Paulo Eduardo Souza Castelo Branco, Isabela Maurício Costa Carneiro, Adriane Helena Silva Franco, Amanda Prates de Oliveira
{"title":"Effect of intravenous ondansetron on QTc interval in children with gastroenteritis","authors":"Paulo Eduardo Souza Castelo Branco, Isabela Maurício Costa Carneiro, Adriane Helena Silva Franco, Amanda Prates de Oliveira","doi":"10.1016/j.ajem.2024.10.029","DOIUrl":"10.1016/j.ajem.2024.10.029","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"86 ","pages":"Pages 164-165"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481685","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}
Samer Metri , Carlos Gonzalez-Cobos , Gabriel Rose
{"title":"Treatment of shoulder pain with ultrasound-guided interfascial plane block","authors":"Samer Metri , Carlos Gonzalez-Cobos , Gabriel Rose","doi":"10.1016/j.ajem.2024.10.022","DOIUrl":"10.1016/j.ajem.2024.10.022","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder pain is a common presentation to the Emergency Department (ED). Despite an increasing volume of ED visits for shoulder pain, achieving adequate pain control can be challenging. Ultrasound-guided nerve blocks, such as the interscalene nerve block (ISB), are effective but can cause hemidiaphragmatic paresis and motor dysfunction. The interfascial plane block (IPB) is a simple and new regional anesthesia technique that spares the diaphragm, and most upper extremity motor function.</div></div><div><h3>Case Report</h3><div>Three patients presented to the ED with acute shoulder pain refractory to oral analgesics and were treated successfully with an ultrasound-guided IPB in the ED.</div></div><div><h3>Conclusion</h3><div>The ultrasound-guided IPB is a simple, safe, and effective alternative approach to treating shoulder pain in the ED, especially in patients who may not tolerate ISB.</div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"86 ","pages":"Pages 189.e1-189.e3"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481691","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 “The hypoxia-age-shock index at triage is a useful and rapid tool” [American Journal of Emergency Medicine 83 (2024) 154–155]","authors":"Pao-Shan Chen , Chia-Yin Hsieh , Fu-Shan Jaw , Hsaio-Kang Chen , Kuo-Yang Hsi , Hung-Pin Chang","doi":"10.1016/j.ajem.2024.09.022","DOIUrl":"10.1016/j.ajem.2024.09.022","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"86 ","pages":"Page 194"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258239","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":"Ondansetron and cardiac safety: Call for a comprehensive assessment","authors":"Erhan Arıkan , Faik Özel , İsa Ardahanlı","doi":"10.1016/j.ajem.2024.10.030","DOIUrl":"10.1016/j.ajem.2024.10.030","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"86 ","pages":"Pages 162-163"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481686","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":"Severe caffeine poisoning with mexiletine successfully treated by extracorporeal methods","authors":"Saeko Kohara MD , Yoshito Kamijo MD, PhD , Ryoko Kyan MD , Tomohiro Yoshizawa PhD , Tatsuaki Takahashi MD , Kijong Shin MD , Eiju Hasegawa MD","doi":"10.1016/j.ajem.2024.09.034","DOIUrl":"10.1016/j.ajem.2024.09.034","url":null,"abstract":"<div><div>A 20-year-old woman was brought to the hospital in an ambulance after ingesting 18 g of caffeine and 3500 mg of mexiletine 80 min earlier. On arrival at the emergency department, her vital signs were as follows: blood pressure, 65/37 mmHg; heart rate, 140 beats/min; and Glasgow Coma Scale, E4V4M6. Laboratory analyses revealed hypokalemia and lactic acidosis. The patient was treated with mechanical ventilation after intratracheal intubation, intravenous noradrenaline infusion, gastric lavage, and activated charcoal administration. Shortly afterwards, she developed pulseless ventricular tachycardia, and veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was initiated. As the circulatory collapse continued, hemodialysis (HD) was performed with continuous intravenous infusion of noradrenaline. After the completion of HD, the noradrenaline dose was reduced. On hospital day 2, HD was performed on the second day of hospitalization. On hospital days 3 and 4, the patient was weaned off VA-ECMO and ventilator. The blood concentrations of caffeine and mexiletine at presentation were 387 μg/mL and 1.1 μg/mL respectively. During the first HD, blood concentrations of both drugs were markedly reduced.</div><div>It has been reported that mexiletine may reduce the clearance of caffeine probably via inhibition of <em>N</em>-demethylation. In this case, the endogenous clearance of caffeine, calculated from blood concentrations, was considerably lower than estimated. If HD had not been performed, it may have taken longer to wean off the VA-ECMO because of reduced caffeine clearance in the presence of mexiletine. Notably, caffeine poisoning is more severe and prolonged when mexiletine is administered.</div></div>","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"86 ","pages":"Pages 190.e5-190.e7"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333045","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}
Ahmad Khaldun Ismail , Scott A. Weinstein , David A. Warrell
{"title":"The importance of comprehensive documentation of snakebite envenoming: Is “the ‘devil’ in the details” or in their deficiency?","authors":"Ahmad Khaldun Ismail , Scott A. Weinstein , David A. Warrell","doi":"10.1016/j.ajem.2024.10.024","DOIUrl":"10.1016/j.ajem.2024.10.024","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":"86 ","pages":"Pages 166-167"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513495","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}
Bobbi Wiens, Janelle Beaven, Emma Williams, Dylan Viste, S Monty Ghosh, Caitlin Stokvis, Betalihem Lemma, William Rioux, Stephanie VandenBerg
{"title":"Bridging the Gap; examining emergency service providers' experiences caring for patients with methamphetamine-induced behavioural disturbance.","authors":"Bobbi Wiens, Janelle Beaven, Emma Williams, Dylan Viste, S Monty Ghosh, Caitlin Stokvis, Betalihem Lemma, William Rioux, Stephanie VandenBerg","doi":"10.1016/j.ajem.2024.11.083","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.11.083","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808713","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}
Erhan Arıkan, Faik Özel, Ahmet Ardahanlı, İsa Ardahanlı
{"title":"Artificial intelligence in cardiac POCUS: Clinical tips for emergency medicine professionals.","authors":"Erhan Arıkan, Faik Özel, Ahmet Ardahanlı, İsa Ardahanlı","doi":"10.1016/j.ajem.2024.11.087","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.11.087","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787976","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}
Oguzhan Haciosman, Huseyin Ergenc, Adem Az, Yunus Dogan, Ozgur Sogut
{"title":"Response to comment on \"A high-flow nasal cannula versus noninvasive ventilation in acute exacerbations of chronic obstructive pulmonary disease\".","authors":"Oguzhan Haciosman, Huseyin Ergenc, Adem Az, Yunus Dogan, Ozgur Sogut","doi":"10.1016/j.ajem.2024.11.086","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.11.086","url":null,"abstract":"","PeriodicalId":55536,"journal":{"name":"American Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781952","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}