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.

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