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Western Journal of Emergency Medicine
Westjem, Author at The Western Journal of Emergency Medicine
Westjem, Author at The Western Journal of Emergency Medicine
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Westjem

Endemic Infections

The Appropriate Use of Testing for COVID-19

Zitek, MD.

Many public officials are calling for increased testing for the 2019 novel coronavirus disease (COVID-19), and some governments have taken extraordinary measures to increase the availability of testing. However, little has been published about the sensitivity and specificity of the reverse transcriptase-polymerase chain reaction (RT-PCR) nasopharyngeal swabs that are commonly used for testing.

Westjem Read More
Endemic Infections

Paradigm Shift for COVID-19 Response: Identifying High-risk Individuals and Treating Inflammation

Kivela, MD.

As an emergency and wellness physician, scientist, father, and 55-year-old man, I have a keen interest in the coronavirus and the resulting COVID-19/severe acute respiratory syndrome (SARS) CoV2 illness. Based on all I have heard from the scientific community, a review of the literature, and a review of historical facts related to other epidemics, I believe we are missing some key points, particularly with regard to how we are approaching prevention of morbidity and mortality.

Westjem Read More
Endemic Infections

Healthcare Ethics During a Pandemic

Iserson, MD.

As clinicians and support personnel struggle with their responsibilities to treat during the current COVID-19 pandemic, several ethical issues have emerged.

Westjem Read More
Endemic Infections

Alternative Care Sites: An Option in Disasters

Iserson, MD.

During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution’s systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS).

Westjem Read More
Endemic Infections

Augmenting the Disaster Healthcare Workforce

Iserson, MD.

In disasters such as the COVID-19 pandemic, we need to use all available resources to bolster our healthcare workforce. Many factors go into this process, including selecting the groups of professionals we will need, streamlining their licensing and credentialing processes, identifying appropriate roles for them, and supporting their health and well-being.

Westjem Read More
Endemic Infections

Ibuprofen During the COVID-19 Pandemic: Social Media Precautions and Implications

Carius, DSc, et al.

The ongoing spread of COVID-19, also known as the novel coronavirus, has created significant concerns often leading to panic throughout the world as to its virulence and lethality. Regularly published media track newly infected patient rates and deaths further driving public panic, which invariably leads to people seeking information.

Westjem Read More
Endemic Infections

Humanism in the Age of COVID-19: Renewing Focus on Communication and Compassion

Sonis, MD, et al.

The global novel coronavirus (COVID-19) pandemic continues to worsen and has become one of the largest clinical and operational challenges faced by emergency medicine since its inception as a specialty. As the virus spreads across the United States, our emergency departments (ED) continue to see increased volumes of infected patients, many of whom are not only critically ill, but acutely aware and fearful of their circumstances and potential mortality.

Westjem Read More
Endemic Infections

Preliminary Results of Initial Testing for Coronavirus (COVID-19) in the Emergency Department

Tolia, MD, MPH, et al.

On March 10, 2020, the World Health Organization declared a global pandemic due to widespread infection of the novel coronavirus 2019 (COVID-19). We report the preliminary results of a targeted program of COVID-19 infection testing in the ED in the first 10 days of its initiation at our institution.

Westjem Read More
Endemic Infections

Brief Summary of Potential SARS-CoV-2 Prophylactic and Treatment Drugs in the Emergency Department

Brown, MD, et al.

The National Institutes of Health is conducting a Phase 1 clinical trial to evaluate for a potential vaccine and the recipients have started to receive the investigational vaccine.2 We present a brief overview of the potential prophylactic and treatment agents under investigation, some which could be initiated in the ED if proven effective.

Westjem Read More
Endemic Infections

Sex- and Gender-specific Observations and Implications for COVID-19

Walter, MD, et al.

Angiotensin-converting enzyme 2 (ACE2) and its role in viral transmission and associated morbidity has also been a topic of recent COVID-19 associated discussion. ACE2 receptors on pulmonary endothelium serve as a main entry point for coronavirus.

