Journal of Emergency Medicine最新文献_第9页

Neuro-Behcet's Masquerading as Status Epilepticus and Meningoencephalitis in the Emergency Department 神经性白塞病伪装成癫痫持续状态和脑膜脑炎在急诊科。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.09.024

Rebecca Merrill MD , Kristen Septaric MPH , Negin Ceraolo MD , Erin L. Simon DO

{"title":"Neuro-Behcet's Masquerading as Status Epilepticus and Meningoencephalitis in the Emergency Department","authors":"Rebecca Merrill MD , Kristen Septaric MPH , Negin Ceraolo MD , Erin L. Simon DO","doi":"10.1016/j.jemermed.2024.09.024","DOIUrl":"10.1016/j.jemermed.2024.09.024","url":null,"abstract":"<div><h3>Background</h3><div>Behcet disease (BD) is a rare small vessel vasculitis that commonly manifests as recurrent painful oral or genital ulcerations, uveitis, and skin lesions. Some patients with BD develop neurological symptoms termed neuro-Behcet's disease. In the emergency department setting, these symptoms can be mistaken for other common acute issues including stroke, infection, epilepsy, multiple sclerosis, toxin ingestion, or psychiatric conditions.</div></div><div><h3>Case Report</h3><div>We present a case of a 28-year-old male with neuro-BD mimicking status epilepticus and meningoencephalitis. He was actively seizing on arrival and febrile at 103.8 F. The patient also had a history of vasculitis, uveitis, and genital lesions which raised suspicion for a rheumatological process. Cerebrospinal fluid samples were obtained and computed tomography of the head revealed no acute findings. The patient was started on treatment for seizure and meningoencephalitis and admitted to neurology for continuous electroencephalogram monitoring with additional consults placed for rheumatology, ophthalmology, and infectious disease. The patient was ultimately diagnosed with neuro-Behcet's disease and treated appropriately.</div></div><div><h3>Why Should an Emergency Physician Be Aware of This?</h3><div>In a patient presenting with neurological symptoms and signs of rheumatological disease providers should consider neuro-Behcet's disease as a differential diagnosis. This case exemplifies the vital role of reviewing past medical history to expand differential diagnoses and early coordination with specialists so treatment can be initiated early to prevent morbidity and mortality. The case will also review different presentations of this unfamiliar diagnosis for a more comprehensive understanding.</div></div>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":"69 ","pages":"Pages 76-80"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on the Ability to Seal by Supraglottic Airway Device During Human Cadaveric Cardiopulmonary Resuscitation 对人尸体心肺复苏中声门上气道装置封堵能力的评价

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.09.005

Subhasree Das MD , Rakesh Vadakkethil Radhakrishnan MSN , Amiya Kumar Barik DM , Chitta Ranjan Mohanty MD

引用次数: 0

Assessing Frailty Through Head Impact Locations in Older Adults 通过老年人头部撞击位置评估脆弱性

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.08.010

Waseem Jerjes MBBS, MSc, MDres, PhD, MRCGP, FHEA, FAcadMed

引用次数: 0

Gray-to-White Matter Ratio May Be Inadequate to Assess the Neurological Outcome of Patients with Hypoxic Brain Damage Due to Cardiac Arrest 灰质与白质比可能不足以评估心脏骤停引起的缺氧脑损伤患者的神经系统预后

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.09.001

Josef Finsterer MD, PhD

引用次数: 0

The Incidence of Delayed Intracerebral Hemorrhage After Head Trauma Under Anticoagulation Can Depend Strongly on the Quality of Anticoagulation 抗凝治疗后脑外伤迟发性脑出血的发生率与抗凝治疗的质量密切相关

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.09.002

Josef Finsterer MD, PhD , Claudia Stollberger C, MD

引用次数: 0

Ultrasound-Guided Erector Spinae Plane Nerve Block for Relief of Acute Cholecystitis Pain 超声引导竖脊肌平面神经阻滞治疗急性胆囊炎疼痛。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.08.008

John M. Bowling DO , Rachael Ray BS , Robert Stenberg MD

{"title":"Ultrasound-Guided Erector Spinae Plane Nerve Block for Relief of Acute Cholecystitis Pain","authors":"John M. Bowling DO , Rachael Ray BS , Robert Stenberg MD","doi":"10.1016/j.jemermed.2024.08.008","DOIUrl":"10.1016/j.jemermed.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Acute cholecystitis is a common surgical emergency and a painful condition that often requires frequent intravenous opioid analgesia. Sometimes, pain control of patients with acute cholecystitis is challenging. In this case, we present a potential alternative to managing acute cholecystitis pain.</div></div><div><h3>Case Report</h3><div>A 40-year-old female presented to the emergency department (ED) with right upper quadrant pain. While awaiting testing and ultrasound, she received multiple doses of opioid analgesia. A point-of-care ultrasound of the right upper quadrant was performed and demonstrated findings of acute cholecystitis. Given that her pain was challenging to manage, even with intravenous opioids, an ultrasound-guided erector spinae plane (ESP) nerve block was discussed and subsequently performed at the T7 level. Thirty minutes after the procedure, the patient reported significant relief of her pain and did not require any opioid analgesia until ten hours later on the inpatient floor.</div></div><div><h3>Why Should an Emergency Physician Be Aware of This?</h3><div>ESP nerve blocks can potentially offer an alternative analgesic in the management of acute cholecystitis, subsequently reducing the use of opioids in the ED. ESP nerve blocks can potentially offer patients longer-lasting analgesia. ESP nerve blocks can potentially manage visceral pain in the ED.</div></div>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":"69 ","pages":"Pages 51-53"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vaginal Pain and Discharge 阴道疼痛和分泌物。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.08.009

