time interval and neurologic outcome following adult bystander witnessed out-of-hospital cardiac arrest
To analyze the association between Emergency Medical Services (EMS) scene time interval (STI) and survival with functional neurologic recovery following adult out-of-hospital cardiac arrest (OHCA). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 2, 2020 Category: Emergency Medicine Authors: Ryan A. Coute, Brian H. Nathanson, Michael C. Kurz, Bryan McNally, Timothy J. Mader, The CARES Surveillance Group Source Type: research

The QR code: A treatment for COVID-19 information overload
One of many challenges created by the COVID-19 pandemic for emergency departments (EDs) is the need for unusually rapid dissemination and uptake of new information by healthcare teams [1]. As our understanding of COVID-19 evolves quickly, it is accompanied by a rapid progression of new procedures and protocols related to infection control strategies, testing indications, admissions policies, and the physical flow of patients in the ED setting. Multiple authors have noted that effective communication to staff is important for preventing burnout and promoting resilience in this type of crisis situation [2,3], and having staf...
Source: The American Journal of Emergency Medicine - December 2, 2020 Category: Emergency Medicine Authors: Joshua J. Baugh, Rebecca Oran, Ted Roberts, Matthew Hankin, Kevin Moore, Benjamin A. White Source Type: research

The impact of COVID-19 lockdown measures on ED visits in Lebanon
As the COVID-19 pandemic spread globally, emergency departments (ED) around the world began to report significant drops in volumes and changes in disease patterns. During the early COVID-19 period, Lebanon followed an aggressive containment approach to halt the spread of the disease. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 2, 2020 Category: Emergency Medicine Authors: Dina Mahmassani, Hani Tamim, Maha Makki, Eveline Hitti Source Type: research

Who provides what care? An analysis of clinical focus among the national emergency care workforce
Clinician expertise has been associated with improved patient outcomes, yet ED clinicians often work in various clinical settings beyond the ED and, therefore, may risk expertise by having less clinical focus. We sought to describe clinical focus among the emergency care workforce nationally. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 2, 2020 Category: Emergency Medicine Authors: Cameron J. Gettel, Maureen E. Canavan, Gail D'Onofrio, Brendan G. Carr, Arjun K. Venkatesh Source Type: research

Editorial Board
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Source Type: research

Toc
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Source Type: research

Info for authors
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Source Type: research

Neurogenic pulmonary edema
We report a case of neurogenic pulmonary edema in a patient who sustained a severe traumatic brain injury in a motorbike accident and review the current literature with regards to the management of neurogenic pulmonary edema (NPE). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Authors: Edward Lo-Cao, Samuel Hall, Ruth Parsell, Gordon Dandie, Andreas Fahlstr öm Source Type: research

Travel to Mexico and uropathogen-antibiotic susceptibility mismatch in the emergency department
This study aimed to determine if recent travel to Mexico affects the rate of uropathogen-antibiotic susceptibility mismatch (UASM) in outpatients treated for urinary tract infection (UTI) in a South Texas emergency department (ED). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Authors: Erica L. Torres, Jonathon R. Cantu, Daniela Z. Bazan, Rene A. Verduzco, Jos é J. Hernández-Muñoz Source Type: research

COVID-19 infection among emergency department healthcare providers in a large tertiary academic medical center following the peak of the pandemic
The COVID-19 pandemic has spread through the US during the last few months exposing healthcare providers to possible infection. Here we report testing of emergency department (ED) healthcare providers (HCP) for exposure to COVID-19 through lateral flow point of care (POC) and lab-based enzyme-linked immunosorbent assay (ELISA), and RTq-PCR for evidence of acute infection.138 ED HCP were tested between May 26th (approximately one month after the peak of COVID-19 first wave of cases) and June 14th. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Authors: Eric Murakami, Aditi Ghatak-Roy, Margarita Popova, Carin Gannon, Daniel E. Park, Jack Villani, Cindy Liu, Ian Toma, John Lafleur Source Type: research

Utilization of the electrocardiogram in the pediatric emergency department
Review pediatric electrocardiogram (ECG) result severity classification and describe the utilization of ECG testing, and rate of clinically significant results, in the pediatric emergency department (PED). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Authors: Carly Theiler, Joseph Arms, Gretchen Cutler, Ernest Krause, David Burton Source Type: research

Five rapid scoring systems for predicting the mortality of severe novel coronavirus disease patient
Dear Editor (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - December 1, 2020 Category: Emergency Medicine Authors: Longping Yan, Wei Wang, Ruijun Luo, Hai Hu Source Type: research