Methods of laceration closure in the ED: A national perspective
Laceration closure is one of the most common procedures performed in the emergency department (ED). While sutures and staples have been the traditional wound closure device, topical skin adhesives (TSA) were introduced in the United States 20  years ago as a non-invasive alternative for simple, low-tension wounds. We determined which closure devices were used to close ED lacerations and explored patient and provider characteristics associated with choosing TSA. We also tested the hypothesis that use of TSA would be associated with shor ter ED length of stay (LOS) than sutures/staples. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 25, 2019 Category: Emergency Medicine Authors: Karalynn Otterness, Henry C. Thode, Adam J. Singer Source Type: research

Delusional parasitosis as presenting symptom of occipital lobe cerebrovascular accident
Delusional parasitosis manifests as a fixed, false belief that an individual is infested by living organisms. Primary delusional parasitosis is a psychiatric disorder with the delusion as an isolated manifestation, whereas secondary delusional parasitosis is a delusion occurring secondary to a psychiatric disorder, substance use, or medical illness. A 62-year-old woman with no psychiatric history presented to the Emergency Department with two to three months of “whole body itching” and seeing small insects crawling on her skin and in her hair. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 25, 2019 Category: Emergency Medicine Authors: Nathan L. Haas, Adam Nicholson, Mary R.C. Haas Source Type: research

Evaluation of infection rates with narrow versus broad-spectrum antibiotic regimens in civilian gunshot open-fracture injury
Civilian gunshot open-fracture injuries portray a significant health burden to patients. Use of antibiotics is endorsed by guideline recommendations for the prevention of post-traumatic infections, however, antimicrobial selection and their associated outcomes remains unclear. Therefore, we sought to compare infectious and other clinical outcomes between three antimicrobial cohorts in patients with gunshot-related fractures requiring operative intervention. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 23, 2019 Category: Emergency Medicine Authors: Jordan A. Woolum, Abby M. Bailey, Adam Dugan, Rahul Agrawal, Regan A. Baum Source Type: research

Differential impacts of inappropriate empirical therapy on ED patients with Staphylococcus aureus and streptococci bacteremia
Staphylococcus aureus (S. aureus) and streptococci are leading Gram-positive pathogens causing community-onset bacteremia. The comparisons of initial presentations and impacts of inappropriate empirical antimicrobial therapy (EAT) on clinical outcomes between the two pathogens are lacking. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 23, 2019 Category: Emergency Medicine Authors: Chung-Hsun Lee, Chao-Yung Yang, Chih-Chia Hsieh, Ming-Yuan Hong, Ching-Chi Lee Source Type: research

Sepsis is frequent in initially non-critical hypotensive emergency department patients and is associated with increased mortality
The objective of this study was to determine in initially non-critical hypotensive adult patients the proportion of sepsis and if septic patients had different outcome and clinical factors than non-septic patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 23, 2019 Category: Emergency Medicine Authors: Sean Coeckelenbergh, Marc Van Nuffelen, Christian M élot Source Type: research

Do-not-attempt resuscitation independently predict in-hospital mortality in septic patients
Sepsis patients require timely and appropriate treatment in an intensive care setting. However, “do-not-attempt resuscitation” (DNAR) status may affect physicians' priorities and treatment preferences. The aim of this study was to evaluate whether DNAR status affects the outcomes of septic patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 23, 2019 Category: Emergency Medicine Authors: An-Yi Wang, Cheng-Kuei Chang Source Type: research

Left ventricular non-compaction; an unusual presentation with supraventricular tachycardia in the emergency department
We present a case of a common cardiac arrhythmia in the emergency department with a work up consistent with LVNC being the underlying etiology. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 23, 2019 Category: Emergency Medicine Authors: Amanda Jurvis, Michael J. Burla Source Type: research

An irregular, extremely broad QRS complex rhythm
We report a case of a 74-year-old lady admitted to the emergency department with a very broad QRS complex caused by flecainide intoxication due to acute renal failure. Appropriate recognition of the ECG changes and symptoms provoked by flecainide intoxication permitted quick directed treatment with intravenous administration of high dose sodium bicarbonate, which resolved the QRS elongation. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 21, 2019 Category: Emergency Medicine Authors: Wilgenhof Adriaan, Michiels Vincent, Cosyns Bernard Source Type: research

