Hiccups as the Presenting Manifestation of Cardiac Tamponade: A Case Report
Cardiac tamponade is a life-threatening disease with a high mortality rate. Its clinical manifestations depend on the length of time over which pericardial effusion accumulates. Among those, hiccups are rarely reported. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 1, 2020 Category: Emergency Medicine Authors: Jiashan Chen, Jen-Tang Sun, Chieh-Min Fan, Kuang-Chau Tsai, Chih-Jung Chang Tags: Clinical Communications: Adult Source Type: research

Splenic Laceration Post Colonoscopy: A Rare Complication
The number of colonoscopies performed in the United States is increasing each year. Although the procedure is generally safe and effective, complications can arise. Splenic laceration is an extremely rare complication of colonoscopy. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 26, 2020 Category: Emergency Medicine Authors: Jonathan Liu, Jay Ladde Tags: Clinical Communications: Adult Source Type: research

An Unusual Case of Dyspnea Diagnosed by Point-of-Care Ultrasound
We present an unusual case of shortness of breath in a generally healthy woman in which bedside ultrasound definitively changed case management and likely outcome. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 26, 2020 Category: Emergency Medicine Authors: Colleen Campbell, Amir Aminlari, Bryan Bisanz, Anthony Medak Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Uvula Edema and Diarrhea in an Eight-Year-Old Girl
An 8-year-old Pakistani girl, previously healthy and with no relevant family history, ∖was brought to the Emergency Department (ED) with diarrhea (a total of five watery nonbloody stools during the last 10 h), associated, in the last 4 h, with a rapidly progressive sialorrhea and difficulty swallowing, without respiratory distress. She was not taking any medication and had no pas t history of allergies or new food introduction. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 26, 2020 Category: Emergency Medicine Authors: Isabel Gonzalez-Bertolin, Ana C. Izurieta-Pacheco, Ana M. Borrull-Senra, Angela Deya-Martinez Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Impact of Provider-In-Triage in a Safety-Net Hospital
Increasing emergency department (ED) utilization has contributed to ED overcrowding, with longer ED length of stay (EDLOS) and more patients leaving without being seen (LWBS), and is associated with higher morbidity and mortality rates. Previous studies of provider in triage (PIT) have shown decreased LWBS, but variable improvements in EDLOS. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 25, 2020 Category: Emergency Medicine Authors: Rushabh Shah, Richard Leno, Richard Sinert Tags: Administration of Emergency Medicine Source Type: research

A Pain in the Neck: Pharyngeal Wall Erosion and Extrusion of Endovascular Coils After Endovascular Internal Carotid Artery Pseudoaneurysm Coiling Post-Tonsillectomy
We report the case of a 7-year-old female who presented to the emergency department (ED) with halitosis and throat discomfort after endovascular coiling of internal carotid artery (ICA) pseudoaneurysm that was the result of complications after tonsillectomy. She was found to have pharyngeal wall erosion with extrusion of the endovascular coils, a rare and potentially life-threatening complication of ICA coiling. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 24, 2020 Category: Emergency Medicine Authors: Brenna Derksen, Gabriel Wardi Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Management of Nonpregnant Women Presenting to the Emergency Department With Iron Deficiency Anemia Caused by Uterine Blood Loss: A Retrospective Cohort Study
Women with abnormal uterine bleeding are commonly encountered in the emergency department (ED). Contemporary management of severe iron deficiency anemia (IDA) in this setting may be inadequate and expose patients to unnecessary blood transfusions. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 24, 2020 Category: Emergency Medicine Authors: Stephen Boone, W. Frank Peacock, Edgardo Ordonez, Jacquelyn M. Powers Tags: Original Contributions Source Type: research

Utility of Emergency Department Chest Imaging in Patients with Cancer: A Descriptive Study
The use of computed tomography (CT) has been scrutinized in emergency medicine, particularly in patients with cancer. Previous studies have characterized the rate of CT use in this population; however, limited data are available about the yield of this modality compared with radiography and its clinical decision-making effect. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 24, 2020 Category: Emergency Medicine Authors: Patrick J. Sylvester, Jonathon Stewart, Austin Schoeffler, Joshua Aalberg, Katherine M. Hunold, Jeffrey M. Caterino, Jason J. Bischof Tags: Selected Topics: Oncological Emergencies Source Type: research

