Risk Factors and Emergency Department Outcomes in Methamphetamine-Associated Cardiomyopathy: A Case-Control Study
Methamphetamine-associated cardiomyopathy (MACM) is a known complication of methamphetamine use, however risk factors and outcomes of patients with MACM are not well understood. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 13, 2024 Category: Emergency Medicine Authors: Daniel J. Suto, Emily Pott, Jesse Brennan, Megan Jackson, Isac Thomas, Christopher J Coyne Tags: Selected Topics: Toxicology Source Type: research
Effectiveness of the Introduction to Critical Care in Emergency Medicine Curriculum's Implementation Amongst Trainees Interested in Intensive Care
Medical students dedicate their clerkship education to foundational topics in medicine, such as internal medicine, surgery, and psychiatry. Although many consider critical care medicine too advanced for an early trainee, the initial critical care, and sometimes extended critical care stabilization in areas with limited ICU bed capacity, is provided in the ED.1,2 Trainees must be prepared to provide this. While prior work has focused on teaching fourth-year medical students critical care management and procedural skills at a basic level;3,4 it lacked a foundational and incremental model which coupled theoretical critical ca...
Source: The Journal of Emergency Medicine - March 13, 2024 Category: Emergency Medicine Authors: Matthew MT. Carvey, Ava A. Omidvar, Elias E. Wan, Allyson M. Hynes, Skyler A. Lentz Tags: Education Source Type: research
Assessing the Predictive Value of Combining Risk Scoring Systems and Ultrasonography for Short-Term Adverse Outcomes in Syncope: A Prospective Observational Study
In the emergency department (ED), the role of ultrasonography (USG) in risk stratification and predicting adverse events in syncope patients is a current research area. However, it is still unclear how ultrasound can be combined with existing risk scores. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 13, 2024 Category: Emergency Medicine Authors: Tar ık Sekreter, Yusuf Ali Altuncı, İlhan Uz, Funda Karbek Akarca Tags: Original Contributions Source Type: research
Emergency Physicians ’ Ethical Issues with Hospital Business Models
The changing hospital business model has raised ethical issues for emergency physicians (EPs) in a healthcare system that often prioritizes profits over patient welfare. For-profit hospitals, driven by profit motives, may prioritize treating patients with lucrative insurance plans and those who can afford expensive treatments. Private equity investors, who now own many for-profit hospitals, focus on short-term financial gains, leading to cost-cutting measures and pressure on EPs to prioritize financial goals over patient welfare. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 12, 2024 Category: Emergency Medicine Authors: Kenneth V. Iserson, James H. Paxton, Daniel R. Martin, Evie Marcolini Tags: Ethics Source Type: research
Single Intravenous Dose Dalbavancin Pathway for the Treatment of Acute Bacterial Skin and Skin Structure Infections: Considerations for Emergency Department Implementation and Cost Savings
Skin and soft tissue infections (SSTIs) make up approximately 3% to 10% of inpatient hospital admissions in the US (1,2), with inpatient costs being the largest cost component of their overall management (3). In approximately 40% of patients who present to US emergency departments (EDs) with SSTIs, the sole reason for their admission is administration of an intravenous (IV) antibiotic (4). Various approaches have been pursued to avoid the need for hospitalization based solely on antibiotic administration needs by helping shift treatment to the outpatient setting (5). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 11, 2024 Category: Emergency Medicine Authors: Frank LoVecchio, Matthew W. McCarthy, Xiaolan Ye, Alasdair D. Henry, Quan V. Doan, John L. Lock, Todd Riccobene, Rosie D. Lyles, David A. Talan Tags: Pharmacology in Emergency Medicine Source Type: research
A Clinical Review of Vasopressors in Emergency Medicine
Vasopressor medications raise blood pressure through vasoconstriction and are essential in reversing the hypotension seen in many critically ill patients. Previously, vasopressor administration was largely limited to continuous infusions through central venous access. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 11, 2024 Category: Emergency Medicine Authors: Matthew Stampfl, Peter DeBlieux Tags: Clinical Reviews Source Type: research
Topical Tranexamic Acid to Control Vaginal Laceration Bleeding After Sexual Assault
Sexual assault survivors may sustain vaginal trauma that requires intervention in the emergency department, or operating room. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 11, 2024 Category: Emergency Medicine Authors: Ashtyn Playfair, Brian Dillon, Carissa Futterer, Ralph Riviello Tags: Clinical Communications: OB/GYN Source Type: research
Before Hemichorea Can Be Attributed to Diabetic Striatopathy, All Other Causes Must Be Thoroughly Ruled Out
We read with interest the article by Ganessane et al. about a 61-year-old man with nonketotic hyperglycemia manifesting with right-sided hemichorea and a hyperdense lesion in the contralateral striatum on cerebral computed tomography (CCT) (1). The patient's symptoms disappeared after normalization of blood sugar (1). It was concluded that nonketotic hyperglycemic hemichorea should be included in the differential diagnosis of a patient with hemichorea and high blood glucose, and that the prognosis is excellent, with both symptoms and imaging abnormalities typically resolving completely with recovery of normoglycemia (1). (...
