Balancing quality and utilization: Emergency physician level correlation between 72  h returns, admission, and CT utilization rates
Metrics, particularly those assessing physician productivity, resource utilization, or quality, are increasingly used to measure emergency physician performance for a range of purposes including quality improvement (QI) and even annual compensation. While prior work has shown complicated relationships between these measures at the facility level [1], little work has examined whether these common measures compete or balance each other at the physician level, which may substantially influence the incentives faced by physicians, and thus, the care decisions made in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 3, 2021 Category: Emergency Medicine Authors: Vivek Parwani, Melissa Thomas, Craig Rothenberg, Andrew Ulrich, Arjun Venkatesh Source Type: research

Examining emergency medical services' prehospital transport times for trauma patients during COVID-19
Longer prehospital times were associated with increased odds for survival in trauma patients. The purpose of this study was to determine how the COVID-19 pandemic affected emergency medical services (EMS) prehospital times for trauma patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 3, 2021 Category: Emergency Medicine Authors: Stephanie Jarvis, Kristin Salotollo, Gina M. Berg, Matthew Carrick, Rachel Caiafa, David Hamilton, Kaysie Banton, Mark Lieser, David Bar-Or Source Type: research

The impact of previous epidemic disease on mental health in physicians and nurses during COVID-19 pandemic
The coronavirus disease (COVID-19) pandemic has resulted in tremendous medical care and social cost for more than one year. As this report is being written (January 23th, 2021), there are approximately 100 million confirmed COVID-19 cases worldwide, and most of the cases are in the United States. The healthcare system is overwhelmed by the increased number of cases, growing medical cost, and changing vaccination policy during this outbreak [1]. Definite treatment for COVID-19 remains unclear. The variant virus seems to result in another severe spread of the disease, and numerous medical challenges lie ahead. (Source: The A...
Source: The American Journal of Emergency Medicine - February 2, 2021 Category: Emergency Medicine Authors: Chien-Tai Huang, Chih-Wei Sung, Chi-Hsin Chen, Cheng-Yi Fan, Cheng-Heng Liu, Tony Szu-Hsien Lee, Edward Pei-Chuan Huang Source Type: research

Editorial Board
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Source Type: research

Toc
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Source Type: research

Info for authors
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Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Source Type: research

How healthcare must respond to ventilator-associated pneumonia (VAP) in invasively mechanically ventilated COVID-19 patients
To the Editor, (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Lukasz Szarpak, Jonathan Wisco, Richard Boyer Source Type: research

Retropharyngeal hematoma in a patient with chronic alcoholism
Retropharyngeal hematoma is a potentially life-threatening condition because it can easily lead to airway obstruction. Most of the previously reported cases of retropharyngeal hematoma are caused by predisposing factors such as head and neck trauma, the use of anticoagulants, or the presence of underlying bleeding diathesis. Herein, we report a case of retropharyngeal hematoma in a patient with chronic alcoholism, where we could not confirm any predisposing factors at the time of examination.A 61-year-old man with chronic alcoholism presented to our emergency department with convulsive seizures. (Source: The American Journ...
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Kosuke Shoji, Noriko Miyagawa, Atsushi Tanikawa, Michio Kobayashi Source Type: research

Severity of diagnosis among patients with chest pain presenting to the emergency department after calling a nurse line
A Nurse Line (NL) is a resource that is commonly used by patients and hospitals to assist in the triage of patient medical complaints. We sought to determine whether patients with chief complaint of chest pain who presented to the ED after calling a NL were different from patients who presented directly to the ED. The primary aim was to test for differences in the severity of the causes of chest pain between the two groups. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Michael D. Zwank, Zachary S. Finn, Maggie L. Barnes, Nell R. Adams Source Type: research

A breath of fresh air: The role of incentive spirometry in the treatment of COVID-19
Dear Editor: (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Hannah Seyller, Michael Gottlieb, Joseph Colla Source Type: research

