Electronic Cigarette Explosion Injuries: A Case Series Erik A. Kumetz, Nicole D. Hurst, Raymond J. Cudnik, Sherri L. Rudinsky
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.010
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 8 2016
x Electronic cigarettes (e-cigarettes) were introduced into the US market in 2007 and have increasingly become a popular alternative to tobacco smoking. These devices simulate smoking by heating a nicotine-containing solution producing an aerosol that the user inhales. Increasing reports in the media have highlighted significant injuries following spontaneous explosion of these devices, however there has been limited mention in the medical literature to date. We present two cases of serious thermal and blast injuries secondary to e-cigarette malfunction to bring an awareness of the injury potential to medical providers and their patients.
Prevalence and risk factors for central diabetes insipidus in cardiac arrest survivor treated with targeted temperature management Dong Hun Lee, Byung Kook Lee, Kyoung Hwan Song, Yong Hun Jung, Jung Soo Park, Sung Min Lee, Yong Soo Cho, Jin Woong Kim, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.005
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 8 2016
x Central diabetes insipidus (CDI) is a marker of severe brain injury. Here we aimed to investigate the prevalence and risk factors of CDI in cardiac arrest survivors treated with targeted temperature management (TTM).
Comparison of Near-Infrared Spectroscopy and Head CT Interpretations of the Patients with Minor Head Injury in the ED Pınar Yeşim Akyol, Başak Bayram, Aslı Acerer, Mehmet Can Girgin, Durgül Çelik Yılmaz, Süleyman Men, Rıdvan Atilla
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.068
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 7 2016
x Traumatic head injury is disfunctioning of brain due to a mechanical force. Disfunctioning could be temporary or permanent, and may cause structural changes in the brain or not. Clinical severity might vary between very light (confusion or amnesia) and very severe (unresponsiveness and coma)(1).
Injury Patterns and Outcomes of Ice-Fishing in the United States Cornelius A. Thiels, Matthew C. Hernandez, Martin D. Zielinski, Johnathon M. Aho
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.078
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 2 2016
x Fishing is a common pastime. In the developed world, it is commonly performed as a recreational activity. We aim to determine injury patterns and outcomes among patients injured while ice fishing.
In-water secondary spinal cord injury prevention. Does out-of-water cervical immobilization save time? Cristian Abelairas-Gómez, Roberto Barcala-Furelos, José Palacios-Aguilar, Antonio Rodríguez-Núñez
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.051
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 22 2016
x Dive related injuries have an estimated incidence of 30 cases per million [1], with 90% of lesions affecting the cervical spine [2]. Around 5% of rachimedular injuries are caused by dive accidents [1] and remain as a significant cause of acquired permanent disability [3]. Preventive strategies are essential to avoid primary damages but there is no consensus about the most adequate neck immobilization procedure to protect the spinal cord of the victim.
Twenty-four-hour packed red blood cell requirement is the strongest independent prognostic marker of mortality in ED trauma patients Albert Arslan, Lindsey Flax, Robert Fraser, Marc Kanter, Ronald Simon, Nicholas D. Caputo
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.036
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 17 2016
x Injury severity score, serum lactate, and shock index help the physician determine the severity of injuries present and have been shown to relate to mortality. We sought to determine if an increasing amount of packed red blood cells (PRBCs) given in the first 24 hours of admission is an independent predictor of mortality and how it compares to other validated markers.
Effects of N-acetylcysteine and ethyl pyruvate on ischemia-reperfusion injury in experimental electrical burn model Turkmen Suha, Mutlu Asli, Sahin Aynur, Karaca Yunus, Mentese Ahmet, Demir Selim, Yulug Esin, Tatli Ozgur, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.032
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 15 2016
x This study was planned as a histopathologic evaluation of the effectiveness of ethyl pyruvate (EP) and N-acetylcysteine (NAC) in reducing electric burn–related organ damage in an experimental model.
Do trauma patients with phencyclidine-positive urine drug screens have increased morbidity or mortality? Ryan Gallagher, Jonathan Dangers, Stephen L. Thornton
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.022
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 11 2016
x Phencyclidine (PCP) use is anecdotally associated with agitation and injury and is frequently tested for in the setting of trauma. We sought to determine characteristics of trauma patients with a PCP-positive urine immunoassay drug screen (UDS) and if they had increased levels of care or mortality.
Investigation of N -acetylcysteine on contralateral testis tissue injury by experimental testicular torsion: long-term effect Akın Bodur, Ahmet Alver, Cemil Kahraman, Diler Us Altay, İmran İnce
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.021
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 11 2016
x The aim of the study was to investigate long-term effects of N -acetylcysteine (NAC) on contralateral testes by experimental testicular torsion using histopathologic and biochemical parameters.
Modified traumatic bleeding severity score: early determination of the need for massive transfusion Takayuki Ogura, Alan Kawarai Lefor, Mamoru Masuda, Shigeki Kushimoto
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.072
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 2 2016
x Determination of the need for massive transfusion (MT) is essential for early activation of a MT protocol. The Traumatic Bleeding Severity Score (TBSS) predicts the need for MT accurately, but takes time to determine because systolic blood pressure after a 1000 mL of crystalloid infusion is used. The aim of this study is to determine the how well the Modified TBSS (age, sonography, pelvic fracture, serum lactate and systolic blood pressure on arrival) predicts the need for MT (accuracy).
