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Comparison of transvaginal ultrasound utilization between radiology and point-of-care ultrasound in first-trimester pregnancy
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.035
Ali Çelik M.D
{"title":"Comparison of transvaginal ultrasound utilization between radiology and point-of-care ultrasound in first-trimester pregnancy","authors":"Ali Çelik M.D","doi":"10.1016/j.ajem.2025.01.035","DOIUrl":"10.1016/j.ajem.2025.01.035","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Page 294"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030329","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
Should digoxin immune fab be administered based solely on reported ingested amount in acute digoxin poisoning?
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.038
Jon B. Cole M.D. , Lesley C. Pepin M.D. , Carrie L. Oakland PharmD , Elisabeth F. Bilden M.D.
{"title":"Should digoxin immune fab be administered based solely on reported ingested amount in acute digoxin poisoning?","authors":"Jon B. Cole M.D. ,&nbsp;Lesley C. Pepin M.D. ,&nbsp;Carrie L. Oakland PharmD ,&nbsp;Elisabeth F. Bilden M.D.","doi":"10.1016/j.ajem.2025.01.038","DOIUrl":"10.1016/j.ajem.2025.01.038","url":null,"abstract":"<div><div>Acute digoxin poisoning is increasingly uncommon in emergency medicine. Furthermore, controversy exists regarding indications for antidotal digoxin immune fab in acute poisoning. In healthy adults, the fab prescribing information recommends administration based on “known consumption of fatal doses of digoxin: ≥10mg,” while many emergency medicine textbooks suggest fab administration be driven by clinical features or potassium concentration. A 54 kg adult, not on digoxin, presented one hour after ingesting 12.5 mg. Electrocardiogram revealed only ST depression and first degree heart block. Initial pulse was 102 beats/min, systolic blood pressure was 170 mmHg. The patient was otherwise asymptomatic. Poison center recommended immediately obtaining serum potassium and digoxin concentrations; call-back was planned for two hours. The emergency physician was instructed to have ≥10 fab vials bedside and to administer if instability ensued. Thirty-five minutes later (≈90 min post-ingestion) ventricular fibrillation cardiac arrest occurred; initial serum potassium resulted at this time at 3.3 mEq/L. Bicarbonate, insulin and glucose, amiodarone, magnesium, calcium, and 10 fab vials were administered. Cardioversion resulted in wide-complex tachycardia which became ventricular fibrillation then asystole and the patient died. Serum digoxin concentration drawn on hospital arrival resulted after death at 44 ng/mL. In this fatal case of acute digoxin poisoning, fab was not empirically recommended because the patient initially did not have significant signs or symptoms that accompanied the history of ingesting ≥10 mg digoxin. While the bedside team was given clear anticipatory guidance by the regional poison center, the patient died despite fab administration once instability occurred.</div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 309.e3-309.e6"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030342","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
Use of psychoactive medications in topical cream: Need for regulation and vigilance!
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.037
Anju Gupta MD , Amiya Kumar Barik DM , Chitta Ranjan Mohanty MD , Rakesh Vadakkethil Radhakrishnan MSN , Surya Kumar Maddala DM
{"title":"Use of psychoactive medications in topical cream: Need for regulation and vigilance!","authors":"Anju Gupta MD ,&nbsp;Amiya Kumar Barik DM ,&nbsp;Chitta Ranjan Mohanty MD ,&nbsp;Rakesh Vadakkethil Radhakrishnan MSN ,&nbsp;Surya Kumar Maddala DM","doi":"10.1016/j.ajem.2025.01.037","DOIUrl":"10.1016/j.ajem.2025.01.037","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 302-303"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030347","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
The role of renal replacement therapy in managing SCAPE
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.061
Faruk Danış
{"title":"The role of renal replacement therapy in managing SCAPE","authors":"Faruk Danış","doi":"10.1016/j.ajem.2025.01.061","DOIUrl":"10.1016/j.ajem.2025.01.061","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 284-285"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061620","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
Pediatric emergency department visits for suicidality.
