Perioral Paresthesia, Generalize Muscle Cramps, and Rhabdomyolysis After a Socotra Island Blue Baboon Tarantula (Monocentropus Balfouri) Bite
Literature on systemic envenomation caused by tarantula bites, particularly from the Theraphosidae family, is relatively scarce. This case report provides a formal description of the first known instance of systemic envenomation caused by the Socotra Island Blue Baboon Tarantula (Monocentropus balfouri). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Ping Wu, Chi Keung Chan, Oi Fung Wong Tags: Selected Topics: Toxicology Source Type: research
A retrospective evaluation of adjunctive phenobarbital vs. benzodiazepine alone for the treatment of moderate alcohol withdrawal in the emergency department
Phenobarbital has been used in the emergency department (ED) as both a primary and adjunctive medication for alcohol withdrawal, but previous studies evaluating its impact on patient outcomes are limited by heterogenous symptom severity. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Jacob A. Lebin, Megan E. Bass, Kennon Heard, Jason Hoppe, Gabrielle Jacknin Tags: Pharmacology in Emergency Medicine Source Type: research
Perioral paresthesia, generalized muscle cramps, and rhabdomyolysis after a socotra island blue baboon tarantula (monocentropus balfouri) bite
Literature on systemic envenomation caused by tarantula bites, particularly from the Theraphosidae family, is relatively scarce. This case report provides a formal description of the first known instance of systemic envenomation caused by the Socotra Island Blue Baboon Tarantula (Monocentropus balfouri). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Ping Wu, Chi Keung Chan, Oi Fung Wong Tags: Selected Topics: Toxicology Source Type: research
A retrospective evaluation of adjunctive phenobarbital versus benzodiazepine alone for the treatment of moderate alcohol withdrawal in the emergency department
Background: Phenobarbital has been used in the emergency department (ED) as both a primary and adjunctive medication for alcohol withdrawal, but previous studies evaluating its impact on patient outcomes are limited by heterogenous symptom severity.Objectives: We compared the clinical outcomes of ED patients with moderate alcohol withdrawal who received phenobarbital, with or without benzodiazepines, to patients who received benzodiazepine treatment alone.Methods: This is a retrospective cohort study conducted at a single academic medical center utilizing chart review of ED patients with moderate alcohol withdrawal between...
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Jacob A Lebin, Megan E Bass, Kennon Heard, Jason Hoppe, Gabrielle Jacknin Tags: Pharmacology in Emergency Medicine Source Type: research
Perioral paresthesia, generalized muscle cramps, and rhabdomyolysis following the Socotra Island Blue Baboon Tarantula (Monocentropus balfouri) bite
Literature on systemic envenomation caused by tarantula bites, particularly from the Theraphosidae family, is relatively scarce. This case report provides a formal description of the first known instance of systemic envenomation caused by the Socotra Island Blue Baboon Tarantula (Monocentropus balfouri). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Wu Ping, Chan Chi Keung, Wong Oi Fung Tags: Selected Topics: Toxicology Source Type: research
Deaths among ambulance patients released from the emergency department within the first 24 hours with non-specific diagnoses – expected or not?
Emergency patients are frequently assigned non-specific diagnoses. Non-specific diagnoses describe observations or symptoms and are found in chapters R and Z of the International Classification of Diseases, 10th edition (ICD-10). Patients with such diagnoses have relatively low mortality, but due to patient volume, the absolute number of deaths is substantial. However, information on cause of short-term mortality is limited. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Gu ðný Halla Harðardóttir, Johnny Strøm Petersen, Anne L. Krarup, Erika F. Christensen, Morten B. Søvsø Tags: Selected Topics: Prehospital Care Source Type: research
Accuracy of Prehospital Services ’ Estimated Time to Arrival for Ground Transport to the Emergency Department
Emergency medical services (EMS) transporting patients to the emergency department (ED) typically call ahead to provide an estimated time to arrival (ETA). Accurate ETA facilitates ED preparation and resource allotment in anticipation of patient arrival. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 14, 2023 Category: Emergency Medicine Authors: Jessica Fozard, Brent Becker, Tucker Lurie, Aizad Dasti Source Type: research
Impact of a hyperkalemia protocol tailored to glucose concentration and renal function on insulin-induced hypoglycemia in patients with low pretreatment glucose
Hyperkalemia is a common electrolyte abnormality that requires urgent treatment. Insulin is an effective treatment for hyperkalemia, but risk factors for developing insulin-induced hypoglycemia exist (i.e. low pretreatment glucose or renal impairment). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 11, 2023 Category: Emergency Medicine Authors: Daniel Dybdahl, Taylor Roberson, Emily Rasor, Laura Kline, Michelle Pershing Tags: Original Contributions Source Type: research
