Browse Items · NEOMED Bibliography Database

Assessment of emergency medicine residents' computer knowledge and computer skills: time for an upgrade?

OBJECTIVE: To describe emergency medicine residents' (EMRs') personal computer (PC) use and educational needs and to compare their perceived and actual PC skills. METHODS: This was a prospective, cross-sectional study. Subjects were all EMRs at seven…

Intranasal lidocaine for the treatment of migraine headache: a randomized, controlled trial.

OBJECTIVE: To evaluate the effect of intranasal lidocaine for immediate relief (5 minutes) of migraine headache pain. METHODS: A randomized, double-blind, placebo-controlled clinical trial at two university-affiliated community teaching hospitals…

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…

Directing an emergency medicine residency: the problems and their potential solutions.

OBJECTIVE: To characterize the problems facing emergency medicine residency directors (EMRDs), to describe potential solutions, and to associate perceptions with anticipated duration in the position of EMRD. METHODS: A confidential questionnaire was…

Tags: 1995, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Adult, Department of Emergency Medicine, Emergency Medicine/*education, Female, Gerson L W, Humans, Internship and Residency/*organization & administration, Job Satisfaction, Kuhn G, Male, Middle Aged, NEOMED College of Medicine, Physician Executives/*statistics & numerical data, United States, Weigand J

Outcomes of Patients With Syncope and Suspected Dementia.

OBJECTIVES: Syncope and near-syncope are common in patients with dementia and a leading cause of emergency department (ED) evaluation and subsequent hospitalization. The objective of this study was to describe the clinical trajectory and short-term…

Tags: 2018, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Adler David H, Aged, Bastani Aveh, Baugh Christopher W, Caterino Jeffrey M, Clark Carol L, Dementia – Diagnosis – In Old Age, Dementia – Risk Factors, Dementia – Therapy, Department of Emergency Medicine, Diercks Deborah B, Emergency, Gibson Tommy A, Holden Timothy R, Hollander Judd E, Human, Iatrogenic Disease, Inpatients, interviews, Length of Stay, Malveau Susan E, Middle Age, NEOMED College of Medicine, Nicks Bret A, Nishijima Daniel K, Office Visits, Outcome Assessment, Outcomes (Health Care), Patient Assessment, Patient Discharge, Physicians, Prospective Studies, Shah Manish N, Stiffler Kirk A, Storrow Alan B, Sun Benjamin C, Surveys, Syncope – Diagnosis, Syncope – In Old Age, Syncope – Mortality, Weiss Robert E, Wilber Scott T, Yagapen Annick N

Consensus statement on advancing research in emergency department operations and its impact on patient care.

The consensus conference on "Advancing Research in Emergency Department (ED) Operations and Its Impact on Patient Care," hosted by The ED Operations Study Group (EDOSG), convened to craft a framework for future investigations in this important but…

Coaching From the Sidelines: Examining the Impact of Teledebriefing in Simulation-Based Training.

INTRODUCTION: Although simulation facilities are available at most teaching institutions, the number of qualified instructors and/or content experts that facilitate postsimulation debriefing is inadequate at many institutions. There remains a paucity…

Tags: *Formative Feedback, *Simulation Training, *Telecommunications, 2016, Ahmed Rami A, Atkinson Steven Scott, Department of Emergency Medicine, Emergency Medical Technicians/*education, Gable Brad, Gardner Aimee K, Humans, Mentors, NEOMED College of Medicine, Simulation in healthcare : journal of the Society for Simulation in Healthcare, Yee Jennifer

Specialty milestones and the next accreditation system: an opportunity for the simulation community.

The Accreditation for Graduate Medical Education has developed a new process of accreditation, the Next Accreditation System (NAS), which focuses on outcomes. A key component of the NAS is specialty milestones-specific behavior, attributes, or…

Cardiac Output Monitoring Managing Intravenous Therapy (COMMIT) to Treat Emergency Department Patients with Sepsis.

OBJECTIVE: Fluid responsiveness is proposed as a physiology-based method to titrate fluid therapy based on preload dependence. The objectives of this study were to determine if a fluid responsiveness protocol would decrease progression of organ…

Open Access Medical Journals: Promise, Perils, and Pitfalls.

The number of both print and open access (OA) journals has increased dramatically. While electronic availability of information on the Internet may offer greater potential for information sharing, it also gives rise to "predatory" journals and…

Tags: 2018, Academic medicine : journal of the Association of American Medical Colleges, Aswegan Andrew L, Baker Eileen F, Department of Emergency Medicine, Derse Arthur R, Iserson Kenneth V, Kraus Chadd K, Larkin Gregory L, NEOMED College of Medicine

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

The educational experience of pediatric emergency medicine fellows in the use and application of procedural sedation/analgesia.

OBJECTIVES: The purpose of this study is to describe the clinical and educational experience provided to the pediatric emergency medicine (PEM) fellows in procedural sedation/analgesia during their course of training. METHODS: A nonanonymous survey…

The bronchodilator effect of intravenous glucagon in asthma exacerbation: a randomized, controlled trial.

