Direct Comparison of the European Society of Cardiology 0/1-Hour Vs. 0/2-Hour Algorithms in Patients with Acute Chest Pain
The recent guidelines from the European Society of Cardiology recommends using high-sensitivity cardiac troponin (hs-cTn) in either 0/1-h or 0/2-h algorithms to identify or rule out acute myocardial infarction (AMI). Several studies have reported good diagnostic accuracy with both algorithms, but few have compared the algorithms directly. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 16, 2024 Category: Emergency Medicine Authors: Agnes Engstr öm, Arash Mokhtari, Ulf Ekelund Tags: Original Contributions Source Type: research
Pediatric Asthma Exacerbations – 14 Day ED Return Visit Risk Factors
Asthma, the most common chronic disease of childhood, can affect a child's physical and mental health, and their social/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 Source Type: research
Direct comparison of the European Society of Cardiology 0/1-hour versus 0/2-hour algorithms in acute chest pain patients
The recent guidelines from European Society of Cardiology recommends using high-sensitivity cardiac troponin (hs-cTn) in either 0/1-hour or 0/2-hour algorithms to identify or rule out acute myocardial infarction (AMI). Several studies have shown good diagnostic accuracy with both algorithms, but few have compared the algorithms directly. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 16, 2024 Category: Emergency Medicine Authors: Agnes Engstr öm, Arash Mokhtari, Ulf Ekelund Tags: Original Contributions 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
Assessment of Outcomes in Patients with Heart Failure and End-Stage Kidney Disease after Fluid Resuscitation for Sepsis and Septic Shock
Sepsis fluid resuscitation is controversial, especially for patients with volume overload risk. The Surviving Sepsis Campaign recommends a 30-mL/kg crystalloid fluid bolus for patients with sepsis-induced hypoperfusion. Criticism of this approach includes excessive fluid resuscitation in certain patients. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 15, 2024 Category: Emergency Medicine Authors: John Michael Herndon, Sarah B. Blackwell, Nathan Pinner, Thomas S. Achey, Hillary B. Holder, Cruz Tidwell Tags: Original Contributions Source Type: research
Analysis of risk factors for severe acute pancreatitis in the early period ( < 24 h) after admission
Severe acute pancreatitis (SAP) has high mortality. Early identification of high-risk factors that may progress to SAP and active intervention measures may improve the prognosis of SAP patients. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 15, 2024 Category: Emergency Medicine Authors: Qian Yang, Yunhan Gao, Zhongfu Li, Jiang Zheng, Hong Fu, Yu Ma Tags: Original Contributions Source Type: research
Analysis of risk factors for severe acute pancreatitis in the early period ( < 24 hours) after admission
Severe acute pancreatitis (SAP) has high mortality.Early identification of high-risk factors that may progress to SAP and active intervention measures may improve the prognosis of SAP patients. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 15, 2024 Category: Emergency Medicine Authors: Qian Yang, Yunhan Gao, Zhongfu Li, Jiang Zheng, Hong Fu, Yu Ma Tags: Original Contributions Source Type: research
Assessment of outcomes in patients with heart failure and end-stage kidney disease following fluid resuscitation for sepsis and septic shock
Sepsis fluid resuscitation is controversial, especially for patients with volume overload risk. The Surviving Sepsis Campaign recommends a 30 mL/kg crystalloid fluid bolus for patients with sepsis-induced hypoperfusion. Criticism of this approach includes excessive fluid resuscitation in certain patients. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 15, 2024 Category: Emergency Medicine Authors: John Michael Herndon, Sarah B. Blackwell, Nathan Pinner, Thomas S. Achey, Hillary B. Holder, Cruz Tidwell Tags: Original Contributions Source Type: research
Improvement of Emergency Department Chest Pain Evaluation Using Hs-cTnT and a Risk Stratification Pathway
Chest pain is amongst the most common reasons for presentation to the emergency department (ED) worldwide. Additional studies on most cost effective ways of differentiating serious versus benign causes of chest pain is needed. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 9, 2024 Category: Emergency Medicine Authors: Zhengqiu Zhou, Kevin S. Hsu, Joshua Eason, Brian Kauh, Joshua Duchesne, Mikiyas Desta, William Cranford, Alison Woodworth, James D. Moore, Seth T. Stearley, Vedant A. Gupta Tags: Original Contributions Source Type: research
