J. Espinosa, Umar Sannoh, A. Lucerna, Joseph Pagano
{"title":"Case Report: Nosocomial Digital Eczema from Surface Cleansing Bleach","authors":"J. Espinosa, Umar Sannoh, A. Lucerna, Joseph Pagano","doi":"10.30654/mjem.10064","DOIUrl":"https://doi.org/10.30654/mjem.10064","url":null,"abstract":"We report the case of a healthcare provider who developed hand eczema, predominantly on the first digit and thumb of the right hand, in association with contact with the surface of a desk and contact with a computer mouse at work. The eczema abated on days off and was exacerbated within hours of work. The diagnosis was made of hand eczema from surface cleaning bleach. It was noted that several other healthcare providers had developed similar symptoms. The patient’s eczema was confirmed by a dermatologist and was successfully treated with topical triamcinolone and emollient cream to the affected areas. Prevention by adhesive strip band aids to the affected areas of the hand as well as water cleansing to previously bleach-cleansed surfaces has been helpful.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139359893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Espinosa, Eric Maddock, Duwayne Campbell, A. Lucerna, Henry Schuitema
{"title":"Case Report: Ocular Capsaicin Exposure with Chemosis from Jalapeño Peppers","authors":"J. Espinosa, Eric Maddock, Duwayne Campbell, A. Lucerna, Henry Schuitema","doi":"10.30654/mjem.10063","DOIUrl":"https://doi.org/10.30654/mjem.10063","url":null,"abstract":"A 42-year-old female presented to an Emergency Department (ED) with the abrupt onset of left eye pain, tearing and eye redness of one-hour duration. Her symptoms were due to ocular toxicity from contact exposure to capsicum, through preparation of Jalapeño peppers","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139359677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Espinosa, A. Lucerna, J. Collins, Adam Kandil, James Lee, Robin Lahr
{"title":"Case Report and Brief Review: A Case of Erythema Ab Igne Due to a Space Heater","authors":"J. Espinosa, A. Lucerna, J. Collins, Adam Kandil, James Lee, Robin Lahr","doi":"10.30654/mjem.10062","DOIUrl":"https://doi.org/10.30654/mjem.10062","url":null,"abstract":"A 35-year-old male presented to the Emergency Department (ED) with a rash of his left lateral lower leg of a two months duration. The patient had been using an electric space heater and the affected area was the closest part of his body to the heater. A diagnosis of erythema ab igne was made. Here we discuss erythema ab igne in reference to the medical history of the diagnosis, pathophysiology, modern causative heat sources such as laptop computers and treatment.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139360098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Application of Point-of-Care Ultrasound in ED Intubations and Airway Access: A Brief Systematic Review","authors":"F. Wheeler, J. Espinosa, A. Lucerna","doi":"10.30654/mjem.10057","DOIUrl":"https://doi.org/10.30654/mjem.10057","url":null,"abstract":"Intubation is an essential procedure performed on a routine basis in the Emergency Department. Unsuccessful intubations can be associated with deleterious outcomes. A systematic review was performed to investigate the accuracy of Point of Care Ultrasound (POCUS) in successful Endotracheal Tube (ET) tube confirmation, dynamically in ultrasound guided intubation and in identification of the cricothyroid membrane. This review demonstrated high sensitivity and specificity for ultrasound confirmation of ET tube placement, high success rate in ultrasoundguided intubation, and lower than expected accuracy in identifying the cricothyroid membrane. Ultrasonography should be considered for ET tube confirmation in patients in cardiac arrest and future applications of ultrasound may include dynamic guiding during the process of intubation.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139360953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abhishek H. N., Nazia Khan, Safdhar Hasmi, Smriti Arvind Chitra, Suraj Sudarshan Doshi, Rohan Mahesh, A. Shetti
