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.
A novel, nonoperative treatment for delayed penile zipper injury Matthew J. Maurice, Edward E. Cherullo
DOI: http://dx.doi.org/10.1016/j.ajem.2012.08.034
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: November 19 2012
x Penile injuries are relatively uncommon but nonetheless challenging to treat when they occur. Penile zipper trauma occurs most commonly in uncircumcised boys who accidentally entrap the foreskin during hastened dressing or undressing and present for medical evaluation shortly thereafter. Delayed presentation and comorbidities may complicate treatment in the adult patient who sustains this injury. We report the case of an adult patient on antiplatelet therapy who sustained significant penile zipper entrapment and its management.
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.
Photograph documentation of motor vehicle damage by EMTs at the scene: A prospective multicenter study in the United States Richard C Hunt, Theodore W Whitley, E.Jackson Allison Jr, Richard V Aghababian, Jon R Krohmer, Fred Landes, John B McCabe, N.Heramba Prasad, and others
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90003-6
The American Journal of Emergency Medicine , Vol. 15 , Issue 3 ,
Published in issue: May 1997
x The purpose of this study was to determine if emergency medical service (EMS) personnel could take instant photographs of motor vehicle damage at crash scenes depicting the area and severity of damage of the crash under adverse weather conditions, in different lighting, and quickly enough so as not to interfere with patient care. This prospective multicenter trial involved 35 ambulances responding to motor vehicle crash scenes in rural, suburban, and urban areas in five centers in four states. Emergency medical technicians (EMTs) reported their experience implementing a protocol for use of an instant camera to photograph vehicle damage at crash scenes.
Subcutaneous emphysema as the only symptom of bronchialepidermoid carcinoma Yuksel Gokel, Mehmet Dokur, Cem Kayhan
DOI: http://dx.doi.org/10.1053/ajem.2001.20019
The American Journal of Emergency Medicine , Vol. 19 , Issue 1 ,
Published in issue: January 2001
x A continuum of facial planes connect cervical soft tissues with the mediastinum and retroperitoneum permitting aberrant air arising in any one of these areas to spread elsewhere.1 Nontraumatic subcutaneous emphysema and pneumomediastinum occur in association with soft tissue infections or with any condition that creates a gradient between intraalveolar and perivascular interstitial pressures.2 Trauma may also result in mucosal tears in the retropharynx, larinx, trachea, or esophagus and these may cause subcuteneous emphysema and pneumomediastium.
“Crack” cocaine-induced bilateral amblyopia Robert S. Hoffman, Bernard I. Reimer
DOI: http://dx.doi.org/10.1016/0735-6757(93)90055-G
The American Journal of Emergency Medicine , Vol. 11 , Issue 1 ,
Published in issue: January 1993
x Illicit use of cocaine has been associated with adverse vascular events involving most organ systems. A case report of a 30-year-old female with acute, bilateral loss of vision after smoking “crack” cocaine is presented. Other adverse ocular manifestations of cocaine use, and the differential diagnosis of toxin-induced blindness are presented.
Neuroretinitis secondary to Bartonella henselae in the emergent setting Ursula M. Anders, Elise J. Taylor, Dominique C. Doty, Joseph R. Martel, James B. Martel
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.034
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: December 1 2014
x Optic neuritis is a condition that results in inflammation of the optic nerve and acute visual loss, which requires prompt diagnosis and management when presented to the emergency physician. Although acute optic neuritis is often a common complication of multiple sclerosis, there have been reported cases of infectious origins. Bartonella henselae , the primary bacterial agent responsible for cat scratch disease, can cause optic neuritis and neuroretinitis. There are only a few reported cases of direct tick-to-human transmission of Bartonella ; however, we present the first case that resulted in neuroretinitis.
Flint's emergency treatment and management: 2nd Ed. Edited by Cain HD. Philadelphia, WB Saunders, 1985 Dan Tandberg
DOI: http://dx.doi.org/10.1016/0735-6757(87)90111-2
The American Journal of Emergency Medicine , Vol. 5 , Issue 2 ,
Published in issue: March 1987
Emergency radiology: Edited by Keats TE. Chicago, Year Book Medical Publishers, 1984, 425 pages Judith Brillman
DOI: http://dx.doi.org/10.1016/0735-6757(87)90112-4
The American Journal of Emergency Medicine , Vol. 5 , Issue 2 ,
Published in issue: March 1987
Genital trauma associated with forced digital penetration Linda Rossman, Jeffrey S Jones, Chris Dunnuck, Barbara N Wynn, Michelle Bermingham
DOI: http://dx.doi.org/10.1016/j.ajem.2003.12.012
The American Journal of Emergency Medicine , Vol. 22 , Issue 2 ,
Published in issue: March 2004
x Clinicians may not perform a medical-legal examination in cases in which a sexual assault was attempted but no penile-vaginal contact occurred. This retrospective study was conducted to document the frequency and type of genital injuries in women in whom forced digital penetration was the only reported type of assault. Study patients were consecutive female patients presenting to an urban sexual assault clinic during a 3-year study period. The clinic is associated with a university-affiliated urban hospital and is staffed by registered nurses trained to perform forensic examinations using colposcopy with nuclear staining.