Tissue adhesives for peripheral intravenous catheter securement: A prospective randomized controlled pilot trial
In some patients securing the peripheral intravenous cannula (PIVC) with a standard adhesive dressing can be difficult because of sweat or other body fluids. The aim of our study was to evaluate the use of tissue adhesives alone as a means to secure PIVCs inserted in the emergency department. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Amadeus Le šnik, Mario Gorenjak, Sandi Žumer, Valerija Zorčič, Žarko Mišanović, Marko Majhenič, Anja Podstenšek, Matevž Toplak, Urška Fekonja, Andrej Markota Source Type: research

COVID-19 vaccination hesitancy among healthcare personnel in the emergency department deserves continued attention
With nearly 100M reported infections and over 2M deaths, the COVID-19 pandemic has evolved into a generational medical crisis. Efforts to enact mitigating behaviors (e.g. mask wearing, social distancing) occurred simultaneous to worldwide endeavors at vaccine development. This culminated on December 8th, 2020, when the United Kingdom administered the first therapeutic dose of the Pfizer COVID-19 Vaccine [1]. While viewed as a massive medical achievement by worldwide governments and healthcare organizations alike, there is evidence the public remains skeptical of these novel and rapidly developed COVID-19 vaccines. (Source:...
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Dhara Amin, Joseph Palter Source Type: research

Atypical COVID –19 presentation with Budd-Chiari syndrome leading to an outbreak in the emergency department
We described a case report of a 50  years-old-woman admitted to the emergency department with abdominal pain associated with febrile hepatosplenomegaly with the final diagnosis of suprahepatic vein thrombosis secondary to COVID-19. Initially, this patient stayed out of a private room because of this atypical presentation and caused a COVID-19 outbreak in the emergency department. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 1, 2021 Category: Emergency Medicine Authors: Javier Alejandro Lecca Espinoza, Jorge Elias J únior, Carlos Henrique Miranda Source Type: research

Lay-rescuers in drowning incidents: A scoping review
Many victims of drowning fatalities are lay-people attempting to rescue another. This review aims to identify the safest techniques and equipment (improved or purpose made) for an untrained bystander to use when attempting a water rescue. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2021 Category: Emergency Medicine Authors: Roberto Barcala-Furelos, Daniel Graham, Cristian Abelairas-G ómez, Antonio Rodríguez-Núñez Source Type: research

Emergency physician bedside echocardiographic identification of left ventricular diastolic dysfunction
There are 5.7 million adults with congestive heart failure (CHF) in the United States, with a total of 915,000 new cases diagnosed annually [1]. Of all patients with CHF, approximately 40 –50% have heart failure with preserved ejection fraction (HFpEF), which is characterized by heart failure with normal left ventricular systolic function [2]. In HFpEF, the presence of impaired relaxation and progression to non-compliance of the left ventricle leads to diastolic dysfunction (DD) [3 ]. HFpEF has a similar one year risk adjusted mortality rate as heart failure with reduced ejection fraction (HFrEF) and has a higher all...
Source: The American Journal of Emergency Medicine - January 31, 2021 Category: Emergency Medicine Authors: Judy Lin, Jefferson Drapkin, Antonios Likourezos, Evangelos Giakoumatos, Mindy Schachter, Jean-Pierre Sarkis, Vijay Shetty, Manfred Moskovits, Lawrence Haines, Eitan Dickman Source Type: research

Temporal association of contamination obsession on the prehospital delay of STEMI during COVID-19 pandemic
One of the modifiable risk factors for ST elevation myocardial infarction is prehospital delay. The purpose of our study was to look at the effect of contamination contamination obsession on prehospital delay compared with other measurements during the Covid-19 pandemic. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2021 Category: Emergency Medicine Authors: Ali Karag öz, Berhan Keskin, Barkın Kültürsay, Dogancan Ceneli, Ozgur Yasar Akbal, Hacer Ceren Tokgoz, Seda Tanyeri, Süleyman Çağan Efe, Cem Dogan, Zubeyde Bayram, Nihal Ozdemir, Cihangir Kaymaz Source Type: research

