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Source: The American Journal of Emergency Medicine

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Total 261 results found since Jan 2013.

Successful management of heat stroke associated with multiple organ dysfunction by active intravascular cooling
Source: The American Journal of Emergency Medicine - June 12, 2014 Category: Emergency Medicine Authors: Hideyuki Hamaya, Toru Hifumi, Kenya Kawakita, Tomoya Okazaki, Kazutaka Kiridume, Natsuyo Shinohara, Yuko Abe, Koshiro Takano, Masanobu Hagiike, Yasuhiro Kuroda Source Type: research

Approach to the diagnosis and treatment of acute subarachnoid hemorrhage in a patient with sickle cell disease
We report a case of subarachnoid hemorrhage in a 38-year-old patient with sickle cell anemia. This case highlights the limitations of noncontrast computed tomography in the diagnosis of subarachnoid hemorrhage in patients with sickle cell disease as well as the special needs of this patient population in addressing the treatment of stroke.
Source: The American Journal of Emergency Medicine - August 29, 2014 Category: Emergency Medicine Authors: Matthew Lyon, Justin Jeter, Richard Lottenberg Tags: Case Report Source Type: research

Intravenous methylphenidate: an unusual way to provoke ST-elevation myocardial infarction
Acute ST-T elevation is a sign of myocardial ischemia or infarction usually due to coronary artery atherosclerosis or coronary spasm. Coronary spasm may be spontaneous or can occur as a result of a drug that causes arterial spam. Ritalin, Novartis Pharmaceut. Corporation, USA (methylphenidate hydrochloride), a dopamine reuptake inhibitor, is an oral drug used to treat attention-deficit/hyperactivity disorder and narcolepsy. Sudden deaths, stroke, and myocardial infarction have been reported in adults taking stimulant drugs at usual dose for attention-deficit/hyperactivity disorder [1].
Source: The American Journal of Emergency Medicine - August 7, 2014 Category: Emergency Medicine Authors: Emile Hay, Vitaly Shklovski, Yossef Blaer, Vladimir Shlakhover, Amos Katz Tags: Case Report Source Type: research

Acute psychosis presenting as a sole manifestation of left atrial myxoma: a new paradigm
Atrial myxomas are the most common benign cardiac tumors. Neurological manifestations associated with left atrial myxoma are seen infrequently in the form of embolic stroke of intracranial hemorrhage. Psychiatric manifestations are however exceedingly rare. We hereby present a case who presented with acute psychosis as a sole manifestation of an underlying left atrial myxoma.
Source: The American Journal of Emergency Medicine - May 12, 2014 Category: Emergency Medicine Authors: Rajendra Singh Jain, Kadam Nagpal, Rahul Jain, Swayam Prakash, Rahul Handa Tags: Case Report Source Type: research

Posterior cerebral artery stroke presenting as alexia without agraphia
Source: The American Journal of Emergency Medicine - April 28, 2014 Category: Emergency Medicine Authors: Bhawna Sharma, Rahul Handa, Swayam Prakash, Kadam Nagpal, Indu Bhana, Pankaj Kumar Gupta, Sunil Kumar, Mahendra Singh Sisodiya Tags: Case Report Source Type: research

Wax on, wax off: a rare case of catatonia
We present a unique case of late onset catatonia in a 56-year-old man with no prior medical or psychiatric history initially presenting with stroke-like symptoms.
Source: The American Journal of Emergency Medicine - April 7, 2014 Category: Emergency Medicine Authors: Karen Greenberg, Michael D’Ambrosio, Kenneth M. Liebman, Erol Veznedaroglu Tags: Case Report Source Type: research

Improved Door-to-Needle Times and Neurological Outcomes when IV-tPA is Administered by Emergency Physicians with Advanced Neuroscience Training
The neurologic emergency department (neuro ED) at our medical center is staffed by emergency medicine physicians who have specialized neuroscience training and give IV tPA independently for acute ischemic stroke patients. Door-to-needle times (DTN), discharge location, and discharge NIHSS scores were studied between the neurologic emergency department and main emergency department with the hypothesis that all measures would be better in the neuro ED group.
Source: The American Journal of Emergency Medicine - November 28, 2014 Category: Emergency Medicine Authors: Karen Greenberg, Christina R. Maxwell, Keisha D. Moore, Michael D’Ambrosio, Kenneth Liebman, Erol Veznedaroglu, Geri Sanfillippo MSN, Cynthia Diaz, Mandy J. Binning Source Type: research

Neurogenic pulmonary edema following severe head injury: A transpulmonary thermodilution study
We report a fatal case of a 55-year old man who was admitted because of severe head injury. The diagnosis of NPE was considered according to clinical and radiological findings. Transpulmonary thermodilution (TPT) study showed decreased stroke volume index (SVI) and cardiac function index (CFI). Indexed extravascular lung water (EVLWI) was increased as well as pulmonary vascular permeability index (PVPI).
Source: The American Journal of Emergency Medicine - December 18, 2014 Category: Emergency Medicine Authors: Anis Chaari, Kamilia Chtara, Nozha Toumi, Mabrouk Bahloul, Mounir Bouaziz Tags: Case Reports Source Type: research

