Incidental findings and recommendations are common on ED CT angiography to evaluate for aortic dissection Anand M. Prabhakar, Thang Q. Le, Hani H. Abujudeh, Ali S. Raja
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.078
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: July 29 2015
x The aim of this study was to assess the outcomes, incidental findings, recommendations, and adherence to recommendations on computed tomography angiography (CTA) studies obtained in the emergency department (ED) to evaluate for aortic dissection.
Incidental findings detected on abdomino-pelvic multidetector computed tomography performed in the acute setting Shuaib Waqas, Jamlik-Omari Johnson, Ninad Salastekar, Kiran K. Maddu, Faisal Khosa
DOI: http://dx.doi.org/10.1016/j.ajem.2013.09.019
The American Journal of Emergency Medicine , Vol. 32 , Issue 1 ,
Published online: October 28 2013
x The objective of the study is to determine the prevalence and significance of incidental findings in patients with a chief complaint of abdominal pain presenting to the emergency department (ED) who received abdomino-pelvic multidetector computed tomography.
Hazards with ordering troponin in patients with low pretest probability of acute coronary syndrome Soheila Talebi, Rosa Maria Ferra, Sara Tedla, Alicia DeRobertis, Adrian C. Garofoli, Ferdinand Visco, Gerald Pekler, Getaw Worku Hassen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.006
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: June 8 2015
x In clinical practice, we progressively rely on biomarkers, without estimating the pretest probability. There is not enough support for the use of cardiac troponin (cTn) I in the management of noncardiac patients. We studied the rate at which this test was ordered, the prevalence of detection of a positive result in noncardiac patients, and the impact of this incidental finding on clinical management.
Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(15)00997-3
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published in issue: December 2015
The ability of renal ultrasound and ureteral jet evaluation to predict 30-day outcomes in patients with suspected nephrolithiasis J. Matthew Fields, Jonathan I. Fischer, Kenton L. Anderson, Alessandro Mangili, Nova L. Panebianco, Anthony J. Dean
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.014
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 16 2015
x We sought to identify findings on bedside renal ultrasound that predicted need for hospitalization in patients with suspected nephrolithiasis.
Chilaiditi sign: why are clinical findings more important in ED? Evren Uygungul, Dilşat Uygungul, Cuneyt Ayrik, Huseyin Narci, Seyran Bozkurt, Ataman Köse
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.031
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: October 20 2014
x Chilaiditi sign is a radiographic term used when the hepatic flexure of the colon is seen interposed between the liver and right hemidiaphragm. When symptomatic, this is Chilaiditi syndrome. It is mostly diagnosed as an incidental finding on a chest roentgenogram or abdominal computed tomography (CT), which can be present temporarily or permanently. A 52-year-old man presented to the emergency department with abdominal pain that began abruptly 4 hours before presentation. On examination, epigastric tenderness was present, but there were no defense and rebound tenderness.
Persistent left superior vena cava draining into the pulmonary venous system discovered after central venous catheter placement Boris Elison, Daniel Evans, Thomas Zanders, Rebecca Jeanmonod
DOI: http://dx.doi.org/10.1016/j.ajem.2013.12.042
The American Journal of Emergency Medicine , Vol. 32 , Issue 8 ,
Published online: December 30 2013
x A 54-year-old man with septic shock and acute respiratory distress syndrome required central venous access for vasopressor administration. He was found to have a persistent left superior vena cava (PLSVC) after central venous catheter placement in his left internal jugular vein. This anatomical variant usually drains into the coronary sinus. Our patient's PLSVC, however, directly anastomosed to the left superior pulmonary vein, with the catheter tip ending in one of the branches of the lingular vein.
Intravenous contrast alone vs intravenous and oral contrast computed tomography for the diagnosis of appendicitis in adult ED patients Andrew M. Kepner, Jerome V. Bacasnot, Barbara A. Stahlman
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.011
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: May 25 2012
x When the diagnosis of appendicitis is uncertain, computerized tomography (CT) scans are frequently ordered. Oral contrast is often used but is time consuming and of questionable benefit. This study compared CT with intravenous contrast alone (IV) to CT with IV and oral contrast (IVO) in adult patients with suspected appendicitis.
Table of Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(15)00880-3
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published in issue: November 2015
Table of Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(13)00789-4
The American Journal of Emergency Medicine , Vol. 32 , Issue 1 ,
Published in issue: January 2014
Practice variation in neuroimaging to evaluate dizziness in the ED Anthony S. Kim, Stephen Sidney, Jeffrey G. Klingman, S. Claiborne Johnston
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.038
The American Journal of Emergency Medicine , Vol. 30 , Issue 5 ,
Published online: May 13 2011
x The appropriate role of neuroimaging to evaluate emergency department (ED) patients with dizziness is not established by guidelines or evidence.
Prospective evaluation of an ED observation unit protocol for trauma activation patients Jessica Holly, Joseph Bledsoe, Kathryn Black, Riann Robbins, Virgil Davis, Philip Bossart, Erik Barton, Troy Madsen
DOI: http://dx.doi.org/10.1016/j.ajem.2011.10.012
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: December 28 2011
x The University of Utah emergency department (ED) observation unit (EDOU) cares for over 2500 patients each year, with a significant portion of these patients being trauma activation patients. We evaluated the safety and efficacy of our EDOU trauma protocol and described patient characteristics and outcomes of trauma patients managed in an EDOU.
