Development of a prehospital vital signs chart sharing system Taka-aki Nakada, Naohisa Masunaga, Shota Nakao, Maiko Narita, Takashi Fuse, Hiroaki Watanabe, Yasuaki Mizushima, Tetsuya Matsuoka
DOI: http://dx.doi.org/10.1016/j.ajem.2015.09.048
The American Journal of Emergency Medicine , Vol. 34 , Issue 1 ,
Published online: October 2 2015
x Physiological parameters are crucial for the caring of trauma patients. There is a significant loss of prehospital vital signs data of patients during handover between prehospital and in-hospital teams. Effective strategies for reducing the loss remain a challenging research area. We tested whether the newly developed electronic automated prehospital vital signs chart sharing system would increase the amount of prehospital vital signs data shared with a remote trauma center prior to hospital arrival.
Rate of intra-abdominal injury after a normal abdominal computed tomographic scan in adults with blunt trauma James F. Holmes, John P. McGahan, David H. Wisner
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.016
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: June 6 2011
x The objective of this study is to determine the rate of intra-abdominal injury (IAI) in adults with blunt abdominal trauma after a normal abdominal computed tomographic (CT) scan. We hypothesize that the risk of subsequent IAI is so low that hospital admission and observation for possible IAI are unnecessary.
China's research status in emergency medicine: a 15-year survey of literature Weiwei Wang, Ting Jiang, Chunyu Li, Jun Chen, Kejiang Cao, Lian-wen Qi, Ping Li, Wei Zhu, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.007
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: November 7 2015
x To investigate the research status of emergency medicine in China through literature search of international emergency medicine journals and retrospectively compare the outputs of emergency medicine articles of the 3 major regions of China-Mainland (ML), Taiwan (TW), and Hong Kong (HK).
The orthopedic literature 2009 Michael C. Bond, Daniel L. Lemkin, William Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2010.06.028
The American Journal of Emergency Medicine , Vol. 29 , Issue 8 ,
Published online: October 11 2010
x Green DW, Mogekwu N, Scher DM, et al. A modification of Klein's Line to improve sensitivity of the anterior-posterior radiograph in slipped capital femoral epiphysis. J Pediatr Orthop 2009;29:449-453.
Association between burn characteristics and pain severity Adam J. Singer, Lionelle Beto, Daniel D. Singer, Justin Williams, Henry C. Thode Jr., Steven Sandoval
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.043
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: May 30 2015
x Traditionally, full thickness burns have been thought to be painless due to destruction of underlying nerves. We explored the association between patient and burn characteristics and pain severity in burn patients and determined whether full thickness burns were less likely to be painful than more superficial burns.
Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(12)00518-9
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published in issue: November 2012
Frequency of ED revisits and death among older adults after a fall Shan W. Liu, Ziad Obermeyer, Yuchiao Chang, Kalpana N. Shankar
DOI: http://dx.doi.org/10.1016/j.ajem.2015.04.023
The American Journal of Emergency Medicine , Vol. 33 , Issue 8 ,
Published online: April 20 2015
x Falls among older adults (aged ≥
Novel biochemical marker for differential diagnosis of seizure: ischemia-modified albumin Muzeyyen Uzel, Nese Colak Oray, Basak Bayram, Tuncay Kume, Mehmet Can Girgin, Ozgur Doylan, Ercument Saritabak, Sedat Yanturali
DOI: http://dx.doi.org/10.1016/j.ajem.2014.05.003
The American Journal of Emergency Medicine , Vol. 32 , Issue 9 ,
Published online: May 12 2014
x Differential diagnosis of seizure is critical in patients presented to emergency department (ED) with altered mental status or loss of consciousness. Although electroencephalogram is important for the diagnosis of seizures, its use in EDs is limited. The level of ischemia-modified albumin (IMA) increases in conditions of ischemic distress such as acute coronary syndrome, pulmonary embolism, and mesenteric ischemia. No studies exist in literature regarding the increase of IMA levels parallel to increased seizure activity in adults.