Lev Libet MD , Ty Tran MD , Yufan Brandon Chen MD , Minerva Pineda MD

引用次数: 0

Qualitative Study of Dynamics, Camaraderie, and Belonging Among Emergency Physicians and Nurses 急诊医师与护士的动态、同志情谊与归属感的质性研究。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.08.011

Jeffrey Phillips MD, BSN , David Jones MD, MCR

{"title":"Qualitative Study of Dynamics, Camaraderie, and Belonging Among Emergency Physicians and Nurses","authors":"Jeffrey Phillips MD, BSN , David Jones MD, MCR","doi":"10.1016/j.jemermed.2024.08.011","DOIUrl":"10.1016/j.jemermed.2024.08.011","url":null,"abstract":"<div><h3>Background</h3><div>Emergency departments (ED) must perform patient care at a safe and efficient pace, which requires an effective care team. Communication and workplace practices that foster identification as part of an emergency healthcare team have not been previously demonstrated.</div></div><div><h3>Objectives</h3><div>To explore the critical role of communication within ED healthcare teams and its impact on team belonging. This study investigates how communication practices between physicians and nurses in the ED influence team dynamics and the sense of belonging to the healthcare team.</div></div><div><h3>Methods</h3><div>A qualitative approach involving focus groups with 38 participants from nine EDs in Oregon.</div></div><div><h3>Results</h3><div>This study identifies positive influences on team belonging, such as proactivity, openness, less formal name conventions, and relationships outside of work. Conversely, negative influences include resistance to communication, obstacles to communication, and interactions leading to alienation.</div></div><div><h3>Conclusion</h3><div>The findings emphasize the importance of fostering positive communication practices to enhance team dynamics, cohesiveness, and overall well-being within ED healthcare teams. Future research may delve into specific aspects like naming conventions and the role of friendships in healthcare communication.</div></div>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":"69 ","pages":"Pages 43-50"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound-Guided Clavipectoral Plane Block for Analgesia of Acute Clavicular Fracture in the Emergency Department 超声引导下锁骨平面阻滞在急诊科急性锁骨骨折镇痛中的应用。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.08.020

Richard J. Gawel MD, Jeffrey A. Kramer MD, MSC

引用次数: 0

Characteristics of Intracranial Hemorrhage and Acute Aortic Syndromes Resuscitated with Extracorporeal Cardiopulmonary Resuscitation (ECPR) 体外心肺复苏（ECPR）复苏颅内出血和急性主动脉综合征的特点。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.jemermed.2024.08.014

Fumiya Inoue MD , Takayuki Otani MD , Toshikazu Abe MD, MPH, PhD , Akihiko Inoue MD, PhD , Toru Hifumi MD, PhD , Tetsuya Sakamoto MD, PhD , Yasuhiro Kuroda MD, PhD , The SAVE-J II Study Group

{"title":"Characteristics of Intracranial Hemorrhage and Acute Aortic Syndromes Resuscitated with Extracorporeal Cardiopulmonary Resuscitation (ECPR)","authors":"Fumiya Inoue MD , Takayuki Otani MD , Toshikazu Abe MD, MPH, PhD , Akihiko Inoue MD, PhD , Toru Hifumi MD, PhD , Tetsuya Sakamoto MD, PhD , Yasuhiro Kuroda MD, PhD , The SAVE-J II Study Group","doi":"10.1016/j.jemermed.2024.08.014","DOIUrl":"10.1016/j.jemermed.2024.08.014","url":null,"abstract":"<div><h3>Background</h3><div>Intracranial hemorrhage (ICH) and acute aortic syndrome (AAS) are etiologies associated with unfavorable outcomes in patients with out-of-hospital cardiac arrest (OHCA), even with extracorporeal cardiopulmonary resuscitation (ECPR).</div></div><div><h3>Objectives</h3><div>This study aimed to describe the characteristics of refractory OHCA patients resuscitated with ECPR due to ICH and AAS.</div></div><div><h3>Methods</h3><div>This was a descriptive study and a secondary analysis of the SAVE-J II study, which was a multicenter ECPR registry.</div></div><div><h3>Results</h3><div>Among the 1589 cases, the causes of arrest were ICH in 48 patients (3%), AAS in 112 patients (7%), and cardiac causes in 1429 patients (90%). Patients in the ICH group were younger (ICH: 47 years [interquartile ranges (IQR) 40–63], AAS: 68 years [IQR 59–74], cardiac causes: 61 years [IQR 50–68]; <em>p</em> < 0.001), and had fewer signs of life on hospital arrival (ICH: 2%, AAS: 12%, cardiac causes: 19%; <em>p</em> = 0.001) compared to the cardiac causes group. Patients in the ICH and AAS groups were also less likely to present with an initial shockable rhythm (ICH, 19%; AAS, 27%; cardiac causes, 74%; <em>p</em> < 0.001). Survival to hospital discharge was significantly lower in the ICH and AAS groups than in the cardiac cause group (ICH, 4%; AAS, 4%; cardiac causes, 29%; <em>p</em> < 0.001). Of the 112 patients in the AAS group, 54 (48%) were presumptively diagnosed as cardiac etiologies before ECPR.</div></div><div><h3>Conclusion</h3><div>ICH and AAS should be considered potential causes of cardiac arrest, especially in cases with a nonshockable initial cardiac rhythm. However, differentiating them from cardiac causes of arrest remains challenging.</div></div>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":"69 ","pages":"Pages 1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0