Hemoperitoneum semiquantitative analysis on admission of blunt trauma patients improves the prediction of massive transfusion Jonathan Charbit, Martin Mahul, Jean-Paul Roustan, Pascal Latry, Ingrid Millet, Patrice Taourel, Xavier Capdevila
DOI: http://dx.doi.org/10.1016/j.ajem.2012.06.024
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: September 13 2012
x The purpose of this study was to define whether the semiquantitative analysis of hemoperitoneum increases the accuracy of early prediction of massive transfusion (MT).
Stay and play eFAST or scoop and run eFAST? That is the question! Pierre-Marie Brun, Jacques Bessereau, Hichem Chenaitia, Anne-Lise Pradel, Cecile Deniel, Gilles Garbaye, Regis Melaine, Olivier Bylicki, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.008
The American Journal of Emergency Medicine , Vol. 32 , Issue 2 ,
Published online: November 14 2013
x The concept that ultrasonography could be interesting in the prehospital setting and during the transfer of traumatized patients is not new. Paradoxically, there is a lack of description of routine use of ultrasonography in emergency ambulances. The aim of this study was to compare the feasibility and efficiency of an extended focused assessment sonography for trauma (eFAST) examination performed on-site, during the patient's transfer, or both.
Predictors of early death in patients with acute pulmonary embolism Çağdaş Akgüllü, İmran Kurt Ömürlü, Ufuk Eryılmaz, Mücahit Avcil, Evrin Dağtekin, Mehmet Akdeniz, Hasan Güngör, Cemil Zencir
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.022
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: November 25 2014
x We aimed to determine the predictors of early death in the course of acute pulmonary embolism (APE).
Closed traumatic finger tip injuries in patients with artificial nails: removal of UV gel and acrylic nails Joseph A. Gil, Steven DeFroda, Daniel Reid, P. Kaveh Mansuripur
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.014
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 9 2015
x Traumatic fingertip injuries are exceedingly common and often times very easy to diagnose based on mechanism and visual inspection [1]. The presence of artificial nails, however, can mask the presentation of an underlying nail bed injury. In addition, they can theoretically increase the risk of infection in the setting of nail bed laceration over a fracture as artificial nails have been shown to harbor pathogens in a number of studies [2-4]. Although obvious crush injuries result in marked deformity of the digit, more subtle mechanisms may result in a nail bed laceration that presents solely as a subungual hematoma.
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.
Comprehensive pain management protocol reduces children's memory of pain at discharge from the pediatric ED Patrick J. Crocker, Eric Higginbotham, Benjamin T. King, Diane Taylor, Truman J. Milling Jr.
DOI: http://dx.doi.org/10.1016/j.ajem.2011.05.030
The American Journal of Emergency Medicine , Vol. 30 , Issue 6 ,
Published online: October 26 2011
x Historically, pain has been poorly managed in the pediatric emergency department (ED) (PED), resulting in measurable psychosocial issues both acute and delayed.
Cardiac arrest caused by acute intoxication—insight from a registry David Hörburger, Istepan Kurkciyan, Fritz Sterz, Andres Schober, Mathias Stöckl, Peter Stratil, Thomas Uray, Christoph Testori, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.07.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: September 9 2013
x The aim of the study was to evaluate the epidemiology and outcome after cardiac arrest caused by intoxication.
A modified paravertebral block to reduce risk of mortality in a patient with multiple rib fractures Hitoshi Yoshida, Shinya Yaguchi, Atsufumi Matsumoto, Hiroyuki Hanada, Hidetomo Niwa, Masatou Kitayama
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.032
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: October 25 2014
x The risk of mortality due to multiple rib fractures elevates with increasing age or severity of injury. Although sufficient pain relief with thoracic epidural block or paravertebral block has been recommended for prevention of critical pneumonia that causes late death, their indications are limited in patients with coagulation disorder. We tested a new modified ultrasound-guided paravertebral block, retrolaminar block (RB)/costovertebral canal block (CVCB), instead of the recommended regional analgesic techniques in a 79-year-old multiple-injured man with routine antiplatelet therapy.
i-gel as alternative airway tool for difficult airway in severely injured patients David Häske, Benjamin Schempf, Christoph Niederberger, Gernot Gaier
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.008
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: June 8 2015
x Supraglottic airway tools (SGAs) are beneficial for airway management or as a backup in “cannot intubate” situations. Recent studies have described laryngeal tubes as being critical because of tongue swelling that results in life-threatening situations, malposition, and bleeding from soft tissue injuries. Unlike other SGAs, supraglottic i-gel is a noninflatable gel-like cuff with an inner gastric channel.
Double-lung point sign in traumatic pneumothorax Anne Aspler, Emanuele Pivetta, Michael B. Stone
DOI: http://dx.doi.org/10.1016/j.ajem.2013.12.059
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: January 10 2014
x Lung ultrasound has emerged as a rapid and accurate screening tool for pneumothorax. The lung point sign, a sonographic representation of the point on the chest wall where the pleural layers re-adhere, is 100% specific to confirm the diagnosis. Double lung point sign for a single pneumothorax is extremely unusual and has only been reported twice in the literature.