Garlic burn injuries- a systematic review of reported cases
Medicinal plants have many beneficial effects on human health. Garlic (Allium sativum, Alliaceae) is one of the most famous herbal species, used for various diseases and conditions. Unfortunately, garlic is also associated with adverse effects, including cutaneous manifestations. In this review, burn injuries caused by application of raw garlic are reported. Searching through PubMed, Google Scholar and ResearchGate, a total of 32 articles with 39 patients were found. Demographics of patients, reasons for garlic use, details on garlic application, as well as description of burns and its treatment are thoroughly described an...
Source: The American Journal of Emergency Medicine - January 31, 2021 Category: Emergency Medicine Authors: Maja Hitl, Neboj ša Kladar, Neda Gavarić, Branislava Srđenović Čonić, Biljana Božin Source Type: research

Association of resident characteristics with patterns of patient self-assignment
We hypothesized that resident characteristics impact patterns of patient self-assignment in the emergency department (ED). Our goal was to determine if male residents would be less likely than their female colleagues to see patients with sensitive (e.g. breast-related or gynecologic) chief complaints (CCs). We also investigated whether resident specialty was associated with preferentially choosing patients with more familiar chief complaints. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 31, 2021 Category: Emergency Medicine Authors: Isha Agarwal, Anne Grossestreuer, Joshua W. Joseph, Evan L. Leventhal, Leon D. Sanchez Source Type: research

The impact of using different age-adjusted cutoffs of D-dimer in the diagnosis of pulmonary thromboembolism
This study was conducted to evaluate the relationship of age-adjusted D-dimer value with different coefficients in diagnosis of pulmonary embolism (PE) in geriatric patients.MethodsThe emergency admissions of the patients aged 65 and over with suspected PE during 2018 were reviewed retrospectively. The demographic characteristics, laboratory tests and radiologic findings of computed tomography pulmonary angiogram (CTPA) or single photon emission computed tomography ventilation/perfusion scintigraphy (V/Q) were recorded. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 30, 2021 Category: Emergency Medicine Authors: Melahat Uzel Şener, Sezgi Şahin Duyar, Zeynep Saral Öztürk, Alp Şener Source Type: research

Cardiac arrhythmias in COVID-19 patients: A combination of viral comorbidities and pro-arrhythmic drug interactions
Over the past year, substantial global efforts have been made to connect the signs, symptoms, and consequences of the SARS-CoV-2 virus (COVID-19). Among the associated sequel includes the noted higher incidence of cardiac arrhythmias [1]. A relationship is unfolding between this widespread virus, underlying cardiovascular disease (CVD) and new onset arrhythmias [1-3]. As these complications are associated with higher mortality rates and the number one cause of death in the US is CVD, it is crucial to develop proactive measures for at-risk patients [4]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 30, 2021 Category: Emergency Medicine Authors: Haley Ehrlich, Adel Elkbuli Source Type: research

Bypassing out-of-hospital cardiac arrest patients to a regional cardiac center: Impact on hemodynamic parameters and outcomes
Current guidelines recommend systematic care for patients who experience out-of-hospital cardiac arrest (OHCA) and the development of cardiac arrest centers (CACs). However, data regarding prolonged transport time of these often hemodynamically unstable patients are limited. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 30, 2021 Category: Emergency Medicine Authors: J. Karasek, J. Seiner, M. Renza, F. Salanda, M. Moudry, M. Strycek, J. Lejsek, R. Polasek, P. Ostadal Source Type: research

No laughing matter – Myeloneuropathy due to heavy chronic nitrous oxide abuse
We report a 37-year-old female who presented with ataxia, loss of lower extremity proprioception, demyelination of her cervical dorsal spinal columns, and other laboratory and physical exam findings consistent with nitrous oxide abuse. The patient reported daily use in excess of 500 nitrous oxide cartridges, also known as “whippits”. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 30, 2021 Category: Emergency Medicine Authors: Brian Lewis, Gilbert Nelson, Thomas Vu, Bryan Judge Source Type: research

