Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=12300
{ "count": 39141, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=12400", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=12200", "results": [ { "pk": 45069, "title": "The Importance of Complete Pituitary Laboratory Assessment in Secondary Amenorrhea", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1j2854wv", "frozenauthors": [ { "first_name": "Dina", "middle_name": "", "last_name": "Kamel", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anthony", "middle_name": "P.", "last_name": "Heaney", "name_suffix": "MD, PhD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-09T22:35:16+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45069/galley/33862/download/" } ] }, { "pk": 45068, "title": "Brucella Exposure from Unpasteurized Queso Fresco", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7pz9w273", "frozenauthors": [ { "first_name": "Sartajdeep", "middle_name": "", "last_name": "Kahlon", "name_suffix": "MSIII", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Antonio", "middle_name": "M.", "last_name": "Pessegueiro", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-09T22:33:27+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45068/galley/33861/download/" } ] }, { "pk": 45067, "title": "Breast Pain and Fevers – A Case of Idiopathic Granulomatous Mastitis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4f76h0cs", "frozenauthors": [ { "first_name": "Rong", "middle_name": "", "last_name": "Hu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "", "last_name": "Ayoub", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-09T22:31:42+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45067/galley/33860/download/" } ] }, { "pk": 45066, "title": "Cryptococcus neoformans Meningitis in a Patient with Systemic Lupus Erythematosus", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/904457kh", "frozenauthors": [ { "first_name": "Miriam", "middle_name": "N.", "last_name": "Hakim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mary", "middle_name": "C.", "last_name": "Cambou", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Suzanne", "middle_name": "M.", "last_name": "Donovan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-09T22:23:56+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45066/galley/33859/download/" } ] }, { "pk": 13224, "title": "A Case for Risk Stratification in Survivors of Firearm and Interpersonal Violence in the Urban Environment", "subtitle": null, "abstract": "The emergency department (ED) serves as the main source of care for patients who are victimsof interpersonal violence. As a result, emergency physicians across the nation are at the forefrontof delivering care and determining dispositions for many at-risk patients in a dynamic healthcareenvironment. In the majority of cases, survivors of interpersonal violence are treated and dischargedbased on the physical implications of the injury without consideration for risk of reinjury and thestructural drivers that may be at play. Some exceptions may exist at institutions with hospital-basedviolence intervention programs (HVIPs). At these institutions, disposition decisions often includeconsideration of a patient’s risk for repeat exposure to violence. Ideally, HVIP services would beavailable to all survivors of interpersonal violence, but a variety of current constraints limit availability.Here we offer a scoping review of HVIPs and our perspective on how risk-stratification could helpemergency physicians determine which patients will benefit most from HVIP services and potentiallyreduce re-injury secondary to interpersonal violence.", "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": "violence, interpersonal violence" }, { "word": "firearm violence" }, { "word": "social determinants of health" }, { "word": "Public health" } ], "section": "Violence Assessment and Prevention", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65j3q9r4", "frozenauthors": [ { "first_name": "Garth", "middle_name": "N.", "last_name": "Walker", "name_suffix": "", "institution": "Northwestern Buehler Center Health Economics and Policy and Northwestern Emergency Department", "department": "None" }, { "first_name": "Annette", "middle_name": "M.", "last_name": "Dekker", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "David", "middle_name": "A.", "last_name": "Hampton", "name_suffix": "", "institution": "University of Chicago", "department": "None" }, { "first_name": "Adewusa", "middle_name": "", "last_name": "Akhtuamhen", "name_suffix": "", "institution": "Northwestern Emergency Department", "department": "None" }, { "first_name": "P.", "middle_name": "Quincy", "last_name": "Moore", "name_suffix": "", "institution": "University of Chicago Section of Emergency Medicine", "department": "None" } ], "date_submitted": "2019-09-02T00:09:42+03:00", "date_accepted": "2019-09-02T00:09:42+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13224/galley/6962/download/" } ] }, { "pk": 14071, "title": "A Video-based Debriefing Program to Support Emergency Medicine Clinician Well-being During the COVID-19 Pandemic", "subtitle": null, "abstract": "Introduction:\n Emergency clinicians on the frontline of the coronavirus pandemic experience a range of emotions including anxiety, fear, and grief. Debriefing can help clinicians process these emotions, but the coronavirus pandemic makes it difficult to create a physically and psychologically safe space in the emergency department (ED) to perform this intervention. In response, we piloted a video-based debriefing program to support emergency clinician well-being. We report the details of our program and results of our evaluation of its acceptability and perceived value to emergency clinicians during the pandemic.\nMethods:\n ED attending physicians, resident physicians, and non-physician practitioners (NPP) at our quaternary-care academic medical center were invited to participate in role-based, weekly one-hour facilitated debriefings using Zoom. ED attendings with experience in debriefing led each session and used an explorative approach that focused on empathy and normalizing reactions. At the end of the pilot, we distributed to participants an anonymous 10-point survey that included multiple-answer questions and visual analogue scales.\nResults:\n We completed 18 debriefings with 68 unique participants (29 attending physicians, 6 resident physicians, and 33 NPPs. A total of 76% of participants responded to our survey and 77% of respondents participated in at least two debriefings. Emergency clinicians reported that the most common reasons to participate in the debriefings were “to enhance my sense of community and connection” (81%) followed by “to support colleagues” (75%). Debriefing with members of the same role group (92%) and the Zoom platform (81%) were considered to be helpful aspects of the debriefing structure. Although emergency clinicians found these sessions to be useful (78.8 +/- 17.6) interquartile range: 73-89), NPPs were less comfortable speaking up (58.5 +/- 23.6) than attending physicians (77.8 +/- 25.0) (p = < 0.008).\nConclusion:\n Emergency clinicians participating in a video-based debriefing program during the coronavirus pandemic found it to be an acceptable and useful approach to support emotional well-being. Our program provided participants with a platform to support each other and maintain a sense of community and connection. Other EDs should consider implementing a debriefing program to safeguard the emotional well-being of their emergency clinician workforce.", "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": "debriefing" }, { "word": "Wellness" }, { "word": "coronavirus" }, { "word": "COVID-19" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9b65n8kr", "frozenauthors": [ { "first_name": "Derek", "middle_name": "L.", "last_name": "Monette", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Wendy", "middle_name": "L.", "last_name": "Macias-Konstantopoulos", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "David", "middle_name": "F.M.", "last_name": "Brown", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ali", "middle_name": "S.", "last_name": "Raja", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "James", "middle_name": "K.", "last_name": "Takayesu", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-06-08T03:23:58+03:00", "date_accepted": "2020-06-08T03:23:58+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14071/galley/7295/download/" } ] }, { "pk": 13835, "title": "CEdRIC: Strategy for Patient Education During COVID-19 Triage", "subtitle": null, "abstract": "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 vaccines to prevent COVID-19, prevention focuses on self-management strategies, creating patient education challenges for physicians doing triage and testing. This article describes a five-step process for effectively educating, at discharge, patients who are suspected of being infectious and instructed to self-isolate at home. We are proposing the CEdRIC strategy as a practical, straightforward protocol that meets patient education and health psychology science requirements. The main goal of the CEdRIC process is to give patients self-management strategies aimed at preventing complications and disease transmission. The COVID-19 pandemic is challenging clinicians to rapidly teach their patients self-management strategies while managing the inherent pressures of this emergency situation. The CEdRIC strategy is designed to deliver key information to patients and standardize the discharge process. CEdRIC is currently being tested at triage centres in Belgium. Formal assessment of its implementation is still needed.", "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": "Patient Education – Patient safety – Patient participation – COVID-19 pandemic – Advanced triage - Hospital discharge" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/74r9d2f0", "frozenauthors": [ { "first_name": "Benoit", "middle_name": "", "last_name": "Pétré", "name_suffix": "", "institution": "University of Liège, Department of Public Health, Wallonia, Belgium\nMember of Be.Hive, Interdisciplinarity Primary Care Chair", "department": "None" }, { "first_name": "Jean-Christophe", "middle_name": "", "last_name": "Servotte", "name_suffix": "", "institution": "University of Liège, Department of Public Health, Wallonia, Belgium", "department": "None" }, { "first_name": "Justine", "middle_name": "", "last_name": "Piazza", "name_suffix": "", "institution": "University Hospital Centre of Liège, Department of Emergency Medicine, Wallonia, Belgium", "department": "None" }, { "first_name": "Alexandre", "middle_name": "", "last_name": "Ghuysen", "name_suffix": "", "institution": "University of Liège, Department of Public Health, Wallonia, Belgium\nUniversity Hospital Centre of Liège, Department of Emergency Medicine, Wallonia, Belgium", "department": "None" }, { "first_name": "Aurore", "middle_name": "", "last_name": "Margat", "name_suffix": "", "institution": "University of Sorbonne Paris Nord, Education and Health Practices Laboratory UR3412, Sorbonne Paris Cité, France", "department": "None" }, { "first_name": "Remi", "middle_name": "", "last_name": "Gagnayre", "name_suffix": "", "institution": "University of Sorbonne Paris Nord, Education and Health Practices Laboratory UR3412, Sorbonne Paris Cité, France", "department": "None" }, { "first_name": "Dieudonné", "middle_name": "", "last_name": "Leclercq", "name_suffix": "", "institution": "University of Sorbonne Paris Nord, Education and Health Practices Laboratory UR3412, Sorbonne Paris Cité, France\nUniversity of Liège, Department of Education and Training, Wallonia, Belgium", "department": "None" } ], "date_submitted": "2020-04-27T17:04:45+03:00", "date_accepted": "2020-04-27T17:04:45+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13835/galley/7207/download/" } ] }, { "pk": 14012, "title": "CODE BLUE-19: A Proposed Protocol to Mitigate COVID-19 Transmission in the Emergency Department when Receiving Out-of-hospital Cardiac Arrest Patients", "subtitle": null, "abstract": "Resuscitation of cardiac arrest in coronavirus disease 2019 (COVID-19) patients places the healthcare staff at higher risk of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Unfortunately, COVID-19 status is unknown in most patients presenting to the emergency department (ED), and therefore special attention must be given to protect the healthcare staff along with the other patients. This is particularly true for out-of-hospital cardiac arrest patients who are transported to the ED. Based on the current data available on transmissibility of SARS-CoV-2, we have proposed a protocolized approach to out-of-hospital cardiac arrests to limit risk of transmission.", "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": "Emergency Medicine, COVID-19, Cardiac Arrest" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4ng813fc", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Nguyen", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Nima", "middle_name": "", "last_name": "Sarani", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Kenneth", "middle_name": "D.", "last_name": "Marshall", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Chad", "middle_name": "M.", "last_name": "Cannon", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Jacobsen", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Pirotte", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Pittenger", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Edric", "middle_name": "K.", "last_name": "Wong", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Pharmacy, Kansas City, Kansas", "department": "None" }, { "first_name": "Nicholas", "middle_name": "P.", "last_name": "Dodson", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Pharmacy, Kansas City, Kansas", "department": "None" }, { "first_name": "Maria", "middle_name": "", "last_name": "LaCapra", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Kelly", "middle_name": "", "last_name": "Howe", "name_suffix": "", "institution": "Kansas University Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" } ], "date_submitted": "2020-05-27T17:23:51+03:00", "date_accepted": "2020-05-27T17:23:51+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14012/galley/7273/download/" } ] }, { "pk": 13967, "title": "Consolidating Emergency Department-specific Data to Enable Linkage with Large Administrative Datasets", "subtitle": null, "abstract": "Introduction:\n 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 information about all EDs in the United States. However, a challenge with merging these databases is that NEDI lists all US EDs individually, while the AHA and CMS group some EDs by hospital network. Consolidating data for this merge may be preferential to excluding grouped EDs. Our objectives were to consolidate ED data to enable linkage with administrative datasets and to determine the effect of excluding grouped EDs on ED-level summary results.