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Journal West J Emerg Med

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Synchronous Online Journal Club to Connect Subspecialty Trainees across Geographic Barriers.

Andrew N Musits, Alexandra L Mannix,

INTRODUCTION:Journal club holds a well-respected place in medical education by promoting critical review of the literature and fostering scholarly discussions. Journal clubs are often not available to trainees with niche interests due to the geographic limitations of subspecialty programs such as simulation, medical education, disaster medicine, ultrasound, global health, and ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(1):33-36]

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Misunderstanding the Match: Do Students Create Rank Lists Based on True Preferences?

Benjamin H Schnapp, Kathleen Ulrich, Jamie Hess, Aaron S Kraut, David Tillman, Mary Westergaard,

INTRODUCTION:The "stable marriage" algorithm underlying the National Residency Match Program (NRMP) has been shown to create optimal outcomes when students submit true preference lists. Previous research has shown students may allow external information to affect their rank lists. The objective of this study was to determine whether medical students consistently ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(1):4-7]

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Beyond Buprenorphine: Models of Follow-up Care for Opioid Use Disorder in the Emergeny Department.

Alister Martin, Kelley Butler, Tyler Chavez, Andrew Herring, Sarah Wakeman, Bryan D Hayes, Ali Raja,

Recent evidence shows that emergency physicians (EP) can help patients obtain evidence-based treatment for Opioid Use Disorder by starting medication for addiction treatment (MAT) directly in the Emergency Department (ED). Many EDs struggle to provide options for maintenance treatment once patients are discharged from the ED. Health systems around the ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):257-263]

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Review of the Basics of Cognitive Error in Emergency Medicine: Still No Easy Answers.

Sarah Hartigan, Michelle Brooks, Sarah Hartley, Rebecca E Miller, Sally A Santen, Robin R Hemphill,

Emergency physicians (EP) make clinical decisions multiple times daily. In some instances, medical errors occur due to flaws in the complex process of clinical reasoning and decision-making. Cognitive error can be difficult to identify and is equally difficult to prevent. To reduce the risk of patient harm resulting from errors ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):125-131]

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Prevalence of Cigarette Smoking Among Adult Emergency Department Patients in Canada.

Andrew D Tolmie, Rebecca Erker, Taofiq Oyedokun, Emily Sullivan, Thomas Graham, James Stempien,

INTRODUCTION:Tobacco smoking is a priority public health concern, and a leading cause of death and disability globally. While the daily smoking prevalence in Canada is approximately 9.7%, the proportion of smokers among emergency department (ED) patients has been found to be significantly higher. The purpose of this survey study was ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):190-197]

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Emergency Medicine Challenges in Ecuador.

Andrés M Patiño, Santiago Cantillo-Campos, Alexis S Kearney, Sean M Kivlehan, Augusto Maldonado,

INTRODUCTION:Emergency medicine (EM) was recognized as a specialty in Ecuador in 1993. Currently, there are two four-year EM residency programs and an estimated 300 residency-trained emergency physicians countrywide. This study describes the current challenges in EM in Ecuador. METHODS:We conducted 25 semi-structured, in-person interviews with residency-trained emergency physicians, general practitioners, ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):284-290]

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Point-of-care Ultrasound in Morbidity and Mortality Cases in Emergency Medicine: Who Benefits the Most?

Andrew J Goldsmith, Hamid Shokoohi, Michael Loesche, Ravish C Patel, Heidi Kimberly, Andrew Liteplo,

INTRODUCTION:Point-of-care ultrasound (POCUS) is an essential tool in the timely evaluation of an undifferentiated patient in the emergency department (ED). Our primary objective in this study was to determine the perceived impact of POCUS in high-risk cases presented at emergency medicine (EM) morbidity and mortality (M&M) conferences. Additionally, we sought ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):172-178]

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Consolidating Emergency Department-specific Data to Enable Linkage with Large Administrative Datasets.

Krislyn M Boggs, Maranatha M Teferi, Janice A Espinola, Ashley F Sullivan, Kohei Hasegawa, Kori S Zachrison, Margaret E Samuels-Kalow, Carlos A Camargo,

INTRODUCTION:The American Hospital Association (AHA) has hospital-level data, while the Centers for Medicare & Medicaid Services (CMS) has patient-level data. Merging these with other distinct databases would permit analyses of hospital-based specialties, units, or departments, and patient outcomes. One distinct database is the National Emergency Department Inventory (NEDI), which contains ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):141-145]

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User Characteristics of a Low-Acuity Emergency Department Alternative for Low-Income Patients.

