Outcomes of patients admitted for hanging injuries with decreased consciousness but without cardiac arrest Jung Hee Wee, Jeong Ho Park, Seung Pill Choi, Kyu Nam Park
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.061
The American Journal of Emergency Medicine , Vol. 31 , Issue 12 ,
Published online: October 7 2013
x The objective of this study is to provide appropriate treatment of patients who showed decreased mentality but did not suffer cardiac arrest (CA) from hanging injury, from reviewing the characteristics and analyzing the outcomes in such patients.
Emergency cricothyroidotomies for trauma: further considerations R. Gentry Wilkerson, Kenneth H. Butler, Michael D. Witting
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.032
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: May 15 2013
x In 2 recent articles, published in this journal [1] and The Scandinavian Journal of Surgery [2], King and colleagues observed that surgeons performed almost all of the 54 cricothyroidotomies documented in the patient records they collected in a retrospective medical record review at 2 trauma centers. Their conclusion caught our attention and prompted this response because we, as emergency physicians, have demonstrated our competency to teach this rare and lifesaving procedure in our emergency medicine training program and are confident that our graduates are proficient in it.
Impact of checklists on peri-intubation care in ED trauma patients Mark J. Conroy, Gregory S. Weingart, Jestin N. Carlson
DOI: http://dx.doi.org/10.1016/j.ajem.2014.02.006
The American Journal of Emergency Medicine , Vol. 32 , Issue 6 ,
Published online: February 19 2014
x Checklists have successfully been used in intensive care units (ICUs) to improve metrics of critical care. Proper peri-intubation care including use of appropriate induction agents and postintubation sedation is crucial when performing endotracheal intubation (ETI) on critically ill patients, especially in the emergency department (ED). We sought to evaluate the impact of checklists on peri-intubation care in ED trauma patients.
The difference in myocardial injuries and mitochondrial damages between asphyxial and ventricular fibrillation cardiac arrests Min-Shan Tsai, Chien-Hua Huang, Shang-Ho Tsai, Chia-Ying Tsai, Huei-Wen Chen, Hsaio-Ju Cheng, Chiung-Yuan Hsu, Tzung-Dau Wang, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.001
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: March 2 2012
x Ventricular fibrillation (VF) and asphyxia account for most cardiac arrests but differ in cardiac arrest course, neurologic deficit, and myocardial damage. In VF resuscitation, cardiac mitochondria were known to be damaged via excess generation of reactive oxygen species. This study evaluated the difference of cardiac mitochondrial damages between VF and asphyxial cardiac arrests.
Hamate body and capitate fracture in punch injury Jacob A. Goliver, Joshua S. Adamow, Jake Goliver
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.050
The American Journal of Emergency Medicine , Vol. 32 , Issue 10 ,
Published online: April 7 2014
x Hamate fractures represent only 2% to 4% of all carpal bone fractures because they require a large degree of force to the hand or wrist. This is a case report of a patient with hamate and capitate fractures after a punch injury. It details the minute change seen in routine 3-view radiographic imagery and indications for computed tomography.
Traumatic mediastinal hematoma: a potentially fatal condition that may be overlooked by traditional Focused Assessment with Sonography for Trauma Li-wen Hsu, Chee-Fah Chong, Tzong-Luen Wang, Bor-hen Wu
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.022
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: May 25 2012
x Mediastinal hematoma is an uncommon finding in blunt chest trauma. It may be caused by aortic injury, by mediastinal vascular injury such as aortic injury, and by fractures of the sternum and vertebral column. A huge mediastinal hematoma can result in extrapericardial cardiac tamponade by compressing the adjacent organs. Although Focused Assessment with Sonography for Trauma (FAST) can reliably assess the presence of pericardial effusion in the subxiphoid view, it may overlook mediastinal hematoma.
