The American Journal of Emergency Medicine
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Manuscript Submission and Editorial Review Policy
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
Editorial BoardEmail this article to a colleague.
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
MastheadEmail this article to a colleague.
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
Midgut volvulus as a delayed consequence of posttraumatic mesenteric pseudocystEmail this article to a colleague.
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Complicated midgut volvulus is a surgical emergency with high mortality rate if not treated promptly. Most of midgut volvulus in adults is a silent form of congenital midgut malrotation, but it also can be acquired from other medical conditions, such as adhesion bands, tumors, and mesenteric cysts. Posttraumatic mesenteric pseudocysts are rare entities, and the diagnosis tends to be delayed. In reviewing the medical literature, midgut volvulus as a delayed consequence of posttraumatic hemorrhagic mesenteric pseudocyst has never been reported before. Here, we report a 50-year-old female patient who had experienced blunt abd...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Wen-I Liao, Yen-Yue Lin, Kai-Hsiung Ko, Shi-Jye Chu, Shih-Hung Tsai Tags: Case Reports Source Type: journals
Pulmonary hypertension in a patient with Schmidt syndromeEmail this article to a colleague.
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We describe a 26-year-old patient with long-standing autoimmune hypothyroidism. She was doing well until she developed Addisonian crisis accompanied by severe metabolic acidosis, hypoglycemia, hypomagnesemia, and hypokalemia. Subsequently she developed a life-threatening cardiac arrhythmia due to QT prolongation secondary to electrolyte imbalance. The association of autoimmune hypothyroidism and adrenal insufficiency in our patient suggests the diagnosis of autoimmune polyglandular syndrome type II or Schmidt syndrome. An echocardiography that was performed detected pulmonary hypertension without apparent cardiac or lung p...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Walid R. Saliba, Wasseem Rock, Mazen Elias Tags: Case Reports Source Type: journals
Unusual presentation of acute coronary syndrome. Bilateral coronary dissection after car accidentEmail this article to a colleague.
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We report the case of a 45-year-old woman admitted with acute coronary syndrome after a car accident and deceleration trauma. The coronary angiogram showed a focal stenotic dissection of the left main and a long nonstenotic dissection of the right coronary artery. Aortography was normal. After a complicated but finally successful angioplasty, the patient developed an abdominal hemorrhagic complication due to her previous trauma, which required urgent laparotomy; spleen was then removed and laceration on liver surface was surgically repaired. The patient developed a severe coagulopathy after surgery, which led to an irrever...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Belen Redondo, Juan R. Gimeno, Eduardo Pinar, Mariano Valdés Tags: Case Reports Source Type: journals
Transdiaphragmatic repositioning of the heart in the setting of emergency laparotomy after blunt traumaEmail this article to a colleague.
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This report stresses the need for a high index of suspicion for accurate early diagnosis of pericardial rupture. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Rainer Gumpert, Sylvia Archan, Veronika Matzi, Freyja-Maria Smolle-Jüttner Tags: Case Reports Source Type: journals
Acute appendicitis presenting with Klebsiella pneumoniae septicemia due to bacterial translocationEmail this article to a colleague.
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Bacterial translocation (BT) is defined as the passage of viable bacteria from the gastrointestinal tract, across the intestinal wall, to the mesenteric lymph nodes or other extranodal sites and bloodstream. It has been shown in both animal and human studies and has been implicated as a source of sepsis in susceptible patients. Herein, a rare case of acute appendicitis in a nonimmunocompromised patient who presented with manifestations of Klebsiella pneumoniae septicemia, is described. Translocation of Klebsiella pneumoniae through the compromised appendix mucosa leading in dissemination of the infection into the bloodstre...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Nikolaos S. Salemis Tags: Case Reports Source Type: journals
Cervical epidural hematoma after chiropractic spinal manipulationEmail this article to a colleague.
