Editorial

Using a Multidisciplinary Approach for a Multi-faceted Public Health Problem

The Emory Center for Injury Control is a multi-university consortium dedicated to studying and preventing unintentional injuries and violence. A major goal of our Center is to transcend academic boundaries and disciplines to connect research to practice. As such, we are focusing our fourth special Western Journal of Emergency Medicine issue on multidisciplinary research.

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Emergency Department Access

Advertising Emergency Department Wait Times

Advertising emergency department (ED) wait times has become a common practice in the United States. Proponents of this practice state that it is a powerful marketing strategy that can help steer patients to the ED. Opponents worry about the risk to the public health that arises from a patient with an emergent condition self-triaging to a further hospital, problems with inaccuracy and lack of standard definition of the reported time, and directing lower acuity patients to the higher cost ED setting instead to primary care.

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Sports Medicine for Emergency Medicine Physicians, Too Few to Maintain the Fellowship in Emergency Medicine

Sports medicine (SM) is a clinical subspecialty concerned with the diagnosis and treatment of injuries and illnesses sustained both in and out of the athletic arena. Historically, orthopedic surgeons provided the bulk of care for the athlete. Since the majority of issues with athletes are nonoperative musculoskeletal injuries, traumatic brain injuries, or general medical conditions, primary care providers have developed…

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Injury Prevention

Healthcare Outcome Disparities in Trauma Care

Author Affiliation Omar K Danner, MD Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia L Ray Matthews, MD Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia Kenneth L Wilson, MD Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia Sheryl L Heron, MD, MPH Department of Emergency Medicine, Emory University School of Medicine, […]

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Addressing Injuries in Vulnerable Populations: Research Collaborations and Partnerships

Author Affiliation Monica H. Swahn, PhD, MPH Georgia State University, Institute of Public Health, Atlanta, GA Abigail Hankin, MD, MPH Emory University, Department of Emergency Medicine, Atlanta, GA Debra Houry, MD, MPH Emory University, Department of Emergency Medicine, Atlanta, GA Injury-related morbidity and mortality disproportionately impact vulnerable groups, including children under the age of 5, […]

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Downwind from the Great Tohoku Earthquake: A Call to Global Action

Author Affiliation Kristi L. Koenig, MD University of California, Irvine, Center for Disaster Medical Sciences, Orange, California Frederick M. Burkle, Jr, MD Harvard School of Public Health, Harvard Humanitarian Initiative, Cambridge, Massachusetts LIMITS OF OUR CAPACITY The last 3 decades have seen a worldwide appreciation for advances in disaster medicine and public health preparedness that […]

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Injury Prevention

Systems Thinking in Injury Prevention: An Innovative Model for Informing State and Local Policies

  Author Affiliation Rachel Ferencik, MPA Georgia State University, Georgia Health Policy Center, Atlanta, GA Karen Minyard, PhD Georgia State University, Georgia Health Policy Center, Atlanta, GA Unintentional and violence-related injuries represent one of the leading causes of morbidity and mortality in the United States and in the state of Georgia. In response to the […]

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Injury Prevention

Using Policy to Strengthen the Reach and Impact of Injury Prevention Efforts

  Author Affiliation Monica H. Swahn, PhD, MPH Georgia State University, Institute of Public Health, Atlanta, GA Abigail Hankin, MD, MPH Emory University, Department of Emergency Medicine, Atlanta, GA Debra Houry, MD, MPH Emory University, Department of Emergency Medicine, Atlanta, GA Injury prevention and control remains a key priority in public health and medicine. Across […]

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Approaching Injury and Violence Prevention through Public Health Policy: A Window of Opportunity to Renew Our Focus

  Author Affiliation Linda C. Degutis, DrPH, MSN Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA As the new leader of the Centers for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control, I am thrilled by the opportunity to comment on the future direction […]

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Great Tool or Gold Standard? B-Type Natriuretic Peptide and Congestive Heart Failure

