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.

Effects of an Online Community Peer-support Intervention on COVID-19 Vaccine Misinformation Among Essential Workers: Mixed-methods Analysis
Introduction: Public health efforts to reduce the spread of coronavirus disease 2019 (COVID-19) have been plagued by vaccine hesitancy and misinformation. Social media has contributed to spreading misinformation by creating online environments where people find information or opinions that reinforce their own. Combating misinformation online will be essential to prevent and manage the spread of COVID-19. It is of particular urgency to understand and address misinformation and vaccine hesitancy among essential workers, such as healthcare workers, because of their frequent interactions with and influence upon the general pop...
Source: Western Journal of Emergency Medicine - February 27, 2023 Category: Emergency Medicine Authors: Ugarte, Dominic Arjuna Source Type: research

Impact of COVID-19 Pandemic on Food Insecurity in an Urban Emergency Department Patient Population
Introduction:Food insecurity (FI) has been associated with adverse health outcomes and increased healthcare expenditures. Many families experienced reduced access to food during the coronavirus disease 2019 (COVID-19) pandemic. A 2019 study revealed that the pre-pandemic prevalence of FI at an urban, tertiary care hospital ’s emergency department (ED) was 35.3%. We sought to evaluate whether the prevalence of FI in the same ED patient population increased during the COVID-19 pandemic.Methods: We performed a single-center, observational, survey-based study. Surveys assessing for FI were administered to clinically stable p...
Source: Western Journal of Emergency Medicine - February 27, 2023 Category: Emergency Medicine Authors: Enayati, Donya Source Type: research

The Standardized Letter of Evaluation: How We Perceive the Quiet Student
In this study our objective was to compare how quiet-labeled, EM-bound applicants were ranked compared to their non-quiet peers in the global assessment (GA) and anticipated rank list (ARL) categories in the SLOE.Methods: We conducted a planned subgroup analysis of a retrospective cohort study of all core EM clerkship SLOEs submitted to one, four-year academic EM residency program in the 2016-2017 recruitment cycle. We compared SLOEs of applicants who were described as “quiet,” “shy,” and/or “reserved” — collectively referred to as “quiet” — to SLOEs from all other applicants, referred to as “non-quie...
Source: Western Journal of Emergency Medicine - February 27, 2023 Category: Emergency Medicine Authors: Quinn, John Source Type: research

Factors Associated with Neuroimaging Abnormalities in Children with Afebrile Seizure: A Retrospective Multicenter Study
Introduction: Neuroimaging is recommended for patients with seizures to identify intracranial pathology. However, emergency physicians should consider the risks and benefits of neuroimaging in pediatric patients because of their need for sedation and greater sensitivity to radiation than adults. The purpose of this study was to identify associated factors of neuroimaging abnormalities in pediatric patients experiencing their first afebrile seizure.Methods: This was a retrospective, multicenter study that included children who presented to the emergency departments (ED) of three hospitals due to afebrile seizures between Ja...
Source: Western Journal of Emergency Medicine - February 27, 2023 Category: Emergency Medicine Authors: Woo, SeungHo Source Type: research

The Impact of “Emergency-only” Hemodialysis on Hospital Cost and Resource Utilization
Introduction: Undocumented immigrants are excluded from benefits that help compensate for scheduled outpatient hemodialysis (HD), compelling them to use emergency departments (ED) for HD. Consequently, these patients can receive “emergency-only” HD after presenting to the ED with critical illness due to untimely dialysis. Our objective was to describe the impact of emergency-only HD on hospital cost and resource utilization in a large academic health system that includes public and private hospitals. Methods: This retrospective observational study of health and accounting records took place at five teaching hospit...
Source: Western Journal of Emergency Medicine - February 25, 2023 Category: Emergency Medicine Authors: Shafqat, Farina Source Type: research

Proceedings from the 2021 SAEM Consensus Conference: Research Priorities for Interventions to Address Social Risks and Needs Identified in Emergency Department Patients
Introduction: Emergency departments (ED) function as a health and social safety net, regularly taking care of patients with high social risk and need. Few studies have examined ED-based interventions for social risk and need. Methods: Focusing on ED-based interventions, we identified initial research gaps and priorities in the ED using a literature review, topic expert feedback, and consensus-building. Research gaps and priorities were further refined based on moderated, scripted discussions and survey feedback during the 2021 SAEM Consensus Conference. Using these methods, we derived six priorities based on three ide...
Source: Western Journal of Emergency Medicine - February 25, 2023 Category: Emergency Medicine Authors: Kraynov, Liliya Source Type: research

The Impact of Alcohol Sales in A College Football Stadium on Healthcare Utilization
Introduction: In 2021, a large Midwestern university began selling alcohol to spectators within the football stadium for the first time. The stadium routinely hosts>65,000 spectators, and drinking alcohol is highly prevalent at pre-game tailgating events. Our goal in this study was to determine the impact of in-stadium alcohol sales on the incidence of alcohol-related emergency department (ED) visits and local emergency medical services (EMS) calls. We hypothesized that the availability of alcohol throughout the stadium would lead to an increase in alcohol-related patient presentations.Methods: This was a retrospective ...
Source: Western Journal of Emergency Medicine - February 25, 2023 Category: Emergency Medicine Authors: Ruehlmann, David Source Type: research

