Archives

Molar Pregnancy

A 15-year-old Hispanic primigravid female at 12 weeks gestation presented to the Emergency Department (ED) complaining of vaginal bleeding for two days. The patient denied any abdominal pain, nausea, vomiting, or fever.

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Tension Pneumothorax in Child with Mild Viral Symptoms

A two-year-old male presented to the emergency department (ED) with a four-day history of evening tactile fevers, measured to 38.1ºC at home, associated with a worsening cough, congestion, mild diarrhea, emesis, decreased oral intake and level of activity.

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Intraosseous Meningioma

A 47-year-old Hispanic woman presented to the emergency department for evaluation of a left frontal head mass she reported noticing in the previous month, which caused her localized dull discomfort.

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Tibia-fibular Joint Dislocation

A 17-year-old man presented with acute left lateral knee pain after “twisting” his knee during a soccer scrimmage. He denied trauma and prior injury to that knee.

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Toxic Epidermal Necrolysis From a Cigarette Burn

Toxic epidermal necrolysis is a rare disease that is most often drug-induced but can be of idiopathic origin. We present a case that originated at the site of a cigarette burn to the forearm and review the key elements of physical exam findings and management of this life-threatening dermatological condition, which needs to be promptly recognized to decrease patient mortality.

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Analysis of Urobilinogen and Urine Bilirubin for Intra-Abdominal Injury in Blunt Trauma Patients

  Author Affiliation Shahram Paydar, MD Shiraz University of Medical Sciences, Trauma Research Center, Shiraz, Iran Roohollah Salahi, MD Shiraz University of Medical Sciences, Trauma Research Center, Shiraz, Iran Shahram Bolandparvaz, MD Shiraz University of Medical Sciences, Trauma Research Center, Shiraz, Iran Hamid Reza Abbasi, MD Shiraz University of Medical Sciences, Trauma Research Center, Shiraz, […]

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Ileocecal Intussusception in the Adult Population: Case Series of Two Patients

Intussusception is a condition found primarily in the pediatric population. In the adult population, however, intussusception is usually due to a pathological process, with a higher risk of bowel obstruction, vascular compromise, inflammatory changes, ischemia, and necrosis. Radiographic and sonographic evidence can aid in the diagnosis. Surgical intervention involving resection of affected bowel is the standard of care in adult cases of intussusception.

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Catatonia Associated with Initiating Paliperidone Treatment

We present a case of catatonia, which occurred shortly after starting a new antipsychotic, paliperidone, an active metabolite of risperidone. Catatonia may be caused by a variety of conditions, including metabolic, neurologic, psychiatric and toxic processes. Interestingly, risperidone, which has been thought to cause several cases of catatonia, has also been recommended as a potential treatment. We discuss potential mechanisms for causes of drug-induced catatonia as well as potential treatment options.

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Critical Care

Etomidate as an Induction Agent in Septic Patients: Red Flags or False Alarms?

Despite its widespread use in North America and many other parts of the world, the safety of etomidate as an induction agent for rapid sequence intubation in septic patients is still debated. In this article, we evaluate the current literature on etomidate, review its clinical history, and discuss the controversy regarding its use, especially in sepsis. We address eight questions

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Critical Care

Cocaine-Associated Seizures and Incidence of Status Epilepticus

Acute complications from cocaine abuse are commonly treated in the emergency department (ED); one of the most consequential is status epilepticus. The incidence of this complication is not clearly defined in the prior literature on cocaine-associated sequelae. We evaluated the incidence of status epilepticus in patients with seizures secondary to suspected cocaine use.

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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: 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.