A unique case of bradycardia recognized by wearable technology as first presentation of complete heart block
We present the first case of wearable technology identified bradycardia diagnosed as the primary presentation of complete heart block. Wearable technology has advanced significantly, but still poses questions regarding its use in screening for rare conditions. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 21, 2019 Category: Emergency Medicine Authors: Daniel L. Overbeek, Emily M. Hogikyan, Mallory Davis, Daniel C. McGillicuddy Source Type: research

Hepatitis B screening in an argentine ED: Increasing vaccination in a resource-limited setting
There is limited data regarding the use of emergency departments (EDs) for infectious disease screening and vaccination in resource-limited regions. In these settings, EDs are often the only contact that patients have with the healthcare system, turning an ED visit into an opportune time to deliver preventative health services. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 18, 2019 Category: Emergency Medicine Authors: James S. Ford, Leonardo G. Marianelli, Natalia Frassone, Jose D. Debes Tags: Brief Report Source Type: research

Hepatitis B screening in an argentine emergency department: A pilot study to increase vaccination in a resource-limited setting
There is limited data regarding the use of emergency departments (EDs) for infectious disease screening and vaccination in resource-limited regions. In these settings, EDs are often the only contact that patients have with the healthcare system, turning an ED visit into an opportune time to deliver preventative health services. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 18, 2019 Category: Emergency Medicine Authors: James S. Ford, Leonardo Marianelli, Natalia Frasone, Jose D. Debes Source Type: research

Relationship between body temperature and heart rate in adults and children: A local and national study
A patient's vital signs are all inextricably interrelated, and together provide critical information regarding hemodynamic and physiological status. Yet, the precise relationship between body temperature (T) and heart rate (HR) in adults remains a fundamental gap in our knowledge. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 18, 2019 Category: Emergency Medicine Authors: Gregory W. Kirschen, Daniel D. Singer, Henry C. Thode, Adam J. Singer Source Type: research

“Bug Off! Severe toxicity following inhalation exposure to N,N-diethyl-meta-toluamide DEET” Tavares et al., 2019; AJEM
There is a serious mischaracterization of the DEET-based product in the recent article, “Bug Off! Severe toxicity following inhalation exposure to N,N-diethyl-meta-toluamide (DEET)” ([1]. American Journal of Emergency Medicine, In Press). This product is not a “bug bomb” used to kill insects in residential and other structures. In fact, there are no such DEET-based products ava ilable in the U.S. because DEET is a repellent—it does not kill mosquitoes, ticks or other biting insects. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 17, 2019 Category: Emergency Medicine Authors: Andrey I. Nikiforov Source Type: research

“Bug Off! Severe toxicity following inhalation exposure to N,N-diethyl-meta-toluamide (DEET)” (Tavares et al., 2019; AJEM)
There is a serious mischaracterization of the DEET-based product in the recent article, “Bug Off! Severe toxicity following inhalation exposure to N,N-diethyl-meta-toluamide (DEET)” ([1]. American Journal of Emergency Medicine, In Press). This product is not a “bug bomb” used to kill insects in residential and other structures. In fact, there are no such DEET-based products ava ilable in the U.S. because DEET is a repellent—it does not kill mosquitoes, ticks or other biting insects. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 17, 2019 Category: Emergency Medicine Authors: Andrey I. Nikiforov Source Type: research

Pedometer-measured physical activity among emergency physicians during shifts
This study aims to provide the first characterization of physical activity among on-duty Emergency Physicians in terms of step count. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 17, 2019 Category: Emergency Medicine Authors: Gregory A. Peters, Matthew L. Wong, Leon D. Sanchez Source Type: research

A randomized trial of ultrasound-guided peripheral IV catheter placement in difficult access patients using a guidewire approach
The purpose of this pilot study was to investigate whether use of a guidewire improves successful placement of ultrasound-guided peripheral IVs (PIV) in difficult intravenous access patients in the emergency department (ED). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 17, 2019 Category: Emergency Medicine Authors: Haley Cochrane, Patricia C. Henwood, Elke Platz, Viktoria Koskenoja, Adaira Landry, Sarah E. Frasure, Josh Rempell, Janet Hoyler, Olesya Baker, Heidi Kimberly Source Type: research

