Point-of-Care Ultrasound in Stratifying Clinically Evolving Inguinal and Femoral Hernia
Point-of-Care Ultrasound (POCUS) is an optimal imaging modality for the risk stratification of patients presenting to the emergency department (ED) with inguinal and femoral hernias, allowing for better evaluation of clinical presentations and guiding appropriate treatment. The lack of ultrasound classification for inguinal and femoral hernias has led to inconsistent use and often underutilization of POCUS in this patient population. Several groin hernia classifications are available but most are complex and often targeted towards surgical management. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 4, 2022 Category: Emergency Medicine Authors: Nour Al Jalbout, Andrew Liteplo, Hamid Shokoohi Source Type: research

Dosing Medications for Coagulopathy Reversal in Patients with Extreme Obesity
Reversal of anticoagulant or antiplatelet medications is a priority in the management of patients with severe injury with the goal of minimizing further bleeding without thrombotic complications. There are few studies however evaluating dosing of reversal agents in the setting of trauma specific to patients with extreme obesity. Nevertheless, clinicians must still make decisions, balancing concerns of ongoing bleeding with excessive thrombosis. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 4, 2022 Category: Emergency Medicine Authors: Jeffrey F. Barletta, Brian L. Erstad Source Type: research

Successful outcome in an adolescent with artery of Percheron occlusion who was treated with tPA
Ischemic stroke is relatively rare in children, leading to a low index of suspicion and delayed diagnosis, particularly in cases of posterior circulation occlusion when symptoms are less indicative. Occlusion of the Artery of Percheron (AOP) results in non-specific neurological symptoms including drowsiness, aphasia or dysarthria, ophthalmoplegia, ataxia, and dysmetria. Previous reports, mainly in adults, described late diagnosis and severe residual disability. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 4, 2022 Category: Emergency Medicine Authors: Elihay Berliner, Evelyn Hessing, Elena Zharkov, Adi Aran Source Type: research

Long-Term Prescription Opioid Use After Injury in Washington State 2015 –2018
Patients with injury may be at high risk of long-term opioid use due to the specific features of injury (e.g., injury severity), as well as patient, treatment, and provider characteristics that may influence their injury-related pain management. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Vivian H. Lyons, Miriam J. Haviland, Irene Y. Zhang, Lauren K. Whiteside, Saman Arbabi, Monica S. Vavilala, Michele Curatolo, Frederick P. Rivara, Ali Rowhani-Rahbar Tags: Original Contributions Source Type: research

Pheochromocytoma-induced tako-tsubo syndrome: an uncommon presentation
A pheochromocytoma-induced tako-tsubo syndrome is a life-threatening complication of the rare endocrinological disease. The association between the two syndromes is known, though seldom reported in literature, but the categorization is still debated. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Nicola Artusi, Rossana Bussani, Franco Cominotto Tags: Clinical Communications: Adults Source Type: research

Case report: misdiagnosis of postorbital foreign body as glaucoma drainage device
Sight-threatening complications from retained orbital and intraocular foreign bodies are frequently reported in literature. Delays in diagnosis can result in severe complications, including choroidal neovascularization, infection, and irreversible vision loss. Therefore, it is imperative that emergency physicians consider the possibility of orbital and intraocular foreign bodies when evaluating patients with acute facial trauma. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Sarah Guo, Rahul Iyengar, Carl Chudnofsky, Brian Song, Sandy Zhang-Nunes Tags: Clinical Communications: Adults Source Type: research

Bottle gourd (Lagenaria Siceraria) Toxicity Diagnosed in the Emergency Department
Bottle gourd (Lagenaria siceraria) is sometimes used in complementary medicine practice for the treatment of chronic ailments. However, there have been reports of toxicity due to consumption of bottle gourd juice leading to severe abdominal upset and upper gastrointestinal bleeding. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Wey Ting Lee, Guoyi Geoffrey Ng, Dong Haur Phua Tags: Case Report Source Type: research

Trends in Lower Extremity Injuries Presenting to Emergency Departments During the COVID-19 Pandemic
: During the emergence of the SARS-CoV-2 (COVID-19) pandemic, there were substantial changes in United States (U.S.) emergency department (ED) volumes and acuity of patient presentation compared to more recent years. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: J. Alex Albright, Edward J. Testa, Joseph W. Testa, Stephen Marcaccio, Ozair Meghani, Brett D. Owens Source Type: research

Long-term prescription opioid use following injury in Washington State 2015-2018
: Patients with injury may be at high risk of long-term opioid use due to the specific features of injury (e.g. injury severity), as well as patient, treatment and provider characteristics that may influence their injury-related pain management. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Vivian H. Lyons, Miriam J. Haviland, Irene Y. Zhang, Lauren K. Whiteside, Saman Arbabi, Monica S. Vavilala, Michele Curatolo, Frederick P. Rivara, Ali Rowhani-Rahbar Tags: Original Contributions Source Type: research

Crystalline lens anterior dislocation with posterior capsular contraction
Case report (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Yung-En Tsai, Shu-I Pao Source Type: research

Case Report: Misdiagnosis of post-orbital foreign body as glaucoma drainage device
: Sight-threatening complications from retained orbital and intraocular foreign bodies are frequently reported in literature. Delays in diagnosis can result in severe complications, including choroidal neovascularization, infection, and irreversible vision loss. Therefore, it is imperative that emergency physicians consider the possibility of orbital and intraocular foreign bodies when evaluating patients with acute facial trauma. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Sarah Guo, Rahul Iyengar, Carl Chudnofsky, Brian Song, Sandy Zhang-Nunes Tags: Adult Clinical Communications Source Type: research

Management of Bleeding Pyogenic Granulomas in Acute Care Settings
: Pyogenic granulomas are acquired, benign growths of capillary blood vessels that are commonly seen in the pediatric population. Patients with these lesions often present to emergency departments and urgent care centers with persistent bleeding after minor trauma. Much of the published literature describing management of pyogenic granulomas, however, is focused on outpatient or definitive therapies, and there is limited information on the management of acute bleeding. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Christopher E. Gaw, James R. Treat, Eron Y. Friedlaender, Jeannine Del Pizzo Source Type: research

Pheochromocytoma-induced Tako-tsubo Syndrome: an uncommon presentation.
: A pheochromocytoma-induced Tako-tsubo Syndrome is a life-threatening complication of the rare endocrinological disease. The association between the two syndromes is known, though seldom reported in literature, but the categorization is still debated. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 2, 2022 Category: Emergency Medicine Authors: Nicola Artusi, Rossana Bussani, Franco Cominotto Tags: Adult Clinical Communications Source Type: research

The Cardiopulmonary Effects of Medical Masks and Filtering Facepiece Respirators on Healthy Health Care Workers in the Emergency Department: A Prospective Cohort Study
International COVID-19 guidelines recommend that health care workers (HCWs) wear filtering facepiece (FFP) respirators to reduce exposure risk. However, there are concerns about FFP respirators causing hypercapnia via rebreathing carbon dioxide (CO2). Most previous studies measured the physiological effects of FFP respirators on treadmills or while resting, and such measurements may not reflect the physiological changes of HCWs working in the emergency department (ED). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - May 1, 2022 Category: Emergency Medicine Authors: Erkman Sanri, Sinan Karacabey, Emir Unal, Emre Kudu, Murat Cetin, Cigdem Ozpolat, Arzu Denizbasi Tags: Original Contributions Source Type: research

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