JEM reports最新文献

{"title":"Letter to Editor: Treatment of post-traumatic occipital neuralgia with ultrasound-guided greater occipital nerve hydrodissection in the emergency department","authors":"Gabriel Rose","doi":"10.1016/j.jemrpt.2024.100096","DOIUrl":"https://doi.org/10.1016/j.jemrpt.2024.100096","url":null,"abstract":"","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 3","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000269/pdfft?md5=a25e565a37578323260c932c0fd02bec&pid=1-s2.0-S2773232024000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor – Suboccipital sonoanatomy - Sonoanatomy labelling errors and effective novel techniques of ultrasound-guided hydrodissection of the greater occipital nerve","authors":"King Hei Stanley Lam","doi":"10.1016/j.jemrpt.2024.100095","DOIUrl":"10.1016/j.jemrpt.2024.100095","url":null,"abstract":"","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 3","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000257/pdfft?md5=d23d7162f0a3bce05e88845f57c6a465&pid=1-s2.0-S2773232024000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aims and Scope","authors":"","doi":"10.1016/S2773-2320(24)00028-2","DOIUrl":"https://doi.org/10.1016/S2773-2320(24)00028-2","url":null,"abstract":"","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100098"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000282/pdfft?md5=509950e9fbcc1fbc0c575821c8de8582&pid=1-s2.0-S2773232024000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141434772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient factors associated with unplanned sedation after intra-articular lidocaine for shoulder dislocation","authors":"Donald Wright ,&nbsp;Raphael Sherak ,&nbsp;Lonnie Seo ,&nbsp;Arya Parhar ,&nbsp;Cristiana Baloescu","doi":"10.1016/j.jemrpt.2024.100093","DOIUrl":"10.1016/j.jemrpt.2024.100093","url":null,"abstract":"<div><h3>Background</h3><p>Recent evidence suggests that intra-articular lidocaine (IAL) is an appropriate analgesic alternative to intravenous sedation (IV sedation) during shoulder dislocation reduction, however little is known about patient factors associated with IAL failure and need for subsequent IV sedation. Avoiding crossover is important, as repeated reduction attempts have been previously shown to increase the rate of procedural complications.</p></div><div><h3>Objectives</h3><p>To identify patient level factors associated with crossover from IAL to IV sedation and associated complication rates and operational impacts.</p></div><div><h3>Methods</h3><p>This retrospective observational cohort study evaluated the patient characteristics associated with crossover to unplanned IV sedation after IAL among adult patients undergoing ED reduction of an isolated, acute anterior shoulder dislocation from 2013 to 2021 in an urban, academic hospital system. Univariate analysis and multivariate logistic regression were used.</p></div><div><h3>Results</h3><p>In total, 630 participants were identified who received IAL or procedural sedation. Of these, 182 (28.9 ​%) received IAL of whom 49 (26.9 ​%) subsequently required unplanned IV sedation. Participants had 1.205 (95 ​% CI 1.030, 1.418) fold increase in odds of unplanned sedation for every 10-year increase in age. Crossover to IV sedation was associated with greater rates of adverse events, ED length of stay, and quantity of opioids received compared to either IAL or IV sedation alone.</p></div><div><h3>Conclusions</h3><p>Participants with unplanned IV sedation after IAL had more adverse events than those who received either method alone. Older age was associated with unplanned sedation after IAL. Prospective studies are needed to further define patient factors likely to contribute to failure of IAL.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100093"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000233/pdfft?md5=bb9b8619f6bee774c6a2f61aaa90ed8a&pid=1-s2.0-S2773232024000233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glaucoma associated with sinusitis: A case report","authors":"William A. Kantrales,&nbsp;Martin P. Wegman,&nbsp;Jennifer Chapman,&nbsp;Nawzad Jacksi","doi":"10.1016/j.jemrpt.2024.100094","DOIUrl":"https://doi.org/10.1016/j.jemrpt.2024.100094","url":null,"abstract":"<div><h3>Background</h3><p>Acute rhinosinusitis is frequently diagnosed in emergency departments and primary care settings across the United States. Most cases are allergic or viral in etiology and resolve with supportive measures. Complications are rare, but when occurring are typically a result of bacterial sinusitis, extension of infection, and cerebral venous thrombosis. We describe a case of acute rhinosinusitis with co-existing acute angle closure glaucoma.