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Spinal epidural hematoma is a rare but potentially devastating complication of spinal manipulation therapy. This is a case report of a healthy pregnant female who presented to the emergency department with a cervical epidural hematoma resulting from chiropractic spinal manipulation therapy that responded to conservative treatment rather than the more common route of surgical management. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Jason D. Heiner Tags: Case Reports Source Type: journals
Movement disorder caused by abuse of veterinary anesthesia containing tiletamineEmail this article to a colleague.
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We report a veterinarian who developed movement disorder after abuse of Zoletil for a 2-week period. Phencyclidine derivatives, that is, tiletamine can induce movement disorder in human. Tiletamine/zolazepam can be abused for recreational purpose, especially by those people with easy access to veterinary medications. Emergency physicians should have high alert to the diverse presentations of drug abuse. This case again highlights that the association between accessibility of scheduled drugs and health care professionals. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Ching-Chang Lee, Yen-Yue Lin, Chin-Wang Hsu, Shi-Jye Chu, Shih-Hung Tsai Tags: Case Reports Source Type: journals
Myocardial infarction, acute ischemic stroke, and hyperglycemia triggered by acute chlorine gas inhalationEmail this article to a colleague.
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Chlorine is one of the most common substances involved in toxic inhalation. Until now, several accidental exposures have been reported. The damage to the respiratory tract in the immediate phase after exposure to chlorine is well defined. Death occurs particularly due to pulmonary edema with respiratory failure and circulatory collapse. On the other hand, no association with myocardial infarction, acute stroke, severe hyperglycemia, and acute chlorine inhalation has been reported in literature. In the present study, an elderly (74-year-old) and diabetic case with myocardial infarction, acute stroke, hyperglycemia, and resp...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Ataman Kose, Beril Kose, Ayça Açıkalın, Nurullah Gunay, Cuma Yıldırım Tags: Case Reports Source Type: journals
Splenic infarction and abscess complicating infective endocarditisEmail this article to a colleague.
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Acute abdominal pain is one of the most common conditions confronted in the emergency department. Clues related to splenic infarction may be obscured, and the diagnosis is quite challenging even for experienced physicians or surgeons. For every patient diagnosed with splenic infarction, a scrutiny on the possible source of emboli should be carried out. In addition, splenic abscess must be suspected in patients of splenic infarction, especially if the infectious signs persist despite appropriate treatment. Rapid diagnosis and treatment are essential as its course can prove fatal. Infective endocarditis is the most common co...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Chia-Chi Wang, Chih-Hsin Lee, Cheng-Yi Chan, Hung-Wei Chen Tags: Case Reports Source Type: journals
Severe angioedema in myxedema coma: a difficult airway in a rare endocrine emergencyEmail this article to a colleague.
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We describe a case of an unidentified woman who presented to the ED with myxedema coma requiring urgent endotracheal intubation and was found to have extensive posterior pharyngeal angioedema inconsistent with her relatively benign external examination. This case highlights the typical features of myxedema coma and discusses our necessity for a rescue device in definitive endotracheal tube placement. Emergency physicians should anticipate a potentially difficult airway in all myxedema coma patients regardless of the degree of external facial edema present. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Christopher H. Lee, Charles R. Wira Tags: Case Reports Source Type: journals
Multiple pulmonary arteriovenous malformations presenting as an acute myocardial infarctionEmail this article to a colleague.
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In this report, we describe a case of a 41-year-old man with acute anterior myocardial infarction, unexpectedly caused by emboli from pulmonary arteriovenous malformations. This rare etiology of acute myocardial infarction should be taken into consideration especially in cases with atypical presentation. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Olli A. Kajander, Janne Seppänen, Thanos Sioris, Juha Hautalahti, Kjell C. Nikus Tags: Case Reports Source Type: journals
Prehospital mechanical ventilation of a critical cardiac tamponadeEmail this article to a colleague.
