Emergency Medicine

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Article Critical Care Medicine

Comparison of the operation safety and biomechanical stability of sacral alar-iliac vs. sacroiliac screws in the fixation of sacroiliac joint in simulated models of low bone density

Shihao Du, Xin Li, Changbao Wei, Yunhong Ma, Jun Liu, Yongwe Wu

Summary: The stability of S1AIS and S2AIS is similar, both stronger than that of SIS and TSTIS. However, the safety zone of S2AIS at the insertion point is smaller than that of S1AIS. Therefore, considering both safety and stability, S1AIS is the preferred choice for fixation of sacroiliac joint dislocation in simulated models of low bone density.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Preoperative COVID-19 infection status negatively impacts postoperative outcomes of geriatric hip fracture surgery

Mohamed Elbuzidi, Alyssa N. Wenzel, Andrew Harris, Majd Marrache, Julius K. Oni, Harpal S. Khanuja, Vishal Hegde

Summary: A retrospective propensity score matched cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to compare outcomes for patients with recently diagnosed COVID-19 infection and those without COVID-19 infection undergoing operative treatment of hip fractures. The results showed that COVID-19-positive patients had a higher risk of 30-day mortality, pneumonia, unplanned intubation, septic shock, longer length of hospital stay, and discharge to an acute care hospital. Active COVID-19 infection is an independent risk factor for complications and increased resource utilization in these patients.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

In-hospital complications of work-related musculoskeletal injuries

Win Wah, Janneke Berecki-Gisolf, Karen Walker-Bone

Summary: This study aimed to identify the incidence and factors associated with in-hospital complications of work-related musculoskeletal injuries. The results showed that age, gender, area-level disadvantage, hospital type, comorbidity, emergency admissions, anesthesia, and the type of injury were all associated with in-hospital complications. The most common complications were cardiovascular, gastrointestinal complications and adverse drug events.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Correction Critical Care Medicine

Arterialization of plantar venous system via vein graft: A novel technique for reconstruction of heel pad degloving injuries ( vol 54,110826 , 2023)

Hokuto Morii, Takahiro Inui, Hiroki Shibayama, Kazunori Oae, Fumio Onishi, Takuya Hashimoto, Koichi Inokuchi, Makoto Sawano

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Critical Care Medicine

Diagnostic Performance of a telephone questionnaire for fracture-related infections (FRIs) in open tibia fracture patients in Tanzania

Patricia Rodarte, Jamieson O'Marr, Billy Haonga, Deogratias Patrick, Kian Niknam, Mayur Urva, Abigail Cortez, Willem-Jan Metsemakers, David Shearer, Saam Morshed

Summary: This study evaluates the diagnostic performance of telephone questionnaires in identifying patients with fracture-related infections (FRIs) after open tibia fracture fixation in Tanzania. The study shows that telephone questionnaires have adequate diagnostic performance, with drainage being the main indicator for FRIs.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Article Emergency Medicine

Prognosis of patients with extreme acidosis on admission to the emergency department: A retrospective cohort study

Amichai Gutgold, Shaden Salameh, Jeries Nashashibi, Yonatan Gershinsky

Summary: This study aimed to test the prognosis of patients with a pH lower than 6.9 on emergency department admission. The findings showed that a small but significant portion of these patients survived at least 24 hours and until hospital discharge.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Critical Care Medicine

Intraoperative tissue sampling for histology in chronic osteomyelitis shows high neutrophil infiltration centrally and low remains in debrided presumed infection-free regions

Louise Kruse Jensen, Henrik Elvang Jensen, Hans Gottlieb

Summary: This study describes the histopathology of debrided bone tissue in chronic osteomyelitis (CO). The inflammatory response still exists after debridement, although it fades from the center. Sampling of debrided bone tissue must be performed initially during surgery to avoid underestimation of neutrophil infiltration.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Letter Emergency Medicine

Kinesiotaping for isolated rib fractures in emergency department: post-procedure VAS scores

E. Tekin

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

Do young children with known cannabis intoxication benefit from further neurological-based testing or imaging?

