Neurologic complaints in young children in the ED: when is cranial computed tomography helpful? Tarannum M. Lateef, Rebecca Kriss, Karen Carpenter, Karin B. Nelson
DOI: http://dx.doi.org/10.1016/j.ajem.2011.12.018
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: March 2 2012
x The objective of this study is to describe the use of emergent head computed tomography (CT) in young children and ask in which circumstances scans contributed to immediate management.
The benefits of respective and combined use of green tea polyphenols and ERK inhibitor on the survival and neurologic outcomes in cardiac arrest rats induced by ventricular fibrillation Xiaojun Zhuo, Lu Xie, Fangying Ruan Shi, Nuo Li, Xiaoyang Chen, Menghua Chen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.011
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 12 2015
x Cerebral injury is a main factor contributing to a high mortality after cardiac arrest (CA)/cardiopulmonary resuscitation (CPR).
Rapid Emergency Medicine Score as a main predictor of mortality in Vibrio vulnificus –related patients Sheng-Hung Kuo, Chin-Feng Tsai, Chi-Rong Li, Shih-Jei Tsai, Wai-Nang Chao, Khee-Siang Chan, Yuan-Ti Lee, Ruey-Hong Wong, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.03.030
The American Journal of Emergency Medicine , Vol. 31 , Issue 7 ,
Published online: May 22 2013
x Vibrio vulnificus causes potentially life-threatening and rapidly progressing infections. Therefore, the severity-of-illness assessment appears to be important for V vulnificus –infected patients at the time of admission. The aim of our study was to evaluate the performance of the severity-of-illness scoring model on admission in V vulnificus –infected patients.
Life-threatening hemothorax due to azygos vein rupture after chest compression during cardiopulmonary resuscitation Euiseok Yang, WonJoon Jeong, JunWan Lee, SeungWhan Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2014.04.019
The American Journal of Emergency Medicine , Vol. 32 , Issue 11 ,
Published online: April 18 2014
x Hemothorax is not an uncommon cardiopulmonary resuscitation (CPR)–related complication. But hemothorax related to azygos vein injury (AVI) is a rare condition following blunt chest trauma, with no report of CPR-related AVI in the literature. We present a case of azygos vein rupture in a middle-aged woman after repeated chest compression during 1 hour of CPR. She eventually presented with massive hemothorax due to azygos vein rupture diagnosed by computed tomography (CT). When faced with a patient with massive hemothorax after chest compression, azygos vein rupture should be considered as a complication.
Effect of valproic acid combined with therapeutic hypothermia on neurologic outcome in asphyxial cardiac arrest model of rats Jae Hyuk Lee, Kyuseok Kim, You Hwan Jo, Min Ji Lee, Ji Eun Hwang, Min A. Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.036
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 21 2015
x Valproic acid (VPA) has been reported to have survival and neuroprotective effects in a cardiac arrest rat model. This study was designed to investigate the effect of VPA combined with therapeutic hypothermia (HT) in an asphyxial cardiac arrest rat model.
Effective prevention of posttraumatic tattoo using hydrosurgical debridement in the ED Jung Soo Park, Jin Hong Min
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.033
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: August 18 2015
x Traumatic tattoos can result from the accidental deposition of foreign particles in the dermis. These pigmented particles can become permanently lodged in the dermis after wound re-epithelialization and lead to irregular black or blue skin discoloration. Different methods exist for tattoo removal. The best strategy is to prevent traumatic tattoo formation by immediately removing the foreign particles before the healing process begins. Here, we present a fine-tuned, hydrosurgical debridement system to selectively debride wounds and preserve as much viable tissue as possible.
Comparison of purified olive oil and silver sulfadiazine in the treatment of partial thickness porcine burns Reuven Gurfinkel, Merav Palivatkel-Naim, Ronen Gleisinger, Lior Rosenberg, Adam J. Singer
DOI: http://dx.doi.org/10.1016/j.ajem.2010.10.003
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: December 15 2010
x Burns are widespread in the developed world, and expensive burn dressings are not universally available. Most burn patients suffer from a partial thickness burn that can be treated conservatively. Nevertheless, the ideal dressing for the burn wound has not been identified. We performed an animal experiment to compare the healing of partial thickness burns treated with silver sulfadiazine (SSD) and olive oil.