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We report a prehospital mechanical ventilation of a penetrating cardiac injury complicated with tamponade. Onset diagnosis of the circulatory arrest allowed by prehospital continuous ultrasonography led to earlier initiation of the resuscitation and might have favored successful outcome. Electrocardiographic signs are too late to diagnose circulatory arrest. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Romain Barthélémy, Vincent Bounes, Vincent Minville, Charles-Henri Houze-Cerfon, Jean-Louis Ducassé Tags: Case Reports Source Type: journals
False-positive urine pregnancy test in a woman with adenomysosisEmail this article to a colleague.
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We present a case of a 39-year-old woman presenting to the emergency department with persistent vaginal bleeding with myoma and endometrium thickness. The qualitative urine human chorionic gonadotropin (hCG) showed positive result, however, the quantitative serum hCG had negative result. The negative serum hCG result suggests that the false-positive result was not caused by elevated circulating hCG. According to the urine hCG one-step pregnancy device, 1 mg/dL of hemoglobin may not interference the pregnancy result. Nevertheless, we found that the hemoglobin level was 40 mg/dL in the urine specimen. We designed a in vitro ...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Tze Kiong Er, Bin Hong Cheng, Fu Jung Hong, Miguel Ángel Ruiz Ginés Tags: Case Reports Source Type: journals
Hoarseness as a first manifestation of aortotracheal fistulaEmail this article to a colleague.
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We report a patient with hoarseness as an initial manifestation due to the painless formation of a pseudoaneurysm of aortic arch, which soon ruptured. Bronchoscopy disclosed a tracheal bulging mass with surface irregularity on the distal end of trachea before massive hemoptysis. We thought, faced with the cardiovocal syndrome accompanied with hemoptysis, lethal aortopulmonary fistula should be highly suspected. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Wu Jiun-Ting, Lai Yung-Fa Tags: Case Reports Source Type: journals
Ruptured pheochromocytoma presents as acute myocardial infarctionEmail this article to a colleague.
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We describe a case with emergency department presented as acute myocardial infarction initially. On the following day, sudden drop of blood pressure and syncope attacked him. Coronary angiography revealed noncritical obstruction on proximal left anterior descending artery. After angioplasty, the patient still experienced episodes of hemodynamic collapse, and left flank pain developed. Abdominal computer tomogram demonstrated a large left adrenal tumor with fluid accumulation. Finally, the patient underwent surgical treatment and pathology confirmed the diagnosis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Hung Yi Chen Tags: Case Reports Source Type: journals
Haloperidol-induced neuroleptic malignant syndrome complicated by hyperosmolar hyperglycemic stateEmail this article to a colleague.
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We describe the case of a 25-year-old male patient with haloperidol-induced NMS complicated by HHS that culminated in the patient's death despite all treatment efforts. Physicians caring for diabetic psychiatric patients who are treated with neuroleptic agents should be aware of this association that may be prevented by tight glycemic control. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Wasseem Rock, Mazen Elias, Ami Lev, Walid R. Saliba Tags: Case Reports Source Type: journals
Children with lethal streptococcal fasciitis after a minor contusion injuryEmail this article to a colleague.
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Necrotizing fasciitis is a severe life-threatening soft tissue infection characterized by rapidly spreading necrosis of the fascia and the subcutaneous tissue. Mortality as a result of streptococcal necrotizing fasciitis has been associated with the presence of hypotension, streptococcal toxic shock syndrome, or bacteremia in the literature. These infections are rare in children, and the diagnosis should be considered in the presence of any soft tissue infection presenting with signs of toxicity and marked wound edema. In addition, traumatic compartment syndrome has also gained public attention. This condition is also pote...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Yu-Che Chang, Ching-Hsing Lee, Chiu-Liang Tseng, Jih-Chang Chen Tags: Case Reports Source Type: journals
Extensive injury after use of a mechanical cardiopulmonary resuscitation deviceEmail this article to a colleague.
