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.
Screening for anticholinergic abuse in patients with chronic mental illness Richard C. Christensen
DOI: http://dx.doi.org/10.1016/S0735-6757(03)00167-0
The American Journal of Emergency Medicine , Vol. 21 , Issue 6 ,
Published in issue: October 2003
The resilience of the human body Salim Surani, Marlene Morales, Mauricio Rodriguez, Joseph Varon
DOI: http://dx.doi.org/10.1016/j.ajem.2011.04.020
The American Journal of Emergency Medicine , Vol. 29 , Issue 7 ,
Published online: June 13 2011
x The human race has evolved over millions of years. This evolution has allowed our bodies to adapt to critical situations, which are otherwise lethal in other species. One example of such adaptation is the human blood pH. This characteristic measurement, by virtue of its compensatory mechanisms, keeps the pH in a range of 7.35 to 7.45 even under adverse circumstances. As clinicians, we have encountered patients with severe hypoxemia and hypercarbia in our emergency departments (EDs), medical and surgical wards, and the intensive care units.
Laceration of the popliteal artery and compartment syndrome resulting from stingray envenomation Charlotte Derr, Barbara J. O'Connor, Sandra L. MacLeod
DOI: http://dx.doi.org/10.1016/j.ajem.2006.04.016
The American Journal of Emergency Medicine , Vol. 25 , Issue 1 ,
Published in issue: January 2007
x A 46-year-old man was releasing a stingray from a fishing line when its tail barb punctured the patient's wader boots and entered his left medial thigh. When the paramedics arrived, the patient was hypotensive and tachycardic. He complained of severe pain surrounding the wound and numbness in his left foot. No pedal pulse could be palpated in the patient's lower extremity.
Methylene blue for refractory anaphylaxis—is it a magic bullet? The authors' response Cindy S. Bauer, Peter Vadas, Kevin J. Kelly
DOI: http://dx.doi.org/10.1016/j.ajem.2013.03.031
The American Journal of Emergency Medicine , Vol. 31 , Issue 7 ,
Published online: May 15 2013
x We wish to thank the authors for their comments concerning our report [1] about the use of methylene blue to treat refractory anaphylaxis. We are entirely in agreement with the need to balance the potential risks and benefits of interventions, particularly in life-threatening situations. Given the limited experience with the use of methylene blue as a salvage medication in refractory anaphylaxis, we would emphasize that the decision to use this drug must be deliberated carefully only after other, more conventional, treatment options have been considered [2].
Calcium blockers in neurological recovery after cardiac arrest Larry J. Baraff
DOI: http://dx.doi.org/10.1016/0735-6757(85)90216-5
The American Journal of Emergency Medicine , Vol. 3 , Issue 5 ,
Published in issue: September 1985
The impact of emergency medical services on the ED care of severe sepsis Jonathan R. Studnek, Melanie R. Artho, Craymon L. Garner Jr, Alan E. Jones
DOI: http://dx.doi.org/10.1016/j.ajem.2010.09.015
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: October 28 2010
x The identification and treatment of critical illness is often initiated by emergency medical services (EMS) providers. We hypothesized that emergency department (ED) patients with severe sepsis who received EMS care had more rapid recognition and treatment compared to non-EMS patients.
An unusual cause of postcolonoscopy abdominal pain Michael D. April, Joshua R. Simmons, Adam S. Nielson
DOI: http://dx.doi.org/10.1016/j.ajem.2012.05.011
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: July 16 2012
x Colonoscopy is a common procedure used for screening, diagnosis, and treatment of gastrointestinal disease. Life-threatening complications are uncommon (28/10
The role of icatibant—the B2 bradykinin receptor antagonist—in life-threatening laryngeal angioedema in the ED Carmi Bartal, Vladimir Zeldetz, Vered Stavi, Leonid Barski
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.055
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: August 26 2014
x Angioedema is a localized, sudden, transient, and often recurrent swelling of the deeper layers of the skin or mucosa with no epidermal component. It is caused by vasoactive substances that produce a transient increase in endothelial permeability. Angioedema involving the laryngeal components is a life-threatening situation for the patient, and it is a challenge for the emergency medicine physician to rapidly achieve a safety airway. Most cases of laryngeal angioedema are induced by histamine release; but 10% are bradykinin induced, which does not respond to the conventional algorithm of treating allergic-induced angioedema.
Fatal hyperhemolytic delayed transfusion reaction in sickle cell disease: A case report and literature review Amr El-Husseini, Alaa Sabry
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.032
The American Journal of Emergency Medicine , Vol. 28 , Issue 9 ,
Published online: May 3 2010
x Patients with sickle cell disease (SCD) may require repeated red blood cells (RBCs) transfusion, putting them at risk for minor blood group alloimmunization and the development of hyperhemolytic delayed transfusion reactions (HDTR). We recently cared for an adolescent with SCD who was admitted to the hospital with a severe HDTR. The patient had been discharged from the hospital five days previously, and had been transfused while hospitalized. The patient continued to hemolyse, despite the use of antigen compatible blood and end-up by disseminated intravascular coagulopathy (DIC), acute kidney injury (AKI) and he went on to develop cardiac arrest and could not be resuscitated.
Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection Joseph R. Pare, Rachel Liu, Christopher L. Moore, Tyler Sherban, Michael S. Kelleher Jr., Sheeja Thomas, R. Andrew Taylor
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.005
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 12 2015
x Ascending aortic dissection (AAD) is an uncommon, time-sensitive, and deadly diagnosis with a nonspecific presentation. Ascending aortic dissection is associated with aortic dilation, which can be determined by emergency physician focused cardiac ultrasound (EP FOCUS). We seek to determine if patients who receive EP FOCUS have reduced time to diagnosis for AAD.
