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.

Emergency Physician-performed Echocardiogram in Non-ST Elevation Acute Coronary Syndrome Patients Requiring Coronary Intervention
Introduction: Identi fication of patients not meeting catheterization laboratory activation criteria by electrocardiogram (ECG) but who would benefit from early coronary intervention remains challenging in the emergency department (ED). The purpose of this study was to evaluate whether emergency physician (EP)-perform ed point-of-care transthoracic echocardiography (POC TTE) could help identify patients who required coronary intervention within this population.Methods: This was a retrospective observational cohort study of adult patients who presented to two EDs between 2018 –2020. Patients were included if they receiv...
Source: Western Journal of Emergency Medicine - December 22, 2023 Category: Emergency Medicine Authors: Tan, Ting Xu Source Type: research

Characteristics and Barriers of Emergency Department Patients Overdue for Cancer Screening
In this study we sought to determine patient characteristics and barriers to cancer screening for those patients who presented to a large, academic safety-net ED and were overdue for breast, cervical, and colorectal cancer screening since the coronavirus 2019 (COVID-19) pandemic.Methods:Adult ED patients eligible for at least one cancer screening based on US Preventive Serivces Task Force guidelines completed a web-based survey. We examined the association of demographic characteristics and having a personal physician with being overdue on screening using chi-square or the Fisher exact test for categorical variables and t-...
Source: Western Journal of Emergency Medicine - December 21, 2023 Category: Emergency Medicine Authors: Heinert, Sara W. Source Type: research

Qualitative Study of Emergency Medicine Residents ’ Perspectives of Trauma Leadership Development
In this study our goal was to explore EM residents ’ perception of their trauma leadership skill development through formal and informal processes and to understand factors that may impact the development and implementation of trauma leadership skills.Methods: Using qualitative semi-structured interviews, we explored the leadership experiences of 10 EM residents ranging from second to fourth postgraduate year. Interviews were conducted between July 26 –October 31, 2019 and were audio-recorded, transcribed, and de-identified. We analyzed data using qualitative content analysis.Results: Residents discussed three main th...
Source: Western Journal of Emergency Medicine - December 20, 2023 Category: Emergency Medicine Authors: McFarlane, Antionette Source Type: research

Crisis Intervention in a Local Community Emergency Department Inspires Growth of Peer Support Services
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - December 20, 2023 Category: Emergency Medicine Authors: Moschella, Phillip Source Type: research

Systematic Review, Quality Assessment, and Synthesis of Guidelines for Emergency Department Care of Transgender and Gender-diverse People: Recommendations for Immediate Action to Improve Care
Introduction:We conducted this systematic review to identify emergency department (ED) relevant recommendations in current guidelines for care of transgender and gender-diverse (TGD)people internationally.Methods: Using PRISMA criteria, we did a systematic search of Ovid Medline, EMBASE, and CINAHL and a hand search of gray literature for clinical practice guidelines (CPG) or best practice statements (BPS) published until June 31, 2021. Articles were included if they were in English, included medical or paramedical care of TGD populations of any age, in any setting, region or nation, and were national or international in s...
Source: Western Journal of Emergency Medicine - December 20, 2023 Category: Emergency Medicine Authors: Kruse, Michael I. Source Type: research

Emergency Medicine Resident Needs Assessment and Preferences for a High-value Care Curriculum
Introduction:Consideration of the cost of care and value in healthcare is now a recognized element of physician training. Despite the urgency to educate trainees in high-value care (HVC), educational curricula and evaluation of these training paths remain limited, especially with respect to emergency medicine (EM) residents. We aimed to complete a needs assessment and evaluate curricular preferences for instruction on HVC among EM residents.Methods: This was a qualitative, exploratory study using content analysis of two focus groups including a total of eight EM residents from a single Midwestern EM residency training prog...
Source: Western Journal of Emergency Medicine - December 9, 2023 Category: Emergency Medicine Authors: Lane, Bennett H. Source Type: research

Pregnancy-adapted YEARS Algorithm: A Retrospective Analysis
This study was a single-system retrospective chart analysis. Criteria for inclusion in the cohort consisted of keywords: pregnant; older than 18; chief complaints of shortness of breath, chest pain, tachycardia, hemoptysis, deep vein thromboembolism (DVT), and D-dimer —from... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Mileto, Alden Source Type: research