The association between c-reactive protein levels and pediatric appendicitis score and the severity of appendicitis in children
Acute appendicitis is a common cause of abdominal pain leading to emergent abdominal surgery in children. C-reactive protein (CRP), an inflammatory marker typically elevated in acute appendicitis, and Pediatric Appendicitis Score (PAS), a clinical scoring system used for the diagnosis of appendicitis, have the potential to predict the severity of inflammation of the appendix. This may be useful in helping the physician make a treatment plan prior to surgery. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Jill Fennell, Heather M. Territo, Nadya Telt, Brian H. Wrotniak, Rafal Kozielski, Earl Pape, Michelle Penque Tags: Clinical Laboratory in Emergency Medicine Source Type: research
The Association Between C-Reactive Protein Levels and Pediatric Appendicitis Score with the Severity of Appendicitis in Children
Acute appendicitis is a common cause of abdominal pain leading to emergent abdominal surgery in children. C-Reactive Protein (CRP), an inflammatory marker typically elevated in acute appendicitis, and the Pediatric Appendicitis score (PAS), a clinical scoring system used for the diagnosis of appendicitis, have the potential to predict the severity of inflammation of appendix. This may be useful in helping the physician make a treatment plan prior to surgery. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Jill Fennell, Heather M Territo, Nadya Telt, Brian H. Wrotniak, Rafal Kozielski, Earl Pape, Michelle Penque Tags: Clinical Laboratory in Emergency Medicine Source Type: research
Transvenous Pacemaker Placement: A Review for Emergency Clinicians
Transvenous pacemaker placement is an integral component of therapy for severe arrhythmias and a core skill in emergency medicine. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Brit Long, Rachel E. Bridwell, Anthony DeVivo, Michael Gottlieb Tags: Techniques and Procedures Source Type: research
Hemoadsorption therapy for calcium channel blocker overdose: A case report
Background: Modern resin hemoadsorption/hemoperfusion (HP) for calcium channel blocker (CCB) overdose is yet to be reported. The characteristics of CCBs make them unamenable to removal by haemodiafiltration or charcoal hemoperfusion, however, elimination, using styrene bead adsorption in an ex-vivo model has been demonstrated. Its clinical use is described.Case report: A male in his twenties was admitted with shock into the Intensive Care Unit (ICU), following an overdose of amlodipine and risperidone. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Shahed Omar, Pano Parris, Chloe Rose Gurke Tags: Selected Topics: Toxicology Source Type: research
Now You See It, Now You Don't: Point-of-Care Ultrasound Identification of Left Ventricular Thrombus-in-Transit
Background: Left-sided intracardiac thrombi are most commonly seen in conditions with decreased cardiac flow such as myocardial infarction or atrial fibrillation. They can be propagated into the systemic circulation leading to a cerebrovascular accident. Identification of thrombus-in-transit via point-of-care ultrasound (POCUS) has the potential to change patient management given its association with high patient morbidity and mortality.Case Report: An intubated 60-year-old male was transferred to our emergency department for management of altered mental status and seizure-like activity. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Zachary Boivin, Zhayna Spooner, Christina Jiang, Kirstin Acus, Christina Lu, Trent She Tags: Ultrasound in Emergency Medicine Source Type: research
Xanthogranulomatous pyelonephritis: case report
In the emergency department (ED), pyelonephritis is a fairly common diagnosis, especially in patients with unilateral flank pain. Xanthogranulomatous pyelonephritis (XGP) is a rare type of pyelonephritis that is associated with unique features, which may lead to its diagnosis. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 4, 2023 Category: Emergency Medicine Authors: Depesh Patel, Mary Rometti, Christopher Bryczkowski Tags: Clinical Communications: Adult Source Type: research
Xanthogranulomatous Pyelonephritis Case Report
Background: In the emergency department (ED), pyelonephritis is a fairly common diagnosis, especially in patients with unilateral flank pain. Xanthogranulomatous pyelonephritis (XGP) is a rare type of pyelonephritis that is associated with unique features, which may lead to its diagnosis. Case Report: A 30-year-old male patient presented to the Emergency Department (ED) for evaluation of right sided abdominal pain that has been ongoing for the past 24 hours. He noted the pain was located predominantly in the right flank and described it as sharp in nature. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 4, 2023 Category: Emergency Medicine Authors: Depesh Patel, Mary Rometti, Christopher Bryczkowski Tags: Clinical Communications: Adult Source Type: research