Activated charcoal may not be necessary in all oral overdoses of medication Georgia Orfanidou, Athanasios Chalkias, Anastasios Koutsovasilis, Georgios Loizos, Theodoros Xanthos
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.015
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 9 2015
x Acute poisoning constitutes a significant proportion of hospital admissions with varying morbidity and mortality. Activated charcoal (AC) is commonly used to treat poisonings and overdoses following oral ingestion; however, although AC absorbs most drugs and is generally well tolerated with few adverse effects, its administration does not come without risk, and it may not improve clinical outcome [1–8]. The aim of our study was to evaluate the effect of AC administration on outcome of patients having ingested an oral overdose of medication.
Emergency medicine: Definition and direction Hubert S. Mickel
DOI: http://dx.doi.org/10.1016/S0735-6757(84)80016-9
The American Journal of Emergency Medicine , Vol. 2 , Issue 2 ,
Published in issue: March 1984
Medical student attitudes toward life-saving clinical skills Douglas S. Ander, Katherine L. Heilpern, Constance S. Parramore
DOI: http://dx.doi.org/10.1016/j.ajem.2003.09.012
The American Journal of Emergency Medicine , Vol. 22 , Issue 1 ,
Published in issue: January 2004
Emergency ultrasonography for the early diagnosis of necrotizing fasciitis: a case series from the ED Lindsay Oelze, Stanley Wu, Jennifer Carnell
DOI: http://dx.doi.org/10.1016/j.ajem.2012.09.026
The American Journal of Emergency Medicine , Vol. 31 , Issue 3 ,
Published online: January 23 2013
x Necrotizing fasciitis is a rapidly progressing and life-threatening bacterial infection of deep subcutaneous tissues. Prompt diagnosis and surgical intervention decrease morbidity and improve patient survival [1]. A paucity of physical examination findings in early disease hinders timely diagnosis contributing to a high mortality rate of 25% to 30% [2]. Emergency department physicians rely on clinical suspicion to make the diagnosis in critically ill patients as advanced imaging modalities such as computed tomography or magnetic resonance imaging may result in an unacceptable delay to surgical intervention.
Subarachnoid hemorrhage and pneumocephalus due to epidural anesthesia Murat Güzel, Ömer Salt, Ali K. Erenler, Ahmet Baydın, Mehmet T. Demir, Anil Yalcin, Zahide Doganay
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.029
The American Journal of Emergency Medicine , Vol. 32 , Issue 8 ,
Published online: January 30 2014
x Epidural analgesia is an extremely effective and popular treatment for pain during labor. Subarachnoid hemorrhage and pneumocephaly is a serious but rare complication of puncture of the dura mater in epidural anesthesia. To best of our knowledge, intracranial subarachnoid hemorrhage together with pneumocephaly hasn’t been reported as a complication after the lumbar puncture so far. Our purpose is to increase awareness for serious complications such as subarachnoid hemorrhage and pneumocephaly following regional procedures (See Fig.
Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(08)00388-4
The American Journal of Emergency Medicine , Vol. 26 , Issue 6 ,
Published in issue: July 2008
Attending supervision of nonemergency medicine residents in a university hospital ED C.James Holliman, Richard C Wuerz, Mark J Kimak, Keith K Burkhart, J.Ward Donovan, Howard L Rudnick, Mark A Bates, H.Arnold Muller
DOI: http://dx.doi.org/10.1016/0735-6757(95)90195-7
The American Journal of Emergency Medicine , Vol. 13 , Issue 3 ,
Published in issue: May 1995
x There have been a limited number of studies assessing the impact of attending physician supervision of residents in the emergency department (ED). The objective of this study is to describe the changes in patient care when attending emergency physicians (AEPs) supervise nonemergency medicine residents in a university hospital ED. This was a prospective study including 1,000 patients, 32 second- and third-year nonemergency medicine residents and eight AEPs. The AEPs classified changes in care for each case as major, minor, or none, according to a 40-item data sheet list.
Identification of potential organ donors of advanced age in EDs Philippe Le Conte, David Riochet, Laetitia Labastire, Jean Christophe Auneau, Estelle Legeard, Myriam Van Tricht, Eric Batard, Emmanuel Montassier, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2010.08.012
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: November 1 2010
x In France and in Belgium, as in many countries, there is a shortage of organs for transplantation, which has led to strategies to recruit older potential donors who may die of stroke.
Occult lacerations to the epiglottis and pharynx by glass fragments Ryoko Warabi, Katsutoshi Tanno, Suguru Hirayama, Takehiro Warabi, Noriyuki Sakakibara, Yoshinobu Kimura
DOI: http://dx.doi.org/10.1016/j.ajem.2007.08.024
The American Journal of Emergency Medicine , Vol. 26 , Issue 4 ,
Published in issue: May 2008
x Injury to the epiglottis and pharynx is very rare in neck trauma overall. We experienced such a rare case in which a 43-year-old woman had lacerations to the epiglottis and pharynx. It was difficult to determine the exact site of the damage by observing the cut. We believed there was no damage to the lower respiratory tract because her vital signs were stable and her consciousness was clear. However, initial computed tomography revealed emphysema and showed that fragments from a glass vase had pierced the posterior pharyngeal wall.