Procedural sedation and analgesia in a Canadian ED: a time-in-motion study Jaime Bawden, Cristina Villa-Roel, Mira Singh, Gregg Fabris, Ken Bond, Debbie Boyko, Danielle Anstett, Konrad Fassbender, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2010.06.036
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: October 14 2010
x Some patients presenting to emergency departments (EDs) suffer from conditions requiring potentially painful treatment; procedural sedation and analgesia (PSA) are important components of their management. The purpose of this study was to determine the resources used during the administration of PSA.
Randomized trials in emergency medicine journals, 2008 to 2011 Christopher W. Jones, Katherine M. Hunold, Cameron G. Isaacs, Timothy F. Platts-Mills
DOI: http://dx.doi.org/10.1016/j.ajem.2012.06.003
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: August 6 2012
x Knowledge of current areas of activity in emergency medicine research may improve collaboration among investigators and may help inform decisions about future research priorities. Randomized, controlled trials are a key component of research activity and an essential tool for improving care. We investigated the characteristics of randomized trials recently published in emergency medicine journals.
Rupture of middle colic artery pseudoaneurysm An-Yi Wang, Tzu-Hsin Lin, Kao-Lang Liu, Hsiu-Po Wang, Wan-Ching Lien
DOI: http://dx.doi.org/10.1016/j.ajem.2012.07.019
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: September 13 2012
x A 61-year-old man with acute onset of epigastric discomfort with hemorrhagic shock was diagnosed of rupture of middle colic artery (MCA) pseudoaneurysm by computed tomography of abdomen with contrast enhancement. After consulting the general surgeon and the radiologist, transcatheter arterial embolization was arranged. Aneurysms from superior mesenteric arterial branch, especially MCA aneurysm, are extremely rare. Conservative treatment may be considered if the patient is clinically stable and no evidence of indicating ruptured aneurysm or ischemic bowel change.
Lung injury and pneumothorax after defibrillation as demonstrated with computed tomography Terman Gümüş, Düzgün Yıldırım, Gökhan Uçar,
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.018
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: April 19 2013
x Many patients present for emergency services after electric injuries or require defibrillation during emergency services. Although the defibrillation process is safe, skin burns and myocardial injuries are reported after defibrillation procedures. There are limited data about the complications of defibrillation. In the case reported here, a lung injury and a small pneumothorax were observed after defibrillation. To the best of our knowledge, this is the first reported case in which computed tomography is used to demonstrate that a trace of electric current passed through the lung.
Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes Cindy A. Cheung, Melanie Rogers-Martel, Liliya Golas, Anna Chepurny, James B. Martel, Joseph R. Martel
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.015
The American Journal of Emergency Medicine , Vol. 32 , Issue 3 ,
Published online: November 18 2013
x Ocular trauma is recognized as the leading cause of unilateral blindness. However, few studies to date have focused on the clinical features of hospital-based ocular emergencies. Effectiveness of trauma centers in treating ocular emergencies was compared with treatment in traditional community hospital emergency departments. Demographics, causes, and nature of ocular emergencies, as well as visual outcome in community hospitals emergency departments and trauma centers, were also examined.
Comparison of surgical fixation and nonsurgical management of flail chest and pulmonary contusion Yuan Zhang, Xue Tang, Hui Xie, Rui Lan Wang
DOI: http://dx.doi.org/10.1016/j.ajem.2015.04.005
The American Journal of Emergency Medicine , Vol. 33 , Issue 7 ,
Published online: April 9 2015
x The objective of this study is to compare the clinical efficacy of surgical fixation and nonsurgical management of flail chest and pulmonary contusion (FC-PC) and to compare the diverse timings of surgery to discuss case management in FC-PC.
