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.

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

Advocating for the concept of spiritual health
To the Editor - We found the papers of Ehrlich et al. [1] and Santarone et al. [2] especially important and quite timely, both about the maintenance of health amongst clinical staff during this pandemic. This is a topic that is usually overlooked and, and we hope this pair of papers will encourage more attention to this matter. However, merely as a complement, we dare in this letter to remind an issue not addressed in the texts: the spiritual dimension of health. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - February 3, 2021 Category: Emergency Medicine Authors: Marcelo Saad, Roberta de Medeiros Source Type: research

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
(Source: The American Journal of Emergency Medicine)
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