Is inadequate human immunodeficiency virus care associated with increased ED and hospital utilization? A prospective study in human immunodeficiency virus–positive ED patients T. Rinda Soong, Julianna J. Jung, Gabor D. Kelen, Richard E. Rothman, Avanthi Burah, Judy B. Shahan, Yu-Hsiang Hsieh
DOI: http://dx.doi.org/10.1016/j.ajem.2011.11.020
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: January 13 2012
x There is a lack of data on the effect(s) of suboptimal human immunodeficiency virus (HIV) care on subsequent health care utilization among emergency department (ED) patients with HIV. Findings on their ED and inpatient care utilization patterns will provide information on service provision for those who have suboptimal access to HIV-related care.
An example of extreme cardiology: chest pain on the high seas and helicoptered medical evacuations: The French Navy experience Ulric Vinsonneau, Christiane Cavel, Christophe Bombert, Laurent Lely, Nicolas Paleiron, Claude Vergez-Larrouget, Jean-Christophe Cornily, Philippe Castellant, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2011.10.013
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: December 28 2011
x Medicalized high sea rescue is very different from prehospital medical evacuation. It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 km offshore and under all weather conditions. The epidemiology of acute chest pain in the high seas has been poorly described. Therefore, in this retrospective study, we aimed to assess the prevalence and constraints found in the management of these emergencies.
Life-threatening hypocalcemia associated with denosumab in a patient with moderate renal insufficiency Patompong Ungprasert, Wisit Cheungpasitporn, Narat Srivali, Wonngarm Kittanamongkolchai, Edward F. Bischof
DOI: http://dx.doi.org/10.1016/j.ajem.2012.11.011
The American Journal of Emergency Medicine , Vol. 31 , Issue 4 ,
Published online: February 11 2013
x Denosumab, a human monoclonal antibody to the receptor activator of nuclear factor-κ B ligand, is a novel therapy to osteoporotic fracture and skeletal-related events in patients with bone metastases. Hypocalcemia is its known adverse effect, although it is generally mild and transient and usually occurs in patients with severe chronic kidney disease or end-stage renal disease. We reported a case 61-year-old woman who received a single dose of denosumab and developed severe symptomatic hypocalcemia associated with prolong QTc interval requiring hospitalization for intravenous calcium.
Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(11)00448-7
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published in issue: November 2011
Nonskeletal cervical spine injuries; epidemiology and diagnostic pitfalls: Demetriades D, Charalambides K, Chahwan S, et al. J Trauma 2000;48:724–727.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80155-8
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Clinical epidemiology and biostatistics—a primer for clinical investigators and decision-makers: Michael S. Kramer. Springer-Verlag, 1991 Bernard L Lopez
DOI: http://dx.doi.org/10.1016/0735-6757(95)90258-9
The American Journal of Emergency Medicine , Vol. 13 , Issue 1 ,
Published in issue: January 1995
Changing epidemiology and management of infectious diseases in US EDs Amir M. Mohareb, Andrea F. Dugas, Yu-Hsiang Hsieh
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.024
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 11 2016
x The rise of antibiotic-resistant pathogens is believed to have influenced the emergency department (ED) epidemiology and management of infectious diseases (IDs) since 2000.
Aortic dissection Andrzej T Dmowski, Martin J Carey
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90090-6
The American Journal of Emergency Medicine , Vol. 17 , Issue 4 ,
Published in issue: July 1999
x The presentation of aortic dissection in the emergency department may be more subtle than the classic description of a shocked patient with “ripping” chest pain. The epidemiology, variation in presentation, investigation, and management of aortic dissection are reviewed.