Impact of Pit-Crew Cardiopulmonary Resuscitation on Out-of-Hospital Cardiac Arrest in Saskatoon
In the prehospital setting, pit-crew models of cardiopulmonary resuscitation (CPR) have shown improvements in survival after out-of-hospital cardiac arrest (OHCA). Certain districts in North America have adopted this model, including Saskatoon, Saskatchewan, Canada. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 24, 2020 Category: Emergency Medicine Authors: Stuart J. Netherton, Andrew Leach, Rhonda Bryce, Tim Hillier, Sheldon Cheskes, Rob Woods Tags: Selected Topics: Prehospital Care Source Type: research

Emergency Medicine in Egypt
Egypt  plays a pivotal role in North Africa and the Middle East, and has the largest population of any Arab country and serves as a regional cultural hub. Emergency medicine as a field of study was first initiated at Alexandria University in 1978, but it was only formally recognized as a medical specialt y in 2002. Since then, the prehospital system and practice of emergency medicine has evolved and grown. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Mohamed Mohamed, Daniel Keyes, Mohamed Abbasy, Walid Hammad, Jon Mark Hirshon, Hassan Al-fanharawi, Ali Haidous, Gamal Eldin Abbas Khalifa Tags: International Emergency Medicine Source Type: research

The Impact of an Emergency Department Upgrade to Level I Trauma Status on the Timeliness of Nontrauma Computed Tomography Scans
Resources such as computed tomography (CT) scanners are sometimes shared when separate adult and pediatric emergency departments (EDs) exist in proximity. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Onyinyechi I. Ukwuoma, Michael Dingeldein, Johnathan M. Sheele, Alexandre T. Rotta, Carolyn Apperson-Hansen, Leslie Dingeldein Tags: Administration of Emergency Medicine Source Type: research

Transesophageal Echocardiography at the Golden Hour: Identification of Blunt Traumatic Aortic Injuries in the Emergency Department
Although surface sonography has become an essential diagnostic tool in the evaluation of trauma patients, important limitations of this modality include the evaluation of retroperitoneal hemorrhage and mediastinal pathology, such as blunt traumatic aortic injuries (BTAI). As in other emergency applications where surface sonography can't provide the information needed, focused transesophageal echocardiography (TEE) may represent a valuable diagnostic tool in the evaluation of hemodynamically unstable trauma patients with suspected thoracic pathology such as BTAI. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Adi Osman, Chan Pei Fong, Shaik Farid Abdull Wahab, Nova Panebianco, Felipe Teran Tags: Ultrasound in Emergency Medicine Source Type: research

Factors Associated with Survival After Emergency Department Thoracotomy for Adult Trauma Patients in the United States
Emergency department thoracotomy (EDT) is done to control life threatening hemorrhage and injuries. Literature examining this topic is limited to relatively small studies from single trauma centers. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Ali Elhajj, Alik Dakessian, Rana Bachir, Mazen El Sayed Tags: Original Contributions Source Type: research

High-Risk Airway Management in the Emergency Department: Diseases and Approaches, Part II
Successful airway management is critical to the practice of emergency medicine. Thus, emergency physicians must be ready to optimize and prepare for airway management in critically ill patients with a wide range of physiologic challenges. Challenges in airway management commonly encountered in the emergency department are discussed using a pearl and pitfall discussion in this second part of a 2-part series. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Skyler Lentz, Alexandra Grossman, Alex Koyfman, Brit Long Tags: Techniques and Procedures Source Type: research

Argyria, an Unexpected Case of Skin Discoloration From Colloidal Silver Salt Ingestion
Argyria is a rare condition characterized by gray/blue dislocation of the skin caused by chronic exposure to silver salts. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Mark Simon, Jennie A. Buchanan Tags: Selected Topics: Toxicology Source Type: research

