Serious conditions for emergency department elderly fall patients: a secondary analysis of the Basel Nonspecific Complaints study Shan W. Liu, Jiraporn Sri-On, Gregory Philip Tirrell, Christian Nickel, Roland Bingisser
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.007
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 9 2016
x Falls among older adults are a public health problem and are multi-factorial. We sought to determine whether falls predict more serious conditions in older adult patients presenting to the emergency department (ED) with a nonspecific complaint (NSC). A secondary objective was to examine what factors predicted serious conditions among older adult patients with a fall.
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).
Routine biological tests in self-poisoning patients: Results from an observational prospective multicenter study Thomas Reydel, Jean-Christophe Callahan, Laurent Verley, Christelle Teiten, Christophe Andreotti, Yann Erick Claessens, David Missud, Erwan L'Her, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.002
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 5 2016
x Routine biological tests are frequently ordered in self-poisoning patients, but their clinical relevance is poorly studied.
A prediction model to identify patients without a concerning intra abdominal diagnosis Emily Aaronson, Yuchiao Chang, Pierre Borczuk
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.063
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 3 2016
x Patients with abdominal diagnoses constitute 5 to 10% of all ED presentations. The goal of this study is to identify which of these patients will have a non-concerning diagnosis based on demographic, physical exam and basic laboratory testing.
Syncope and Collapse in acute Pulmonary Embolism Karsten Keller, Johannes Beule, Jörn Oliver Balzer, Wolfgang Dippold
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.061
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: March 31 2016
x Syncope and collapse (=
Resuscitating the tracheostomy patient in the ED Brit Long, Alex Koyfman
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.049
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 23 2016
x Emergency physicians must be masters of the airway. The patient with tracheostomy can present with complications, and because of anatomy, airway and resuscitation measures can present several unique challenges. Understanding tracheostomy basics, features, and complications will assist in the emergency medicine management of these patients.
Prognostic value of perihematomal edema area at the initial ED presentation in patients with intracranial hematoma Serife Ozdinc, Ebru Unlu, Zeynep Karakaya, Ozan Turamanlar, Nurhan Dogan, Yesim Isler, Yucel Gonul, Mehmet Gazi Boyaci
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.048
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 21 2016
x Intracerebral hemorrhage (ICH) is a potentially life-threatening condition. Interventions and treatments should be managed on time to reduce mortality. It has been put forth that perihematomal edema absolute volume (PHEAV) is related to mortality, however the effect of perihematomal edema absolute area (PHEAA) on mortality is unknown. The objective of this study was to evaluate the effect of PHEAA on 30-day mortality in patients with ICH.
The utility of bolus intravenous nicardipine for hypertensive emergencies in the ED Stephanie N. Komura, Nadia I. Awad
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.050
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 21 2016
x Nicardipine is a commonly used agent for the management of hypertensive emergencies due to its predictable pharmacokinetic profile and ease of titration. There is documented use of nicardipine administered as an intravenous (IV) bolus dose in several settings, particularly in the anesthesia literature. We describe the first 2 documented cases of use of nicardipine administered as an IV bolus dose in the emergency department (ED) for hypertensive emergencies involving acute ischemic stroke and hemorrhagic stroke.
Visual recognition of anatomical structures in a circulated and in a non-circulated airway Erik M. Koopman, Sten Scholtens, Johannes M. Huitink
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.044
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 19 2016
x Pre-hospital airway management is complex and complications occur frequently. Guidelines advice using waveform capnography to confirm correct tube position, but in the emergency setting this is not universally available. Continuous visualization of the airway with a video tube (VivaSight SL™) could serve as an alternative confirmation method, provided that airway structures are properly recognized. With this study we wanted to investigate whether airway management practitioners were able to recognize anatomical structures both in a circulated and in a non-circulated airway.
Intravenous lipid emulsion prolongs survival in rats intoxicated with digoxin Bülent Serhan Yurtlu, Şule Özbilgin, Derya Arslan Yurtlu, Nilay Boztaş, Gonca Kamacı, Mahmut Akaltun, Volkan Hancı, Osman Yılmaz
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.038
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 17 2016
x Intravenous lipid emulsion eliminates the toxicity-related symptoms of several drugs. We hypothesized that intravenous lipid emulsion prolongs the survival time in digoxin-intoxicated rats.
Four-factor prothrombin complex concentrate–associated hypotension Paul J. Wong, Abby M. Bailey, Regan A. Baum
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.041
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 17 2016
x Warfarin is a vitamin K antagonist used to treat patients with hypercoagulable disease states but increases the risk of life-threatening bleeding. Prothrombin complex concentrate has been recommended if these bleeds occur. Kcentra, a 4-factor prothrombin complex concentrate, has been Food and Drug Administration approved for the urgent reversal of vitamin K antagonist–associated major bleeding. Hypotension has been reported with Kcentra use, but limited information is available about these reactions.
