Practice as You Teach: Comparing Ordering Practices Between Shared and Physician-Only Visits in Academically-Affiliated Community Emergency Departments
Considerable variability exists in Emergency Physicians ’ (EP) rates of resource utilization, which may cluster in distinct patterns. However, previous studies have focused on academic and tertiary care centers, and it is unclear if similar patterns exist in community practice. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 21, 2023 Category: Emergency Medicine Authors: Peter S Antkowiak, Terrance Lee, David T Chiu, Bryan Stenson, Leon D Sanchez, Joshua W Joseph Tags: Brief Reports Source Type: research
Response to “Point-of-Care Ultrasound for Guidance of Closed Reduction of Fifth Metacarpal Neck (Boxer's) Fracture”
We have read the Case Report entitled “Point-of-Care Ultrasound for Guidance of Closed Reduction of Fifth Metacarpal Neck (Boxer's) Fracture” by Thom et al. (1). We want to congratulate the author on this article, as it represents a common presentation in our emergency department (ED) and describes a novel use of point-of-care ultr asound (POCUS) in the ED setting. In fracture care, POCUS has emerging support of its use for diagnostics and procedures in the ED. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 20, 2023 Category: Emergency Medicine Authors: Piers Truter, Matthew Lawson-Smith, Dale Edgar Tags: Letter to the Editor Source Type: research
American Academy of Emergency Medicine
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 20, 2023 Category: Emergency Medicine Source Type: research
Monocular painless vision loss in the emergency department: multipurpose utility of point-of-care ultrasound
Eye-related symptoms are a common presentation in the emergency department (ED). The cases range from simple viral conjunctivitis to trauma-related eye injuries. One pathological condition that could lead to vision loss is retinal artery occlusion (RAO). Evaluation of a patient with an eye symptom requires thorough eye examination and, in certain instances, advanced imaging. Consultation with an ophthalmologist is also necessary for cases that require treatment recommendations and further testing. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 20, 2023 Category: Emergency Medicine Authors: Roger Chirurgi, Anisha Duvvi, Bisma Hussein, Lucy Li, Jaspreet Singh, Abaynesh Nigussie, Ahmed Hashmi, Estrella Roffe, Sonja Jauhal, Misagh Fasazadeh, Hossein Kalantari, Getaw Worku Hassen Tags: Ultrasound in Emergency Medicine Source Type: research
Monocular Painless Partial Vision Loss: Multipurpose Utility of Point-of-Care Ultrasound in the Emergency Department
Eye-related complaints are a common presentation in the emergency department (ED). The cases range from simple viral conjunctivitis to trauma-related eye injuries. One pathological condition that could lead to vision loss is retinal artery occlusion (RAO). Evaluation of a patient with an eye complaint requires thorough eye examination and, in certain instances, advanced imaging. Consultation with an ophthalmologist is also necessary for cases that require treatment recommendations and further testing. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 20, 2023 Category: Emergency Medicine Authors: Roger Chirurgi, Anisha Duvvi, Bisma Hussein, Lucy Li, Jaspreet Singh, Abaynesh Nigussie, Ahmed Hashmi, Estrella Roffe, Sonja Jauhal, Misagh Fasazadeh, Hossein Kalantari, Getaw worku Hassen Source Type: research
Epstein-barr in a patient presenting with right upper quadrant pain: a case report from the emergency department
Background: Right upper quadrant abdominal pain and elevated cholestasis blood tests are usually associated with bacterial calculous cholecystitis. However, viral infections, such as Epstein-Barr virus (EBV) can also manifest with a similar clinical picture and is an important differential diagnosis. Case Report: This case report discusses a young woman presenting to the emergency department with acute right upper quadrant abdominal pain. The initial assessment revealed a positive Murphy's sign, elevated white blood count, and a cholestatic pattern on liver function tests, leading one to suspect bacterial calculous cholecy...
Source: The Journal of Emergency Medicine - October 19, 2023 Category: Emergency Medicine Authors: Umael Khan, Anders Aarebrot, Solveig Mo, Signe Landa, Cornelia R ösler, Ole Kamal Sodha, Rune Bjørneklett, Vernesa Dizdar Tags: Clinical Communications: Adult Source Type: research
Ebstein-Barr in a patient presenting with right upper quadrant pain- A case report from the emergency department
Right upper quadrant abdominal pain along with elevated cholestasis blood tests is usually associated with bacterial calculous cholecystitis. However, viral infections such as Ebstein-Barr virus (EBV) can also manifest with a similar clinical picture and is an important differential diagnosis. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 19, 2023 Category: Emergency Medicine Authors: Umael Khan, Anders Aarebrot, Solveig Mo, Signe Landa, Cornelia R øsler, Ole Kamal Sodha, Rune Bjørneklett, Vernesa Dizdar Tags: Clinical Communications: Adult Source Type: research
The Great Masquerader Strikes Again
Syphilis is caused by the spirochete Treponema Pallidum. The prevalence of Syphilis is highest in low-resource countries but has been on the rise in developed and high-resource countries during the last few decades [1]. It is most commonly seen in men who have sex with men [1, 2]. In the United States, cases increased by 168% between 2017 and 2021 [3]. Known as the ‘Great Imitator’, syphilis can present in various locations of the body and resemble many diseases. Isolated oral manifestations are an uncommon presentation of syphilis, which can delay diagnosis due to the varied appearance of the oral lesions and a broad ...