Body mass index and all-cause mortality in patients with cardiogenic shock: A systematic review and meta-analysis
The objective of this analysis is to summarize the available evidence of this association and perform meta-analysis using adjusted estimates. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2021 Category: Emergency Medicine Authors: Fanhua Meng, Feiyan Guo, Burebiguli Abulimiti, Kaidi Zhao, Ying Dong, Xiang Ma, Zhenyan Fu, Yitong Ma Source Type: research

Comparison of 4 tests' utility for predicting need for emergency department care in patients with alcohol-related complaints
Intoxication is a common presenting complaint in emergency departments (ED), but many patients with intoxication do not need emergency care. Three screens (BLINDED, Brown, and San Francisco) attempt to determine which intoxicated patients can be triaged to a lower level of care. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2021 Category: Emergency Medicine Authors: Salman Leslom, Sumit Patel, Sarah Sommerkamp, Zachary D.W. Dezman Source Type: research

Efficacy of topical capsaicin for the treatment of cannabinoid hyperemesis syndrome: A retrospective cohort study
Cannabis Hyperemesis Syndrome (CHS) is a clinical disorder characterized by abdominal pain and intractable vomiting among patients with chronic marijuana use. We sought to assess the efficacy of capsaicin to determine whether it could reduce ED length of stay in patients with CHS. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 29, 2021 Category: Emergency Medicine Authors: Hamzah M. Yusuf, Curtis Geier, Alex Staidle, Juan Carlos C. Montoy Source Type: research

Difficult diagnosis: A case report of thyroid storm obscured by acute asthma exacerbation and concurrent H1N1 influenza
We present an uncommon case of H1N1 triggered thyroid storm in a patient with previously undiagnosed Grave's Disease. This case illustrates the challenges of diagnosing thyroid storm in the emergency department and the importance of including it in the differential when treating more common diagnoses that fail to respond to usual therapies. Thyroid storm is an endocrinologic emergency and requires prompt recognition and treatment. However, it remains a diagnostic challenge as there is no laboratory test specific to thyroid storm. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 28, 2021 Category: Emergency Medicine Authors: B.S. Katherine Burton, Jonathan Mondragon, Nicolas Ong, Clifford Buckley Source Type: research

Association of ischemia modified albumin with mortality in qSOFA positive sepsis patients by sepsis-3 in the emergency department
This study aimed to investigate whether IMA was associated with short-term mortality in quick sequential organ failure assessment (qSOFA)-positive sepsis or septic shock patients screened by the sepsis management program. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 28, 2021 Category: Emergency Medicine Authors: Jonghak Park, Sejoong Ahn, Seonggeun Lee, Juhyun Song, Sungwoo Moon, Jooyeong Kim, Hanjin Cho Source Type: research

A new medication, a new toxidrome - A case report of anticholinergic wipe toxicity due to improper medication use
We describe a case of a young female who presented to the emergency department with 4  days of progressive myopia, dry mouth, anhidrosis and urinary hesitancy due to overuse of a new topical anticholinergic wipes, glycopyrronium tosylate (GT). In the United States medication misuse accounts for nearly 10% of pediatric emergency visits with 65% of these visits considered to be preve ntable [1]. Being familiar with new medications and their side effect profiles can prevent unnecessary or harmful interventions. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 28, 2021 Category: Emergency Medicine Authors: Tarr Michael, Chambers Paul Source Type: research

Non-invasive positive pressure ventilation versus endotracheal intubation in treatment of COVID-19 patients requiring ventilatory support
Initial guidelines recommended prompt endotracheal intubation rather than non-invasive ventilation (NIV) for COVID-19 patients requiring ventilator support. There is insufficient data comparing the impact of intubation versus NIV on patient-centered outcomes of these patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 28, 2021 Category: Emergency Medicine Authors: Pia Daniel, Max Mecklenburg, Chan ée Massiah, Michael A. Joseph, Clara Wilson, Priyanka Parmar, Sabrina Rosengarten, Rohan Maini, Julie Kim, Alvin Oomen, Shahriar Zehtabchi Source Type: research

