Visual Diagnosis in Emergency Medicine Traumatic Pseudoaneurysm of the Temporal Artery
A 36-year-old male presented to the Emergency Department complaining of a pulsatile mass on his right temple. It had occurred two weeks earlier following blunt trauma to his forehead whilst playing rugby. He was concerned as it was increasing in size. Examination of the lump revealed a non-tender pulsatile mass to the right frontotemporal region (figure 1). There were no other traumatic injuries, and the patient was otherwise well. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 29, 2024 Category: Emergency Medicine Authors: Tom Jaconelli, Bahir Almazedi, Aidan Adams Tags: Visual Diagnosis in Emergency Medicine Source Type: research
A Case of Thunderclap Headache and Neurologic Deficits
Dr. Christiana Prucnal: Today's case is that of a 62-year-old woman who presented to the emergency department (ED) with sudden onset headache. For the three days prior to presentation, she noted episodic, momentary, unprovoked visual symptoms, described as “lines and dots” that would obscure part of her visual field, but otherwise felt well and in her usual state of health. Forty-five minutes prior to ED arrival, she reached to grasp an object from atop her refrigerator and experienced acute right-sided stabbing headache with associated dizziness. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 28, 2024 Category: Emergency Medicine Authors: Christiana K. Prucnal, Eric F. Shappell, Kathleen A. Wittels, Derek L. Monette Tags: Original Contributions Source Type: research
Ipsilateral Shoulder and Elbow Dislocation
Shoulder dislocations and elbow dislocations are common presentations to the emergency department (ED). Simultaneous ipsilateral elbow and shoulder dislocations are rarely reported and typically occur secondary to trauma. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 28, 2024 Category: Emergency Medicine Authors: Toriana R. Dabkowski, Alay Parikh, Cathya S. Olivas Michels Tags: Selected Topics: Emergency Radiology Source Type: research
A Case of Thunderclap Headache and Neurological Deficits
Dr. Christiana Prucnal: Today's case is that of a 62-year-old woman who presented to the emergency department (ED) with sudden onset headache. For the three days prior to presentation, she noted episodic, momentary, unprovoked visual symptoms, described as “lines and dots” that would obscure part of her visual field, but otherwise felt well and in her usual state of health. Forty-five minutes prior to ED arrival, she reached to grasp an object from atop her refrigerator and experienced acute right-sided stabbing headache with associated dizziness. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 28, 2024 Category: Emergency Medicine Authors: Christiana K. Prucnal, Eric F. Shappell, Kathleen A. Wittels, Derek L. Monette Tags: Original Contributions Source Type: research
Incidental renal cysts found by point-of-care ultrasound: A retrospective chart review
Incidental findings are unrelated to a patient's complaint, found on diagnostic imaging, such as point-of-care ultrasound (POCUS). Incidental findings represent potential harms to patients and may lead to increased patient anxiety and health care costs related to downstream testing and surveillance. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 19, 2024 Category: Emergency Medicine Authors: Robert Allen, Gonzalo Paz-Soldan, Melissa Wilson, Jennifer Huang, Talib Omer, Thomas Mailhot, Dana Sajed Tags: Ultrasound in Emergency Medicine Source Type: research
Ultrasound in Emergency Medicine Incidental Renal Cysts found by Point-of-Care Ultrasound: A Retrospective Chart Review
Incidental findings are unrelated to a patient's complaint, found on diagnostic imaging, such as point-of-care ultrasound (POCUS). Incidental findings represent potential harms to patients and may lead to increased patient anxiety and healthcare costs related to downstream testing and surveillance. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 19, 2024 Category: Emergency Medicine Authors: Robert Allen, Gonzalo Paz-Soldan, Melissa Wilson, Jennifer Huang, Talib Omer, Thomas Mailhot, Dana Sajed Tags: Ultrasound in Emergency Medicine Source Type: research
A Nationwide Emergency Department Data Analysis to Predict Patterns Beers List Medications Use Among Older Adults
The use of potentially inappropriate medications (PIMs) is considered an important quality indicator for older adults seen in the ambulatory care setting. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 16, 2024 Category: Emergency Medicine Authors: Sangil Lee, Gabriel Frediani, Brian C. Lund, Korey Kennelty, Molly Moore Jeffery, Ryan M. Carnahan Source Type: research
Comparison of Bedside Index for Severity in Acute Pancreatitis and Emergency Department SpO2, Age and Systemic Inflammatory Response Syndrome Scores in Predicting Severe Acute Pancreatitis in Patients With Acute Pancreatitis in the Emergency Department