Comorbid conditions and emergency department treat and release utilization in multimorbid persons with cognitive impairment
There is an increasing focus in the emergency department (ED) on addressing the needs of persons with cognitive impairment, most of whom have multiple chronic conditions. We investigated which common comorbidities among multimorbid persons with cognitive impairment conferred increased risk for ED treat and release utilization. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 16, 2019 Category: Emergency Medicine Authors: Janet L. MacNeil-Vroomen, Justine M. Nagurney, Heather G. Allore Source Type: research

External validation of the CHOKAI score for the prediction of ureteral stones: A multicenter prospective observational study
The CHOKAI and STONE scores are clinical prediction rules to predict ureteral stones in patients presenting with renal colic. Both systems contribute to reducing diagnostic radiation exposure; however, few studies have compared the two scoring systems. Therefore, we aimed to compare these systems and assess their diagnostic accuracy for ureteral stones. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 15, 2019 Category: Emergency Medicine Authors: Hiroki Fukuhara, Tadahiro Kobayashi, Satoshi Takai, Toshihiro Tawara, Masato Kikuta, Asumi Sugiura, Atsushi Yamagishi, Tsubasa Toyohara, Masaki Nakane, Norihiko Tsuchiya Source Type: research

The utility of iPhone oximetry apps: A comparison with standard pulse oximetry measurement in the emergency department
To determine if a correlation exists between 3 iphone pulse ox applications' measurements and the standard pulse oximetry (SpO2) and whether these applications can accurately determine hypoxia. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 15, 2019 Category: Emergency Medicine Authors: Taylor B. Jordan, Cody L. Meyers, Walter A. Schrading Source Type: research

Understanding the perception of workload in the emergency department and its impact on medical decision making
Workload in healthcare has been widely studied [1-3]. Perceived workload [4] of clinicians is often linked to burnout, clinical errors, patient safety [5] and satisfaction [6]. Quantifying perceived workload in the Emergency Department (ED) is especially challenging due to varying volumes of patients and time-sensitive tasks [7-9]. Different aspects of perceived workload [10] in the ED impact medical decision making (MDM), leading to delays in treatment [11] and diagnostic errors [12,13]. The NASA Task Load Index (NASA-TLX) is an assessment tool that quantifies perceived workload [14] in various healthcare settings [15-19]...
Source: The American Journal of Emergency Medicine - July 15, 2019 Category: Emergency Medicine Authors: Miranda Prints, Daniela Fishbein, Ryan Arnold, Eric Stander, Kristen Miller, Tracy Kim, Muge Capan Source Type: research

Implementation of a pilot electronic stroke outcome reporting system for emergency care providers
Emergency department (ED) providers and clinicians find that feedback on acute stroke patients is rewarding, valuable to professional development, and helpful for practice improvement. However, feedback is rarely provided, particularly for patients with stroke. Here we describe the implementation of an electronic stroke outcome reporting tool for providing feedback to ED providers. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 11, 2019 Category: Emergency Medicine Authors: William L. Scheving, Joseph M. Ebersole, Michael Froehler, Donald Moore, Kiersten Brown-Espaillat, James Closser, Wesley H. Self, Michael J. Ward Source Type: research

The impact of burnout syndrome on practitioners working within rural healthcare systems
Burnout syndrome (BOS) affects up to 50% of healthcare practitioners. Limited data exist on BOS in paramedics/firstresponders, or others whose practice involves trauma. We sought to assess the impact of BOS in practitioners of rural healthcare systems involved in the provision of trauma care within West Virginia.Methods: A 3-part survey was distributed at two regional trauma conferences in 2018. The survey consisted of 1) Demographic/occupational items, 2) The Mini Z Burnout Survey, and 3) elements measuring the impact, and supportive infrastructure to prevent and/or manage BOS. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 9, 2019 Category: Emergency Medicine Authors: Audis Bethea, Damayanti Samanta, Maher Kali, Franck C. Lucente, Bryan K. Richmond Source Type: research

