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Journal West J Emerg Med

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Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey.

S Aya Fanny, Brent D Kaziny, Andrea T Cruz, Elizabeth A Camp, Kristy O Murray, Tyler J Nichols, Corrie E Chumpitazi,

<h4>Introduction</h4>Natural disasters are increasingly common and devastating. It is essential to understand children's health needs during disasters as they are a particularly vulnerable population. The objective of this study was to evaluate pediatric disease burden after Hurricane Harvey compared to the preceding month and the same period in the previous ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):763-768]

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SARS-CoV-2 Infection and Associated Rates of Diabetic Ketoacidosis in a New York City Emergency Department.

Jared Ditkowsky, Adam C Lieber, Evan S Leibner, Nicholas Genes,

<h4>Introduction</h4>In early March 2020, coronavirus 2019 (COVID-19) spread rapidly in New York City. Shortly thereafter, in response to the shelter-in-place orders and concern for infection, emergency department (ED) volumes decreased. While a connection between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and hyperglycemia/insulin deficiency is well described, its direct ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):599-602]

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Acceptability of Contraceptive Services in the Emergency Department: A Cross-sectional Survey.

Andreia B Alexander, Kimberly Chernoby, Nathan VanderVinne, Yancy Doos, Navneet Kaur, Caitlin Bernard, Jeffrey A Kline,

<h4>Introduction</h4>Unintended pregnancy disproportionately affects marginalized populations and has significant negative health and financial impacts on women, their families, and society. The emergency department (ED) is a promising alternative setting to increase access to sexual and reproductive health (SRH) services including contraception, especially among marginalized populations. The primary objective of this ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):769-774]

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The Power of an Active Shooter Simulation: Changing Ethical Beliefs.

Maria-Pamela Janairo, Annemarie Marier Cardell, Michael Lamberta, Nubaha Elahi, Amish Aghera,

<h4>Introduction</h4>During a hospital-based active shooter (AS) event, clinicians may be forced to choose between saving themselves or their patients. The Hartford Consensus survey of clinicians and the public demonstrated mixed feelings on the role of doctors and nurses in these situations. Our objective was to evaluate the effect of simulation ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):510-517]

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Assessing Violence Risk in Adolescents in the Pediatric Emergency Department: Systematic Review and Clinical Guidance.

Megan M Mroczkowski, John T Walkup, Paul S Appelbaum,

<h4>Introduction</h4>Violence risk assessment is one of the most frequent reasons for child and adolescent psychiatry consultation with adolescents in the pediatric emergency department (ED). Here we provide a systematic review of risk factors for violence in adolescents using the risk factor categories from the MacArthur Violence Risk Assessment study. Further, ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):533-542]

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Gun Violence and Firearm Injuries in West Michigan: Targeting Prevention.

Christopher M Mattson, Ryan Kaylor, Tracy J Koehler, Marc Ydenberg, Justin Grill, Brian R Stork,

<h4>Introduction</h4>Firearm-related deaths and injuries are ongoing public health issues in the United States. We reviewed a series of gun violence- and firearm-related injuries treated at a multi-campus community healthcare system in West Michigan to better understand the demographic and clinical characteristics of these injuries. We also studied hospital charges, and ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):488-497]

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Self-Inflicted Gun Shot Wounds: A Retrospective, Observational Study of U.S. Trauma Centers.

Faith Quenzer, Andrew Givner, Rachel Dirks, Christopher J Coyne, Frank Ercoli, Ricard Townsend,

<h4>Introduction</h4>Intentional self-harm (suicide) by firearms is a growing problem in the United States. Currently, there are no large studies that have identified risk factors for patients who die from self-inflicted gunshot wounds. Our objectives are to 1) identify risk factors for patients with the highest morbidity and mortality from self-inflicted ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):518-524]

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Documentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study.

Cynthia A Brandt, T Elizabeth Workman, Melissa M Farmer, Kathleen M Akgün, Erica A Abel, Melissa Skanderson, Bevanne Bean-Mayberry, Qing Zeng-Treitler, Maryann Mason, Lori A Bastian, Joseph L Goulet, Lori A Post,

<h4>Introduction</h4>Presence of a firearm is associated with increased risk of violence and suicide. United States military veterans are at disproportionate risk of suicide. Routine healthcare provider screening of firearm access may prompt counseling on safe storage and handling of firearms. The objective of this study was to determine the frequency ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):525-532]

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Patient Characteristics and Perspectives of Firearm Safety Discussions in the Emergency Department.

