Full Text Journal Articles by
Author Ian S deSouza

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Prevalence of pulmonary embolism in emergency department patients with isolated syncope - the search must continue.

Ian S deSouza,

Eur J Emerg Med (European journal of emergency medicine : official journal of the European Society for Emergency Medicine)
[2020, 27(2):151-152]

Cited: 0 times

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Pharmacologic Cardioversion of Recent-Onset Atrial Fibrillation and Flutter in the Emergency Department: A Systematic Review and Network Meta-analysis.

Ian S deSouza, Mina Tadrous, Theresa Sexton, Roshanak Benabbas, Guy Carmelli, Richard Sinert,

STUDY OBJECTIVE:We conduct a systematic review and Bayesian network meta-analysis to indirectly compare and rank antidysrhythmic drugs for pharmacologic cardioversion of recent-onset atrial fibrillation and atrial flutter in the emergency department (ED). METHODS:We searched MEDLINE, EMBASE, and Web of Science from inception to March 2019, limited to human subjects and ... Read more >>

Ann Emerg Med (Annals of emergency medicine)
[2020, :]

Cited: 0 times

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Pharmacologic cardioversion of recent-onset atrial fibrillation: a systematic review and network meta-analysis.

Ian S deSouza, Mina Tadrous, Theresa Sexton, Roshanak Benabbas, Guy Carmelli, Richard Sinert,

AIMS:We sought to identify the most effective antidysrhythmic drug for pharmacologic cardioversion of recent-onset atrial fibrillation (AF). METHODS AND RESULTS:We searched MEDLINE, Embase, and Web of Science from inception to March 2019, limited to human subjects and English language. We also searched for unpublished data. We limited studies to randomized ... Read more >>

Europace (Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology)
[2020, :]

Cited: 0 times

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Is Experienced Physician Gestalt With an Electrocardiogram Sufficient to Accurately Exclude Acute Myocardial Infarction in a Patient With Suspected Acute Coronary Syndrome?

Ian S deSouza, Richard Sinert,

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2020, 27(1):83-84]

Cited: 0 times

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Fortuitous Identification of Fluctuating AV Block: A Case Report.

Ian S deSouza, Monisha Dilip,

BACKGROUND:Vagally mediated atrioventricular block (AVB) may occur as a result of increased parasympathetic tone. This particular AVB is infrequently described in the literature, but its prevalence may be underestimated, as it may occur without recognition. CASE REPORT:We present a case of vagally mediated AVB that was identified by serial electrocardiography ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2019, 57(1):e9-e12]

Cited: 0 times

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Dyspnea Due to Acute Heart Failure Syndrome.

Ian S deSouza, Jennifer L Martindale,

Am Fam Physician (American family physician)
[2019, 99(3):Online]

Cited: 0 times

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Abandoning Further Study of the Application of Computed Tomography Decision Rules to Low-Risk Patients With Head Injury.

Ian S deSouza,

Ann Emerg Med (Annals of emergency medicine)
[2018, 72(5):623-624]

Cited: 0 times

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In Reply to Markey et al.

Ian S deSouza, Roshanak Benabbas,

J Emerg Med (The Journal of emergency medicine)
[2018, 55(4):571]

Cited: 0 times

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Re: Amiodarone for sustained stable ventricular tachycardia in the prehospital setting.

Ian S deSouza,

Emerg Med Australas (Emergency medicine Australasia : EMA)
[2018, 30(6):879]

Cited: 0 times

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Epinephrine for Out-of-hospital Cardiac Arrest.

Kyle Kelson, Ian S deSouza,

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2019, 26(2):256-258]

Cited: 0 times

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Point-of-care Ultrasonography of a Rare Cause of Hemoperitoneum.

Kyle R Kelson, Matthew Riscinti, Michael Secko, Ian S deSouza,

A young woman presented to the emergency department with lethargy, hemodynamic instability, and diffuse abdominal tenderness. On point-of-care ultrasound (PoCUS), she was found to have intraperitoneal free fluid and a large pelvic mass, which were discovered intraoperatively to be hemoperitoneum due to ruptured vessels of a uterine leiomyoma. Although rare, ... Read more >>

Clin Pract Cases Emerg Med (Clinical practice and cases in emergency medicine)
[2018, 2(4):320-322]

Cited: 0 times

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The Risk of Thirty-Day Serious Dysrhythmia in Elderly Patients With Syncope or Near Syncope.

