The American Journal of Emergency Medicine最新文献

{"title":"Fluids in septic heart failure patients.","authors":"Murtaza Akhter","doi":"10.1016/j.ajem.2024.09.027","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.027","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258203","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":"Assessing the educational value of YouTube and TikTok videos on home suture removal.","authors":"Lauren Sellers,Larissa Dean,Layla Hak,Jonathan Thompson,Annie Vu,Christian Kolacki,Jason Seamon,Todd Chassee,Lindsey Ouellette,Jeffrey Jones","doi":"10.1016/j.ajem.2024.09.032","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.032","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269165","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":"Factors influencing emergency physicians' provision of cognitive rest information to patients with concussions.","authors":"Hang A Park,Ju Ok Park,Sola Kim,Ki Ok Ahn","doi":"10.1016/j.ajem.2024.09.021","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.021","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269162","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":"Comment on the effect of intravenous ondansetron on QT interval in the emergency department.","authors":"Amiya Kumar Barik,Ijas Muhammed Shaji,Chitta Ranjan Mohanty,Rakesh Vadakkethil Radhakrishnan,Gaurav Juneja","doi":"10.1016/j.ajem.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.010","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269160","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":"Capability of GPT-4o in cranial imaging interpretation for emergency medicine.","authors":"Muhammed Said Beşler","doi":"10.1016/j.ajem.2024.09.020","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.020","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258242","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":"Herbal abortion: Non-toxic method, dangerous representation.","authors":"Molly Dutton-Kenny,Daena Horner","doi":"10.1016/j.ajem.2024.09.012","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.012","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258241","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":"Pit viper envenomation: Significance of early antivenom administration.","authors":"Rakesh Vadakkethil Radhakrishnan,Amiya Kumar Barik,Chitta Ranjan Mohanty,Srikant Behera,Geeda Yaga Divija,M Sanjith Karthikeyan","doi":"10.1016/j.ajem.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.003","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191399","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 use of artificial intelligence in blunt chest trauma.","authors":"Sagar Galwankar,Lukasz Szarpak,Basar Cander,Bartosz Maj,Michal Pruc","doi":"10.1016/j.ajem.2024.08.040","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.08.040","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258243","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":"Emergency physicians' perceived comfort with clinical decision-making for traumatic brain injury: Results from the BIG survey.","authors":"Oluwafemi P Owodunni,Robert L Alunday,Danielle Albright,Naomi R George,Ming-Li Wang,Chad D Cole,Tatsuya Norii,Laura L Banks,David P Sklar,Cameron S Crandall","doi":"10.1016/j.ajem.2024.09.008","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.008","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257882","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":"Yield of abdominal radiographs in children with suspected intussusception; rate of pneumoperitoneum and other abdominal pathology","authors":"Blake Gruenberg, Gabriella Crane, Donald H. Arnold, Noah J. Harrison, Marla Levine","doi":"10.1016/j.ajem.2023.12.030","DOIUrl":"https://doi.org/10.1016/j.ajem.2023.12.030","url":null,"abstract":"<h3>Objectives</h3><p>Ultrasound is the criterion standard imaging modality for the diagnosis of intussusception. However, to our knowledge the utility of abdominal radiographs to concurrently screen for pneumoperitoneum or other abdominal pathology that could have a similar presentation has not been studied. Our institutional protocol requires the performance of AP supine and left lateral decubitus views of the abdomen prior to ultrasound evaluation for intussusception, providing an opportunity to examine the yield of abdominal radiographs in this setting.</p><p>Our primary objective was to determine the rate of pneumoperitoneum on screening abdominal radiographs in children undergoing evaluation for intussusception. Our secondary objective was to determine the rate that other clinically significant pathology is found on these screening abdominal radiographs.</p><h3>Methods</h3><p>We performed a retrospective chart review of all patients under 6 years of age who had any imaging ordered in our large urban pediatric emergency department to evaluate for suspected intussusception during the calendar years 2018–2020.</p><h3>Results</h3><p>1115 patient encounters met our inclusion criteria. Among 1090 who had screening abdominal radiographs, 82 (8%) had findings concerning for intussusception. Of those not concerning for intussusception, 635 (58%) were read as normal, 263 (24%) showed moderate to large stool burden, 107 (10%) showed generalized bowel distention, and 22 (2%) showed abnormal gastric distention. Individually the remainder of all other findings compromised &lt;1% of encounters and included radiopaque foreign body (8), intraabdominal calcification (4), pneumonia/effusion (3), pneumatosis intestinalis, abdominal mass (2), diaphragmatic hernia (1), rib fracture (1), appendicolith (1), feeding tube malposition (1), and bowel wall thickening (1). In one encounter the patient had a bowel perforation with pneumoperitoneum present secondary to ingestion of multiple magnets.</p><h3>Conclusions</h3><p>Our study indicates that radiograph-detected pneumoperitoneum is rare in children with suspected intussusception. Constipation is the most common abnormal finding on screening radiographs. Other findings occur in approximately 15% of total cases, some of which require further workup.</p>","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139027788","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}