Away Rotation Applications in Emergency Medicine: Medical Student Behaviors, Outcomes, and Stressors
Completing an emergency medicine (EM) away rotation is integral to matching successfully into an EM residency program. The demand for EM away rotations (ARs) drives students to submit numerous applications without evidence-based recommendations to guide stakeholders on the approach or number to submit. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 22, 2022 Category: Emergency Medicine Authors: Xiao C. Zhang, David Gordon, Lucienne Lutfy-Clayton, Doug Franzen, Joshua Wallenstein, Jamie Shandro, David Wilson, Michael Kiemeney, Alexis Pelletier-Bui, Ronnie Ren Tags: Education Source Type: research

Detection of Testicular Torsion With Preserved Intratesticular Flow By Point of Care Ultrasound in the Emergency Department: A Case Report
We report a case of TT with the preserved intratesticular flow on color Doppler ultrasound. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 22, 2022 Category: Emergency Medicine Authors: Dong Young Lee, Sung Hyeok Lee, Jung A Yoon, Changshin Kang, Yong Chul Cho, Hong Joon Ahn, Jung Soo Park, Seung Ryu, Yeonho You, Seung Whan Kim, Jin Woong Lee, Won Joon Jeong Tags: Ultrasound in Emergency Medicine Source Type: research

Evaluation and Management of an Abandoned Infant at a Quaternary Care Hospital
We describe the case of an abandoned infant who was brought to a pediatric quaternary care hospital as a model for evaluation and management. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 21, 2022 Category: Emergency Medicine Authors: Maya I. Brasher, Allison Silverstein, Justin Moher Tags: Clinical Communications: Pediatric Source Type: research

A Multicenter, Prospective Study Comparing Subxiphoid and Parasternal Views During Brief Echocardiography: Effect on Image Quality, Acquisition Time, and Visualized Anatomy
Recent literature has suggested echocardiography (echo) may prolong pauses in chest compressions during cardiac arrest. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Romolo J. Gaspari, Timothy Gleeson, Stephen Alerhand, William Caputo, Sara Damewood, Christopher Dicroce, Kristin Dwyer, Ryan Gibbons, Joshua Greenstein, Justin Harvey, Michael Hill, Beatrice Hoffman, Mary Kate Jordan, Benjamin Karfunkle, Charles Kropf, R Tags: Ultrasound in Emergency Medicine Source Type: research

The Relative Efficacy of Seven Skeletal Muscle Relaxants. An Analysis of Data From Randomized Studies
Low back pain (LBP) causes 2.6 million visits to U.S. emergency departments (EDs) annually. These patients are often treated with skeletal muscle relaxants (SMRs). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Lorena Abril, Cristian Zamora, Maria Cordero, Andrew R. Williams, Benjamin W. Friedman Tags: Original Contributions Source Type: research

Prehospital Use of the Esophageal Tracheal Combitube Supraglottic Airway Device: A Retrospective Cohort Study
In the province of Quebec (Canada), paramedics use the esophageal tracheal Combitube (ETC) for prehospital airway management. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Hubert Dufour-Neyron, Katherine Tanguay, Alexandra Nadeau, Marcel Emond, Jessica Harrisson, S ébastien Robert, Nicolas Capolla-Daneau, Mathieu Groulx, Pierre-Hugues Carmichael, Eric Mercier Tags: Selected Topics: Prehospital Care Source Type: research

Diagnostic Accuracy of High-Sensitive Troponin for the Identification of Myocardial Infarction in Patients Presenting with Acute Heart Failure
The differentiation of myocardial infarction (MI) in the setting of acute heart failure (AHF) can be challenging because the majority of patients presenting with AHF show elevations of high-sensitive troponin (hs-Tn). Fast identification of MI is crucial to perform timely coronary angiography and to improve clinical outcome. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Jakob Ledwoch, Alisa Schneider, Katharina Leidgschwendner, Jana Kraxenberger, Anna Krauth, Vera Schneider, Eimo Martens, Alexander M üller, Karl-Ludwig Laugwitz, Christian Kupatt Tags: Clinical Laboratory Emergency Medicine Source Type: research