\nMethods:\n Using the 2014 NEDI-USA database, we surveyed all New England EDs. We individually matched NEDI EDs with corresponding EDs in the AHA and CMS. A “group match” was assigned when more than one NEDI ED was matched to a single AHA or CMS facility identification number. Within each group, we consolidated individual ED data to create a single observation based on sums or weighted averages of responses as appropriate.\nResults:\n Of the 195 EDs in New England, 169 (87%) completed the NEDI survey. Among these, 130 (77%) EDs were individually listed in AHA and CMS, while 39 were part of groups consisting of 2-3 EDs but represented by one facility ID. Compared to the individually listed EDs, the 39 EDs included in a “group match” had a larger number of annual visits and beds, were more likely to be freestanding, and were less likely to be rural (all P<0.05). Two grouped EDs were excluded because the listed ED did not respond to the NEDI survey; the remaining 37 EDs were consolidated into 19 observations. Thus, the consolidated dataset contained 149 observations representing 171 EDs; this consolidated dataset yielded summary results that were similar to those of the 169 responding EDs.\nConclusion:\n Excluding grouped EDs would have resulted in a non-representative dataset. The original vs consolidated NEDI datasets yielded similar results and enabled linkage with large administrative datasets. This approach presents a novel opportunity to use characteristics of hospital-based specialties, units, and departments in studies of patient-level outcomes, to advance health services research.", "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": "emergency department, health services research" } ], "section": "Population Health Research Design", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4s40j3dv", "frozenauthors": [ { "first_name": "Krislyn", "middle_name": "M.", "last_name": "Boggs", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Maranatha", "middle_name": "M.", "last_name": "Teferi", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Janice", "middle_name": "A.", "last_name": "Espinola", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ashley", "middle_name": "F.", "last_name": "Sullivan", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Kohei", "middle_name": "", "last_name": "Hasegawa", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Kori", "middle_name": "S.", "last_name": "Zachrison", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Margaret", "middle_name": "E.", "last_name": "Samuels-Kalow", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr.", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-05-19T03:41:01+03:00", "date_accepted": "2020-05-19T03:41:01+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13967/galley/7253/download/" } ] }, { "pk": 14234, "title": "Effect of an Aerosol Box on Intubation in Simulated Emergency Department Airways: A Randomized Crossover Study", "subtitle": null, "abstract": "Introduction:\n The use of transparent plastic aerosol boxes as protective barriers during endotracheal intubation has been advocated during the severe acute respiratory syndrome coronavirus 2 pandemic. There is evidence of worldwide distribution of such devices, but some experts have warned of possible negative impacts of their use. The objective of this study was to measure the effect of an aerosol box on intubation performance across a variety of simulated difficult airway scenarios in the emergency department.\nMethods:\n This was a randomized, crossover design study. Participants were randomized to intubate one of five airway scenarios with and without an aerosol box in place, with randomization of intubation sequence. The primary outcome was time to intubation. Secondary outcomes included number of intubation attempts, Cormack-Lehane view, percent of glottic opening, and resident physician perception of intubation difficulty.\nResults:\n Forty-eight residents performed 96 intubations. Time to intubation was significantly longer with box use than without (mean 17 seconds [range 6-68 seconds] vs mean 10 seconds [range 5-40 seconds], p <0.001). Participants perceived intubation as being significantly more difficult with the aerosol box. There were no significant differences in the number of attempts or quality of view obtained.\nConclusion: \nUse of an aerosol box during difficult endotracheal intubation increases the time to intubation and perceived difficulty across a range of simulated ED patients.", "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": [], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xv081nz", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "S.", "last_name": "Turner", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Lauren", "middle_name": "E.", "last_name": "Falvo", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Rami", "middle_name": "A.", "last_name": "Ahmed", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Timothy", "middle_name": "J.", "last_name": "Ellender", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Dan", "middle_name": "", "last_name": "Corson-Knowles", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Anna", "middle_name": "M.", "last_name": "Bona", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Elisa", "middle_name": "J.", "last_name": "Sarmiento", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Dylan", "middle_name": "D.", "last_name": "Cooper", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" } ], "date_submitted": "2020-06-28T23:22:17+03:00", "date_accepted": "2020-06-28T23:22:17+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14234/galley/7343/download/" } ] }, { "pk": 13964, "title": "Emergency Department Management of COVID-19: An Evidence-Based Approach", "subtitle": null, "abstract": "The novel coronavirus, SARs-CoV-2, causes a clinical disease known as COVID-19. Since being declared a global pandemic, a significant amount of literature has been produced and guidelines are rapidly changing as more light is shed on this subject. Decisions regarding disposition must be made with attention to comorbidities. Multiple comorbidities portend a worse prognosis. Many clinical decision tools have been postulated; however, as of now, none have been validated. Laboratory testing available to the emergency physician is nonspecific but does show promise in helping prognosticate and risk stratify. Radiographic testing can also aid in the process. Escalating oxygen therapy seems to be a safe and effective therapy; delaying intubation for only the most severe cases in which respiratory muscle fatigue or mental status demands this. Despite thrombotic concerns in COVID-19, the benefit of anticoagulation in the emergency department (ED) seems to be minimal. Data regarding adjunctive therapies such as steroids and nonsteroidal anti-inflammatories are variable with no concrete recommendations, although steroids may decrease mortality in those patients developing acute respiratory distress syndrome. With current guidelines in mind, we propose a succinct flow sheet for both the escalation of oxygen therapy as well as ED management and disposition of these patients.", "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": "COVID-19" }, { "word": "emergency department" }, { "word": "coronavirus" }, { "word": "SARS-CoV-2" }, { "word": "Absolute Lymphocyte Count" }, { "word": "Neutrophil to Lymphocyte Ratio" }, { "word": "D-dimer" }, { "word": "phenotype theory" }, { "word": "High-flow Nasal Cannula" }, { "word": "Non-invasive Ventilation" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4f96w6xg", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "M.", "last_name": "McManus", "name_suffix": "", "institution": "Mercy Health – Muskegon, Department of Emergency Medicine. Muskegon, Michigan; Michigan State University College of Osteopathic Medicine, Department of Osteopathic Medical Specialties, East Lansing, Michigan", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Offman", "name_suffix": "", "institution": "Mercy Health – Muskegon, Department of Emergency Medicine. Muskegon, Michigan; Michigan State University College of Osteopathic Medicine, Department of Osteopathic Medical Specialties, East Lansing, Michigan", "department": "None" }, { "first_name": "Jason", "middle_name": "D.", "last_name": "Oetman", "name_suffix": "", "institution": "Mercy Health – Muskegon, Department of Emergency Medicine. Muskegon, Michigan; Michigan State University College of Osteopathic Medicine, Department of Osteopathic Medical Specialties, East Lansing, Michigan", "department": "None" } ], "date_submitted": "2020-05-20T23:28:43+03:00", "date_accepted": "2020-05-20T23:28:43+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13964/galley/7251/download/" } ] }, { "pk": 14124, "title": "How the COVID-19 Epidemic Affected Prehospital Emergency Medical Services in Tehran, Iran", "subtitle": null, "abstract": "Introduction:\n Coronavirus disease 2019 (COVID-19) has substantially impacted the healthcare delivery system in Tehran, Iran. The country’s first confirmed positive test for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was on February 18, 2020. Since then, the number of cases has steadily increased in Iran and worldwide. Emergency medical services (EMS) quickly adapted its operations to accommodate a greater number of patients, and it worked to decrease the risk of COVID-19 spread among EMS personnel, given the disease’s high transmissibility.\nMethods:\n We evaluated the chief complaint as well as the pattern and number of EMS calls and dispatches during the 28-day intervals before and after the February 18, 2020, COVID-19 outbreak in Iran.\nResults:\n EMS calls increased from 355,241 in the pre-outbreak period to 1,589,346 in the post-outbreak period, a 347% increase (p<0.001). EMS dispatches rose more modestly from 82,282 to 99,926, a 21% increase (p<0.001). The average time on telephone hold decreased from 10.6 ± 12.7 seconds pre-outbreak to 9.8 ± 11.8 seconds post-outbreak, a 7% decrease (p<0.001). The average length of call also decreased from 1.32 ± 1.42 minutes pre-outbreak to 1.06 ± 1.28 minutes post-outbreak, a 20% decrease (p<0.001). The highest number of daily dispatches occurred during the second and third weeks of the four-week post-outbreak period, peaking at 4557 dispatches/day. After the first reported case of SARS-CoV-2, there were significant increases in chief complaints of fever (211% increase, p<0.001) and respiratory symptoms (245% increase, p<0.001).