Blunt diaphragmatic rupture - a rare but challenging entity in thoracoabdominal trauma I-Ming Kuo, Chien-Hung Liao, Ming-Che Hsin, Shih-Ching Kang, Shang-Yu Wang, Chun-Hsiang Ooyang, Jen-Feng Fang
DOI: http://dx.doi.org/10.1016/j.ajem.2011.03.014
The American Journal of Emergency Medicine , Vol. 30 , Issue 6 ,
Published online: June 6 2011
x Delayed diagnosis of blunt traumatic diaphragmatic rupture (BDR) is not uncommon in the emergency department (ED) despite improvement in investigative techniques. We reviewed a large case series of patients diagnosed with blunt traumatic diaphragmatic rupture in order to report demographics, clinical features, and mechanisms of injury of this important but challenging entity.
A community-based comparison of trauma patient outcomes between d - and l -lactate fluids Kazuaki Kuwabara, Akihito Hagiwara, Shinya Matsuda, Kiyohide Fushimi, Koichi B. Ishikawa, Hiromasa Horiguchi, Kenji Fujimori
DOI: http://dx.doi.org/10.1016/j.ajem.2012.07.013
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: September 24 2012
x Ringer's lactate is used for patient resuscitation. Lactate naturally occurs in 2 stereoisometric forms, d - and l -lactate, that are added to fluid in equal amounts. Animal studies have demonstrated potentially deleterious effects of d -lactate on vital organs. Using an administrative database, we examined whether d - or l -lactate volume was associated with mortality in patients with trauma.
Prehospital neurologic deterioration is independent predictor of outcome in traumatic brain injury: analysis from National Trauma Data Bank Shahram Majidi, Farhan Siddiq, Adnan I. Qureshi
DOI: http://dx.doi.org/10.1016/j.ajem.2013.05.026
The American Journal of Emergency Medicine , Vol. 31 , Issue 8 ,
Published online: June 27 2013
x The prevalence and impact of prehospital neurologic deterioration (PhND) in patients with traumatic brain injury (TBI) have not been investigated. We aimed to determine the prevalence of PhND during emergency medical service (EMS) transportation among patients with TBI and its impact on patient's outcome.
Deep sedation with sevoflurane insufflated via a nasal cannula in uncooperative child undergoing the repair of dental injury Seung-Oh Kim, Young-Jae Kim, Yong-Seo Koo, Teo Jeon Shin
DOI: http://dx.doi.org/10.1016/j.ajem.2013.01.008
The American Journal of Emergency Medicine , Vol. 31 , Issue 5 ,
Published online: February 11 2013
x Sevoflurane, a potent volatile anesthetic, has been attempted to be used for procedural sedation. Because of lack of a commercially available sedation apparatus for sevoflurane administration, anesthetic gas delivery apparatus should be connected to general anesthetic machine for delivering sevoflurane gas. In this case, deep sedation was maintained during treatment of dental injuries involving the upper lip and incisor by sevoflurane insufflations via a nasal cannula. Especially, this may be advantageous in treating dental injuries involving upper lip and maxillary anterior teeth because the treatment is not disturbed during sevoflurane insufflations via a nasal cannula.
Emergent cricothyroidotomies for trauma: training considerations David R. King, Michael P. Ogilvie, George Velmahos, Hasan B. Alam, Marc A. deMoya, Susan R. Wilcox, Ali Y. Mejaddam, Gwendolyn M. Van Der Wilden, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2011.10.026
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: December 28 2011
x Emergent cricothyroidotomy remains an uncommon, but life-saving, core procedural training requirement for emergency medicine (EM) physician training. We hypothesized that although most cricothyroidotomies for trauma occur in the emergency department (ED), they are usually performed by surgeons.
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
Factors associated with law enforcement–related use-of-force injury Edward M. Castillo, Nitin Prabhakar, Bethi Luu
DOI: http://dx.doi.org/10.1016/j.ajem.2011.01.017
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: March 16 2011
x Use-of-force (UOF) techniques are used by law enforcement to gain control of noncompliant subjects. The purpose of this study was to assess factors associated with subject and deputy injuries during law enforcement UOF.
Successful endovascular treatment of subclavian artery dissection after compression trauma Murat Günday, Mehmet Özülkü, Erkan Yıldırım, Aytekin Güven, Özgür Çiftçi
DOI: http://dx.doi.org/10.1016/j.ajem.2012.07.030
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: October 8 2012
x Subclavian artery injury may occur as a result of penetrating or blunt trauma. Surgical or endovascular approaches are 2 treatment options. Previous case reports in the literature have described successful treatment of subclavian artery injury. In our case report, a 31-year-old male patient who had been exposed to blunt thorax trauma was admitted to our hospital complaining of chest pains and shortness of breath. During his examination at the hospital, he also complained of numbness in his right arm.
