American Journal of Emergency Medicine最新文献

{"title":"QTc interval changes following low-dose droperidol administration in the emergency department.","authors":"Aaron Bartoe, Laura Berkvens, Aimee Solano, Justin Hacnik, Peter Richman","doi":"10.1016/j.ajem.2026.09.013","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.013","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957273","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}

{"title":"Acute aortic occlusion presenting as acute paraplegia: Never forget to examine the pulses.","authors":"Thotanolla Surya Prakash, Abhijeet Dhanshetty","doi":"10.1016/j.ajem.2026.09.008","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.09.008","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932072","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}

{"title":"Methicillin-resistant Staphylococcus aureus nasal swab impact on vancomycin duration in the emergency department.","authors":"Kaden Shen, Kaylee K Marino, Karlie Knobloch, Lydia R Ware, Jeffrey C Pearson","doi":"10.1016/j.ajem.2026.08.057","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.08.057","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908080","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}

{"title":"The use of Riva Star for dental pain in the emergency department.","authors":"Jimmy Zhou, Amnjot Hothi, George Lew","doi":"10.1016/j.ajem.2026.08.045","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.08.045","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914464","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}

{"title":"Reducing monetary and environmental cost with a trimmed suture removal kit in the emergency department.","authors":"Shiu-Lin Tsai, Angela M Mills, Shelomzion Steinmetz-Silber, Ross McCormack","doi":"10.1016/j.ajem.2026.08.029","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.08.029","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851975","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}

{"title":"Intentional substance exposures at school reported to United States poison centers, 2000–2024","authors":"Alyssa Bienfang, Hannah L. Hays, Jaahnavi Badeti, Natalie I. Rine, Motao Zhu, Jingzhen Yang, Gary A. Smith","doi":"10.1016/j.ajem.2026.08.031","DOIUrl":"10.1016/j.ajem.2026.08.031","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to investigate the characteristics and trends of intentional substance exposures at school among children 6–18 years old reported to United States (US) poison centers.</div></div><div><h3>Methods</h3><div>Using a retrospective cohort study design, National Poison Data System data from 2000 to 2024 were analyzed. National population estimates from the US Census Bureau were used to calculate population-based rates, including age- and sex-specific rates, of exposure per 100,000 US population. Analyses included descriptive statistics and calculation of risk ratios (RRs) with 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>From 2000 to 2024, US poison centers received reports of 122,700 intentional exposures that occurred at school among children 6–18 years old. Exposures most commonly involved high school-aged children (45.9%), males (56.7%), or a single substance (91.3%). Although most intentional exposures did not receive treatment at a healthcare facility (64.2%), 23.2% were treated/evaluated and released, and 5.3% resulted in admission to a non-critical care or critical care unit. Almost half (48.2%) of intentional substance exposures were not followed (judged to be a non-toxic exposure or to have minimal clinical effects possible), while 21.8% were associated with a minor effect (21.8%) and 20.0% with no effect. However, 10.0% had a serious medical outcome, including 0.7% (<em>n</em> = 741) with a major effect; there were two deaths. More than half of the intentional exposures occurring at school were attributable to intentional misuse (62.2%), followed by abuse (23.6%) and suspected self-harm or suicidal intent (14.2%). Exposures among high school-aged children were more likely to be associated with a serious medical outcome (RR: 5.00, 95% CI: 4.78–5.22), abuse (RR: 2.99, 95% CI: 2.92–3.06), or suspected self-harm or suicidal intent (RR: 3.28, 95% CI: 3.17–3.39) than those among elementary school- and middle school-aged children. Abuse was more likely to be associated with a serious medical outcome (RR: 4.51, 95% CI: 4.35–4.68) than non-abuse-related intentional exposures. Likewise, suspected self-harm or suicidal intent-related exposures were more likely to be associated with a serious medical outcome (RR: 2.33, 95% CI: 2.24–2.43) than exposures not related to suspected self-harm or suicidal intent. The rate of intentional exposures at school per 100,000 US children 6–18 years old fluctuated over time and increased overall by 77.5% from 7.5 in 2000 to 13.3 in 2024, including a transient sharp decline in 2020 and 2021 coinciding with the COVID-19 pandemic. The rate increased by 287.4% from 3.1 in 2000 to 11.9 in 2024 among elementary school-aged children, 111.9% from 10.0 in 2000 to 21.3 in 2024 among middle school-aged children, but decreased by 4.2% from 10.1 in 2000 to 9.7 in 2024 among high school-aged children. The exposure rate of middle school-aged children ","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"110 ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of standard geometry video laryngoscope blades versus macintosh direct laryngoscope blades for simulated hypopharyngeal foreign body removal.","authors":"Tyler Adams, John Cambron, Shani Italiya, Katherine Spencer, Peter B Richman","doi":"10.1016/j.ajem.2026.08.037","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.08.037","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842283","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}

