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
Trends in self-reported fentanyl and other illicit substance use in South Carolina Emergency Department patients, 2020-2022
Opioid-involved deaths are continuing to increase across the US, exceeding 100,000 for the first time in 2021. Contamination with and intentional use of synthetic opioids such as fentanyl are a major driver of this increase. Utilizing self-report substance use data of patients being treated in the emergency department (ED) can be useful to determine which substances patients are intentionally seeking. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 15, 2023 Category: Emergency Medicine Authors: Suzanne M. Lane, Lindsey K. Jennings, Sarah S. Gainey, Kelly S. Barth, Louise Haynes, Angela Moreland, Karen Hartwell, Ralph H. Johnson, Kathleen T Brady Tags: Brief Report Source Type: research
A Case of a Serum Sickness-Like Reaction Following Postexposure Rabies Prophylaxis
Serum sickness secondary to rabies postexposure prophylaxis is not well documented in the medical literature. Our case describes serum sickness following 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
Noncontrast Computed Tomography Versus Contract-Enhanced Computed Tomography in Acute Renal Dysfunction
I read with interest the article by Lee entitled “Point-of-Care Ultrasound in Diagnosing Emphysematous Pyelonephritis” (1). The article emphasizes the importance of point-of-care ultrasonography in the diagnosis of suspected pyelonephritis. Although the article is interesting, I have some comments. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2023 Category: Emergency Medicine Authors: Jyotindu Debnath Tags: Letter to the Editor Source Type: research
The Association of Infective Endocarditis and Mycotic Aneurysm of the Aorta
The differential diagnosis of infective aortitis, a disorder exemplified by the report of emphysematous salmonella-infected aneurysm of the aortic arch, includes an entity dating back to the pre-antibiotic era, namely, the entity of mycotic aortic aneurysm attributable to infective endocarditis (1,2). It has only been in the modern era, however, that imaging techniques have made it possible to identify the etiopathogenic pathway that links infection of the heart valves to infection of the aortic wall (3). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2023 Category: Emergency Medicine Authors: Oscar M.P. Jolobe Tags: Letter to the Editor Source Type: research
Do We Overlook Diabetic Complications in the Emergency Department?
This article is well thought out and discusses an important issue that may be overlooked during patient management in emergency departments. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2023 Category: Emergency Medicine Authors: Mustafa Emin Canakci, Nurdan Acar Tags: Letter to the Editor Source Type: research
A Spinal Tap Does Not Require Skin Marking by Syringe Hickey, Pens, or Fingernails
We read with interest the article by Issa et al., who reported on the “syringe hickey” method for marking lumbar puncture sites (1). It was found that a 10-mL syringe aspirated to 5 mL for 1 min resulted in syringe hickeys that lasted more than 30 min on a range of skin tones across the Fitzpatrick scale (1). Compared with a skin mark er pen, the syringe hickey maintained its intensity after application of ultrasound gel and sterilization with either chlorhexidine or Betadine (1). It was concluded that the syringe hickey method is a simple skin marking technique that is resistant to antiseptics and ultrasound gel ...
Source: The Journal of Emergency Medicine - August 1, 2023 Category: Emergency Medicine Authors: Josef Finsterer Tags: Letter to the Editor Source Type: research
Comment on Acute Tonsillitis and Mpox
We would like to share our thoughts on the publication “Acute Tonsillitis Due To Monkeypox” (1). Studemeister et al. described the case of a 42-year-old transgender woman with a sore throat who was receiving antiretroviral therapy for human immunodeficiency virus (HIV) and, after three emergency department visits, was diagnosed with acute tonsillit is complicated by airway obstruction secondary to monkeypox (mpox) (1). According to Studemeister et al., mpox should be considered when a patient presents with pharyngitis in order to avoid complications or a missed diagnosis (1). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - August 1, 2023 Category: Emergency Medicine Authors: Amnuay Kleebayoon, Viroj Wiwanitkit Tags: Letter to the Editor Source Type: research
