Characteristics of intentional fall injuries in the ED Jae Hoon Choi, Sun Hyu Kim, Sun Pyo Kim, Koo Young Jung, Ji Yeong Ryu, Sang Cheon Choi, In Cheol Park
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.053
The American Journal of Emergency Medicine , Vol. 32 , Issue 6 ,
Published online: February 6 2014
x This study was conducted to examine the characteristics of intentional fall injuries and the factors associated with their prognosis.
ED use by older adults attempting suicide Mary W. Carter, Megan R. Reymann
DOI: http://dx.doi.org/10.1016/j.ajem.2014.02.003
The American Journal of Emergency Medicine , Vol. 32 , Issue 6 ,
Published online: February 12 2014
x The objective of this study was to describe patterns of older adult patient visits to emergency departments (EDs) for self-harm and suicide-related injuries.
The association between ketamine given for prehospital chemical restraint with intubation and hospital admission Aaron M. Burnett, Bjorn K. Peterson, Samuel J. Stellpflug, Kristin M. Engebretsen, Katherine J. Glasrud, Jordan Marks, Ralph J. Frascone
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.016
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: October 20 2014
x Intramuscular ketamine has become increasingly popular for prehospital chemical restraint of severely agitated or violent patients because of its favorable adverse effect profile, rapid onset, and wide therapeutic window. However, there is currently no literature quantifying the need for intubation or hospital admission for these patients once they reach the emergency department.
Association between time to percutaneous coronary intervention and hospital mortality in non–STEMI: a prospective multicenter observational study Tae Gyun Kim, Sang Do Shin, Kyoung Jun Song, Yu Jin Lee, Eui Jung Lee, Young Sun Ro, Ki Ok Ahn
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.046
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: June 22 2015
x This study aimed to investigate the association between time to percutaneous coronary intervention (PCI) and hospital mortality in non–ST-elevation myocardial infarction (NSTEMI).
Left-sided appendicitis in a 47-year-old man with previously undiagnosed intestinal malrotation Joel L. Moll, Jonathan J. Marti
DOI: http://dx.doi.org/10.1016/j.ajem.2012.07.032
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: October 8 2012
x Diagnosing appendicitis can be a challenge to emergency physicians. A classic presentation of appendicitis is not always reliable, and its lacking does not exclude the condition. However, variations in presentation are often not considered in regard to location of pain. The following case describes common disease with an uncommon location and presentation due to previously undiagnosed intestinal malrotation. The emergency department physician should be aware of the potential for atypical locations of pain in appendicitis and not allow it to delay diagnosis and appropriate surgical intervention.
Death of a young man after overuse of energy drink Sema Avcı, Rıdvan Sarıkaya, Fatih Büyükcam
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.031
The American Journal of Emergency Medicine , Vol. 31 , Issue 11 ,
Published online: July 29 2013
x A 28-year-old-man admitted to emergency department with ventricular tachycardia. Patient had drunk 3 cans of 250-mL energy drink 5 hours before the basketball match; he had palpitation and nausea before the match. After 30 minutes of the match, during the break, patient lost his consciousness. On admission, normal cardiac rhythm was achieved by cardioversion, and the patient was hospitalized and died on the third day. Energy drinks generally contain caffeine, taurine, various vitamins, glucose, and herbal extracts such as guarana and ginseng.
Hypokalemic paralysis in a professional bodybuilder Florian B. Mayr, Hans Domanovits, Anton N. Laggner
DOI: http://dx.doi.org/10.1016/j.ajem.2011.06.029
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: August 26 2011
x Severe hypokalemia is a potentially life-threatening disorder and is associated with variable degrees of skeletal muscle weakness, even to the point of paralysis. On rare occasions, diaphragmatic paralysis from hypokalemia can lead to respiratory arrest. There may also be decreased motility of smooth muscle, manifesting with ileus or urinary retention. Rarely, severe hypokalemia may result in rhabdomyolysis. Other manifestations of severe hypokalemia include alteration of cardiac tissue excitability and conduction.
