Volume 16, Issue 1, January 2015
Christopher E. McCoy, MD, MPH et al.
The 25th known outbreak of the Ebola Virus Disease (EVD) is now a global public health emergency and the World Health Organization (WHO) has declared the epidemic to be a Public Health Emergency of International Concern (PHEIC). Since the first cases of the West African epidemic were reported in March 2014, there has been an increase in infection rates of over 13,000% over a 6-month period.
Volume 15, Issue 7, November 2014
Judith E. Tintinalli, MD, MS
Emergency medicine today is very different from emergency medicine of the 1970s, when our practice was limited to the physical confines of the emergency department (ED) and the ambulance.
Volume 15, Issue 7, November 2014
Kristi L. Koenig, MD et al.
Ebola Virus Disease (EVD) has become a public health emergency of international concern. The World Health Organization and Centers for Disease Control and Prevention have developed guidance to educate and inform healthcare workers and travelers worldwide.
Volume 15, Issue 7, November 2014
David E. Hogan, DO, MPH et al.
The triage of patients during a mass casualty – disaster (MCD) event presents the emergency healthcare provider with a complex and difficult issue. The task of evaluating casualties rapidly, using primarily the skills of physical examination, while still accurately identifying casualties likely to have critical injury or illness, may be impossible to achieve in practice.
Volume 15, Issue 7, November 2014
Ling Tiah, MBBS, MPH et al.
Endotracheal intubation (ETI) is currently considered superior to supraglottic airway devices (SGA) for survival and other outcomes among adults with non-traumatic out-of-hospital cardiac arrest (OHCA).
Volume 15, Issue 7, November 2014
Kenneth A. Scheppke, MD et al.
Violent and agitated patients pose a serious challenge for emergency medical services (EMS) personnel. Rapid control of these patients is paramount to successful prehospital evaluation and also for the safety of both the patient and crew.
Volume 15, Issue 7, November 2014
Carl H. Schultz, MD
Providing acute medical care to severely agitated patients in the pre-hospital setting is a significant challenge. These patients often pose a serious safety threat to themselves and emergency medical services (EMS) providers.
Volume 15, Issue 7, November 2014
Bryn E. Mumma, MD, MAS et al.
The American Heart Association (AHA) recommends regionalized care following out-of-hospital cardiac arrest (OHCA) at cardiac resuscitation centers (CRCs).
Volume 15, Issue 7, November 2014
Benjamin A. White, MD et al.
While emergency department (ED) crowding has myriad causes and negative downstream effects, applying systems engineering science and targeting throughput remains a potential solution to increase functional capacity. However, the most effective techniques for broad application in the ED remain unclear.
Volume 15, Issue 7, November 2014
Thomas Seibert, MD, MS et al.
This study examines the emergency department (ED) waiting room (WR) population’s knowledge about the ED process and hospital function and explores the types of educational materials that might appeal to patients and their companions in an ED waiting room.
Volume 15, Issue 7, November 2014
Steven H. Saef, MD, MSCR et al.
Use clinician perceptions to estimate the impact of a health information exchange (HIE) on emergency department (ED) care at four major hospital systems (HS) within a region.
Volume 15, Issue 7, November 2014
Richard M. Nowak, MD et al.
Noninvasive hemodynamic (HD) assessments in the emergency department (ED) might assist in the diagnosis, therapeutic plan development and risk stratification of acutely ill patients.
Volume 15, Issue 7, November 2014
Amanda Clauson, MD et al.
A 49-year-old man presented to the emergency department (ED) with shoulder pain after intramuscular injection of heroin into his right deltoid muscle. Point-of-care (POC) ultrasound identified a subdeltoid abscess, and ultrasound-guided aspiration of the fluid collection was performed.
Volume 15, Issue 7, November 2015
Edward P. Sloan, MD, MPH et al.
To assess the ability of the shock index (SI) to predict 28-day mortality in traumatic hemorrhagic shock patients treated in the diaspirin cross-linked hemoglobin (DCLHb) resuscitation clinical trials.
Volume 15, Issue 7, November 2015
Jeffrey M. Goodloe, MD et al.
The U.S. national out-of-hospital and in-hospital cardiac arrest survival rates, although improving recently, have remained suboptimal despite the collective efforts of individuals, communities, and professional societies.
Volume 15, Issue 7, November 2014
Samuel H.F. Lam, MD et al.
Appendicitis is a common condition presenting to the emergency department (ED). Increasingly emergency physicians (EP) are using bedside ultrasound (BUS) as an adjunct diagnostic tool.
Volume 15, Issue 7, November 2014
Jeffrey L. Wiswell, MD et al.
A 33 year-old female presented to the emergency department (ED) with of two weeks of diffuse abdominal pain, right flank pain, and a slowly enlarging right inguinal mass.
Volume 15, Issue 7, November 2014
Christine Riguzzi, MD et al.
Abdominal angioedema is a less recognized type of angioedema, which can occur in patients with hereditary angioedema (HAE). The clinical signs may range from subtle, diffuse abdominal pain and nausea, to overt peritonitis.
Volume 15, Issue 7, November 2014
Catherine S. Erickson, MD et al.
Our primary objective was to describe the time to vessel penetration and difficulty of long-axis and short-axis approaches for ultrasound-guided small vessel penetration in novice sonographers experienced with landmark-based small vessel penetration.
Volume 15, Issue 7, November 2014
Katherine R. Harter, MD, MPH et al.
We report the case of a 33-year-old woman returning from Haiti, presenting to our emergency department (ED) with fever, rash and arthralgia. Following a broad workup that included laboratory testing for dengue and malaria, our patient was diagnosed with Chikungunya virus, which was then reported to the Centers for Disease Control and Prevention for initiation of infection control.
Volume 15, Issue 7, November 2014
Marissa Camilon, MD et al.
A 51-year-old woman with Hepatitis C was referred to the emergency department (ED) for “massive ascites.” She reported increasing abdominal girth for six months with intermittent abdominal pain. An outpatient ultrasound performed two weeks prior to ED presentation was interpreted by a radiologist as “massive ascites, no masses within the abdomen” on the paper report the patient brought with her. In the ED, the patient was afebrile with normal vital signs. Her abdomen was distended with mild right upper quadrant tenderness.
Volume 15, Issue 7, November 2014
Michael Gottlieb, et al.
Recent research has investigated the use of ultrasound (US) for confirming endotracheal tube (ETT) placement with varying techniques, accuracies, and challenges. Our objective was to evaluate the accuracy of a novel, simplified, four-step (4S) technique.
Volume 15, Issue 7, November 2014
Paul J. Myers, DO, et al.
Sydenham Chorea (SC) is an acute rheumatic fever complication. SC is the most common acquired childhood chorea, usually affecting children five to fifteen years of age.1 It occurs following an untreated group A streptococcal infection and a latent period of one to six months.1,2 Despite rheumatic fever diminishing, 18% to 36% of acute rheumatic fever patients develop SC.3 Full recovery often takes several months; some patients suffer permanent neurologic sequelae.1
An 11-year old male presented to the Emergency Department with two days of uncontrolled body twitching. The movements affected his right arm and leg, with occasional lip twitches; he experienced intermittent confusion and hyperactivity. The patient denied recent illness, but recalled a fever with headache and vomiting several months prior. Besides the above findings, his physical examination was normal.
