Comparison of outpatient-department-referred and self-referred patients in the emergency department
This study investigated the clinical characteristics and outcomes of outpatient department (OPD)-referred patients and self-referred patients in the ED.Methods: We selected nontrauma ED adult patients from a tertiary teaching hospital in Taiwan between August 1, 2020, and October 31, 2020. The acuity levels were determined by dichotomizing the triage classification scores. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 4, 2023 Category: Emergency Medicine Authors: Yu-Jung Chou, Vivian Goh, Mi-Chia Ma, Ching-Chi Lee, Chih-Chia Hsieh, Chih-Hao Lin Tags: Administration of Emergency Medicine Source Type: research
Re-Evaluating Cross-Contamination: Additional Trials on Co-Ventilation
Medical equipment can become scarce in disaster scenarios. Prior work has shown that four sheep could be ventilated together on a single ventilator. Others have shown that this maneuver is possible when needed, but no one has yet investigated if cross-contamination occurs in co-ventilated individuals. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 4, 2023 Category: Emergency Medicine Authors: Jonathan W. McMahon, Donald J. Doukas, Christopher Hanuscin, John Quale, Julie Eason, Habtamu Asrat, Mark Silverberg, Lorenzo Paladino Tags: Brief Report Source Type: research
Comment on cryoneurolysis of intercostal nerve for rib trauma and intercostal neuralgia in the emergency department: a multidisciplinary approach
I was enthralled to read the article in the September issue by Hashemi, et al (1). The authors presented an extremely interesting case of a patient with severe traumatic intercostal neuralgia. It is assumed that the patient was first treated in the emergency department (ED) using cryoneurolysis, a fast and effective treatment for intercostal neuralgia. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 1, 2023 Category: Emergency Medicine Authors: Jakub No żewski, Meabh Kitt Tags: Letter to the Editor Source Type: research
Sildenafil Intoxication Can Be Complicated by Seizures and an Increase in Creatine Kinase
We read with interest the article by Kim et al. about a 61-year-old man with sildenafil intoxication from taking 1500 mg sildenafil with suicidal intent (1). The intoxication manifested itself clinically with multiple embolic strokes and an increase in creatine kinase (CK), which was interpreted as rhabdomyolysis (1). Symptoms, such as conf usion, drowsiness, palpitations, dysarthria, and dizziness, occurred 1 h after taking sildenafil (1). In the case of multiple embolic strokes, the patient received acetylsalicylic acid plus clopidogrel (1). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 1, 2023 Category: Emergency Medicine Authors: Josef Finsterer, Fulvio A. Scorza, Carla A. Scorza Source Type: research
American Academy of Emergency Medicine
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - October 1, 2023 Category: Emergency Medicine Source Type: research
Pneumopericardium: a Rare Complication of Marginal Ulcers
A 64 year old male with morbid obesity, status post Roux-en-y gastric bypass 14 years prior, presented to a community hospital with altered mental status. The patient's son reported that the patient had called him earlier in the day and endorsed feeling ill and short of breath. Physical exam revealed altered mental status and cool extremities. The patient was hypothermic with a temperature of 95.3 F. His blood pressure was 101/53 mmHg and heart rate was in the 80s. His respiratory rate and oxygen saturations were normal. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 15, 2023 Category: Emergency Medicine Authors: Graci Gorman, Matt Morgan, Broc Schindler Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Beyond SEP-1 Compliance: Assessing the Impact of Antibiotic Overtreatment and Fluid Overload in Suspected Septic Patients
The Centers for Medicare and Medicaid (CMS) developed the SEP-1 metric to improve sepsis care but evidence supporting this bundle is limited and harms secondary to compliance have not been investigated. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 14, 2023 Category: Emergency Medicine Authors: Venczel Kevin, Lesh Nicholas, Jouriles Nicholas, Seaberg David, David Gothard, Harrell Caleb, Reuter Quentin Tags: Original Contributions Source Type: research
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Paul Auerbach, arguably the “Father” of wilderness medicine as a specialty died a few years ago. His textbook, Wilderness Medicine 7th edition, is one of the classics of medicine and considered the “gold standard” reference for all things related to wilderness medicine. Paul realized early on that practitioners of wild erness medicine would not be carrying the two-volume, 2700-page book into the wilderness with them. By eliminating much of the supporting evidence, illustrations, pathophysiology, and references, he could pare the textbook down to a paperback that could be carried in a backpack into the wilderness. (...