The Accuracy of Predictive Analytics in Forecasting Emergency Department Volume Before and After Onset of COVID-19
Introduction: Big data and improved analytic techniques, such as triple exponential smoothing (TES), allow for prediction of emergency department (ED) volume. We sought to determine 1) which method of TES was most accurate in predicting pre-coronavirus 2019 (COVID-19), during COVID-19, and post-COVID-19 ED volume; 2) how the pandemic would affect TES prediction accuracy; and 3) whether TES would regain its pre-COVID-19 accuracy in the early post-pandemic period.Methods: We studied monthly volumes of four EDs with a combined annual census of approximately 250,000 visits in the two years prior to, during the 25-month COVID-1...
Source: Western Journal of Emergency Medicine - December 8, 2023 Category: Emergency Medicine Authors: Napoli, Anthony M. Source Type: research

Rocuronium Dosing by Ideal vs Total Body Weight in Obesity: A Prospective, Observational Non-inferiority Study
In this study we performed non-inferiority analysis to compare the intubation conditions, duration of paralysis, and incidence of new-onset tachycardia or hypertension after intubation in obese patients requiring RSI in the emergency department (ED).Methods: This was a single-center, prospective, observational study. Eligible for enrollment were adultpatients with a TBW ≥30% IBW or body mass index ≥30 kilograms per meters squared who presented... (Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - December 7, 2023 Category: Emergency Medicine Authors: McDowell, Marc Source Type: research

Validity of Computer-interpreted “Normal” and “Otherwise Normal” ECG in Emergency Department Triage Patients
Introduction: Chest pain is the second most common chief complaint for patients undergoing evaluation in emergency departments (ED) in the United States. The American Heart Association recommends immediate physician interpretation of all electrocardiograms (ECG) performed for adults with chest pain within 10 minutes to evaluate for the finding of ST-elevation myocardial infarction (STEMI). The ECG machines provide computerized interpretation of each ECG, potentially obviating the need for immediate physician analysis; however, the reliability of computer-interpreted findings of “normal” or “otherwise normal” ECG ...
Source: Western Journal of Emergency Medicine - December 6, 2023 Category: Emergency Medicine Authors: Deutsch, Ashley Source Type: research

Nudge Theory: Effectiveness in Increasing Emergency Department Faculty Completion of Residency Assessments
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - December 6, 2023 Category: Emergency Medicine Authors: Gurley, Amelia Source Type: research

The Development, Implementation, and Evolution of an Emergency Medicine Ultrasound-guided Regional Anesthesia Curriculum
Introduction:Despite the inclusion of both diagnostic and procedural ultrasound and regional nerve blocks in the original Model of the Clinical Practice of Emergency Medicine (EM), there is no recommended standardized approach to the incorporation of ultrasound-guided regional anesthesia (UGRA) education in EM training.Methods:We developed and implemented a structured curriculum for both EM residents and faculty to learn UGRA in a four-hour workshop. Each Regional Anesthesia Anatomy and Ultrasound Workshop was four hours in length and followed the same format. Focusing on common UGRA blocks, each workshop began with an ana...
Source: Western Journal of Emergency Medicine - December 6, 2023 Category: Emergency Medicine Authors: Graglia, Sally Source Type: research

A Collaborative Approach to Mentored Peer Reviews Sponsored by the Council of Residency Directors in Emergency Medicine
Introduction: Historically, there have been no systematic programs for teaching peer review, leaving trainees to learn by trial and error. Recently, a number of publications have advocated for programs where experienced reviewers mentor trainees to more ef ficiently acquire this knowledge.Objective:Our goal was to develop an introductory learning experience that intentionally fosters peer-review skills.Methods:The Council of Residency Directors in Emergency Medicine (CORD) offered education fellowship directors the opportunity to mentor their fellows by reviewing submitted manuscript(s) supplemented by educational materia...
Source: Western Journal of Emergency Medicine - December 6, 2023 Category: Emergency Medicine Authors: Love, Jeffrey N. Source Type: research

WestJEM Full-Text Issue
(Source: Western Journal of Emergency Medicine)
Source: Western Journal of Emergency Medicine - November 20, 2023 Category: Emergency Medicine Authors: Valenzi, Nicole Source Type: research

Impact of Emergency Department-Initiated Buprenorphine on Repeat Emergency Department Utilization
Introduction:Recent studies have demonstrated the promise of emergency department (ED)-initiated buprenorphine/naloxone (bup/nx) for improving 30-day retention in outpatient addiction care programs for patients with opioid use disorder (OUD). We investigated whether ED-initiated bup/nx for OUD also impacts repeat ED utilization.Methods: We performed a retrospective chart review of ED patients discharged with a primary diagnosis of OUD from July 2019 –December 2020. Characteristics considered included age, gender, race, insurance status, domicile status, presence of comorbid Diagnostic and Statistical Manual of Mental Dis...
Source: Western Journal of Emergency Medicine - November 8, 2023 Category: Emergency Medicine Authors: Skains, Rachel M. Source Type: research