\nConclusion:\n The number of EMS calls and dispatches in Tehran increased 347% and 20%, respectively, after the outbreak of COVID-19. Despite this, the time on hold for EMS response decreased. The Tehran EMS system accomplished this by increasing personnel hours, expanding call-center resources, and implementing COVID-19-specific training.", "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": "SARS-CoV-2" }, { "word": "COVID-19" }, { "word": "emergency medical service" }, { "word": "Mission" }, { "word": "CALL" }, { "word": "Pandemic" } ], "section": "International Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/90w3d0p2", "frozenauthors": [ { "first_name": "Peyman", "middle_name": "", "last_name": "Saberian", "name_suffix": "", "institution": "Tehran University of Medical Sciences", "department": "None" }, { "first_name": "Joseph", "middle_name": "L.", "last_name": "Conovaloff", "name_suffix": "", "institution": "UC Irvine School of Medicine, Department of Emergency Medicine, Orange, CA, United States of America", "department": "None" }, { "first_name": "Elnaz", "middle_name": "", "last_name": "Vahidi", "name_suffix": "", "institution": "Tehran University of Medical Sciences, Prehospital and Hospital Emergency Research Center, Tehran, Iran\nTehran University of Medical Sciences, Shariati Hospital, Department of Emergency Medicine, Tehran, Iran", "department": "None" }, { "first_name": "Parisa", "middle_name": "", "last_name": "Hasani-Sharamin", "name_suffix": "", "institution": "Tehran Emergency Medical Service Center, Tehran, Iran", "department": "None" }, { "first_name": "Pir-Hossein", "middle_name": "", "last_name": "Kolivand", "name_suffix": "", "institution": "Iranian Emergency Medical Service Organization, Tehran, Iran Khatamol Anbia Hospital, Shefa Neuroscience Research Center, Tehran, Iran", "department": "None" } ], "date_submitted": "2020-06-12T13:37:47+03:00", "date_accepted": "2020-06-12T13:37:47+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14124/galley/7310/download/" } ] }, { "pk": 13919, "title": "In-situ Simulation Use for Rapid Implementation and Process Improvement of COVID-19 Airway Management", "subtitle": null, "abstract": "Introduction: \nThe coronavirus disease 2019 (COVID-19) pandemic presents unique challenges to frontline healthcare workers. In order to safely care for patients new processes, such as a plan for the airway management of a patient with COVID-19, must be implemented and disseminated in a rapid fashion. The use of in-situ simulation has been used to assist in latent problem identification as part of a Plan-Do-Study-Act cycle. Additionally, simulation is an effective means for training teams to perform high-risk procedures before engaging in the actual procedure. This educational advance seeks to use and study in-situ simulation as a means to rapidly implement a process for airway management in patients with COVID-19.\nMethods:\n Using an airway algorithm developed by the authors, we designed an in-situ simulation scenario to train physicians, nurses, and respiratory therapists in best practices for airway management of patients with COVID-19. Physician participants were surveyed using a five-point Likert scale with regard to their comfort level with various aspects of the airway algorithm both before and after the simulation in a retrospective fashion. Additionally, we obtained feedback from all participants and used it to refine the airway algorithm.\nResults:\n Over a two-week period, 93 physicians participated in the simulation. We received 81 responses to the survey (87%), which showed that the average level of comfort with personal protective equipment procedures increased significantly from 2.94 (95% confidence interval, 2.71-3.17) to 4.36 (4.24-4.48), a difference of 1.42 (1.20-1.63, p < 0.001). There was a significant increase in average comfort level in understanding the physician role with scores increasing from 3.51 (3.26-3.77) to 4.55 (2.71-3.17), a difference of 1.04 (0.82-1.25, p < 0.001). There was also increased comfort in performing procedural tasks such as intubation, from 3.08 (2.80-3.35) to 4.38 (4.23-4.52) after the simulation, a difference of 1.30 points (1.06-1.54, p < 0.001). Feedback from the participants also led to refinement of the airway algorithm.\nConclusion: \nWe successfully implemented a new airway management guideline for patients with suspected COVID-19. In-situ simulation is an essential tool for both dissemination and onboarding, as well as process improvement, in the context of an epidemic or pandemic.", "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": "Simulation, Emergency Medicine, COVID-19" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7sh742q0", "frozenauthors": [ { "first_name": "Brendan", "middle_name": "W.", "last_name": "Munzer", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Benjamin", "middle_name": "S.", "last_name": "Bassin", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan\nMichigan Center for Integrative Research in Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "William", "middle_name": "J.", "last_name": "Peterson", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Ryan", "middle_name": "V.", "last_name": "Tucker", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Doan", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Carrie", "middle_name": "", "last_name": "Harvey", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Nana", "middle_name": "", "last_name": "Sefa", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Cindy", "middle_name": "H.", "last_name": "Hsu", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan\nMichigan Center for Integrative Research in Critical Care, Ann Arbor, Michigan", "department": "None" } ], "date_submitted": "2020-05-12T22:42:50+03:00", "date_accepted": "2020-05-12T22:42:50+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13919/galley/7234/download/" } ] }, { "pk": 13923, "title": "Method to Reduce Aerosolized Contaminant Concentration Exposure to Healthcare Workers During the COVID-19 Pandemic when Temporary Isolation Systems Are Required", "subtitle": null, "abstract": "The COVID-19 pandemic has strained the healthcare system. It has led to the use of temporary isolation systems and less-then-optimum patient placement configurations because of inadequate number of isolation rooms, both of which can compromise provider safety. Three key elements require special attention to reduce the maximum and average aerosolized contaminant concentration exposure to a healthcare worker in any isolation system: flow rate; air changes per hour; and patient placement. This is important because concentration exposures of aerosolized contaminants to healthcare workers in hospitals using temporary isolation systems can reach levels 21-30 times greater than a properly engineered negative pressure isolation room. A working knowledge of these three elements can help create a safer environment for healthcare workers when isolation rooms are not available.", "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": "Isolation Rooms" }, { "word": "Air Contamination Concentration" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8d1684jn", "frozenauthors": [ { "first_name": "Bert", "middle_name": "A.", "last_name": "Silich", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Sterling Heights, Michigan", "department": "None" } ], "date_submitted": "2020-05-13T05:01:07+03:00", "date_accepted": "2020-05-13T05:01:07+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13923/galley/7236/download/" } ] }, { "pk": 13646, "title": "Patient Age, Race and Emergency Department Treatment Area Associated with “Topbox” Press Ganey Scores", "subtitle": null, "abstract": "Introduction:\n Hospitals commonly use Press Ganey (PG) patient satisfaction surveys forbenchmarking 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 factorsassociated with topbox PG scores in the emergency department (ED).\nMethods:\n We looked at PG surveys from January 2015–December 2017 at an academic, urbanhospital with 78,000 ED visits each year. Outcomes were topbox scores for the questions:“Likelihood of your recommending our ED to others”; and “Courtesy of the doctor.” We analyzedtopbox scores using generalized estimating equation models clustered by physician and adjustedfor patient and physician factors. Patient factors included age, gender, race, ethnicity, and ED areawhere patient was seen. The ED has four areas based on patient acuity: emergent; urgent; vertical(urgent but able to sit in a recliner rather than a gurney); and fast track (non-urgent). Physicianfactors included age, gender, race, ethnicity, and number of years at current institution.\nResults: \nWe analyzed a total of 3,038 surveys. For “Likelihood of your recommending our ED toothers,” topbox scores were more likely with increasing patient age (odds ratio [OR] 1.07; 95%confidence interval [CI], 1.03-1.12); less likely among female compared to male patients (OR 0.81;95% CI, 0.70-0.93); less likely among Asian compared to White patients (OR 0.71; 95% CI, 0.60-0.83); and less likely in the urgent (OR 0.71; 95% CI, 0.54-0.93) and vertical areas (OR 0.71; 95% CI0.53-0.95) compared to fast track. For “Courtesy of the doctor,” topbox scores were more likely withincreasing patient age (OR 1.1; CI, 1.06-1.14); less likely among Asian (OR 0.70; 95% CI, 0.58-0.84),Black (OR 0.66; 95% CI ,0.45-0.96), and Hispanic patients (OR 0.68; 95% CI ,0.55-0.83) compared toWhite patients; and less likely in urgent area (OR 0.69; 95% CI ,0.50-0.95) compared to fast track.\nConclusion:\n Increasing patient age was associated with increased likelihood of topbox scores,while Asian patients, and urgent and vertical areas had decreased likelihood of topbox scores. Weencourage hospitals that use PG topbox scores as financial incentives to understand the contributionof non-service factors to these scores.", "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": "emergency medicine, emergency services, patient satisfaction, sex factors, physician-patient relations, female, male, ethnic groups, benchmarking, patient acuity" } ], "section": "Emergency Department Administration", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6s0617c1", "frozenauthors": [ { "first_name": "Moon", "middle_name": "O.", "last_name": "Lee", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Altamirano", "name_suffix": "", "institution": "Stanford University School of Medicine, Office of Faculty Development and Diversity, Stanford, California", "department": "None" }, { "first_name": "Luis", "middle_name": "C.", "last_name": "Garcia", "name_suffix": "", "institution": "Stanford University School of Medicine, Office of Faculty Development and Diversity, Stanford, California", "department": "None" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Gisondi", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "N.", "middle_name": "Ewen", "last_name": "Wang", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Suzanne", "middle_name": "", "last_name": "Lippert", "name_suffix": "", "institution": "Kaiser-Permanente East Bay, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Yvonne", "middle_name": "", "last_name": "Maldonado", "name_suffix": "", "institution": "Stanford University School of Medicine, Office of Faculty Development and Diversity, Stanford, California", "department": "None" }, { "first_name": "Laleh", "middle_name": "", "last_name": "Gharahbaghian", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Ribeira", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Magali", "middle_name": "", "last_name": "Fassiotto", "name_suffix": "", "institution": "Stanford University School of Medicine, Office of Faculty Development and Diversity, Stanford, California", "department": "None" } ], "date_submitted": "2020-03-10T21:48:36+02:00", "date_accepted": "2020-03-10T21:48:36+02:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13646/galley/7127/download/" } ] }, { "pk": 14024, "title": "Physician Wellness During a Pandemic", "subtitle": null, "abstract": "Introduction:\n We are currently in the midst of the coronavirus disease 2019 (COVID-19) pandemic. Research into previous infectious disease outbreaks has shown that healthcare workers are at increased risk for burnout during these dire times, with those on the front lines at greatest risk. The purpose of this prospective study was to determine the effect that the COVID-19 pandemic has had on the wellness of emergency physicians (EP).\nMethods:\n A survey was sent to 137 EPs in a multi-hospital network in eastern Pennsylvania. We compared 10 primary and two supplemental questions based on how the physicians had been feeling in the prior 2-3 weeks (COVID-19 period) to the same questions based on how they were feeling in the prior 4-6 months (pre-COVID-19 period).\nResults: \nWe received 55 responses to the survey (40.1% response rate). The study found that during the pandemic, EPs felt less in control (p-value = 0.001); felt decreased happiness while at work (p-value 0.001); had more trouble falling asleep (p-value = 0.001); had an increased sense of dread when thinking of work needing to be done (p-value = 0.04); felt more stress on days not at work (p-value <0.0001); and were more concerned about their own health (p-value <0.0001) and the health of their families and loved ones (p-value <0.0001).