A randomized controlled trial of adding intravenous pantoprazole to conventional treatment for the immediate relief of dyspeptic pain Khrongwong Musikatavorn, Ploykaew Tansangngam, Suthaporn Lumlertgul, Atthasit Komindr
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.001
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: March 30 2012
x Acute, severe dyspeptic pain is a common condition in the emergency department. Despite the traditional “GI cocktail” (GI indicates gastrointestinal), an intravenous (IV) proton pump inhibitor (PPI), a novel acid-lowering drug, has recently been used to treat this condition. The aim of this study was to evaluate the immediate effect of IV pantoprazole in addition to the conventional GI cocktail in the relief of severe dyspeptic pain.
Prevalence of facial trauma and associated factors in victims of road traffic accidents Lorena Marques Nóbrega, Gigliana M.S. Cavalcante, Monalyza M.S.M. Lima, Renata C.R. Madruga, Maria Letícia Ramos-Jorge, Sérgio d'Avila
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.054
The American Journal of Emergency Medicine , Vol. 32 , Issue 11 ,
Published online: August 26 2014
x The aim of this study was to determine the prevalence of facial trauma among victims of road traffic accidents and investigate factors associated with it.
ECG signs of acute myocardial ischemia in the prehospital setting of a suspected acute coronary syndrome and its association with outcomes Nguyen Dang Thang, Birgitta Wireklint Sundström, Thomas Karlsson, Johan Herlitz, Björn Wilgot Karlson
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.006
The American Journal of Emergency Medicine , Vol. 32 , Issue 6 ,
Published online: March 17 2014
x The aims of this study were (a ) to determine the prehospital prevalence of electrocardiographic (ECG) signs of acute myocardial ischemia in patients with suspected acute coronary syndrome and (b ) to describe the relationships between the various ECG patterns and the diagnosis of acute myocardial infarction (AMI) and outcomes.
Pulmonary thromboembolism due to paliperidone: report of 2 cases Melike Ceyhan Balcı Şengül, Kemal Kaya, Atakan Yilmaz, Cem Şengül, Mustafa Serinken
DOI: http://dx.doi.org/10.1016/j.ajem.2013.12.038
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: December 30 2013
x Venous thromboembolism (VTE) is serious medical condition, which might be caused by psychotropic medications. Previously, antipsychotic-induced VTE due to olanzapine, risperidone, clozapine, and amisulpiride was reported. In this report, we present 2 cases of paliperidone-induced VTE.
Carbon monoxide poisoning deaths in the United States, 1999 to 2012 Kanta Sircar, Jacquelyn Clower, Mi kyong Shin, Cathy Bailey, Michael King, Fuyuen Yip
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.002
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: May 13 2015
x Unintentional, non-fire related (UNFR) carbon monoxide (CO) poisoning deaths are preventable. Surveillance of the populations most at-risk for unintentional, non-fire related (UNFR) carbon monoxide (CO) poisoning is crucial for targeting prevention efforts.
Stove-related injuries treated in EDs in the United States, 1990-2010 Anita Sivam, Lynne M. Rochette, Gary A. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2013.07.034
The American Journal of Emergency Medicine , Vol. 31 , Issue 11 ,
Published online: September 16 2013
x Household stoves are a common source of injury in the United States.
ED ultrasound diagnosis of a type B aortic dissection using the suprasternal view Hans Rosenberg, Khaled Al-Rajhi
DOI: http://dx.doi.org/10.1016/j.ajem.2011.11.012
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: January 13 2012
x Aortic dissection (AD) is one of the most challenging diagnoses in emergency medicine. This is due, in part, to its variable presentation, ranging from abrupt tearing chest pain in a hemodynamically unstable patient to back pain in a stable patient, as well as its high mortality rates. (1) With the expanding role of ultrasound (U/S) performed by emergency physicians, it is possible to make the diagnosis of AD at the bedside before any other imaging modality has been accessed. (2) In this case report, we describe the use of emergency department (ED) bedside U/S and specifically highlight the use of the suprasternal view in the diagnosis of AD.
