Case Report

Traumatic Fetal Intracranial Hemorrhage Suggested by Point-of-Care Ultrasound

Mooney, MD, et al.

The patient was a 46-year-old, gravida five, parity four (G5P4) at 24 weeks and five days (24w5d) gestation by last routine ultrasound, who presented to our Level 1 trauma ED after being a front-seat restrained (by a lap-shoulder belt) passenger in a high-speed rollover motor vehicle collision (MVC), with unknown loss of consciousness.

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Central Venous Catheter-directed Tissue Plasminogen Activator in Massive Pulmonary Embolism

Gulati, MD, et al.

We present the case of an 88-year-old female who presented to the emergency department (ED) with suspected massive pulmonary embolism (PE) causing respiratory failure, right heart strain, and shock, who despite early and aggressive resuscitation with vasopressors and continuous peripheral infusion of tissue plasminogen activator (tPA), suffered a cardiac arrest in the ED.

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Lemierre Syndrome as a Complication of Laryngeal Carcinoma

Colbert, DO, et al.

A 41-year-old man with a past medical history of squamous cell carcinoma of the glottis treated with radiation therapy five years earlier presented to our emergency department (ED) complaining of one week of progressive right-sided neck pain and swelling with fever up to 38.9°Celsius (C) (102.1° Fahrenheit).

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Myasthenic Crisis In Pregnancy

French, MD, et al.

A 27-year-old 58-kilogram Caucasian female presented to the emergency department (ED) with acute onset cough, increased secretions, and dyspnea.

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25C-NBOMe Ingestion

Zygowiec, DO, MPH, et al.

A 27-year-old man was brought to the emergency department (ED) in police custody for medical evaluation.

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Reversible Acute Kidney Injury Associated with Chlorothalonil Ingestion

Suchard, MD.

A 43-year-old man presented to the emergency department (ED) by ambulance 12 hours after intentionally ingesting an estimated eight fluid ounces of Daconil® fungicide concentrate (29.6% chlorothalonil) and 16 ounces of a domestic multi-surface cleaner (Mr. Clean® with Febreze Freshness Antibacterial Spray; primary active ingredient ≤5% 3-butoxypropan-2-ol).

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

333 The City Blvd. West, Rt 128-01
Suite 640
Orange, CA 92868, USA
Phone: 1-714-456-6389
Email: westjem@gmail.com

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WestJEM
ISSN: 1936-900X
e-ISSN: 1936-9018

CPC-EM
ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.