Case Report

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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Anterior Urethral Laceration from a Human Bite

Shirk, MD, et al.

A 30-year-old male with no significant past medical history presented to the emergency department (ED) complaining of a bite wound to his penis that had occurred approximately one hour prior to arrival.

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Dead Legs: A Case of Bilateral Leg Paralysis

Quenzer, DO, et al.

A 69-year-old man with a past medical history of untreated hypertension, chronic back pain, and heavy smoking was brought in by ambulance to a community emergency department (ED) for severe bilateral leg pain and paraplegia.

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The Case of Ketamine Allergy

Bylund, MD, et al.

A three-year-old female, without significant past medical history, presented to the ED with a one-centimeter linear laceration through the right lower lip secondary to collision with a domestic dog.

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Chagas Disease-induced Sudden Cardiac Arrest

Neeki, DO, et al.

A 48-year-old Hispanic male presented to the ED complaining of palpitations, shortness of breath, generalized abdominal pain, and lightheadedness for eight hours with worsening symptoms in the preceding two hours.

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An Atypical Case of Warfarin-Induced Skin Necrosis

Sklar, MD, et al.

A 60-year-old morbidly obese Caucasian female with a past medical history of coronary artery disease, pulmonary embolism, and deep vein thrombosis presented to the emergency department (ED) complaining of excruciating pain associated with scattered ecchymoses.

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Pacing-induced Cardiomyopathy

Koo, MD, et al.

A 70-year-old female with a medical history of coronary artery disease (CAD), type II diabetes, and three-vessel coronary artery bypass grafting (CABG) presented to the emergency department (ED) for dyspnea and productive cough.

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Urachal Cyst Diagnosed by Point-of-care Ultrasound

James, MBBS, MD, et al.

We report two patients who presented to a pediatric emergency department with history and symptoms of irreducible umbilical mass suggestive of umbilical hernia. Point-of-care ultrasound was used at the bedside to demonstrate the presence of urachal cyst remnants and accurately guided the care of these children.

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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.