Source: The Journal of Emergency Medicine - October 18, 2023 Category: Emergency Medicine Authors: Cameron Andrew Olandt, Skyler Sloane, Colleen Campbell, Rachna Subramony Tags: Visual Diagnosis in EM Submission Source Type: research
SPICED RCT: Success and Pain associated with Intravenous Cannulation in the Emergency Department Randomized Control Trial
Peripheral venous cannulation is one of the most common procedures in medicine. A larger cannula allows higher rates of fluid to be provided if neeed in deteriorating patient; however, it is also perceived that larger gauge cannula placement is associated with increased pain and procedural difficulty. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 15, 2023 Category: Emergency Medicine Authors: Tatum Priyambada Mitra, Sarah Coulter-Nile, Thuvarahan Jegathees, Jason Luong, Amith Shetty, Kevin Lai Tags: Original Contributions Source Type: research
An evaluation of the national early warning score 2 and the laboratory data decision tree early warning score in predicting mortality in geriatric patients
Due to the high rate of geriatric patient visits, scoring systems are needed to predict increasing mortality rates. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 14, 2023 Category: Emergency Medicine Authors: Kadir K üçükceran, Mustafa Kürşat Ayranci, Sedat Koçak, Abdullah Sadık Girişgin, Zerrin Defne Dündar, Sami Ataman, Enes Bayındır, Oğuz Karaçadir, İbrahim Tatar, Mustafa Doğru Tags: Original Contributions Source Type: research
An evaluation of the NEWS2 and the laboratory data decision tree early warning score in predicting mortality in geriatric patients
Due to the high rate of geriatric patient visits, scoring systems are needed to predict increasing mortality rates. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 14, 2023 Category: Emergency Medicine Authors: Kadir K ÜÇÜKCERAN, Mustafa Kürşat AYRANCI, Sedat KOÇAK, Abdullah Sadık GİRİŞGİN, Zerrin Defne DÜNDAR, Sami ATAMAN, Enes BAYINDIR, Oğuz KARAÇADIR, İbrahim TATAR, Mustafa DOĞRU Tags: Original Contributions Source Type: research
Impact of the COVID-19 Pandemic on Emergency Department Encounters in a Major Metropolitan Area
The end of 2019 marked the emergence of the COVID-19 pandemic. Public avoidance of health care facilities, including the emergency department (ED), has been noted during prior pandemics. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 12, 2023 Category: Emergency Medicine Authors: Jeffrey R. Stowell, Michael B. Henry, Paul Pugsley, Jennifer Edwards, Heather Burton, Craig Norquist, Eric D. Katz, B. Witkind Koenig, Sandra Indermuhle, Vignesh Subbian, Hamid Ghaderi, Murtaza Akhter Tags: Administration of Emergency Medicine Source Type: research
The heart has its reasons which reason knows not: a curious case of chest pain
Electrocardiographic (ECG) findings of T-wave inversions in V1 –V3, with or without accompanying epsilon waves, often raise concerns for the rare, but potentially lethal, arrhythmogenic right ventricular cardiomyopathy (ARVC). However, this pattern may be found in pericardial agenesis, an even rarer pathology. Concomitant myocarditis can confuse this presenta tion further. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 12, 2023 Category: Emergency Medicine Authors: Michael Wallace, Nick Schoenmann, Stanton Royer Tags: Clinical Communications: Adults Source Type: research
Impact of the sars-cov-2 pandemic on emergency department encounters in a major metropolitan area
The end of 2019 marked the emergence of the COVID-19 pandemic. Public avoidance of health care facilities, including the emergency department (ED), has been noted during prior pandemics. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 12, 2023 Category: Emergency Medicine Authors: Jeffrey R. Stowell, Michael B. Henry, Paul Pugsley, Jennifer Edwards, Heather Jordan, Craig Norquist, Eric D. Katz, B. Witkind Koenig, Sandra Indermuhle, Vignesh Subbian, Hamid Ghaderi, Murtaza Akhter Tags: Administration of Emergency Medicine Source Type: research
Impact of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic on Emergency Department Encounters in a Major Metropolitan Area.
2019 marked the emergence of the novel Coronavirus (COVID-19) pandemic. Public avoidance of healthcare facilities, including the Emergency Department (ED), has been noted prior pandemics. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 12, 2023 Category: Emergency Medicine Authors: Jeffrey R. Stowell, Michael B. Henry, Paul Pugsley, Jennifer Edwards, Heather Jordan, Craig Norquist, Eric D. Katz, B. Witkind Koenig, Sandra Indermuhle, Vignesh Subbian, Hamid Ghaderia, Murtaza Akhter Tags: Administration of Emergency Medicine Source Type: research
