Three cases of electrical storm in fulminant myocarditis treated by extracorporeal membrane oxygenation Weihang Hu, Lan Chen, Changwen Liu, Wei Hu, Jun Lu, Yin Zhu, Jianrong Wang, Bingwei Liu
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.025
The American Journal of Emergency Medicine , Vol. 33 , Issue 4 ,
Published online: October 20 2014
x Venoarterial extracorporeal membrane oxygenation (V-A ECMO) provides effective circulation support for patients with fulminant myocarditis (FM), and there are very few reports of electrical storm (ES) occurring in FM patients due to inadequate left ventricular unloading during ECMO support. We report the treatment and outcomes of 5 FM patients who were enrolled in our study and treated with V-A ECMO support in our intensive care unit from September 2009 to May 2013. All 5 FM patients (mean age, 19.40 ± 4.80 years) were found to have inadequate left ventricular unloading and significantly reduced myocardial contractility.
Serum procalcitonin level for the prediction of severity in women with acute pyelonephritis in the ED: value of procalcitonin in acute pyelonephritis Jeong Ho Park, Jung Hee Wee, Seung Pill Choi, Kyu Nam Park
DOI: http://dx.doi.org/10.1016/j.ajem.2013.04.012
The American Journal of Emergency Medicine , Vol. 31 , Issue 7 ,
Published online: May 22 2013
x Predicting medical outcomes for acute pyelonephritis (APN) in women is difficult. Delay in diagnosis and treatment often results in rapid progression to circulatory collapse, multiple-organ failure, and death. The aim of this study was to investigate the value of procalcitonin (PCT) level in women with APN at ED.
Resistance of Escherichia coli urinary isolates in ED-treated patients from a community hospital Virginia H. Fleming, Bryan P. White, Robin Southwood
DOI: http://dx.doi.org/10.1016/j.ajem.2014.04.033
The American Journal of Emergency Medicine , Vol. 32 , Issue 8 ,
Published online: April 25 2014
x The purpose of this study is to provide resistance data for Escherichia coli isolates causing urinary tract infections in emergency department (ED) patients not requiring admission and explore if differences between this subpopulation and the hospital antibiogram exist. Differences between community-acquired urinary tract infection (CA-UTI) and health care–associated (HA-UTI) subgroups were also investigated.
Evaluation of the Mortality in Emergency Department Sepsis score combined with procalcitonin in septic patients Yongzhen Zhao, Chunsheng Li, Yumei Jia
DOI: http://dx.doi.org/10.1016/j.ajem.2013.04.008
The American Journal of Emergency Medicine , Vol. 31 , Issue 7 ,
Published online: May 22 2013
x To determine an effective method for predicting severity of sepsis and 28-day mortality of emergency department (ED) patients, we compared the Mortality in Emergency Department Sepsis (MEDS) score with procalcitonin (PCT), interleukin-6 (IL-6), and C-reactive protein (CRP) and evaluated the MEDS score combined with relevant biomarkers.
Atypical presentations of dengue disease in the elderly visiting the ED Ching-Chi Lee, Hsiang-Chin Hsu, Chia-Ming Chang, Ming-Yuan Hong, Wen-Chien Ko
DOI: http://dx.doi.org/10.1016/j.ajem.2013.01.011
The American Journal of Emergency Medicine , Vol. 31 , Issue 5 ,
Published online: February 11 2013
x The objective was to compare the clinical characteristics of elderly and young adult patients with dengue in the emergency department (ED).
Fulminant dengue myocarditis complicated with profound shock and fatal outcome under intra-aortic balloon pumping support Tzu-Chieh Lin, Hsiang-Chun Lee, Wen-Hsien Lee, Ho-Ming Su, Tsung-Hsien Lin, Po-Chao Hsu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.03.039
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: March 19 2015
x Dengue is a worldwide public health problem, and its clinical severity ranges from asymptomatic infection to a fatal disease. Although cardiac involvement of dengue viral infection has been reported in the literature, there were only rare reports of fulminant dengue myocarditis, and no cardiac mechanical support was used in the reported cases. We presented a case of a 55-year-old Taiwanese woman with dengue hemorrhagic fever complicated with profound shock, acute pulmonary edema, and acute kidney injury.