STUDY OBJECTIVE: Glucagon is a rapid-acting smooth muscle relaxant with a short half-life. Previous studies suggested glucagon may have bronchodilator effects. We sought to determine whether intravenous glucagon produces clinically important…

Re: Low-Fidelity Simulation in Global and Distributed Settings.

International Federation for emergency medicine model curriculum for continuing professional development.

Ultrasound-assisted internal jugular vein catheterization in the ED.

A prospective, descriptive study is reported on the use and success of ultrasound-assisted internal jugular central vein catheterization (CVC) in the emergency department (ED). In patients not in cardiac arrest who had an indication for internal…

The formation of cocaethylene and clinical presentation of ED patients testing positive for the use of cocaine and ethanol.

The purpose of this investigation was to document the clinical presentation of emergency department (ED) patients who tested positive for concurrent cocaine (COC) and ethanol (EtOH) use and the incidence of cocaethylene (CE) formation in this study…

Evaluation of the patient with seizures: an evidence based approach.

Statistics tell us that as many as 1 in 20 members of the population will suffer a seizure at some point in their lifetime, a figure which becomes even more likely if one lives to the age of 80. Thus, a careful evidence based approach to the patient…

Emergency airway management.

Airway control is one of the most critical interventions required for saving a life. It is essential that practitioners be as well trained as possible in the numerous techniques available to establish airway control. This article reviews some of the…

Tags: 2003, Airway Obstruction/*therapy, Blanda Michele, Department of Emergency Medicine, Emergency medicine clinics of North America, Emergency Treatment/*methods, Gallo Ugo E, Head/anatomy & histology, Humans, Intratracheal/instrumentation/*methods, Intubation, Mouth/anatomy & histology, Neck/anatomy & histology, NEOMED College of Medicine, Pharynx/anatomy & histology, Physical Examination/methods

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

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…

During the Emergency Department Evaluation of a Well-Appearing Neonate with Fever, Should Empiric Acyclovir Be Initiated?

BACKGROUND: Herpes simplex virus (HSV) infection represents significant morbidity and mortality in the neonatal period. Although clear guidelines exist on the evaluation and management of the otherwise well-appearing febrile neonate pertaining to…

Tags: 2018, acyclovir, Acyclovir – Therapeutic Use, Acyclovir/*therapeutic use, Antiviral Agents – Therapeutic Use, Antiviral Agents/therapeutic use, Bruno Eric, Cheng David, Decision Making, Department of Emergency Medicine, febrile neonate, Female, Ferrans and Powers Quality of Life Index, Fever – Etiology, Fever/etiology, Guidelines as Topic/standards, Herpes Simplex – Complications, Herpes Simplex – Diagnosis, Herpes Simplex – Drug Therapy, herpes simplex virus, Herpes Simplex/complications/diagnosis/*drug therapy, Herpesviruses, HSV, Humans, Infant, Infectious – Diagnosis, Infectious/diagnosis, Male, NEOMED College of Medicine, neonatal fever, Newborn, Pillus David, Pokrajac Nicholas, Practice Guidelines – Standards, Pregnancy Complications, Scales, Simplexvirus/pathogenicity, The Journal of emergency medicine, Vilke Gary

Patient Insurance Profiles: A Tertiary Care Compared to Three Freestanding Emergency Departments.

BACKGROUND: It has been speculated that freestanding emergency departments (FEDs) draw more affluent, better-insured patients away from urban hospital EDs. It is believed that this leaves urban hospital-based EDs less financially secure. OBJECTIVE:…

Tags: 2016, Department of Emergency Medicine, Emergency Service, Emergency Service – Statistics and Numerical Data, Freestanding emergency department, Griffin Gregory, Hayslip Dave, Health – Statistics and Numerical Data, Health – Trends, Health/*statistics & numerical data/trends, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Insurance, Jia Zhenyu, Jouriles Nicholas, Kobe Daniel, Medicaid – Statistics and Numerical Data, Medicaid/statistics & numerical data, Medically Uninsured – Statistics and Numerical Data, Medically Uninsured/statistics & numerical data, Medicare – Statistics and Numerical Data, Medicare/statistics & numerical data, NEOMED College of Medicine, Orlik Kseniya, Retrospective Design, Retrospective Studies, Simon Erin L, Special – Statistics and Numerical Data, Tertiary Care Centers/statistics & numerical data, The Journal of emergency medicine, United States, Urban – Statistics and Numerical Data, Urban/*statistics & numerical data

Type 1 Brugada Pattern Associated with Nicotine Toxicity.

BACKGROUND: Brugada pattern (BrP) findings on electrocardiogram (ECG) are mandatory for the diagnosis of Brugada syndrome (BrS). BrS is an incompletely understood cause of sudden cardiac death. CASE REPORT: Our patient was a young woman who was using…

The National Emergency Medicine Fourth-year Student (M4) Examinations: Updates and Performance.

BACKGROUND: Version 1 (V1) of the National Emergency Medicine Fourth-year Student (EM M4) Examination was released in 2011 and revised along with release of V2 in 2012. Each examination contains 50 multiple-choice questions designed to assess…

Freestanding emergency departments and the trauma patient.