Human rabies: A review Robert H. Baevsky, Joel M. Bartfield
DOI: http://dx.doi.org/10.1016/0735-6757(93)90142-X
The American Journal of Emergency Medicine , Vol. 11 , Issue 3 ,
Published in issue: May 1993
x Human rabies is a rarely observed but frequently prophylaxed disease in North America. Presented in this review is a typical emergency department case and a summary of the epidemiology of the rabies virus, its clinical appearances, diagnosis, and management. Emphasis is placed on issues pertinent to the emergency physician practicing in the United States. Current recommendations for the administration of both active and passive immunotherapy for preexposure and postexposure prophylaxis are discussed.
Initiating a surveillance system for childhood injuries Douglas A. Boenning
DOI: http://dx.doi.org/10.1016/0735-6757(88)90160-X
The American Journal of Emergency Medicine , Vol. 6 , Issue 4 ,
Published in issue: July 1988
x Important considerations in establishing a surveillance system for pediatric injuries are described. At the start of surveillance, issues such as the purpose of the surveillance project, preferred methods for gathering information, optimum sites, appropriate populations, and requirements for data storage and analysis should be addressed. Since the epidemiology of childhood injuries is different from adult patterns, some specific challenges of pediatric injury surveillance are highlighted.
Dog bites in children: Epidemiology, microbiology, and penicillin prophylactic therapy Douglas A. Boenning, Gary R. Fleisher, Joseph M. Campos
DOI: http://dx.doi.org/10.1016/0735-6757(83)90032-3
The American Journal of Emergency Medicine , Vol. 1 , Issue 1 ,
Published in issue: July 1983
x Fifty-five children with nonfacial dog bites were prospectively studied. Patients were assigned to an experimental group receiving oral penicillin or a control group receiving local wound care only. Wounds were cultured for anaerobic and aerobic flora prior to cleansing. Results showed that most children were bitten on an extremity by a familiar dog, sustained simple injuries, and sought prompt medical attention. The overall infection rate was 3.6%, with one patient in each group developing an infection.
Management of local burn wounds in the ED Adam J. Singer, John Brebbia, Harry H. Soroff
DOI: http://dx.doi.org/10.1016/j.ajem.2006.12.008
The American Journal of Emergency Medicine , Vol. 25 , Issue 6 ,
Published in issue: July 2007
x Each year there are over 500,000 burns that present to the emergency department (ED). Most burns are minor, and their care focuses on local wound management. The current article will present a typical case and then review the epidemiology, pathophysiology, diagnosis, and management of minor burns in the ED.
National epidemiology of cutaneous abscesses: 1996 to 2005 Breena R. Taira, Adam J. Singer, Henry C. Thode Jr, Christopher C. Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2008.02.027
The American Journal of Emergency Medicine , Vol. 27 , Issue 3 ,
Published in issue: March 2009
x Little has been reported regarding the national epidemiology of cutaneous abscesses. We examined the National Hospital Ambulatory Medical Care Survey (NHAMCS) national estimates of all emergency department (ED) visits from 1996 to 2005 to determine the trend and the epidemiology of ED abscess visits.
Cardiac arrests witnessed by EMS personnel in a multitiered system: Epidemiology and outcome Markku Kuisma, Teuvo Määttä, Jukka Repo
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90058-4
The American Journal of Emergency Medicine , Vol. 16 , Issue 1 ,
Published in issue: January 1998
x The purpose of the study was to determine the epidemiology and the etiology of cardiac arrests witnessed by emergency medical services (EMS) personnel and the survival from resuscitation according to the Utstein style. Consecutive prehospital cardiac arrests witnessed by EMS personnel in the Helsinki City EMS system between January 1, 1994 and December 31, 1995 were included in this prospective cohort study. A total of 809 cardiac arrests were registered during the study period, 108 (13.3%) of which were EMS-witnessed.
Epidemiology of balcony fall–related injuries, United States, 1990-2006 Brenda J. Shields, Elizabeth Burkett, Gary A. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2009.08.023
The American Journal of Emergency Medicine , Vol. 29 , Issue 2 ,
Published online: March 26 2010
x Falls from heights are common in urban areas in the United States. This study describes the epidemiology of balcony fall–related injuries requiring emergency department (ED) treatment among children and adults in the United States from 1990 through 2006.