Secondary chordae rupture due to low-tension electricity trauma Hakan Akilli, Alpay Aribas, Nazire Belgin Akilli, Mehmet Kayrak, Hasan Gok
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.012
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: May 25 2012
x The most frequent cardiac pathologies caused by electric shock are arrhythmias with a wide clinical picture ranging from sinus tachycardia to asystole. Cardiac mechanical complications secondary to electric shock have rarely been reported. Despite the use of electrocardiography and cardiac monitorization in evaluating dysrhythmias and in the patients' follow-up, there is still no consensus on how to assess patients against probable mechanical complications and how to follow up these patients. In this study, we have presented the rupture in the secondary chordae of the mitral anterior leaflet caused by low-voltage electrical trauma.
The motor component does not convey all the mortality prediction capacity of the Glasgow Coma Scale in trauma patients Benoît Vivien, Jean-Michel Yeguiayan, Yannick Le Manach, Claire Bonithon-Kopp, Sébastien Mirek, Delphine Garrigue, Marc Freysz, Bruno Riou
DOI: http://dx.doi.org/10.1016/j.ajem.2011.06.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: October 31 2011
x We tested the hypothesis that the motor component of the Glasgow Coma Scale (GCS) conveys most of the predictive information of triage scores (Triage Revised Trauma Score [T-RTS] and the Mechanism, GCS, Age, arterial Pressure score [MGAP]) in trauma patients.
Airway management of adult patients without trauma in an ED led by internists Dominik Roth, Wolfgang Schreiber, Peter Stratil, Katharina Pichler, Christof Havel, Moritz Haugk
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.001
The American Journal of Emergency Medicine , Vol. 31 , Issue 9 ,
Published online: July 11 2013
x Airway management is a key competence in emergency medicine. Patients heavily differ from those in the operating room. They are acutely ill by definition and usually not fasting. Evaluation of risk factors is often impossible. Current literature primarily originates from countries where emergency medicine is an independent specialty. We evaluated intubations in a high-volume emergency department run by internists and comprising its own distinctive intensive care unit.
Relation of signal in mononuclear cell with endotoxin response and clinical outcome after trauma Hsin-Chin Shih, Mu-Shun Huang, Chen-Hsen Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2010.12.025
The American Journal of Emergency Medicine , Vol. 30 , Issue 3 ,
Published online: February 7 2011
x We investigated the correlation of proinflammatory transcript nuclear factor κ B (NF-κ B) and antioxidative gene transcript nuclear factor-erythroid 2–related factor 2 (Nrf2) expressions in peripheral blood mononuclear cells (PBMCs) with the tumor necrosis factor α (TNF-α ) response after endotoxin stimulation and the clinical outcome of severely injured patients.
X-ray–negative posterior sternoclavicular dislocation after minor trauma Mary Jacob, Jonathan Snashall, Annette Dorfman, Robert Shesser
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.014
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: May 25 2012
x Posterior sternoclavicular dislocation is a rare injury that must be recognized by the emergency physician because failure to rapidly reduce can lead to serious vascular complications. A high index of suspicion must be maintained in the appropriate setting because these injuries are difficult to detect on physical examination as well as on plain radiography. We present a case of a 19-year-old man with an isolated posterior sternoclavicular dislocation, in the setting of minor blunt trauma. The correct diagnosis required multiple imaging modalities over 2 emergency department visits and was ultimately successfully managed with intraoperative reduction.
Hypothermia is associated with poor outcome in pediatric trauma patients Jennifer Sundberg, Cristina Estrada, Cathy Jenkins, Jacqueline Ray, Thomas Abramo
DOI: http://dx.doi.org/10.1016/j.ajem.2010.06.002
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: August 16 2010
x The objective of the study was to determine if hypothermia in pediatric trauma patients is associated with increased mortality.
