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ClassifiedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CALIFORNIA: Olive View-UCLA Medical Center is offering a full-time faculty position with UCLA appointment. We are a Los Angeles County facility, a primary UCLA teaching hospital, and an equal partner in the UCLA EM residency. Applicants should be BC/BP in EM with demonstrated academic interests. We are especially seeking ultrasound and/or simulation expertise. We have a well-funded research program with statistical support and research assistant staff. Join a progressive department with protected time for career development, a friendly environment, a highly competitive salary/benefit package, a modern facility, and a desir...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

Classified 2009 Advertising Rates & Information: New Value-Added Feature—Your Ad Online at no Additional Cost!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

CalendarEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Introduction to Abdominal Sonography. November 2-4, 2009. St Pete Beach, FL. Sponsor: Gulfcoast Ultrasound Institute Inc. Fee: $1,315.00 – $1,355.00. Contact: Lori Green, 4615 Gulf Blvd, #205, St Pete Beach, FL 33706. Email: lori.green@gcus.com. 727-363-4500. (24) (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

Manuscript Submission AgreementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

Information for ReadersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: News and Perspective Source Type: journals

Med Schools, Training Programs Eschew Pharma FundsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
While physician certification is being tied to quality efforts, one source of physician education funding is coming under increasing scrutiny. Spurred by Congressional and nonprofit attention to close relationships between professors and pharmaceutical companies and by the American Medical Student Association (AMSA)'s PharmFree campaign, academic medical centers are backing away from any overt relationships with drug companies, sometimes incurring substantial costs. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Maryn McKenna Tags: News and Perspective Source Type: journals

Physicians, Professional Organizations Face Specialty Certification ChangesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The movement to measure and improve quality and performance is coming to emergency medicine via changes in board certification, and its arrival is placing pressure on individual physicians and specialty professional organizations alike. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Maryn McKenna Tags: News and Perspective Source Type: journals

Blood Warrants in the Emergency Department: Police, Hospitals, Staff Debate Forced Blood Draws from Drunk Driving SuspectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Police are increasingly leaning on emergency department (ED) staff to collect blood samples from suspected drunk drivers, and physicians, nurses and administrators are sometimes bristling at the ethical and legal conflicts involved. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Paige Hewitt Tags: News and Perspective Source Type: journals

What's Coming in Annals ● December 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

Expanded Table of Contents/Expanded ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

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Clinical Emergency Radiology is designed as an introductory and reference textbook specifically for emergency physicians and the editor and contributing authors are well-recognized experts in emergency medicine. This text is a combined reference for the most common imaging modalities used in emergency medicine practice including sections on plain radiography, bedside ultrasonography, computed tomography and magnetic resonance imaging. Previously, most reference texts have focused on a single modality. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Alice M. Mitchell Tags: Book and Media Reviews Source Type: journals

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Simply stated, this is not your average textbook. Dr. Brian Rowe, his co-editors and contributors, have masterfully designed a book to “answer the direct, give-me-the-bottom-line questions emergency physicians ask in the middle of their shifts…” The format is not typical of a textbook, rather it is similar to that of Annals of Emergency Medicine's Evidence-Based Emergency Medicine Series or the Journal of American Medical Association's Rational Clinical Examination Series. The book's 63 chapters are divided into 10 sections including General Issues, Respiratory, Cardiology, General Medical Conditions, Injury, Genitou...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Samuel D. Luber Tags: Book and Media Reviews Source Type: journals

Additional Information on Taser SafetyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Controversy continues regarding the safety of conducted electrical weapons, commonly known by the brand name Taser. This important discussion often pivots on the question of cardiac safety: whether, and if so how often, conducted electrical weapons might produce a fatal cardiac dysrhythmia. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: William P. Bozeman Tags: Correspondence Source Type: journals