  Author Affiliation Jeremy Montez, BS, PA-C Keck School of Medicine, University of Southern California Sean Henderson, MD Keck School of Medicine, University of Southern California We would like to thank the contributing authors Manson et al1 for their article “Identification of Sonographic B-Lines with Linear Transducer Predicts Elevated B-Type Natriuretic Peptide Level.” By attempting to […]

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Ultrasound Use and “Overuse”

The U.S. Department of Health and Human Services Office of the Inspector General has issued a report concerning “high use” and “questionable use” ultrasound. Findings include those geographic areas where occurrences are most frequent, as well as the most common elements that characterize questionable use. While not its primary focus, emergency physician performed bedside ultrasound is within the scope of the report. Implications for emergency ultrasound are discussed and practice recommendations made for minimizing regulatory exposure for emergency physicians and departments.

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The Base of the Pyramid

Recently, after 17 eventful and rewarding years at Emory University, I decided it was time for a change. My son was about to graduate from college, and both the injury prevention center and academic department I had founded were flourishing under my successors. With a strong sense of anticipation, my wife and I set out to write a new chapter of our lives in Washington, DC, where I had agreed to join the RAND Corporation as the Paul O’Neill-Alcoa Chair of Policy Analysis.

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Injury Prevention

The Emory Center for Injury Control: Vision and Priorities for Reducing Violence and Injuries through Interdisciplinary Collaborations

  Author Affiliation Debra Houry, MD, MPH Emory University, Atlanta, GA Abigail Hankin, MD, MPH Emory University, Atlanta, GA Monica H. Swahn, PhD Georgia State University, Atlanta GA Injury is the leading cause of death in the United States for persons between the ages of 1 and 441. We see evidence of the scope and […]

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Promoting International Emergency Medicine through WestJEM

  Author Affiliation Mark I. Langdorf, MD, MHPE University of California, Irvine School of Medicine, Department of Emergency Medicine, Orange, CA Francesco Della Corte, MD University of Eastern Piedmont School of Medicine, Department of Anesthesia, Critical Care and Critical Emergency Medicine, Novara, Italy Roberta Petrino, MD St. Andrea Hospital, Department of Emergency Medicine, Vercelli, Italy […]

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Critical Care

International Perspective from Turkey on “Unsuspected Pulmonary Embolism in Observation Unit Patients”

  Author Affiliation Arif Alper Cevik, MD Eskisehir Osmangazi University Medical Center, Department of Emergency Medicine, Turkey Pulmonary embolism (PE) is a challenging diagnosis for emergency physicians because of its non-specific clinical presentation. Although “chest pain” is one of the major symptoms of PE,1 it can be part of other serious diagnoses, such as aortic dissection, […]

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Counter-Point: Are We Really Ordering Too Many CT Scans?

  Author Affiliation David T. Schwartz, MD Associate Professor of Emergency Medicine, New York University School of Medicine In a recent review published in the New England Journal of Medicine, DJ Brenner and EJ Hall, professors of Radiation Biology at Columbia University, analyzed the current trend to increased use of computed tomography (CT) scanning, the attendant […]

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Point: Diagnostic Radiation: Why Aren’t We Stopping (Or at least Slowing Down)?

  Author Affiliation Sean O. Henderson, MD Keck School of Medicine of the University of Southern California Over the past 12 to 18 months I have heard from numerous sources that emergency physicians are using too much diagnostic radiation. The federal government (Biological Effects of Ionizing Radiation VII), the radiology community and several subspecialty groups […]

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The Holy grail, genes and Number Needed to Treat

  Author Affiliation Mel Herbert, MD, MBBS Keck School of Medicine of the University of Southern California In this month’s WestJEM, Henderson and colleagues report on a preliminary study of the genetics of asthma therapy1. It seems like a simple enough piece, short, to the point, preliminary, not earth-shattering, and yet it points to a brave […]

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

3800 W Chapman Ave Ste 3200
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

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.