Effect of time delays for appendectomy as observed on computed tomography in patients with noncomplicated appendicitis Maru Kim, Seong-Taek Oh
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.009
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: October 12 2015
x Delaying appendectomy is a controversial issue. This study aimed at identifying the effect of time delays in surgery, especially for patients with noncomplicated appendicitis on computed tomography (CT).
Transient ischemic attack (TIA): the initial diagnostic and therapeutic dilemma Peter D. Panagos
DOI: http://dx.doi.org/10.1016/j.ajem.2011.03.004
The American Journal of Emergency Medicine , Vol. 30 , Issue 5 ,
Published online: May 13 2011
x Many patients with transient ischemic attacks (TIA) are at high risk of stroke within the first few days of onset of symptoms. Emergency physicians and primary care physicians need to assess these patients quickly and initiate appropriate secondary stroke prevention strategies. Recent refinements in diagnostic imaging have produced valuable insight into risk stratification of patients with TIA. Clinical data regarding urgent initiation of antiplatelet therapy specifically in this patient population with non-cardioembolic TIA are limited but promising.
Rural ED transfers due to lack of radiology services Matthew Lyon, LaShon Sturgis, Darren Lendermon, Ann Marie Kuchinski, Taylor Mueller, Patrick Loeffler, Hongyan Xu, Robert Gibson
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.050
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: July 28 2015
x Our objectives were to determine the frequency of patient transfers to a tertiary care emergency department (Tertiary ED) due to a lack of radiology services in rural hospital EDs (Rural EDs), and examine the community and patient attributes that are associated with these transfers.
Effects of pain severity and CT imaging on analgesia prescription in acute appendicitis Daniel D. Singer, Henry C. Thode Jr., Adam J. Singer
DOI: http://dx.doi.org/10.1016/j.ajem.2015.09.015
The American Journal of Emergency Medicine , Vol. 34 , Issue 1 ,
Published online: September 25 2015
x Previously, analgesics were avoided in suspected appendicitis to avoid masking the diagnosis. We determined use of analgesia in patients with appendicitis to determine recent trends over time and explore predictors of use of analgesia.
The association between advanced diagnostic imaging and ED length of stay Hemal K. Kanzaria, Marc A. Probst, Ninez A. Ponce, Renee Y. Hsia
DOI: http://dx.doi.org/10.1016/j.ajem.2014.07.038
The American Journal of Emergency Medicine , Vol. 32 , Issue 10 ,
Published online: August 6 2014
x There has been a rise in advanced diagnostic imaging (ADI) use in the emergency department (ED). Increased utilization may contribute to longer length of stay (LOS), but prior reports have not considered improved methods for modeling skewed LOS data.
Fetal loss in symptomatic first-trimester pregnancy with documented yolk sac intrauterine pregnancy Mary Josephine Hessert, Michael Juliano
DOI: http://dx.doi.org/10.1016/j.ajem.2010.12.021
The American Journal of Emergency Medicine , Vol. 30 , Issue 3 ,
Published online: February 7 2011
x The possibility of spontaneous miscarriage is a common concern among pregnant women in the emergency department (ED).
Alvarado score: can it reduce unnecessary CT scans for evaluation of acute appendicitis? Piyaporn Apisarnthanarak, Voraparee Suvannarerg, Poompis Pattaranutaporn, Aphinya Charoensak, Steven S. Raman, Anucha Apisarnthanarak
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.056
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: December 3 2014
x The objective of the study is to assess the utility of Alvarado score in the diagnosis of acute appendicitis and the utility of computed tomographic (CT) scan for evaluation of acute appendicitis when stratified by Alvarado scores.
Therapy and outcomes in massive pulmonary embolism from the Emergency Medicine Pulmonary Embolism in the Real World Registry Brian W. Lin, Donald H. Schreiber, Gigi Liu, Beau Briese, Brian Hiestand, David Slattery, Jeffrey A. Kline, Samuel Z. Goldhaber, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.012
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: May 25 2012
x Clinical guidelines recommend fibrinolysis or embolectomy for acute massive pulmonary embolism (PE) (MPE). However, actual therapy and outcomes of emergency department (ED) patients with MPE have not previously been reported. We characterize the current management of ED patients with MPE in a US registry.
High serum cancer antigen 125 level indicates perforation in acute appendicitis Erdinç Çetinkaya, Ahmet Erdoğan, Özgür Akgül, Canbert Çelik, Mesut Tez
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.001
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 6 2015
x The diagnosis of acute appendicitis is sometimes challenging, and prompt evaluation is required because of the risk of complications if not treated appropriately.
Ultrasound guidance for radial arterial puncture: a randomized controlled trial Xavier Bobbia, Romain Genre Grandpierre, Pierre-Géraud Claret, Alexandre Moreau, Stéphane Pommet, Jean-Marie Bonnec, Rémi Perrin Bayard, Jean-Yves Lefrant, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.01.029
The American Journal of Emergency Medicine , Vol. 31 , Issue 5 ,
Published online: March 26 2013
x Arterial puncture for blood gas analysis is a frequent procedure and could be difficult in the emergency setting. The aim of the study was to compare ultrasonographically guided arterial radial puncture vs conventional sampling.
Diagnostic imaging rates for head injury in the ED and states' medical malpractice tort reforms Rebecca Smith-Bindman, Charles E. McCulloch, Alex Ding, Christopher Quale, Philip W. Chu
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.038
The American Journal of Emergency Medicine , Vol. 29 , Issue 6 ,
Published online: July 14 2010
x Physicians' fears of being sued may lead to defensive medical practices, such as ordering nonindicated medical imaging. We investigated the association between states' medical malpractice tort reforms and neurologic imaging rates for patients seen in the emergency department with mild head trauma.