Suicide and the creation of evidence-based guidelines: the ACEP perspective
The American College of Emergency Physicians, as well as most emergency physicians, recognize that suicide is a national epidemic [1]. Suicide is the 10th leading cause of death for all ages combined [1], and from 1999 to 2016, suicide rates rose by 28% nationally [2]. Most patients have seen a physician prior to their suicide [3,4], and many of these patients have seen this physician in the emergency department (ED) [5-7]. In fact, “mental disorders” was the 9th leading diagnosis made in emergency department patients in 2015 [8]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 9, 2019 Category: Emergency Medicine Authors: Paul D. Kivela Source Type: research

Association between hyperoxemia and mortality in patients treated by eCPR after out-of-hospital cardiac arrest
Assess whether elevated oxygen partial arterial pressure (PaO2) measured after the initiation of extra-corporeal cardiopulmonary resuscitation (eCPR), is associated with mortality in patients suffering from refractory out-of-hospital cardiac arrest (rOHCA). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Authors: M. Halter, R. Jouffroy, A. Saade, P. Philippe, P. Carli, B. Vivien Source Type: research

An impact analysis of the NEXUS Chest CT clinical decision rule
The NEXUS Chest CT clinical decision rules (CDRs) have been proposed to safely guide selective chest CT use in blunt trauma evaluation. We conducted a cost-effectiveness analysis of the NEXUS Chest CT CDR to determine its impact on missed injuries, cost, and radiation exposure. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Authors: Ralph Wang, Matthew J. Niedzwiecki, Daniel Nishijima, Robert M. Rodriguez Source Type: research

Age shock index, shock index, and modified shock index for predicting postintubation hypotension in the emergency department
Hypotension after emergent ETI is a relatively common complication during and after emergency airway management. We aimed to evaluate SI, MSI, and age SI to predict PIH in patients who presented to the emergency department. Moreover, which factors would be better for predicting the event or similar to the others. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Authors: Kyoungmi Lee, Jun Sung Jang, Jihye Kim, Young Ju Suh Source Type: research

Severe toxicity following inhalational exposure to N, N-diethyl-meta-toluamide (DEET)
We reported a patient with severe toxicity following inhalational exposure to an insect repellant containing 98% DEET. After discussion with Dr. Nikiforov, it was confirmed that the source of DEET was not a home insect fogger but rather a continuous spray repellant. Although designed for application to the skin and clothing, the patient used the spray indoors in a small enclosed mobile home. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Authors: Erica M. Tavares, Bryan S. Judge, Jeffrey S. Jones Source Type: research

Safety preempted: When EMTALA and restraining orders collide
A patient has been stalking Dr. Smith, an emergency physician at St. Mary's Hospital, for months. His stalking behavior has included frequent phone calls and e-mails. The patient has come to the emergency department at Saint Mary's during shifts worked by Dr. Smith several times. He has been in the emergency department 15 times in the last six months for vague complaints. Extensive medical work-ups have been negative. The patient frequently leaves against medical advice. He has been seen by multiple consultants including psychiatry, who diagnosed him with malingering and gave no other psychiatric diagnosis. (Source: The Am...
Source: The American Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Authors: Michael R. MacIntyre, Jacob M. Appel Source Type: research

Identifying and minimizing abuse of emergency call center services through technology
To identify and minimize unnecessary calls to emergency numbers and to assess the effectiveness of call-tracking technology in addressing the problem. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 8, 2019 Category: Emergency Medicine Authors: Oren Blushtein Adv, Maya Siman Tov, Racheli Magnezi Source Type: research

Combining qSOFA criteria with initial lactate levels: Improved screening of septic patients for critical illness
To determine if the addition of lactate to Quick Sequential Organ Failure Assessment (qSOFA) scoring improves emergency department (ED) screening of septic patients for critical illness. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 4, 2019 Category: Emergency Medicine Authors: Brigitte M. Baumann, John C. Greenwood, Kristin Lewis, Thomas J. Nuckton, Bryan Darger, Frances S. Shofer, Dawn Troeger, Soo Y. Jung, J. Hope Kilgannon, Robert M. Rodriguez Source Type: research