Lauren Hudak, Henry Schwimmer, William Warnock, Sarah Kilborn, Tim Moran, Jeremy Ackerman, Jonathan Rupp,

<h4>Introduction</h4>Firearm injury prevention discussions with emergency department (ED) patients provide a unique opportunity to prevent death and injury in high-risk patient groups. Building mutual understanding of safe firearm practices between patients and providers will aid the development of effective interventions. Examining ED patient baseline characteristics, perspectives on healthcare-based safety discussions, ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):478-487]

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Ending the Pandemic: Are Rapid COVID-19 Tests a Step Forward or Back?

Tony Zitek, Joseph B Fraiman,

Some experts have promoted the use of rapid testing for COVID-19. However, with the current technologies available, continuing to replace laboratory-based, real-time reverse transcription polymerase chain reaction tests with rapid (point-of-care) tests may lead to an increased number of false negative tests. Moreover, the more rapid dissemination of false negative ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):543-546]

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Firearm Exposure and Storage Practices in the Homes of Rural Adolescents.

Charles A Jennissen, Kristel M Wetjen, Cole C Wymore, Nicholas R Stange, Gerene M Denning, Junlin Liao, Kelly E Wood,

<h4>Introduction</h4>Rural areas have higher rates of firearm-related unintentional and suicide deaths. Having access to a firearm greatly increases suicide risk. Safe firearm storage can be a major factor in preventing these tragedies. In this study we evaluated firearm exposure and storage practices in rural adolescents' homes.<h4>Methods</h4>An anonymous survey was administered ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):498-509]

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Emergency Tracheal Intubation in Patients with COVID-19: A Single-center, Retrospective Cohort Study.

Andrew Hawkins, Stephanie Stapleton, Gerardo Rodriguez, R Mauricio Gonzalez, William E Baker,

<h4>Introduction</h4>The objective of this study was to compare airway management technique, performance, and peri-intubation complications during the novel coronavirus pandemic (COVID-19) using a single-center cohort of patients requiring emergent intubation.<h4>Methods</h4>We retrospectively collected data on non-operating room (OR) intubations from February 1-April 23, 2020. All patients undergoing emergency intubation outside the ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):678-686]

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Impact of the COVID-19 Pandemic on Emergency Department Transfers to a Higher Level of Care.

Stephen Lee, Anthony Santarelli, Heesun Choi, John Ashurst,

<h4>Introduction</h4>During the coronavirus disease 2019 (COVID-19) pandemic, a reduction in emergency department (ED) visits was seen nationally according to the US Centers for Disease Control and Prevention. However, no data currently exists for the impact of ED transfers to a higher level of care during this same time period. The ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):561-564]

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Nicotine Patch Prescription Fulfillment Rates for Emergency Department Patients.

Charles L Emerman, David Tracy, Jonathan Siff,

<h4>Introduction</h4>Smoking cessation has significant health benefits, and the emergency department (ED) can be an important venue for smoking cessation counseling. Nicotine replacement therapy with transdermal patches has been shown to be associated with smoking cessation in a variety of studies. This study evaluated fulfillment rates for prescriptions for nicotine replacement ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):648-652]

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Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department.

Carolina Ornelas, Jacqueline M Torres, Jesus R Torres, Harrison Alter, Breena R Taira, Robert M Rodriguez,

<h4>Introduction</h4>Anti-immigrant rhetoric and increased enforcement of immigration laws have induced worry and safety concerns among undocumented Latino immigrants (UDLI) and legal Latino residents/citizens (LLRC), with some delaying the time to care. In this study, we conducted a qualitative analysis of statements made by emergency department (ED) patients - a majority ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):660-666]

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Firearms Injury Prevention, Emergency Medicine, and the Public's Health: A Call for Unity of Purpose.

Chadd K Kraus, Mark I Langdorf,

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):457-458]

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Unheard Victims: Multidisciplinary Incidence and Reporting of Violence in an Emergency Department.