Life-threatening hypophosphatemia and/or phosphate depletion in a patient with acute lymphoblastic leukemia: a rare case report Yasemin Soyoral, Mehmet Aslan, Senar Ebinc, Yaren Dirik, Cengiz Demir
DOI: http://dx.doi.org/10.1016/j.ajem.2014.04.011
The American Journal of Emergency Medicine , Vol. 32 , Issue 11 ,
Published online: April 17 2014
x Acute severe hypophosphatemia can be life threatening and is associated with mortality and impaired cardiac and respiratory function. Several conditions including decreased absorption or increased urinary phosphate excretion, shifts from the extracellular to intracellular compartments, and phosphate consumption by rapidly proliferating cells are known to induce moderate to severe acute hypophosphatemia. Although hypophosphatemia and/or phosphate depletion in patients with acute or chronic myeloid leukemia have been reported in the literature, hypophosphatemia due to acute lymphoblastic leukemia (ALL) is very rare.
A case of severe rhabdomyolysis with minor trauma: Is sickle cell trait to blame? Paul Krieger, Nathan Zapolsky, Stephen J. Lowery
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.035
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: June 18 2015
x A 37-year-old man with a past medical history of sickle cell trait (SCT) presented to our emergency department (ED) complaining of upper abdominal pain and bilateral shoulder pain, following an assault the prior evening. He reported being pinned on his back with knees on his chest, and repeated punching to his stomach. Physical exam revealed mild tachycardia and diffuse tenderness to palpation of the abdomen, without guarding, rebound, induration, or external signs of trauma. Bilaterally his shoulder exam revealed limited range of motion secondary to pain and tenderness over the trapezius muscles.
Diverse presentation of spontaneous rupture of urinary bladder: review of two cases and literature Indu Bhushan Dubey, Debajyoti Mohanty, Bhupendra Kumar Jain
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.027
The American Journal of Emergency Medicine , Vol. 30 , Issue 5 ,
Published online: May 13 2011
x The objective of the study was to highlight diagnostic dilemmas and suggest pointers toward early diagnosis of spontaneous rupture of urinary bladder based on case study of 2 patients diagnosed as a case of spontaneous rupture of urinary bladder. A 26-year-old man presented with painless progressive abdominal distension of 1-week duration. In absence of acute abdominal symptoms and signs, the diagnosis of chronic liver disease with ascites was entertained. Peritoneal fluid aspirate demonstrated high urea and creatinine levels.
Red cell distribution width as a predictor of mortality in acute pancreatitis Kazım Şenol, Barış Saylam, Fırat Kocaay, Mesut Tez
DOI: http://dx.doi.org/10.1016/j.ajem.2012.12.015
The American Journal of Emergency Medicine , Vol. 31 , Issue 4 ,
Published online: February 11 2013
x Acute pancreatitis (AP) is a common cause for hospitalization worldwide. Identification of patients at risk for mortality early in the course of AP is an important step in improving outcome. Red cell distribution width (RDW) is reflective of systemic inflammation. The objective of this study was to investigate the association between RDW and mortality in patients with AP.
Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(13)00583-4
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published in issue: October 2013
Methadone overdose causing acute cerebellitis and multi-organ damage Jessica Rando, Sofia Szari, Gogi Kumar, Hemanth Lingadevaru
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.032
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: June 17 2015
x Methadone is a synthetic opioid that, when taken in supratherapeutic amounts or with accidental ingestion in children, has shown to have adverse effects, especially to the cerebellum [1–5]. Our patient was a 14-year-old male adolescent with no significant past medical history, who presented after being found unresponsive at a friend’s house. Laboratory and imaging investigation revealed acute cardiac damage, acute renal injury, acute liver damage, and cerebellitis. Later, through specialized testing, it was discovered that patient had high levels of methadone in his serum.