Sara W Heinert, Melody Mumford, Sarah E Kim, Muhammad M Hossain, Michael L Amashta, Maria A Massey,

INTRODUCTION:Emergency department (ED) use for healthcare that can be treated elsewhere is costly to the healthcare system. However, convenience settings such as urgent care centers (UCC) are generally inaccessible to low-income patients. Housing an UCC within a federally qualified health center (FQHC UCC) provides an accessible convenience setting for low-income ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):162-171]

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United States' Emergency Department Visits for Fever by Young Children 2007-2017.

Sriram Ramgopal, Paul L Aronson, Jennifer R Marin,

INTRODUCTION:Our goal in this study was to estimate rates of emergency department (ED) visits for fever by children <2 years of age, and evaluate frequencies of testing and treatment during these visits. METHODS:We performed a cross-sectional study of ED encounters from 2007-2017 using the National Hospital Ambulatory Medical Care Survey, ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):146-151]

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Accuracy of Hemolyzed Potassium Levels in the Emergency Department.

Matt Wilson, Sam Adelman, J B Maitre, Joe Izzo, Ronald Valencia, Mike Yang, Jeff Dubin, Munish Goyal,

INTRODUCTION:In the emergency department (ED), pseudohyperkalemia from hemolysis may indirectly harm patients by exposing them to increased length of stay, cost, and repeat blood draws. The need to repeat hemolyzed potassium specimens in low-risk patients has not been well studied. Our objective was to determine the rate of true hyperkalemia ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):272-275]

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Prompt Outpatient Care For Older Adults Discharged From The Emergency Department Reduces Recidivism.

Phillip D Magidson, Jin Huang, Emily B Levitan, Andrew O Westfall, Orla C Sheehan, David L Roth,

INTRODUCTION:Older adults present unique challenges to both emergency clinicians and health systems. These challenges are especially evident with respect to discharge after an emergency department (ED) visit as older adults are at risk for short-term, negative outcomes including repeat ED visits. The aim of this study was to evaluate characteristics ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):198-204]

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Patient Age, Race and Emergency Department Treatment Area Associated with "Topbox" Press Ganey Scores.

Moon O Lee, Jonathan Altamirano, Luis C Garcia, Michael A Gisondi, N Ewen Wang, Suzanne Lippert, Yvonne Maldonado, Laleh Gharahbaghian, Ryan Ribeira, Magali Fassiotto,

INTRODUCTION:Hospitals commonly use Press Ganey (PG) patient satisfaction surveys for benchmarking physician performance. PG scores range from 1 to 5, with 5 being the highest, which is known as the "topbox" score. Our objective was to identify patient and physician factors associated with topbox PG scores in the emergency department ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):117-124]

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Characterization of Regional Poison Center Utilization Through Geospatial Mapping.

Travis D Olives, Bjorn Westgard, Lila W Steinberg, Jon B Cole,

INTRODUCTION:Penetrance is the annual rate of human exposure calls per 1000 persons, a measure that historically describes poison center (PC) utilization. Penetrance varies by sociodemographic characteristics and by geography. Our goal in this study was to characterize the geospatial distribution of PC calls and describe the contribution of geospatial mapping ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):249-256]

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Minimizing Pulse Check Duration Through Educational Video Review.

David Yamane, Patrick McCarville, Natalie Sullivan, Evan Kuhl, Carolyn Robin Lanam, Christopher Payette, Anahita Rahimi-Saber, Jennifer Rabjohns, Andrew D Sparks, Keith Boniface, Aaran Drake,

INTRODUCTION:The American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) recommend pulse checks of less than 10 seconds. We assessed the effect of video review-based educational feedback on pulse check duration with and without point-of-care ultrasound (POCUS). METHODS:Cameras recorded cases of CPR in the emergency department (ED). Investigators reviewed resuscitation videos ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):276-283]

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Applying a Model of Teamwork Processes to Emergency Medical Services.

William G Fernandez, Justin K Benzer, Martin P Charns, James F Burgess,

INTRODUCTION:Effective teamwork has been shown to optimize patient safety. However, research centered on the critical inputs, processes, and outcomes of team effectiveness in emergency medical services (EMS) has only recently begun to emerge. We conducted a theory-driven qualitative study of teamwork processes-the interdependent actions that convert inputs to outputs-by frontline ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):264-271]

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A Case for Risk Stratification in Survivors of Firearm and Interpersonal Violence in the Urban Environment.

Garth N Walker, Annette M Dekker, David A Hampton, Adesuwa Akhetuamhen, P Quincy Moore,

The emergency department (ED) serves as the main source of care for patients who are victims of interpersonal violence. As a result, emergency physicians across the nation are at the forefront of delivering care and determining dispositions for many at-risk patients in a dynamic healthcare environment. In the majority of ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):132-140]

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Evolving from Morbidity and Mortality to a Case-based Error Reduction Conference: Evidence-based Best Practices from the Council of Emergency Medicine Residency Directors.