Neurogenic pulmonary edema after severe head injury: a transpulmonary thermodilution study
We report a fatal case of a 55-year-old man who was admitted because of severe head injury. The diagnosis of NPE was considered according to clinical and radiologic findings. Transpulmonary thermodilution study showed decreased stroke volume index and cardiac function index. Indexed extravascular lung water was increased as well as pulmonary vascular permeability index.
Source: The American Journal of Emergency Medicine - December 18, 2014 Category: Emergency Medicine Authors: Anis Chaari, Kamilia Chtara, Nozha Toumi, Mabrouk Bahloul, Mounir Bouaziz Tags: Case Report Source Type: research

Association of Plasma DAO and iFABP with Severity of Disease In Patient with Heat Stroke
The aim of this study was to describe the role of intestinal fatty acid-binding protein (iFABP) and allergy-related diamine oxidase (DAO) in HS patients.
Source: The American Journal of Emergency Medicine - February 2, 2015 Category: Emergency Medicine Authors: Lin Zhang, Xiaoming Fan, Zhiyue Zhong, Guoxiong Xu, Jie Shen Tags: Original Contribution Source Type: research

Achieving Regionalization through Rural Inter-hospital Transfer
Regionalization of emergency medical care aims to provide consistent and efficient high quality care leading to optimal clinical outcomes by matching patient needs with appropriate resources at a network of hospitals. Regionalized care has been shown to improve outcomes in trauma, myocardial infarction, stroke, cardiac arrest, and acute respiratory distress syndrome. In rural areas, effective regionalization often requires inter-hospital transfer. The decision to transfer is complex and includes such factors as capabilities of the presenting hospital, capacity at the receiving hospital, financial, geographic, and patient-p...
Source: The American Journal of Emergency Medicine - May 29, 2015 Category: Emergency Medicine Authors: Leah Feazel, Adam B. Schlichting, Gregory R. Bell, Dan M. Shane, Azeemuddin Ahmed, Brett Faine, Andrew Nugent, Nicholas M. Mohr Tags: Review Source Type: research

Achieving regionalization through rural interhospital transfer
Regionalization of emergency medical care aims to provide consistent and efficient high-quality care leading to optimal clinical outcomes by matching patient needs with appropriate resources at a network of hospitals. Regionalized care has been shown to improve outcomes in trauma, myocardial infarction, stroke, cardiac arrest, and acute respiratory distress syndrome. In rural areas, effective regionalization often requires interhospital transfer. The decision to transfer is complex and includes such factors as capabilities of the presenting hospital; capacity at the receiving hospital; and financial, geographic, and patien...
Source: The American Journal of Emergency Medicine - May 29, 2015 Category: Emergency Medicine Authors: Leah Feazel, Adam B. Schlichting, Gregory R. Bell, Dan M. Shane, Azeemuddin Ahmed, Brett Faine, Andrew Nugent, Nicholas M. Mohr Tags: Review Source Type: research

Bradycardia caused by Intravenous Nicardipine in an Elderly Patient with Acute Ischemic Infarct
We report the case of an elderly patient with an acute ischemic stroke who developed nicardipineinduced bradycardia in the ED.
Source: The American Journal of Emergency Medicine - August 17, 2015 Category: Emergency Medicine Authors: Michael E. Abboud, Sarah E. Frasure Tags: Case Report Source Type: research

Brugada Electrocardiogram Pattern Induced by Cannabis; is cannabis safe?
The objective of this study was to present a case report that bring attention to relationship between cannabis consumption and Brugada electrocardiogram pattern (BEP). Here we present a case of a 19-year-old male patient with symptomatic BEP induced after cannabis consumption. With the potential for more widespread legalization of cannabis several studies are raising the issue of adverse vascular effects of cannabis, including myocardial infarction, sudden cardiac death, cardiomyopathy, stroke, transient ischemic attack, and cannabis arteritis.
Source: The American Journal of Emergency Medicine - December 30, 2015 Category: Emergency Medicine Authors: Joaquín Valle Alonso, Beatrix Theo, F. Javier Fonseca del Pozo, Miguel Angel Aguayo, Almudena Sanchez Tags: Case Report Source Type: research

Admission serum lactate predicts mortality in aneurysmal subarachnoid hemorrhage
Aneurysmal SAH is the most devastating form of hemorrhagic stroke. Primary predictors of mortality are based on initial clinical presentation. Initial serum lactic acid levels have been shown to predict mortality and disease severity. Initial serum lactate may be an objective predictor or mortality.
Source: The American Journal of Emergency Medicine - December 30, 2015 Category: Emergency Medicine Authors: Imo P. Aisiku, Peng Roc Chen, Hanh Truong, Daniel R. Monsivais, Jonathan Edlow Tags: Original Contribution Source Type: research