Use of both Fab and F(ab ’)2 fragment antivenom in a pediatric patient for treatment of a North American Crotalidae envenomation
Crotalidae envenomation has been managed successfully in emergency departments across the world with antivenom. Over the years, antivenom has evolved and newer agents have been studied with the possibility of eliminating maintenance antivenom therapy. Here we report a patient who had worsening platelet and fibrinogen concentrations, as well as complaints of swelling and pain at the site of a rattlesnake envenomation following an initial dose of F(ab ’) 2 AV (Crotalidae immune F(ab’) 2 (equine) [ANAVIP®]) Crotalidae antivenom. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - November 24, 2020 Category: Emergency Medicine Authors: Ashley M. Martin, George S. Wang, Kevin Poel Source Type: research

Inflammatory markers are poorly predictive of clinical outcomes among hospitalized patients with COVID-19
The objective of this study is to assess the prognostic capability of these tests in predicting clinical outcomes. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - November 24, 2020 Category: Emergency Medicine Authors: Brendan Barrett, Styve Pamphile, Fan Yang, Farnia Naeem, Jinsung Kim, Jayabhargav Annam, Rachel Borczuk, Shira Yellin, Carly Bass, Sabrina Fowler, Maykl Mosheyev, Yael Jessica Mayer, Benjamin W. Friedman Source Type: research

Characterizing pediatric emergency department visits during the COVID-19 pandemic
We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - November 23, 2020 Category: Emergency Medicine Authors: Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, Jestin N. Carlson, Pablo Celedon, Ali Moghtaderi, Arvind Venkat, For the US Acute Care Solutions Research Group Source Type: research

Shifting attention to an undervalued asset; the emergency department technician
US emergency departments are facing a number of operational challenges related to chronic shortages of registered nurses. Many of the tasks done by registered nurses can be safely and successfully delegated to the emergency department technician (EDT), particularly if a hospital's nursing and administrative leadership are affirmatively engaged in a process to professionalize and train their EDT workforce. This paper examines the state, Joint Commission on Accreditation of Healthcare Organizations, and Centers for Medicare& Medicaid Services regulatory landscape for the EDT, reviews the literature on how hospital's utilize ...
Source: The American Journal of Emergency Medicine - November 23, 2020 Category: Emergency Medicine Authors: Robert Shesser, Mateen Ghassemi, Emily Sun, Amy Keim, Alex Marchak, Ali Pourmand, Ali Pourmand Source Type: research

Massive Vespa basalis stings induce an envenoming syndrome
Envenoming syndrome induced by massive Vespa basalis stings is a critical condition. Severe systemic reaction may present with hemolytic activity and rhabdomyolysis, leading diffuse alveolar hemorrhage, adult respiratory distress syndrome, coagulopathy, and multiple organs failure. In severe envenoming syndrome population, extracorporeal membrane oxygenation (ECMO) may be considered for unstable hemodynamic status. However, few studies reported ECMO in venom-induced disseminated intravascular coagulation patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - November 23, 2020 Category: Emergency Medicine Authors: Yao-Chen Wang, Chan-Yang Hsu, Yu-Long Chen, Po-Chen Lin, Meng-Yu Wu Source Type: research