Andreea Popa MD , Alexis Camargo DO , Anthony Catapano DO , Veronica Abello DO , Robert A. Farrow II DO, MS
{"title":"Ultrasound-guided flexor tendon sheath (FTS) block for digital analgesia in the emergency department: A case report","authors":"Andreea Popa MD , Alexis Camargo DO , Anthony Catapano DO , Veronica Abello DO , Robert A. Farrow II DO, MS","doi":"10.1016/j.ajem.2025.06.019","DOIUrl":"10.1016/j.ajem.2025.06.019","url":null,"abstract":"<div><div><span>A 26-year-old male presented to the emergency department (ED) with a penetrating injury to his fourth digit requiring analgesia for removal of an extruding metal foreign body. An ultrasound (US)-guided flexor </span>tendon sheath<span> (FTS) block was performed on the volar surface of the hand near the distal palmar crease using an out-of-plane approach with in-plane longitudinal confirmation of needle placement. Anesthetic placement was verified by a “horseshoe” appearance of the anesthetic surrounding the FTS. The patient achieved complete analgesia within five-minutes following the administration of the local anesthetic. This case highlights the efficacy and feasibility of US-guided FTS blocks as a viable alternative for digital anesthesia in the emergency setting.</span></div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"96 ","pages":"Pages 299.e1-299.e4"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303703","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}
Richard J. Gawel MD , Michael Gottlieb MD , Frances S. Shofer PhD , Michael Shalaby MD
{"title":"Treatment of gastritis and gastroparesis symptoms with erector spinae plane block in the emergency department","authors":"Richard J. Gawel MD , Michael Gottlieb MD , Frances S. Shofer PhD , Michael Shalaby MD","doi":"10.1016/j.ajem.2025.03.007","DOIUrl":"10.1016/j.ajem.2025.03.007","url":null,"abstract":"<div><div>Flares of gastritis<span><span> and gastroparesis are commonly encountered in the </span>emergency department<span><span> (ED) and can often be distressing for patients. These conditions can be difficult to symptomatically manage with conventional therapies, including acid reducing medications, analgesics, and pro-motility agents. We describe two patients with acute </span>gastritis<span><span> and three patients with gastroparesis flares who reported considerable symptom improvement after a unilateral thoracic ultrasound-guided erector spinae plane block (ESPB). One gastritis patient was admitted to the hospital for </span>endoscopy but did not require any opioids until she was sedated for the procedure, while the other gastritis patient reported complete symptom relief and elected to be discharged from the ED. All three patients with gastroparesis flares reported considerable improvement in their symptoms and were able to be discharged home rather than be admitted for continued symptom management. The ESPB may be an effective tool for emergency physicians to manage acute gastritis and gastroparesis flares in the ED.</span></span></span></div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"96 ","pages":"Pages 298.e1-298.e3"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588378","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":"Corrigendum to “External validation of a widely available, localizable sepsis early detection model in the emergency department setting” [Am J Emerg Med (2025) 97:147–151]","authors":"Danielle Currey , Yasir Tarabichi MD, MSCR","doi":"10.1016/j.ajem.2025.08.029","DOIUrl":"10.1016/j.ajem.2025.08.029","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"96 ","pages":"Pages 302-303"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979834","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":"Optimizing blood and urine cultures: Diagnostic stewardship in the emergency department","authors":"Minji Kang MD","doi":"10.1016/j.ajem.2025.08.028","DOIUrl":"10.1016/j.ajem.2025.08.028","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"96 ","pages":"Pages 293-295"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979751","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":"Reader comment regarding reevaluating bicarbonate therapy in pediatric DKA: A propensity score-matched analysis of neurological and respiratory outcomes","authors":"Ching-Hsiang Lin , Joshua Wang","doi":"10.1016/j.ajem.2025.08.042","DOIUrl":"10.1016/j.ajem.2025.08.042","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"96 ","pages":"Pages 270-271"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979819","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}
Jami Hagemann PA-C , Andrew Kozminski MD, MSE , Sarah Miller MD , Carly A. Theiler MD , Daniel J. McCabe MD
{"title":"Normal physiologic carboxyhemoglobinemia of neonate masquerading as carbon monoxide poisoning","authors":"Jami Hagemann PA-C , Andrew Kozminski MD, MSE , Sarah Miller MD , Carly A. Theiler MD , Daniel J. McCabe MD","doi":"10.1016/j.ajem.2025.06.026","DOIUrl":"10.1016/j.ajem.2025.06.026","url":null,"abstract":"<div><div><span><span><span>Carbon monoxide<span> toxicity is a common concern in emergency departments. This case report describes a neonate with a falsely elevated </span></span>carboxyhemoglobin level, initially raising concern for carbon monoxide exposure. The neonate was transferred to a </span>tertiary care hospital and admitted, with </span>hyperbaric oxygen therapy<span> considered. Ultimately, it was determined that actual carbon monoxide exposure was unlikely, and the elevated carboxyhemoglobin<span> was attributed to natural breakdown of fetal hemoglobin<span><span> by heme oxidase. This case highlights the importance of considering this physiological phenomenon when evaluating elevated carboxyhemoglobin levels in neonates. Recognizing this led to the deferral of </span>hyperbaric oxygen therapy, reducing unnecessary resource utilization and preventing undue stress for the family.</span></span></span></div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"96 ","pages":"Pages 300.e1-300.e2"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487223","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}