Covid-19 presenting as a bulging fontanelle
We report a case of COVID-19 infection in an infant characterized by a bulging anterior fontanelle without any additional symptoms. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 28, 2021 Category: Emergency Medicine Authors: Jared Schiff, Courtney Brennan Source Type: research

Inferior hip dislocation in a 16  year old
This article reviews the case of a 16  year old male who presented to the emergency department (ED) following a high speed motor vehicle crash. On arrival he was diagnosed with a right inferior hip dislocation among other critical findings. This case report provides a brief literature review of this poorly studied clinical entity and s eeks to educate physicians providing emergency, traumatic, orthopedic or critical care to patients who present with acute inferior hip dislocations. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: John Kiel, Renee Genova Source Type: research

Gearing up, again
An alternate care site (ACS) can help offload low-acuity ED volume during times of surge. We previously reported on the utility of an ACS during the COVID surge in downstate New York during the spring of 2020 [1]. A second surge of cases erupted in downstate New York in November 2020. Unlike the initial surge, widespread testing is more readily available during this second surge. Local urgent care centers began closing 90  min earlier because of higher census and staff shortages [2]. In anticipation of collateral ED surge as a result of UC volume and closures, we resurrected our ACS for evaluation of ambulatory, low-acui...
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Gregory Garra, Sanjey Gupta, Steven Ferrante, Christopher Jerome, William Apterbach Source Type: research

The ongoing impact of COVID-19 on asthma and pediatric emergency health-seeking behavior in the Bronx, an epicenter
BackgroundThe Bronx has the highest prevalence of asthma in the United States (US), and was also an early COVID-19 epicenter, making it a unique study location. Worldwide reports describe significant declines in pediatric emergency department (PED) visits during COVID-19. The ongoing impact of COVID-19 on all PED presentations, including asthma, at an early epicenter has not been studied beyond the pandemic peak and into the early phases of state re-opening.ObjectiveTo compare PED health-seeking behaviors and clinical characteristics during the 2020 pandemic and subsequent initial New York State (NYS) phased re-opening to ...
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Rachel Levene, Daniel M. Fein, Ellen J. Silver, Joanna R. Joels, Hnin Khine Source Type: research

An assessment of treatment, transport, and refusal incidence in a National EMS's routine work during COVID-19
COVID-19 created lifestyle changes, and induced a fear of contagion affecting people's decisions regarding seeking medical assistance. Concern surrounding contagion and the pandemic has been found to affect the number and type of medical emergencies to which Emergency Medical Services (EMS) have responded. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Maya Siman-Tov, Refael Strugo, Timna Podolsky, Oren Blushtein Source Type: research

NLR and CRP to albumin ratio as a predictor of in-hospital mortality in the geriatric ED patients
We aimed to investigate the role of neutrophil to lymphocyte ratio (NLR) and the C-Reactive Protein/Albumin Ratio (CAR), which are obtained from the first laboratory values of the elderly patients at admission to the emergency department (ED), in predicting in-hospital mortality. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Mustafa Kursat Ayranci, Kadir Kucukceran, Zerrin Defne Dundar Source Type: research

The soymilk diet: A previously unknown etiology of acute pancreatitis
We present a case of daily, large ingestions of soymilk that likely led to acute pancreatitis. Soybean contains trypsin inhibitor that when ingested will reduce the activity of trypsin in the intestine. A decrease in intestinal proteolytic activity removes the negative feedback on the pancreatic acinar cells, leading to an inappropriate increase in intrapancreatic trypsin secretion. When trypsin activation exceeds the capacity of pancreatic secretory trypsin inhibitor, the subsequent cascade of events can lead to acute pancreatitis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Ian S. de Souza, Alexander Lipsitt Source Type: research

