{"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\/bicarbonate-and-serum-lab-markers-as-predictors-of-mortality-in-the-trauma-patient.html\">Bicarbonate and Serum Lab Markers as Predictors of Mortality in the Trauma Patient<\/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.18363'  style='float: right; ' ><\/div><p>Matthew M. Talbott, DO<\/p>\n<p>Severe trauma-induced blood loss can lead to metabolic acidosis, shock, and death. Identification of abnormalities in the bicarbonate and serum markers may be seen before frank changes in vital signs in the hemorrhaging trauma patient, allowing for earlier lifesaving interventions. In this study the author aimed to evaluate the usefulness of serum bicarbonate and other lab markers as predictors of mortality in trauma patients within 30 days after injury.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/compartment-syndrome-following-snake-envenomation-in-the-united-states-a-scoping-review-of-the-clinical-literature.html\">Compartment Syndrome Following Snake Envenomation in the United States: A Scoping Review of the Clinical Literature<\/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.18401'  style='float: right; ' ><\/div><p>John Newman, MD<\/p>\n<p>Local tissue destruction following envenomation from North American snakes, particularly those within the Crotalinae subfamily, has the potential to progress to compartment syndrome. The pathophysiology of venom-induced compartment syndrome (VICS) is a debated topic and is distinct from trauma\/reperfusion-induced compartment syndrome. Heterogeneity exists in the treatment practices of VICS, particularly regarding the decision to progress to fasciotomy. Associations with functional outcomes and evolution in clinical practice since the introduction of Crotalidae polyvalent immune Fab (FabAV) have not been well defined. Our goal was to identify the potential gaps in the literature regarding this phenomenon, as well as illuminate salient themes in the clinical characteristics and treatment practices of VICS.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/perceived-versus-actual-time-of-prehospital-intubation-by-paramedics.html\">Perceived Versus Actual Time of Prehospital Intubation by Paramedics<\/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.18400'  style='float: right; ' ><\/div><p>Daniel Shou, BS<\/p>\n<p>Situational awareness is essential during emergent procedures such as endotracheal intubation. Previous studies suggest that time distortion can occur during intubation. However, only in-hospital intubations performed by physicians have been studied. We aimed to determine whether time distortion affected paramedics performing intubation by examining the perceived vs actual total laryngoscopy time, defined as time elapsed from the laryngoscope blade entering the mouth until the endotracheal tube balloon passes the vocal cords.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/pediatric-burns-who-requires-follow-up-a-study-of-urban-pediatric-emergency-department-patients.html\">Pediatric Burns \u2013 Who Requires Follow-up? A Study of Urban Pediatric 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.17984'  style='float: right; ' ><\/div><p>Theodore Heyming, MD<\/p>\n<p>Hundreds of children suffer burn injuries each day, yet care guidelines regarding the need for acute inpatient treatment vs outpatient follow-up vs no required follow-up remain nebulous. This gap in the literature is particularly salient for the emergency clinician, who must be able to rapidly determine appropriate disposition.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/lets-chat-improving-emergency-department-staff-satisfaction-with-the-medication-reconciliation-process.html\">\u201cLet\u2019s Chat!\u201d Improving Emergency Department Staff Satisfaction with the Medication Reconciliation Process<\/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.18324'  style='float: right; ' ><\/div><p>Kurt Schwieters, BS<\/p>\n<p>Patients who stay in the emergency department (ED) for prolonged periods of time require verification of home medications, a process known as medication reconciliation. The complex nature of medication reconciliation can lead to adverse events and staff dissatisfaction. A multidisciplinary team was formed to improve accuracy, timing, and staff satisfaction with the medication reconciliation process.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/acceptance-of-automated-social-risk-scoring-in-the-emergency-department-clinician-staff-and-patient-perspectives.html\">Acceptance of Automated Social Risk Scoring in the Emergency Department: Clinician, Staff, and Patient Perspectives<\/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.18577'  style='float: right; ' ><\/div><p>Olena Mazurenko, MD, PhD, MS<\/p>\n<p>Healthcare organizations are under increasing pressure from policymakers, payers, and advocates to screen for and address patients\u2019 health-related social needs (HRSN). The emergency department (ED) presents several challenges to HRSN screening, and patients are frequently not screened for HRSNs. Predictive modeling using machine learning and artificial intelligence, approaches may address some pragmatic HRSN screening challenges in the ED. Because predictive modeling represents a substantial change from current approaches, in this study we explored the acceptability of HRSN predictive modeling in the ED.