Abdominal Pain in a Young Woman
Dr. Anna Condella: Our case today is a 29-year-old woman who presented to the emergency department (ED) via emergency medical services (EMS) reporting acute-onset abdominal pain. Per report, she was in her usual state of health until the day of arrival. That morning, she had put on a tight pair of nylons with added elastic in the waistband for an event she was planning to attend with friends. She initially had no symptoms, but as the morning progressed, she developed dull, diffuse abdominal pain, which became severe and with some localization to her bilateral lower quadrants. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 23, 2020 Category: Emergency Medicine Authors: Anna L. Condella, David A. Meguerdichian, Susan R. Wilcox, Kathleen A. Wittels Tags: Case Presentations of the Harvard Affiliated Emergency Medicine Residencies Source Type: research

Identifying Retrocecal Appendicitis on Point-of-Care Ultrasound (POCUS)
We present the first case series in which retrocecal appendicitis was found on point-of-care ultrasound (POCUS). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 19, 2020 Category: Emergency Medicine Authors: Eric Scheier, Britta Budde-Schwartzman, Valery Kartun, Uri Balla Tags: Ultrasound in Emergency Medicine Source Type: research

A Novel Application of Ultrasound-Guided Interscalene Anesthesia for Proximal Humeral Fractures
Proximal humeral fractures are commonly encountered in the emergency department (ED). These injuries are often associated with significant pain, with patients often receiving multiple doses of opiate medications while awaiting definitive management. The interscalene nerve block has been efficacious as perioperative analgesia for patients undergoing operative shoulder repair. The utilization of the interscalene nerve block in the ED for proximal humeral fractures is largely unexplored. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 19, 2020 Category: Emergency Medicine Authors: Todd A. Jaffe, Hamid Shokoohi, Andrew Liteplo, Andrew Goldsmith Tags: Techniques and Procedures Source Type: research

A Population-Based Retrospective Analysis of Post-In-Hospital Cardiac Arrest Survival after Modification of the Chain of Survival
In 2010, the American Heart Association recommended that postcardiac arrest care should be included in the chain of survival to reduce permanent neurological damage, improve quality of life, and reduce health care expenses of postcardiac arrest care. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 18, 2020 Category: Emergency Medicine Authors: Chien-Ting Liu, Chung-Yu Lai, Jen-Chun Wang, Chi-Hsiang Chung, Wu-Chien Chien, Chien-Sung Tsai Tags: Selected Topics: Critical Care Source Type: research

BRASH Syndrome: Bradycardia, Renal Failure, AV Blockade, Shock, and Hyperkalemia
BRASH syndrome, or Bradycardia, Renal Failure, AV blockade, Shock, and Hyperkalemia, has recently become recognized as a collection of objective findings in a specific clinical context pertaining to emergency medicine and critical care. However, there is little emergency medicine and critical care literature specifically evaluating this condition. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 18, 2020 Category: Emergency Medicine Authors: Joshua D. Farkas, Brit Long, Alex Koyfman, Katherine Menson Tags: Clinical Reviews Source Type: research

Immune Checkpoint Inhibitor-Mediated Myasthenia Gravis
Immune checkpoint inhibitors (ICIs) have a wide range of toxicities affecting potentially any organ system stemming from increased activity within the T-cell lineage similar to that observed in autoimmunity. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 18, 2020 Category: Emergency Medicine Authors: Adrienne K. Ho, Tim Cooksley Tags: Selected Topics: Oncological Emergencies Source Type: research

Methohexital-Induced Seizure in a Patient Undergoing Conscious Sedation
We report a patient who developed a generalized seizure after administration of methohexital. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 18, 2020 Category: Emergency Medicine Authors: Andrew Willeford, Nicholas Trumm, Bryan Bisanz, Vishnu Parathasarathy, Richard F. Clark Tags: Selected Topics: Toxicology Source Type: research