Leukocoria and irregular pupil Jennifer L. Wiler, Christina Price, David R. Fintak, Carol Shields
DOI: http://dx.doi.org/10.1016/j.ajem.2009.05.013
The American Journal of Emergency Medicine , Vol. 28 , Issue 1 ,
Published in issue: January 2010
x Early detection and recognition of retinoblastoma, a rare but life-threatening malignancy, are strongly correlated with increased patient survival. Therefore, it is important for the emergency physician to recognize this condition.
Art hazards Steven H Lesser, Steven J Weiss
DOI: http://dx.doi.org/10.1016/0735-6757(95)90138-8
The American Journal of Emergency Medicine , Vol. 13 , Issue 4 ,
Published in issue: July 1995
Femoral neck fractures in the elderly patient: A preventable injury Nguyen D Nguyen, Brett R Oesterling, Robert E McLaughlin, Richard F Edlich
DOI: http://dx.doi.org/10.1016/S0735-6757(96)90179-5
The American Journal of Emergency Medicine , Vol. 14 , Issue 3 ,
Published in issue: May 1996
x There is growing evidence that many fractures of the femoral neck in the elderly occur spontaneously because of stresses imposed on osteoporotic bone, rather than because of the trauma of the fall. A case of a spontaneous femoral neck fracture (Garden type IV) in an elderly woman with osteoporosis is presented. Early detection and medical management of osteoporosis complemented with assistive technology could have prevented this common injury.
Colposcopy in evaluation of the adult sexual assault victim Leland C Lenahan, Amy Ernst, Bill Johnson
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90043-2
The American Journal of Emergency Medicine , Vol. 16 , Issue 2 ,
Published in issue: March 1998
x The purpose of this study was to determine if the colposcope improves detection of genital trauma in adult women who are victims of sexual assault compared with gross visual examination alone. A prospective, 1-month pilot study was conducted of 17 women patients who presented consecutively to Charity Hospital New Orleans during April 1994 requesting sexual assault examinations. Use of the colposcope allowed documentation of trauma in 9 of the 17 sexual assault victims (53%), compared with 1 of 17 (6%) by gross visualization alone (statistically significant: χ 2 = 0.64, P = .0114).
Tetrodotoxin poisoning Chorng-Kuang How, Chii-Hwa Chern, Yin-Chieh Huang, Lee-Min Wang, Chen-Hsen Lee
DOI: http://dx.doi.org/10.1053/ajem.2003.50008
The American Journal of Emergency Medicine , Vol. 21 , Issue 1 ,
Published in issue: January 2003
x Tetrodotoxin (TTX) poisoning, although uncommon, is frequently seen in Taiwan, Japan, and Southeast Asia. It is rare but significant in the United States as well. Only three cases have been reported in the EM literature. We report an outbreak of six cases of TTX poisoning from eating puffer fish. On April 17, 2001, an outbreak of TTX poisoning occurred among Mainland Chinese fishermen who shared puffer fish on their boat in the Taiwan Strait. All six cases were middle-aged men (aged 32-49 yr). Onset of symptoms began approximately 2 to 3 hours after ingestion; symptoms included orolingual numbness, acroparesthesia, and breathlessness.
Comparison of available gum-elastic bougies Darren Braude, David Ronan, Steven Weiss, Michel Boivin, Neal Gerstein
DOI: http://dx.doi.org/10.1016/j.ajem.2008.02.021
The American Journal of Emergency Medicine , Vol. 27 , Issue 3 ,
Published in issue: March 2009
x The purpose of this study was to compare 4 different gum-elastic bougies (GEBs) for differences in success rate, speed of intubation, and device preference.
Faculty development in emergency medicine Glenn C. Hamilton
DOI: http://dx.doi.org/10.1016/0735-6757(88)90277-X
The American Journal of Emergency Medicine , Vol. 6 , Issue 5 ,
Published in issue: September 1988
Comparison of sexual assaults by strangers versus known assailants in a community-based population Jeffrey S. Jones, Barbara N. Wynn, Boyd Kroeze, Chris Dunnuck, Linda Rossman
DOI: http://dx.doi.org/10.1016/j.ajem.2004.07.020
The American Journal of Emergency Medicine , Vol. 22 , Issue 6 ,
Published in issue: October 2004
x The medical literature has generally supported the view that sexual assaults by strangers are more serious and more violent than assaults by people known to the victims. This retrospective study was conducted to compare characteristics of sexual assaults by strangers and those by people known to the victims in a community-based population of women. Study patients were consecutive female patients, age 13 years or older, presenting to a sexual assault clinic during a 40-month study period. The clinic is associated with a university-affiliated emergency medicine residency program and is staffed by forensic nurses trained to perform medical-legal examinations using colposcopy with nuclear staining.
Reorganizing academic emergency medicine: Who? Why? How? Glenn C. Hamilton
DOI: http://dx.doi.org/10.1016/0735-6757(88)90187-8
The American Journal of Emergency Medicine , Vol. 6 , Issue 4 ,
Published in issue: July 1988