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.
Field performance of clinical case definitions for influenza screening during the 2009 pandemic Shey-Ying Chen, Yee-Chun Chen, Wen-Chu Chiang, Hsiang-Chi Kung, Chwan-Chuen King, Mei-Shu Lai, Wei-Chu Chie, Shyr-Chyr Chen, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.016
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: May 25 2012
x The aim of this study was to assess the performance of 3 different influenza-like illness (ILI) case definitions, adopted by the European (European-CDC), USA (USA-CDC), and Taiwan Centers for Disease Prevention and Control (Taiwan-CDC), as screening tools for influenza during the 2009 H1N1 pandemic.
Methicillin-resistant Staphylococcus aureus colonization is not associated with higher rate of admission to pediatric intensive care unit Mohammed Naeem, Esam Al Banyan, Sardar Tanvir Sindhu
DOI: http://dx.doi.org/10.1016/j.ajem.2012.12.033
The American Journal of Emergency Medicine , Vol. 31 , Issue 4 ,
Published online: February 11 2013
x Methicillin-resistant Staphylococcus aureus (MRSA) colonization is consistently rising. The question whether the MRSA colonization places the patients at higher risk, requiring higher levels of care when being admitted, has never been studied. We conducted this study to determine the impact of MRSA colonization status on the required level of care upon admission to hospital.
Rhabdomyolysis as presenting feature of acute HIV-1 seroconversion in a pediatric patient Jason Gagnon, Harold Katner, S. Brent Core, Jean Dozier, Chintan Patel, Chanty Davis
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.031
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: August 29 2015
x Acute rhabdomyolysis is a rare phenomenon in the emergency setting almost exclusively associated with trauma, drugs, and recent upper respiratory and gastrointestinal infection. Rare reports in the literature have highlighted adult patients presenting with rhabdomyolysis as 1 component in a constellation of symptoms in acute HIV-1 seroconversion; however, there are few reports of rhabdomyolysis as the sole presenting symptom. This case highlights the importance of investigating HIV and other sexually transmitted diseases in pediatric cases of rhabdomyolysis in the emergency care setting.
Fluid balance in sepsis and septic shock as a determining factor of mortality Josep-Maria Sirvent, Cristina Ferri, Anna Baró, Cristina Murcia, Carolina Lorencio
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.016
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: November 19 2014
x The objective was to assess whether fluid balance had a determinant impact on mortality rate in a cohort of critically ill patients with severe sepsis or septic shock.
d -dimer is a significant prognostic factor in patients with suspected infection and sepsisJoaquín R. Rodelo, Gisela De la Rosa, Martha L. Valencia, Sigifredo Ospina, Clara M. Arango, Carlos I. Gómez, Alex García, Edilberto Nuñez, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.033
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: July 16 2012
x The aim of the study was to determine whether C-reactive protein (CRP), procalcitonin (PCT), and d -dimer (DD) are markers of mortality in patients admitted to the emergency department (ED) with suspected infection and sepsis.
The critical care literature 2009 Michael E. Winters, Tsuyoshi Mitarai, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2010.02.009
The American Journal of Emergency Medicine , Vol. 29 , Issue 5 ,
Published online: May 3 2010
x Marchick MR, Kline JA, Jones AE. The significance of non-sustained hypotension in emergency department patients with sepsis. Intensive Care Med 2009;35:1261-1264.