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We report a case of a 49-year-old woman with a ruptured liver and spleen found at autopsy, which may have been related to the use of a mechanical cardiopulmonary resuscitation (CPR) device (AutoPulse, ZOLL Medical Corporation, Chelmsford, Mass). She was admitted because of an out-of-hospital resuscitation, and under the suspicion of a pulmonary embolism, a thrombolytic agent was administered. Despite prolonged continuation of mechanical CPR, she died of persistent asystole. The evidence for improved outcomes after the use of a mechanical CPR device during resuscitation is still scarce. To prevent the unique complications r...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: J. Wind, S.C.A.M. Bekkers, L.J.H. van Hooren, L.W.E. van Heurn Tags: Case Reports Source Type: journals
Pragmatic classification of the causes of high D-dimerEmail this article to a colleague.
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Venous thromboembolism (VTE) remains the most common preventable cause of in-hospital death and D-dimer (DD) is one of the essential diagnostic tools for it. Each risk factor for VTE can raise DD and they are numerous: 24 listed in 2008 European Guidelines. Acute coronary syndrome and stroke increase DD concentration, too. Thus, all three most important causes of cardiovascular death are capable of raising DD. Recent evidence suggests DD as a sensitive marker also for acute aortic dissection. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Goran Pante Koracevic Tags: Case Reports Source Type: journals
Long QT syndrome and torsades de pointes induced by acute sulpiride poisoningEmail this article to a colleague.
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We report a case of long QT syndrome and torsades de pointes induced by ingestion of 1.5 g of sulpiride. Ventricular arrhythmia was initially treated with amiodarone, without success. Eventually, lidocaine and magnesium sulfate successfully terminated the ventricular arrhythmia. The patient was discharged uneventfully after 3 days of hospitalization. This case illustrates the fact that acute sulpiride poisoning may lead to life-threatening ventricular arrhythmia. Early recognition followed by effective therapy is crucial. Intensive cardiac monitoring is recommended for sulpiride poisoning. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Jia-How Chang, Te-I Weng, Cheng-Chung Fang Tags: Case Reports Source Type: journals
CASH as a mnemonic for indications of sodium bicarbonate for sodium channel blocker intoxicationEmail this article to a colleague.
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We read with interest the article “Flecainide Overdose Causing a Brugada-Type Pattern on Electrocardiogram in a Previously Well Patient ” and would like to raise a few comments. We would take issue with the use of magnesium as the first-line treatment for ventricular tachycardia induced by flecainide overdose and disagree with the authors' comment that administration of sodium bicarbonate is unwarranted. Magnesium is normally the drug of choice for treating torsade de pointes but not ventricular tachycardia induced by sodium channel blocker . Injudicious use of intravenous magnesium may give rise to magnesium toxicity ...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Yuen Chi Kit, Lam Ho Yin, Mok Ka Leung, Kan Pui Gay, Wong Yau Tak Tags: Correspondence Source Type: journals
Phentermine cardiovascular safetyEmail this article to a colleague.
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A recent case report published in the American Journal of Emergency Medicine described a 48-year-old woman with no significant medical history who developed a myocardial infarction and subsequent ventricular tachycardia/fibrillation. This patient also happened to be taking phentermine, and the authors therefore conclude “that this agent, which is a chemical analogue of the potent amphetamine class of noradrenergic stimulants, may have the ability to promote potentially fatal cardiac outcomes.” We believe that the authors have left the reader with an unbalanced and exaggerated impression that phentermine is a dangerous ...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Richard B. Rothman, Ed J. Hendricks Tags: Correspondence Source Type: journals
Diagnosing Mallory-Weiss in the EDEmail this article to a colleague.
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We read with interest the article by Dr Tsai in the American Journal of Emergency of Medicine. The authors describe a 32-year-old man who presented with intra-abdominal hemorrhage and Mallory-Weiss syndrome. Mallory-Weiss syndrome refers to mucosal laceration at the gastroesophageal junction or gastric cardia . Upper endoscopy is now the best tool to diagnose Mallory-Weiss syndrome that typically presents as a cleft-like mucosal defect. Most of the patients are brought to attention because of gastrointestinal bleeding. Excessive alcohol consumption is usually the culprit of Mallory-Weiss syndrome. Many other factors have b...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Hsu-Heng Yen, Yang-Yuan Chen Tags: Correspondence Source Type: journals
The critical care literature 2008Email this article to a colleague.