Applying Bioethics Across Cultures
In our multicultural society, as well as when working internationally, emergency physicians (EPs) frequently see patients from cultures with communitarian or hierarchal structures. These groups may rely on traditional medical practices and view health care decisions through a lens other than patient autonomy. This leads to uncertainty about who can legitimately make decisions for patients and how to apply basic ethical principles. Because the commonly taught ethical principles (autonomy, beneficence, nonmaleficence, and distributive justice) are loosely defined, they provide little help to EPs when working with cultures th...
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Kenneth V. Iserson Tags: Ethics Source Type: research

Alleviating Refractory Abdominal Pain in Cholangiocarcinoma Using Erector Spinae Plane Block in the Emergency Department
Acute pain management in the emergency department (ED) is a challenging task, more so in pain due to malignancy. Opioids have life-threatening side effects in ED patients, along with the risk of dependency. Erector spinae plane block (ESPB) is a recently described plane block technique with ease of performance and minimal side effects, making it suitable for emergency settings. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Bharath Gopinath, Rakesh Nayaka, Rachel Kuruvila, Sanjeev Bhoi Tags: Clinical Communication: Adult Source Type: research

Total Isolated Monocular Vision Loss in a Patient Who Suffered Closed Head Injury
Head injuries are an important cause of morbidity and mortality in children and young adults. There are multiple sight-threatening complications of head injury, even in closed head injury without visible violation of the globe or orbits. One such entity is traumatic optic neuropathy. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Derek Chi Fung Tam, Matthew P. Murray Tags: Clinical Communications: Pediatric Source Type: research

Ethics, Personal Responsibility and the Pandemic: A New Triage Paradigm
Discussion: Voluntarily unvaccinated individuals increase the chance that the COVID-19 virus will mutate and spread, endangering the entire population, but especially those who cannot get vaccinated for medical reasons, children for whom vaccines have yet to be approved, and older adult and immunocompromised people for whom the vaccine is less effective. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Kenneth V. Iserson Tags: Ethics in Emergency Medicine Source Type: research

Retirement: While My Stethoscope Gently Weeps (With Apologies to George Harrison)
I look at us now, see my practice and skill that are sleepingWhile my stethoscope gently weepsI look at my future and see no more patients are keepingMe whole while still my stethoscope gently weeps (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Richard M. Ratzan Tags: Humanities and Medicine Source Type: research

Reply to Letter to the Editor
In response to our research of outcomes among patients diagnosed as malingering, the writer describes a patient who “hoped to be admitted and temporarily escape the pressures and dangers of homelessness” (1). We do not know that this patient was seen at our institution, treated by emergency psychiatric services, or received a diagnosis of malingering. We further understand that this patient's presentation was outside of the reported study period. Regardless, similar cases are familiar to emergency department (ED) clinicians, and this example provides a thoughtful narrative to complement our quantitative findings and cl...
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Scott A. Simpson, Ryan Loh, Christian R.R. Goans, Karen Ryall, Molly Middleton, Alicia Dalton Tags: Letters to the Editor Source Type: research

A Randomized, Placebo-Controlled Study of Intranasal Fentanyl as an Analgesic Adjunct For Incision and Drainage of Abscess
Incision and drainage (I&D) of abscesses is one of the most painful procedures performed in emergency departments (EDs). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Alex Latev, Jesse Baer, Shellyann Sharpe, Chiraag Gupta, Carmen Feliciano, Benjamin W. Friedman Tags: Brief Reports Source Type: research

Acute Cholecystitis With Situs Inversus Totalis
Situs inversus totalis (SIT) is a rare congenital condition in which the visceral structures of the thoracic and abdominal cavities are transposed to a mirror-image position. The incidence of SIT is believed to be between 1:5000 and 1:10,000 (1). SIT is most commonly inherited as an autosomal recessive trait, however, it can follow other patterns of inheritance, including autosomal dominant and X-linked recessive (2). There are more than 20 genes involved in SIT (2). Spontaneous mutation during embryological development has also been reported to cause SIT (2). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2022 Category: Emergency Medicine Authors: Rebecca Merrill, Kristen Septaric, Erin L. Simon Tags: Visual Diagnosis in Emergency Medicine Source Type: research