Bowel in the pericardium: Spontaneous herniation mimicking acute aortic dissection Daniel S. Frank, Michael Heller, Jennifer Sedor, Namita Kedia, Adina Shulman, Elias E. Wan
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.012
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: March 8 2016
x Intra-pericardial herniation of abdominal contents is rarely encountered in emergency practice. The entity is most often the result of blunt or penetrating trauma and also may occur post-operatively. Spontaneous herniation through a Morgagni hernia is even rarer but presents the opportunity for lifesaving diagnosis and treatment. We present the case of an octogenarian presenting with the acute onset of symptoms suggestive of aortic dissection. She was found to have herniated transverse colon within the pericardial sac concerning for strangulated bowel.
Case of infective endocarditis with initial presentation of visual disturbances Fong-Pu Chang, Cheng-Yu Chien, Chung-Hsien Chaou, Ching-Hsing Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.013
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 7 2016
x Infective endocarditis (IE) is not uncommonly treated in daily emergency department (ED) practice, but can sometimes be life-threatening. The diagnosis of IE may pose a challenge to ED physicians because of its possible vague or atypical presenting symptoms. We present herein a previously healthy 23-year-old woman who visited the hospital after having progressively blurred vision in the prior 3 days. During the medical history inquiry, she mentioned mild and intermittent low grade fevers but no other specific discomfort.
Concurrent ovarian hyperstimulation syndrome with perforated appendicitis following induction ovulation with HMG and HCG Zinatossadat Bouzari, Shahla Yazdani, Toktam Sadeghi
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.015
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 5 2016
x Ovarian hyperstimulation syndrome (OHSS) of the ovary is a medical complication of the ovulation induction, and it has been shown that OHSS may both mask the typical manifestations of appendicitis and compromise the concurrent intraperitoneal infection.
Patient treatment in ED hallways and patient perception of clinician-patient communication Bernard P. Chang, Eileen Carter, Edward H. Suh, Ian M. Kronish, Donald Edmondson
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.074
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 2 2016
x In the setting of high patient volumes and boarding times across many emergency departments (EDs), clinicians are increasingly tasked with the challenge of managing patients in nonconventional care areas [1]. The use of hallway care areas, locations where patients are in close proximity to one another with little or no structural partitions separating them, has increased [2–3]. Several negative consequences of ED hallway care have been noted, including patient perceptions of compromised care [4] and poor infection prevention practices among staff [5].
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.
Hand dominance in intravenous drug using patients does not affect peripheral venous access sites identified by ultrasound Nicole L. Kaban, Nicholas C. Avitabile, Sebastian D. Siadecki, Turandot Saul
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.049
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 20 2016
x The peripheral veins in the arms and forearms of patients with a history of intravenous (IV) drug use may be sclerosed, calcified, or collapsed due to damage from previous injections. These patients may consequently require alternative, more invasive types of vascular access including central venous or intraosseous catheters. We investigated the relationship between hand dominance and the presence of patent upper extremity (UE) veins specifically in patients with a history of IV drug-use. We predicted that injection into the non-dominant UE would occur with a higher frequency than the dominant UE, leading to fewer damaged veins in the dominant UE.
An unusual presentation of disseminated Mycobacterium tuberculosis in the ED Margarita Mendoza, Johnathan Michael Sheele
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.010
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 12 2016
x Disseminated Mycobacterium tuberculosis is uncommon in the United States. We report a rare case of Pott disease and M tuberculosis iliopsoas abscess in an HIV-negative 25-year-old African American woman who presented to the emergency department with complaints of recurrent urinary tract infection after failed outpatient antibiotic treatment.
Bedside sonographic measurement of optic nerve sheath diameter as a predictor of intracranial pressure in ED Erdal Komut, Nalan Kozacı, Bedriye Müge Sönmez, Fevzi Yılmaz, Seval Komut, Zeliha Nilgün Yıldırım, İnan Beydilli, Cihat Yel
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.012
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 12 2016
x Ocular ultrasonography of optic nerve sheath diameter (ONSD) to determine intracranial pressure (ICP) has become favorable in recent years.
Spontaneous uterine rupture due to placenta percreta during pregnancy: Imaging findings of 2 cases report and a brief review Ji Ning Sun, Bao Long Zhang, Hai Yan Yu, Qiang Zhang
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.015
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 12 2016
x Spontaneous uterine rupture caused by placenta percreta during pregnancy is a rare, life-threatening, surgical emergency requiring timely and accurate diagnosis. Two cases of spontaneous uterine rupture due to placenta percreta are reported at a gestational age of 17 weeks and 34 weeks respectively. Imaging findings of ultrasonography and computed tomography (CT) are provided and are worthy of discussion so as to familiarize the radiologists and clinicians with this rare but important complication.