Newly designed delta neutrophil index–to–serum albumin ratio prognosis of early mortality in severe sepsis Yoon Jung Hwang, Sung Phil Chung, Yoo Seok Park, Hyun Soo Chung, Hye Sun Lee, Jong Woo Park, Jong Wook Lee, Jung Hwa Hong, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.012
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: June 13 2015
x We evaluated the ratio of delta neutrophil index (DNI) to albumin (A) in patients receiving early goal-directed therapy (EGDT) to determine the prognostic significance of the DNI/A ratio as a marker of early mortality in critically ill patients with suspected sepsis.
Concurrent infectious mononucleosis and community-associated methicillin-resistant Staphylococcus aureus bacteremia Li Jun Wang, Xiao Qin Du, Eric Nyirimigabo, Song Tao Shou
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.033
The American Journal of Emergency Medicine , Vol. 32 , Issue 4 ,
Published online: November 25 2013
x It is rare to see a concurrent infection with infectious mononucleosis and community-associated methicillin-resistant Staphylococcus aureus in Tianjin, China. Until now, there is still no any single recorded case of concurrent infectious mononucleosis and community-associated methicillin-resistant Staphylococcus aureus bacteremia.
Diagnostic and prognostic value of myeloid-related protein complex 8/14 for sepsis Shanglan Gao, Yan Yang, Yun Fu, Weidong Guo, Guowei Liu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.025
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: June 17 2015
x The objective of this study is to evaluate the diagnostic and prognostic value of myeloid-related protein complex 8/14 (MRP8/14) in septic patients in intensive care units.
The role of autonomic nervous system function in hypothermia-mediated sepsis protection Yun-Te Chang, Shue-Ren Wann, Jung-Shun Tsai, Chih-Hsiang Kao, Po-Tsang Lee, Neng-Chyan Huang, Cheng-Chang Yen, Mu-Shun Huang, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.08.028
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: November 19 2012
x The objective of this study is to determine whether hypothermia will lessen decreases in heart rate variability and improve outcome in a rat model of sepsis.
Clinical factors in predicting acute renal failure caused by rhabdomyolysis in the ED Chun-Yu Chen, Yan-Ren Lin, Lu-Lu Zhao, Wen-Chieh Yang, Yu-Jun Chang, Han-Ping Wu
DOI: http://dx.doi.org/10.1016/j.ajem.2013.03.047
The American Journal of Emergency Medicine , Vol. 31 , Issue 7 ,
Published online: May 22 2013
x This study aimed to determine the clinical factors in predicting acute renal failure (ARF) in rhabdomyolysis and investigate the potential risk of renal replacement therapy (RRT).
Antibiotics for methicillin-resistant Staphylococcus aureus skin and soft tissue infections: the challenge of outpatient therapy Amy J. Pate, Reno Giovonni Terribilini, Farzaneh Ghobadi, Alaleh Azhir, Andre Barber, Julie Marie Pearson, Hossein Kalantari, Getaw W. Hassen
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.026
The American Journal of Emergency Medicine , Vol. 32 , Issue 2 ,
Published online: November 14 2013
x Methicillin-resistant Staphylococcus aureus (MRSA) infections are becoming increasingly prevalent in both community and hospital settings. Certain strains are notorious for causing skin and soft tissue infections in patients with no established risk factors. In this article, we report our findings on the dynamic antibiotic resistance pattern of MRSA and outpatient prescription trend for skin and soft tissue infections within our community.
Laboratory-confirmed gonorrhea and/or chlamydia rates in clinically diagnosed pelvic inflammatory disease and cervicitis Aaron M. Burnett, Christopher P. Anderson, Michael D. Zwank
DOI: http://dx.doi.org/10.1016/j.ajem.2011.07.014
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: October 26 2011
x The aim of this study was to determine the rates of laboratory confirmed gonorrhea (GC) and chlamydia (CT) in emergency department (ED) patients with pelvic inflammatory disease (PID) and cervicitis who were diagnosed clinically and treated empirically. A secondary goal examines which clinical criteria were present in patients with PID testing positive for GC/CT.