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When I teach disaster medicine to medical students, I always ask who has been in a disaster and always get a couple of affirmatives. I then tell them that all of them will be involved at some time in their career. Whether hurricanes, terrorism, pandemics, floods, or social discord, all of us will at some time be either a victim or a responder. Climate change, political discord, pandemics, and mass movements of populations all contribute to the risk for major disasters. Most physicians get little training in disaster planning and response. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 5, 2024 Category: Emergency Medicine Authors: Edward J. Otten Tags: Book and Other Media Reviews Source Type: research
Primary Infection Site as a Predictor of Sepsis Development in Emergency Department Patients
Sepsis is a life-threatening condition but, predicting its development and progression remains a challenge. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 4, 2024 Category: Emergency Medicine Authors: Jason D. Vadhan, Joby Thoppil, Ofelia Vasquez, Arlen Suarez, Brett Bartels, Samuel McDonald, D. Mark Courtney, J. David Farrar, Bhaskar Thakur Tags: Original Contributions Source Type: research
Observational Behavioral Coding in the Pediatric Emergency Department: Development of the Emergency Department Child Behavior Coding System (ED-CBCS)
Despite improvements over the past decade, children continue to experience significant pain and distress surrounding invasive procedures in the emergency department (ED). To assess the impact of newly developed interventions, we must develop more reliable and valid behavioral assessment tools that have been validated for the unique settings of pediatric EDs. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 2, 2024 Category: Emergency Medicine Authors: Sarah R. Martin, Theodore W. Heyming, Brooke J. Valdez, Luis H. Salas, Lindsey L. Cohen, Michelle A. Fortier, Kent Lee, Sherrie Kaplan, Zeev N. Kain Tags: Brief Reports Source Type: research
Additive Value of Intranasal Fentanyl on Ibuprofen for Pain Management of Children with Moderate to Severe Headaches: A Randomized Controlled Trial
Dr. Boutin and the research team at Sainte-Justine Hospital in Montreal published a recent randomized controlled trial (RCT) to study the use of intranasal fentanyl (INF) for pain relief in children presenting to their emergency department (ED) with headaches (1). INF is used increasingly in pediatric EDs for pain relief, as it is painless to administer and inexpensive. An RCT investigating its application in moderate to severe pediatric headaches is therefore clinically informative. We are in strong agreement with the authors ’ conclusion that INF should not be used for this indication and would like to advance suppleme...
Source: The Journal of Emergency Medicine - February 1, 2024 Category: Emergency Medicine Authors: Nour Seulami, Kaelan Gobeil Odai, Suhailah Alhefeiti, Naser Almehairi, Abdullah Alzaabi, Harrish Gangatharan, Josh J. Wang Tags: Letter to the Editor Source Type: research
Interscalene Brachial Plexus Block for Reduction of Shoulder Dislocation: Safety Concerns in the Emergency Department
We read the article titled “Low-Volume Targeted Interscalene Brachial Plexus Block in the Emergency Department as a Safer Alternative for Pain Control for Glenohumeral Reduction: A Case Series” by Lentz et al., published in your esteemed journal, with great interest (1). We would like to congratulate the authors for the m eticulous management of the cases using low-volume targeted interscalene brachial plexus block (ISBPB). The three cases discussed in the article were interesting. We have some safety concerns and suggestions regarding the article, which will be a rational approach for analgesia management of such ca s...
Source: The Journal of Emergency Medicine - February 1, 2024 Category: Emergency Medicine Authors: Amiya Kumar Barik, Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Ijas Muhammed Shaji Tags: Letter to the Editor Source Type: research
Letter in Response to Oral and Transdermal Rivastigmine for the Treatment of Anticholinergic Delirium: A Case Report
We read with interest the article “Oral and Transdermal Rivastigmine for the Treatment of Anticholinergic Delirium: A Case Report” by Fratta et al. (1). Using a rivastigmine dosing approach similar to that described in the article, we successfully managed a case of diphenhydramine-associated antimuscarinic toxicity with 13.8 mg of transdermal rivastigmine (0.15 mg/kg). Whereas the ultimate management of our patient with transdermal rivastigmine followed the dosing strategy within this case report, we describe here additional pertinent factors that we considered in the use of transdermal rivastigmine for antimuscarinic ...
Source: The Journal of Emergency Medicine - February 1, 2024 Category: Emergency Medicine Authors: Jordan E. Jenrette, Jacob A. Lebin Tags: Letter to the Editor Source Type: research