Head, Face, and Neck Fractures Secondary to Ladder-Related Injuries Treated in United States Emergency Departments in 2009 –2018
Ladders are a commonly used piece of equipment; however, their use is accompanied by a significant potential for injury. Fractures of the head, face, and neck are potential consequences of ladder use and can be devastating due to potential for severe sequalae. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 16, 2020 Category: Emergency Medicine Authors: Antonio Barbat, Benjamin Partiali, Sandra Oska, Adam Folbe Tags: Original Contributions Source Type: research

Retrospective Cohort Study of Rates of Return Emergency Department Visits Among Patients Transported Home by Ambulance
Emergency Medical Services (EMS) is an important resource that interacts with our most vulnerable patients during transport home after hospital discharge. EMS providers may be appropriately situated to support the transition of care to the home environment. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 16, 2020 Category: Emergency Medicine Authors: Kevin G. Munjal, Siri Shastry, Hugh Chapin, Nadir Tan, Anjali Misra, Eric Greenberg, Benjamin Traisman, Rose Kleiman, George Loo, Corita Grudzen, Kevin Chason, Lynne D. Richardson Tags: Administration of Emergency Medicine Source Type: research

Endotracheal Tube Placement Confirmation by Ultrasonography: A Systematic Review and Meta-Analysis of more than 2500 Patients
The integration of point-of-care ultrasound in endotracheal tube placement confirmation has been focus of many recent studies. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 14, 2020 Category: Emergency Medicine Authors: Ankit Kumar Sahu, Sanjeev Bhoi, Praveen Aggarwal, Roshan Mathew, Jamshed Nayer, Amrithanand V. T, Prakash Ranjan Mishra, Tej Prakash Sinha Tags: Ultrasound in Emergency Medicine Source Type: research

Methamphetamine, Amphetamine, and MDMA Use and Emergency Department Recidivism
Emergency department (ED) recidivism and the use of amphetamine and associated derivatives such as methamphetamine and MDMA (MAE), are intersecting public health concerns. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 13, 2020 Category: Emergency Medicine Authors: John R. Richards, Taylaur W. Placone, Colin G. Wang, M. Christien van der Linden, Robert W. Derlet, Erik G. Laurin Tags: Administration of Emergency Medicine Source Type: research

Case Report: Fever Unmasking Brugada-pattern ECG in Patient with Coronavirus Disease 2019 (COVID-19)
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 13, 2020 Category: Emergency Medicine Authors: Mi Song Kim, Sam L. Frenkel, Stephen R. Hayden Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Clinical Review: Point-of-Care Ultrasound in the Evaluation of COVID-19
The novel coronavirus SARS-CoV-2 has caused a pandemic overwhelming healthcare systems around the world. Hospitals around the world, including the United States, have been struggling to adapt to the influx of patients with COVID-19, the illness caused by SARS-CoV2, given limited resources and high demand for medical care. Point of care ultrasound provides numerous benefits to emergency providers caring for patients with COVID-19 including decreasing resource utilization, assisting in diagnosis, guiding management of the critically ill patient, and aiding in rapid triage of patients under investigations for COVID-19. (Sourc...
Source: The Journal of Emergency Medicine - June 12, 2020 Category: Emergency Medicine Authors: Eric R. Abrams, Gabriel Rose, J. Matthew Fields, Dasia Esener Tags: Ultrasound in Emergency Medicine Source Type: research

Best practice recommendations for point-of-care lung ultrasound in patients with suspected COVID-19
Lung point-of-care ultrasound (POCUS) is a critical tool for evaluating patients with dyspnea in the emergency department (ED), including patients with suspected COVID-19. However, given the threat of nosocomial disease spread, the use of ultrasound is no longer risk-free. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 12, 2020 Category: Emergency Medicine Authors: Nicole M. Duggan, Hamid Shokoohi, Andrew S. Liteplo, Calvin Huang, Andrew J. Goldsmith Tags: Clinical Review Source Type: research