\nConclusion: \nThis study showed a statistically significant decrease in EP wellness during the COVID-19 pandemic when compared to the pre-pandemic period. We need to be aware of evidence-based recommendations to help mitigate the risks and prevent physician burnout.", "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": "Covid-19, pandemic, wellness" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8cv2t5qn", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "Fitzpatrick", "name_suffix": "", "institution": "St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Patterson", "name_suffix": "", "institution": "St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "Krista", "middle_name": "", "last_name": "Morley", "name_suffix": "", "institution": "St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "Jill", "middle_name": "", "last_name": "Stoltzfus", "name_suffix": "", "institution": "St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "Holly", "middle_name": "", "last_name": "Stankewicz", "name_suffix": "", "institution": "St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania", "department": "None" } ], "date_submitted": "2020-05-29T20:28:57+03:00", "date_accepted": "2020-05-29T20:28:57+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14024/galley/7279/download/" } ] }, { "pk": 13472, "title": "Plastic Surgery Complications: A Review for Emergency Clinicians", "subtitle": null, "abstract": "The number of aesthetic surgical procedures performed in the United States is increasing rapidly. Over 1.5 million surgical procedures and over three million nonsurgical procedures were performed in 2015 alone. Of these, the most common procedures included surgeries of the breast and abdominal wall, specifically implants, liposuction, and subcutaneous injections. Emergency clinicians may be tasked with the management of postoperative complications of cosmetic surgeries including postoperative infections, thromboembolic events, skin necrosis, hemorrhage, pulmonary edema, fat embolism syndrome, bowel cavity perforation, intra-abdominal injury, local seroma formation, and local anesthetic systemic toxicity. This review provides several guiding principles for management of acute complications. Understanding these complications and approach to their management is essential to optimizing patient care.", "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": "plastic surgery" }, { "word": "Infection" }, { "word": "complication" }, { "word": "liposuction" }, { "word": "seroma" }, { "word": "local anesthetic systemic toxicity" }, { "word": "fat embolism" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7x74f6g9", "frozenauthors": [ { "first_name": "Tim", "middle_name": "", "last_name": "Montrief", "name_suffix": "", "institution": "University of Miami Miller School of Medicine, Department of Emergency Medicine, Miami, Florida", "department": "None" }, { "first_name": "Kasha", "middle_name": "", "last_name": "Bornstein", "name_suffix": "", "institution": "University of Miami Miller School of Medicine, Miami, Florida", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Ramzy", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Koyfman", "name_suffix": "", "institution": "The University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas", "department": "None" }, { "first_name": "Brit", "middle_name": "J.", "last_name": "Long", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2020-01-04T03:09:06+02:00", "date_accepted": "2020-01-04T03:09:06+02:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13472/galley/7060/download/" } ] }, { "pk": 14376, "title": "Point-of-care Lung Ultrasound Is Useful to Evaluate Emergency Department Patients for COVID-19", "subtitle": null, "abstract": "Introduction: \nCoronavirus disease 2019 (COVID-19) can be a life-threatening lung disease or a trivial upper respiratory infection depending on whether the alveoli are involved. Emergency department (ED) evaluation of symptomatic patients with normal vital signs is frequently limited to chest auscultation and oro-nasopharyngeal swabs. We tested the null hypothesis that patients being screened for COVID-19 in the ED with normal vital signs and without hypoxia would have a point-of-care lung ultrasound (LUS) consistent with COVID-19 less than 2% of the time.\nMethods:\n We performed a retrospective, structured, blinded ultrasound review and chart review in patients 14 years or older with symptoms prompting ED evaluation for COVID-19. We excluded those with known congestive heart failure or other chronic lung conditions likely to cause excessive B-lines on LUS. We used a two-sided exact hypothesis test for binomial random variables. We measured LUS diagnostic performance using computed tomography as the gold standard.\nResults:\n We reviewed 77 charts; 49 met inclusion criteria. Vital signs were normal in 30/49 patients; 10 (33%) of these patients had LUS consistent with viral pneumonitis. We rejected the null hypothesis (p-value <0.001). The treating physicians’ interpretations of their own point-of-care LUS had a sensitivity of 100% (95% confidence interval (CI), 74%, 100%), specificity 88% (95% CI, 47%, 100%), likelihood ratio (LR) positive of 5.8 (95% CI, 1.3, 25), and LR negative of 0.05 (95% CI, 0.03, 0.71) when compared to CT findings.\nConclusion:\n LUS had a meaningful detection rate for pneumonitis in symptomatic ED patients with normal vital signs who were being evaluated for COVID-19. We recommend at least LUS be used in addition to polymerase chain reaction testing when evaluating symptomatic ED patients for COVID-19.", "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": "COVID-19" }, { "word": "SARS-CoV-2" }, { "word": "ultrasound" }, { "word": "emergency department" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/41q6k43n", "frozenauthors": [ { "first_name": "Paul", "middle_name": "", "last_name": "Walsh", "name_suffix": "", "institution": "Sutter Medical Center Sacramento, Department of Emergency Medicine, Sacramento, California", "department": "None" }, { "first_name": "Andrea", "middle_name": "", "last_name": "Hankins", "name_suffix": "", "institution": "Sutter Institute for Medical Research, Sacramento, California", "department": "None" }, { "first_name": "Heejung", "middle_name": "", "last_name": "Bang", "name_suffix": "", "institution": "University of California Davis, Department of Public Health Sciences, Davis, California", "department": "None" } ], "date_submitted": "2020-07-22T19:28:55+03:00", "date_accepted": "2020-07-22T19:28:55+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14376/galley/7380/download/" } ] }, { "pk": 13694, "title": "Point-of-care Ultrasound in Morbidity and Mortality Cases in Emergency Medicine: Who Benefits the Most?", "subtitle": null, "abstract": "Introduction:\n 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 to identify in which types of patients POCUS might be most useful, and which POCUS applications were considered to be highest yield.\nMethods:\n This was a retrospective survey of cases submitted to M&M at an EM residency program that spans two academic EDs, over one academic year. Postgraduate year 4 (PGY) residents who presented M&M cases at departmental sessions were surveyed on perceived impacts of POCUS on individual patient outcomes. We evaluated POCUS use and indications while the POCUS was used.\nResults: \nOver the 12-month period, we reviewed 667 cases from 18 M&M sessions by 15 PGY-4 residents and a supervising EM attending physician who chairs the M&M committee. Of these cases, 75 were selected by the M&M committee for review and presentation. POCUS was used in 27% (20/75) of the cases and not used in 73% (55/75). In cases where POCUS was not used, retrospective review determined that if POCUS had been used it would have “likely prevented the M&M” in 45% (25/55). Of these 25 cases, the majority of POCUS applications that could have helped were cardiac (32%, 8/25) and lung (32%, 8/25) ultrasound. POCUS was felt to have greatest potential in identifying missed diagnoses (92%, 23/25), and decreasing the time to diagnosis (92%, 23/25). Patients with cardiopulmonary chief complaints and abnormal vital signs were most likely to benefit. There were seven cases (35%, 7/20, 95% CI 15-59%) in which POCUS was performed and thought to have possibly adversely affected the outcome of the M&M.\nConclusion: \nPOCUS was felt to have the potential to reduce or prevent M&M in 45% of cases in which it was not used. Cardiac and lung POCUS were among the most useful applications, especially in patients with cardiopulmonary complaints and in those with abnormal vital signs.", "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": "point-of-care ultrasound" }, { "word": "education" }, { "word": "Morbidity and Mortality" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9sv201vz", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Goldsmith", "name_suffix": "", "institution": "Harvard Medical School, Department, Boston, Massachusetts\nBrigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Hamid", "middle_name": "", "last_name": "Shokoohi", "name_suffix": "", "institution": "Harvard Medical School, Department, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Loesche", "name_suffix": "", "institution": "Harvard Medical School, Department, Boston, Massachusetts\nBrigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ravish", "middle_name": "C.", "last_name": "Patel", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts\nMedical College of Georgia School of Medicine, Department, Augusta, Georgia", "department": "None" }, { "first_name": "Heidi", "middle_name": "", "last_name": "Kimberly", "name_suffix": "", "institution": "Harvard Medical School, Department, Boston, Massachusetts\nBrigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Liteplo", "name_suffix": "", "institution": "Harvard Medical School, Department, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-03-29T22:04:34+03:00", "date_accepted": "2020-03-29T22:04:34+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13694/galley/7153/download/" } ] }, { "pk": 14005, "title": "Practical Diagnostic Accuracy of Nasopharyngeal Swab Testing for Novel Coronavirus Disease 2019 (COVID-19)", "subtitle": null, "abstract": "Introduction:\n The novel coronavirus (SARS-CoV-2) is the cause of COVID-19, which has had a devastating international impact. Prior reports of testing have reported low sensitivities of nasopharyngeal polymerase chain reaction (PCR), and reports of viral co-infections have varied from 0-20%. Therefore, we sought to determine the accuracy of nasopharyngeal PCR for COVID-19 and rates of viral co-infection.\nMethods: \nWe conducted a retrospective chart review of all patients who received viral testing between March 1, 2020–April 28, 2020. Test results of a complete viral pathogen panel and COVID-19 testing were abstracted. We compared patients with more than one COVID-19 test for diagnostic accuracy against the gold standard of chart review.\nResults:\n We identified 1950 patients, of whom 1024 were tested for COVID-19. There were 221 repeat tests for COVID-19. Among patients with a repeat test, COVID-19 swabs had a sensitivity of 84.6% (95% confidence interval (CI), 69.5-94.4%) and a specificity of 99.5% (95%CI, 97-100%) compared to a clinical and radiographic criterion reference by chart review. We found viral co-infection rates of 2.3% in patients without COVID-19 and 6.1% in patients with COVID-19. Rates of co-infection appeared to be related to base rates of infection in the community and not a specific property of COVID-19.\nConclusion: \nCOVID-19 nasopharyngeal PCR specimens are accurate but have imperfect sensitivity. Repeat testing for high-risk patients should be considered, and presence of an alternative virus should not be used to limit testing for COVID-19 for patients where it would affect treatment or isolation.", "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": "COVID-19" }, { "word": "coronavirus" }, { "word": "PCR" }, { "word": "diagnostic accuracy" }, { "word": "polymerase chain reaction" }, { "word": "SARS-CoV-2" }, { "word": "nasopharyngeal" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ds395fq", "frozenauthors": [ { "first_name": "Ravindra", "middle_name": "", "last_name": "Gopaul", "name_suffix": "", "institution": "Penn State Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Davis", "name_suffix": "", "institution": "Vituity, Department of Emergency Medicine, Wichita, Kansas", "department": "None" }, { "first_name": "Linda", "middle_name": "", "last_name": "Gangai", "name_suffix": "", "institution": "Penn State Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "None" }, { "first_name": "Lianna", "middle_name": "", "last_name": "Goetz", "name_suffix": "", "institution": "Penn State Hershey Medical Center, Department of Anatomic and Clinical Pathology, Hershey, Pennsylvania", "department": "None" } ], "date_submitted": "2020-05-29T23:00:05+03:00", "date_accepted": "2020-05-29T23:00:05+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14005/galley/7267/download/" } ] }, { "pk": 14088, "title": "Preparedness, Adaptation, and Innovation: Approach to the COVID-19 Pandemic at a Decentralized, Quaternary Care Department of Emergency Medicine", "subtitle": null, "abstract": "The COVID-19 pandemic has required healthcare systems to be creative and adaptable in response to an unprecedented crisis. Below we describe how we prepared for and adapted to this pandemic at our decentralized, quaternary-care department of emergency medicine, with specific recommendations from our experience. We discuss our longstanding history of institutional preparedness, as well as adaptations in triage, staffing, workflow, and communications. We also discuss innovation through working with industry on solutions in personal protective equipment, as well as telemedicine and methods for improving morale. These preparedness and response solutions and recommendations may be useful moving forward as we transition between response and recovery in this pandemic as well as future pandemics.", "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": "COVID-19, preparedness, emergency medicine" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0v86j3hc", "frozenauthors": [ { "first_name": "Anna", "middle_name": "Q.", "last_name": "Yaffee", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Peacock", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Roslyn", "middle_name": "", "last_name": "Seitz", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "George", "middle_name": "", "last_name": "Hughes", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Philip", "middle_name": "", "last_name": "Haun", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Ross", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Tim", "middle_name": "P.", "last_name": "Moran", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Pendley", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Nataisia", "middle_name": "", "last_name": "Terry", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "David", "middle_name": "W.", "last_name": "Wright", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" } ], "date_submitted": "2020-06-09T15:40:27+03:00", "date_accepted": "2020-06-09T15:40:27+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14088/galley/7302/download/" } ] }, { "pk": 13794, "title": "Prevalence of Emergency Department Social Risk and Social Needs", "subtitle": null, "abstract": "Introduction:\n 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 relationship between social risk and social need, and identify factors associated with differential responses to social risk and social need questions.