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Bonomo JB, Butler AS, Lindsell CJ, Venkat A. Inadequate provision of postintubation anxiolysis and analgesia in the ED. Am J Emerg Med 2008;26:469-472. Emergency physicians intubate and mechanically ventilate patients on a daily basis. Often, intubated patients remain in the emergency department (ED) for exceedingly long hours awaiting an intensive care unit bed. As a result, care of the intubated patient falls to the emergency physician. An important component in the care of these critically ill patients is the provision of adequate analgesia and anxiolysis. Mechanical ventilation, along with the procedures that many of ...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Michael E. Winters, Tsuyoshi Mitarai, William J. Brady Tags: Clinical Notes Source Type: journals
Delusions of parasitosisEmail this article to a colleague.
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Conclusions: In our experience, patients with DP seen in the emergency department who are suspected of having this condition can be a challenging diagnostic and treatment problem because they usually do not have health insurance. Consequently, we find it difficult to get dermatologic and psychiatric consultation to treat their illness. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Richard F. Edlich, Catherine L. Cross, Courtney A. Wack, William B. Long Tags: Review Source Type: journals
The early elevation of interleukin 6 concentration in cerebrospinal fluid and delayed encephalopathy of carbon monoxide poisoningEmail this article to a colleague.
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Conclusion: Interleukin 6 in CSF at the early phase of CO poisoning may be a predictive marker of DE. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Toshimitsu Ide, Yoshito Kamijo Tags: Brief Reports Source Type: journals
The role of continuous positive airway pressure in acute cardiogenic edema with preserved left ventricular systolic functionEmail this article to a colleague.
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Conclusions: The results of this preliminary study show that resolution time is not significantly different in patients with ACPE with preserved or impaired systolic function submitted to CPAP. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Andrea Bellone, Marco Vettorello, Massimiliano Etteri, Chiara Bonetti, Giancarlo Gini, Massimo Mariani, Vittorio Berruti, Dante Clerici, Chiara Minelli, Italo Nessi, Carlo Maino Tags: Brief Reports Source Type: journals
Ethics, equipoise, and evidence: when should investigators decide to not test their hypothesisEmail this article to a colleague.
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Abstract: In an excellent investigation of endotracheal tube cuff pressure assessment, “Endotracheal Tube Cuff Pressures in Patients Intubated Prior to Transport,” Chapman et al measured endotracheal tube cuff pressure in patients who arrive at their emergency department after being intubated in the field. This, the first published American study of this type, presents clear and convincing evidence that patients who undergo endotracheal intubation before transport have endotracheal tube cuff pressures that exceed safe limits.Although a study of this type has not been conducted on patients who are endotracheally intubat...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Robert J. Hoffman, David Farcy, Thomas Scalea Tags: Editorial Source Type: journals
Endotracheal tube cuff pressures in patients intubated before transportEmail this article to a colleague.
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Conclusions: The most compelling results of the study are the high rates of elevated ETTCPs. Furthermore, there were no clear risk factors for elevated ETTCP. Although the risk of elevated ETTCP in the prehospital to acute care time frame is unclear, it seems reasonable to measure ETTCP after intubation in all patients. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Jacob Chapman, Daniel Pallin, Larisa Ferrara, Sarah Mortell, John Pliakas, Melissa Shear, Stephen Thomas Tags: Original Contributions Source Type: journals
d-Dimer in patients with suspected acute mesenteric ischemiaEmail this article to a colleague.
