Browse Items · NEOMED Bibliography Database

Characteristics of Prehospital ST-segment Elevation Myocardial Infarctions.

Introduction. Despite attention directed at treatment times of ST-segment elevation myocardial infarctions (STEMIs), little is known about the types of STEMIs presenting to the emergency department (ED). Objective. The purpose of this study was to…

Recurrent syncope is not an independent risk predictor for future syncopal events or adverse outcomes.

Almost 20% of patients with syncope will experience another event. It is unknown whether recurrent syncope is a marker for a higher or lower risk etiology of syncope. The goal of this study is to determine whether older adults with recurrent syncope…

Recurrent syncope is not an independent risk predictor for future syncopal events or adverse outcomes

Almost 20% of patients with syncope will experience another event. It is unknown whether recurrent syncope is a marker for a higher or lower risk etiology of syncope. The goal of this study is to determine whether older adults with recurrent syncope…

The Accuracy of Interqual Criteria in Determining the Observation versus Inpatient Status in Older Adults with Syncope.

BACKGROUND: McKesson's InterQual criteria are widely used in hospitals to determine if patients should be classified as observation or inpatient status, but the accuracy of the criteria is unknown. OBJECTIVE: We sought to determine whether InterQual…

Do High-sensitivity Troponin and Natriuretic Peptide Predict Death or Serious Cardiac Outcomes After Syncope?

OBJECTIVES: An estimated 1.2 million annual emergency department (ED) visits for syncope/near syncope occur in the United States. Cardiac biomarkers are frequently obtained during the ED evaluation, but the prognostic value of index high-sensitivity…

Ethyl vinyl chloride vapocoolant spray fails to decrease pain associated with intravenous cannulation in children.

The purpose of the study was to determine the effect of ethyl vinyl chloride vapocoolant spray on pain reported by children undergoing intravenous cannulation. A randomized, double-blinded, placebo-controlled trial was conducted on eligible children…

The Search for a Bridge over Troubled Waters.

Tags: 2013, Cunningham Carol, Department of Emergency Medicine, Drugs, Emergency Medical Services, EMS Insider, Generic – Economics, Government Agencies – Classification, NEOMED College of Medicine, Organizational Compliance, Patient Safety, Pharmaceutical Companies, prehospital care, Prescription – Supply and Distribution, Problem Solving, Scope of Practice

Estimates of throughput and utilization at freestanding compared to low-volume hospital-based emergency departments.

OBJECTIVE: Our investigation compared throughput metrics and utilization measures for freestanding emergency departments (FSEDs) versus hospital-based emergency departments (HBEDs) of similar volumes in the United States. METHODS: This study is a…

Tags: 2020, Canellas M, Dark C, Department of Emergency Medicine, January 2021 List, Jouriles N, Journal Of The American College Of Emergency Physicians Open, journalArticle, Mangira C, NEOMED College of Medicine, Simon EL, Summa Health Akron City Hospital

Guillain-Barré syndrome in a patient previously diagnosed with COVID-19

As the COVID-19 pandemic continues to progress, the medical community is rapidly trying to identify complications and patterns of disease to improve patient outcomes. In a recent systematic review, it has been reported that isolated cases of…

Tags: 2021, American Journal of Emergency Medicine, Cleveland Clinic Akron General Hospital, Defabio AC, Department of Emergency Medicine, journalArticle, July 2021 List, NEOMED College of Medicine, Scott TR, Simon EL, Stenberg RT

Efficacy of intravenous lidocaine to reduce pain and distress associated with propofol infusion in pediatric patients during procedural sedation.

BACKGROUND: Research suggests that young children experience an increased incidence and severity of discomfort during propofol infusion. Evaluations of varied interventions to reduce or eliminate this discomfort with adult subjects suggest that…

Funding sources for research: A research primer for low- and middle-income countries

Research is a fundamental component of the development of quality emergency care systems. Developing qualified professionals and programs to conduct emergency care research is essential to understanding epidemiology in low resource settings. This…

Tags: 2020, African Journal Of Emergency Medicine, Aluisio A, Cleveland Clinic Akron General Hospital, Department of Emergency Medicine, DeVos E, Emergency Medicine, January 2021 List, journalArticle, Low income countries, Mentorship, NEOMED College of Medicine, Research, Simon EL

A thyroglossal duct cyst causing apnea and cyanosis in a neonate.