\nMethods:\n We conducted a cross-sectional study with 48 hours of time-shift sampling in a large urban ED. Consenting patients completed a demographic questionnaire and assessments of social risk and social need. We applied descriptive statistics to the prevalence of social risk and social need, and multivariable logistic regression to assess factors associated with social risk, social need, or both.\nResults:\n Of the 269 participants, 100 (37%) reported social risk, 83 (31%) reported social need, and 169 (63%) reported neither social risk nor social need. Although social risk and social need were significantly associated (p < 0.01), they incompletely overlapped. Over 50% in each category screened positive in more than one domain (eg, housing instability, food insecurity). In multivariable models, those with higher education (adjusted odds ratio [aOR] 0.44 [95% confidence interval {CI}, 0.24-0.80]) and private insurance (aOR 0.50 [95% CI, 0.29-0.88]) were less likely to report social risk compared to those with lower education and state/public insurance, respectively. Spanish-speakers (aOR 4.07 [95% CI, 1.17-14.10]) and non-Hispanic Black patients (aOR 5.00 [95% CI, 1.91-13.12]) were more likely to report social need, while those with private insurance were less likely to report social need (private vs state/public: aOR 0.13 [95% CI, 0.07-0.26]).\nConclusion:\n Approximately one-third of patients in a large, urban ED screened positive for at least one social risk or social need, with over half in each category reporting risk/need across multiple domains. Different demographic variables were associated with social risk vs social need, suggesting that individuals with social risks differ from those with social needs, and that screening programs should consider including both assessments.", "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": "social determinants of health, health related social needs, social risk, social needs, emergency department" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zz803nd", "frozenauthors": [ { "first_name": "Melanie", "middle_name": "F.", "last_name": "Molina", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Caitlin", "middle_name": "N.", "last_name": "Li", "name_suffix": "", "institution": "Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Emily", "middle_name": "C.", "last_name": "Manchanda", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "White", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts", "department": "None" }, { "first_name": "Mohammad", "middle_name": "K.", "last_name": "Faridi", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Janice", "middle_name": "A.", "last_name": "Espinola", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Henry", "middle_name": "", "last_name": "Ashworth", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts", "department": "None" }, { "first_name": "Gia", "middle_name": "", "last_name": "Ciccolo", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr.", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts", "department": "None" }, { "first_name": "Margaret", "middle_name": "", "last_name": "Samuels-Kalow", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-04-20T23:49:34+03:00", "date_accepted": "2020-04-20T23:49:34+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13794/galley/7187/download/" } ] }, { "pk": 13645, "title": "Prompt Outpatient Care For Older Adults Discharged From The Emergency Department Reduces Recidivism", "subtitle": null, "abstract": "Introduction: \nOlder 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 and risk factors associated with repeat ED utilization by older adults.\nMethods:\n ED visits among participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study between 2003-2016 were examined using linked Medicare claims data to identify such visits and resulting disposition. Multilevel proportional hazards models examined associations of age, comorbidity status, race, gender, Medicaid dual eligibility status, social support characteristics (living alone or caregiver support), and use of ambulatory primary and subspecialty care with repeat ED utilization.\n \nResults: \nOlder adults discharged from the ED seen by a primary care provider (hazard ratio [HR] = 0.93, confidence interval [CI], 0.87-0.98, p = 0.01) or subspecialist (HR = 0.91, CI 0.86-0.97, P <0.01) after the ED visit were less likely to return to the ED within 30 days compared to those who did not have such post-ED ambulatory visits. Additionally, comorbidity (HR =1.14, 95% CI ,1.13-1.16, P <0.01) and dual eligibility for Medicare and Medicaid (HR = 1.34, 95% CI, 1.20-1.50, p<0.01) were associated with return to the ED within 30 days. Those who were older (HR = 1.10, 95% CI, 1.05-1.15), had more comorbidities (HR = 1.17, 95% CI 1.15-1.18), Black (HR = 1.23, 95% CI, 1.14-1.33,P <0.01), and dually eligible (HR =1.23, 95% CI, 1.14-1.33, P <0.01) were more likely to return within 31-90 days after their initial presentation. The association of outpatient visits with repeat ED visits was no longer seen beyond 30 days. Patients without a caregiver or who lived alone were no more likely to return to the ED in the time periods evaluated in our study.\n \nConclusion:\n Both primary care and subspecialty care visits among older adults who are seen in the ED and discharged are associated with less frequent repeat ED visits within 30 days.", "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": "Emergency Medicine, Geriatrics, Primary Care, Medicare" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/01d7v3k0", "frozenauthors": [ { "first_name": "Phillip", "middle_name": "D.", "last_name": "Magidson", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Jin", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Division of Geriatric Medicine and Gerontology, Baltimore, Maryland", "department": "None" }, { "first_name": "Emily", "middle_name": "B.", "last_name": "Levitan", "name_suffix": "", "institution": "University of Alabama at Birmingham School of Public Health, Department of Epidemiology, Birmingham, Alabama", "department": "None" }, { "first_name": "Andrew", "middle_name": "O.", "last_name": "Westfall", "name_suffix": "", "institution": "University of Alabama at Birmingham School of Public Health, Department of Biostatistics, Birmingham, Alabama", "department": "None" }, { "first_name": "Orla", "middle_name": "C.", "last_name": "Sheehan", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Division of Geriatric Medicine and Gerontology, Baltimore, Maryland", "department": "None" }, { "first_name": "David", "middle_name": "L.", "last_name": "Roth", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Division of Geriatric Medicine and Gerontology, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2020-03-11T19:31:14+02:00", "date_accepted": "2020-03-11T19:31:14+02:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13645/galley/7126/download/" } ] }, { "pk": 14118, "title": "Responding to a Pandemic: The Role of EM-CCM on ICU Boarders in an Urban Emergency Department", "subtitle": null, "abstract": "N/A", "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": [], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zg2p1g2", "frozenauthors": [ { "first_name": "Jacqueline", "middle_name": "", "last_name": "Pflaum-Carlson", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Division of Pulmonary and Critical Care Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Jayna", "middle_name": "", "last_name": "Gardner-Gray", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Division of Pulmonary and Critical Care Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Namita", "middle_name": "", "last_name": "Jayaprakash", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Division of Pulmonary and Critical Care Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Gina", "middle_name": "", "last_name": "Hurst", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Division of Pulmonary and Critical Care Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Victor", "middle_name": "", "last_name": "Coba", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Department of Surgery, Trauma and Surgical Critical Care, Detroit, Michigan", "department": "None" }, { "first_name": "Harish", "middle_name": "", "last_name": "Kinni", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Division of Pulmonary and Critical Care Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Emanuel", "middle_name": "", "last_name": "Rivers", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan\nHenry Ford Hospital, Department of Surgery, Trauma and Surgical Critical Care, Detroit, Michigan", "department": "None" } ], "date_submitted": "2020-06-12T00:57:22+03:00", "date_accepted": "2020-06-12T00:57:22+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14118/galley/7309/download/" } ] }, { "pk": 13810, "title": "Review of the Basics of Cognitive Error in Emergency Medicine and Updates: Still No Easy Answers", "subtitle": null, "abstract": "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 in critical thinking, it has been proposed that we train physicians to understand and maintain awareness of their thought process, to identify error-prone clinical situations, to recognize predictable vulnerabilities in thinking, and to employ strategies to avert cognitive errors. The first step to this approach is to gain an understanding of how physicians make decisions and what conditions may predispose to faulty decision-making. We review the dual-process theory, which offers a framework to understand both intuitive and analytical reasoning, and to identify the necessary conditions to support optimal cognitive processing. We also discuss systematic deviations from normative reasoning known as cognitive biases, which were first described in cognitive psychology and have been identified as a contributing factor to errors in medicine. Training physicians in common biases and strategies to mitigate their effect is known as debiasing. A variety of debiasing techniques have been proposed for use by clinicians. We sought to review the current evidence supporting the effectiveness of these strategies in the clinical setting. This discussion of improving clinical reasoning is relevant to medical educators as well as practicing EPs engaged in continuing medical education.", "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": "cognitive debiasing" } ], "section": "Medical Decision Making", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6298x35g", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Hartigan", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine/VCU Health, Department of Internal Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Brooks", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine/VCU Health, Department of Internal Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Hartley", "name_suffix": "", "institution": "University of Michigan, Department of Internal Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Rebecca", "middle_name": "E.", "last_name": "Miller", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine/VCU Health, Department of Internal Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Sally", "middle_name": "A.", "last_name": "Santen", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine/VCU Health, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Robin", "middle_name": "R.", "last_name": "Hemphill", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine/VCU Health, Department of Emergency Medicine, Richmond, Virginia", "department": "None" } ], "date_submitted": "2020-04-23T23:56:55+03:00", "date_accepted": "2020-04-23T23:56:55+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13810/galley/7193/download/" } ] }, { "pk": 14141, "title": "Risk Stratification of COVID-19 Patients Using Ambulatory Oxygen Saturation in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n It is difficult to determine illness severity for coronavirus disease 2019 (COVID-19) patients, especially among stable-appearing emergency department (ED) patients. We evaluated patient outcomes among ED patients with a documented ambulatory oxygen saturation measurement.\nMethods:\n This was a retrospective chart review of ED patients seen at New York University Langone Health during the peak of the COVID-19 pandemic in New York City. We identified ED patients who had a documented ambulatory oxygen saturation. We studied the outcomes of high oxygen requirement (defined as >4 liters per minute) and mechanical ventilation among admitted patients and bounceback admissions among discharged patients. We also performed logistic regression and compared the performance of different ambulatory oxygen saturation cutoffs in predicting these outcomes.