</p></div><div><h3>Case report</h3><p>A 42-year-old female with history of headache disorder presented to the emergency department with the chief complaint of a left-sided headache, blurry vision, aural fullness, malaise and fatigue. She was suspected to have a viral syndrome with associated headache of non-emergent etiology and was discharged after partial improvement in response to a conventional analgesic regimen. She returned with worsening symptoms and was subsequently discovered to have acute angle closure glaucoma (AACG) by tonometry and sinusitis by Computed Tomography. The patient's intraocular pressures improved with standard AACG therapies. She was continued on these medications at discharge in combination with amoxicillin for presumed bacterial sinusitis.</p></div><div><h3>Why should an emergency physician be aware of this?</h3><p>Sinusitis and AACG have overlapping symptoms and can co-occur. Thus, AACG should be considered in a patient that presents with symptoms suggestive of sinusitis with an associated ocular complaint. Further study should seek to measure the relationship between these two diseases and investigate potential causal links.</p></div><div><h3>Categories</h3><p>Emergency Medicine, Ophthalmology, Otolaryngology.</p></div><div><h3>Keywords</h3><p>Case report, Sinusitis, Glaucoma, Acute angle closure glaucoma, Blurry vision.</p></div><div><h3>Disclaimer</h3><p>This research was supported (in whole or in part) by HCA Healthcare and/or an HCA Healthcare affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA Healthcare or any of its affiliated entities.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100094"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000245/pdfft?md5=58069a2bc3648b44ba0b30a8ea258874&pid=1-s2.0-S2773232024000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141314678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Not your typical sore throat: A case of a nasopharyngeal airway as a retained foreign body","authors":"Dustin B. Williams ,&nbsp;Joshua Lindsley ,&nbsp;Conner Reynolds ,&nbsp;Mengchen Cao ,&nbsp;Kevin J. Curley","doi":"10.1016/j.jemrpt.2024.100092","DOIUrl":"https://doi.org/10.1016/j.jemrpt.2024.100092","url":null,"abstract":"","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000221/pdfft?md5=10f27d0f18e67a8c7effc4bd9231c102&pid=1-s2.0-S2773232024000221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory virus panel testing in pediatric emergency medicine: An institutional experience from 2019 to 2022","authors":"Catherine A. Marco ,&nbsp;Angel L. Schuster ,&nbsp;Matthew Kraus","doi":"10.1016/j.jemrpt.2024.100090","DOIUrl":"https://doi.org/10.1016/j.jemrpt.2024.100090","url":null,"abstract":"<div><h3>Background</h3><p>Acute respiratory illness remains a worldwide leading cause of morbidity and mortality.</p></div><div><h3>Objective</h3><p>This study was undertaken to identify trends in Respiratory Virus Panel (RVP) use and diagnostic results from 2019 to 2022.</p></div><div><h3>Methods</h3><p>The institutional Medical Laboratory created a database that included all RVP test results. The database included month and year of test, RVP test results, subject age, and sex.</p></div><div><h3>Results</h3><p>Utilization of RVP testing markedly expanded from 2019, with a mean utilization of 2 tests per quarter, to 2022, with a mean utilization of 1071 tests per quarter. Diagnostic results varied over time. The incidence of multiple pathogens per test increased from 2019 to 2022, although the percentage of tests with multiple pathogens did not differ significantly. The incidence of specific virus results varied by time. Adenovirus, COVID-19, Influenza A, Metapneumovirus, parainfluenza, and RSV were found more commonly in 2021 and 2022 compared to 2019 and 2020.</p></div><div><h3>Conclusions</h3><p>Utilization of RVP testing markedly expanded from 2019. Adenovirus, COVID-19, Influenza A, Metapneumovirus, parainfluenza, and RSV were found more commonly in 2021 and 2022 compared to 2019 and 2020.