An analysis of the pediatric casualties undergoing massive transfusion in Iraq and Afghanistan
We report the characteristics of pediatric casualties associated with undergoing massive transfusion at US military treatment facilities during combat operations in Iraq and Afghanistan. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 4, 2019 Category: Emergency Medicine Authors: Steven G. Schauer, Abigail R. Wheeler, Michael D. April, Hannah L. Gale, Tyson E. Becker, Guyon J. Hill, Matthew A. Borgman Source Type: research

Hand injuries associated with reaching into a snow blower to clear clogged snow
Hand injuries represent the most common and potentially serious injuries associated with the use of snow blowers. Little research has been conducted on a national scale to examine these types of injuries. Therefore, the purpose of the study was to examine hand injuries among patients treated in an emergency department (ED) related to attempting to clear snow out of a clogged snow blower. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 3, 2019 Category: Emergency Medicine Authors: Bart Hammig, Ches Jones Source Type: research

Impact of wait time during a first pediatric emergency room visit on likelihood of revisit in the next year
Pediatric emergency departments (ED) develop strategies to decrease wait time. Yet, lowering wait times may incite patients to come back, and increase patient volume. We aim to determine if wait time in a first visit influenced the likelihood of a revisit to the same setting. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 3, 2019 Category: Emergency Medicine Authors: Olivier Drouin, Antonio D'Angelo, Jocelyn Gravel Source Type: research

Drone-related injuries treated at emergency departments
A personal or consumer drone is a remotely-controlled unmanned aircraft system (UAS) or unmanned aerial vehicle (UAV) designed for the mass market. Such devices have become increasingly popular. By early 2018, the total number of drones, including consumer drones, registered with the United States (US) Federal Aviation Administration (FAA) had exceeded one million [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 3, 2019 Category: Emergency Medicine Authors: Mathias B. Forrester Source Type: research

Avocado-related knife injuries: Describing an epidemic of hand injury
Recent media reports have described knife injuries sustained while preparing avocados; however, this rise has not been reported in the literature. The purpose of this study is to describe, quantify, and trend emergency department (ED) encounters associated with avocado-related knife injuries. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Authors: Kevin X. Farley, Matthew Aizpuru, Susanne H. Boden, Eric R. Wagner, Michael B. Gottschalk, Charles A. Daly Source Type: research

Comparison between new modified external rotation method and external rotation method for reduction of ASD
Dislocation of the shoulder joint is common and is mainly anterior. Several reduction methods have been described and the external reduction method (ERM) is one of the newest. We modified the ERM by making some additions in hopes to develop a less painful, quick and simple method. The aim of this study was to compare the new modified external rotation reduction method (MERM) with ERM in acute anterior shoulder dislocations (ASD). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Authors: Mehmet Akcimen, Cihan Bedel Source Type: research

Implementation of an adult code sepsis protocol and its impact on SEP-1 core measure perfect score attainment in the ED
The objective of this study was to determine the impact of an Adult Code Sepsis Protocol on the rate of SEP-1 perfect score attainment (PSA) among patients who presented to the emergency department (ED) with severe sepsis or septic shock, as defined by the Centers for Medicare and Medicaid Services (CMS). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Authors: Philip L. Whitfield, Patrick D. Ratliff, Lisa L. Lockhart, Dan Andrews, Kelsey L. Komyathy, Mark A. Sloan, Jeremy C. Leslie, William R. Judd Source Type: research

Unusual cause of septic pulmonary emboli: Infected iliac aneurysm with suppurative thrombophlebitis
We present a case of SPE caused by an infected iliac arterial aneurysm complicated with suppurative thrombophlebitis of the inferior vena cava due to Klebsiella pneumoniae. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Authors: Keisuke Maeda, Toshihisa Ichiba, Masako Hata, Tomohiro Taniguchi, Kazunori Seo, Hiroshi Naitou Source Type: research

Does Overall Cervical Spine Pathology Relate to the Clinical Heterogeneity of Chronic Whiplash?
There remains limited evidence for the clinical importance of most imaging findings in whiplash. However, it is possible the type and number of findings on Computed Tomography (CT) may contribute to prognostic recovery models. The purpose is to interpret cervical spine pathologies in the context of known factors influencing recovery. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 1, 2019 Category: Emergency Medicine Authors: James M. Elliott, Todd B. Parrish, David M. Walton, Amy J. Vassallo, Joel Fundaun, Marie Wasielewski, D. Mark Courtney Source Type: research