Life-Threatening Cardiac Toxicity After Chewing Inverted Nut (Pinang-Wang)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 51-year-old man collapsed after chewing a pinang-wang due to curiosity. He was transported to our emergency department (ED) presenting with out-of-hospital cardiac arrest. Quick paddle look showed ventricular fibrillation and the patient received repetitive defibrillation, epinephrine, vasopressin, amiodarone, lidocaine and magnesium sulphate. After 20 minutes, it changed to wide QRS complex tachycardia. Intravenous sodium bicarbonate (1 mEq/kg, total dose: 70 mEq) was administered and the arrhythmia was successfully terminated. His blood pressure increased to 126/71 mmHg. Electrocardiogram showed ST segment elevation ov...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Chun-Jen Chou, Ho-Ming Su, Hei-Hwa Lee, Ying-Chin Ko, Ping-Ho Chen, Bai-Hsiun Chen Tags: Correspondence Source Type: journals

Psychotic Woman With Painful Abdominal DistensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:756.] A 46-year-old psychotic woman presented to our emergency department with a 4-day history of abdominal pain and protracted vomiting. She reported no previous surgeries, and her treatment consisted of high doses of 2 neuroleptics (chlorpromazine and loxapine) and a combination of 2 anticholinergic drugs (trihexyphenidyl and tropatepine). Physical findings included a painful distended abdomen with hypertympanic percussion and rapid shallow breathing. Chest radiograph and computed tomography (CT) of the abdomen revealed an enormous gaseous distension of the stomach and the whole intestinal tract,...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Malcolm Lemyze, Richard Chaaban, François Collet Tags: Images in Emergency Medicine Source Type: journals

Night ShiftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:754-755.] I start my night by saying good morning to the charge nurse. He tells me, “It's night.” I say, “Close enough.” This is our ritual, and we adhere to it like a secret handshake. No night shift can go well without the right beginning. This is true for everything, so I'm always careful when I start something. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Rebecca Jeanmonod Tags: Change of Shift Source Type: journals

Point of the PloughshareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:753.] Tonight, there is peace in the Middle East. Stepping away from the building lights, a canopy of a million stars. I breathe in the cold dry desert air, the whisper of prophets on the wind, a trace of camel scent near the helipad, and my white coat furls in slow motion. “Hey doc, better get in here, Red Crescent's on the radio.” The nurse is from Kerala, beautiful, dedicated, and in her words, I know 50 kilometers away another road traffic accident. I reach out with my senses and feel the blood drip from deformed metal. A sigh of sadness, and I return to the comforting chaos of the ER. (Sou...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Keith Raymond Tags: Change of Shift Source Type: journals

CommentaryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:734-736.] On June 11, 2009, less than 1 month after the release of this first report of hospitalized patients with novel influenza A (H1N1), the World Health Organization declared an influenza pandemic, urging the health care community to implement appropriate measures to help prevent a repeat of the deadly 1918 pandemic, which caused more than 50 million deaths. Although most cases observed during the current outbreak appear to be relatively mild (as of July 11, 2009, there were approximately 37,000 US cases, with slightly more than 200 deaths), serious complications have occurred and the pandemic...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Kuan-Fu Chen, Charlotte Gaydos, Richard E. Rothman Tags: Infectious Disease Source Type: journals

Hospitalized Patients With Novel Influenza A (H1N1) Virus Infection—California, April-May, 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Centers for Disease Control and Prevention. Hospitalized patients with novel influenza A (H1N1) virus infection—California, April-May, 2009. MMWR Morb Mortal Wkly Rep. 2009;58:536-541.] (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Centers for Disease Control and Prevention Tags: Infectious Disease Source Type: journals

Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Community-Acquired PneumoniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee): Wyatt W. Decker, MD (Co-Chair 2006-2007, Chair 2007-2009) (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Devorah J. Nazarian, Orin L. Eddy, Thomas W. Lukens, Scott D. Weingart, Wyatt W. Decker Tags: Infectious Disease Source Type: journals

CorrectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the September 2009 Research Forum supplement, in abstract 6 by Green, (“Effect of Hyperlactatemia on the Likelihood of In-patient Mortality for Patients with a Normal and Abnormal Anion Gap”; page S3), the following authors' names and affiliations are missing: Tony Berger, MD, Jacobi Medical Center; Nidhi Garg, MD, New York Hospital Queens; Krista Gitkind, RN, New York Hospital Queens. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Infectious Disease Source Type: journals

Journal Club: Clinical Prediction RulesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Editor's Capsule Summary for Vaillancourt et al What is already known on this topic: Previous out-of-hospital studies indicate that selective spinal immobilization may miss patients with cervical injury.What question this study addressed: Can paramedics apply the Canadian C-Spine Rule in alert, stable, cooperative, blunt-trauma patients to reserve spinal immobilization for high-risk patients while avoiding immobilization for low-risk patients?What this study adds to our knowledge: In this 1,949-patient cohort, paramedics achieved 100% sensitivity and 38% specificity for important cervical fractures.How this might change cl...
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Authors: Tyler W. Barrett, David L. Schriger Tags: Annals of Emergency Medicine Journal Club Source Type: journals

Correction NoticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the August 2009 issue, in the article by Ruygrok et al (“Validation of 3 Termination of Resuscitation Criteria for Good Neurologic Survival After Out-of-Hospital Cardiac Arrest,”; pages 239-247), the column headings in Table 4 were incorrect. They should have been “Yes,” “No,” and “Total.,” We apologize for the error. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 27, 2009 Category: Emergency Medicine Tags: Emergency Medical Services Source Type: journals

ClassifiedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CALIFORNIA: Olive View-UCLA Medical Center is offering a full-time faculty position with UCLA appointment. We are a Los Angeles County facility, a primary UCLA teaching hospital, and an equal partner in the UCLA EM residency. Applicants should be BC/BP in EM with demonstrated academic interests. We are especially seeking ultrasound and/or simulation expertise. We have a well-funded research program with statistical support and research assistant staff. Join a progressive department with protected time for career development, a friendly environment, a highly competitive salary/benefit package, a modern facility, and a desir...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Book and Media Reviews Source Type: journals

Classified 2009 Advertising Rates & Information: New Value-Added Feature—Your Ad Online at no Additional Cost!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Book and Media Reviews Source Type: journals

CalendarEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Advanced Hazmat Life Support Provider and Instructor. October 1–2, 2009. Syracuse, NY. Sponsor: Arizona Emerg Med Research Center. Fee: $450.00 – $565.00. Contact: Danielle Crounse, PO Box 245057, Tucson, AZ 85724-5057. Email: danielle@aemrc.arizona.edu. 520-626-1982. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Book and Media Reviews Source Type: journals

Manuscript Submission AgreementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Book and Media Reviews Source Type: journals

Information for ReadersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: News and Perspective Source Type: journals

For Whom the Bell Commission Tolls: Unintended Effects of Limiting Residents' HoursEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The intentions behind the regulation of residents' hours under New York State Department of Health Code section 405.4, the model for the national standards set by the Accreditation Council for Graduate Medical Education (ACGME) in 2003, are intuitive and admirable: no one wants exhausted, inexperienced, under-supervised residents seeing patients. Research on human sleep cycles suggests that a cowboy ethos is both unrealistic and dangerous; the image of constant clinical heroics performed under conditions too grueling for mere mortals to tolerate, these policies imply, belongs to mythology rather than reality. The high-prof...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: William B. Millard Tags: News and Perspective Source Type: journals

What's Coming in Annals ● November 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

Expanded Table of Contents/Expanded ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
“Is it safe to put this tube into this patient's chest?” “Is this medication OK at this dose, for this patient's renal function, in the context of the other medications she is taking?” “Can I safely send this patient home?” “Am I comfortable with the follow-up I have arranged?” These are among the central questions that lay the framework for Patient Safety in Emergency Medicine. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Edward P. Monico Tags: Book and Media Reviews Source Type: journals