Source: The Journal of Emergency Medicine - March 1, 2024 Category: Emergency Medicine Authors: Josef Finsterer Tags: Letter to the Editor Source Type: research
Multilocular DWI-Hyperintense Cerebral Lesions in a Child with Mild Head Trauma Suggest Embolism Rather Than Thrombosis
We read with interest the article by Moon et al. about a 3-year-old girl diagnosed with right striatocapsular ischemic stroke manifesting as left hemiparesis following a mild head rauma after fall from a swing (1). Postictally, she only complained of dizziness and fell asleep. The patient recovered completely with acetylsalicylic acid and intravenous fluid administration. Ischemic stroke was attributed to intimal tear of striatolenticular branches due to deceleration trauma (1). The study is impressive but has limitations. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 1, 2024 Category: Emergency Medicine Authors: Josef Finsterer, Sounira Mehri Tags: Letter to the Editor Source Type: research
Cooling Modality Effectiveness and Mortality Associate[d] with Prehospital Care of Exertional Heat Stroke Casualties
The objective of the study was to determine the prehospital cooling rate associated with ice sheet use from a sample of 462 heat casualty cases in the logs of Fort Benning' s currently named Fort Moore emergency medical services (EMS) during a 5-year span. The rationale was to help identify cooling options for remote locations when resources may be limited or the exertional heat stroke (EHS) victim must be transferred to a site with more effective cooling options. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 1, 2024 Category: Emergency Medicine Authors: Rebecca L. Stearns, John Jardine, Susan W. Yeargin, Michael R. Szymanski, Douglas J. Casa Tags: Letter to the Editor Source Type: research
Initial Vasopressor Dosing After Return of Spontaneous Circulation: Which Drug, Which Dose?
I read the article entitled “Lack of Association of Initial Vasopressor Dosing with Survival and Cardiac Re-Arrest Likelihood after Return of Spontaneous Circulation,” which was published in the Journal of Emergency Medicine and authored by Sharpe et al. (1). This was a retrospective and observational study investigating t he effect of initial vasopressor dose selection on survival and re-cardiac arrest in patients with return of spontaneous circulation (ROSC) after cardiac arrest. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 1, 2024 Category: Emergency Medicine Authors: Nurettin Özgür Doğan 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 - March 1, 2024 Category: Emergency Medicine Source Type: research
An Unusual Case of Abdominal Pain in a Geriatric Man
Immunoglobulin A Vasculitis, historically known as Henoch-Schonlein Purpura is a rare form of autoimmune-induced vasculitis most common in children. This disease is characterized by a purpuric rash, arthritis, digestive tract complication, and renal inflammation (Hopkins). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 26, 2024 Category: Emergency Medicine Authors: Skyler Sloane, Rachna Subramony, Cameron Olandt, Colleen Campbell Tags: Clinical Communications: Adult Source Type: research
Rapidly Progressive Myonecrosis Diagnosed by Point-of-Care Ultrasound
Infectious myonecrosis is a rare, rapidly progressive necrotizing infection of skeletal muscles caused by anaerobic bacterium, most common in underdeveloped and tropical areas (1). This disease requires rapid diagnosis and treatment due to its associated 20 –48% associated mortality rate. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 16, 2024 Category: Emergency Medicine Authors: Skyler Sloane, Rachna Subramony, Cameron Andrew Olandt, Colleen Campbell Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Pediatric Asthma Exacerbations: 14-Day Emergency Department Return Visit Risk Factors
Asthma, the most common chronic disease of childhood, can affect a child's physical and mental health and social and emotional development. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 16, 2024 Category: Emergency Medicine Authors: Ricardo Aguilar, Chloe Knudsen-Robbins, Louis Ehwerhemuepha, William Feaster, Sunil Kamath, Theodore W. Heyming Tags: Original Contributions Source Type: research