Ian S deSouza,

Ann Emerg Med (Annals of emergency medicine)
[2018, 72(1):107-108]

Cited: 0 times

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Utility of 2-Pyridine Aldoxime Methyl Chloride (2-PAM) for Acute Organophosphate Poisoning: A Systematic Review and Meta-Analysis.

Adam Blumenberg, Roshanak Benabbas, Ian S deSouza, Alyssa Conigliaro, Lorenzo Paladino, Elliot Warman, Richard Sinert, Sage W Wiener,

Organophosphates (OP) account for the majority of pesticide-related unintentional or intentional poisonings in lower- and middle-income countries. The therapeutic role of atropine is well-established for patients with acute OP poisoning. The benefit of adding 2-pyridine aldoxime methyl chloride (2-PAM), however, is controversial. We performed a systematic review and meta-analysis of ... Read more >>

J Med Toxicol (Journal of medical toxicology : official journal of the American College of Medical Toxicology)
[2018, 14(1):91-98]

Cited: 3 times

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Serial Sonographic Assessment of Pulmonary Edema in Patients With Hypertensive Acute Heart Failure.

Jennifer L Martindale, Michael Secko, John F Kilpatrick, Ian S deSouza, Lorenzo Paladino, Andrew Aherne, Ninfa Mehta, Alyssa Conigiliaro, Richard Sinert,

OBJECTIVES:Objective measures of clinical improvement in patients with acute heart failure (AHF) are lacking. The aim of this study was to determine whether repeated lung sonography could semiquantitatively capture changes in pulmonary edema (B-lines) in patients with hypertensive AHF early in the course of treatment. METHODS:We conducted a feasibility study ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2018, 37(2):337-345]

Cited: 1 time

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Accuracy of Physical Examination, Ankle-Brachial Index, and Ultrasonography in the Diagnosis of Arterial Injury in Patients With Penetrating Extremity Trauma: A Systematic Review and Meta-analysis.

Ian S deSouza, Roshanak Benabbas, Sean McKee, Bardiya Zangbar, Ashika Jain, Lorenzo Paladino, Leon Boudourakis, Richard Sinert,

BACKGROUND:Penetrating Extremity Trauma (PET) may result in arterial injury, a rare but limb- and life-threatening surgical emergency. Timely, accurate diagnosis is essential for potential intervention in order to prevent significant morbidity. OBJECTIVES:Using a systematic review/meta-analytic approach, we determined the utility of physical examination, Ankle-Brachial Index (ABI), and Ultrasonography (US) in ... Read more >>

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2017, 24(8):994-1017]

Cited: 1 time

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Sleep-Associated Torsades de Pointes: A Case Report.

Guy Carmelli, Ian S deSouza,

Torsades de Pointes (TdP) is a polymorphic ventricular tachycardia that occurs in the presence of an acquired or congenital long QT syndrome (LQTS). We present the case of a 57 year-old man with end-stage renal disease on methadone maintenance in which there occurred multiple episodes of TdP during sleep. The ... Read more >>

Clin Pract Cases Emerg Med (Clinical practice and cases in emergency medicine)
[2017, 1(1):9-12]

Cited: 0 times

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A Curious Case of Right Upper Quadrant Abdominal Pain.

Andrew Grock, Wendy Chan, Ian S deSouza,

An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2016, 17(5):630-633]

Cited: 0 times

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Differentiating Types of Wide-Complex Tachycardia to Determine Appropriate Treatment in the Emergency Department.

Ian S deSouza, Alanna C Peterson, Keith A Marill,

Wide-complex tachycardia is a rare disease entity among patients presenting to the emergency department. However, due to its potential life-threatening nature, emergency clinicians must know how to assess and manage this condition. Wide-complex tachycardia encompasses a range of cardiac dysrhythmias, some of which can be difficult to distinguish and may ... Read more >>

Emerg Med Pract (Emergency medicine practice)
[2015, 17(7):1-22; quiz 22-3]

Cited: 0 times

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β-Blockers versus calcium channel blockers for acute rate control of atrial fibrillation with rapid ventricular response: a systematic review.

