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

Do scan numbers predict point-of-care ultrasound use and accuracy in senior emergency medicine residents?
Total number of point-of-care ultrasound (POCUS) scans is frequently used as an indirect measure of ultrasound competency in Emergency Medicine (EM) residency [1-6]. 150 ultrasound scans has been set as a graduation milestone by the American Board of Emergency Medicine and the Accreditation Council for Graduate Medical Education [7] This indirect marker is presumably relied upon because it is difficult to accurately measure competency. However, the relationship between scan numbers and interpretation accuracy is not well understood. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 23, 2021 Category: Emergency Medicine Authors: Lauren Ann Selame, Joshua J. Davis, Irene W.Y. Ma, Kathleen McFadden, Calvin Huang, Andrew Liteplo, Andrew Goldsmith, Hamid Shokoohi Source Type: research

Prognostic significance of emergency department modified early warning score trend in critical ill elderly patients
To explore the relationship between trends in emergency department modified early warning score (EDMEWS) and the prognosis of elderly patients admitted to the intensive care unit (ICU). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 23, 2021 Category: Emergency Medicine Authors: Chih-Chun Kao, Yen-Chia Chen, Hsien-Hao Huang, The-Fu Hsu, David Hung-Tsang Yen, Ju-Sing Fan Source Type: research

Treatment of suspected sepsis and septic shock in children with chronic disease seen in the pediatric emergency department
Research demonstrates that timely recognition and treatment of sepsis can significantly improve pediatric patient outcomes, especially regarding time to intravenous fluid (IVF) and antibiotic administration. Further research suggests that underlying chronic disease in a septic pediatric patient puts them at higher risk for poor outcomes. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 22, 2021 Category: Emergency Medicine Authors: Emily Hegamyer, Nadine Smith, Amy D. Thompson, Andrew D. Depiero Source Type: research

Philadelphia versus Miami J cervical collar's impact on pulmonary function
The purpose of this study was to compare the effect of two types of cervical collars (Philadelphia and Miami-J) on pulmonary function and ventilation in healthy volunteers through spirometry, peak flow meter, and capnograph. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 22, 2021 Category: Emergency Medicine Authors: Alireza Ala, Samad Shams Vahdati, Parham Maroufi, Sadaf Hafezan, Niloufar Ansari, Amir Ghabousian Source Type: research

Can open access publishing be made ‘JUST’ for authors from low-middle income countries?
Medical innovation, scientific research and ultimately academic publication are vital for clinicians as they progress in their professional career [1]. All these three elements are necessary to enhance medical knowledge. This allows clinicians to be abreast with evidence-based medicine that can be applied to enhance patient care in a multitude of conditions. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 21, 2021 Category: Emergency Medicine Authors: Karthikeyan P. Iyengar, Vijay Kumar Jain, Shashi Bahl, Raju Vaishya Source Type: research

Comparison of MPL-ANN and PLS-DA models for predicting the severity of patients with acute pancreatitis: An exploratory study
Acute pancreatitis (AP) is a common inflammatory disorder that may develop into severe AP (SAP), resulting in life-threatening complications and even death. The purpose of this study was to explore two different machine learning models of multilayer perception-artificial neural network (MPL-ANN) and partial least squares-discrimination (PLS-DA) to diagnose and predict AP patients' severity. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 21, 2021 Category: Emergency Medicine Authors: Xinrui Jin, Zixuan Ding, Tao Li, Jie Xiong, Gang Tian, Jinbo Liu Source Type: research

Extreme weather conditions as a gender-specific risk factor for acute myocardial infarction
Acute coronary syndrome is a disease with high prevalence and high mortality. Exposure to heat or cold increases the risks of myocardial infarction significantly. Gender-specific effects of this have not yet been examined. Our goal was to determine whether extreme weather conditions, which become more and more frequent, are gender-specific risk factors for myocardial infarction, in order to help provide faster diagnosis and revascularization therapy for patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 21, 2021 Category: Emergency Medicine Authors: Calvin Lukas Kienbacher, Rainer Kaltenberger, Wolfgang Schreiber, Katharina Tscherny, Verena Fuhrmann, Dominik Roth, Harald Herkner Source Type: research

Cardiology emergency management and telecardiology within territorial hospital network. Four years activity results
In this study, four years of telecardiology activity managed by the Provincial Public Health Provider of Cosenza (ASP CS) are reviewed with a special focus on ST-Elevation Myocardial Infarction (STEMI) diagnosis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 21, 2021 Category: Emergency Medicine Authors: Silvana De Bonis, Nadia Salerno, Antonio Bisignani, Antonio Capristo, Gennaro Sosto, Antonella Verta, Riccardo Borselli, Cristina Capristo, Giovanni Bisignani Source Type: research