Archives

Bilateral Inferior Shoulder Dislocation

Volume 16, Issue 1, January 2015
Erica Cacioppo, MD et al.

A 42-year-old male with a history of multiple shoulder dislocations presented to the emergency department via emergency medical services with both arms locked above his head, stating that he had been jumped at a bar and had since been unable to move his arms.

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Acute Idiopathic Compartment Syndrome of the Forearm in an Adolescent

Volume 16, Issue 1, January 2015
Kelley Smith, MD et al.

Acute compartment syndrome (ACS) is a condition typically associated with long bone fractures or severe trauma; however, non-traumatic etiologies also occur. We describe a case of an otherwise healthy female pediatric patient presenting with unilateral forearm pain without an inciting injury.

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Necrotizing Fasciitis Caused by Hypermucoviscous Klebsiella pneumoniae in a Filipino Female in North America

Volume 16, Issue 1, January 2015
Daniel Ng, MD et al.

Necrotizing fasciitis caused by Klebsiella pneumoniae has been described in Southeast Asia, but has only recently begun to emerge in North America. The hypermucoviscous strain of K. pneumoniae is a particularly virulent strain known to cause devastatingly invasive infections, including necrotizing fasciitis.

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Achilles Tendon Rupture

Volume 16, Issue 1, January 2015
Sean P. Stickles, MD et al.

A 60-year-old man presented to the emergency department complaining of acute onset posterior ankle pain. He reported playing tennis earlier in the afternoon when he suddenly stopped and pivoted, noting a “pop” sensation and pain to the right posterior ankle.

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Hemi Orolingual Angioedema After tPA administration for Acute Ischemic Stroke

Volume 16, Issue 1, January 2015
Bryan Madden, MD et al.

As studies continue to demonstrate the efficacy of intravenous tissue plasminogen activator (tPA) in acute ischemic stroke, the exclusion criteria continue to narrow, and the time-window continues to increase. The most dreaded adverse effect of tPA, hemorrhagic conversion of an ischemic stroke, is well known and well published.

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Herpes Zoster Ophthalmicus Extending to the Palate

Volume 16, Issue 1, January 2015
Todd Schneberk, MD, MA et al.

A 57-year-old female presented to the emergency department with left sided facial rash with associated pain, blurred vision and oral discomfort. Past medical history included hypertension, and remote scleroderma (untreated).

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Persistent Pain After Lithotripsy

Volume 16, Issue 1, January 2015
Ellen Jones, MD et al.

A 36-year old man presents to the emergency room five days after undergoing extracorporeal shock wave lithotripsy (ESWL) for a symptomatic 11mm left renal pelvis stone. The patient has persistent symptoms of severe left flank pain at presentation.

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Survival from Cervical Necrotizing Fasciitis

Volume 16, Issue 1, January 2015
Jeniffer S. Gausepohl, MD et al.

A 59-year-old Caucasian man with past medical history significant for hypertension and hyperlipidemia presented to the emergency department with a four-day history of increasing throat pain and bilateral neck swelling. Associated symptoms included voice hoarseness, shortness of breath, dysphagia, and odynophagia.

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Half-dose Alteplase for Sub-massive Pulmonary Embolism Directed by Emergency Department Point-of-care Ultrasound

Volume 16, Issue 1, January 2015
Richard Amini, MD et al.

This report describes a patient with sub-massive pulmonary embolism (PE) who was successfully treated with half-dose thrombolytics guided by the use of point-of-care (POC) ultrasound. In this case, POC ultrasound was the only possible imaging since computed tomography was contraindicated.

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Improving Door-to-balloon Time by Decreasing Door-to-ECG time for Walk-in STEMI Patients

Volume 16, Issue 1, January 2015
Christopher J. Coyne, MD et al.

The American Heart Association/American College of Cardiology guidelines recommend rapid door-to-electrocardiography (ECG) times for patients with ST-segment elevation myocardial infarction (STEMI). Previous quality improvement research at our institution revealed that we were not meeting this benchmark for walk-in STEMI patients.

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Discourse in Emergency Medicine and Population Health

Reply to Comments Regarding “Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department”

Volume 16, Issue 1, January 2015
Benjamin A. White, MD et al.

We very much appreciate the interest of our colleagues in this important topic, one that has yet to fully mature in the pantheon of emergency medicine literature. We also recognize and noted in our manuscript that the single-site nature of our work is a limitation. However, we disagree that this limitation makes scientific exploration and publication of this nature a fruitless endeavor as implied.

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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.