{"status":"ok","elements":" <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/from-the-editors-future-directions-to-strengthen-the-emergency-department-safety-net.html\">From the Editors &ndash; Future Directions to Strengthen the Emergency Department Safety Net<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <p>Author Affiliation Rama A. Salhi, MD, MHS, MSc Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts Wendy L. Macias-Konstantopoulos, MD, MPH, MBA Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts Caitlin R. Ryus, MD, MPH Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut &nbsp; Emergency medicine as a specialty prides [&hellip;]<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/mixed-methods-evaluation-of-an-expedited-partner-therapy-take-home-medication-program-pilot-emergency-department-intervention-to-improve-sexual-health-equity.html\">Mixed-methods Evaluation of an Expedited Partner Therapy Take-home Medication Program: Pilot Emergency Department Intervention to Improve Sexual Health Equity<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59506'  style='float: right; ' ><\/div><p>Emily E. Ager, MD, MPH<\/p>\n<p>Treatment for partners of patients diagnosed with sexually transmitted infections (STI), referred to as expedited partner therapy (EPT), is infrequently used in the emergency department (ED). This was a pilot program to initiate and evaluate EPT through medication-in-hand (\u201ctake-home\u201d) kits or paper prescriptions. In this study we aimed to assess the frequency of EPT prescribing, the efficacy of a randomized best practice advisory (BPA) on the uptake, perceptions of emergency clinicians regarding the EPT pilot, and factors associated with EPT prescribing.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/exploring-muslim-womens-reproductive-health-needs-and-preferences-in-the-emergency-department.html\">Exploring Muslim Women&rsquo;s Reproductive Health Needs and Preferences in the Emergency Department<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.58942'  style='float: right; ' ><\/div><p>Anum Naseem, MD<\/p>\n<p>We explored individual Muslim women\u2019s reproductive healthcare experiences, preferences, beliefs, and behaviors in the emergency department (ED) and in general.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/sexual-assault-nurse-examiners-lead-to-improved-uptake-of-services-a-cross-sectional-study.html\">Sexual Assault Nurse Examiners Lead to Improved Uptake of Services: A Cross-Sectional Study<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59514'  style='float: right; ' ><\/div><p>Meredith Hollender, MPP<\/p>\n<p>Sexual Assault Nurse Examiners (SANE), who are trained to provide comprehensive and compassionate specialty care to sexual assault survivors, are increasingly used in the emergency department (ED), but there is little published literature to support their benefit. In this study we aimed to compare services offered and received by sexual assault survivors in the ED when care was provided by a SANE vs those with traditional care teams, hypothesizing that SANE utilization will be associated with improved uptake of recommended services.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/factors-associated-with-overutilization-of-computed-tomography-of-the-cervical-spine.html\">Factors Associated with Overutilization of Computed Tomography of the Cervical Spine<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.58948'  style='float: right; ' ><\/div><p>Karl T. Chamberlin, MD<\/p>\n<p>Despite the wide availability of clinical decision rules for imaging of the cervical spine after a traumatic injury (eg, NEXUS C-spine rule and Canadian C-spine rule), there is significant overutilization of computed tomography (CT) imaging in patients who are deemed to be at low risk for a clinically significant cervical spine injury by these clinical decision rules. The purpose of this study was to identify the major factors associated with the overuse of CT cervical spine imaging using a logistic regression model.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/expanding-diabetes-screening-to-identify-undiagnosed-cases-among-emergency-department-patients.html\">Expanding Diabetes Screening to Identify Undiagnosed Cases Among Emergency Department Patients<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59957'  style='float: right; ' ><\/div><p>David C. Lee, MD, MS<\/p>\n<p>Diabetes screening traditionally occurs in primary care settings, but many who are at high risk face barriers to accessing care and therefore delays in diagnosis and treatment. These same high-risk patients do frequently visit emergency departments (ED) and, therefore, might benefit from screening at that time. Our objective in this study was to analyze one year of results from a multisite, ED-based diabetes screening program.