“Triple threat” conditions predict mortality among patients with advanced cancer who present to the emergency department
Delirium, poor performance status, and dyspnea predict short survival in the palliative care setting. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Authors: Ahmed F. Elsayem, Carla L. Warneke, Cielito C. Reyes-Gibby, Luke J. Buffardi, Humaira Sadaf, Patrick S. Chaftari, Patricia A. Brock, Valda D. Page, Jayne Viets-Upchurch, Demis Lipe, Kumar Alagappan Tags: Selected Topics: Oncological Emergencies Source Type: research

Endowed Faculty Positions in Academic Emergency Medicine: 2021
In 2004, 2009, and 2014, we examined the number of endowed faculty positions in academic departments of Emergency Medicine (ADEMs). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Authors: Julie M. Tondt, Barbara A. Beauchamp, Francis L. Counselman Tags: Brief Report Source Type: research

Recreational dissociation leading to bloody urination
INTRODUCTION (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Authors: Cynthia Gaudet, Joshua Swenson, Diana Biggs, Michelle Crispo Tags: VISUAL DIAGNOSIS IN EMERGENCY MEDICINE Source Type: research

Splinter Hemorrhage
Case: (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Authors: Benjamin Grugan, Sean Dyer Tags: Visual Diagnosis in Emergency Medicine Source Type: research

The mydriatic red eye as the initial presentation of syphilis
: Syphilis is a sexually transmitted infection (STI) that has been increasing in prevalence since the early 2000s. Ocular involvement occurs in a minority of patients and must be in the differential diagnosis for patients who present with red eye and uveitis. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 17, 2022 Category: Emergency Medicine Authors: Carlthan J.M. Ling, Kevin Y Zhang, Kenneth Taubenslag, Nicole Alexander, Kathryn Champ, Neeraja Murali Source Type: research

Hyperoxemia is associated with poor neurological outcomes in patients with out-of-hospital cardiac arrest rescued by extracorporeal cardiopulmonary resuscitation: Insight from the nationwide multicenter observational JAAM-OHCA (Japan Association for Acute Medicine) registry
Previous studies have shown an association between hyperoxemia and mortality in out-of-hospital cardiac arrest (OHCA) patients after cardiopulmonary resuscitation (CPR); however, evidence is lacking in extracorporeal CPR (ECPR) setting. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 14, 2022 Category: Emergency Medicine Authors: Masaaki Nishihara, Ken-ichi Hiasa, Nobuyuki Enzan, Kenzo Ichimura, Takeshi Iyonaga, Yuji Shono, Masahiro Kashiura, Takashi Moriya, Takanari Kitazono, Hiroyuki Tsutsui Tags: Selected Topics: Critical Care Source Type: research

Pain and Acute Vision Loss Secondary to Microbial Keratitis: A Contact Lens-Related Complication
Approximately 45 million individuals in the United States (US) wear contact lenses to correct refractive error, maintain ocular health, or for cosmetic reasons (1). There has been an increasing trend in the number of contact lens users and microbial corneal infections (keratitis). Contact lens wear represents 30% to 50% of all microbial keratitis cases, costing the US health care system $ 175 million annually (2,3). Corneal infections are an ophthalmic emergency as they can either cause ulceration and perforation of the cornea and/or disseminate to the intraocular tissues, leading to irreversible blindness. (Source: The Jo...
Source: The Journal of Emergency Medicine - May 14, 2022 Category: Emergency Medicine Authors: A. Marwaha, A. Iovieno, S.N. Yeung Tags: Visual Diagnosis in Emergency Medicine Source Type: research

The Use of a Suprascapular Nerve Block to Facilitate the Reduction of an Anterior Shoulder Dislocation: An Alternative for Elderly Patients?
: Anterior shoulder dislocation is a common presentation to the emergency department (ED). The dislocations are spontaneous or traumatic. Generally, a reduction is performed under procedural sedation and analgesia (PSA). Other approaches include the use of intraarticular lidocaine, or in rare instances, nerve blocks. Here we discuss the case of a 66-year-old female patient who presented with left shoulder pain and limited range of motion after a fall. After discussing potential treatment options to reduce the dislocation, the patient agreed to a nerve block. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 13, 2022 Category: Emergency Medicine Authors: Getaw Worku Hassen, Dahlia Bergman Dumont, Anisha Duvvi, Samantha Sudol, Danny Choy, Theresa Yeo, Avinash Viswanath, Estrella Roffe, Cei Lim Kim, Ali Elnatour, Mauricio Gonzalez Arias, Hossein Kalantari Tags: Techniques and Procedures Source Type: research

