Exogenous Peptide Injection Causing Medical Thigh Compartment Syndrome
Acute compartment syndrome can be caused by any condition that increases the pressure of an intracompartmental muscular space, resulting in ischemia, which is a limb-threatening emergency. This case report is the first known documented example of an exogenously injected peptide causing compartment syndrome. The use of natural supplements and holistic therapies is on the rise, specifically, peptide injections. It is important to obtain the history of use and routes of administration of these substances. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 3, 2023 Category: Emergency Medicine Authors: Daniella Lamour, Tony W. Bruno, Richard D. Shih, Joshua J. Solano, Scott M. Alter Tags: Clinical Communications: Adult Source Type: research
Emergency department take-home naloxone improves access compared with pharmacy-dispensed naloxone
Opioid overdose is a major cause of mortality in the United States. In spite of efforts to increase naloxone availability, distribution to high-risk populations remains a challenge. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 3, 2023 Category: Emergency Medicine Authors: Jeremy Hardin, Justin Seltzer, Henrik Galust, Adriann Deguzman, Ian Campbell, Nathan Friedman, Gabriel Wardi, Richard F. Clark, Daniel Lasoff Tags: Selected Topics: Toxicology Source Type: research
Emergency Department Take-Home Naloxone Improves Access Compared to Pharmacy Dispensed Naloxone
Opioid overdose is a major cause of mortality in the United States. Despite efforts to increase naloxone availability, distribution to high-risk populations remains a challenge. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 3, 2023 Category: Emergency Medicine Authors: Jeremy Hardin, Justin Seltzer, Henrik Galust, Adriann Deguzman, Ian Campbell, Nathan Friedman, Gabriel Wardi, Richard F. Clark, Daniel Lasoff Tags: Selected Topics: Toxicology Source Type: research
Exogenous Peptide Injection Causing Medial Thigh Compartment Syndrome
Acute compartment syndrome can be caused by any condition that increases the pressure of an intracompartmental muscular space resulting in ischemia, which is a limb-threatening emergency. This case report is the first known documented example of an exogenously injected peptide causing compartment syndrome. The use of natural supplements and holistic therapies are on the rise, specifically peptide injections. It is important to obtain the history of use and routes of administration of these substances. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 3, 2023 Category: Emergency Medicine Authors: Daniella Lamour, Tony W. Bruno, Richard D. Shih, Joshua J. Solano, Scott M. Alter Tags: Clinical Communications: Adult Source Type: research
Implementation of a novel residency-based electrocardiogram curriculum based on free open access content
Interpretation of electrocardiogram (ECG) is fundamental in the practice and teaching of emergency medicine. Previous studies have shown that providers of all levels have expressed interest in additional education with ECGs1. Asynchronous learning has been shown to be beneficial for improving residents ’ ability to recognize findings of acute myocardial ischemia2. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - December 1, 2023 Category: Emergency Medicine Authors: Tony Shi, Timothy S. Davie, Michael L. Epter, Thomas Whiting, Murtaza Akhter Tags: Education Source Type: research
Metformin-Associated Lactic Acidosis-Is This on Your Radar?
Background: Metformin is a biguanide hyperglycemic agent used to manage non –insulin-dependent diabetes mellitus. Adverse reactions include mainly mild gastrointestinal adverse effects, but severe complications, such as metformin-associated lactic acidosis (MALA) can occur. Metformin is excreted renally and, therefore, not recommended in patients with renal impairment. Th e reported incidence of MALA is 3 cases per 100,000 patient-years. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Authors: Erin L. Simon, Alexandra C. Sherry, Jeffrey Rabinowitz Tags: Clinical Communications: Adult Source Type: research
Metformin-associated lactic acidosis —is this on your radar?
Background: Metformin is a biguanide hyperglycemic agent used to manage non –insulin-dependent diabetes mellitus. Adverse reactions include mainly mild gastrointestinal adverse effects, but severe complications, such as metformin-associated lactic acidosis (MALA) can occur. Metformin is excreted renally and, therefore, not recommended in patients with renal impairment. Th e reported incidence of MALA is 3 cases per 100,000 patient-years. Case Report: A 79-year-old woman with a complex medical history, including end-stage renal disease on dialysis and type 2 diabetes, presented to the emergency department (ED) for altered...