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Conclusions: Detection of serum d-dimer could not help to differentiate patient with AMI from those with non-AMI. We did not find a correlation between serum d-dimer levels and the severity of AMI. However, measurement of d-dimer levels can be of value for a small decrease in the likelihood of AMI, when the result is low. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Yu-Hui Chiu, Ming-Kun Huang, Chorng-Kuang How, Teh-Fu Hsu, Jen-Dar Chen, Chii-Hwa Chern, David Hung-Tsang Yen, Chun-I Huang Tags: Original Contributions Source Type: journals
Validation of the Infectious Diseases Society of America/American Thoracic Society criteria to predict severe community-acquired pneumonia caused by Streptococcus pneumoniaeEmail this article to a colleague.
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Conclusions: This study confirms the usefulness of the new criteria in predicting severe CAP. The 2001 ATS criteria seem an attractive alternative because they are simple and as effective as the 2007 IDSA/ATS criteria. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Paschalina Kontou, Joseph L. Kuti, David P. Nicolau Tags: Original Contributions Source Type: journals
New classification and clinical characteristics of reexpansion pulmonary edema after treatment of spontaneous pneumothoraxEmail this article to a colleague.
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Conclusions: The rate of REPE after tube thoracostomy of spontaneous pneumothorax is greater than previously reported and often asymptomatic. The risk of developing REPE is greater with larger pneumothorax, especially in patients without fibrotic lung changes, and with hypoxia in patients with fibrotic changes. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Yun Kwon Kim, Hyun Kim, Christopher C. Lee, Han Joo Choi, Kang Hyun Lee, Sung Oh Hwang, Joong Hwan Oh, Young Han Lee, Adam J. Singer Tags: Original Contributions Source Type: journals
The relationship between alcohol consumption and injury in ED trauma patientsEmail this article to a colleague.
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Conclusion: There may be no significant correlation between alcohol consumption and injury severity. However, injury severity may increase with increasing quantity of alcohol and be greater in head injuries. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Choi Yoonhee, Jung Kooyoung, Eo Eunkyung, Lee Donghoon, Kim Junsig, Shin Dongwun, Kim Sungeun, Lee Mijin Tags: Original Contributions Source Type: journals
Effect of introduction of electronic patient reporting on the duration of ambulance callsEmail this article to a colleague.
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Conclusions: Electronic patient record system can be implemented in an urban ambulance service in such a way that documentation method does not become a significant factor in determining call duration in the long run. Temporary performance drop during the first 3 months after introduction was noticed, reflecting adaptation process to a new way of working. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Markku Kuisma, Taneli Väyrynen, Tuomas Hiltunen, Kari Porthan, Janne Aaltonen Tags: Original Contributions Source Type: journals
Pediatric myocarditis: presenting clinical characteristicsEmail this article to a colleague.
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Conclusions: These data suggest children with acute myocarditis and DCM most commonly present with difficulty breathing. Myocarditis and DCM may mimic other respiratory or viral illnesses, but hepatomegaly or the finding of cardiomegaly and an abnormal electrocardiogram result may help distinguish these diagnoses from other more common pediatric illnesses. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Yamini Durani, Matthew Egan, Jeanne Baffa, Steven M. Selbst, Alan L. Nager Tags: Original Contributions Source Type: journals
Dose-response of vasopressin in a rat model of asphyxial cardiac arrestEmail this article to a colleague.
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In this study, asphyxial CA was induced in 40 male Sprague-Dawley rats. After 10 minutes of asphyxia, CPR was initiated; and the effects of different doses of vasopressin (low dose, 0.4 U/kg; medium dose, 0.8 U/kg; and high dose, 2.4 U/kg; intravenous; n = 10 in each group) and a saline control (isotonic sodium chloride solution, 1 mL, intravenous) were compared. Outcome measures included the rate of restoration of spontaneous circulation (ROSC) and changes of hemodynamic and respiratory variables after ROSC. The rates of ROSC were 1 of 10 in the saline group and 8 of 10 in each of the 3 vasopressin groups. There were no d...