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This ambitious textbook achieves its goal of being a comprehensive and evidence-based resource for emergency cardiac care. It closely follows clinical guidelines and scientific statements from the standard cardiac authorities, with many references to and informative figures and tables from these works. There is an online searchable version, with accompanying videos. No 600-word review can do this comprehensive book justice. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Stephen W. Smith Tags: Book and Media Reviews Source Type: journals

Emergency Physician OverheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009:54:641-642.] Emergency physicians in non office-based settings bear significant overhead expenses. Consistent with this concept, the Centers for Medicare and Medicaid Services (CMS), has calculated that this overhead rate is 46% exclusive of bad debt, Medicare and Medicaid write-offs, HMO and PPO discounts, charity care, and professional courtesy. Overhead expenses can include, but are not limited to the following. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Policy Statements Source Type: journals

Considerations for Emergency Physicians in Pre-Retirement YearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:641.] The American College of Emergency Physicians recognizes that an increasing percentage of its members are entering retirement or pre-retirement years. In an effort to enhance and prolong the careers of emergency physicians in the latter stages of their professional lives, to ensure patient safety, to promote continued membership and participation in the College, and to facilitate the transition of emergency physicians from active practice to semi- or full retirement, the following guidelines are offered: (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Tags: Policy Statements Source Type: journals

In replyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We would like to thank Riddell et al for the response to the recent update on measles. We appreciate the comments on the utility of clinical exams and the importance of laboratory testing. The recognition of the pitfalls of clinical diagnosis of measles is critical in countries that have eliminated endemic measles. The non-specific prodromal features of measles make diagnoses extremely difficult. This is exactly the reason that emergency physicians must have a heightened sense of awareness and understanding of risk factors for individuals. Acute febrile rash among young adults remains too large of a population to routinely...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Charlie M. Andrews, Keith T. Borg, Kate L. Heilpern Tags: Correspondence Source Type: journals

Laboratory Testing and Confirmation of Suspected Measles Infection Crucial in Countries That Have Eliminated MeaslesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We read with interest your update on measles infection and associated commentary. We agree that emergency department (ED) care of known or suspected measles is difficult; however, in cases of nosocomial transmission, measles infection has rarely been suspected immediately or diagnosed clinically. Indeed, transmission of measles infection within the health care provider/hospital environment has become a common feature of recent measles outbreaks. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Michaela A. Riddell, Heath A. Kelly, David Featherstone, Paul Rota Tags: Correspondence Source Type: journals

In replyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. O'Connor's comments regarding our initial study of the “1+1” hydromorphone protocol are appreciated. In his letter, he had several concerns. First, he did not think it was appropriate to compare our results with that of Lvovschi since the definitions of pain relief were so different. We referred to this French emergency department (ED) study, which used a traditional titration approach, in order to demonstrate the heavy staff burden of providing traditional titration. In Lvovschi's study, half the patients needed 3 or more boluses to achieve adequate analgesia, which the authors defined as a visual analog scale sco...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Andrew K. Chang, Polly E. Bijur, Caron M. Campbell, Mary K. Murphy, E. John Gallagher Tags: Correspondence Source Type: journals

The “1+1” Protocol: Risks, Benefits, and AlternativesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chang and colleagues continue to improve our understanding of emergency department (ED) pain management with their study of the “1+1” protocol, but further consideration of the benefits, risks, and alternatives to this protocol are warranted prior to its adoption. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Alec B. O'Connor Tags: Correspondence Source Type: journals

Performance Failure of a Colorimetric End-Tidal CO2 DetectorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the course of obtaining an emergency airway a colorimetric end-tidal CO2 detector erroneously failed to display a color change despite placement within the trachea. The case involved a morbidly obese 47-year-old female with a history of bronchiectasis, recurrent hemoptysis, schizophrenia, and remote burns. Intubation was required in the emergency department (ED) because of recurrent, large-volume hemoptysis, coupled with episodes of severe desaturation ( (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Richard M. Levitan, Paul Vanderbeek, Keith Kuhfahl Tags: Correspondence Source Type: journals

