Simultaneous cardiocerebral infarction associated with postcoital activity
Cardiocerebral infarction (CCI) is a rare and life-threatening presentation of simultaneous acute myocardial infarction and acute ischemic stroke that requires prompt recognition and proper treatment. CCI is time sensitive and carries a high mortality rate. There is no standardized treatment algorithm that addresses both conditions simultaneously. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 25, 2023 Category: Emergency Medicine Authors: Carl Pastore, Michael White, Michael Henry, Levi Filler Tags: Clinical Communications: Adults Source Type: research
The Medical Costs of Firearm Injuries in the United States: A Systematic Review
Firearm injury poses a significant public health burden in the United States. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 25, 2023 Category: Emergency Medicine Authors: Taylor Miller, Jessica Downing, Lauren Wheeler, Kyle Fischer Tags: Clinical Review Source Type: research
Bilateral fracture-dislocation of the shoulder after defibrillation
There are multiple reported injuries associated with cardiopulmonary resuscitation, most of them caused by the force of compressions like sternal and rib fractures, abdominal organ injuries like splenic rupture, liver lacerations, and injuries to the upper airway and skin. Injuries related to defibrillation and cardioversion are rare, mostly related to skin and muscle injuries on where the defibrillation paddles were placed.1 (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 25, 2023 Category: Emergency Medicine Authors: Merve Nihal Akp ınar, Kübra Çim, Merve Rüveyda Özbek, Barış Murat Ayvacı, Asım Kalkan Tags: Adult Clinical Communications Source Type: research
Simultaneous cardiocerebral infarction associated with post-coital activity
Cardiocerebral infarction (CCI) is a rare and life-threatening presentation of simultaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS) that requires prompt recognition and proper treatment. CCI is time sensitive and carries a high mortality rate. There is no standardized treatment algorithm that addresses both conditions simultaneously. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 25, 2023 Category: Emergency Medicine Authors: Carl Pastore, Michael White, Michael Henry, Levi Filler Source Type: research
The value of using a quality assurance follow-up team to address incidental findings after emergency department or urgent care discharge: a cost analysis
Incidental finding (IF) follow-up is of critical importance for patient safety and is a source of malpractice risk. Laboratory, imaging, or other types of IFs are often uncovered incidentally and are missed, not addressed, or only result after hospital discharge. Despite a growing IF notification literature, a need remains to study cost-effective non –electronic health record (EHR)–specific solutions that can be used across different types of IFs and EHRs. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 24, 2023 Category: Emergency Medicine Authors: Maxwell Blodgett, Jorge Fradinho, Kiersten Gurley, Ryan Burke, Shamai Grossman Tags: Administration of Emergency Medicine Source Type: research
Severe Multifactorial Metabolic Alkalosis in the Emergency Department: A Case Report
Metabolic alkalosis is an uncommon clinical entity resulting from a wide variety of underlying etiologies including gastrointestinal, renal, endocrine, and metabolic causes. It is a typically clinically silent condition however severe cases can be life-threatening mandating both a systematic investigative approach and an early aggressive management strategy. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 24, 2023 Category: Emergency Medicine Authors: Dr Alissa O Lukomskyj, Dr Christopher L Partyka Tags: Adult Clinical Communications Source Type: research
The Value of Using a QA Follow-Up Team to Address Incidental Findings After Emergency Department or Urgent Care Discharge: A Cost Analysis
Incidental finding (IF) follow-up is of critical importance for patient safety and a source of malpractice risk. Laboratory, imaging, or other types of IFs are often uncovered incidentally and are missed, not addressed, or only result after hospital discharge. Despite a growing IF notification literature, a need remains to study cost-effective non-electronic health record (EHR) specific solutions that can be utilized across different types of IFs and EHRs. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 24, 2023 Category: Emergency Medicine Authors: Maxwell Blodgett, Jorge Fradinho, Kiersten Gurley, Ryan Burke, Shamai Grossman Tags: Administration of Emergency Medicine Source Type: research
Impact of Implementation of a New Weapons Screening at an Urban Emergency Department
Violence in the emergency department (ED) setting is well documented in medical literature. Weapons can be used to cause significant injury or mortality, although there is a paucity of literature on weapons and weapons screening in the ED. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 24, 2023 Category: Emergency Medicine Authors: Gary M. Vilke, Elizabeth Billberry, Dale N. Bongbong, Edward M. Castillo, Jesse Brennan, Theodore C. Chan Tags: Violence: Recognition, Management and Prevention Source Type: research