{"title":"Rescuing the Rescuers: Combating Burnout in the Emergency Medicine Department","authors":"Abhishek H. N., Nazia Khan, Safdhar Hasmi, Smriti Arvind Chitra, Suraj Sudarshan Doshi, Rohan Mahesh, A. Shetti","doi":"10.30654/mjem.10059","DOIUrl":"https://doi.org/10.30654/mjem.10059","url":null,"abstract":"Burnout syndrome is a psychological condition characterized by chronic exhaustion, cynicism, and reduced professional efficacy. Burnout syndrome is a pervasive issue affecting healthcare professionals, with particularly high prevalence among those working in the demanding field of emergency medicine. This abstract delves into the challenges posed by burnout in the emergency medicine department and explores strategies to combat and mitigate its detrimental effects. Emergency medicine practitioners constantly face an intense and high-pressure work environment characterized by long hours, unpredictable situations, and exposure to traumatic events. These factors contribute to elevated levels of stress, emotional exhaustion, and depersonalization, leading to burnout. The consequences of burnout are far-reaching and can adversely affect both the healthcare providers and the patients they serve. Burnout diminishes job satisfaction, compromises patient care, increases medical errors, and contributes to high turnover rates within the emergency medicine department. Recognizing the urgency of the issue, healthcare institutions have started implementing interventions to combat burnout and promote well-being among emergency medicine professionals. These initiatives include fostering a supportive work culture, implementing regular debriefing sessions, providing access to mental health resources, promoting work-life balance, and encouraging self-care practices. Additionally, incorporating mindfulness-based techniques, such as meditation and resilience training, has shown promising results in reducing burnout symptoms and enhancing the overall well-being","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Espinosa, Joshua Brown, Ryan Brennessel, Jason Kim, Niels Snyder, Analiese Wagner, A. Lucerna
{"title":"What is the Physical Activity of Emergency Physicians (Residents and Attendings) During a Shift, Measured in Steps Walked? The STEP study: Quantitative Study of Steps Taken in an Emergency Program (STEP)","authors":"J. Espinosa, Joshua Brown, Ryan Brennessel, Jason Kim, Niels Snyder, Analiese Wagner, A. Lucerna","doi":"10.30654/mjem.10055","DOIUrl":"https://doi.org/10.30654/mjem.10055","url":null,"abstract":"Activity","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Espinosa, Michael Morris, A. Lucerna, Robin Lahr, James Lee
{"title":"Case Report and Brief Review: A Puzzling Case of Leg and Ankle Swelling","authors":"J. Espinosa, Michael Morris, A. Lucerna, Robin Lahr, James Lee","doi":"10.30654/mjem.10056","DOIUrl":"https://doi.org/10.30654/mjem.10056","url":null,"abstract":"Here we present the case of a medical student in his twenties who had experienced episodes of heat edema that had been previously evaluated at other EDs and had been thought to be from a DVT etiology, with consecutive negative ultrasound studies. An awareness of heat edema as a minor heat-related illness is important in order to avoid unnecessary testing and in order to help prevent future episodes.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Espinosa, A. Lucerna, F. Wheeler, Sergey Medlenov, Robin Lahr, James Lee
{"title":"Bedside Teaching in Emergency Medicine: Brief Review and Practical Suggestions","authors":"J. Espinosa, A. Lucerna, F. Wheeler, Sergey Medlenov, Robin Lahr, James Lee","doi":"10.30654/mjem.10060","DOIUrl":"https://doi.org/10.30654/mjem.10060","url":null,"abstract":"Bedside teaching has been a tradtional practice and value in medicine. There is literature attesting the positive role of bedside teaching in medicine in general and in emergency medicine in particular. The value proposition is centered on teaching overall clinical, communication and procedural skills. There is very little actual data concerning the outcomes of various bedside teaching approaches in EM however here are a number of very interesting literature-based suggestions In this review, we discuss practical strategies to support bedside teaching in the speciality of emergency medicine","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"154 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley D’Orazio-Bradfield, Jared Taylor, V. Scali, J. Espinosa, A. Lucerna, Henry Schuitema
{"title":"Perigee Full Moons (“Supermoons”) and its Effect on Emergency Department Behavioral Health Volume and Total Volume","authors":"Ashley D’Orazio-Bradfield, Jared Taylor, V. Scali, J. Espinosa, A. Lucerna, Henry Schuitema","doi":"10.30654/mjem.10054","DOIUrl":"https://doi.org/10.30654/mjem.10054","url":null,"abstract":"Background: There is conflicting data on the effect of full moons on human physiology. There is even less data concerning the effect of a perigee full moon on emergency department behavioral health visits as well as on total emergency department volume. Aim of study: This study aimed to look at the effect of perigee full moons on emergency department behavioral health and overall volume. Materials and Methods:","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}