Acute thrombotic disorders Joanne G. Kuntz, Justin D. Cheesman, Robert D. Powers
DOI: http://dx.doi.org/10.1016/j.ajem.2006.01.009
The American Journal of Emergency Medicine , Vol. 24 , Issue 4 ,
Published in issue: July 2006
x The acquired hypercoagulable states are responsible for a broad range of thrombotic and thromboembolic disorders. Symptoms and signs of acute ischemia or organ dysfunction will lead many of these patients to seek care in EDs. Proper diagnosis and therapy must be based on an understanding of epidemiology and pathophysiology. Immediate anticoagulation with heparin may not always be the treatment of choice; careful analysis of clinical and laboratory parameters is necessary to arrive at the safest and most effective course of action.
ED management of cellulitis: A review of five urban centers Sandy L. Dong, Karen D. Kelly, Ryan C. Oland, Brian R. Holroyd, Brian H. Rowe
DOI: http://dx.doi.org/10.1053/ajem.2001.28330
The American Journal of Emergency Medicine , Vol. 19 , Issue 7 ,
Published in issue: November 2001
x Cellulitis is a common problem presenting to the emergency department (ED). This study examines the epidemiology of cellulitis in 5 Canadian urban EDs and determines the practice variation in this management among sites. From computerized provincial ED diagnosis information, 10% of cellulitis charts from April 1, 1997 to March 31, 1998 were randomly selected for review. All 5 EDs in one urban region were sampled; physicians were unaware of the study when seeing patients. A standardized audit form was used to collect information pertaining to visits for the incident infection case.
Community-associated methicillin-resistant Staphylococcus aureus pyomyositis complicated by compartment syndrome in an immunocompetent young woman Brian K. Shedek, Eric James Nilles
DOI: http://dx.doi.org/10.1016/j.ajem.2007.11.034
The American Journal of Emergency Medicine , Vol. 26 , Issue 6 ,
Published in issue: July 2008
x Pyomyositis is a bacterial infection of skeletal muscle common in the tropics. Pyomyositis has historically been rare in temperate regions. However, the epidemiology is changing, and over the past decade, the number of cases in the United States and Europe has increased significantly. One major factor appears to be the increase in community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections. This pathogen now accounts for most of the skin and soft tissue infections throughout much of the United States.
Survival in out-of-hospital cardiac arrest before and after use of advanced postresuscitation care: A survey focusing on incidence, patient characteristics, survival, and estimated cerebral function after postresuscitation care Louise Martinell, Malena Larsson, Angela Bång, Thomas Karlsson, Jonny Lindqvist, Ann-Britt Thorén, Johan Herlitz
DOI: http://dx.doi.org/10.1016/j.ajem.2009.01.042
The American Journal of Emergency Medicine , Vol. 28 , Issue 5 ,
Published online: February 8 2010
x Knowledge of the epidemiology of postresuscitation care is insufficient. We describe the epidemiology of postresuscitation care in a community from a 26-year perspective, focusing on incidence, patient characteristics, survival, and estimated cerebral function in relation to intensified postresuscitation care and initial arrhythmia.
Tularemia: Emergency department presentation of an infrequently recognized disease Robert E. Harrell Jr., Gary R. Whitaker
DOI: http://dx.doi.org/10.1016/0735-6757(85)90201-3
The American Journal of Emergency Medicine , Vol. 3 , Issue 5 ,
Published in issue: September 1985
x Tularemia is an uncommon, highly communicable disease occurring with seasonal regularity in endemic parts of the United States. The varied signs and symptoms may confound the unwary physician. Two cases are reported illustrating the ulceroglandular and ingestion forms of the disease. Septic (typhoidal), oculoglandular, pleuropulmonary, glandular, and oropharyngeal forms also are described. Knowledge of the epidemiology and a high index of suspicion should lead the examining physician to ask revealing questions.