Westjem Read More
Endemic Infections

15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic

Banskota, BS, et al.

Our objective was to narratively summarize 15 apps that address physical and cognitive limitations and have the potential to improve OAs’ quality of life, especially during social distancing or self-quarantine.

Westjem Read More
Endemic Infections

Assessment of the Angolan (CHERRT) Mobile Laboratory Curriculum for Disaster and Pandemic Response

Owens, DO, et al.

The lack of COVID-19 testing capacity threatens the ability of both the United States (US) and low middle income countries (LMIC) to respond to this growing threat, The purpose of this study was to assess the effectiveness through participant self-assessment of a rapid response team (RRT) mobile laboratory curriculum.

Westjem Read More
Critical Care

Descriptive Analysis of Extubations Performed in an Emergency Department-based Intensive Care Unit

Haas, MD, et al.

Extubation is infrequently performed in the ED, and a paucity of outcome data exists. Our objective was to descriptively analyze characteristics and outcomes of patients extubated in an ED-ICU setting.

Westjem Read More
Critical Care

Males Receive Low-Tidal Volume Component of Lung Protective Ventilation More Frequently than Females in the Emergency Department

Isenberg, MD, et al.

Prior literature has shown that as many as 40% of ED patients do not receive lung protective ventilation. Our goal was to determine whether differences exist between the percent of males vs females who are ventilated at ≥ 8 milliliters per kilogram (mL/kg) of predicted body weight.

Westjem Read More
Critical Care

Efficacy of Laryngeal Tube versus Bag Mask Ventilation by Inexperienced Providers

Hart, MD, et al.

We performed a crossover study first year emergency medicine residents and third and fourth year medical students. After a brief instructional video followed by hands on practice, participants performed both techniques in random order on a simulated model for two minutes each. Returned tidal volumes and peak pressures were measured.

Westjem Read More
Critical Care

Assessment of Vessel Density on Non-Contrast Computed Tomography to Detect Basilar Artery Occlusion

Asimos, MD, et al.

Basilar artery occlusion (BAO) may be clinically occult due to variable and non-specific symptomatology. We evaluated the qualitative and quantitative determination of a hyperdense basilar artery (HDBA) on non-contrast computed tomography (NCCT) brain for the diagnosis of BAO.

Westjem Read More
Critical Care

Presyncope Is Associated with Intensive Care Unit Admission in Emergency Department Patients with Acute Pulmonary Embolism

Vinson, MD, et al.

We compared incidence of intensive care unit (ICU) admission in three groups of ED PE patients: those with presyncope; syncope; and neither.

Westjem Read More
Critical Care

Demographics and Outcomes of Pulmonary Hypertension Patients in United States Emergency Departments

Wilcox, MD, et al.

Pulmonary hypertension (PH) is a common, yet under-diagnosed, contributor to morbidity and mortality. Our objective was to characterize the prevalence of PH among adult patients presenting to United States (US) emergency departments (ED) and to identify demographic patterns and outcomes of PH patients in the ED.

Westjem Read More
Critical Care

It’s In The Bag: Tidal Volumes in Adult and Pediatric Bag Valve Masks

Dafilou, BA, et al.

Multiple studies have shown the tidal volumes typically delivered by the adult BVM are often higher than recommended for lung-protective ventilation protocols. In this study we measure and compare the ventilation parameters delivered by the adult and pediatric BVM ventilators.

Westjem Read More

The Emergency Medicine Group Standardized Letter of Evaluation as a Workplace-based Assessment: The Validity Is in the Detail

Love, MD, et al.

Interest is growing in specialty-specific assessments of student candidates based on clinical clerkship performance to assist in the selection process for postgraduate training. The most established and extensively used is the emergency medicine (EM) Standardized Letter of Evaluation (SLOE), serving as a substitute for the letter of recommendation.

Westjem Read More

Addressing Challenges in Obtaining Emergency Medicine Away Rotations and Standardized Letters of Evaluation Due to COVID-19 Pandemic

Katirji, MD, et al.

