Volume 15, Issue 7, November 2014
Mian Adnan Waheed, MD et al.
Propofol is frequently used in the emergency department to provide procedural sedation for patients undergoing various procedures and is considered to be safe when administered by trained personnel.
Volume 15, Issue 7, November 2014
Kenneth S. Whitlow, DO et al.
High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen in patients who ascend over 2,500 meters, particularly if that ascent is rapid.
Volume 15, Issue 7, November 2014
Daniel J. Shogilev, MD et al.
cute appendicitis is the most common abdominal emergency requiring emergency surgery. However, the diagnosis is often challenging and the decision to operate, observe or further work-up a patient is often unclear.
Volume 15, Issue 7, November 2014
Chris Cruz, MD, et al.
A 26-year old man presented to the emergency department for two months of worsening right hip and thigh pain. He complained of radicular pain from his buttocks to his calf and has difficulty bearing weight on his right leg. He denies a history of trauma, fever, prior surgery, or arthritis. In addition, he was being evaluated by a gastroenterologist for recurrent diarrhea. In the middle of his encounter, the radiologist called to discuss a result of his computed tomography (CT) performed three days prior. CT images showed inflamed loops of bowel involving the distal ileum and rectum. A fistula is seen from the rectum, extending into the distal ileal loop and the posterior pelvis (Figures 1 and 2). An abscess was found between the piriformis and gluteus medius. He was admitted for intravenous antibiotic therapy, including a consultation with general surgery for Chrohn’s Disease (CD). He responded well to antibiotics and was discharged six days later.
Volume 15, Issue 7, November 2014
Joseph McCarthy, DO et al.
A 52-year-old male presented to the emergency department with chest pain, shortness of breath and hemoptysis that had been worsening over the past two days.
Volume 15, Issue 7, November 2014
Scott Sullivan, MD et al.
A 10 year-old male presented to the ED with knee pain after falling off his bicycle. He landed on his flexed knee with an audible “pop.” He could not extend his knee or walk. Physical examination revealed an effusion and high riding patella with a palpable inferior pole defect. He was neurovascularly intact, and the remaining examination of his lower extremity was unremarkable.
Volume 15, Issue 7, November 2014
John Ashurst, DO et al.
A 77 year-old woman presented with a one day history of central chest pressure that radiated to the neck and right upper extremity. She had a history of hypertension and chronic obstruction pulmonary disease.
Volume 15, Issue 7, November 2014
Brent Felton, DO et al.
A 57-year-old male with a history of diabetes mellitus, hepatitis C, and intravenous drug abuse presented to the emergency department complaining of abdominal pain of three months duration that had worsened in the week prior to presentation.
Volume 15, Issue 7, November 2014
Kristin Berona, MD et al.
A 76-year-old female with a history of Parkinson’s, dementia, and hypertension presented to the emergency department with non-bilious, non-bloody vomiting and abdominal pain for 2 days.
Volume 15, Issue 7, November 2014
Christina L. Bourne, MD et al.
Documentation and billing for laceration repair involves a description of wound length. We designed this study to test the hypothesis that emergency department (ED) personnel can accurately estimate wound lengths without the aid of a measuring device.
Volume 15, Issue 7, November 2014
Michael W. Manning, MS et al.
A 63-year-old female presented to the emergency department with complaints of her “heart beating out of my chest,” palpitations, and shortness of breath. She was three months postoperative a #23 Edwards Sapien Transapical Aortic Valve Replacement (TAVR).
Volume 15, Issue 7, November 2014
Steven G. Schauer, DO et al.
A 55-year-old female presented to the emergency department at a small community hospital with cough, fever, dyspnea and blood-streaked sputum. A chest radiograph was ordered.
VOlume 15, Issue 7, November 2014
Michelino Mancini, DO et al.
Medical Identity theft in the emergency department (ED) can harm numerous individuals, and many frontline healthcare providers are unaware of this growing concern. The two cases described began as typical ED encounters until red flags were discovered upon validating the patient’s identity.
Volume 15, Issue 7, November 2014
Bret A. Nicks, MD, MHA et al.
Emergency department (ED) crowding negatively impacts patient care quality and efficiency. To reduce crowding many EDs use a physician-in-triage (PIT) process.
Volume 15, Issue 7, November 2014
Sean M Baskin, MA et al.
Both the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA) require core faculty to engage in scholarly work, including publication in peer-reviewed journals.
Volume 15, Issue 7, November 2014
Erik S. Anderson, MD et al.
Our objective was to assess the efficacy of ultrasound-guided hip injections performed by emergency physicians (EPs) for the treatment of chronic hip pain in an outpatient clinic setting.
Volume 15, Issue 7, November 2014
John C. Sakles, MD 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). We aimed to determine if the research supports this conclusion by conducting a systematic review.
Volume 15, Issue 7, November 2014
Robert J. Katzer, MD, MBA et al.
In-flight medical emergencies on commercial aircraft are common in both domestic and international flights. We hypothesized that fourth-year medical students feel inadequately prepared to lend assistance during in-flight medical emergencies. This multicenter study of two U.S. medical schools obtains a baseline assessment of knowledge and confidence in managing in-flight medical emergencies.
Volume 15, Issue 7, November 2014
Jeff Riddell, MD, et al.
In Reply:
We thank the authors of the letter for their insightful comments.
There were 98 patients with bedside US evidence of hydronephrosis and 11 patients with evidence of a stone. Only one patient with US evidence of stone had no hydronephrosis. The total number of patients with emergency department (ED) bedside US evidence of stone was 99. This correct number is consistent with Table 4.