Amanda S. Dupont, Patrick S. Walsh

Summary: Recent research indicates that children who unintentionally ingest cannabis often undergo extensive additional testing, such as head imaging or lumbar puncture. However, the yield of these tests is limited. While head imaging and lumbar puncture are frequently performed, diagnoses such as skull fracture, intracranial hemorrhage, intracranial neoplasm, meningitis, or intracranial abscess are rare. Additionally, discharge diagnoses related to other drugs are infrequent. The most common co-diagnoses are cocaine and opioids. Therefore, prompt consideration of cannabis ingestion and quick identification through testing may result in more effective neuroimaging outcomes.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Editorial Material Emergency Medicine

Diagnostic accuracy of real-time ultrasound for detecting pulmonary edema by lung region

Daven Patel, John Bailitz, Simone Ymson, Jonas Neichin, Gary D. Peksa, Michael Gottlieb

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Editorial Material Emergency Medicine

Inhaled anaesthetic gas for severe bronchospasm at the emergency department

Osman Adi, Farah Nuradhwa Apoo, Chan Pei Fong, Azma Haryaty Ahmad, Nurul Liana Roslan, Faheem Ahmed Khan, Shahridan Fathil

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

Risk factors for recurrence of suicide attempt via overdose: A prospective observational study

Akira Suekane, Wataru Takayama, Rio Hashimoto, Koji Morishita, Yasuhiro Otomo

Summary: This study investigated the risk factors associated with the recurrence of suicide attempts via drug overdose. The findings showed that a history of schizophrenia was an independent risk factor for overdose recurrence, and the presence of a cohabitant was significantly associated with a lower risk of recurrence.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

Is the shock index correlated with blood loss? An experimental study on a controlled hemorrhagic shock model in piglets

Thomas Sanchez, Fabien Coisy, Laura Grau-Mercier, Celine Occelli, Florian Ajavon, Pierre-Geraud Claret, Thibaut Markarian, Xavier Bobbia

Summary: In a controlled hemorrhagic shock model in piglets, there was a strong correlation between Shock Index (SI) and blood depletion volume (BDV).

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

Improving CT scanner efficiency for trauma team activations in the emergency department

Michael D. Zwank, Michael D. Mcgonigal, Nellie R. Adams, Opeyemi C. Akindumila, Gloriah K. Omwanda

Summary: This study aims to evaluate whether a new policy can save idle time of CT scanner. The results showed that the new policy saved an average of 19 minutes of CT scanner idle time per patient, with a total saving of 818 minutes (13.6 hours). This study supports the implementation of a 5-minute heads-up policy in the emergency department to maximize the utilization of CT scanners.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

Novel use of motor-sparing genicular nerve blocks for knee injuries in the emergency department

Suhrith Bhattaram, Varsha S. Shinde

Summary: Nerve blocks have emerged as promising options for targeted pain relief in the Emergency Department, providing effective analgesia without compromising motor function. The successful use of ultrasound-guided genicular nerve blocks (GNBs) in this case series demonstrates their potential as an alternative to traditional nerve blocks and opioid-based pain control strategies in the ED.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Letter Emergency Medicine

Accurate anatomical structure of cricothyroid membrane is a prerequisite for emergency airway management

Qianyu Wang, Dong Yang

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

The long and the short of pediatric emergency department antibiotic prescribing: A retrospective observational study

Carsten Krueger, Waleed Alqurashi, Nicholas Barrowman, Maria Litwinska, Nicole Le Saux

Summary: This study reviewed antibiotic prescriptions for three common infections in the emergency department and found that while guideline-concordant prescribing was generally high, a significant proportion of antibiotic durations exceeded the recommended duration. Cluster analysis revealed differences in prescribing practices among providers.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Editorial Material Emergency Medicine

Aural search & rescue: Techniques for ear foreign body removal in the emergency department

S. Hudock, M. Hysell, M. Luna, E. Dixon, M. Mangione, H. Holsinger, A. Zamarripa, C. Benner, L. Ouellette, J. S. Jones

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Letter Emergency Medicine

The emergence of cerebrovascular events in the new era of cancer therapy: A growing concern in clinical practice

Zhao-Yu Hsieh, Chen-Xiong Hsu

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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Article Emergency Medicine

Lack of patient and primary care physician follow-up in geriatric emergency department patients with head trauma from a fall

Richard D. Shih, Joshua J. Solano, Gabriella Engstrom, Maya Khazem, Lisa M. Clayton, Michael Wells, Patrick G. Hughes, Leila Posaw, Lara Goldstein, Charles H. Hennekens, Joseph G. Ouslander, Scott M. Alter

Summary: Falls are the leading cause of injuries in the US for older adults. Follow-up after an ED-related fall visit is essential to initiate preventive strategies in these patients who are at high risk for recurrent falls. A study found that only 60% of ED patients with fall-related head injury followed up with their primary care physician (PCP), and of those, 72% received a fall assessment and 56% adopted a fall prevention strategy. These findings highlight the urgent need to promote PCP fall assessment and the adoption of prevention strategies in this population.

AMERICAN JOURNAL OF EMERGENCY MEDICINE (2024)

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