\nResults: \nBetween March 15–April 14, 2020, 6194 patients presented with fever, cough, or shortness of breath at our EDs. Of these patients, 648 (11%) had a documented ambulatory oxygen saturation, of which 165 (24%) were admitted. Notably, admitted and discharged patients had similar initial vital signs. However, the average ambulatory oxygen saturation among admitted patients was significantly lower at 89% compared to 96% among discharged patients (p<0.01). Among admitted patients with an ambulatory oxygen saturation, 30% had high oxygen requirements and 8% required mechanical ventilation. These rates were predicted by low ambulatory oxygen saturation (p<0.01). Among discharged patients, 50 (10%) had a subsequent ED visit resulting in admission. Although bounceback admissions were predicted by ambulatory oxygen saturation at the first ED visit (p<0.01), our analysis of cutoffs suggested that this association may not be clinically useful.\nConclusion:\n Measuring ambulatory oxygen saturation can help ED clinicians identify patients who may require high levels of oxygen or mechanical ventilation during admission. However, it is less useful for identifying which patients may deteriorate clinically in the days after ED discharge and require subsequent hospitalization.", "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": "COVID-19" }, { "word": "emergency department" }, { "word": "ambulatory oxygen saturation" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/92h9c2rm", "frozenauthors": [ { "first_name": "Arvin", "middle_name": "R.", "last_name": "Akhavan", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Joseph", "middle_name": "P.", "last_name": "Habboushe", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Rajneesh", "middle_name": "", "last_name": "Gulati", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Oluchi", "middle_name": "", "last_name": "Iheagwara", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Joanna", "middle_name": "", "last_name": "Watterson", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Shawn", "middle_name": "", "last_name": "Thomas", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Jordan", "middle_name": "L.", "last_name": "Swartz", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Christian", "middle_name": "A.", "last_name": "Koziatek", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "David", "middle_name": "C.", "last_name": "Lee", "name_suffix": "", "institution": "New York University Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York\nNew York University Grossman School of Medicine, Department of Population Health, New York, New York", "department": "None" } ], "date_submitted": "2020-06-13T23:29:41+03:00", "date_accepted": "2020-06-13T23:29:41+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14141/galley/7317/download/" } ] }, { "pk": 13798, "title": "Telemedicine to Decrease Personal Protective Equipment Use and Protect Healthcare Workers", "subtitle": null, "abstract": "N/A", "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": "PPE, Telemedicine, Telehealth, Emergency Medicine, COVID-19, Coronavirus, Digital PPE" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4n5210k5", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Ribeira", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Sam", "middle_name": "", "last_name": "Shen", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Patrice", "middle_name": "", "last_name": "Callagy", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Newberry", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Strehlow", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Quinn", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" } ], "date_submitted": "2020-04-21T07:21:36+03:00", "date_accepted": "2020-04-21T07:21:36+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13798/galley/7189/download/" } ] }, { "pk": 14096, "title": "Underutilization of the Emergency Department During the COVID-19 Pandemic", "subtitle": null, "abstract": "Introduction: \nThe novel coronavirus 2019 (COVID-19) pandemic in the United States (US) prompted widespread containment measures such as shelter-in-place (SIP) orders. The goal of our study was to determine whether there was a significant change in overall volume and proportion of emergency department (ED) encounters since SIP measures began.\nMethods:\n This was a retrospective, observational, cross-sectional study using billing data from January 1, 2017–April 20, 2020. We received data from 141 EDs across 16 states, encompassing a convenience sample of 26,223,438 ED encounters. We used a generalized least squares regression approach to ascertain changes for overall ED encounters, hospital admissions, and New York University ED visit algorithm categories.\nResults: \nED encounters decreased significantly in the post-SIP period. Overall, there was a 39.6% decrease in ED encounters compared to expected volume in the pre-SIP period. Emergent encounters decreased by 35.8%, while non-emergent encounters decreased by 52.1%. Psychiatric encounters decreased by 30.2%. Encounters related to drugs and alcohol decreased the least, by 9.3% and 27.5%, respectively.\nConclusion: \nThere was a significant overall reduction in ED utilization in the post-SIP period. There was a greater reduction in lower acuity encounters than higher acuity encounters. Of all subtypes of ED encounters, substance abuse- and alcohol-related encounters reduced the least, and injury-related encounters reduced the most.", "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": "COVID-19" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00p3c3fm", "frozenauthors": [ { "first_name": "Anthony", "middle_name": "David", "last_name": "Lucero", "name_suffix": "", "institution": "Kaweah Delta Medical Center", "department": "None" }, { "first_name": "Andre", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Kaweah Delta Medical Center, Department of Emergency Medicine, Visalia, California", "department": "None" }, { "first_name": "Jenny", "middle_name": "", "last_name": "Hyun", "name_suffix": "", "institution": "Vituity, Department of Enterprise Data Analytics, Emeryville, California", "department": "None" }, { "first_name": "Carol", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Chadi", "middle_name": "", "last_name": "Kahwaji", "name_suffix": "", "institution": "Kaweah Delta Medical Center, Department of Emergency Medicine, Visalia, California", "department": "None" }, { "first_name": "Gregg", "middle_name": "", "last_name": "Miller", "name_suffix": "", "institution": "Swedish Edmonds Campus, Department of Emergency Medicine, Edmonds, Washington", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Neeki", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Tamayo-Sarver", "name_suffix": "", "institution": "Good Samaritan Hospital, Department of Emergency Medicine, San Jose, California", "department": "None" }, { "first_name": "Luhong", "middle_name": "", "last_name": "Pan", "name_suffix": "", "institution": "Vituity, Department of Enterprise Data Analytics, Emeryville, California", "department": "None" } ], "date_submitted": "2020-06-09T20:42:44+03:00", "date_accepted": "2020-06-09T20:42:44+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14096/galley/7305/download/" } ] }, { "pk": 13689, "title": "United States’ Emergency Department Visits for Fever by Young Children 2007-2017", "subtitle": null, "abstract": "Introduction:\n 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.\nMethods:\n We performed a cross-sectional study of ED encounters from 2007-2017 using the National Hospital Ambulatory Medical Care Survey, a cross-sectional, multi-stage probability sample survey of visits to nonfederal United States EDs. We included encounters with a visit reason of “fever” or recorded fever in the ED. We report demographics and management strategies in two groups: infants ≤90 days in age; and children 91 days to <2 years old. For patients 91 days to <2 years, we compared testing and treatment strategies between general and pediatric EDs using chi-squared tests.\nResults:\n Of 1.5 billion encounters over 11 years, 2.1% (95% confidence interval [CI], 1.9-2.2%) were by children <2 years old with fever. Two million encounters (95% CI, 1.7-2.4 million) were by infants ≤90 days, and 28.4 million (95% CI, 25.5-31.4 million) were by children 91 days to <2 years. Among infants ≤90 days, 27.6% (95% CI, 21.1-34.1%) had blood and 21.3% (95% CI, 13.6-29.1%) had urine cultures; 26.8% (95% CI, 20.9-32.7%) were given antibiotics, and 21.1% (95% CI, 15.3-26.9%) were admitted or transferred. Among patients 91 days to <2 years in age, 6.8% (95% CI, 5.8-7.8%) had blood and 7.7% (95% CI 6.1-9.4%) had urine cultures; 40.5% (95% CI, 40.5-40.5%) were given antibiotics, and 4.4% (95% CI, 3.5-5.3%) were admitted or transferred. Patients 91 days to <2 years who were evaluated in general EDs had higher rates of radiography (27.1% vs 15.2%; P<0.01) and antibiotic utilization (42.3% vs 34.2%; P<0.01), but lower rates of urine culture testing (6.4% vs 11.6%, p = 0.03), compared with patients evaluated in pediatric EDs.\nConclusion:\n Approximately 180,000 patients ≤90 days old and 2.6 million patients 91 days to <2 years in age with fever present to US EDs annually. Given existing guidelines, blood and urine culture performance was low for infants ≤90 days old. For children 91 days to <2 years, rates of radiography and antibiotic use were higher in general EDs compared to pediatric EDs. These findings suggest opportunities to improve care among febrile young children in the ED.", "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": "febrile infant" }, { "word": "fever" }, { "word": "pediatrics" }, { "word": "Epidemiology" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9mr575r8", "frozenauthors": [ { "first_name": "Sriram", "middle_name": "", "last_name": "Ramgopal", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Paul", "middle_name": "L.", "last_name": "Aronson", "name_suffix": "", "institution": "Yale School of Medicine, Departments of Pediatrics and Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Jennifer", "middle_name": "R.", "last_name": "Marin", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Departments of Pediatrics and Emergency Medicine, Pittsburgh, Pennsylvania", "department": "None" } ], "date_submitted": "2020-03-28T15:13:35+02:00", "date_accepted": "2020-03-28T15:13:35+02:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13689/galley/7148/download/" } ] }, { "pk": 14215, "title": "Update on Neurological Manifestations of SARS-CoV-2", "subtitle": null, "abstract": "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 as a key receptor for cell entry for most coronaviridae as they are present in multiple organ tissues in the body, notably neurons, and in type 2 alveolar cells in the lung. Hematogenous spread to the nervous system has been described, with viral transmission along neuronal synapses in a retrograde fashion. The penetration of the virus to the central nervous system (CNS) allows for the resulting intracranial cytokine storm, which can result in a myriad of CNS complications. There have been reported cases of associated cerebrovascular accidents with large vessel occlusions, cerebral venous sinus thrombosis, posterior reversible encephalopathy syndrome, meningoencephalitis, acute necrotizing encephalopathy, epilepsy, and myasthenia gravis. Peripheral nervous system effects such as hyposmia, hypogeusia, ophthalmoparesis, Guillain-Barré syndrome, and motor peripheral neuropathy have also been reported. In this review, we update the clinical manifestations of COVID-19 concentrating on the neurological associations that have been described, including broad ranges in both central and peripheral nervous systems.", "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": "Viral infections" }, { "word": "Neurology" }, { "word": "COVID-19" }, { "word": "coronavirus" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06b4d8fk", "frozenauthors": [ { "first_name": "Hisham", "middle_name": "M.", "last_name": "Valiuddin", "name_suffix": "", "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Almir", "middle_name": "", "last_name": "Kalajdzic", "name_suffix": "", "institution": "St. Mary Mercy Hospital, Department of Emergency Medicine, Livonia, Michi", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Rosati", "name_suffix": "", "institution": "St. Mary Mercy Hospital, Department of Emergency Medicine, Livonia, Michi", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Boehm", "name_suffix": "", "institution": "Broward Health Medical Center, Department of Emergency Medicine, Fort Lauderdale, Florida", "department": "None" }, { "first_name": "Dominique", "middle_name": "", "last_name": "Hill", "name_suffix": "", "institution": "St. Mary Mercy Hospital, Department of Emergency Medicine, Livonia, Michi", "department": "None" } ], "date_submitted": "2020-06-22T06:26:07+03:00", "date_accepted": "2020-06-22T06:26:07+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14215/galley/7336/download/" } ] }, { "pk": 13863, "title": "User Characteristics of a Low-Acuity Emergency Department Alternative for Low-Income Patients", "subtitle": null, "abstract": "Introduction: \nEmergency 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 patients. In 2014 a FQHC UCC opened two blocks from an ED in the same health system. Our goal was to compare characteristics, access to care, and utilization preferences for FQHC UCC and low-acuity ED patients through retrospective chart review and prospective surveying.