Assessing the Impact of a Rapidly Scaled Virtual Urgent Care in New York City During the COVID19 Pandemic
The COVID-19 pandemic quickly challenged New York City healthcare systems. Telemedicine has been suggested to manage acute complaints and divert patients from in-person care. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 12, 2020 Category: Emergency Medicine Authors: Christian A. Koziatek, Ada Rubin, Viraj Lakdawala, David C. Lee, Jordan Swartz, Elizabeth Auld, Silas W. Smith, Harita Reddy, Catherine Jamin, Paul Testa, Robert Femia, Christopher Caspers Tags: Public Health in Emergency Medicine Source Type: research

Myopericarditis as a Presenting Feature of Acute Myeloid Leukemia
Myocarditis is a rare sequelae of acute myeloid leukemia (AML) and typically presents after the initial diagnosis of AML has been made. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Cheyenne Snavely, Joseph Habboushe Tags: Selected Topics: Oncological Emergencies Source Type: research

Critically Ill Pediatric Case Exposure During Emergency Medicine Residency
Eighty-eight percent of pediatric emergency department (ED) visits occur in general EDs. Exposure to critically ill children during emergency medicine (EM) training has not been well described. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Joyce Li, Genie Roosevelt, Kerry McCabe, Jane Preotle, Faria Pereira, James K. Takayesu, John J. Porter, Michael Monuteaux, Richard G. Bachur Tags: Education Source Type: research

Middle-Aged Man with a Leg Rash: Exercise-Induced Vasculitis
A 40-year-old man with no significant medical history presented to the Emergency Department (ED) with an erythematous, petechial rash localized to the bilateral lower extremities over the past several hours (Figures  1 and 2). The patient had been seen at an Urgent Care and transferred to the ED with a recommendation to begin intravenous antibiotics and to admit the patient for a suspected diagnosis of bilateral lower extremity cellulitis. The patient reported some associated mild pruritus. He denied the use o f any new soaps, laundry detergents, lotions, medications, or any potential exposures. (Source: The Journal o...
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Ilan D. Kolkowitz, Megan A. Marcou, Hani I. Kuttab Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Comparison of Hemostatic Outcomes in Patients Receiving Fixed-Dose vs. Weight-Based 4-Factor Prothrombin Complex Concentrate
Four-factor prothrombin complex concentrate (4F-PCC) is a blood coagulation product indicated for urgent reversal of warfarin. Currently there are no studies using 4F-PCC as a fixed dose to achieve hemostasis with warfarin as well as direct factor Xa inhibitors. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Caroline Kim, Lauren Cottingham, Kip Eberwein, Kelsey Komyathy, Patrick D. Ratliff Tags: Brief Reports Source Type: research

The Curtain Between US
“It probably had that fentanyl in it.” The voice of the patient next door gently interjected from across the closed curtain, knowing and wise. I had just told the 20-year-old kid in front of me, David, that he had almost died twice today. David's eyes widened in a reaction of surprise and concer n I had not expected—he was younger and less experienced than most other patients I had treated for opioid overdoses. “For real?” David asked. “Yeah,” I confirmed. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Daniel Benjamin Gingold Tags: Humanities and Medicine Source Type: research

The Case of Flecainide Toxicity: What to Look for and How to Treat
Flecainide is a class Ic antidysrhythmic agent used to prevent and treat both ventricular and supraventricular tachycardias, including atrial fibrillation, atrioventricular nodal re-entrant tachycardia, and Wolff-Parkinson-White syndrome. Flecainide can cause serious side effects, including cardiac arrest, dysrhythmias, and heart failure. Despite its growing use, the presenting signs and symptoms of flecainide toxicity are not familiar to most clinicians. In particular, our patient's particular presentation of acute kidney injury (AKI) resulting in flecainide accumulation is high risk for missed diagnosis in the emergency ...
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Joshua M. Newson, Cynthia D. Santos, Bradford L. Walters, Brett R. Todd Tags: Selected Topics: Toxicology Source Type: research

