Volume 15 Issue 7

Old Man with Groin Bruising

Volume 15, Issue 7, November 2015
Basak Bayram, MD et al.

A 67-year-old man presented to the emergency department with abdominal pain and groin bruising. He had no history of any disease or drug use.

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Hip Pain Secondary to Small Bowel Fistula to Pelvis

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.

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Intragastic Balloon Rupture

Volume 15, Issue 7, November 2014
George Lim, MD et al.

A 38 year old obese female presented to the emergency department with 1 hour of nausea and blue colored urine.

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Patellar Sleeve Fracture

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.

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Egg Shell Sign: Rare Finding in Acute Aortic Dissection

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.

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Estimation of Laceration Length by Emergency Department Personnel

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.

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Post Transapical Aortic Valve Replacement (TAVR) Pseudoaneurysm

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).

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Middle Cerebral Artery Arrow Sign

Volume 15, Issue 7, November 2014
Zachary D. Levy, MD et al.

A 54-year-old woman presented to the emergency department with sudden onset severe headache, nausea and vomiting upon waking that morning.

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A Woman with Dyspnea and Hemoptysis

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.

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Medical Identity Theft in the Emergency Department: Awareness is Crucial

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.

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Learning Curves for Direct Laryngoscopy and GlideScope® Video Laryngoscopy in an Emergency Medicine Residency

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.

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Management of In-Flight Medical Emergencies: Are Senior Medical Students Prepared to Respond to this Community Need?

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.

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Reply to Comments Regarding “Sensitivity of Emergency Bedside Ultrasound to Detect Hydronephrosis in Patients with Computed Tomography-proven Stones”

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.

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Contact Information

WestJEM/ Department of Emergency Medicine
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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

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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.