Ultrasound-Guided Great Saphenous Vein Access: Revisiting an Old Friend in a New Location
Early recognition of difficult intravenous (i.v.) access and use of ultrasound-guided techniques prior to multiple attempts are important steps in improving patient care in the emergency department (ED). Success rates for ultrasound-guided peripheral i.v. (PIV) cannulation are affected by depth, size of target vessel, and predictability of anatomy. The great saphenous vein (GSV) in the medial distal thigh may provide an alternative site for ultrasound-guided cannulation in cases of difficult peripheral venous access. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 4, 2022 Category: Emergency Medicine Authors: William A. Smoot, Shelby L. Hopp, Brigham M. Barzee, Abigail J. Bardwell, Tobias Kummer Tags: Ultrasound in Emergency Medicine Source Type: research

Point-of-Care Ultrasound in the Evaluation of Patients with Left Ventricular Assist Devices at the Emergency Department
Left ventricular assist devices (LVADs) can be used as a bridging therapy for myocardial recovery or cardiac transplant, as well as a destination therapy for long-term support in patients with advanced heart failure. Patients with LVADs can present to the emergency department (ED) for acute deterioration and emergency physicians (EPs) must be equipped with the necessary knowledge and skill to treat this unique population. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 3, 2022 Category: Emergency Medicine Authors: Jen Heng Pek, Loon Yee Louis Teo Tags: Ultrasound in Emergency Medicine Source Type: research

ECG to Activation: Not an Appropriate Physician Metric, but a Worthy Process Metric
In the recently published paper titled, “Using ECG-To-Activation Time to Assess Emergency Physicians’ Diagnostic Time for Acute Coronary Occlusion,” the authors conclude that ECG [electrocardiogram]-to-activation (ETA) “can serve as a quality metric for emergency physicians” (1). There is value in directing attention to the ETA interval within the ST-elevation myocardial infarction (STEMI) care pathway from screening to treatment. However, we suggest caution with the use of ETA as a metric for physician performance comparisons. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: David A. Berger, Maame Yaa A.B. Yiadom Tags: Letters to the Editor Source Type: research

How Should Native Crotalid Envenomation Be Managed in the Emergency Department?
We share with our colleagues an abiding interest in optimal care of patients with crotalid envenomations (1). However, our most important area of concern centers on two related points —the risk of coagulopathy with copperheads and the role of non-steroidal anti-inflammatory drugs (NSAIDs) in snakebites. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: Michael E. Mullins, Evan S. Schwarz, David B. Liss, Kevin T. Baumgartner, Jason M. Devgun Tags: Letters to the Editor Source Type: research

Lack of Likelihood Ratios May Cause Misinterpretation of Results in Diagnostic Accuracy Studies
This article aims to test whether a machine learning algorithm can give accurate results in septic shock prediction. Therefore, the authors developed models using logistic regression (LR), extreme gradient boosting (XGB), and artificial neural network algorithms. They derived the training dataset from random sampling of 80% of the entire cohort, and the validation dataset comprised the remaining 20% of the cohort. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: Nurettin Özgür Doğan, Kutlu Barış Teke 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 - January 1, 2022 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Source Type: research

Issue Highlights
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Source Type: research

Contents
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Source Type: research

(LEFT) Partial Contents; (RIGHT) Elsevier E-alert 1/2 pg vertical BW filler
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Source Type: research

Instructions for Authors
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Source Type: research

Effect of a Mobile App on Prehospital Medication Errors During Simulated Pediatric Resuscitation: A Randomized Clinical Trial
Siebert J, Bloudeau L, Combescure C, et al. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: Matt Denefe, Nhan “Marc” Phan Source Type: research

Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Randomized Clinical Trial
Andersen LW, Isbye D, Kj ærgaard J, et al (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: Michael Hobensack, Nhan Marc Source Type: research

Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial
Barbic D, Andolfatto F, Grunau B, et al (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: Adam Steele Watkins, Zachary B. Lewis Source Type: research

Effects of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial
Zampieri FG, Machado FR, Biondi RS, et al. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 1, 2022 Category: Emergency Medicine Authors: Benjamin Robert Wagner, Carly Eastin Source Type: research