Sarayna S McGuire, Aidan F Mullan, Casey M Clements,

<h4>Introduction</h4>Workplace violence in the emergency department (ED) is a serious threat to staff and is likely to go unreported. We sought to identify the incidence of violence among staff at our academic ED over a six-month period.<h4>Methods</h4>An anonymous survey was sent to all ED staff, asking whether respondents had experienced ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):702-709]

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Lethal Means Counseling for Suicidal Adults in the Emergency Department: A Qualitative Study.

Bonnie J Siry, Christopher E Knoepke, Stephanie M Ernestus, Daniel D Matlock, Marian E Betz,

<h4>Introduction</h4>Lethal means counseling (to reduce access to firearms or other suicide methods) is a recommended critical yet challenging component of care of suicidal patients. Questions remain about communication strategies for those in acute crisis.<h4>Methods</h4>This qualitative study was an analysis of semi-structured interviews with English-speaking, community-dwelling adults with a history of ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):471-477]

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Changes in Emergency Department Activity and the First COVID-19 Lockdown: A Cross-sectional Study.

Kate Honeyford, Charles Coughlan, Ruud G Nijman, Paul Expert, Gabriel Burcea, Ian Maconochie, Anne Kinderlerer, Graham S Cooke, Ceire E Costelloe,

<h4>Introduction</h4>Emergency department (ED) attendances fell across the UK after the 'lockdown' introduced on 23rd March 2020 to limit the spread of coronavirus disease 2019 (COVID-19). We hypothesised that reductions would vary by patient age and disease type. We examined pre- and in-lockdown ED attendances for two COVID-19 unrelated diagnoses: one ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):603-607]

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Study of Haloperidol for Abdominal Pain in the Emergency Department (SHAPE).

Katherine Knudsen-Lachendro, Kyle Stith, Laine A Vicarel, Brittany Harbert, Baruch S Fertel,

<h4>Introduction</h4>Intravenous haloperidol has been shown to decrease milligram morphine equivalents (MME) of analgesia and reduce hospital admissions for diabetic gastroparesis. The objective of this study was to evaluate whether haloperidol decreases MME for the treatment of non-specific abdominal pain diagnoses in the emergency department (ED), including gastroparesis, cyclic vomiting, cannabinoid ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):623-627]

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Impact of Social Determinants of Health, Health Literacy, Self-perceived Risk, and Trust in the Emergency Physician on Compliance with Follow-up.

James Sutton, Leon Gu, Deborah B Diercks,

<h4>Introduction</h4>Patients presenting to the emergency department (ED) with "low-risk" acute coronary syndrome (ACS) symptoms can be discharged with outpatient follow-up. However, follow-up compliance is low for unknown nonclinical reasons. We hypothesized that a patient's social factors, health literacy, self-perceived risk, and trust in the emergency physician may impact follow-up compliance.<h4>Methods</h4>This ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):667-671]

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The Impact of COVID-19 on a Large, Canadian Community Emergency Department.

Daniel Dongjoo Lee, Hyejung Jung, Wendy Lou, David Rauchwerger, Lucas B Chartier, Sameer Masood, Seyon Sathiaseelan, Ahmed Khaled Taher,

<h4>Introduction</h4>As the COVID-19 pandemic unfolded, emergency departments (EDs) across the world braced for surges in volume and demand. However, many EDs experienced decreased demand even for higher acuity illnesses. In this study we sought to examine the change in utilization at a large Canadian community ED, including changes in patient ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):572-579]

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The Utstein Kloster and Its Role in Firearm Violence Policy.

Galen Adams,

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):459-461]

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Response to: Emergency Medicine Residents Experience Acute Stress While Working in the Emergency Department.

Adam J Janicki, Stephanie O Frisch, P Daniel Patterson, Aaron Brown, Adam Frisch,

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):802]

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Code Status Documentation Availability and Accuracy Among Emergency Patients with End-stage Disease.

Evan Russell, Andrew K Hall, Conor McKaigney, Craig Goldie, Ingrid Harle, Marco L A Sivilotti,

<h4>Introduction</h4>Some patients with end-stage disease who may neither want nor benefit from aggressive resuscitation receive such treatment if they cannot communicate in an emergency. Timely access to patients' current resuscitation wishes, or "code status," should be a key metric of electronic health records (EHR). We sought to determine what percentage ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2021, 22(3):628-635]

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