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{
    "pk": 1217,
    "title": "Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Intramuscular administration of vaccines into the deltoid muscle is the recommended route for most vaccines in adults. Ectopic injection into the subdeltoid/subacromial bursa can produce an inflammatory bursitis that is associated with significant long-term morbidity.\nCase Report: \nWe describe a novel approach to treatment of this condition: ultrasound-guided administration of dexamethasone by the emergency physician within six hours of vaccine administration. This approach resulted in complete and durable long-term resolution of symptoms with no functional impairment.\nConclusion: \nThis outcome is superior to that described for usual care, and the approach is well-suited to emergency physicians.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Vaccine"
        },
        {
            "word": "shoulder injury related to vaccine administration (SIRVA)"
        },
        {
            "word": "Mass Vaccination"
        },
        {
            "word": "ultrasound"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9w40465s",
    "frozenauthors": [
        {
            "first_name": "Adam",
            "middle_name": "",
            "last_name": "Rowh",
            "name_suffix": "",
            "institution": "University of Colorado Health System, Department of Emergency Medicine, Loveland, Colorado",
            "department": "None"
        },
        {
            "first_name": "Marta",
            "middle_name": "",
            "last_name": "Rowh",
            "name_suffix": "",
            "institution": "University of Colorado Health System, Department of Emergency Medicine, Loveland, Colorado\nUniversity of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado",
            "department": "None"
        },
        {
            "first_name": "Mark",
            "middle_name": "",
            "last_name": "Goodman",
            "name_suffix": "",
            "institution": "St. Charles Health System, Department of Emergency Medicine, Bend, Oregon",
            "department": "None"
        }
    ],
    "date_submitted": "2023-01-24T19:24:16Z",
    "date_accepted": "2023-01-24T19:24:16Z",
    "date_published": "2023-01-24T08:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1217/galley/954/download/"
        }
    ]
}