Archives

Chagas Disease-induced Sudden Cardiac Arrest

Neeki, DO, et al.

Sudden cardiac death (SCD) is the most common cause of death in patients with Chagas disease (ChD). There are over 300,000 ChD-infected individuals living in the United States, of whom 10–15% have undiagnosed Chagas cardiomyopathy (CCM).

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An Atypical Case of Warfarin-Induced Skin Necrosis

Sklar, MD, et al.

Skin necrosis is a relatively rare, potentially fatal side effect of warfarin. It is most commonly reported within 10 days of initiation of therapy in warfarin-naïve patients. We report an atypical case of warfarin-induced skin necrosis upon recommencement of warfarin in a non-naïve warfarin patient.

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Pacing-induced Cardiomyopathy

Koo, MD, et al.

We present a case of pacing-induced cardiomyopathy. The patient presented with clinical symptoms of dyspnea, leg swelling, and orthopnea several months after a dual-chambered pacemaker was placed for third-degree heart block.

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Traumatic Facial Nerve Palsy

Derksen, MD, et al.

A two-year-old female presented to the emergency department with facial lacerations after an attack by the family canine (Boxer breed).

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A Toddler with Spontaneous Pneumomediastinum

Chow, MD, et al.

An 18-month-old female with unremarkable birth history presented to the emergency department (ED) for drooling and “difficulty breathing.” She had three days of cough and rhinorrhea, but otherwise no reports of fever, vomiting, trauma, foreign-body ingestion or aspiration. Her vaccinations were up to date.

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Female with Abdominal Wall Mass

Koo, MD, et al.

A 32-year-old female with a past surgical history of a low transverse Cesarean section presented to the emergency department with a left lower quadrant abdominal mass and pain.

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Man with Scrotal Rupture

Perechocky, MD, et al.

A 55-year-old male presented to the emergency department (ED) with scrotal pain and swelling. He reported that four months prior, he fell and sustained minor trauma to his scrotum.

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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.