This is a case of a 3-week-old male who presented to the emergency department with intermittent apnea and cyanosis. While in the emergency department, he had respiratory compromise with stress and required intubation. Further evaluation confirmed the…

Tags: 2005, Airway Obstruction/etiology/therapy, Akron Children's Hospital, Apnea/*etiology/therapy, Christopher Norman C, Cyanosis/*etiology/therapy, Department of Emergency Medicine, Department of Pediatrics, Diaz Maria Carmen G, Humans, Infant, Intratracheal, Intubation, Male, NEOMED College of Medicine, Newborn, Pediatric emergency care, Stormorken Anne, Thyroglossal Cyst/*complications/*congenital

Effect of a standardized pharyngitis treatment protocol on use of antibiotics in a pediatric emergency department.

BACKGROUND: Pharyngitis is a common complaint in pediatric patients. If clinical parameters are used alone, bacterial pathogens will be wrongly implicated in many cases. A nonstandardized approach to the treatment of children with pharyngitis in an…

A thyroglossal duct cyst causing apnea and cyanosis in a neonate.

This is a case of a 3-week-old male who presented to the emergency department with intermittent apnea and cyanosis. While in the emergency department, he had respiratory compromise with stress and required intubation. Further evaluation confirmed the…

Tags: 2005, Apnea, Christopher NC, Cyanosis, Cysts – Diagnosis, Department of Emergency Medicine, Diaz MCG, Infant, Male, NEOMED College of Medicine, Newborn, Pediatric emergency care, Stormorken A, Thyroid Gland – Physiopathology, Tomography, X-Ray Computed

Effect of a standardized pharyngitis treatment protocol on use of antibiotics in a pediatric emergency department.

Procedural frequency: Results from 18 academic, community and freestanding emergency departments

BackgroundEmergency physicians must maintain procedural skills, but clinical opportunities may be insufficient. We sought to determine how often practicing emergency physicians in academic, community and freestanding emergency departments (EDs)…

Refractory ventricular fibrillation in patient taking Lamictal.

Refractory ventricular fibrillation occurs when there are three or more episodes of ventricular fibrillation within a 24-hour period. We report the first case of a 35-year-old woman without prior medical or family cardiac history who sustained…

Tags: 2018, Department of Emergency Medicine, Dream Andrew, Holmgren Helena, Merrill Rebecca, NEOMED College of Medicine, Simon Erin L, The American journal of emergency medicine, Ventricular fibrillation

The Case Files: A Serious Condition Hiding Behind Nonspecific Symptoms

Tags: 2020, Brett S, Campbell J, Cleveland Clinic Akron General Hospital, December 2020 List, Department of Emergency Medicine, Drogell K, Emergency Medicine News, journalArticle, Luke W, NEOMED College of Medicine, NEOMED Student Publications, Simon EL

The Case Files: A serious condition hiding behind nonspecific symptoms.

Mentorship and how to conduct research: A research primer for low- and middle-income countries

Development of a successful research program can seem daunting when looked at from the starting line. It will take years if not decades to succeed and become sustainable. It requires local partnerships and mentoring; it mandates the establishment of…

Tags: 2020, African Journal Of Emergency Medicine, Cleveland Clinic Akron General Hospital, Department of Emergency Medicine, Ducharme J, Emergency Medicine, January 2021 List, Jouriles N, journalArticle, Kole T, Low income countries, Maharjan RK, Mentorship, NEOMED College of Medicine, Research, Simon EL, Summa Health Akron City Hospital

COVID-19 vaccine adverse reactions bring patients to emergency departments.

Tags: 2021, COVID-19, COVID-19 vaccination, Department of Emergency Medicine, Emergency Medicine, Fertel BS, journalArticle, June 2021 List, Milk J, Muir McKinsey R, NEOMED College of Medicine, Simon EL, Smalley CM, The American journal of emergency medicine, Vaccination adverse events

Difficulty in predicting bacteremia in elderly emergency patients.

STUDY OBJECTIVES: To characterize the clinical presentation and identify factors predictive of bacteremia in elderly patients. DESIGN: Retrospective review of emergency department charts, hospital records, and microbiology reports. SETTING: Community…

Adult epiglottitis.