Ischemic-appearing electrocardiographic changes predict myocardial injury in patients with intracerebral hemorrhage Kohei Hasegawa, Megan L. Fix, Lauren Wendell, Kristin Schwab, Hakan Ay, Eric E. Smith, Steven M. Greenberg, Jonathan Rosand, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.007
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: March 30 2011
x Myocardial injury is common among patients with intracerebral hemorrhage (ICH). However, it is challenging for emergency physicians to recognize acute myocardial injury in this population, as electrocardiographic (ECG) abnormalities are common in this setting. Our objective is to examine whether ischemic-appearing ECG changes predict subsequent myocardial injury in the context of ICH.
Dual-source computed tomography may define cardiac contusion in patients with blunt chest trauma in ED Mucahit Emet, Murat Saritemur, Bayram Altuntas, Leyla Karaca, Fatih Mehmet Sari, Yasin Bilgin, Mecit Kantarci, Sahin Aslan
DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.059
The American Journal of Emergency Medicine , Vol. 33 , Issue 6 ,
Published online: December 31 2014
x We report a 20-year-old woman with blunt chest trauma because of a motor vehicle injury who has traumatic asphyxia and hypotension. The diagnosis of blunt cardiac injury was put by using dual-energy computed tomography in the emergency department because other laboratory and imaging modalities were useless. After hospitalization in intensive care unit, she was treated with supportive and antiedema therapy. The patient was extubated on the fifth day and discharged on the ninth day without any sequel.
Time to opioid administration after implementation of an intranasal fentanyl protocol Jared A. Schaefer, Tamara J. Mlekoday
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.050
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: September 7 2015
x Prompt and effective analgesia is a mainstay of emergency department (ED) medicine; however, it is often delayed in times of overcrowding and by the need to establish intravenous (IV) access. Thus, noninvasive analgesic administration by means of the intranasal route could potentially reduce time to analgesic administration by eliminating IV line insertion.
The orthopedic literature 2010 Michael C. Bond, Daniel L. Lemkin, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.017
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: April 25 2011
x A. Vander Have KL, Perdue AM, Caird MS, Farley FA. Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents. J Pediatr Orthop 2010;30:307-312.
Real-time 3-dimensional contrast-enhanced ultrasound in detecting hemorrhage of blunt renal trauma Rui-Xue Xu, Ye-Kuo Li, Ting Li, Sha-Sha Wang, Gui-Zhong Yuan, Qun-Fang Zhou, Hai-Rong Zheng, Fei Yan
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.013
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: August 21 2013
x The objective of this study is to evaluate the diagnostic value of real-time 3-dimensional contrast-enhanced ultrasound in the hemorrhage of blunt renal trauma.
Is heart rate variability better than routine vital signs for prehospital identification of major hemorrhage? Shwetha Edla, Andrew T. Reisner, Jianbo Liu, Victor A. Convertino, Robert Carter III, Jaques Reifman
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.046
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: December 2 2014
Open Access x During initial assessment of trauma patients, metrics of heart rate variability (HRV) have been associated with high-risk clinical conditions. Yet, despite numerous studies, the potential of HRV to improve clinical outcomes remains unclear. Our objective was to evaluate whether HRV metrics provide additional diagnostic information, beyond routine vital signs, for making a specific clinical assessment: identification of hemorrhaging patients who receive packed red blood cell (PRBC) transfusion.
Delayed massive hemothorax complicating simple rib fracture associated with diaphragmatic injury Chin-Li Chen, Yeung-Leung Cheng
DOI: http://dx.doi.org/10.1016/j.ajem.2013.12.060
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: January 9 2014
x Traumatic hemothorax is potentially life threatening. Rib fractures are the commonest injury after chest trauma, which accounts for 10% of patients after trauma. A delayed massive hemothorax after simple rib fracture is rare. The possibility of delayed sequelae after chest trauma should be considered, and patients should be informed of this possibility. We present a case of this uncommon situation with delayed massive hemothorax caused by simple fracture of the lower ribs. Admission should be considered for close observation when presenting with fracture of the lower ribs because of the possibility of diaphragmatic injury or intra-abdominal injury, even if a simple rib fracture is found initially.
