{"title":"Case Report and Brief Review: Co-infection COVID-19 Virus and Influenza A Virus","authors":"J. Espinosa, Umar Sannoh, A. Lucerna","doi":"10.30654/mjem.10053","DOIUrl":"https://doi.org/10.30654/mjem.10053","url":null,"abstract":"We report the case of a 45-year-old male who presented to an emergency department with a complaint of myalgias, chills and sore throat of six day duration. The physical exam was essentially unremarkable. The patient tested positive for COVID-19 virus as well as Influenza A virus. The purpose of this brief review is to discuss what is known about co-infection of COVID-19 and influenza A.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363460","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}
Tessa Ndille, J. Espinosa, Themy Ngo, Syrita Farrow, A. Lucerna, V. Scali, Henry Schuitema
{"title":"Weather and Migraine: Is there a Relationship between Barometric Pressure Change and ED Migraine Visits?","authors":"Tessa Ndille, J. Espinosa, Themy Ngo, Syrita Farrow, A. Lucerna, V. Scali, Henry Schuitema","doi":"10.30654/mjem.10058","DOIUrl":"https://doi.org/10.30654/mjem.10058","url":null,"abstract":"Background: Migraine headache is one of the most common causes of chronic headaches. Many internal and external triggers for migraine episodes have been identified. Weather as a migraine trigger has been reported as the most common trigger and as the 4th most common trigger.","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":"139363903","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}
Mehvish Ahmed, James Espinosa, Syrita Farrow, Alan Lucerna, Victor Scali
{"title":"Sickle Cell Crisis and Emergency Department Visits: Is There a Correlation with the Weather and Seasons?","authors":"Mehvish Ahmed, James Espinosa, Syrita Farrow, Alan Lucerna, Victor Scali","doi":"10.30654/mjem.10051","DOIUrl":"https://doi.org/10.30654/mjem.10051","url":null,"abstract":"Background: One of the medical issues related to sickle cell disease is sickle cell pain crisis. Weather has been discussed as a trigger for sickle cell pain crisis. Aim of Study: The aim of this study was to the study relationship between sickle cell pain crisis presentations in the emergency department (ED) population of three community hospital emergency departments and local weather patterns. Materials and Methods: The study was a retrospective review of data from the ED information system, coding for the number of sickle cell pain crisis presentations per day, for selected random days. Variable studied included maximum wind speed per day, humidity (in percent), average air temperature, days with a max air temperature >80 degrees F, days with a minimum air temperature <32 degrees, maximum wind speed/humidity (calculated), rainfall, and presentations by season. Results: The relationship of rainfall to sickle cell presentations was statistically significant in the directions of significantly less sickle cell presentations on above average rainfall days. [p=0.045] The number sickle cell patient visits did not show a statistically significant relationship to the remaining variables. Conclusion: Our data support the finding of a decrease in sickle cell presentations on below average rainfall days. We did not find a relationship to high wind speed and low humidity or other variables other than rainfall. Our result may be a lag effect from days with higher rainfall. The precipitating trigger may be the days with higher rainfall with presentations after such days but not on such days. It may be that there were other precipitants and triggers that are cleared by higher rainfall, such as dust or environmental pollutants. Further study would be needed to evaluate such a hypothesis.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135215178","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}
Matthew Aharonov, Neelesh Parikh, James Espinosa, Alan Lucerna
{"title":"Case Report: COVID-19 Associated Guillain-Barre Syndrome","authors":"Matthew Aharonov, Neelesh Parikh, James Espinosa, Alan Lucerna","doi":"10.30654/mjem.10052","DOIUrl":"https://doi.org/10.30654/mjem.10052","url":null,"abstract":"We report a case of a 72-year-old female who presented to the emergency department with a complaint of generalized weakness. The patient was found to have ascending muscle weakness and subsequently diagnosed with COVID-19 related Guillain-Barre Syndrome. Our patient was negative for Campylobacter jejuni . In addition, the patient did not have fever, respiratory symptoms or loss of the sensation of taste.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135050880","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":"MonkeyPox and Recommendations for Cancer Patients","authors":"Farbod Amiri, Shehroze Tabassum, Melika Boroomand-Saboor, Laya Ohadi","doi":"10.30654/mjem.10049","DOIUrl":"https://doi.org/10.30654/mjem.10049","url":null,"abstract":"Prevention strategies can be attempted by following some precautionary measures which can easily be inculcated in one’s daily routine. It includes avoiding any contact with primates and rodents as well as avoiding any undercooked food meat and limiting any direct exposure to blood [2]. Additionally, safe sexual practices like the use of protective barriers (eg: condoms) can be helpful in prevention as many cases have been reported in those having unprotected sexual practices and in men having sex with men [3]. Using personal protective equipment (PPE), wearing masks, and other precautionary measures as were taken during the COVID-19 pandemic can be of benefit in preventing the spread through personto-person contact [4]. Vaccinations are another route of prevention, although smallpox vaccination protects almost 85% of individuals against monkeypox disease, routine immunization is not indicated due to smallpox eradication in 1980 [3]. Furthermore, people who become infected and present with lesions or rashes can prevent their contamination into the environment by covering the affected areas with bandages or gauzes as the transmission is seen by contact with fluid from sores and such lesions [5].","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133251570","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}
