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Journal Acad Emerg Med

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Braving it Out.

Jared Strote,

Being a 75-year-old emergency physician at the start of a viral pandemic skewed toward older victims is something. But despite pleas from the chair and many others for him to take a leave, the most senior of our faculty by at least a decade continued to work; he even volunteered ... Read more >>

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

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Not Yet Time to Abandon Cervical Collars in Blunt Trauma.

Bonny J Baron, Thomas M Scalea,

In the evidence-based summary by Serigano et al. (Ref 1.) published in this issue of Academic Emergency Medicine under the Brass Tacks series, the authors critically appraise the evidence for the long-standing practice of prehospital and emergency department cervical spinal motion restriction (SMR) in blunt trauma patients. They highlight the ... Read more >>

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

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Prevalence of Pulmonary Embolism in ED patients with Suspected COVID-19: The Truth Remains Unknown.

Robert R Ehrman, Jonathan Collins, Nicholas Harrison,

A strong association between PE and patients hospitalized with COVID-19 (15.3% overall range 0-35%) has been reported, but the prevalence in ED patients remains unknown. The contribution of traditional risk factors is likewise unclear. While Freund et al. attempted to answer to this question, we have methodologic concerns we feel ... Read more >>

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

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Re: Prevalence of Pulmonary Embolism in ED patients with Suspected COVID-19: The Truth Remains Unknown.

Yonathan Freund, Marie Drogrey, Marine Cachanado, Ben Bloom,

We thank « John Doe » et al. for their interest and comments on our paper "Association between Pulmonary Embolism and COVID-19 in ED patients: the PEPCOV international retrospective study". The authors raised the important issue of a possible bias, because we only analyzed patients that were tested for pulmonary embolism (PE) ... Read more >>

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

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Cervical Spine Motion Restriction after Blunt Trauma.

Olivia Serigano, Matthew Riscinti,

Spinal immobilization or spinal motion restriction after blunt trauma is a routine practice and standard care in most settings due to fear of movement causing or worsening spinal cord injury. This is ingrained in guidelines for trauma management. Immobilization is typically performed with backboards, cervical collars, sandbags, straps, and vacuum ... Read more >>

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

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The Use of Electronic Consent for COVID-19 Clinical Trials: Lessons for Emergency Care research During a Pandemic and Beyond.

Eric Jaton, Jamie Stang, Michelle Biros, Abbey Staugaitis, Julie Scherber, Florian Merkle, Nicholas M Mohr, Christopher Streib, Lauren Klein, Michael A Puskarich,

The novel SARS-CoV-2 coronavirus poses many unique challenges to the implementation of clinical research, particularly as it relates to the processes of informed consent. Traditional methods of in-person informed consent were no longer plausible, as face-to-face discussions may expose researchers and patients to increased risk of contracting and spreading the ... Read more >>

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

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SGEM#299: Learning to test for COVID19.

Corey Heitz, Justin Morgenstern, Christopher Bond, William K Milne,

In late 2019 and early 2020, the COVID-19 virus swept the world, creating a pandemic the likes of which the world hadn't experienced since the influenza pandemic of 1918. Diagnostic signs and symptoms, testing, and treatments were investigated in rapid fashion. In this manuscript, we summarize a scoping review of ... Read more >>

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

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Sharing is Caring - Can an App Help?

Paul Ishimine,

Parents of febrile young infants who present to the emergency department are frequently overwhelmed, surprised by the potential seriousness of their child's condition and the need for extensive testing and possible hospitalization.1 In this stressful context, communication can be challenging. Emergency physicians are faced with the responsibilities of explaining the ... Read more >>

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

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The Economics and Effectiveness of Advanced Practice Providers are Decidedly Local Phenomena.

Richard D Zane, Sean S Michael,

The growth and promulgation of Advanced Practice Providers (APPs) across the entire spectrum of healthcare delivery has been profound, and APPs are increasingly common members of emergency department (ED) care teams. Emergency APP workforce growth is outpacing that of emergency physicians with little to suggest that this trend will subside. ... Read more >>

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

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Child Protection Team Consultation for Injuries Potentially due to Child Abuse in Community Emergency Departments.

Gunjan Tiyyagura, Beth Emerson, Julie R Gaither, Kirsten Bechtel, John M Leventhal, Heather Becker, Karen Della Guistina, Thomas Balga, Bonnie Mackenzie, May Shum, Eugene D Shapiro, Marc Auerbach, Caitlin McVaney, Patricia Morrell, Andrea G Asnes,

OBJECTIVE:Emergency care for children is provided predominantly in community emergency departments (CEDs), where abusive injuries frequently go unrecognized. Increasing access to regional child abuse experts may improve detection of abuse in CEDs. In 3 CEDs, we intervened to increase involvement of a regional hospital child protection team (CPT) for injuries ... Read more >>

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

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Race and Use of Physical Restraints: Premature conclusions for "Disparities in Care"?

