Western Journal of Emergency Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Effective Implementation of Virtual Team-Based Learning
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 15, 2023 Category: Emergency Medicine Authors: Sekhon, Navdeep Source Type: research

Mission-Driven Individual Learning Plans: A Recipe for Resident Growth
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 15, 2023 Category: Emergency Medicine Authors: Stull, Matthew Source Type: research

WestJEM Full-Text Issue
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 12, 2023 Category: Emergency Medicine Authors: Lam, Jordan Source Type: research

Blood Vessel Occlusion by the Layperson Audiovisual Assist Tourniquet (LAVA TQ) Compared to the Combat Application Tourniquet: Randomized Controlled Trial
This study evaluates the LAVA TQ ’s ability to occlude blood flow in humans compared to the CAT.Methods: This study was a prospective, blinded, randomized controlled trial to demonstrate the non-inferiority of the LAVA TQ to occlude blood flow when applied by expert users compared to the CAT. The study team enrolled participants in Bethesda, Maryland, in... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 10, 2023 Category: Emergency Medicine Authors: Goolsby, Craig Source Type: research

Physician Productivity and Supervision
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 9, 2023 Category: Emergency Medicine Authors: Schreyer, Kraftin E. Source Type: research

Efficacy of Low-dose Ketamine for Control of Acute Pain in the Emergency Setting: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Introduction: Ketamine can be particularly helpful in situations where the clinician is not able to administer opioids and require an alternate analgesic, such as for patients who are already on high-dose opioids, have a history of addiction, or for opioid-na ïve children and adults. In this review, our goal was to obtain a comprehensive estimate of the efficacy and safety of low-dose ketamine (dose less than 0.5 milligrams per kilogram or equivalent) compared to opiates for the control of acute pain in the emergency setting.Methods: We conducted systematic searches in PubMed Central, EMBASE, MEDLINE, the Cochrane Library...
Source: Western Journal of Emergency Medicine - May 9, 2023 Category: Emergency Medicine Authors: Ying, Mengyao Source Type: research

Political Priorities, Voting, and Political Action Committee Engagement of Emergency Medicine Trainees: A National Survey
Introduction: Medicine is increasingly influenced by politics, but physicians have historically had lower voter turnout than the general public. Turnout is even lower for younger voters. Little is known about the political interests, voting activity, or political action committee (PAC) involvement of emergency physicians in training. We evaluated EM trainees ’ political priorities, use of and barriers to voting, and engagement with an emergency medicine (EM) PAC.Methods: Resident/medical student Emergency Medicine Residents ’ Association members were emailed a survey between October–November 2018. Questions involved ...
Source: Western Journal of Emergency Medicine - May 6, 2023 Category: Emergency Medicine Authors: Solnick, Rachel Emily Source Type: research

Feedback in Medical Education: An Evidence-based Guide to Best Practices from the Council of Residency Directors in Emergency Medicine
Within medical education, feedback is an invaluable tool to facilitate learning and growth throughout a physician ’s training and beyond. Despite the importance of feedback, variations in practice indicate the need for evidence-based guidelines to inform best practices. Additionally, time constraints, variable acuity, and workflow in the emergency department (ED) pose unique challenges to providing effective feedback. This paper outlines expert guidelines for feedback in the ED setting from members of the Council of Residency Directors in Emergency Medicine Best Practices Subcommittee, based on the best evidence availabl...
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Natesan, Sreeja Source Type: research

Vaccine Acceptance During a Novel Student-led Emergency Department COVID-19 Vaccination Program
Introduction: The coronavirus 2019 (COVID-19) pandemic not only exacerbated barriers to healthcare but has also highlighted the trend toward increased vaccine hesitancy. Our goal was to improve COVID-19 vaccine uptake through a student-led, emergency department-based (ED) vaccination program.Methods: This prospective, quality-improvement pilot program used medical and pharmacy student volunteers as COVID-19 vaccine screeners in a southern, urban, academic ED. Patients eligible for vaccination were offered either the Janssen-Johnson& Johnson or the Pfizer-BioNTech COVID-19 vaccine and were educated about vaccine concern...
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Eastin, Carly Source Type: research

Evaluation of an Emergency Department-based Palliative Care Extender Program on Hospital and Patient Outcomes
Background: Boston Medical Center (BMC), a safety-net hospital, treated a substantial portion of the Boston cohort that was sick with COVID-19. Unfortunately, these patients experienced high rates of morbidity and mortality given the significant health disparities that many of BMC ’s patients face. Boston Medical Center launched a palliative care extender program to help address the needs of critically ill ED patients under crisis conditions. In this program evaluation our goal was to assess outcomes between those who received palliative care in the emergency department (ED ) vs those who received palliative care as an i...
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Shankar, Kalpana Narayan Source Type: research

National Trends in Vital Sign Abnormalities at Arrival to the Emergency Department
Introduction: Recent reports suggest rising intensity of emergency department (ED) billing practices, sparking concerns that this may represent up-coding. However, it may reflect increasing severity and complexity of care in the ED population. We hypothesize that this in part may be reflected in more severe manifestations of illness as indicated by vital sign abnormalities.Methods: Using 18 years of data from the National Hospital Ambulatory Medical Care Survey, we conducted a retrospective secondary analysis of adults (>18 years). We assessed standard vital signs using weighted descriptive statistics (heart rate, oxyge...
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Salhi, Rama Source Type: research

Optimal Image Gain Intensity of Point-of-care Ultrasound when Screening for Ocular Abnormalities in the Emergency Department
In this study we primarily investigated how stratified gain levels impact the accuracy of ocular POCUS for detection of any posterior chamber pathology and, secondarily,... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Chang, Melissa Source Type: research

Agitation Management in the Emergency Department with Physical Restraints: Where Do These Patients End Up?
Introduction: Agitation is frequently encountered in the emergency department (ED) and can range from psychomotor restlessness to overt aggression and violent behavior. Among all ED patients, 2.6% present with agitation or become agitated during their ED visit. We aimed to determine ED disposition for patients requiring agitation management with physical restraints.Methods: This was a retrospective cohort of all adult patients who presented to one of 19 EDs in a large integrated healthcare system and received agitation management with physical restraints between January 1, 2018 –December 31, 2020. Categorical variables a...
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Simon, Erin L. Source Type: research

Association Between the Affordable Care Act and Emergency Department Visits for Psychiatric Disease
We examined ED utilization for psychiatric disease as the primary reason for visit among adults aged 18-64. We compared the proportion of ED visits with a psychiatric diagnosis during post-ACA years (2011-2016) to pre-ACA (2009) using logistic regression adjusted for age, gender, payer, and hospital region.Results: The proportion of... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Asgharian, Afsaneh Source Type: research

A Case of Human Trafficking in Appalachia and What Emergency Physicians Can Learn from It
We present a case of an ED patient being trafficked in Appalachia as an educational stimulus and discuss several unique aspects of trafficking in rural communities, including lack of awareness, prevalence of familial trafficking, high rates of poverty and substance use, cultural differences, and a complex highway network system. The lack of data, appropriate resources, and training for healthcare professionals also poses distinct issues. We propose an approach to identify and treat victims of human trafficking in the ED, with... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - May 5, 2023 Category: Emergency Medicine Authors: Jarrell, Kelli L Source Type: research