The Impact of the COVID-19 Shelter-in-Place Order on Traumatic Brain Injuries in San Francisco, California
In response to the COVID-19 pandemic, San Francisco, California issued a shelter-in-place (SIP) order in March 2020, during which emergency medicine physicians noted a drop in trauma cases, as well as a change in traditional mechanisms of trauma. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 20, 2023 Category: Emergency Medicine Authors: Debbie Y. Madhok, Anthony Nardone, Elizabeth Urrutia Caceres, Angela H.K. Wong, Li Zhang, Robert M. Rodriguez Tags: Original Contributions Source Type: research
Acute Obstructive Hydrocephalus: An Unexpected Cause of Cardiac Arrest
Background: Emergency physicians are well-versed in managing cardiac arrests, including the diagnostic and therapeutic steps after return of spontaneous circulation. Neurologic emergencies are a common cause of out-of-hospital cardiac arrest and must remain high in the differential diagnosis as such cases often require specific interventions that may deviate from more common care pathways. Performing a non-contrasted head computed topography (NCHCT) scan following cardiac arrest has been shown to change management, though the optimal timing of this imaging is unclear. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 20, 2023 Category: Emergency Medicine Authors: Ryan Barnicle, Alexander Bracey, Alison Rosser, David Gordon Tags: Selected Topics: Neurological Emergencies Source Type: research
Pearls for the Emergency Clinician: Posterior Circulation Stroke
Posterior circulation (PC) stroke in adults is a rare, frequently misdiagnosed, serious condition that carries with it a high rate of morbidity. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 20, 2023 Category: Emergency Medicine Authors: Jessica Pelletier, Alex Koyfman, Brit Long Source Type: research
Use of transparent film dressing to facilitate mask ventilation in bearded patients
Mask ventilation is a critical airway procedure made more difficult in the bearded patient. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 20, 2023 Category: Emergency Medicine Authors: Neal S. Gerstein, Darren A. Braude, Timothy R. Petersen, Andrew Goumas, Adam C. Fish, Pramod V. Panikkath Tags: Brief Report Source Type: research
Older adult frequent 9-1-1 callers for emergency medical services in a large metropolitan city: Individual- and system-level considerations
High utilizers of 9-1-1 place a significant burden on emergency medical services (EMS). A retrospective review of records data of the City of Los Angeles Fire Department (LAFD) described a significant increase of older adult high utilizers. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 20, 2023 Category: Emergency Medicine Authors: Beatrice Mart ínez, María P. Aranda, Stephen Sanko, Iris Aguilar, William A. Vega Tags: Selected Topics: Prehospital Care Source Type: research
Accuracy of Emergency Medicine Residents using Point-of-Care Ultrasound (POCUS) to Detect Retained Stingray Barbs
Stingray envenomation is a common presenting complaint for coastal emergency departments in the United States. Currently, radiograph is the gold standard to evaluate for a retained stingray barb, but ultrasound may be a useful tool to detect retained barbs. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 20, 2023 Category: Emergency Medicine Authors: S. Russ Richardson, Jacob Pope, Lexus Dickson, Leslie B. Hart, Casey Wilson Tags: Ultrasound in Emergency Medicine Source Type: research
---
The practice of emergency medicine gets more complicated and protean on a daily basis. Not only are we seeing novel diseases such as COVID-19 and xylazine ingestions, but our patients are sicker and our technology and record keeping are much more involved. Textbooks by their nature are several years behind the power curve that is modern medicine. The internet cannot be trusted and many medical websites are not kept up-to-date. Textbook editors have a Herculean task in recruiting contributors; organizing the book; editing the material; trying to eliminate redundancy; and keeping the topics relevant, current, and with a mini...
Source: The Journal of Emergency Medicine - July 18, 2023 Category: Emergency Medicine Authors: Edward J. Otten Tags: Book Review and Other Media Reviews Source Type: research
A case report of food impaction relieved by warm water drinking therapy
The Emergency Department (ED) management of esophageal food impaction without high-grade obstruction is highly variable, without definitive and validated interventions being supported in medical literature. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 5, 2023 Category: Emergency Medicine Authors: Matthew J. Kilroe, Kyle J. McAtee, Tamara M. McReynolds Tags: Adult Clinical Communications Source Type: research
American Academy of Emergency Medicine
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - July 1, 2023 Category: Emergency Medicine Source Type: research
Spontaneous pneumocephalus: a case report with a literature review
Pneumocephalus is defined as gas in the intracranial space. Common causes include head trauma, surgery, and diagnostic/therapeutic procedures resulting from the direct disruption of the dura. Spontaneous or non-traumatic pneumocephalus is an uncommon condition, often caused by infection, either due to insidious disruption of the dura or gas-forming pathogens. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 29, 2023 Category: Emergency Medicine Authors: Jiashan Chen, Shao-An Wang, Chun-Yen Huang, Yuan-Hui Wu, Chien Chieh Hsieh Source Type: research
Possible drug interaction between statin and sildenafil associated with penile erection
To the Editor (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 28, 2023 Category: Emergency Medicine Authors: Ju-Tae Sohn Tags: Letter to the Editor Source Type: research
Iatrogenic flexion-related classic metaphyseal lesion of the distal tibia: three cases
Classic metaphyseal lesions (CMLs) should raise concern for nonaccidental trauma. However, iatrogenic causes for CMLs have increasingly been described and warrant close consideration. Increasing the clinical understanding of CML mechanics and their relation to often routine medical procedures will enhance provider awareness and expand the differential diagnosis when these otherwise highly concerning injuries are identified. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 26, 2023 Category: Emergency Medicine Authors: Tagrid M. Ruiz-Maldonado, Suzanne B. Haney, Jeffrey S. Prince, Antoinette L. Laskey Tags: Violence: Recognition, Management, and Prevention Source Type: research
Iatrogenic Flexion-Related Classic Metaphyseal Lesion of the Distal Tibia: 3 Cases
Classic metaphyseal lesions (CMLs) should raise concern for non-accidental trauma. However, iatrogenic causes for CMLs have increasingly been described and warrant close consideration. Increasing the clinical understanding of CML mechanics and their relation to often routine medical procedures will enhance provider awareness and expand the differential diagnosis when these otherwise highly concerning injuries are identified. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 26, 2023 Category: Emergency Medicine Authors: Tagrid M Ruiz-Maldonado, Suzanne B Haney, Jeffrey S Prince, Antoinette L Laskey Source Type: research
Obstructing Urolithiasis Leading to Renal Forniceal Rupture
Urolithiasis is a common presenting condition to emergency departments across the world, estimated to account for 9% of all visits (1). The incidence has been increasing over time, with over one million visits per year in the United States alone (2). Similarly, incidence of complications, such as infection and obstruction, related to urolithiasis has been increasing (3). Emergency physicians must be aware of both common and rare potential complications that can arise from this frequent presenting pathology. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 26, 2023 Category: Emergency Medicine Authors: Daniel F. Suarez, Erica C. Blustein, Brian J. Bausano, Aaron J. Lacy Source Type: research
Imaging Manifestations of Wandering Spleen with Torsion
We present a case of a male patient admitted to the emergency department with vomiting, nausea, and persistent lower abdominal pain. Computed tomography and ultrasound were performed and were used to diagnose a wandering spleen with torsion leading to splenic infarctions. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - June 22, 2023 Category: Emergency Medicine Authors: Tangna Wu, Shaopiao Chen, Lingling Qin, Min Zhang Tags: Ultrasound in Emergency Medicine Source Type: research