Jennifer L Martindale, Ian S deSouza, Mark Silverberg, Joseph Freedman, Richard Sinert,

This is a systematic review of the literature to compare the efficacy of calcium channel blockers to β-blockers for acute rate control of atrial fibrillation with rapid ventricular response in the emergency department setting. PubMed, EMBASE, and the Cochrane Registry were searched. Relative risk (95% confidence interval) was calculated between ... Read more >>

Eur J Emerg Med (European journal of emergency medicine : official journal of the European Society for Emergency Medicine)
[2015, 22(3):150-154]

Cited: 3 times

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Managing pacemaker-related complications and malfunctions in the emergency department.

Jennifer Martindale, Ian S deSouza,

The use of implanted pacemaker devices is increasing worldwide, owing to technological advances, new indications, and an aging population. Despite greater experience in implantation and improved device sophistication, patients continue to face complications associated with hardware implantation and device malfunction. This review summarizes current indications for permanent pacing, reviews epidemiologic ... Read more >>

Emerg Med Pract (Emergency medicine practice)
[2014, 16(9):1-21; quiz 21-2]

Cited: 0 times

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Antidysrhythmic drug therapy for the termination of stable, monomorphic ventricular tachycardia: a systematic review.

Ian S deSouza, Jennifer L Martindale, Richard Sinert,

OBJECTIVE: We performed a systematic review of the literature to compare the efficacy of different drug therapies for the termination of stable, monomorphic ventricular tachycardia (VT). METHODS: We searched EMBASE, MEDLINE and Cochrane for trials from 1965 through July 2013 using a search strategy derived from the following clinical question ... Read more >>

Emerg Med J (Emergency medicine journal : EMJ)
[2015, 32(2):161-167]

Cited: 9 times

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Amiodarone or procainamide for the termination of sustained stable ventricular tachycardia: an historical multicenter comparison.

Keith A Marill, Ian S deSouza, Daniel K Nishijima, Emily L Senecal, Gary S Setnik, Thomas O Stair, Jeremy N Ruskin, Patrick T Ellinor,

OBJECTIVES: The objective was to compare the effectiveness of intravenous (IV) procainamide and amiodarone for the termination of spontaneous stable sustained ventricular tachycardia (VT). METHODS: A historical cohort study of consecutive adult patients with stable sustained VT treated with IV amiodarone or procainamide was performed at four urban hospitals. Patients ... Read more >>

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2010, 17(3):297-306]

Cited: 15 times

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Adenosine for wide-complex tachycardia: efficacy and safety.

Keith A Marill, Sigrid Wolfram, Ian S Desouza, Daniel K Nishijima, Darren Kay, Gary S Setnik, Thomas O Stair, Patrick T Ellinor,

OBJECTIVES: : To determine whether adenosine is useful and safe as a diagnostic and therapeutic agent for patients with undifferentiated wide QRS complex tachycardia. The etiology of sustained monomorphic wide QRS complex tachycardia is often uncertain acutely. DESIGN: : A retrospective observational study. SETTING: : Treatment associated with emergency visits ... Read more >>

Crit. Care Med. (Critical care medicine)
[2009, 37(9):2512-2518]

Cited: 11 times

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Amiodarone is poorly effective for the acute termination of ventricular tachycardia.

Keith A Marill, Ian S deSouza, Daniel K Nishijima, Thomas O Stair, Gary S Setnik, Jeremy N Ruskin,

STUDY OBJECTIVE: It is hypothesized that intravenous (IV) amiodarone is poorly effective for the acute termination of sustained monomorphic ventricular tachycardia because of the relatively slow onset of its Vaughn-Williams class III effect to prolong myocardial depolarization and the refractory period. This study is designed to determine the effectiveness and ... Read more >>

Ann Emerg Med (Annals of emergency medicine)
[2006, 47(3):217-224]

Cited: 14 times

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Ecstasy (MDMA) deaths in New York City: a case series and review of the literature.

James R Gill, Jonathan A Hayes, Ian S deSouza, Elizabeth Marker, Marina Stajic,

MDMA ("ecstasy") has gained renewed popularity as a drug of abuse. To access the epidemiology and causes of death of MDMA-positive fatalities, all deaths investigated by the OCME that tested positive for MDMA (22 deaths) between January 1997 and June 2000 were reviewed. There were three deaths in each 1997 ... Read more >>

J. Forensic Sci. (Journal of forensic sciences)
[2002, 47(1):121-126]

Cited: 25 times

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