Insight into the Time Course of Type III Kounis Syndrome: A  Case Report
We report a case of anaphylactic shock with subsequent development of ST-segment elevation myocardial infarction. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Seiru Watanabe, Chieko Sakai, Masatoshi Hori, Tatsuya Kawasaki Tags: Clinical Communications: Adult Source Type: research

External Cardiac Massage Training of Medical Students: A Randomized Comparison of Two Feedback Methods to Standard Training
The most recent recommendations support learning of external cardiac massage (ECM) through feedback devices. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 11, 2020 Category: Emergency Medicine Authors: Guillaume Suet, Antonia Blanie, Jacques de Montblanc, Philippe Roulleau, Dan Benhamou Tags: Education Source Type: research

Ultrasound-Guided Serratus Anterior Plane Block for Intractable Herpes Zoster Pain in the Emergency Department
Herpes zoster (HZV) is a painful vesicular rash that occurs after reactivation in immunosuppressed patients. Analgesia in this patient population has been notoriously difficult. The serratus anterior and erector spinae plane block have both been described as effective thoracic analgesic techniques, but data are limited on their use in HZV. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 10, 2020 Category: Emergency Medicine Authors: Andrew J. Goldsmith, Andrew S. Liteplo, Hamid Shokoohi Tags: Ultrasound in Emergency Medicine Source Type: research

Chilaiditi Sign and Chilaiditi Syndrome in Pregnancy
Chilaiditi syndrome is a rare condition characterized by impaired fixation of the colon resulting in symptoms secondary to colonic interposition. It commonly presents with nonspecific abdominal pain and constipation, making clinical diagnosis difficult, especially in pregnancy. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 10, 2020 Category: Emergency Medicine Authors: Goran Augustin, Ivan Separovic, Dubravko Bajramovic Tags: Clinical Communications: OB/GYN Source Type: research

Effects of Using an Endotracheal Tube Introducer for Intubation During Mechanical Chest Compressions of a Manikin: Randomized, Prospective, Crossover Study
Airway management methods during out-of-hospital cardiac arrest remain controversial. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 10, 2020 Category: Emergency Medicine Authors: Asim Enes Ozbek, Huseyin Cahit Halhalli, Serkan Yilmaz, Emrah Celik, Hakan Ozerol, Emre Şancı Tags: Selected Topics: Prehospital Care Source Type: research

Environmental Toxic Exposures Using Companion Animals as an Indicator of Human Toxicity: A Case Report and Discussion.
Hundreds of years ago, humans realized that animals could be used as surrogate indicators of toxic environmental exposures, as a tool to measure risk to human health. The classic example is coal miners bringing canaries into coal mines. The respiratory rate and metabolism of the animal resulted in toxic signs of injurious gases in the environment before humans were injured. Occasionally, modern diagnosis of cryptic toxic exposures can be  aided by the discovery of such features in the history. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 9, 2020 Category: Emergency Medicine Authors: Andrew C. Beck, Erica M. Lash, Jason B. Hack Tags: Selected Topics: Toxicology Source Type: research

Use of Intravenous Lipid Emulsion Therapy in a Case of Atomoxetine (Strattera ®) Toxicity
Clinical manifestations after overdose of atomoxetine are generally mild. However, it may have moderate or severe toxic effects such as drowsiness, agitation, hyperactivity, tremors, tachycardia, hyperreflexia, hypertension, and seizures. The duration of symptoms is usually short, lasting (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 4, 2020 Category: Emergency Medicine Authors: Emrah G ün, Kenan Kocabay Tags: Selected Topics: Toxicology Source Type: research