\nMethods:\n We completed a retrospective chart review of all patients from March 1, 2018–March 1, 2019, and compared characteristics of low-acuity ED patients (N = 3,911) and FQHC UCC patients (N = 12,571). We also surveyed FQHC UCC patients (N = 201) and low-acuity ED patients (N = 198) from January–July 2019.\nResults:\n Half of FQHC UCC patients had private insurance. Of ED patients, 29% were aware of the FQHC UCC. Both groups had similar rates of primary care providers. The most common reason for choosing the ED was perceived severity, and for choosing a FQHC UCC was speed.\nConclusion: \nThese findings show similarities and differences between these two patient populations. Future research is needed to determine utilization patterns and in-depth reasons behind them. Interventions that help patients decide where to go for low-acuity care may create more utilization efficiency.", "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": "Healthcare Disparities" }, { "word": "health services accessibility" }, { "word": "Medicaid" }, { "word": "Medically Uninsured" }, { "word": "Emergency Departments" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9r73610v", "frozenauthors": [ { "first_name": "Sara", "middle_name": "W.", "last_name": "Heinert", "name_suffix": "", "institution": "University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Melody", "middle_name": "", "last_name": "Mumford", "name_suffix": "", "institution": "University of Illinois at Chicago, Mile Square Health Center, Chicago, Illinois", "department": "None" }, { "first_name": "Sarah", "middle_name": "E.", "last_name": "Kim", "name_suffix": "", "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Muhammad", "middle_name": "M.", "last_name": "Hossain", "name_suffix": "", "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Michael", "middle_name": "L.", "last_name": "Amashta", "name_suffix": "", "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Maria", "middle_name": "A.", "last_name": "Massey", "name_suffix": "", "institution": "University of Illinois at Chicago, College of Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2020-05-01T15:52:24+03:00", "date_accepted": "2020-05-01T15:52:24+03:00", "date_published": "2020-11-04T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13863/galley/7215/download/" } ] }, { "pk": 53766, "title": "Team", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "End Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/21h0x9d6", "frozenauthors": [ { "first_name": "2019-20", "middle_name": "", "last_name": "Lucero Editorial Team", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-02T23:43:09+02:00", "date_accepted": "2020-11-02T23:43:09+02:00", "date_published": "2020-11-02T23:43:51+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53766/galley/40675/download/" } ] }, { "pk": 13407, "title": "Beyond Buprenorphine: Models of Follow-up Care for Patients with Opioid Use Disorder in the ED", "subtitle": null, "abstract": "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 country are in need of a care delivery structure to link ED patients with OUD to care following initiation of buprenorphine. This paper reviews the three most common approaches to form effective partnerships between EDs and primary care/addiction medicine services: the Project Alcohol and Substance Abuse Services and Referral to Treatment (ASSERT) model, Bridge model, and ED-Bridge model.\nThe ASSERT Model is characterized by peer educators or community workers in the ED directly referring patients suffering from OUD in the ED to local addiction treatment services. The Bridge model encourages prescribing physicians in an ED to screen patients for OUD, provide a short-term prescription for buprenorphine, and then refer the patient directly to an outpatient Bridge Clinic that is co-located in the same hospital but is a separate from the ED. This Bridge Clinic is staffed by addiction trained physicians and mid-level clinicians. The ED-Bridge model employs physicians trained in both emergency medicine and addiction medicine to serve within the ED as well as in the follow up addiction clinic.\nDistinct from the Bridge Clinic model above, EPs in the ED-Bridge model are both able to screen at-risk patients in the ED, often starting treatment, and to longitudinally follow patients in a regularly scheduled addiction clinic. This paper provides examples of these three models as well as implementation and logistical details to support a health system to better address OUD in their communities.", "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": "Social EM, OUD, MAT" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3hj8w038", "frozenauthors": [ { "first_name": "Alister", "middle_name": "", "last_name": "Martin", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Kelley", "middle_name": "", "last_name": "Butler", "name_suffix": "", "institution": "University of California, Irvine, School of Medicine, Irvine, California", "department": "None" }, { "first_name": "Tyler", "middle_name": "", "last_name": "Chavez", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Herring", "name_suffix": "", "institution": "Highland Hospital-Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Wakeman", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Bryan", "middle_name": "D.", "last_name": "Hayes", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ali", "middle_name": "", "last_name": "Raja", "name_suffix": "", "institution": "Massachusetts General Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-12-06T09:35:34+02:00", "date_accepted": "2019-12-06T09:35:34+02:00", "date_published": "2020-11-02T20:23:12+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13407/galley/7040/download/" } ] }, { "pk": 45065, "title": "Crowned Dens Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5ch8r5hb", "frozenauthors": [ { "first_name": "Lauren", "middle_name": "", "last_name": "Freid", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rania", "middle_name": "", "last_name": "Shammas", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:32:41+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45065/galley/33858/download/" } ] }, { "pk": 45064, "title": "Stercoral Colitis: A Rare and Potentially Fatal Complication of Severe Constipation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5nq4s77p", "frozenauthors": [ { "first_name": "Tiffany", "middle_name": "K.", "last_name": "Fan", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Manuel", "middle_name": "A.", "last_name": "Celedon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Zahir", "middle_name": "", "last_name": "Basrai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:31:09+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45064/galley/33857/download/" } ] }, { "pk": 45063, "title": "Zolpidem-induced Somnambulism and Sleep-related Eating", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4km28618", "frozenauthors": [ { "first_name": "Susie", "middle_name": "X.", "last_name": "Fong", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:29:01+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45063/galley/33856/download/" } ] }, { "pk": 45062, "title": "Headache and Blurry Vision in a Patient with Uncontrolled Gout", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0x74p1rd", "frozenauthors": [ { "first_name": "Thanda", "middle_name": "", "last_name": "Aung", "name_suffix": "MD, MS", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:26:51+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45062/galley/33855/download/" } ] }, { "pk": 45061, "title": "Over-the-Counter Hormonal Contraception", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Commentary" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/13d4b2gc", "frozenauthors": [ { "first_name": "Camelia", "middle_name": "", "last_name": "Davtyan", "name_suffix": "MD, FACP", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Karen", "middle_name": "", "last_name": "Cheng", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:24:54+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45061/galley/33854/download/" } ] }, { "pk": 45051, "title": "A Patient with Amiodarone-Induced Hyperthyroidism", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/728672dj", "frozenauthors": [ { "first_name": "Yaroslav", "middle_name": "", "last_name": "Gofnung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anne", "middle_name": "Mae", "last_name": "Climaco", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:23:15+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45051/galley/33844/download/" } ] }, { "pk": 45050, "title": "Thyroid Cancer in a 40-Year-Old Woman with Colon Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1v73271r", "frozenauthors": [ { "first_name": "Anne", "middle_name": "Mae", "last_name": "Climaco", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Yaroslav", "middle_name": "", "last_name": "Gofnung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:20:59+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45050/galley/33843/download/" } ] }, { "pk": 45049, "title": "An Innovative Tool in Resident Education to Assess Knowledge in Vulnerable Patients with Poorly-Controlled Diabetes: The Spoken Knowledge in Low Literacy in Diabetes Scale", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4q89s53c", "frozenauthors": [ { "first_name": "Derek", "middle_name": "J.", "last_name": "Cheung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Karen", "middle_name": "", "last_name": "Kim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:18:48+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45049/galley/33842/download/" } ] }, { "pk": 45031, "title": "Interpretation of COVID-19 Laboratory Tests in Correlation with the Clinical Presentation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0kr2w41v", "frozenauthors": [ { "first_name": "Salila", "middle_name": "", "last_name": "Sharma", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elham", "middle_name": "", "last_name": "Ghadishah", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Cynthia", "middle_name": "R.", "last_name": "Michael", "name_suffix": "MSN/Ed, RN", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Tatiana", "middle_name": "", "last_name": "Nemanim", "name_suffix": "PA-C", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:06:11+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45031/galley/33824/download/" } ] }, { "pk": 45030, "title": "Cardiac Sarcoidosis: Clinical Presentation and Diagnosis Using Extra-Cardiac Biopsy and Multimodality Cardiac Imaging", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7rc0028q", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "", "last_name": "Daneshvar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ashley", "middle_name": "", "last_name": "Prosper", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Digish", "middle_name": "", "last_name": "Shah", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-11-02T19:03:54+02:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45030/galley/33823/download/" } ] }, { "pk": 13774, "title": "Prevalence of Cigarette Smoking Among Adult Emergency Department Patients in Canada", "subtitle": null, "abstract": "Introduction:\n Tobacco smoking is a priority public health concern, and a leading cause of deathand disability globally. While the daily smoking prevalence in Canada is approximately 9.7%,the proportion of smokers amongst emergency department (ED) patients has been found to besignificantly higher. The purpose of this survey study was to determine the smoking prevalence ofadult ED patients presenting to three urban Canadian hospitals, and to determine whether there wasan increased prevalence compared to the general public.\nMethods:\n A verbal questionnaire was administered to adult patients aged 18 years and olderpresenting to Royal University Hospital, St. Paul’s Hospital, and Saskatoon City Hospital inSaskatoon, Saskatchewan. We compared patients’ smoking habits to Fagerström tobaccodependence scores, readiness to quit smoking, chief complaints, Canadian Triage Acuity Scalescores, and willingness to partake in ED-specific cessation interventions.\nResults:\n A total of 1190 eligible patients were approached, and 1078 completed the questionnaire.Adult Saskatoon ED patients demonstrated a cigarette smoking prevalence of 19.6%, which issignificantly higher than the adult Saskatchewan public at 14.65% (P<0.0001). Out of the smokingcohort, 51.4% indicated they wanted to quit smoking and would partake in ED-specific cessationcounselling, if available. Of the proposed interventions, ED cessation counselling was most popularamongst patients (62.4%), followed by receiving a pamphlet (56.2%), and referral to a smokers’ quitline (49.5%).