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Meng-Hua Chen, Feng-Qing Song, Lu Xie, Li-Ping Wang, Jun-Yu Lu, Xian-Wei Zhang, Xiao-Fen Tian Tags: Original Contributions Source Type: journals
Outcomes after accidental pediatric ingestions of (dextro)amphetamine and methylphenidateEmail this article to a colleague.
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Adderall (Barr Laboratories, Inc, Montvale, NJ) and methylphenidate are prescription amphetamines used in the treatment of attention-deficit/hyperactivity disorder (ADHD) and narcolepsy. The exact mechanism of action of amphetamines in the treatment of ADHD is not known; however, it has been shown to stimulate central nervous system (CNS) activity via blockade of both dopamine and norepinephrine reuptake and by increasing their release into the extraneuronal space. Clinical effects can manifest via CNS stimulation or depression. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Frank LoVecchio, John Ozimek, Belinda Sawyers, Dan Thole Tags: Original Contributions Source Type: journals
Urinalysis is not reliable to detect a urinary tract infection in febrile infants presenting to the EDEmail this article to a colleague.
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Conclusion: Urinalysis is not reliable for the detection of urinary tract infections in febrile infants when compared with urine cultures. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Jacqueline M. Reardon, Keri L. Carstairs, Sherri L. Rudinsky, Leslie V. Simon, Robert H. Riffenburgh, David A. Tanen Tags: Original Contributions Source Type: journals
Sexual assault in postmenopausal women: epidemiology and patterns of genital injuryEmail this article to a colleague.
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Conclusion: The postmenopausal woman is not immune from sexual assault. The epidemiology of sexual trauma in this age group is uniquely different when compared to younger women, which may be useful in planning intervention and prevention strategies. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Jeffrey S. Jones, Linda Rossman, Renae Diegel, Phyllis Van Order, Barbara N. Wynn Tags: Original Contributions Source Type: journals
Lack of association between left bundle-branch block and acute myocardial infarction in symptomatic ED patientsEmail this article to a colleague.
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Conclusions: Despite guideline recommendations that patients with potential ACS and new or presumed new LBBB should be treated similar to STEMI, ED patients with a new or presumed new LBBB are not at increased risk of AMI. In fact, the presence of LBBB, whether new or old, did not predict AMI. Caution should be used in applying recommendations derived from patients with definite AMI to ED patients with potential ACS that may or may not be sustaining an AMI. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Anna Marie Chang, Frances S. Shofer, Jeffrey A. Tabas, David J. Magid, Christine M. McCusker, Judd E. Hollander Tags: Original Contributions Source Type: journals
Incidence and onset of delayed seizures after overdoses of extended-release bupropionEmail this article to a colleague.
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Conclusion: Delayed seizure onset suggests a minimum observation period of 24 hours after bupropion XL overdose. Although patients experiencing agitation or tremors may be at greater risk, seizures can occur without preceding central nervous system toxicity. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Paul Starr, Wendy Klein-Schwartz, Henry Spiller, Perri Kern, Susan E. Ekleberry, Susan Kunkel Tags: Original Contributions Source Type: journals
Determination of difficult intubation in the EDEmail this article to a colleague.
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Conclusions: The thyroid-to-hyoid distance less than 2 fingers is the only independent variable in predicting difficult intubation. Mallampati classification is not a useful tool in classifying the difficult intubation in the ED that the “LEMON” acrostic can be modified to “LEON”. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - September 24, 2009 Category: Emergency Medicine Authors: Secgin Soyuncu, Cenker Eken, Yildiray Cete, Firat Bektas, Mehmet Akcimen Tags: Original Contributions Source Type: journals
Information for AuthorsEmail this article to a colleague.
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
ContentsEmail this article to a colleague.
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
Editorial BoardEmail this article to a colleague.
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
MastheadEmail this article to a colleague.
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(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - August 18, 2009 Category: Emergency Medicine Tags: Frontmatter Source Type: journals