Source: The Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Authors: Erin L. Simon, Alexandra C. Sherry, Jeffrey Rabinowitz Tags: Clinical Communications: Adult Source Type: research
Splenic subcapsular hematoma from commercial air travel: case report of a unique incident of altitude-associated splenic syndrome
Sickle cell trait (SCT), the heterozygous form of sickle cell disease, is generally thought of as a benign condition. However, it is possible for those with SCT to have serious complications, especially when they are exposed to high altitudes where oxygen levels are low. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Authors: Lauren Santucci, Anthony Almeida Tags: Clinical Communications: Adults Source Type: research
Metformin Associated Lactic Acidosis – Is This on Your Radar?
Metformin is a biguanide hyperglycemic agent used to manage non-insulin-dependent diabetes mellitus. Adverse reactions mainly include mild gastrointestinal side effects, but severe complications such as metformin-associated lactic acidosis (MALA) can occur. Metformin is renally excreted, and therefore, not recommended in patients with renal impairment. The reported incidence of metformin-associated lactic acidosis (MALA) was 3 cases per 100,000 patient years.1,2 (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Authors: Erin L. Simon, Alexandra C. Sherry, Jeffrey Rabinowitz Tags: Clinical Communications: Adult Source Type: research
Comparison of laryngeal mask airway seal between anesthesiologists and individuals without previous airway experience
Tracheal intubation is the gold standard for airway management in emergency medicine but more difficult to apply for inexperienced individuals than laryngeal mask airway (LMA). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Authors: M Tannheimer, M Reinke, R Lechner Tags: Brief Reports Source Type: research
“Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome”
Sickle cell trait (SCT), the heterozygous form of sickle cell disease (SCD), is generally thought of as a benign condition. However, it is possible for those with SCT to have serious complications, especially when they are exposed to high altitudes where oxygen levels are low. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 29, 2023 Category: Emergency Medicine Authors: Lauren Santucci, Anthony Almeida Tags: Clinical Communications: Adult Source Type: research
Woman with Abdominal Pain
A 37-year-old woman with a history of major depressive disorder and intentional drug overdose presented to the emergency department with right-sided abdominal pain for 1 week. The patient was non-toxic appearing, with a heart rate of 114 bpm and right lower quadrant tenderness on examination. Abdominopelvic computed tomography (CT) was obtained (Figure 1) (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 27, 2023 Category: Emergency Medicine Authors: Samuel Case, Matthew Silver, Jeff Lapoint Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Relationship between shock index, modified shock index, and age shock index and 28-day mortality among patients with prehospital septic shock
A relative hypovolemia occurs during septic shock (SS); the early phase is clinically reflected by tachycardia and low blood pressure. In the prehospital setting, simple objective tools to assess hypovolemia severity are needed to optimize triaging. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 24, 2023 Category: Emergency Medicine Authors: Romain Jouffroy, Sonia Gille, Basile Gilbert, St éphane Travers, Emmanuel Bloch-Laine, Patrick Ecollan, Josiane Boularan, Vincent Bounes, Benoît Vivien, Papa Gueye Tags: Selected Topics: Prehospital Care Source Type: research
Relationship between shock index, diastolic shock index, modified shock index, and age shock index and 28-day mortality among patients with prehospital septic shock
A relative hypovolemia occurs during septic shock (SS); the early phase is clinically reflected by tachycardia and low blood pressure. In the prehospital setting, simple objective tools to assess hypovolemia severity are needed to optimize triaging. Objective: The aim of this study was to evaluate the relationship between shock index (SI), diastolic SI (DSI), modified SI (MSI), and age SI (ASI) and 28-day mortality of patients with SS initially cared for in a prehospital setting of a mobile intensive care unit (MICU). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 24, 2023 Category: Emergency Medicine Authors: Romain Jouffroy, Sonia Gille, Basile Gilbert, St éphane Travers, Emmanuel Bloch-Laine, Patrick Ecollan, Josiane Boularan, Vincent Bounes, Benoît Vivien, Papa Gueye Tags: Selected Topics: Prehospital Care Source Type: research
Relationship between Shock Index, diastolic SI, modified SI, and age SI with 28-day mortality among patients with prehospital septic shock
A relative hypovolemia occurs during septic shock (SS) early phase clinically reflected by tachycardia and low-blood pressure. In the prehospital setting, simple objective tools, to assess hypovolemia severity are needed to optimize triaging. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 24, 2023 Category: Emergency Medicine Authors: Romain Jouffroy, Sonia Gille, Basile Gilbert, St éphane Travers, Emmanuel Bloch-Laine, Patrick Ecollan, Josiane Boularan, Vincent Bounes, Benoît Vivien, Papa Gueye Tags: Selected Topics: Prehospital Care Source Type: research