Does acute pathology relate to clinical outcomes in chronic whiplash?
There remains limited evidence for the clinical importance of most imaging findings in whiplash. However, it is possible the type and number of findings on Computed Tomography (CT) may contribute to prognostic recovery models. The purpose is to interpret cervical spine pathologies in the context of known factors influencing recovery. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 1, 2019 Category: Emergency Medicine Authors: James M. Elliott, Todd B. Parrish, David M. Walton, Amy J. Vassallo, Joel Fundaun, Marie Wasielewski, D. Mark Courtney Source Type: research

The influence of sertraline on depressive disorder after traumatic brain injury: A meta-analysis of randomized controlled studies
Sertraline showed some potential in alleviating depressive disorder after traumatic brain injury. This systematic review and meta-analysis was conducted to investigate the efficacy of sertraline on the treatment of depressive disorder after traumatic brain injury. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 29, 2019 Category: Emergency Medicine Authors: Caibin Gao, Qiang Fu, Beibei Chen, Zhongtao Liu, Qingjiu Zhou, Zhenfu Jiang Source Type: research

ED recommendations for suicide prevention in adults: The ICAR2E mnemonic and a systematic review of the literature
Caring for suicidal patients can be challenging, especially in emergency departments without easy access to mental health specialists. The American College of Emergency Physicians and the American Foundation for Suicide Prevention appointed a working group to create an easy-to-use suicide prevention tool for ED providers. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 26, 2019 Category: Emergency Medicine Authors: Michael P. Wilson, Christine Moutier, Lisa Wolf, Kimberly Nordstrom, Travis Schulz, Marian E. Betz Tags: Original Contribution Source Type: research

Emergency department recommendations for suicide prevention in adults: The ICAR2E mnemonic and a systematic review of the literature
Caring for suicidal patients can be challenging, especially in emergency departments without easy access to mental health specialists. The American College of Emergency Physicians and the American Foundation for Suicide Prevention appointed a working group to create an easy-to-use suicide prevention tool for ED providers. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 26, 2019 Category: Emergency Medicine Authors: Michael P. Wilson, Christine Moutier, Lisa Wolf, Kimberly Nordstrom, Travis Schulz, Marian E. Betz Source Type: research

Editorial Board
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Source Type: research

Toc
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Source Type: research

Info for authors
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Source Type: research

The effects of emergency department crowding on triage and hospital admission decisions
Emergency department (ED) crowding is a recognized issue and it has been suggested that it can affect clinician decision-making. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Wanyi Chen, Benjamin Linthicum, Nilay Tanik Argon, Thomas Bohrmann, Kenneth Lopiano, Abhi Mehrotra, Debbie Travers, Serhan Ziya Source Type: research

Neighborhood-level stroke hot spots within major United States cities
Identifying communities at high risk of stroke is an important step in improving systems of stroke care. Stroke is known to show spatial clustering at the state and county levels, but it is not known if clusters are present within city boundaries. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Daniel A. Dworkis, James Marvel, Nerses Sanossian, Sanjay Arora Source Type: research

Cardiomegaly on chest radiographs as a predictor of heart disease in the pediatric population
Cardiomegaly on chest radiographs (CXR) in pediatric patients leads to multiple tests. We aimed to determine the positive predictive value (PPV) of cardiomegaly on CXR in predicting subsequent heart disease and to assess the utility of obtaining a B-type Natriuretic Peptide level (BNP) and/or electrocardiogram (EKG) in such patients. We hypothesized that an echocardiogram may not be appropriate in all cases of cardiomegaly on CXR, particularly in a patient with a normal EKG and BNP level. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Soham Dasgupta, Michael Kelleman, Timothy Slesnick, Matthew Oster Source Type: research

Role of high-dose intravenous nitrates in hypertensive acute heart failure
Patients with hypertensive acute heart failure (HAHF) can decompensate rapidly and require immediate medical attention; the use of high-dose nitroglycerin is a topic of growing interest in this patient population. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2019 Category: Emergency Medicine Authors: Kellie Wang, Kathryn Samai Source Type: research