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/rural-and-ethnic-disparities-in-out-of-hospital-care-and-transport-pathways-after-road-traffic-trauma-in-new-zealand.html\">Rural and Ethnic Disparities in Out-of-hospital Care and Transport Pathways After Road Traffic Trauma in New Zealand<\/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.18366'  style='float: right; ' ><\/div><p>Rebbecca Lilley, PhD<\/p>\n<p>The out-of-hospital emergency medical service (EMS) care responses and the transport pathways to hospital play a vital role in patient survival following injury and are the first component of a well-functioning, optimised system of trauma care. Despite longstanding challenges in delivering equitable healthcare services in the health system of Aotearoa-New Zealand (NZ), little is known about inequities in EMS-delivered care and transport pathways to hospital-level care.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/rise-em-resident-instruction-in-social-emergency-medicine-a-cohort-study-of-a-novel-curriculum.html\">RISE-EM: Resident Instruction in Social Emergency Medicine, a Cohort Study of a Novel Curriculum<\/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.18103'  style='float: right; ' ><\/div><p>Heidi Roche, MD<\/p>\n<p>There is recognition in the field of emergency medicine (EM) that social determinants of health (SDoH) are key drivers of patient care outcomes. Leaders in EM are calling for curricula integrating SDoH assessment and intervention, public health, and multidisciplinary approaches to EM care throughout medical school and residency. This intersection of SDoH and the emergency care system is known as social emergency medicine (SEM). Currently, there are few resources available for EM training programs to integrate this content; as a result, few EM trainees receive adequate education in SEM. To address this gap, we developed a four-part training in SEM tailored to EM residency programs and medical schools.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/the-evolution-of-board-certified-emergency-physicians-and-staffing-of-emergency-departments-in-israel.html\">The Evolution of Board-Certified Emergency Physicians and Staffing of Emergency Departments in Israel<\/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.18541'  style='float: right; ' ><\/div><p>Noaa Shopen, <\/p>\n<p>Emergency medicine (EM) was recognized as a specialty in Israel in 1999. Fifty-nine of the 234 (25%) attending physicians working in emergency departments (ED) nationwide in 2002 were board-certified emergency physicians (EP). A 2012 study revealed that 123\/270 (45%) of ED attendings were EPs, and that there were 71 EM residents. The EPs primarily worked midweek morning shifts, leaving the EDs mostly staffed by other specialties. Our objective in this study was to re-evaluate the EP workforce in Israeli EDs and their employment status and satisfaction 10\u00a0years after the last study, which was conducted in 2012.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/sued-subpoenaed-or-sworn-in-use-of-a-flipped-classroom-style-medicolegal-workshop-for-emergency-medicine-residents.html\">Sued, Subpoenaed or Sworn in: Use of a Flipped-Classroom Style Medicolegal Workshop for Emergency Medicine Residents<\/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.17809'  style='float: right; ' ><\/div><p>Kathleen S. Williams, MD<\/p>\n<p>It is an unfortunate truth that Emergency Medicine (EM) physicians will, at some point, have contact with the medicolegal system. However, most EM residency training programs lack education on the legal system in their curriculum, leaving EM physicians unprepared for litigation. To fill this gap, we designed a high-yield and succinct medical legal workshop highlighting legal issues commonly encountered by EM physicians. We aimed to determine the effectiveness of this curriculum by measuring pre and post knowledge questions.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/what-the-fika-implementation-of-swedish-coffee-breaks-during-emergency-medicine-conference.html\">What the Fika? Implementation of Swedish Coffee Breaks During Emergency Medicine Conference<\/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.18462'  style='float: right; ' ><\/div><p>Jesse Zane Kellar, MD, MBA<\/p>\n<p>In this study we aimed to investigate the effects of incorporating Swedish-style fika (coffee) breaks into the didactic schedule of emergency medicine residents on their sleepiness levels during didactic sessions. Fika is a Swedish tradition that involves a deliberate decision to take a break during the workday and usually involves pastries and coffee. We used the Karolinska Sleepiness Scale to assess changes in sleepiness levels before and after the implementation of fika breaks.