Case Report

Accidental Ingestion of Hearing Aid with Exposed Battery

Kunstadt, MD, et al.

A 59-year-old female presented to the emergency department (ED) three days after accidental ingestion of an intact in-the-ear hearing aid. This is the first report of ingestion of a complete hearing aid traveling past the gastroesophageal junction.

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Management of Complex Facial Lacerations in the Emergency Department

Badeau, MD, et al.

A 34-year-old male presented to the ED as a trauma activation. He was the restrained driver in a single-car motor vehicle accident in which he sustained burns to the bilateral upper extremities, left-sided rib fractures, a right femoral neck fracture, open right tibia/fibula fractures, and full-thickness lacerations to his face.

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Takotsubo Cardiomyopathy Presenting as Wellens’ Syndrome

Taylor, DO, et al.

A 65-year-old female with a history of a seizure disorder was brought to the emergency department (ED) by ambulance after experiencing three seizures earlier in the day. Emergency medical services personnel were present for the third seizure and treated her with diazepam 5 mg intravenously prior to arrival to the hospital.

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“A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus

Kiyani, MD, et al.

A 56-year-old female with history of non-small cell lung cancer, hypertension, recently treated H. pylori infection and diabetes presented to a local emergency department (ED) twice in a week with the complaints of worsening nausea and bilious emesis over a one-month period while she was receiving chemotherapy.

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Testicular Rupture: A Tough Nut to Crack

Holliday, MD, et al.

Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP). Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation of the acute scrotum in the emergency department.

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Abiotrophia defectiva Endocarditis: An Easy Miss

Escarcega, MD, et al.

Subacute endocarditis often presents with an indolent course. A potentially lethal form generated by infection with Abiotrophia defectiva may be easily overlooked early in its presentation. This report discusses the case of an 18-year-old male discovered to have severe endocarditis after presenting to the emergency department with the chief complaint of foot pain.

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Remote Management of Atrial Fibrillation: A Case Report

Chiu, MD, MBA, et al.

We report a case of new-onset atrial fibrillation with rapid ventricular response in a 37-year-old male who presented to the emergency department. This patient was not admitted to the hospital or placed on observation, but rather placed on a cellular outpatient 12-lead telemetry (COTLT) device with emergency response capabilities and discharged home.

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Contact Information

WestJEM/ Department of Emergency Medicine
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Phone: 1-714-456-6389
Email: editor@westjem.org

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.