Source: The Journal of Emergency Medicine - September 14, 2023 Category: Emergency Medicine Authors: Edward J. Otten Tags: Book and Other Media Reviews Source Type: research
Three simple parameters on admission to the emergency department are predictors for endoscopic intervention in patients with suspected non-variceal upper gastrointestinal bleeding
: A considerable number of patients with non-variceal upper gastrointestinal bleeding (UGIB) need endoscopic intervention. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 7, 2023 Category: Emergency Medicine Authors: Fatih ACEHAN, Buket KARSAVURANO ĞLU, Cagdas KALKAN, Meryem ASLAN, Emin ALTIPARMAK, Ihsan ATES Tags: Original Contributions Source Type: research
Effects of Clinical Frailty Scale score on adverse outcomes and length of emergency department stay before intensive care unit admission
Older adults living with frailty who require treatment in hospitals are increasingly seen in emergency departments (EDs). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 5, 2023 Category: Emergency Medicine Authors: Ekrem Taha Sert, Kamil Kokulu, H üseyin Mutlu, Betül Cigdem Yortanlı Tags: Original Contributions Source Type: research
Opioid and Benzodiazepine Co-Prescribing Trends from the Emergency Department from 2012 to 2019: A National Analysis
Background: In 2016, the US Food and Drug Administration (FDA) issued its strongest safety warning ( “Black Box Warning”) for concomitant use of prescription opioids and benzodiazepines due to overdose deaths. Objective: Our objective was to look at trends of opioid and benzodiazepine co-prescribing in the emergency department (ED) using national data, because recent data are sparse. Methods: T his is a retrospective review of data collected by the National Hospital Ambulatory Medical Care Survey between 2012 and 2019. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 4, 2023 Category: Emergency Medicine Authors: Christine Ramdin, George Mina, Lewis Nelson, Maryann Mazer-Amirshahi Tags: Original Contributions Source Type: research
Opioid and Benzodiazepine Co-Prescribing Trends from the Emergency Department from 2012-2019: A National Analysis
In 2016, the Food and Drug Administration (FDA) issued its strongest safety warning (Black Box) for concomitant use of prescription opioids and benzodiazepines due to overdose deaths. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 4, 2023 Category: Emergency Medicine Authors: Christine Ramdin, George Mina, Lewis Nelson, Maryann Mazer-Amirshahi Tags: Original Contributions Source Type: research
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“The practice of medicine is an art, a calling, not a business,” according to William Osler. If Dr. Osler were living in 2023 he might have to modify his statement. My colleagues and residents now have MBAs. We have a fellowship in Operations and an elective for our residents in the business of running an emergency department. Where we used to have a guest lecturer talk about trauma resuscitation, we now discuss finances. Times have changed, and we must change with them in order to survive in the current climate. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 2, 2023 Category: Emergency Medicine Authors: Edward J. Otten Tags: Book and Other Media Reviews Source Type: research
American Academy of Emergency Medicine
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - September 1, 2023 Category: Emergency Medicine Source Type: research
Disseminated Tuberculosis with Cutaneous Findings in an Immunocompetent Patient: A Case Report
Tuberculosis (TB) is one of the leading causes of infectious disease and emergency medicine providers are often the first physicians to encounter patients with untreated or undiagnosed disease. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 26, 2023 Category: Emergency Medicine Authors: Elizabeth M. Hanson, Rawle Seupaul, Carly Eastin Tags: Original Contributions Source Type: research