As the mortality of severe acute pancreatitis (SAP) is significantly higher than those with mild or moderate severity, it is of clinical significance to identify patients most likely to develop SAP at the time of ED presentation. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 14, 2024 Category: Emergency Medicine Authors: Ömer Faruk Şefoğlu, Elif Yaka, Murat Pekdemir, Serkan Yılmaz, İbrahim Ulaş Özturan, Nurettin Özgür Doğan Tags: Original Contributions Source Type: research
Comparison of BISAP and ED-SAS scores in predicting severe acute pancreatitis in patients with acute pancreatitis in the emergency department
As the mortality of severe acute pancreatitis (SAP) is significantly higher than those with mild or moderate severity, it is of clinical significance to identify patients most likely to develop SAP at the time of ED presentation. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 14, 2024 Category: Emergency Medicine Authors: Ömer Faruk Şefoğlu, Elif Yaka, Murat Pekdemir, Serkan Yılmaz, İbrahim Ulaş Özturan, Nurettin Özgür Doğan Tags: Original Contributions Source Type: research
Treatment of Anticholinergic Delirium with Oral Rivastigmine: A Case Report
Anticholinergic toxicity is commonly encountered in the emergency department. However, the availability of physostigmine, a central acetylcholinesterase inhibitor used to reverse anticholinergic delirium, has been significantly limited due to national drug shortages in the United States. Several articles have explored the viability of rivastigmine as an alternative treatment for these patients. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 14, 2024 Category: Emergency Medicine Authors: Christopher Karousatos, Lauren Murphy Tags: Selected Topics: Toxicology Source Type: research
Nonfatal Emergency Department Visits Associated with Fall-related Fractured Skulls of Infants Aged 0 –4 Months.
Children aged 0 –4 years have the highest rate of emergency department (ED) visits for traumatic brain injury (TBI) with falls a leading cause. Infants under age 2 are more likely to sustain a fractured skull after a fall. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 14, 2024 Category: Emergency Medicine Authors: Juliet Haarbauer-Krupa, Tadesse Haileyesus, Alexis B. Peterson, Lindsay S. Womack, Kent Hymel, Marzieh Hajiaghamemar, Joanne Klevens, Daniel Lindberg, Susan S. Margulies Tags: Original Contributions Source Type: research
Pearls for Caring for the Boarding Psychiatric Patient in the Emergency Department
Emergency Department (ED) boarding of psychiatric patients is a national issue that continues to worsen at a disturbing rate. Implementing strategies in the ED to provide continuous care for patients can help secure patient safety. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 14, 2024 Category: Emergency Medicine Authors: Afrah A Ali Tags: Clinical Reviews Source Type: research
Frequency of Persistent Opioid Use 6 Months After Exposure to IV Opioids in the Emergency Department: A Prospective Cohort Study
As rates of opioid use disorder in the general population have increased, some have questioned whether IV opioids should be used routinely for treatment of acute severe pain in the emergency department (ED). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 13, 2024 Category: Emergency Medicine Authors: Eddie Irizarry, Rachel Cho, Andrew Williams, Michelle Davitt, Jesse Baer, Caron Campbell, Alexis Cortijo-Brown, Benjamin W. Friedman Tags: Original Contributions Source Type: research
A Novel REBOA Training Curriculum for Emergency Medicine Residents: A Pilot Study
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a potentially life-saving intervention to treat non-compressible torso hemorrhage. Traditionally, REBOA use has been limited to surgeons; however, emergency physicians are often the first point-of-contact and are well-versed in obtaining rapid vascular access and damage control resuscitation, making them ideal candidates for REBOA training. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 13, 2024 Category: Emergency Medicine Authors: Amanda N. Studer, Jocelyn C. Young, Jeffrey T. Cook, Felipe H. Grimaldo, Danielle A. Wickman, Gregory J. Zarow, Carmen N. Spalding Tags: Education Source Type: research
Frequency of persistent opioid use six months after exposure to IV opioids in the ED. A prospective cohort study
As rates of opioid use disorder in the general population have increased, some have questioned whether IV opioids should be used routinely for treatment of acute severe pain in the ED. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 13, 2024 Category: Emergency Medicine Authors: Eddie Irizarry, Rachel Cho, Andrew Williams, Michelle Davitt, Jesse Baer, Caron Campbell, Alexis Cortijo-Brown, Benjamin W. Friedman Tags: Original Contributions Source Type: research