Impact of Ultrasonography on Chest Compression Fraction and Survival in Patients with Out-of-hospital Cardiac Arrest
In this study we aimed to investigate the impact of US on chest compression fraction (CCF) and patient survival.Methods: We retrospectively analyzed video recordings of the resuscitation process in a convenience sample of adult patients with non-traumatic, out-of-hospital cardiac arrest. Patients receiving US once or more during resuscitation were categorized as the US group, while the patients who did not receive US were categorized as the non-US group. The primary outcome was CCF, and the secondary outcomes were the rates of return of spontaneous circulation (ROSC), survival to admission and discharge, and survival to di...
Source: Western Journal of Emergency Medicine - February 25, 2023 Category: Emergency Medicine Authors: Lien, Wan-Ching Source Type: research

“That Line Just Kept Moving”: Motivations and Experiences of People Who Use Methamphetamine
In this study our objective was to identify the motivations for initiation and continued methamphetamine use among people who use methamphetamine and their experiences in the ED to guide future ED-based approaches. Methods: This was a qualitative study of adults residing in the state of Washington in 2020, who used methamphetamine in the prior 30 days, met criteria for moderate- to high-risk use, reported recently receiving care in the ED, and had phone access. Twenty individuals were recruited to complete a brief survey and semi-structured interview,... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - February 25, 2023 Category: Emergency Medicine Authors: Fockele, Callan Elswick Source Type: research

Characteristics of Emergency Medicine Specimen Bank Participants Compared to the Overall Emergency Department Population
Introduction: Biorepositories lack diversity both demographically and with regard to the clinical complaints of patients enrolled. The Emergency Medicine Specimen Bank (EMSB) seeks to enroll a diverse cohort of patients for discovery research in acute care conditions. Our objective in this study was to determine the differences in demographics and clinical complaints between participants in the EMSB and the overall emergency department (ED) population.Methods: This was a retrospective analysis of participants of the EMSB and the entire UCHealth at University of Colorado Anschutz Medical Center (UCHealth AMC) ED population ...
Source: Western Journal of Emergency Medicine - February 25, 2023 Category: Emergency Medicine Authors: Vest, Alexis Source Type: research

2021 SAEM Consensus Conference Proceedings: Research Priorities for Implementing Emergency Department Screening for Social Risks and Needs
Introduction: Despite literature on a variety of social risks and needs screening interventions in emergency department (ED) settings, there is no universally accepted or evidence-based process for conducting such interventions. Many factors hamper or promote implementation of social risks and needs screening in the ED, but the relative impact of these factors and how best to mitigate/leverage them is unknown. Methods: Drawing on an extensive literature review, expert assessment, and feedback from participants in the 2021 Society for Academic Emergency Medicine Consensus Conference through moderated discussions and fo...
Source: Western Journal of Emergency Medicine - February 24, 2023 Category: Emergency Medicine Authors: Yore, Mackensie Source Type: research

Why Emergency Physicians Should Advocate for Suspension of Title 42 Restrictions on Asylum for US Immigrants
Despite its purpose as a public health measure, Title 42 has been implemented as a tool for immigration policy. It has not provided control for the COVID-19 pandemic. Instead, it has caused harm to vulnerable migrant populations and to our emergency departments. Emergency physicians should advocate its suspension. (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - February 23, 2023 Category: Emergency Medicine Authors: Durgun, Kevin Xerxes Source Type: research

Gamification of POCUS: Are Students Learning?
Introduction: While gamification of point-of-care ultrasound (POCUS) is well received by learners, little is known about the knowledge gained from material taught during these events. We set out to determine whether a POCUS gamification event improved knowledge of interpretation and clinical integration of POCUS.Methods: This was a prospective observational study of fourth-year medical students who participated in a 2.5-hour POCUS gamification event consisting of eight objective-oriented stations. Each station had one to three learning objectives associated with the content taught. Students completed a pre-assessment; they...
Source: Western Journal of Emergency Medicine - February 22, 2023 Category: Emergency Medicine Source Type: research

Experiences with Medications for Addiction Treatment Among Emergency Department Patients with Opioid Use Disorder
Introduction: Medications for addiction treatment (MAT) are the evidence-based standard of care for treatment of opioid use disorder (OUD), but stigma continues to surround their use. We conducted an exploratory study to characterize perceptions of different types of MAT among people who use drugs.Methods: We conducted this qualitative study in adults with a history of non-medical opioid use who presented to an emergency department for complications of OUD. A semi-structured interview that explored knowledge, perceptions, and attitudes toward MAT was administered, and applied thematic analysis conducted.Results: We enrolle...
Source: Western Journal of Emergency Medicine - February 22, 2023 Category: Emergency Medicine Authors: Goldfine, Charlotte E. Source Type: research

Prevalence and Risk Factors of Insomnia and Sleep-aid Use in Emergency Physicians in Japan: Secondary Analysis of a Nationwide Survey
In this study our aim was to investigate the prevalence of insomnia and sleep-aid use among early-career Japanese EPs and assess the factors associated with insomnia and sleep-aid use.Methods: We collected anonymous, voluntary, survey-based data regarding chronic insomnia and sleep-aid use from board-eligible EPs taking the initial Japanese Association of Acute Medicine board certification exam in 2019 and 2020. We describe the prevalence of insomnia and sleep-aid use and analyzed demographic and job-related factors using multivariable logistic regression analysis.Results: The response rate was 89.71% (732 of 816). The pre...
Source: Western Journal of Emergency Medicine - February 20, 2023 Category: Emergency Medicine Source Type: research