Adult epiglottitis (or "supraglottitis") is an uncommon but increasingly recognized entity. Though prior studies emphasized the fulminant nature of the disease, recent evidence suggests that epiglottitis in adults may follow a relatively less severe…

Tags: *Epiglottitis/diagnosis/therapy, *Laryngitis/diagnosis/therapy, 1989, Adolescent, Adult, Aged, Department of Emergency Medicine, Female, Fontanarosa P B, Goldman G E, Haemophilus Infections/diagnosis/therapy, Haemophilus influenzae, Humans, Male, Middle Aged, NEOMED College of Medicine, Polsky S S, The Journal of emergency medicine

Improving bariatric patient transport and care with simulation.

INTRODUCTION: Obesity is prevalent in the United States. Obese patients have physiologic differences from non-obese individuals. Not only does transport and maintenance of these patients require use of specialized equipment, but it also requires a…

Tags: 2014, Ahmed Rami A, Airway Management, Airway Management – Education, Allied Health Personnel/*education, Analysis of Covariance, Bariatric Patients, Bhalla Mary Colleen, Cardiopulmonary Resuscitation/education, Catheterization, Celik Dan H, Control Group, Department of Emergency Medicine, Education, Educational, Educational Measurement, Emergency Medical Technicians – Education, Emergency Medicine, Equipment and Supplies, Firefighters, Gable Brad D, Gardner Aimee K, Health Knowledge – Evaluation, Human, Humans, Infusions, Intraosseous/methods, Manikins, Medical, Models, NEOMED College of Medicine, Obesity – Surgery, Obesity/*therapy, Patient Care, Peripheral/methods, Simulations, Technology, The western journal of emergency medicine, Transportation of Patients – Methods, Transportation of Patients/*methods/standards, trauma, United States

Simulation-based interprofessional conference: a focus on patient handoffs and critical communication

Tags: 2019, Ahmed Rami, BMJ simulation & technology enhanced learning, Communication, Department of Emergency Medicine, Gable Brad, handoff, interprofessional, NEOMED College of Medicine, October 2019 Update, simulation

Locked-in syndrome: report of a case.

Locked-in syndrome is a unique clinical condition associated with ventral pontine lesions. The locked-in state is characterized by tetraplegia and mutism with maintenance of alertness as well as vertical eye movements and eye blinking, by which…

Tags: *Quadriplegia/diagnosis, 1989, Coma/diagnosis, Department of Emergency Medicine, Diagnosis, Differential, Fontanarosa P B, Gallo U E, Humans, Male, Middle Aged, NEOMED College of Medicine, Prognosis, The American journal of emergency medicine

Toxic streptococcal syndrome.

The streptococcal toxic shocklike syndrome is a recently recognized, multisystem disorder that shares many of the features of staphylococcal toxic shock syndrome, but is caused by toxins elaborated by group A beta-hemolytic Streptococcus. We describe…

Tags: 1990, Adult, Annals of emergency medicine, Department of Emergency Medicine, Diagnosis, Differential, Emergency Service, Female, Fontanarosa P B, Gallo U E, Hospital, Humans, NEOMED College of Medicine, Pharyngitis/*complications, Septic/blood/*diagnosis/etiology, Shock, Sinusitis/*complications, Streptococcal Infections/*complications, Streptococcus pyogenes

Bivariate markov model based analysis of ecg for accurate identification and classification of premature heartbeats and irregular beat-patterns

This paper describes a novel intelligent analysis technique based upon bivariate Markov model that integrates morphological and temporal features with a rule-based interval analysis of ECG signals to localize and accurately classify the premature…

Integrating Markov Model, Bivariate Gaussian Distribution and GPU Based Parallelization for Accurate Real-Time Diagnosis of Arrhythmia Subclasses

In this paper, we present the integration of SIMT (Single Instruction Multiple Threads), Markov model and bivariate Gaussian distribution as a general-purpose technique for real-time accurate diagnosis of subclasses of arrhythmia. The model improves…

Tags: 2019, Bansal Arvind K, Department of Emergency Medicine, Gawde Purva R, NEOMED College of Medicine, Nielson Jeffery A, Proceedings of the Future Technologies Conference (ftc) 2018, Proceedings of the Future Technologies Conference (ftc) 2018, Vol 1, Summa Health Akron, Vol 1

Do elder emergency department patients and their informants agree about the elder's functioning?

OBJECTIVE: To compare elder patients' and their informants' ratings of the elder's physical and mental function measured by a standard instrument, the Medical Outcomes Study Short Form 12 (SF-12). METHODS: This was a randomized, cross-sectional study…

Do elder emergency department patients and their informants agree about the elder's functioning?