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.02.047
Hannah Beck, Ellen N Huhulea, Ashley Issak, Nicol Alexandra Paulino, Priyanka Rana, Srijana Madimi, Alejandro Suarez, Elani Colon, Nour Rezk, Hossein Kalantari, Getaw Worku Hassen
{"title":"Pediatric emergency department visits for suicidality.","authors":"Hannah Beck, Ellen N Huhulea, Ashley Issak, Nicol Alexandra Paulino, Priyanka Rana, Srijana Madimi, Alejandro Suarez, Elani Colon, Nour Rezk, Hossein Kalantari, Getaw Worku Hassen","doi":"10.1016/j.ajem.2025.02.047","DOIUrl":"https://doi.org/10.1016/j.ajem.2025.02.047","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674596","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
Fatal disseminated varicella infection in a patient on long-term oral corticosteroids 长期口服皮质类固醇患者致死性弥散性水痘感染。
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2024.12.071
Zhuojian Zeng , Minglin Chen , Muyan Diao , Shengyuan Su , Fei Xue , Tuan Li , Yuehui Zhang
{"title":"Fatal disseminated varicella infection in a patient on long-term oral corticosteroids","authors":"Zhuojian Zeng ,&nbsp;Minglin Chen ,&nbsp;Muyan Diao ,&nbsp;Shengyuan Su ,&nbsp;Fei Xue ,&nbsp;Tuan Li ,&nbsp;Yuehui Zhang","doi":"10.1016/j.ajem.2024.12.071","DOIUrl":"10.1016/j.ajem.2024.12.071","url":null,"abstract":"<div><h3>Key clinical message</h3><div>Primary varicella-zoster virus (VZV) infection typically occurs in childhood and is generally mild. However, in immunocompromised patients, VZV-related diseases can be more severe. Fatal cases of disseminated varicella are still rare. We report a fatal case of disseminated varicella in a young adult on long-term oral corticosteroids.</div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 311.e1-311.e5"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016980","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}
引用次数: 0
Local anaesthesia systemic toxicity following erector spinae plane block: Does dose matter? 竖脊肌平面阻滞后局部麻醉的全身毒性：剂量有关系吗？
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.020
Anju Gupta MD , Upendra Hansda MD , Amiya Kumar Barik DM , Chitta Ranjan Mohanty MD , Rakesh Vadakkethil Radhakrishnan MSN , Sugantha Priya MD
{"title":"Local anaesthesia systemic toxicity following erector spinae plane block: Does dose matter?","authors":"Anju Gupta MD ,&nbsp;Upendra Hansda MD ,&nbsp;Amiya Kumar Barik DM ,&nbsp;Chitta Ranjan Mohanty MD ,&nbsp;Rakesh Vadakkethil Radhakrishnan MSN ,&nbsp;Sugantha Priya MD","doi":"10.1016/j.ajem.2025.01.020","DOIUrl":"10.1016/j.ajem.2025.01.020","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 277-278"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016986","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
The Roth score: A simple tool for assessing acute exacerbations of COPD in emergency care 罗斯评分：在急诊护理中评估慢性阻塞性肺病急性加重的一个简单工具。
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2024.12.075
Fatma Tortum
{"title":"The Roth score: A simple tool for assessing acute exacerbations of COPD in emergency care","authors":"Fatma Tortum","doi":"10.1016/j.ajem.2024.12.075","DOIUrl":"10.1016/j.ajem.2024.12.075","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Page 260"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959050","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
Integrating holistic strategies into disaster management: Managing physical, psychological, and social impacts of disasters 将整体战略纳入灾害管理：管理灾害对身体、心理和社会的影响。
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.005
Ömerul Faruk Aydin , Sarper Yilmaz MD , Mustafa Ulusoy MD , Mustafa Polat
{"title":"Integrating holistic strategies into disaster management: Managing physical, psychological, and social impacts of disasters","authors":"Ömerul Faruk Aydin ,&nbsp;Sarper Yilmaz MD ,&nbsp;Mustafa Ulusoy MD ,&nbsp;Mustafa Polat","doi":"10.1016/j.ajem.2025.01.005","DOIUrl":"10.1016/j.ajem.2025.01.005","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 268-269"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959185","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
An uncommon case of ptosis from invasive bacterial sinusitis
IF 2.7 3区 医学
American Journal of Emergency Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.ajem.2025.01.063
Karishma Patel MD, David J. Barton MD
{"title":"An uncommon case of ptosis from invasive bacterial sinusitis","authors":"Karishma Patel MD,&nbsp;David J. Barton MD","doi":"10.1016/j.ajem.2025.01.063","DOIUrl":"10.1016/j.ajem.2025.01.063","url":null,"abstract":"<div><div>Acquired palpebral ptosis (also called blepharoptosis, or ptosis) is an abnormally low-positioned upper eyelid and occasionally presents as a chief complaint to the emergency department. Due to the wide range of causes and spectrum of severity, emergency physicians must recognize and initiate appropriate diagnostic and treatment pathways to limit the risk of long-term complications in those affected. We report a case of a 19 year old healthy man who presented with a chief complaint of unilateral eyelid droop in the setting of three days of sinusitis symptoms. Neuroimaging revealed invasive sinusitis with leptomeningeal enhancement and extraconal subperiosteal abscess. He was treated with intravenous antibiotics, admitted to the hospital, and discharged home after 7 days. This uncommon cause of ptosis highlights the need for a broad differential diagnosis for this condition and recognition of uncommon complications of invasive sinusitis.</div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"89 ","pages":"Pages 308.e1-308.e3"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069903","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}
引用次数: 0
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