BACKGROUND: Freestanding emergency departments (FEDs) continue to grow in number and more research is needed on these facilities. OBJECTIVE: We sought to characterize the types of injuries and patients who initially presented to two FEDs and were…

Health promotion and disease prevention in the emergency department.

This article provides an overview of health promotion and disease and injury prevention concepts. It provides an emergency medicine perspective and reviews approaches that can be used in the emergency department. It discusses examples of innovative…

Tags: *Emergency Medical Services, 2006, Cause of Death/trends, Department of Emergency Medicine, Emergency medicine clinics of North America, Emergency Service, Gerson Lowell W, Health Behavior, Health Promotion/*methods, Hospital/*organization & administration/statistics & numerical data, Humans, NEOMED College of Medicine, Preventive Health Services/*organization & administration, Stiffler Kirk A

Pharmacologic issues in geriatric emergency medicine.

The challenge for the practitioner is to balance incomplete evidence about efficacy of medications in frail older people against the problems related to adverse drug reactions without denying people potentially valuable pharmacotherapeutic…

Tags: *Emergency Medicine, *Health Services for the Aged, *Pharmaceutical Services, 2006, Aged, Blanda Michelle P, Department of Emergency Medicine, Drug Prescriptions/*standards, Emergency medicine clinics of North America, Humans, NEOMED College of Medicine, United States

Foreign body sensation: A rare case of dysphagia lusoria in a healthy female.

Dysphagia lusoria is a rare disease due to an aberrant right subclavian artery that passes posteriorly between the esophagus and the spine. David Bayford coined the term itself meaning "freak or jest of nature" in 1761 describing a case in which the…

Tags: 2018, Arakoni Rajalakshmy, Department of Emergency Medicine, Difficulty swallowing, Dysphagia lusoria, Merrill Rebecca, NEOMED College of Medicine, Simon Erin L, Subclavian artery, The American journal of emergency medicine

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

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…

Clinical differences between visits to adult freestanding and hospital-based emergency departments.

OBJECTIVE: Compare clinical characteristics for adult visits to freestanding emergency departments (FEDs) and a hospital-based ED (HBED). METHODS: Electronic health records were collected on adult ED visits from 7/1/14 to 6/30/15 from three FEDs and…

Tags: 2018, Burke Ryan C, Department of Emergency Medicine, Jouriles Nicholas J, Keaton Brian, Kukral Laura, NEOMED College of Medicine, Simon Erin L, The American journal of emergency medicine

Fournier's Gangrene Masking as Perineal and Scrotal Cellulitis.

Fournier's gangrene (FG) is a very serious and life threatening emergency. FG is a polymicrobial subset of necrotizing fasciitis affecting the genital region. Most cases have a perianal or colorectal focus; less often the gangrene originates from the…

Tags: 2018, Abass-Shereef Jeneba, Department of Emergency Medicine, Fournier gangrene, Kovacs Mitch, Necrotizing fasciitis, NEOMED College of Medicine, Simon Erin L, The American journal of emergency medicine

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

Acute aortic occlusion in a patient without risk factors.

Tags: 2018, Acute aortic occlusion, Arterial Occlusive Diseases, Department of Emergency Medicine, Fall, NEOMED College of Medicine, Simon Erin L, Stoneham Trina, The American journal of emergency medicine

Icatibant for the treatment of orolingual angioedema following the administration of tissue plasminogen activator.

Tags: 2018, Airway Management, Angioedema, Angioedema – Drug Therapy, Brooks Steven, Brown Emily, Campana Christina M, Cell Surface – Antagonists and Inhibitors, Department of Emergency Medicine, Icatibant, NEOMED College of Medicine, Receptors, stroke, The American journal of emergency medicine, Tissue plasminogen activator, Tissue Plasminogen Activator – Therapeutic Use, Zimmerman Jacob

Patient-reported reasons for seeking emergency care at a freestanding emergency department compared to a hospital-based ED.

Tags: 2018, Burke Ryan C, Department of Emergency Medicine, Freestanding emergency department, Hospital based emergency department, Jouriles Nicholas J, Keaton Brian, Kesav Natasha, Kiss Timothy J, Kukral Laura, NEOMED College of Medicine, Sanchez Jonathan, Simon Erin L, Survey, The American journal of emergency medicine

Variation in hospital admission rates between a tertiary care and two freestanding emergency departments.

BACKGROUND: Recently, freestanding emergency departments (FSEDs) have grown significantly in number. Critics have expressed concern that FSEDs may increase healthcare costs. OBJECTIVE: We determined whether admission rates for identical diagnoses…

When the business of healthcare overshadows the value of academic faculty: A community's loss of a residency program.

Tags: 2018, Academic faculty, Ahmed Rami A, Blanda Michelle, Business, Contract negotiations, Department of Emergency Medicine, Faculty, Health Care Industry, Hospital Administration, Internship and Residency, Jwayyed Sharhabeel, McQuown Colleen M, Medical – Psychosocial Factors, NEOMED College of Medicine, Nielson Jeff, Southern Alison, Stiffler Kirk, The American journal of emergency medicine

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