Access to Trauma Care in a Rural State: A Descriptive Geographic and Demographic Analysis
Montana is a rural state with limited access to higher-level trauma care; it also has higher injury fatality rates compared to the rest of the country. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 24, 2023 Category: Emergency Medicine Authors: Heather M. Stamey, Katherine R. Meyers, John T. Fordham, Kyle J. Young, Rachel L. Ott, Sarah K. Spilman Tags: Selected Topics: Prehospital Care Source Type: research
The Effect of Early Severe Hyperoxia in Adults Intubated in the Prehosptial Setting or Emergency Department: A Scoping Review
The detrimental effects of hyperoxia exposure have been well-described in patients admitted to intensive care units. However, data evaluating the effects of short-term, early hyperoxia exposure in patients intubated in the prehospital setting or emergency department (ED) have not been systematically reviewed. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 23, 2023 Category: Emergency Medicine Authors: George Yusin, Charlotte Farley, Charles Scott Dorris, Sofiya Yusina, Saad Zaatari, Munish Goyal Tags: Clinical Review Source Type: research
The effect of early severe hyperoxia in adults intubated in the prehospital setting or emergency department: a scoping review
The detrimental effects of hyperoxia exposure have been well-described in patients admitted to intensive care units. However, data evaluating the effects of short-term, early hyperoxia exposure in patients intubated in the prehospital setting or emergency department (ED) have not been systematically reviewed. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 23, 2023 Category: Emergency Medicine Authors: George Yusin, Charlotte Farley, Charles Scott Dorris, Sofiya Yusina, Saad Zaatari, Munish Goyal Tags: Original Contribution Source Type: research
The effect of early severe hyperoxia in adults intubated in the pre-hospital setting or Emergency Department. A scoping review.
The detrimental effects of hyperoxia exposure have been well-described in patients admitted to intensive care units. However, data evaluating the effects of short-term, early hyperoxia exposure in patients intubated in the prehospital setting or Emergency Department (ED) have not been systematically reviewed. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 23, 2023 Category: Emergency Medicine Authors: George Yusin, Charlotte Farley, Charles Scott Dorris, Sofiya Yusina, Saad Zaatari, Munish Goyal Tags: Original Contributions Source Type: research
Elevated osmolal gap in a case of multiple myeloma
The estimated serum osmolality is a measurement of solutes in the blood, including sodium, glucose, and urea, but also includes ethanol and toxic alcohols (e.g., methanol, ethylene glycol, diethylene glycol, isopropyl alcohol, propylene glycol) when present. These rarely measured toxic alcohols can elevate the serum osmolality, giving the true measured osmolality. The difference between that and a calculated osmolality is the osmolal gap, which can be elevated in many clinical scenarios such as renal failure, ingestion of toxic alcohols, diabetic ketoacidosis, shock, and others. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 17, 2023 Category: Emergency Medicine Authors: Ratna Malkan, Michael Baillio, Han T. Gao, Shawn M. Varney Tags: Selected Topics: Toxicology Source Type: research
“Elevated Osmolal Gap in a case of Multiple Myeloma”
The estimated serum osmolality is a measurement of solutes in the blood including sodium, glucose, and urea, but also includes ethanol and toxic alcohols (e.g., methanol, ethylene glycol, diethylene glycol, isopropyl alcohol, propylene glycol) when present. These rarely measured toxic alcohols can elevate the serum osmolality giving the true measured osmolality. The difference between that and a calculated osmolality is the osmolal gap which can be elevated in many clinical scenarios such as renal failure, ingestion of toxic alcohols, diabetic ketoacidosis, shock, and others. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 17, 2023 Category: Emergency Medicine Authors: Ratna Malkan, Michael Baillio, Han T. Gao, Shawn M. Varney Tags: Selected Topics: Toxicology Source Type: research
A case of a serum sickness-like reaction after postexposure rabies prophylaxis
Serum sickness secondary to rabies postexposure prophylaxis is not well documented in the medical literature. Our case describes serum sickness after exposure to human-derived rabies immunoglobulin (HRIG) and three human diploid rabies vaccines (HDCV) in a young adult male. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 15, 2023 Category: Emergency Medicine Authors: Kira J. Galeano, Victoria Q. Tay, Alexandra M. Amaducci Tags: Selected Topics: Toxicology Source Type: research
