Effect of an automated chest radiograph at triage protocol on time to antibiotics in patients admitted with pneumonia Julie J. Cooper, Elizabeth M. Datner, Jesse M. Pines
DOI: http://dx.doi.org/10.1016/j.ajem.2007.05.008
The American Journal of Emergency Medicine , Vol. 26 , Issue 3 ,
Published in issue: March 2008
x We derived and tested a protocol to automatically order a chest radiograph (CXR) at emergency department triage for patients with signs and symptoms of pneumonia to reduce time to antibiotics.
Community implementation of intravenous thrombolysis for acute ischemic stroke in the 3- to 4.5-hour window Arturo Montaño, Ilene Staff, Louise D. McCullough, Gil Fortunato
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.032
The American Journal of Emergency Medicine , Vol. 31 , Issue 12 ,
Published online: September 23 2013
x Intravenous (IV) tissue plasminogen activator (tPA) administration for ischemic stroke between 3 and 4.5 hours after onset was found to be safe and beneficial in the ECASS III trial. However, its use has remained controversial, and its benefit as applied in routine practice at community stroke centers is less well defined.
Hypoglycemia presenting as acute respiratory failure in an infant Samuel Luber, Stephen Meldon, William Brady
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90103-6
The American Journal of Emergency Medicine , Vol. 16 , Issue 3 ,
Published in issue: May 1998
x Hypoglycemia, a common metabolic abnormality seen in the pediatric population, is most often easily diagnosed and rapidly treated with satisfactory outcome. If not recognized and treated in prompt fashion, however, hypoglycemia may cause irreversible central nervous system injury or expose the patient to unnecessary procedures; it rarely results in death. The classic emergency department (ED) presentation of hypoglycemia, the diabetes mellitus patient using hypoglycemia therapy, is frequently encountered and adequately managed with excellent outcome.
The impact of age on outcomes of elderly ED patients ventilated due to community acquired pneumonia Toru Hifumi, Ippei Jinbo, Ichiro Okada, Nobuaki Kiriu, Hiroshi Kato, Yuichi Koido, Junichi Inoue, Kenya Kawakita, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.046
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: November 8 2014
x There is no consensus on whether mechanical ventilation should be initiated for advanced age with community-acquired pneumonia (CAP). This study investigated the effects of age on the outcomes of mechanical ventilation in the emergency department (ED) for advanced age with CAP.
Postural hypotension as the initial presentation of fulminant right ventricular myocarditis Cheng-Hsuan Ho, Ya-Chieh Wu, Yen-Yue Lin, Chin-Wang Hsu, Shih-Hung Tsai
DOI: http://dx.doi.org/10.1016/j.ajem.2009.04.017
The American Journal of Emergency Medicine , Vol. 28 , Issue 6 ,
Published online: July 16 2009
x Myocarditis can be totally asymptomatic or can manifest with chest pain syndromes, ranging from mild persistent chest pain of acute myopericarditis to severe symptoms that mimic acute myocardial infarction. About 60% of patients may have antecedent arthralgias, malaise, fevers, sweats, or chills consistent with viral infections 1 to 2 weeks before onset. Here, we report a postpartum young woman who developed postural hypotension as the first manifestation of fulminant myocarditis with initially acute “cold and dry” right-sided heart failure and cardiogenic shock.
Triage flowchart to rule out acute coronary syndrome Miquel Sánchez, Beatriz López, Ernest Bragulat, Elisenda Gómez-Angelats, Sònia Jiménez, Mar Ortega, Blanca Coll-Vinent, Josep R. Alonso, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2006.12.025
The American Journal of Emergency Medicine , Vol. 25 , Issue 8 ,
Published in issue: October 2007
x The aim of the study was to establish a triage flowchart to rule out acute coronary syndrome (ACS) among patients with chest pain (CP) arriving on an Emergency Department (ED).