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000208/pdfft?md5=f7139f46a727ea2b8adf4aafc7fcb794&pid=1-s2.0-S2773232024000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technique description: Extraction of engulfed ear-piercing backing – The fast and atraumatic technique","authors":"Dmitry Beylin","doi":"10.1016/j.jemrpt.2024.100091","DOIUrl":"https://doi.org/10.1016/j.jemrpt.2024.100091","url":null,"abstract":"<div><h3>Background</h3><p>Ear piercings are a common practice for body modification and self-expression, but they can lead to various complications, including embedded jewelry, infections, and difficulty removing earring backings. Traditional techniques for removing stuck backings involve forceful manipulation, resulting in pain, scarring, and suboptimal cosmetic outcomes.</p></div><div><h3>Discussion</h3><p>In this technique description, we present an alternative atraumatic technique for the removal of stuck ear-piercing backings. The technique involves injecting a mixture of local anesthetic and a vasoconstrictor, around the backing to create a fluid pocket that loosens the earring post. A special maneuver is then applied using a needle driver allowing for easy gentle removal. If the backing remains embedded, gentle pressure on the earlobe reveals a loop that can be threaded with a syringe needle to propel the backing out.</p></div><div><h3>Conclusions</h3><p>The proposed atraumatic technique for removing stuck ear-piercing backings offers a satisfactory and less stressful experience for pediatric patients while reducing the need for emergency department referrals. Given the lack of consensus on extraction methods, this technique provides a valuable alternative in the absence of a widely agreed-upon approach. Further research is needed to establish standardized protocols. Nevertheless, adopting this technique has the potential to enhance patient satisfaction and improve outcomes.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277323202400021X/pdfft?md5=c09da96c1cc33eddfa73b391fa97d56f&pid=1-s2.0-S277323202400021X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140820148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jersey fracture: Avulsion-fracture injury of the flexor digitorum profundus","authors":"Maikel Falcon ,&nbsp;Gary M. Vilke","doi":"10.1016/j.jemrpt.2024.100089","DOIUrl":"https://doi.org/10.1016/j.jemrpt.2024.100089","url":null,"abstract":"<div><p>Closed avulsion injuries of the flexor digitorum profundus (FDP) from the insertion at the base of the distal phalanx are not a very common lesion but when they occur, tend to be related to sport injuries. Though the diagnosis is made clinically, radiographs need be performed. Prompt surgical treatment within 7 to 14 days is the first line option to assure good outcomes.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773232024000191/pdfft?md5=a8a1619e2873432c2f57c91438167bf5&pid=1-s2.0-S2773232024000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal compartment syndrome from sigmoid volvulus presenting as acute respiratory failure","authors":"Emily M. Sze ,&nbsp;Jennifer Williams ,&nbsp;Nilesh B. Shukla ,&nbsp;Robert C. Lee ,&nbsp;Daniel B. Frank ,&nbsp;Edward Yamin ,&nbsp;Richard Nierenberg","doi":"10.1016/j.jemrpt.2024.100088","DOIUrl":"10.1016/j.jemrpt.2024.100088","url":null,"abstract":"<div><p>Background: Volvulus of the large intestine is a relatively uncommon cause of bowel obstruction. A rare complication is abdominal compartment syndrome, which can manifest as multisystem organ failure. Case Report: We present a case of a 62-year-old hemiparetic man who presented intubated for respiratory distress, and later became unstable, with profound hypotension and hypoxia. He was found to have a large sigmoid volvulus causing acute abdominal compartment syndrome with compression of bilateral lower lungs and mediastinal structures, and ultimately survived to undergo an exploratory laparotomy with sigmoidectomy. Why should an emergency physician be aware of this? Respiratory distress and abdominal pain are some of the most common chief complaints presenting to the ED. Emergency physicians must be aware of the potential sequelae of bowel obstruction, and recall that not all respiratory failure is caused by a primary cardiopulmonary process.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":"3 2","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277323202400018X/pdfft?md5=a0febe8e2148b8aa1fe3524729fb56ba&pid=1-s2.0-S277323202400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}