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/comparison-of-pediatric-acute-appendicitis-before-and-during-the-covid-19-pandemic-in-new-york-city.html\">Comparison of Pediatric Acute Appendicitis Before and During the COVID-19 Pandemic in New York City<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59393'  style='float: right; ' ><\/div><p>Priya Mallikarjuna, MD<\/p>\n<p> Acute appendicitis (AA) is the most common abdominal surgical emergency in children and adolescents. In the year immediately following the declaration of the coronavirus disease 2019 (COVID-19) pandemic by the World Health Organization (WHO), there was a precipitous decline in emergency department (ED) visits especially for surgical conditions and infectious diseases. Fear of exposure to severe acute respiratory coronavirus 2 infection resulted in delay in presentation and time to surgery, and a shift toward more conservative management.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/influence-of-body-mass-index-on-the-evaluation-and-management-of-pediatric-abdominal-pain-in-the-emergency-department.html\">Influence of Body Mass Index on the Evaluation and Management of Pediatric Abdominal Pain in the Emergency Department<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59287'  style='float: right; ' ><\/div><p>Carly A. Theiler, MD<\/p>\n<p>Childhood obesity is a serious concern in the United States, with over one third of the pediatric population classified as obese. Abdominal pain is one of the most common chief complaints among pediatric emergency department (ED) visits. We hypothesized that overweight and obese children being evaluated in the ED for abdominal pain would have higher resource utilization than their normal and underweight peers.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/treatment-of-factor-xa-inhibitor-associated-bleeding-with-andexanet-alfa-or-4-factor-pcc-a-multicenter-feasibility-retrospective-study.html\">Treatment of Factor-Xa Inhibitor-associated Bleeding with Andexanet Alfa or 4 Factor PCC: A Multicenter Feasibility Retrospective Study<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.60587'  style='float: right; ' ><\/div><p>Adam J. Singer, MD<\/p>\n<p>There are no randomized trials comparing andexanet alfa and 4 factor prothrombin complex concentrate (4F-PCC) for the treatment of factor Xa inhibitor (FXa-I)-associated bleeds, and observational studies lack important patient characteristics. We pursued this study to demonstrate the feasibility of acquiring relevant patient characteristics from electronic health records. Secondarily, we explored outcomes in patients with life-threatening FXa-I associated bleeds after adjusting for these variables.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/a-shorter-door-in-door-out-time-is-associated-with-improved-outcome-in-large-vessel-occlusion-stroke.html\">A Shorter Door-In-Door-Out Time Is Associated with Improved Outcome in Large Vessel Occlusion Stroke<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.58946'  style='float: right; ' ><\/div><p>Adam Sigal, MD<\/p>\n<p>Endovascular thrombectomy (EVT) significantly improves outcomes in large vessel occlusion stroke (LVOS). When a patient with a LVOS arrives at a hospital that does not perform EVT, emergent transfer to an endovascular stroke center (ESC) is required. Our objective was to determine the association between door-in-door-out time (DIDO) and 90-day outcomes in patients undergoing EVT.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/charcot-neuroarthropathy-of-the-foot-and-ankle-in-the-acute-setting-an-illustrative-case-report-and-targeted-review.html\">Charcot Neuroarthropathy of the Foot and Ankle in the Acute Setting: An Illustrative Case Report and Targeted Review<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59833'  style='float: right; ' ><\/div><p>Kian Bagheri, BA<\/p>\n<p>Charcot neuroarthropathy (CN) is a rare but serious sequela of diabetes and other diseases that cause peripheral neuropathy. It is most commonly characterized by degeneration of the foot and\/or ankle joints leading to progressive deformity and altered weight-bearing. If left untreated, the deformities of CN lead to ulceration, infection, amputation, and even death. Because of the associated peripheral neuropathy and proprioception deficits that accompany CN, patients typically do not perceive the onset of joint destruction. Moreover, in the hands of the untrained clinician, the initial presentation of CN can easily be mistaken for infection, osteoarthritis, gout, or inflammatory arthropathy. Misdiagnosis can lead to the aforementioned serious sequelae of CN. Thus, an early accurate diagnosis and off-loading of the involved extremity, followed by prompt referral to a specialist trained in the care of CN are crucial to prevent the late-term sequelae of the disease. The purpose of this article was to create an opportunity for enhanced understanding between orthopedic surgeons and emergency physicians, to improve patient care through the optimization of diagnosis and early management of CN in the emergent setting.