Intubation rate of patients with hypoxia due to COVID-19 treated with awake proning: A meta-analysis
Awake prone positioning (PP), or proning, is used to avoid intubations in hypoxic patients with COVID-19, but because of the disease's novelty and constant evolution of treatment strategies, the efficacy of awake PP is unclear. We conducted a meta-analysis of the literature to assess the intubation rate among patients with COVID-19 requiring oxygen or noninvasive ventilatory support who underwent awake PP. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Stephanie Car, Jessica Downing, Reem Alfalasi, Vera Bzhilyanskaya, David Milzman, Mehboob Rehan, Bradford Schwartz, Isha Yardi, Fariba Yazdanpanah, Quincy K. Tran Source Type: research

Spontaneous infarction of lumbar roots, vertebrae and paravertebral muscles
Ischemic injury to the lumbosacral nerve roots and plexus is a rare condition resulting from thrombosis of one or several lumbar arteries.As the arterial supply of the spine presents great variations between subjects, the clinical presentation of lumbar thrombosis is highly variable depending on the relative involvement of nerve roots, bones or muscles.Diagnosis can be challenging, especially in the acute phase, as different structures can be simultaneously involved. The identification of an enlarged vessel centered in the area of tissue damage can help with the final diagnosis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Willaume Thibault, Felten Renaud, Pijnenburg Luc, Lersy Fran çois, Bierry Guillaume Source Type: research

Use of a negative pressure procedural tent in the Emergency Department during the COVID-19 pandemic
Clinicians in Emergency Departments (EDs) face unprecedented and unparalleled risks during the COVID-19 pandemic [1]. Many healthcare systems continue to face challenges posed by ED overcrowding and boarding of critically ill patients due to limited inpatient capacity [2]. Aerosol generating procedures (AGPs), including non-invasive ventilation (NIV), oxygen delivery via high flow nasal cannula (HFNC), nebulized medication therapy, and endotracheal intubation, are frequently performed in EDs in patients with respiratory distress and respiratory failure. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Nathan L. Haas, Benjamin S. Bassin, Henrique A. Puls, Kevin R. Ward Source Type: research

Emergency department methicillin-resistant Staphylococcus aureus nare screen effect on pneumonia treatment duration
The objective of this study was to determine if performing a methicillin-resistant Staphylococcus aureus (MRSA) nasal screen in the emergency department (ED) decreased general medicine patient exposure to anti-MRSA antibiotics for pneumonia. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Anthony J. Renzoni, Gary D. Peksa, Joshua M. DeMott Source Type: research

COVID-19 in patients with cancer: Risks and precautions
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a member of the coronavirus family, which causes coronavirus disease 2019 (COVID-19). The phenotype of the disease varies from asymptomatic, to a mild phenotype, through to the severe form of acute respiratory distress syndrome (ARDS), which often leads to death, especially in those with underlying diseases. It has been reported that those who suffer from cancer (especially lung cancer and hematological malignancies) are at higher risk of serious complications and death from COVID-19. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: AzadehSadat Razavi, Michael R. Hamblin, Nima Rezaei Source Type: research

Inferior hip dislocation in a 16  year old
This article reviews the case of a 16  year old male who presented to the emergency department (ED) following a high speed motor vehicle crash. On arrival he was diagnosed with a right inferior hip dislocation among other critical findings. This case report provides a brief literature review of this poorly studied clinical entity and seeks to educate physicians providing emergency, traumatic, orthopedic or critical care to patients who present with acute inferior hip dislocations. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: John Kiel, Renee Genova Source Type: research

The impact of COVID-19 lockdown on infectious diseases epidemiology: The experience of a tertiary Italian Pediatric Emergency Department
The aim of this study was to describe the rate and types of community-acquired respiratory infections observed in a pediatric ED during the SARS-CoV-2 related lockdown in Italy and to compare data with the same period of previous year. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 27, 2021 Category: Emergency Medicine Authors: Gioacchino Andrea Rotulo, Beatrice Percivale, Marta Molteni, Alessandro Naim, Giacomo Brisca, Emanuela Piccotti, Elio Castagnola Source Type: research