The 2019 Model of the Clinical Practice of Emergency Medicine
Emergency Medicine has a scientifically derived and commonly accepted description of the domain of its clinical practice. That document, The Model of the Clinical Practice of Emergency Medicine (EM Model), was developed through the collaboration of six organizations: the American Board of Emergency Medicine (ABEM), the administrative organization for the project, the American College of Emergency Physicians (ACEP), the Council of Emergency Medicine Residency Directors (CORD), the Emergency Medicine Residents' Association (EMRA), the Residency Review Committee for Emergency Medicine (RRC-EM), and the Society for Academic Em...
Source: The Journal of Emergency Medicine - May 28, 2020 Category: Emergency Medicine Authors: Michael S. Beeson, Felix Ankel, Rahul Bhat, Joshua S. Broder, Sara Paradise Dimeo, Diane L. Gorgas, Jonathan S. Jones, Viral Patel, Elizabeth Schiller, Jacob W. Ufberg, 2019 EM Model Review Task Force, Julia N. Keehbauch, American Board of Emergency Medic Tags: Original Contributions Source Type: research

Management of Chimeric Antigen Receptor (CAR) T-Cell Toxicities: A Review and Guideline for Emergency Providers
Chimeric antigen receptor (CAR) T-cell therapy is an adoptive cellular immunotherapy that is being utilized more frequently due to its initial success in advanced-stage cancers. Unfortunately, CAR T-cell therapy is often associated with acute systemic toxicities, including cytokine release syndrome (CRS) and CAR T-cell –associated neurotoxicity (neurotoxicity). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 28, 2020 Category: Emergency Medicine Authors: Rishi Gupta, Colin Roach, Adam T. Hryniewicki, Gary M. Vilke, Rebecca A. Shatsky, Christopher J. Coyne Tags: Selected Topics: Oncological Emergencies Source Type: research

Oenantha Crocata: A Case Report of Multiple Poisoning with Fatal Outcome
Plant poisonings are uncommon in adults, and rarely fatal. Oenantha crocata is a toxic plant growing in the humid grasslands of North America and Western Europe. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Authors: Fanny Julie Henry, Julien Cadiet, Fran çois Javaudin, Bertrand Rozec Tags: Selected Topics: Toxicology Source Type: research

Brain Computed Tomography in Stimulant Poisoning with Altered Consciousness
Stimulant poisoning frequently causes altered mental status (AMS) and can result in severe cerebral vascular complications. The role of noncontrast brain computed tomography (CT) in acute stimulant-poisoned patients presenting with AMS remains unclear. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 26, 2020 Category: Emergency Medicine Authors: Hsien-Yi Chen, Chung-Hsien Chaou, Chun-Kuei Chen, Jiun-Hao Yu, Po-Cheng Chen, Ching-Tai Huang, Chen-June Seak, Shao-Feng Liao Tags: Selected Topics: Toxicology Source Type: research

Venous Thoracic Outlet Syndrome in a Young Student
Venous thoracic outlet syndrome (VTOS) results from compression and thrombosis of the axillosubclavian vein. In primary effort thrombosis, a subtype of VTOS, chronic repetitive compression injury of the axillosubclavian vein leads to scarring, stenosis, and eventually, thrombosis. This is a rare manifestation of an upper extremity deep vein thrombosis. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 26, 2020 Category: Emergency Medicine Authors: Natalie Mira Elder, Jennifer Yee Tags: Clinical Communications: Adult Source Type: research

Relationship Between Institutional Volume of Out-of-Hospital Cardiac Arrest Cases and 1-Month Neurologic Outcomes: A Post Hoc Analysis of a Prospective Observational Study
The influence of institutional volume of out-of-hospital cardiac arrest (OHCA) cases on outcomes remains unclear. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 25, 2020 Category: Emergency Medicine Authors: Masahiro Kashiura, Shunsuke Amagasa, Takashi Moriya, Atsushi Sakurai, Nobuya Kitamura, Takashi Tagami, Munekazu Takeda, Yasufumi Miyake, SOS-KANTO 2012 Study Group Tags: Selected Topics: Prehospital Care Source Type: research

Pediatric Case of Successful Point-of-Care Ultrasound-Guided Nasogastric Tube Placement
We report a case of successful POCUS-guided NGT placement in a pediatric ED. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 23, 2020 Category: Emergency Medicine Authors: Takaaki Mori, Hirokazu Takei, Osamu Nomura, Takateru Ihara, Yusuke Hagiwara Tags: Ultrasound in Emergency Medicine Source Type: research