R Andrew Taylor, Dowin Boatright, Ambrose H Wong,

We read with interest the manuscript by Shnitzer et al.1 on the role of race in physical restraint use and the accompanying invited commentary by Corbin et al.2 We commend the effort put forth in this study as management of agitated patients is a challenging but often overlooked problem. In ... Read more >>

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

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Identification of the Physiologically Difficult Airway in the Pediatric Emergency Department.

Preston N Dean, Erin F Hoehn, Gary L Geis, Mary E Frey, Mary K Cabrera-Thurman, Benjamin T Kerrey, Yin Zhang, Erika L Stalets, Matthew W Zackoff, Andrea R Maxwell, Tena M Pham, Andrew J Lautz,

BACKGROUND:The risk factors for peri-intubation cardiac arrest in critically ill children are incompletely understood. The study objective was to derive physiologic risk factors for deterioration during tracheal intubation in a pediatric emergency department (PED). METHODS:This was a retrospective cohort study of patients undergoing emergency tracheal intubation in a PED. Using ... Read more >>

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

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Duel of Emergency Scoring Systems in COVID-19 Patients.

Mustafa E Canakci, Murat Cetin,

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

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The Comparison of REMS and MEWS for COVID-19 Patients Less Than 65 Years of Age.

Hai Hu, Ni Yao, Yanru Qiu,

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

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Minimal differences in responses but big differences in rankings: Press Ganey versus PRC.

Lauren Diercks, D Mark Courtney, Carl Piel, Sterling Overstreet, Mike Mayo, Deborah Diercks,

Patient satisfaction scores and rankings are reflected in administrative decisions and have been used for 40 years. Survey results can determine physician compensation at the group level and create rankings of individual providers. Externally, satisfaction data is used to rank hospitals against peers and competitors. Rankings can affect longevity of ... Read more >>

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

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Randomized Double-Blind Trial of Intramuscular Droperidol, Ziprasidone and Lorazepam for Acute Undifferentiated Agitation in the Emergency Department.

Marc L Martel, Brian E Driver, James R Miner, Michelle H Biros, Jon B Cole,

BACKGROUND:The optimal agent to treat acute agitation in the emergency department (ED) has not been determined. The objective of this study was to compare the effectiveness and safety of intramuscular droperidol, ziprasidone, and lorazepam for acute agitation in the emergency department. METHODS:This was a randomized, double-blind trial of ED patients ... Read more >>

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

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The Air We Share.

Diane P Calello,

You fear the air we share Cross the street because I'm over there And that virus is everywhere Buy supplies so you'll have some spare Buy up masks that you will not wear So concerned for your own welfare Unfair. ... Read more >>

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

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Tackling Another COVID-19 Pandemic Disparity: Distance from Major Academic Medical Centers Encumbers Emergency and Critical Care Physician Surge Capacity.

Robert M Rodriguez,

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

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Opportunity Gains Overlooked.

Kraftin E Schreyer,

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

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Economic Evaluation of the Emergency Department After Implementation of an Emergency Psychiatric Assessment, Treatment, and Healing Unit.

Chris Stamy, Dan M Shane, Levi Kannedy, Paul Van Heukelom, Nicholas M Mohr, Jodi Tate, Kelsey Montross, Sangil Lee,

OBJECTIVE:We sought to evaluate the impact of an Emergency Psychiatric Assessment, Treatment, and Healing (EmPATH) unit on emergency department (ED) revenue, psychiatric boarding time and length-of-stay (LOS). METHODS:We conducted a before-and-after economic evaluation of a single academic Midwestern ED (60,000 annual visits) for all adult (≥18 years) patients before (December ... Read more >>

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

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cotton blossoms.

Stewart Manley,

mishandled swans litter about bathing in an expectorant lake a broken spine here and there a felled head, an awkwardly bent neck i straighten and repair. ... Read more >>

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

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Return Hospital Admissions Among 1419 Covid-19 Patients Discharged from Five US Emergency Departments.

Austin S Kilaru, Kathleen Lee, Christopher K Snider, Zachary F Meisel, David A Asch, Nandita Mitra, M Kit Delgado,

Although many ED patients with known or suspected Covid-19 require hospital admission, the majority are discharged home.1 Concern for surges in hospital occupancy compel emergency providers to preserve inpatient resources and discern which patients benefit most from admission.2 Even in the absence of surge conditions, patients may prefer to recover ... Read more >>

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

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Anticoagulation for Distal Lower-extremity Deep Venous Thromboses.

Michael Gottlieb, Brit Long,

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

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July Interns.

Sophia V Görgens,

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

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The Impact of Clinical Seizure Characteristics on Recognition and Treatment of New-onset Focal Epilepsy in Emergency Departments.

Jacob Pellinen, Erica Tafuro, Avi Baehr, Sarah Barnard, Manisha Holmes, Jacqueline French, ,

OBJECTIVE:Many people with new-onset focal epilepsy initially seek evaluation in emergency departments (EDs), and treatment decisions in EDs can influence likelihood of seizure recurrence. Using data collected for the Human Epilepsy Project (HEP), we assessed the effect of clinical seizure characteristics on ED clinical management. METHODS:There were 447 participants with ... Read more >>

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

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