Lung ultrasound and pulmonary consolidations Giovanni Volpicelli, Maurizio Zanobetti
DOI: http://dx.doi.org/10.1016/j.ajem.2015.04.020
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: April 16 2015
x Here again, for the umpteenth time, we receive a letter submitted from the same group of readers commenting a lung ultrasound study. We must confess that most of the points raised in this new letter are not fully comprehensible, but perhaps it is our limit. However, it is the time to reply in general to the whole fervent activity of correspondence submitted to this and other journals by these readers.
Lung ultrasound for pneumothorax: elementary considerations Giovanni Volpicelli
DOI: http://dx.doi.org/10.1016/j.ajem.2014.09.028
The American Journal of Emergency Medicine , Vol. 32 , Issue 12 ,
Published online: September 25 2014
x The reply to our letter “Questioning ultrasound diagnosis of pneumothorax: based on what?” by Rea et al [1] is appreciated, but the question included in the title and the technical issues raised in our letter still remain not responded. Rather, the new letter of Rea et al once more reports opinions and, in the two-thirds of the text, opinions of others. The BTS experts did not question the usefulness of ultrasound for trauma and post-procedural pneumothorax in emergency, but they pointed out the lack of evidences on the superiority of ultrasound over chest radiography only in spontaneous pneumothorax.
Imaging of traumatic duodenal injuries: usefulness of the ultrasound : Rikitake K, Kawaguchi S, Nagata K, et al. Jpn J Acute Med 1987;11(9)1137–1143
DOI: http://dx.doi.org/10.1016/0735-6757(88)90066-6
The American Journal of Emergency Medicine , Vol. 6 , Issue 2 ,
Published in issue: March 1988
Emergency ultrasound services as perceived by directors of radiology and emergency departments Michael Heller, Todd Crocco, John Patterson, John Prestosh, John Krall, Robert G Hill
DOI: http://dx.doi.org/10.1016/0735-6757(95)90132-9
The American Journal of Emergency Medicine , Vol. 13 , Issue 4 ,
Published in issue: July 1995
x Despite widespread concern that emergency ultrasound services are not widely available after regular business hours, data supporting or refuting this concern have not been reported. To determine the availability of emergency ultrasound services as perceived by directors of emergency departments (EDs) and radiology departments, direct mail survey was sent to both ED Directors and Directors of Radiology at 100 large teaching hospitals (more than 300 beds) and 100 smaller nonteaching hospitals (fewer than 300 beds) chosen at random from the American Heart Association Guide.
Ultrasound in emergency medicine Michael Heller, Scott Melanson
DOI: http://dx.doi.org/10.1016/S0735-6757(96)90143-6
The American Journal of Emergency Medicine , Vol. 14 , Issue 2 ,
Published in issue: March 1996
Ultrasound for transcutaneous pacing: documentation, usage, and definition Michael M.K. Tam
DOI: http://dx.doi.org/10.1016/j.ajem.2004.01.007
The American Journal of Emergency Medicine , Vol. 23 , Issue 2 ,
Published in issue: March 2005
x I read with interest the article by Holger et al [1] on the use of bedside ultrasound to determine capture in transcutaneous ventricular pacing (TCP). I agree with the authors that when using ultrasound to determine TCP capture, electrocardiogram (ECG) monitoring on the ultrasound machine and video recording are unnecessary. However, without these two options there will be a problem of how to document the capture properly for quality assurance purpose. I wish to suggest the following method as the solution.
Ultrasound-guided interscalene block: more than meets the eye—reply Michael Blaivas
DOI: http://dx.doi.org/10.1016/j.ajem.2008.02.006
The American Journal of Emergency Medicine , Vol. 26 , Issue 5 ,
Published in issue: June 2008
x Thank you for your interest in our article, comments and discussion are always helpful. However, this letter starts out with an obvious fatal flaw. The title of the letter itself highlights a lack of understanding by authors that there really is nothing else that meets the eye when ultrasound is used properly. This is probably explained by the paucity of any ultrasound-guided regional anesthesia articles from either author based on Medline search results or any ultrasound-related articles for that matter.
Ultrasound documentation of spontaneously resolving appendicitis Michael B. Heller, M.Leon Skolnick
DOI: http://dx.doi.org/10.1016/0735-6757(93)90060-O
The American Journal of Emergency Medicine , Vol. 11 , Issue 1 ,
Published in issue: January 1993
x Diagnostic ultrasound has been reported to be a highly specific technique for the confirmation of acute appendicitis. The authors report the case of a 27-year-old male who presented with clinical, laboratory, and classic ultrasound findings indicating early acute appendicitis. The patient's condition resolved spontaneously without operative intervention, and repeat sonography 2 weeks later was entirely normal. Ultrasound examination may allow documentation of spontaneously resolving appendicitis.
Impact of emergency medicine resident training in ultrasonography on ultrasound utilization Michael Heller, Scott Melanson, John Patterson, James Raftis Do
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90007-4
The American Journal of Emergency Medicine , Vol. 17 , Issue 1 ,
Published in issue: January 1999
x Training programs in bedside ultrasound for emergency physicians often encounter considerable resistance, partly because of concern that the number of radiology-interpreted studies ordered from the ED may decrease. This study attempted to determine the effect of instituting an ED training program in ultrasound on the ordering of formal studies from a department of radiology. This retrospective, computer-assisted review compared all abdominal sonograms ordered from the ED of a busy community hospital in the 3 years before introduction of an ultrasound training program (1992 through 1994) with those ordered in the 2 years after the program's inception (1995, 1996).