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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-measure-of-the-impact-on-real-time-patient-care-of-evidence-based-medicine-logs.html\">A Measure of the Impact on Real-Time Patient Care of Evidence-based Medicine Logs<\/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.18082'  style='float: right; ' ><\/div><p>Jeffrey B. Brown, BS<\/p>\n<p>Evidence-based medicine (EBM) is a critical skill for physicians, and EBM competency has been shown to increase implementation of best medical practices, reduce medical errors, and increase patient-centered care. Like any skill, EBM must be practiced, receiving iterative feedback to improve learners\u2019 comprehension. Having residents document patient interactions in logbooks to allow for residency program review, feedback, and documentation of competency has been previously described as a best practice within emergency medicine (EM) to document practice-based learning (PBL) competency. Quantifying how residents use the information they query, locate, evaluate, and apply while providing direct patient care can measure the efficacy of EBM education and provide insight into more efficient ways of providing medical care.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/assessing-team-performance-a-mixed-methods-analysis-using-interprofessional-in-situ-simulation.html\">Assessing Team Performance: A Mixed-Methods Analysis Using Interprofessional in situ Simulation<\/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.18012'  style='float: right; ' ><\/div><p>Ashley C. Rider, MD, MEHP<\/p>\n<p>Optimizing the performance of emergency department (ED) teams impacts patient care, but the utility of current, team-based performance assessment tools to comprehensively measure this impact is underexplored. In this study we aimed to 1) evaluate ED team performance using current team-based assessment tools during an interprofessional in situ simulation and 2) identify characteristics of effective ED teams.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/role-of-the-critical-care-resuscitation-unit-in-a-comprehensive-stroke-center-operations-for-mechanical-thrombectomy-during-the-pandemic.html\">Role of the Critical Care Resuscitation Unit in a Comprehensive Stroke Center: Operations for Mechanical Thrombectomy During the Pandemic<\/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.18335'  style='float: right; ' ><\/div><p>Quincy K. Tran, MD, PhD<\/p>\n<p>Standard of care for patients with acute ischemic stroke from large vessel occlusion (AIS-LVO) includes prompt evaluation for urgent mechanical thrombectomy (MT) at a comprehensive stroke center (CSC). During the start of the coronavirus 2019 pandemic (COVID-19), there were reports about disruption to emergency department (ED) operations and delays in management of patients with AIS-LVO. In this study we investigate the outcome and operations for patients who were transferred from different EDs to an academic CSC\u2019s critical care resuscitation unit (CCRU), which specializes in expeditious transfer of time-sensitive disease.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/low-stroke-volume-predicts-deterioration-in-intermediate-risk-pulmonary-embolism-prospective-study.html\">Low Stroke Volume Predicts Deterioration in Intermediate-Risk Pulmonary Embolism: Prospective 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.18434'  style='float: right; ' ><\/div><p>Anthony J. Weekes, MD, MSc<\/p>\n<p>Prognosis and management of patients with intermediate-risk pulmonary embolism (PE) is challenging. We investigated whether stroke volume may be used to identify the subset of this population at increased risk of clinical deterioration or PE-related death. Our secondary objective was to compare echocardiographic measurements of patients who received escalated interventions vs anticoagulation monotherapy.<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/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\/end-tidal-carbon-dioxide-trajectory-based-prognostication-of-out-of-hospital-cardiac-arrest.html\">End-tidal Carbon Dioxide Trajectory-based Prognostication of Out-of-hospital Cardiac Arrest<\/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.18403'  style='float: right; ' ><\/div><p>Chih-Hung Wang, MD, PhD<\/p>\n<p>During cardiopulmonary resuscitation (CPR), end-tidal carbon dioxide (EtCO2) is primarily determined by pulmonary blood flow, thereby reflecting the blood flow generated by CPR. We aimed to develop an EtCO2 trajectory-based prediction model for prognostication at specific time points during CPR in patients with out-of-hospital cardiac arrest (OHCA).<\/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-25-issue-4\" title=\"View all posts in Current Issue: Volume 25 Issue 4\">Current Issue: Volume 25 Issue 4<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder -->","max_pages":186}