Feasibility of “rapid” magnetic resonance imaging in pediatric acute head injury Ari R. Cohen, Paul Caruso, Ann-Christine Duhaime, Jean E. Klig
DOI: http://dx.doi.org/10.1016/j.ajem.2015.03.052
The American Journal of Emergency Medicine , Vol. 33 , Issue 7 ,
Published online: March 25 2015
x The objective was to determine the feasibility of “rapid” magnetic resonance imaging (rMRI) versus noncontrast computed tomography (NCCT) for pediatric patients with possible traumatic brain injury and to compare the populations receiving imaging in an urban tertiary care emergency department ED.
Thyroid rupture secondary to blunt neck trauma Yih-Liang Sow, Nora Abdul Aziz, Khoon-Leong Ng
DOI: http://dx.doi.org/10.1016/j.ajem.2012.12.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 4 ,
Published online: February 11 2013
x Rupture of the thyroid gland is uncommon in cases of blunt neck trauma. We report a case of thyroid rupture after a motor vehicle accident in a patient without a preexisting goiter. He presented with a painful anterior neck swelling associated with dysphagia and hoarseness of voice. Computed tomographic scans showed lacerations of the right thyroid lobe and isthmus with features suggestive of slow active bleeding. Neck exploration was subsequently performed, and a ruptured right thyroid lobe was found with ongoing venous hemorrhage.
Head multidetector computed tomography: emergency medicine physicians overestimate the pretest probability and legal risk of significant findings Jerry Ray Baskerville, John Herrick
DOI: http://dx.doi.org/10.1016/j.ajem.2010.12.008
The American Journal of Emergency Medicine , Vol. 30 , Issue 2 ,
Published online: March 16 2011
x This study focuses on clinically assigned prospective estimated pretest probability and pretest perception of legal risk as independent variables in the ordering of multidetector computed tomographic (MDCT) head scans. Our primary aim is to measure the association between pretest probability of a significant finding and pretest perception of legal risk. Secondarily, we measure the percentage of MDCT scans that physicians would not order if there was no legal risk.
Luxatio cordis—surgical treatment followed by venovenous extracorporal membrane oxygenation F. Rademacher, J. Reichert, T.A. Schildhauer, J. Swol
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.008
The American Journal of Emergency Medicine , Vol. 33 , Issue 8 ,
Published online: January 16 2015
x We report about a 54-year-old male patient who was involved in a motorcycle accident. On day 15 after trauma, a tension pneumothorax was suspected based on radiography because of the right-side shift of the heart. A computer tomographic scan detected a pneumothorax on the left side and pneumopericardium. A chest drain was inserted on the left side. The postinterventional radiograph showed a further dislocation of the heart to the right side. The diagnosis of luxatio cordis was suspected. The patient was taken into the operating theater in a hemodynamic stable state.
Myocardial hypoperfusion on conventional contrast computed tomography Shing Ching, Tak Shun Chung
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.072
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 29 2015
x Abstract
Erratum
DOI: http://dx.doi.org/10.1016/j.ajem.2014.04.001
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: May 6 2014
x In the January issue article, “Incidental findings detected on abdominopelvic multidetector computed tomography performed in the acute setting (American Journal of Emergency Medicine 2014;32: 36-39),” there was an error in the byline. The first author’s name was transposed. The correct byline is:
Can Differential Regional Ventilation Protect the Spared Lung In Acute Respiratory Distress Syndrome? Kapil Dev Soni, Devi Prasad Dash, Richa Aggrawal, Narendra Kumar, Niraj Kumar
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.009
The American Journal of Emergency Medicine , Vol. 33 , Issue 8 ,
Published online: January 16 2015
x Acute respiratory distress syndrome (ARDS) is a common clinical problem prevalent in intensive care settings. It can complicate many critical illnesses. The general treatment is mainly supportive. Mechanical ventilation, low tidal volume strategy, and control of plateau pressure form the basis of current management. No specific treatment exists for ARDS. Various interventions have been tested for the lethal condition including steroids, fluid restriction, statins, high-frequency ventilation, nitric oxide, and prone ventilation strategy.
Posterior reversible encephalopathy syndrome: a unique presentation Christopher R. Lang, Nathalie Coeller
DOI: http://dx.doi.org/10.1016/j.ajem.2013.05.018
The American Journal of Emergency Medicine , Vol. 31 , Issue 9 ,
Published online: June 24 2013
x We present a case of a patient presenting with posterior reversible encephalopathy syndrome to the emergency department. We discuss the various symptoms that lead to the identification of posterior reversible encephalopathy syndrome and the important clinical clues. Posterior reversible encephalopathy syndrome is a very uncommon diagnosis/clinical presentation that requires the understanding of the condition and awareness in distinct/specific patient populations. Without this understanding, the diagnosis may be missed and appropriate management delayed.