Tracheal laceration as a complication of out-of-hospital emergency tracheal intubation in a patient with COPD Filiz Üzümcügil, Gülçin Babaoğlu, Ezgi Denizci, Fatma Sarıcaoğlu, Meral Kanbak
DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.021
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: June 26 2014
x Tracheobronchial injuries related to emergency endotracheal intubations are reported to be associated with an increased risk of mortality. Many mechanical risk factors may become more frequent in an emergency setting leading to such injuries. Aside from these factors that may complicate endotracheal intubation, this procedure is not recommended a priori for ventilation due to the resulting interruptions in external chest compressions, by 2010 cardiopulmonary resuscitation (CPR) and external chest compression guidelines.
Undertriage of major trauma patients in the US emergency departments Huiyun Xiang, Krista Kurz Wheeler, Jonathan Ira Groner, Junxin Shi, Kathryn Jo Haley
DOI: http://dx.doi.org/10.1016/j.ajem.2014.05.038
The American Journal of Emergency Medicine , Vol. 32 , Issue 9 ,
Published online: June 2 2014
x There is evidence that regionalized trauma care and appropriate triage of major trauma patients improve patient outcomes. However, the national rate of undertriage and diagnoses of undertriaged patients are unknown.
Do modern conflicts create different medical needs? Bruria Adini, Robert Cohen, Adi Givon, Irina Radomislensky, Michael Wiener, the Israeli Trauma Group, Kobi Peleg
DOI: http://dx.doi.org/10.1016/j.ajem.2010.04.014
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: August 5 2010
x This study involved analysis of (a ) type of injuries and medical services used by military casualties in 3 conflicts and (b ) medical needs of military and civilian casualties from the 2006 conflict.
Clinical assessment of children with first-attack seizures admitted to the ED Chun-Yu Chen, Wen-Chieh Yang, Kang-Hsi Wu, Han-Ping Wu
DOI: http://dx.doi.org/10.1016/j.ajem.2011.07.008
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: October 26 2011
x This study aims to evaluate clinical values and determine the function of a pediatric observation unit (POU) as an alternative to inpatient unit admission for children with newly onset seizures.
Traumatic pneumorrhachis: 2 cases and review of the literature Hasan Kara, Murat Akinci, Selim Degirmenci, Aysegul Bayir, Ahmet Ak
DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.040
The American Journal of Emergency Medicine , Vol. 33 , Issue 6 ,
Published online: December 26 2014
x The presence of air in the spinal canal is known as pneumorrhachis (PNR), aerorachia, intraspinal pneumocele, pneumosaccus, pneumomyelogra, or intraspinal air. Pneumorrhachis may be iatrogenic, traumatic, and nontraumatic. We treated 2 patients who had posttraumatic PNR in the cervical spine region after stab injuries. Case 1 was a 31-year-old man who was stabbed in the C5 to C6 region. He had muscle weakness (3/5) and numbness on the right side of the body. Brain computed tomographic (CT) scan showed pneumocephalus, and cervical CT scan showed PNR at the C6 level.
Physical examination combined with focused assessment with sonography for trauma examination to clear hemodynamically stable blunt abdominal trauma patients Donald Byars, Alicia Devine, Christopher Maples, Alexander Yeats, Krista Greene
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.042
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: September 3 2013
x The use of the focused assessment with sonography for trauma (FAST) examination has become standard practice over the past 10 years in the evaluation of patients with suspected abdominal trauma. It is generally accepted in trauma algorithms as an extension of the physical examination. Currently, it is used primarily to identify the need for an expedited emergency laparotomy in the hemodynamically unstable patient, unable to tolerate a computed tomographic (CT) scan. In hemodynamically stable patients, however, especially those with low-risk injury by history and physical examination, the role of the FAST examination to exclude further diagnostic testing is less studied.
Benefits of CT tractography in evaluation of anterior abdominal stab wounds Tamer Ertan, Yusuf Sevim, Talha Sarigoz, Omer Topuz, Baki Tastan
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.018
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: May 29 2015
x The study aimed to identify the presence of peritoneal penetration in management of anterior abdominal stab wound by using computed tomography (CT) tractography.