Ischemia-modified albumin is not better than creatine kinase-MB and cardiac troponin I in predicting a cardiac injury in nontraumatic subarachnoid hemorrhage Ahmet Baydin, Ramazan Amanvermez, Özgür Korhan Tuncel, Metin Ocak, Murat Meric, Cengiz Cokluk
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.007
The American Journal of Emergency Medicine , Vol. 33 , Issue 4 ,
Published online: October 10 2014
x The aims were to investigate the role of serum ischemia-modified albumin (IMA), tumor necrosis factor α (TNF-α ), and myeloperoxidase (MPO) and to evaluate the relationship between IMA and cardiac markers (creatine kinase myocardial isoenzyme [CK-MB] and cardiac troponin I [cTnI]) related to cardiac abnormalities in adult patients after nontraumatic subarachnoid hemorrhage (SAH).
Thyroid rupture secondary to blunt neck trauma Yih-Liang Sow, Nora Abdul Aziz, Khoon-Leong Ng
DOI: http://dx.doi.org/10.1016/j.ajem.2012.12.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 4 ,
Published online: February 11 2013
x Rupture of the thyroid gland is uncommon in cases of blunt neck trauma. We report a case of thyroid rupture after a motor vehicle accident in a patient without a preexisting goiter. He presented with a painful anterior neck swelling associated with dysphagia and hoarseness of voice. Computed tomographic scans showed lacerations of the right thyroid lobe and isthmus with features suggestive of slow active bleeding. Neck exploration was subsequently performed, and a ruptured right thyroid lobe was found with ongoing venous hemorrhage.
A pig model for blunt chest trauma: no pulmonary edema in the early phase David Couret, Sophie de Bourmont, Nicolas Prat, Pierre-Yves Cordier, Jean-Baptiste Soureau, Dominique Lambert, Bertrand Prunet, Pierre Michelet
DOI: http://dx.doi.org/10.1016/j.ajem.2013.05.028
The American Journal of Emergency Medicine , Vol. 31 , Issue 8 ,
Published online: June 27 2013
x Chest trauma remains a leading cause of trauma-death. Since lung contusion is one of the most important lesions implicated, the aim of this experimental study was to evaluate the cardiorespiratory consequences of an isolated lung contusion model.
The use of prophylactic antibiotics in treatment of fingertip amputation: a randomized prospective trial Guy Rubin, Hagay Orbach, Micha Rinott, Alejandro Wolovelsky, Nimrod Rozen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.002
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: February 5 2015
x Fingertip amputation is a common injury. Considerable controversy exists as to whether prophylactic antibiotics are necessary for this injury. Our goal was to compare the rate of infections among subgroups with and without prophylactic antibiotic treatment. The study hypothesis was that infection rates were similar in the 2 groups.
Nebulized fentanyl vs intravenous morphine for ED patients with acute abdominal pain: a randomized double-blinded, placebo-controlled clinical trial Travis Deaton, Jonathan D. Auten, Michael A. Darracq
DOI: http://dx.doi.org/10.1016/j.ajem.2015.03.046
The American Journal of Emergency Medicine , Vol. 33 , Issue 6 ,
Published online: March 25 2015
x Patients with acute abdominal pain commonly present to emergency departments. The safe and effective relief of discomfort is a concern to patients and physicians. Intravenous opioids are the traditional method used to provide pain relief in this setting, but intravenous access is time consuming and not always achievable. Alternative methods of pain control may therefore be necessary for the acute management of painful conditions without adding to the overall physical or psychological discomfort.
