CPC-EM: Volume 1 Issue 3

29-year-old Woman with Dyspnea

England, MD, et al.

A 29-year-old female presented to the emergency department (ED) with a chief complaint of worsening dyspnea over the prior three weeks. Her shortness of breath was exacerbated by exertion and lying down. It was also worse at night.

Read More

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.

Read More

Takotsubo Cardiomyopathy Presenting as Wellens’ Syndrome

Taylor, DO, et al.

The authors report a case of a patient presenting with ECG findings consistent with Wellens’ syndrome that was later found to have Takotsubo cardiomyopathy with angiographically normal coronary arteries on cardiac catheterization after a seizure.

Read More

Life-threatening Vesicular Bronchial Injury Requiring Veno-venous Extracorporeal Membrane Oxygenation Rescue in an Electronic Nicotine Delivery System User

Carter, DO, et al.

In this case a 35-year-old female presented to the emergency department with sudden-onset dyspnea. She denied current tobacco smoking, but she was a user of ENDS. When bronchoscopy was performed, an extensive pattern of suspected chemical injury was noted in her airways. She required transfer to a tertiary center where she required extracorporeal membranous oxygenation.

Read More

Testicular Rupture: A Tough Nut to Crack

Holliday, MD, et al.

We describe a case where an EP used scrotal POCUS to immediately visualize the loss of testicular contour and underlying heterogeneous parenchyma to rapidly make the diagnosis of testicular rupture in a young male presenting with scrotal trauma.

Read More

Cervical Artery Dissection and Choosing Appropriate Therapy

Lau, MD, et al.

We present a case of a previously healthy male who was found to have a cervical internal carotid artery dissection and the decision to use antiplatelet therapy instead of anticoagulation to prevent stroke. Data is lacking regarding the efficacy of one therapy over the other.

Read More

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.

Read More

A Case of Erythema Nodosum with Coccidioidomycosis

Said, BS, et al.

Erythema nodosum (EN) is associated with many systemic diseases and infections. This case report provides an image of erythematous nodules, an overview of the various causes of EN, and the laboratory tests and imaging that can be done in the emergency department to narrow its broad differential diagnosis.

Read More

Paratracheal Cysts

Mohebbi, MD, et al.

A 38-year-old male with no significant past medical history presented to the emergency department with pain and swelling on the left mandibular area and the right upper quadrant of the abdomen after a reported assault in which he was punched in the face and kicked in the right chest wall during a fight at a bar.

Read More

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


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

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.