With the unpredictable future of the coronavirus disease 2019 (COVID-19) pandemic, institutions have begun altering the clinical experience for students and instituting travel bans for both their faculty and students.1 On March 17, 2020, a joint recommendation from the Association of American Medical Colleges and the Liaison Committee on Medical Education was issued, which supported suspending clinical activities for medical students for a two-week minimum

Westjem Read More

Definitive Airway Management of Patients with a King Laryngeal Tube™ in Place in the COVID-19 Pandemic

Sandefur, MD, et al.

The COVID-19 pandemic has generated enhanced focus on the safety of healthcare providers and efforts to mitigate the risks of viral transmission.1 Reports of previous viral epidemics have described substantially increased risk to providers performing laryngoscopy and tracheal intubation in patients infected with the virus.

Westjem Read More

Keeping the Fire House Running: A Proposed Approach to Mitigate Spread of COVID-19 Among Public Safety Personnel

Katzer, MD, et al.

Across the world, efforts are underway to contain the spread and mitigate the impact of COVID-19. These include social distancing efforts such as working from home and meeting via teleconferences.8 The nature of public safety both necessitates that first-responder personnel be present at the station and requires vigilance to keep them healthy to provide essential services to the community. As a result, the fire station represents a front line in the COVID-19 mitigation efforts.

Westjem Read More

Retrospective Analysis of Emergency Medical Services (EMS) Physician Medical Control Calls

Rai, MD, et al.

The primary goal of this study was to describe the quantity of and reasons for calls for medical direction. We also sought to determine time diverted from emergency physicians due to OLMD. Finally, we hoped to identify any areas for potential improvement or additional training opportunities for EMS providers.

Westjem Read More

Variations in the California Emergency Medical Services Response to Opioid Use Disorder

Glober, MD, et al.

Most research on drug use occurs in clinics or hospitals; few studies have evaluated the impact of opioid use on emergency medical services (EMS) or the EMS response to opioid use disorder (OUD). This study describes the perceived burden of disease, data collection, and interventions in California local EMS agencies (LEMSA).

Westjem Read More

Retrospective Study of Midazolam Protocol for Prehospital Behavioral Emergencies

Huebinger, MD, et al.

We describe our experience treating patients with midazolam for behavioral emergencies in a large urban EMS system. We hypothesized that using midazolam for acute agitation leads to improved clinical conditions without causing significant clinical deterioration.

Westjem Read More
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Mission Statement

WestJEM focuses on how the systems and delivery of emergency care affects health, health disparities, and health outcomes in communities and populations worldwide, including the impact of social conditions on the composition of patients seeking care in emergency departments. 

Journal Scope & Impact

> WestJEM ranked 14th of 31 Journals in 2020 Clarivate's (Formerly Thompson Reuters) Expanded Index

> WestJEM ranked 16th of 87 Journals on 2020 Scimago Ranking (Cites/Doc; 2 years)

Press Releases

April 12, 2021
WestJEM is very happy to welcome Dr. Dan Mayer to our Editorial Board!

April 3, 2021
WestJEM is very happy to welcome Dr. Patrick Joseph Maher to our Editorial Board!

 



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  • Most Cited

    • The Psychopharmacology of Agitation: Consensus Statement of the American Association for Emergency Psychiatry Project BETA Psychopharmacology Workgroup
    • Validation of the Social Security Death Index (SSDI): An Important Readily-Available Outcomes Database for Researchers
    • Second Impact Syndrome
    • Combining Ketamine and Propofol (“Ketofol”) for Emergency Department Procedural Sedation and Analgesia: A Review
    • High School Students’ Perceptions of Motivations for Cyberbullying: An Exploratory Study
  • Most Read Posts

    • Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup
    • A Case of Complicated Urinary Tract Infection: Klebsiella pneumoniae Emphysematous Cystitis Presenting as Abdominal Pain in the Emergency Department
    • The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes
    • Fluoxetine Overdose-Induced Seizure
    • Fatal Metformin Overdose Presenting with Progressive Hyperglycemia

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

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

CPC-EM
ISSN: 2474-252X

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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.


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