Intravenous thrombolysis improves the prognosis of patients with acute ischemic stroke and chronic kidney disease
Chronic kidney disease (CKD) is associated with a higher mortality rate and a poor prognosis among patients with acute ischemic stroke (AIS) who receive intravenous thrombolysis (IVT); however, it is still unclear whether IVT improves the prognosis of AIS patients with CKD. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 13, 2022 Category: Emergency Medicine Authors: Yunlong Ding, Yan Liu, Qing Huang, Li Ma, Youyong Tian, Junshan Zhou, Jiali Niu Tags: Selected Topics: Neurological Emergencies Source Type: research

Diagnosis of renal artery aneurysm by point-of-care ultrasound in the emergency department: a case report and brief review of the literature
Background: Renal artery aneurysm (RAA) is defined as a focal dilatation of 50% or more of the adjacent, disease-free artery. Although typically asymptomatic, RAA can lead to hypertension, hematuria, and rupture. Risk of rupture is higher in pregnant patients and may result in the death of mother and fetus. Here we describe a case of RAA discovered on point of care ultrasound (POCUS) in the Emergency Department (ED).Case Report: A 46-year-old female with no past medical history presented to the ED with lower abdominal pain, vomiting, diarrhea, and increased urination. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 13, 2022 Category: Emergency Medicine Authors: Jeffrey A. Kramer, Nova Panebianco Source Type: research

Confirmed Grayanotoxin Poisoning with Bradycardia from a Gift of Imported Honey
Human grayanotoxin poisoning is distinctly uncommon in North America, as the predominant source of human exposure is honey made by bees pollinating Rhododendron species in the Mediterranean. Here we present a case of confirmed grayanotoxin poisoning from honey imported from Turkey. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 12, 2022 Category: Emergency Medicine Authors: Philip DiSalvo, Ciril Khorolsky, Mike Filigenzi, Robert Poppenga, Robert S. Hoffman Source Type: research

Effect of Coaching with Repetitive Verbal Encouragements on Dispatch-Assisted Cardiopulmonary Resuscitation: A Randomized Simulation Study
Current guidelines emphasize the assistance of the emergency dispatcher in bystander CPR. Its quality, however, has varied across cases. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 12, 2022 Category: Emergency Medicine Authors: Keisuke Takano, Hideki Asai, Hidetada Fukushima Tags: Selected Topics: Prehospital Care Source Type: research

Emergent Reversal of Antithrombotics and Treatment of Life-Threatening Bleeding From Coagulopathies: A Clinical Review
Emergent Reversal of Antithrombotics and Treatment of Life-Threatening Bleeding From Coagulopathies (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 12, 2022 Category: Emergency Medicine Authors: Jeffrey D. Sperry, Anne E. Rose, Eliot Williams, Matthew R. Dierks, Joshua Eric Medow Source Type: research

Aortic Dissection Presenting as Shortness of Breath from Diffuse Alveolar Hemorrhage: A Case Report
Background: Aortic dissection is a rare but well-known life-threatening disease that classically presents with tearing chest pain radiating to the back yet can have deceiving clinical presentations.Case Report: A 54-year-old male with a history of hypertension presented to the emergency department with mild shortness of breath without chest pain. Point-of-care ultrasound (POCUS) detected diffuse B-lines, a dilated aortic root, aortic regurgitation, and pericardial effusion. A computed tomography angiogram confirmed a Stanford type A aortic dissection with diffuse alveolar hemorrhage (DAH), a rare complication of type A aor...
Source: The Journal of Emergency Medicine - May 12, 2022 Category: Emergency Medicine Authors: Joya Singh, Deven Bhatia, Dazhe James Cao, Jonathan Brewer, Lynn Roppolo Source Type: research

High-pressure injection injury to the hand with resulting pneumomediastinum: a case report
We present a case of a 46-year-old patient with a high-pressure injection injury from SCUBA equipment who developed pneumomediastinum. Why Should an Emergency Physician Be Aware of This?: High pressure injection injuries are rare and may have significant morbidity. Injection injuries from air are uncommon, may be managed differently than injection with other materials, and may be associated with unique complications. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 12, 2022 Category: Emergency Medicine Authors: Joseph Turner, Rolando Gabriel Gerena Source Type: research