Tackling causes and costs of ED presentation for American football injuries: a population-level study Blair J. Smart, Sterling R. Haring, Anthony O. Asemota, John W. Scott, Joseph K. Canner, Besma J. Nejim, Benjamin P. George, Hatim Alsulaim, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.057
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: February 25 2016
x American tackle football is the most popular high energy impact sport in the United States with approximately 9 million participants competing annually. Previous epidemiologic studies of football-related injuries have generally focused on specific geographic areas or pediatric age groups. Our study sought to examine patient characteristics and outcomes, including hospital charges, among athletes presenting for emergency department (ED) treatment of football-related injury across all age groups in a large nationally representative dataset.
Nonsuicidal self-injury and suicide attempts among ED patients older than 50 years: comparison of risk factors and ED visit outcomes Namkee G. Choi, Diana M. DiNitto, C. Nathan Marti, Bryan Y. Choi
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.058
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 25 2016
x Although the number of older adults who engage in nonsuicidal self-injury (NSSI) is not insignificant, research on older adults' NSSI is scant. The current study examined the prevalence and characteristics of NSSI compared to suicide attempt (SA) in adults older than 50 years who were seen at Emergency Departments (EDs) and their ED visit outcomes.
Table Of Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(15)01134-1
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published in issue: February 2016
Fiberoptic intubation or video tube for trauma patient intubation—which method to choose? Randomized crossover manikin trial Lukasz Szarpak, Zenon Truszewski, Marcin Madziała, Lukasz Czyzewski
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.030
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: January 27 2016
x We read with interest the article of Bilge et al [1] concerning on endotracheal intubation (ETI) with tactical fiberoptic imaging systems. Under the conditions of cervical spine suspected damage and to limit the movements of the spine, direct laryngoscopy using laryngoscope with Macintosh or Miller blade may be difficult [1–3]. In such cases, we should use alternative methods of ETI, including videolaryngoscopes or fiberoptic intubation (FOB).
Cervical spine immobilization may be of value following firearm injury to the head and neck Sebastian D. Schubl, R. Jonathan Robitsek, Christian Sommerhalder, Kimberly J. Wilkins, Taylor R. Klein, Scott Trepeta, Vanessa P. Ho
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.014
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: January 20 2016
x Penetrating injuries to the head and neck may not be able to cause unstable fractures without concomitant spinal cord injury, rendering prehospital spinal immobilization (PHSI) ineffectual, and possibly harmful. However, this premise is based on reports including predominantly chest and abdominal injuries, which are unlikely to cause cervical spine (CS) injuries.
Emergent diagnosis and management of TASER penetrating ocular injury Arthur Jey, Peter Hull, Victoria Kravchuk, Briana Carillo, Jaemes Benjamin Martel
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.005
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: January 8 2016
x We describe the case of a patient who presented with an injury to the orbit. The patient was agitated and uncooperative in the emergency department. He was subsequently diagnosed as having a rupture of the sclera resulting from a TASER injury, an acronym for Thomas A. Swift Electric Rifle. The unusual nature of this type of injury necessitated emergent ophthalmological evaluation in the emergency department and expeditious management of the patient with a multispecialty team. This allowed for a favorable outcome in what could have otherwise been a devastating, blinding injury.
The long spine board does not reduce lateral motion during transport—a randomized healthy volunteer crossover trial David A. Wampler, Chloe Pineda, Joan Polk, Emily Kidd, Dale Leboeuf, Marti Flores, Mike Shown, Chetan Kharod, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.078
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: December 29 2015
x For thirty years, emergency medical services agencies have emphasized limiting spinal motion during transport of the trauma patient to the emergency department. The long spine board (LSB) has been the mainstay of spinal motion restriction practices, despite the paucity of data to support its use. The purpose of this study was to determine reduction in lateral motion afforded by the LSB in comparison to the stretcher mattress alone.
Renal impairment and outcome in patients with takotsubo cardiomyopathy Francesco Santoro, Armando Ferraretti, Riccardo Ieva, Francesco Musaico, Mario Fanelli, Nicola Tarantino, Maria Scarcia, Pasquale Caldarola, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.065
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 22 2015
x The objectives were to ascertain the prevalence of renal impairment among patients with a takotsubo cardiomyopathy (TTC) episode and whether clinical outcomes are related to renal function.
Pyruvate alleviates lipid peroxidation and multiple-organ dysfunction in rats with hemorrhagic shock Rui Liu, Shu-Ming Wang, Xian-Qi Liu, Si-Jia Guo, Hai-Bin Wang, Sen Hu, Fang-Qiang Zhou, Zhi-Yong Sheng
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.040
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 21 2015
x Pyruvate can reduce lipid peroxidation, which plays a critical role in organ injury, in various models. However, it is not fully understood if this inhibition occurs in resuscitation of hemorrhagic shock (HS). This study examines effects of pyruvate Ringer solution (PR) in this respect in rats.
Myocardial injury through serum troponin I and echocardiography in anaphylaxis: Takotsubo cardiomyopathy and the Kounis hypersensitivity–associated acute coronary syndrome Nicholas G. Kounis, Andreas Mazarakis, Constantinos Bardousis
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.019
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 17 2015
x Measuring of high-sensitivity cardiac troponin levels is essential in the diagnosis of acute myocardial infarction. Acute myocardial infarction is defined as myocardial cell death due to prolonged myocardial ischemia. Indeed, in the third universal definition of myocardial infarction [1], detection of rise and/or fall of cardiac troponin above the 99th percentile of the upper reference limit together with ischemic symptoms, electrocardiographic changes of new ischemia, development of pathologic Q-waves in the electrocardiogram, or imaging evidence of new loss of viable myocardium or new regional wall motion abnormality is essential for defining myocardial infarction.