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/race-healthcare-and-health-disparities-a-critical-review-and-recommendations-for-advancing-health-equity.html\">Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.58408'  style='float: right; ' ><\/div><p>Wendy L. Macias-Konstantopoulos, MD, MPH, MBA<\/p>\n<p>An overwhelming body of evidence points to an inextricable link between race and health disparities in the United States. Although race is best understood as a social construct, its role in health outcomes has historically been attributed to increasingly debunked theories of underlying biological and genetic differences across races. Recently, growing calls for health equity and social justice have raised awareness of the impact of implicit bias and structural racism on social determinants of health, healthcare quality, and ultimately, health outcomes. This more nuanced recognition of the role of race in health disparities has, in turn, facilitated introspective racial disparities research, root cause analyses, and changes in practice within the medical community. Examining the complex interplay between race, social determinants of health, and health outcomes allows systems of health to create mechanisms for checks and balances that mitigate unfair and avoidable health inequalities.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/emergency-department-use-among-recently-homeless-adults-in-a-nationally-representative-sample.html\">Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59054'  style='float: right; ' ><\/div><p>Caitlin Ryus, MD, MPH<\/p>\n<p>In this study we examined the association of homelessness and emergency department (ED) use, considering social, medical, and mental health factors associated with both homelessness and ED use. We hypothesized that social disadvantage alone could account for most of the association between ED use and homelessness.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/racial-differences-in-triage-for-emergency-department-patients-with-subjective-chief-complaints.html\">Racial Differences in Triage for Emergency Department Patients with Subjective Chief Complaints<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59044'  style='float: right; ' ><\/div><p>Cassandra Peitzman, MD, PhD, MPH<\/p>\n<p>Black and Hispanic patients are frequently assigned lower acuity triage scores than White patients. This can lead to longer wait times, less aggressive care, and worse outcomes. In this study we aimed to determine whether these effects are more pronounced for patients with subjective complaints.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/social-determinants-of-health-in-ems-records-a-mixed-methods-analysis-using-natural-language-processing-and-qualitative-content-analysis.html\">Social Determinants of Health in EMS Records: A Mixed-methods Analysis Using Natural Language Processing and Qualitative Content Analysis<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59070'  style='float: right; ' ><\/div><p>Susan J. Burnett, MS, EMT-P<\/p>\n<p>Social determinants of health (SDoH) are known to impact the health and well-being of patients. However, information regarding them is not always collected in healthcare interactions, and healthcare professionals are not always well-trained or equipped to address them. Emergency medical services (EMS) professionals are uniquely positioned to observe and attend to SDoH because of their presence in patients\u2019 environments; however, the transmission of that information may be lost during transitions of care. Documentation of SDoH in EMS records may be helpful in identifying and addressing patients\u2019 insecurities and improving their health outcomes. Our objective in this study was to determine the presence of SDoH information in adult EMS records and understand how such information is referenced, appraised, and linked to other determinants by EMS personnel.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/prehospital-msofa-score-for-quick-prediction-of-life-saving-interventions-and-mortality-in-trauma-patients-a-prospective-multicenter-ambulance-based-cohort-study.html\">Prehospital mSOFA Score for Quick Prediction of Life-Saving Interventions and Mortality in Trauma Patients: A Prospective, Multicenter, Ambulance-based, Cohort Study<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/westjem.59048'  style='float: right; ' ><\/div><p>Francisco Martn-Rodrguez, PhD<\/p>\n<p>Prehospital emergency medical services (EMS) are the main gateway for trauma patients. Recent advances in point-of-care testing and the development of early warning scores have allowed EMS to improve patient classification. We aimed to identify patients presenting with major trauma involving life-saving interventions (LSI) using the modified Sequential Organ Failure Assessment (mSOFA) score in the prehospital scenario, and to compare these results with those of other trauma scores.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a> | <a href=\"https:\/\/westjem.com\/current-issue-volume-24-issue-5\" title=\"View all posts in Current Issue: Volume 24 Issue 5\">Current Issue: Volume 24 Issue 5<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder -->","max_pages":158}