{"title":"Risky business on TikTok: Content analysis of hazardous challenges among youth.","authors":"Abby Shah, Aleezay Khan, Alexander Schafer, Abriel Reister, Jared Bengston, Nour Rammal, Nicholas Mulder, Coby Fan, Jeffrey S Jones","doi":"10.1016/j.ajem.2026.08.012","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.08.012","url":null,"abstract":"<p><strong>Introduction: </strong>TikTok is a major platform for hazardous user-generated content involving adolescents and young adults. Hazardous videos extend beyond named challenges to include stunts, dares, and copycat behaviors that may encourage imitation through algorithmic promotion and peer engagement. This study characterized hazardous TikTok videos, identified their mechanisms and clinical consequences, explored why adolescents and young adults engage with them, and examined the social network and algorithmic features that accelerate their spread.</p><p><strong>Methods: </strong>This descriptive qualitative content analysis examined public TikTok videos depicting potentially hazardous behaviors among adolescents and young adults. Videos were identified through direct TikTok searches and supplemented by media, regulatory, and toxicology sources. They were then archived, transcribed, and coded using a standardized abstraction form. Qualitative thematic analysis examined motives for participation and dissemination mechanisms, while physician review assessed medical risk and misinformation or disinformation.</p><p><strong>Results: </strong>Sixty-nine videos met inclusion criteria; 55 (79.7%) addressed highly prevalent youth challenges and had more than 30,000 views. Twenty-eight videos (40.6%) were associated with challenge types with documented fatalities, and all identified behaviors were deemed medically dangerous. Medical misinformation or disinformation was present in 62 of 69 videos (90.0%). Dissemination was facilitated by recommendation-feed amplification, shared audiovisual templates, hashtag aggregation, social proof, behavioral reinforcement, and moderation evasion through re-uploads, altered hashtags, or coded language. Interrater reliability was substantial (Kappa = 0.80).</p><p><strong>Conclusions: </strong>Hazardous TikTok videos are widely disseminated, medically serious, and shaped by misinformation, peer influence, and algorithmic amplification. These findings are relevant to clinicians and public health professionals seeking to recognize, document, and prevent social media-related injuries.</p>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802135","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}

{"title":"Prevalence and effects of resiliency training and mental health correlates among emergency medical services professionals.","authors":"Jackson D Déziel, Susan Braithwaite","doi":"10.1016/j.ajem.2026.08.018","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.08.018","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802214","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}

{"title":"The emergency department visit as an opportunity for sexually transmitted infection screening and linkage to care in early pregnancy.","authors":"Ngozi V Pierce, Ellen Almirol, Kimberly A Stanford","doi":"10.1016/j.ajem.2026.07.043","DOIUrl":"https://doi.org/10.1016/j.ajem.2026.07.043","url":null,"abstract":"<p><strong>Background: </strong>Inadequate prenatal care (PNC) is linked to adverse pregnancy outcomes, including those related to untreated sexually transmitted infections (STIs) such as syphilis. Many populations with low PNC utilization disproportionately access the emergency department (ED). ED visits in early pregnancy may represent a critical opportunity for screening and linkage to PNC. This study aims to evaluate STI screening, diagnosis rates, and access to PNC among pregnant ED patients.</p><p><strong>Methods: </strong>This is a retrospective review of pregnant individuals who visited a large, urban ED and later delivered the infant at the same hospital or had ectopic pregnancies. Descriptive statistics were used to report testing and PNC data, which were extracted from the electronic medical record.</p><p><strong>Results: </strong>Of 1770 ED visits with positive pregnancy tests, 401 (22.7%) resulted in live births in the same hospital and 69 (3.9%) in ectopic pregnancies. In the live birth group, average gestational age at ED presentation was 9 (SD 4.5) weeks, and 49.1% reported plans to access PNC. Only 13.2% of ED encounters included testing for HIV, 4.7% for syphilis, and 22.9% for gonorrhea/chlamydia. More than half (54.5%) of 32 individuals with gonorrhea or chlamydia and 80% of the five with syphilis were not tested during their ED visit.</p><p><strong>Conclusions: </strong>This study demonstrates large gaps in STI testing and access to PNC among pregnant persons visiting the ED. These findings highlight an important opportunity for early diagnosis, prevention of complications like congenital syphilis, and linkage to PNC for underserved communities utilizing the ED early in pregnancy.</p>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622700","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}