Yashwant Chathampally, Benjamin Cooper, David B Wood, Gregory Tudor, Michael Gottlieb,

Morbidity and mortality conferences are common among emergency medicine residency programs and are an important part of quality improvement initiatives. Here we review the key components of running an effective morbidity and mortality conference with a focus on goals and objectives, case identification and selection, session structure, and case presentation. ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):231-241]

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Prevalence of Emergency Department Social Risk and Social Needs.

Melanie F Molina, Caitlin N Li, Emily C Manchanda, Benjamin White, Mohammad K Faridi, Janice A Espinola, Henry Ashworth, Gia Ciccolo, Carlos A Camargo, Margaret Samuels-Kalow,

INTRODUCTION:Social risks, or adverse social conditions associated with poor health, are prevalent in emergency department (ED) patients, but little is known about how the prevalence of social risk compares to a patient's reported social need, which incorporates patient preference for intervention. The goal of this study was to describe the ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):152-161]

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Predictors of Mortality in Elderly and Very Elderly Emergency Patients with Sepsis: A Retrospective Study.

Phetsinee Boonmee, Onlak Ruangsomboon, Chok Limsuwat, Tipa Chakorn,

INTRODUCTION:Elderly patients are at increased risk of developing sepsis and its adverse outcomes. Diagnosing and prognosing sepsis is particularly challenging in older patients, especially early at emergency department (ED) arrival. We aimed to study and compare the characteristics of elderly and very elderly ED patients with sepsis and determine baseline ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):210-218]

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CEdRIC: Strategy for Patient Education During COVID-19 Triage.

Benoit Pétré, Jean-Christophe Servotte, Justine Piazza, Alexandre Ghuysen, Aurore Margat, Remi Gagnayre, Dieudonné Leclercq,

The current coronavirus disease 2019 (COVID-19) pandemic is forcing healthcare systems around the word to organise care differently than before. Prompt detection and effective triage and isolation of potentially infected and infectious patients are essential to preventing unnecessary community exposure. Since there are as yet no medications to treat or ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):52-60]

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A Social Network Analysis of the Western Journal of Emergency Medicine Special Issue in Educational Research and Practice.

John W Cyrus, Sally A Santen, Chris Merritt, Brendan W Munzer, William J Peterson, Jeff Shockley, Jeffrey N Love,

INTRODUCTION:Scholarship and academic networking are essential for promotion and productivity. To develop education scholarship, the Council of Emergency Medicine Directors (CORD) and Clerkship Directors of Emergency Medicine (CDEM) created an annual Special Issue in Educational Research and Practice of the Western Journal of Emergency Medicine. The objective of this study ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):242-248]

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Reducing Emergency Department Transfers from Skilled Nursing Facilities Through an Emergency Physician Telemedicine Service.

Joshua W Joseph, Maura Kennedy, Larry A Nathanson, Liane Wardlow, Christopher Crowley, Amy Stuck,

INTRODUCTION:Transfers of skilled nursing facility (SNF) residents to emergency departments (ED) are linked to morbidity, mortality and significant cost, especially when transfers result in hospital admissions. This study investigated an alternative approach for emergency care delivery comprised of SNF-based telemedicine services provided by emergency physicians (EP). We compared this on-site ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):205-209]

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Update on Neurological Manifestations of SARS-CoV-2.

Hisham M Valiuddin, Almir Kalajdzic, James Rosati, Kevin Boehm, Dominique Hill,

Severe acute respiratory syndrome coronavirus 2, the source of COVID-19, causes numerous clinical findings including respiratory and gastrointestinal findings. Evidence is now growing for increasing neurological symptoms. This is thought to be from direct in-situ effects in the olfactory bulb caused by the virus. Angiotensin-converting enzyme 2 receptors likely serve ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):45-51]

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Cross-Sectional Survey of Former International Emergency Medicine Fellows 2010-19.

Shama Patel, Alyssa Green, Michelle Feltes, Heike Geduld, Andrea G Tenner,

INTRODUCTION:International emergency medicine is a new subspecialty within emergency medicine. International emergency medicine (EM) fellowships have been in existence for more than 10 years, but data is limited on the experiences of the fellows. Our goal in this study was to understand the fellowship experience. METHODS:The study employed a cross-sectional ... Read more >>

West J Emerg Med (The western journal of emergency medicine)
[2020, 21(6):225-230]

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