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American Journal of Emergency Medicine最新文献

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Acute hemorrhagic shock from vaginal laceration during intercourse requiring operative management. 性交时阴道撕裂引起的急性失血性休克需要手术处理。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-11 DOI: 10.1016/j.ajem.2026.10.009
Sean Patrick Nordt, Bryan Pham
{"title":"Acute hemorrhagic shock from vaginal laceration during intercourse requiring operative management.","authors":"Sean Patrick Nordt, Bryan Pham","doi":"10.1016/j.ajem.2026.10.009","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.10.009","url":null,"abstract":"<p><p>Vaginal laceration during consensual intercourse is a rare cause of acute vaginal bleeding. Most coital injuries are minor, although may result in acute hemorrhage and hemodynamic instability. A 30-year-old G3P2012 otherwise healthy woman presented to the emergency department (ED) with acute vaginal bleeding immediately during consensual intercourse. She was initially well-appearing then developed hemorrhagic shock in the ED from ongoing vaginal exsanguination. The bleeding source could not be visualized on speculum examination. She was resuscitated with tranexamic acid, crystalloid, and two units of unmatched whole blood and taken emergently to the operating room. Examination under anesthesia after evacuation identified a horizontal posterior vaginal wall laceration. The laceration was repaired transvaginally with hemostasis, and the patient recovered uneventfully. A vaginal laceration during intercourse may cause acute life-threatening hemorrhage. Bleeding is often occult on speculum examinations although may progress rapidly to shock. Emergency clinicians should exclude pregnancy, initiate early resuscitation, and urgently consult gynecology for examination under anesthesia and repair when indicated.</p>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"110 ","pages":"589-591"},"PeriodicalIF":2.9,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Reconsidering the emergency department's role in evaluating sexually transmitted infections and HIV during pregnancy. 重新考虑急诊科在评估怀孕期间性传播感染和艾滋病毒中的作用。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-10 DOI: 10.1016/j.ajem.2026.10.008
Rachel E Solnick, Michael Gottlieb
{"title":"Reconsidering the emergency department's role in evaluating sexually transmitted infections and HIV during pregnancy.","authors":"Rachel E Solnick, Michael Gottlieb","doi":"10.1016/j.ajem.2026.10.008","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.10.008","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Reader Comment: Can point-of-care high sensitivity troponin improve efficiency: a multisite US study. 读者评论：医疗点高灵敏度肌钙蛋白能提高效率吗：一项多地点的美国研究。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-07 DOI: 10.1016/j.ajem.2026.09.058
Chang Liu, Lu Xiao
{"title":"Reader Comment: Can point-of-care high sensitivity troponin improve efficiency: a multisite US study.","authors":"Chang Liu, Lu Xiao","doi":"10.1016/j.ajem.2026.09.058","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.058","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Response to correspondence on prehospital calcium administration. 院前给钙函件的回复。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-06 DOI: 10.1016/j.ajem.2026.10.003
Steven G Schauer, Julie A Rizzo, Susannah E Nicholson, Franklin L Wright, Michael D April, Brit J Long
{"title":"Response to correspondence on prehospital calcium administration.","authors":"Steven G Schauer, Julie A Rizzo, Susannah E Nicholson, Franklin L Wright, Michael D April, Brit J Long","doi":"10.1016/j.ajem.2026.10.003","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.10.003","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Reader comment regarding "Prehospital factors associated with calcium derangements upon arrival to the trauma center from scene - a subanalysis of a multicenter prospective study". 读者对“院前因素与从现场到达创伤中心时钙紊乱有关——一项多中心前瞻性研究的亚分析”的评论。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-05 DOI: 10.1016/j.ajem.2026.10.002
Owen Hibberd
{"title":"Reader comment regarding \"Prehospital factors associated with calcium derangements upon arrival to the trauma center from scene - a subanalysis of a multicenter prospective study\".","authors":"Owen Hibberd","doi":"10.1016/j.ajem.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.10.002","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Author Response: Can point-of-care high sensitivity troponin improve efficiency: a multisite US study. 高灵敏度肌钙蛋白能提高护理效率吗：一项多地点的美国研究。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-03 DOI: 10.1016/j.ajem.2026.09.059
Simon A Mahler, Nicklaus P Ashburn, Akalya Villenthi, David A Pearson, Hannah D Pugh, Benjamin T Hutchison, Michael W Supples, Anna C Snavely
{"title":"Author Response: Can point-of-care high sensitivity troponin improve efficiency: a multisite US study.","authors":"Simon A Mahler, Nicklaus P Ashburn, Akalya Villenthi, David A Pearson, Hannah D Pugh, Benjamin T Hutchison, Michael W Supples, Anna C Snavely","doi":"10.1016/j.ajem.2026.09.059","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.059","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Corrigendum to "Hypertensive disorders of pregnancy: A review and updates for the emergency physician" [Am. J. Emerg. Med. volume 110 (2026) 54-61]. “妊娠高血压疾病：急诊医生的回顾和更新”的勘误表[Am。j .紧急情况。Med.卷110(2026)54-61]。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-02 DOI: 10.1016/j.ajem.2026.09.039
Lucille Martin, Michele Callahan, Jennifer Wang
{"title":"Corrigendum to \"Hypertensive disorders of pregnancy: A review and updates for the emergency physician\" [Am. J. Emerg. Med. volume 110 (2026) 54-61].","authors":"Lucille Martin, Michele Callahan, Jennifer Wang","doi":"10.1016/j.ajem.2026.09.039","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.039","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Faster results do not necessarily mean faster decisions: Interpreting point-of-care high-sensitivity troponin efficiency. 更快的结果并不一定意味着更快的决策：解释护理点高灵敏度肌钙蛋白效率。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-02 DOI: 10.1016/j.ajem.2026.09.060
Gakushi Motoyama, Hiroshi Ito
{"title":"Faster results do not necessarily mean faster decisions: Interpreting point-of-care high-sensitivity troponin efficiency.","authors":"Gakushi Motoyama, Hiroshi Ito","doi":"10.1016/j.ajem.2026.09.060","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.060","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Modified vs. reverse Valsalva maneuver for cardioversion of supraventricular tachycardia: A randomized controlled trial. 改良vs反向Valsalva手法治疗室上性心动过速复律：一项随机对照试验。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-02 DOI: 10.1016/j.ajem.2026.09.056
Şervan Kurt, Abdullah Algın, Serdar Özdemir
{"title":"Modified vs. reverse Valsalva maneuver for cardioversion of supraventricular tachycardia: A randomized controlled trial.","authors":"Şervan Kurt, Abdullah Algın, Serdar Özdemir","doi":"10.1016/j.ajem.2026.09.056","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.056","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Trauma injuries: association of time of day and outcomes. 创伤性损伤：一天中的时间和结果的关联。
IF 2.9 3区 医学
American Journal of Emergency Medicine Pub Date : 2026-10-01 DOI: 10.1016/j.ajem.2026.09.055
Catherine A Marco, Marissa Lippinkhof, Evan Nelson
{"title":"Trauma injuries: association of time of day and outcomes.","authors":"Catherine A Marco, Marissa Lippinkhof, Evan Nelson","doi":"10.1016/j.ajem.2026.09.055","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.055","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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