Isolated sternal fractures treated on an outpatient basis Vasileios K. Kouritas, Charalambos Zisis, Konstantinos Vahlas, Antonios G. Roussakis, Ion Bellenis
DOI: http://dx.doi.org/10.1016/j.ajem.2012.05.027
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: August 6 2012
x The aim of this study is to investigate the need for admission of patients with isolated sternal fracture (ISF) by prospectively and randomly discharging or admitting them.
2010: the emergency medical services literature in review Benjamin J. Lawner, Jose Victor Nable, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2011.05.031
The American Journal of Emergency Medicine , Vol. 30 , Issue 6 ,
Published online: December 14 2011
Quality of publications in emergency medicine Vincent Bounes, Emilie Dehours, Vanessa Houze-Cerfon, Baptiste Vallé, Robert Lipton, Jean-Louis Ducassé
DOI: http://dx.doi.org/10.1016/j.ajem.2012.07.026
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: October 8 2012
x The objective of this study is to describe emergency medicine (EM) publications in terms of methodology, approval by institutional review board, method of consent, external validity, and setting (eg, prehospital or emergency department).
Pelvic circumferential compression devices benefit patients with pelvic fractures who need transfers Chih-Yuan Fu, Yu-Tung Wu, Chien-Hung Liao, Shih-Ching Kang, Shang-Yu Wang, Yu-Pao Hsu, Being-Chuan Lin, Kuo-Ching Yuan, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.044
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: August 23 2013
x Patients with pelvic fracture usually require transfers to trauma centers for additional advanced treatment. Patient safety during the transfer should always be a priority. The noninvasive pelvic circumferential compression device (PCCD) can reportedly provide a tamponade effect, which reduces hemorrhage. In the present study, we evaluated the feasibility and efficiency of PCCD in patients with pelvic fracture who required transfer to trauma centers.
Effects of terlipressin in a rat model of severe uncontrolled hemorrhage via liver injury Basak Bayram, Nil Hocaoglu, Rıdvan Atilla, Sule Kalkan
DOI: http://dx.doi.org/10.1016/j.ajem.2011.09.007
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: November 21 2011
x Animal experiments and clinical studies have shown that vasopressin infusion in cases of uncontrolled hemorrhagic shock is a promising treatment. However, there are only a few studies regarding the application of terlipressin in hemorrhagic cases. This study was designed to evaluate the effects of terlipressin vs controlled fluid resuscitation on hemodynamic variables and abdominal bleeding in a rat model of uncontrolled hemorrhage via liver 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.
Simple Triage Algorithm and Rapid Treatment and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation mass casualty triage methods for sensitivity, specificity, and predictive values Mary Colleen Bhalla, Jennifer Frey, Cody Rider, Michael Nord, Mitch Hegerhorst
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.021
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: August 13 2015
x Two common mass casualty triage algorithms are Simple Triage Algorithm and Rapid Treatment (START) and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation (SALT). We sought to determine the START and SALT efficacy in predicting clinical outcome by appropriate triage.
The critical care literature 2011 Michael E. Winters, Haney Mallemat, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2012.09.018
The American Journal of Emergency Medicine , Vol. 31 , Issue 3 ,
Published online: November 19 2012
x A. Jacobs IG, Finn JC, Jelinek GA, et al. Effect of adrenaline on survival in out-of-hospital cardiac arrest: a randomized double-blind placebo-controlled trial. Resuscitation 2011;82:1138–1143 .
The comparison of heparinized insulin syringes and safety-engineered blood gas syringes used in arterial blood gas sampling in the ED setting (randomized controlled study) Sevcan Baki Baskın, Neşe Çolak Oray, Sedat Yanturalı, Başak Bayram
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.020
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: January 23 2014
x The arterial blood gas measurement process is a painful and invasive procedure, often uncomfortable for both the patient and the physician. Because the patient-related factors that determine the difficulty of the process cannot be controlled, the physician-related factors and blood gas measurement techniques are a modifiable area of improvement that ought to be considered. Many hospitals use insulin syringes or syringes washed with heparin for the purpose of blood gas measurement because they do not have blood gas–specific syringes.
Door-to-block time: prioritizing acute pain management for femoral fractures in the ED Brian Johnson, Andrew Herring, Swapnil Shah, Michael Krosin, Daniel Mantuani, Arun Nagdev
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.027
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: March 28 2014
x Ultrasound-guided femoral nerve blocks (UGFNBs) are considered the criterion standard for acute pain management in traumatic femoral fractures [1]. Emergency physicians (EP) are ideally positioned to perform the UGFNB in a timely manner but often are forced to delay block placement because of unresolved or ambiguous practice expectations on the part of collaborating orthopedic, anesthesiology, and trauma surgery services [2]. The use of a multidisciplinary consensus protocol to expedite acute interventions in the emergency department (ED) is a well-established strategy with proven success in improving outcomes in sepsis, acute coronary syndromes, and stroke [3-5].