Chian Yee Yau, Mohammad Zikri Ahmad, Afifah Sjamun Sjahid, M. F. Mohd Shukri
{"title":"Knowledge and Attitudes about Geriatrics among Emergency Department Doctors in Hospital Universiti Sains Malaysia","authors":"Chian Yee Yau, Mohammad Zikri Ahmad, Afifah Sjamun Sjahid, M. F. Mohd Shukri","doi":"10.30654/mjem.10050","DOIUrl":"https://doi.org/10.30654/mjem.10050","url":null,"abstract":",","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"230 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133579472","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":"Atrial Fibrillation: A Rare ECG Finding in Organophosphate Poisoning","authors":"Shivam Patel, R. Mathew, Reena G. Patel","doi":"10.30654/mjem.10047","DOIUrl":"https://doi.org/10.30654/mjem.10047","url":null,"abstract":"Organophosphate (OP) poisoning is very common in developing countries. Organophosphate compounds irreversibly bind to cholinesterase receptors that lead to cholinergic excess symptoms through nicotinic, muscarinic and central nervous system receptors. OP compounds can lead to cardiac complications which include tachycardia, bradycardia, hypotension, arrhythmias, AV blocks, pulmonary edema and rarely myocardial infarction. We report a case of organophosphate poisoning associated with atrial fibrillation and case was managed with atropine, PAM, antiarrhythmic drugs and other conservative measures. Cardiac complications should be treated accordingly along with antidote and supportive measures in OP poisoning for good outcomes","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129582279","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}
Shivam Patel, M. Ansari, R. Mathew, P. Aggarwal, Murmu Lr, S. Bhoi, Reena Patel
{"title":"Role of Wide Awake Local Anaesthesia in Soft Tissue Injury of Hand","authors":"Shivam Patel, M. Ansari, R. Mathew, P. Aggarwal, Murmu Lr, S. Bhoi, Reena Patel","doi":"10.30654/mjem.10046","DOIUrl":"https://doi.org/10.30654/mjem.10046","url":null,"abstract":"Study hypothesis: We conducted a quasi-experimental study which includes the data from 79 patients enrolled from March 2015 to November 2016. Injury repair was done under WALA. Visual analogue pain scale was calculated before, during and after repair. Blood loss was measured during repair. Follow up was done to look for functional disability and complications following treatment. SD and mean were calculated for visual pain analogue scale. p-value was calculated to look for the significance of this study. Results: Of the 79 patients enrolled in the study 76 were presented with clean lacerated wound while 3 were having associated tendon injuries. The mean pain score on VAS before repair was 4.6, during repair were 2.23 and after repair was 1.44. The average blood loss during repair (mean + SD) came out to be 4.95 + 2.44, with only 4 patients having a loss of > 10 ml. There was significant decrease in VAS score (p value <0.001), patients were discharged within a short interval of repair and on follow-up none of the cases were having complications. Conclusion: study, we found that in hand repair done under WALA there is significant decrease in pain scale. Also amount of bleeding was minimum. WALA may be safely used in digital and peripheral sites The use of WALA may simplify the way of treatment in repairing hand injuries and may have a role in early disposition of patients in the crowded emergency department.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114719499","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}
Kelly Hamilton, J. Espinosa, Ronald Clearie, A. Lucerna, Henry Schuitema
{"title":"OMT in the Emergency Department: A Literature Review","authors":"Kelly Hamilton, J. Espinosa, Ronald Clearie, A. Lucerna, Henry Schuitema","doi":"10.30654/mjem.10045","DOIUrl":"https://doi.org/10.30654/mjem.10045","url":null,"abstract":"Background: Osteopathic Physicians and their philosophy are based on a patient-centered focus on the comprehensive health of patients, with the use of hands-on methods. The hands-on methods employed fall under the category of Osteopathic Manipulation Treatment (OMT), in which Osteopathic Physicians are extensively trained. Purpose of study: The purpose of this study was to look at the literature from the point of view of four questions concerning OMT in the specialty of Emergency Medicine (EM). 1) How often is an osteopathic manipulative treatment (OMT) used in the emergency department (ED)? What are the perceived barriers to the use of OMT in the ED? What are the advantages of the use of OMT treatment in the ED? What the successful models of OMT use in the ED? Nine research identified a search of OMT 3) What are the advantages of the use of OMT treatment in the ED? 4) What are the successful models of OMT use in the ED? Conclusions: OMT is a set of techniques used to address a variety of somatic and visceral pathologies that can be very common and debilitating to the patient population. Medical research in the field of emergency medicine regarding OMT use has been underwhelming, with very few publications since 2008. The use of OMT within emergency medicine has not been widely published, even as the population of osteopathic emergency physicians has increased in the past two decades. OMT research within emergency medicine could be a valuable treatment option for patients. in the emergency department, OMT, OMM","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116255817","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}