OBJECTIVE: To compare elder patients' and their informants' ratings of the elder's physical and mental function measured by a standard instrument, the Medical Outcomes Study Short Form 12 (SF-12). METHODS: This was a randomized, cross-sectional study…

Injury prevention research: quo vadis?

Tags: 2004, Academic Emergency Medicine, Degutis LC, Department of Emergency Medicine, Emergency, Emergency Care, Emergency Medicine, Gerson L W, Healthy People 2010, Larkin GL, Medical, Medical Practice, NEOMED College of Medicine, Physicians, Research, Research-Based, Safety, Wounds and Injuries – Prevention and Control

Using paramedics to identify at-risk elderly.

OBJECTIVES: To evaluate paramedics' ability to identify elderly at risk and refer them for assessment and service. DESIGN: A prospective nonrandomized open trial. SETTING: Akron, Ohio, a midsize city with a well-developed advanced life support…

Tags: *Emergency Medical Technicians, *Geriatric Assessment, 1992, Aged, Annals of emergency medicine, Department of Emergency Medicine, Female, Gerson L W, Humans, Male, NEOMED College of Medicine, Ohio, Predictive Value of Tests, Prospective Studies, Records, Risk Factors, Schelble D T, Wilson J E

How Should Native Crotalid Envenomation Be Managed in the Emergency Department?

BACKGROUND: Pit vipers, also known as crotalids, are a group of snakes including rattlesnakes, copperheads, and cottonmouths (water moccasins). Crotalids have a broad geographic distribution across the United States, and bites from these snakes can…

Collaboration with non-emergency care specialists and other emergency care providers: A research primer for low- and middle-income countries

As emergency and acute care systems develop, the ability to broadly engage key stakeholders becomes paramount for success. Collaborating with emergency medicine clinicians as well as other providers who have already developed their specialties,…

Tags: 2020, African Journal Of Emergency Medicine, Best practice consensus, Cleveland Clinic Akron General Hospital, collaboration, Department of Emergency Medicine, emergency medicine research, Gutierrez CE, January 2021 List, journalArticle, NEOMED College of Medicine, Research networks, Simon EL, Systems development

Uveitis and acute glaucoma as first presenting symptoms of sarcoidosis in a healthy male.

Sarcoidosis is a disease that causes noncaseating granulomas in tissues such as the lungs, heart, skin, and eyes. Sarcoidosis is often found through chest x-ray or lesions in the skin and eyes. In over half of patients the disease is detected…

Tags: 2018, Acute angle closure glaucoma, Department of Emergency Medicine, Hallas Olivia, Jackson Damien, NEOMED College of Medicine, Sarcoidosis, Simon Erin L, The American journal of emergency medicine, uveitis, Yocum Andrew

A National Study of Longitudinal Consistency in ACGME Milestone Ratings by Clinical Competency Committees: Exploring an Aspect of Validity in the Assessment of Residents' Competence

PURPOSE: To investigate whether clinical competency committees (CCCs) were consistent in applying milestone ratings for first-year residents over time or whether ratings increased or decreased. METHOD: Beginning in December 2013, the ACGME initiated…

Tags: 2019, Academic Medicine: Journal of the Association of American Medical Colleges, Barton Melissa A, Beeson Michael S, Department of Emergency Medicine, Hamstra Stanley J, Holmboe Eric S, June 2019 Update, NEOMED College of Medicine, Santen Sally A, Yamazaki Kenji

Integration of Entrustable Professional Activities with the Milestones for Emergency Medicine Residents

Abstract
INTRODUCTION:
Medical education is moving toward a competency-based framework with a focus on assessment using the Accreditation Council for Graduate Medical Education Milestones. Assessment of individual competencies through milestones…

Tags: Department of Emergency Medicine, Michael S. Beeson, NEOMED College of Medicine, Summa Health Akron, Western Journal of Emergency Medicine

High flow nasal cannula vs. conventional oxygen therapy and noninvasive ventilation: Respiratory distress or respiratory failure?

Tags: 2020, Department of Emergency Medicine, Haywood ST, Journal of Emergency Medicine, journalArticle, NEOMED College of Medicine, October 2020 List

Throws of Death: Traumatic Coronary Artery Dissection Resulting From Jiu Jitsu Training

BACKGROUND: The risk of cardiac injury in blunt thoracic trauma is quite rare, occurring in only 0.1% of patients. The least common cardiac injury is coronary artery dissection. Most cardiac injuries result from high-energy mechanisms such as motor…

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