(O-D1) Simulation-based Assessment for the Emergency Medicine Milestones
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Ali, Afrah A. Source Type: research

(P82) Predictors of Prolonged Hospital Length of Stay After Traumatic Brain Injury
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Taylor, Shameeke Source Type: research

(O-E1) Food Insecurity and Housing Instability Screening and Follow-up in a Pediatric Emergency Department
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Cisneros, Victor M. Source Type: research

(P78) Evaluation of Emergency Room Reattendance and Re-hospitalisation Reductions with Our Hospital-to-Home Programme
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Lee, Jean MH Source Type: research

(O-D4) Impact of an Electronic Format on the Completion of Evaluations of Medical Students in the Emergency Department
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Easter, Joshua Source Type: research

(O-B1) A Retrospective Cohort Study to Determine the Injury Prevalence of Cervical Spine Injuries in Elderly Patients Undergoing Full Trauma CT
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Batchelor, John S. Source Type: research

(O-A1) Point-of-care Ocular Ultrasound vs Ophthalmoscopy for the Evaluation of Acute Visual Complaints in the Emergency Department
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Gibbons, Ryan C. Source Type: research

WestJEM Full-Text Issue
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - January 5, 2024 Category: Emergency Medicine Authors: Valenzi, Nicole Source Type: research

Pregnancy Complications After Dobbs: The Role of EMTALA
In June 2023, the Supreme Court declared that there was no longer a right to abortion under the federal constitution. This decision has allowed states to promulgate different restrictions on abortion, many of which implicate the practice of emergency medicine. An abortion is de fined as a “medical intervention provided to individuals who need to end the medical condition of pregnancy” and includes care such as termination of an ectopic pregnancy and induction of labor for previable preterm premature rupture of membranes—interventions that emergency physicians either perform or rely on the assistance of consultants t...
Source: Western Journal of Emergency Medicine - January 1, 2024 Category: Emergency Medicine Authors: Chernoby, Kimberly Source Type: research

Association Between Platelet-to-Lymphocyte Ratio and In-hospital Mortality in Elderly Patients with Severe Trauma
In this study, we examined the relationship between the PLR and in-hospital mortality in elderly patients with severe trauma.Methods: This retrospective observational study included elderly ( ≥65 years) patients who were admitted for severe trauma (as defined by an Injury Severity Score [ISS] ≥ 16) between January–December 2022. We conducted multivariate analysis to assess the association between the PLR and in-hospital mortality using logistic regression of relevant covariates. W e also performed receiver operating characteristic curve analysis to examine the prognostic performance of the PLR forin-hospital mortali...
Source: Western Journal of Emergency Medicine - January 1, 2024 Category: Emergency Medicine Authors: Lee, Jiho Source Type: research

Interruptions During Sign-out Between Emergency Medicine Residents Before and After Implementation of Group Sign-out Process
Introduction: Interruptions that occur during sign-out in the emergency department (ED) may affect work flow, quality of care, patient safety, errors in documentation, and resident education. Our objective in this study was to determine the frequency and classification (emergent vs non-emergent, in-person vs phone call) of interruptions that occur during emergency medicine (EM) resident sign-out bef ore and after the institution of a group sign-out process involving residents and attending physicians.Methods: A convenience sample of sign-out observations between EM residents were observed and coded between April –Decem...
Source: Western Journal of Emergency Medicine - December 22, 2023 Category: Emergency Medicine Authors: Lin, Andrea Source Type: research

Lung Ultrasound Score in COVID-19 Patients Correlates with PO2/FiO2, Intubation Rates, and Mortality
Introduction: The point-of-care lung ultrasound (LUS) score has been used in coronavirus 2019 (COVID-19) patients for diagnosis and risk stratification, due to excellent sensitivity and infection control concerns. We studied the ratio of partial pressure of oxygen in arterial blood to the fraction of inspiratory oxygen concentration (PO2/FiO2), intubation rates, and mortality correlation to the LUS score.Methods: We conducted a systematic review using PRISMA guidelines. Included were articles published from December 1, 2019 –November 30, 2021 using LUS in adult COVID-19 patients in the intensive care unit or the emergenc...
Source: Western Journal of Emergency Medicine - December 22, 2023 Category: Emergency Medicine Authors: Lai, Shin-Yi Source Type: research

Impact of Geriatric Consult Evaluations on Hospital Admission Rates for Older Adults
We examined the impact of a geriatric consult program in the emergency department (ED) and an ED observation geriatric care unit (GCU) setting on hospital admission rates for older ED patients.Methods:We performed a retrospective case control study from June 1 –August 31, 2019 (pre-program) to September 24, 2019–January 31, 2020 (post-program). Post-program geriatric consults were readily available in the ED and required in the GCU setting. Hospital admission rates (outcome) are reported for patients who received a geriatric consult evaluation (interv ention). We analyzed probability of admission using a mixed-effects ...
Source: Western Journal of Emergency Medicine - December 22, 2023 Category: Emergency Medicine Authors: Meldon, Stephen Source Type: research

Integration of Geriatric Education Within the American Board of Emergency Medicine Model
Background: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents developed by a collaborative working group of seven national EM organizations. External experts in geriatric EM also developed competency recommendations for EM residency education in geriatrics, but these are not being taught in many residency programs. Our objective was to evaluate how the geriatric EM competencies integrate/overla...
Source: Western Journal of Emergency Medicine - December 22, 2023 Category: Emergency Medicine Authors: Southerland, Lauren T Source Type: research

Development and External Validation of Clinical Features-based Machine Learning Models for Predicting COVID-19 in the Emergency Department
In this study, we aimed to externally validate this approach within a distinct ED population.Methods: To create our training/validation cohort (model development) we collected data retrospectively from suspected COVID-19 patients at a US ED from February 23 –May 12, 2020. Another dataset was collected as an external validation (testing) cohort from an ED in another country from May 12–June 15, 2021. Clinical features including patient demographics and triage information were used to train... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - December 22, 2023 Category: Emergency Medicine Authors: Tay, Joyce Source Type: research