Young patient with pneumonia complicated by bronchopleural fistula
We present the case of a 19  year old female presenting to the Emergency Department with signs of pneumonia and sepsis, with her clinical status deteriorating rapidly to septic shock and respiratory failure. Her pneumonia was complicated by formation of an empyema and a bronchopleural fistula.Bronchopleural fistula (BPF) is a fistula between pleural space and a bronchus. It is an uncommon complication of lung surgery, endobronchial interventions or chest trauma. They are sometimes formed secondary to postoperative pneumonia. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 26, 2021 Category: Emergency Medicine Authors: Maria Mohammed Fariduddin, Kai Wang, Ayesha Birjees, Wajihuddin Syed Source Type: research

Effectiveness of oritavancin for management of skin and soft tissue infections in the emergency department: A case series
Skin and soft tissue infections, such as cellulitis, are commonly diagnosed in the emergency department and these patients are often admitted to the hospital for intravenous antibiotic therapy. Oritavancin is a novel antibiotic approved for the treatment of skin and soft tissue infections that is administered as a one-time infusion. While oritavancin has demonstrated comparable efficacy with multi-dose parenteral antibiotics in clinical trials and has been proposed as an alternative to admission for emergency department patients, there is a paucity of available real world effectiveness data. (Source: The American Journal o...
Source: The American Journal of Emergency Medicine - January 26, 2021 Category: Emergency Medicine Authors: Drew Dretske, Lucas Schulz, Erin Werner, Brian Sharp, Michael Pulia Source Type: research

Intracranial hemorrhage and out of hospital cardiac arrest
This study is well designed and well written prospective study for the incidence of intracranial hemorrhage (ICH) in the out of hospital cardiac arrest (OHCA) survivor group. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 26, 2021 Category: Emergency Medicine Authors: Mustafa Emin Canakci, Nurdan Acar Source Type: research

The effect of a nursing strike on emergency department operational metrics
In July of 2017, after more than 15 months of negotiations, an academic teaching hospital in Boston failed to reach an agreement on the terms of contract renewal with its nursing union resulting in a strike. Replacement nurses were hired by the hospital to fulfill nursing duties for five days. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 24, 2021 Category: Emergency Medicine Authors: Nadine A. Youssef, Matthew B. Mostofi, Brien A. Barnewolt, Rouba Youssef, Scott G. Weiner Source Type: research

Impact of the modified SESAME ultrasound protocol implementation on patients with cardiac arrest in the emergency department
Point-of-care (POC) ultrasound protocols are commonly used for the initial management of patients with cardiac arrest in the emergency department (ED). However, there is little published evidence regarding any mortality benefit. We compared and studied the effect of implementation of the modified SESAME protocol in terms of clinical outcomes and resuscitation management. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 24, 2021 Category: Emergency Medicine Authors: Su Yeong Pyo, Gwan Jin Park, Sang Chul Kim, Hoon Kim, Suk Woo Lee, Ji Han Lee Source Type: research

Euglycemic diabetic ketoacidosis associated with SGLT2i use: Case series
We report a case series of patients diagnosed with EuDKA in the ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 24, 2021 Category: Emergency Medicine Authors: Henrique A. Puls, Nathan L. Haas, Brian Franklin, Nik Theyyunni, Carrie E. Harvey Source Type: research

Efficacy of a new dispatcher-assisted cardiopulmonary resuscitation protocol with audio call-to-video call transition
Video call based dispatcher-assisted cardiopulmonary resuscitation (V-DACPR) has been suggested to improve the quality of bystander cardiopulmonary resuscitation. In the current system, dispatchers must convert the audio calls to video calls to provide V-DACPR. We aimed to develop new audio call-to-video call transition protocols and test its efficacy and safety compared to conventional DACPR(C-DACPR). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 23, 2021 Category: Emergency Medicine Authors: Stephen Gyung Won Lee, Tae Han Kim, Hee Soon Lee, Sang Do Shin, Kyoung Jun Song, Ki Jeong Hong, Jong Hwan Kim, Yong Joo Park Source Type: research