Traumatic Eye SwellingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:635.] A 32-year-old man presented to the emergency department with complaint of left eye pain and swelling. Approximately 5 hours before arrival, he tripped down 2 stairs and struck his left eye on a windowsill. He went to sleep hoping the pain would subside, but on awakening he blew his nose and immediately noted severe left eye pain, swelling, and blurry vision. Physical examination findings are presented in . An ophthalmologist was urgently consulted and after reviewing physical examination findings, ordered a computed tomography (CT) scan of the orbits, which is described in . What are the indi...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Drew Weber, Steven Shaw, James Winslow Tags: Images in Emergency Medicine Source Type: journals

Frequent Fliers, Internal and External Validity, and Problems With Making Continuous Variables Binary: Answers to the May 2009 Journal Club QuestionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As stated in its title, this study seeks to compare patients with sickle cell disease who are frequent and infrequent users of the emergency department (ED). The authors recruited patients from “established [sickle cell disease] clinics, health fairs, referrals, and targeted mailings.” (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Sanjay Arora, David L. Schriger Tags: Annals of Emergency Medicine Journal Club Source Type: journals

Unhappy BirthdayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:627.] He was driving home from his birthday celebration, dinner at a restaurant with his wife and 11-year-old son. The teenaged daughter wasn't there. She wasn't anywhere anymore, due to a fatal traffic collision last Father's Day. That tragedy was ever present, but fading. Try not to think about the upcoming June (and all future Junes!) when all that pain will return anew. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Jeffrey R. Suchard Tags: Change of Shift Source Type: journals

The Lion's RoarEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:625-626.] “Roooaaarrrrrrrrr!” (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Adam J. Rosh Tags: Change of Shift Source Type: journals

Commentary: Moving Forward by Looking Behind YouEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Kahn C. Commentary: moving forward by looking behind you. Ann Emerg Med. 2009;54:604-605.] I cannot see a fatally injured child in my trauma center without feeling my small share of the terrible grief that child's parents are just starting to discover. No matter what the mechanism, no matter how unintentional the injury, I always find myself in a group of emergency department and trauma staff trying to cope with a deceptively simple question: how could this happen? (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: Christopher Kahn Tags: Injury Prevention Source Type: journals

Fatalities and Injuries in Motor Vehicle Backing Crashes1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report summarizes data from all of the agency's databases relevant to backing crashes. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: National Highway Traffic Safety Administration Tags: Injury Prevention Source Type: journals

Joint Policy Statement—Guidelines for Care of Children in the Emergency DepartmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Ann Emerg Med. 2009;54:543-552.] Children who require emergency care have unique needs, especially when emergencies are serious or life threatening. The majority of ill and injured children are brought to community hospital emergency departments (EDs) by virtue of their geography within communities. Similarly, emergency medical services (EMS) agencies provide the bulk of out-of-hospital emergency care to children. It is imperative, therefore, that all hospital EDs have the appropriate resources (medications, equipment, policies, and education) and staff to provide effective emergency care for children. This statement out...
Source: Annals of Emergency Medicine - September 22, 2009 Category: Emergency Medicine Authors: American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Committee, Emergency Nurses Association Pediatric Committee Tags: Pediatrics Source Type: journals

Forecasting Emergency Department Crowding: An External, Multicenter EvaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The ForecastED tool generated potentially useful forecasts of input and throughput measures of ED crowding at 5 external sites, without modifying the underlying assumptions. Noting the limitation that this was not a real-time validation, ongoing research will focus on integrating the tool with ED information systems. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2009 Category: Emergency Medicine Authors: Nathan R. Hoot, Stephen K. Epstein, Todd L. Allen, Spencer S. Jones, Kevin M. Baumlin, Neal Chawla, Anna T. Lee, Jesse M. Pines, Amandeep K. Klair, Bradley D. Gordon, Thomas J. Flottemesch, Larry J. LeBlanc, Ian Jones, Scott R. Levin, Chuan Zhou, Cynthia Tags: Health Policy and Clinical Practice Source Type: journals