Effect of a social services intervention among 911 repeat users Steven J. Weiss, Amy A. Ernst, Margaret Ong, Ray Jones, Debra Morrow, Rosemary Milch, Katie O'Neil, Jay Glass, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2004.11.003
The American Journal of Emergency Medicine , Vol. 23 , Issue 4 ,
Published in issue: July 2005
x To determine whether emergency medical services (EMS) 911 frequent users would benefit from social services intervention.
Clinical features and impact of empirical therapy in cirrhotic adults with community-onset bacteremia Chih-Chia Hsieh, Ching-Chi Lee, Tsung-Yu Chan, Ming-Yuan Hong, Chih-Hsien Chi, Wen-Chien Ko
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.024
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: November 28 2014
x The objectives were to investigate the clinical characteristics of community-onset bacteremia in cirrhotic adults visiting the emergency department (ED), as well as the clinical impact of empirical antibiotics on their outcome.
ED management of acute pyelonephritis in women: A cohort study Andy G. Pinson, John T. Philbrick, George H. Lindbeck, John B. Schorling
DOI: http://dx.doi.org/10.1016/0735-6757(94)90137-6
The American Journal of Emergency Medicine , Vol. 12 , Issue 3 ,
Published in issue: May 1994
x Various treatment strategies are currently used in the management of acute pyelonephritis, with some patients being treated as inpatients and others as outpatients. To better describe the clinical course of patients with this condition and the management strategies of physicians treating these patients, a retrospective cohort study of febrile nonpregnant women presenting to the emergency department with clinical evidence of acute pyelonephritis was conducted. Acute pyelonephritis was defined as infected urine (≥7 white blood cells/high-power field and/or urine culture with ≥104 colony-forming units [CFU]/ml) and fever (≥37.8°C) without other source.
Ethnic differences in the ST segment of the electrocardiogram: A comparative study among six ethnic groups Ishak A. Mansi, Ira S. Nash
DOI: http://dx.doi.org/10.1053/ajem.2001.28326
The American Journal of Emergency Medicine , Vol. 19 , Issue 7 ,
Published in issue: November 2001
x Deviation of the ST segment of the electrocardiogram (ECG) may signify infarction or ischemia. Prior studies suggest that normal ECG patterns may differ among ethnic groups. We retrospectively reviewed the first thousand medical files of a multiethnic community, where all individuals shared similar living conditions. Only healthy adults, aged 15 to 60 years, were included. Along with age, the most common causes for exclusion were diabetes, hypertension, and ischemic heart disease. A total of 597 subjects (349 men) were included: 350 Saudi Arabians, 39 Filipinos, 95 Indians, 17 Sri-Lankans, and 57 Caucasians.
Validating the ABCD2 Score for predicting stroke risk after transient ischemic attack in the ED Marcus Eng Hock Ong, Yiong Huak Chan, Wan Ping Lin, Wan Ling Chung
DOI: http://dx.doi.org/10.1016/j.ajem.2008.09.027
The American Journal of Emergency Medicine , Vol. 28 , Issue 1 ,
Published online: October 26 2009
x The aim of the study was to validate the use of the ABCD2 score for the prediction of stroke after transient ischemic attack (TIA) in patients presenting to the emergency department (ED). The ABCD2 scoring is based on 5 factors as follows: age of at least 60 years; blood pressure of at least 140/90 mm Hg; clinical features such as unilateral weakness and speech impairment alone; duration of at least 60 minutes or 10 to 59 minutes; and diabetes.
Clinical management of atrial fibrillation: early interventions, observation, and structured follow-up reduce hospitalizations Alberto Conti, Erica Canuti, Yuri Mariannini, Gabriele Viviani, Claudio Poggioni, Vanessa Boni, Riccardo Pini, Simone Vanni, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: July 16 2012
x Novel facilities such as an intensive observation unit and an outpatient clinic could result in improving management of patients presenting with atrial fibrillation (AF).