\nConclusion:\n The higher smoking prevalence demonstrated amongst ED patients highlights theneed for a targeted intervention program that is feasible for the fast-paced ED environment. TrainingED staff to conduct brief cessation counselling and referral to community supports for follow-up couldprovide an initial point of contact for smokers not otherwise receiving cessation assistance.", "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": "cigarette smoking" }, { "word": "primary prevention" }, { "word": "Smoking Cessation" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/56t7s36g", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "D.", "last_name": "Tolmie", "name_suffix": "", "institution": "University of Saskatchewan, College of Medicine,\nSaskatchewan, Canada", "department": "None" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Erker", "name_suffix": "", "institution": "Saskatchewan Health Authority, Department of Emergency Medicine, Saskatchewan, Canada", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Sullivan", "name_suffix": "", "institution": "University of Saskatchewan, Department of Academic Family Medicine, Saskatchewan, Canada", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Graham", "name_suffix": "", "institution": "University of Saskatchewan, Department of Emergency Medicine, Saskatchewan, Canada", "department": "None" }, { "first_name": "Taofiq", "middle_name": "", "last_name": "Oyedokun", "name_suffix": "", "institution": "University of Saskatchewan, Department of Emergency Medicine, Saskatchewan, Canada", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Stempien", "name_suffix": "", "institution": "University of Saskatchewan, Department of Emergency Medicine, Saskatchewan, Canada", "department": "None" } ], "date_submitted": "2020-04-16T20:31:37+03:00", "date_accepted": "2020-04-16T20:31:37+03:00", "date_published": "2020-11-02T10:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13774/galley/7176/download/" } ] }, { "pk": 65091, "title": "Editorial Letter", "subtitle": null, "abstract": "A letter from our Editors-in-Chief about the Volume and its contents.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 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.\n\nNonCommercial — You may not use the material for commercial purposes.\n\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-nc/4.0" }, "keywords": [ { "word": "Editor" }, { "word": "Editorial" }, { "word": "Letter" }, { "word": "Commentary" } ], "section": "Editorial Letter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67w7f0f9", "frozenauthors": [ { "first_name": "Brooke", "middle_name": "", "last_name": "Norton", "name_suffix": "", "institution": "University of California Berkeley", "department": "" }, { "first_name": "Lubna", "middle_name": "", "last_name": "Safi", "name_suffix": "", "institution": "University of California Berkeley", "department": "" } ], "date_submitted": "2020-11-03T20:25:33+02:00", "date_accepted": "2020-11-03T20:25:33+02:00", "date_published": "2020-11-01T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/nes_jagnes/article/65091/galley/49877/download/" } ] }, { "pk": 65093, "title": "Hard Times: Critical Approaches to Crisis and its Aftermath", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 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.\n\nNonCommercial — You may not use the material for commercial purposes.\n\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-nc/4.0" }, "keywords": [ { "word": "Near Eastern, Nationalism, Transculturalism" }, { "word": "Table of Contents" } ], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9xp1666x", "frozenauthors": [ { "first_name": "JAGNES", "middle_name": "", "last_name": "Org", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-03T20:33:11+02:00", "date_accepted": "2020-11-03T20:33:11+02:00", "date_published": "2020-11-01T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/nes_jagnes/article/65093/galley/49878/download/" } ] }, { "pk": 65086, "title": "Hard Times: Critical Approaches to Crisis and its Aftermath: Interview", "subtitle": null, "abstract": "Editors-in-chief, Brooke Norton and Lubna Safi sat down with fellow NES graduate student AriaFani to speak with our JAGNES 2019 Spring Lecture speaker, Mohammad Rafi about hisresearch, pedagogy, free speech, critical theory and more.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 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.\n\nNonCommercial — You may not use the material for commercial purposes.\n\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-nc/4.0" }, "keywords": [ { "word": "Interview, Near Eastern, Nationalism, Transculturalism, Aryanism, Persian Studies" } ], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qx1f1mg", "frozenauthors": [ { "first_name": "Mohammad", "middle_name": "", "last_name": "Rafi", "name_suffix": "", "institution": "University of California Berkeley Near Eastern Studies JAGNES 2019 Spring Lecturer", "department": "" } ], "date_submitted": "2020-11-03T05:33:35+02:00", "date_accepted": "2020-11-03T05:33:35+02:00", "date_published": "2020-11-01T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/nes_jagnes/article/65086/galley/49872/download/" } ] }, { "pk": 65088, "title": "Homebound travelers: the return's destabilization of homeland in Arabic literature", "subtitle": null, "abstract": "In his contribution, “Homebound Travelers: The Return's Destabilization of Homeland inArabic literature,” Shawheen Rezaei sheds light on the shattered perspective of “the return.” Inhis reading of the riḥ la Rezaei focuses on the way it disorients the traveler — both the characterand the reader. Rezaei’s article suggests that we consider how our perspective as readers issimilarly complicated in our reading of this genre. In the novels he examines, the question of thetraveler’s encounter with the other is nuanced both by the other that the traveler encountersabroad and the other that he encounters once he returns home. When the traveler returns as anoutsider, we are forced to question whether there can really be a return. Ultimately in askingwhat it means to return, the works that Rezaei readsforce us to consider if any return is possible.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 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.\n\nNonCommercial — You may not use the material for commercial purposes.\n\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-nc/4.0" }, "keywords": [ { "word": "Near Eastern, Nationalism, Transculturalism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3z15677c", "frozenauthors": [ { "first_name": "Shawheen", "middle_name": "", "last_name": "Rezaei", "name_suffix": "", "institution": "MPhil, Harvard University", "department": "" } ], "date_submitted": "2020-11-03T05:37:50+02:00", "date_accepted": "2020-11-03T05:37:50+02:00", "date_published": "2020-11-01T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/nes_jagnes/article/65088/galley/49874/download/" } ] }, { "pk": 65090, "title": "I Have a Story, Too: Suicide Bombers, Borders, & Peripheral Narratives", "subtitle": null, "abstract": "Rachel Winter’s contribution to this issue, “I Have a Story, Too: Suicide Bombers,Borders, & Peripheral Narratives” counterposes the narratives of suicide bombings constructedby the news media to those offered by the artists she examines. Winter diviersifies thisperspective further by looking into representations of female suicide bombers, and the differentgendered narratives that motivate thesir represntation in the media. She offers the archetypes thatpackage these suicide bombers, inflecting the Jungian archetypes with the mythical bent of the“Femle Monster” and “Woman Warrior.” What comes under scrutiny is not merely therepresentation of the suicide bomber by the artowrk, but also its framing. Winter asks, “What isthe viewer to make of the title, “Snow White”?” The fairytale is the framework around which thesuicide bomber can be made familiar to the audience and Winter’s paper puts pressure on thedesire to repackage the suicide bomber’s experience through a Western framework.1", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 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.\n\nNonCommercial — You may not use the material for commercial purposes.\n\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-nc/4.0" }, "keywords": [ { "word": "Near Eastern, Nationalism, Transculturalism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3g68325p", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "", "last_name": "Winter", "name_suffix": "", "institution": "Ph.D Candidate, University of California Santa Barbara", "department": "" } ], "date_submitted": "2020-11-03T05:45:37+02:00", "date_accepted": "2020-11-03T05:45:37+02:00", "date_published": "2020-11-01T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/nes_jagnes/article/65090/galley/49876/download/" } ] }, { "pk": 53764, "title": "[Untitled Collection of Photographs]", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Photography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zk654k0", "frozenauthors": [ { "first_name": "Lonny Ivan", "middle_name": "", "last_name": "Meyer", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:47:42+02:00", "date_accepted": "2020-11-01T04:47:42+02:00", "date_published": "2020-11-01T04:52:38+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53764/galley/40673/download/" } ] }, { "pk": 53763, "title": "Siendo qhari: (Re)creando la masculinidad andina a través de la danza", "subtitle": null, "abstract": "Este artículo estudia el proceso de construcción de identidades de género en los andes a través de la danza. Además, analiza cómo nociones étnicas influyen en el desarrollo de identidades de género en la región. En particular, el ensayo estudia la coreografía del Qhapaq Qolla, una comparsa de varones que participa anualmente en la Festividad de la Virgen del Carmen, una de las celebraciones más importantes de la región Cusco en el Perú. El estudio se realiza a través de un marco analítico basado en conceptos Quechuas. El artículo argumenta que, a través de la danza, los miembros del Qhapaq Qolla exploran estereotipos acerca de la masculinidad andina para subvertirlos, desarrollando a través de este proceso una identidad de género fuertemente influenciada por la herencia de sus tradiciones Quechua. La masculinidad que construyen los danzantes está conformada por roles y energías masculinas, femeninas, humanas y no humanas, las cuales están en constante negociación.", "language": "es", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4qg9074w", "frozenauthors": [ { "first_name": "Carlos", "middle_name": "", "last_name": "Tello Barreda", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:44:44+02:00", "date_accepted": "2020-11-01T04:44:44+02:00", "date_published": "2020-11-01T04:52:29+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53763/galley/40672/download/" } ] }, { "pk": 53762, "title": "Interrupting Movements in Barcelona", "subtitle": null, "abstract": "With an attention to walking, this article explores a politics of movement and recognition that emerged between tourists and anti-tourism activism in Barcelona in 2017. Of focus is the political performance of a walking artist who interrupted tourist entitlements and imaginaries, performing what anthropologist Audra Simpson calls refusal (2016 328). Upon wandering the periphery of a Catalan festival that was celebrating local myths and legends, this artist-activist, named Jordi, contested the commodification of Catalan culture and incited anxiety among tourists taking in the display. In relation to other scenes of protest, these enactments of collective refusal shifted the rhythm of relation in the moment of encounter, entangling tourists in the wider socio-political context.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rt182jc", "frozenauthors": [ { "first_name": "Nadine", "middle_name": "", "last_name": "Ryan", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:41:47+02:00", "date_accepted": "2020-11-01T04:41:47+02:00", "date_published": "2020-11-01T04:52:20+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53762/galley/40671/download/" } ] }, { "pk": 53761, "title": "Movements and Stillness: Rosana Paulino’s Tecelãs and Experimentations of The Flesh", "subtitle": null, "abstract": "This paper focuses on Rosana Paulino’s installation \nTecelãs\n, meaning weavers, from 2003, which features several ceramic nests and insect-women wrapped in thread. \nTecelãs \nspeaks to the experience of black women in Brazil and visually represents how in order to survive the precarity of black life, “woman pulls from within herself the threads with which she makes her cocoon - where she remakes, dies, and is born again.” The analysis of the paper flows between Paulino’s installation, performance studies and black studies, theories of the flesh, confinement, and diverse black feminist freedom movements. The main argument of this paper is to say that for black women and girls, literal and figurative spaces of confinement—such as living in the periphery or the marked black body—are also spaces of performative experimentations towards freedom. Following Harvey Young, Harriet Jacobs, Sarah Jane Cervenak, and Alexander Weheliye, I elaborate on their ideas of stillness, “movements in confinement,” mental and physical wandering, and experimentations of the flesh in order to take seriously their call for thinking alternative modes of freedom movements and rethink what counts as performances of the body. I argue that the construction of cocoons by Paulino’s weavers, and their actions of weaving and reconfiguring the body, metaphorically mirrors the spaces of enclosure that restrict the movements of the body, while also allowing for transformation and freedom planning.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5kk137f6", "frozenauthors": [ { "first_name": "Patrícia de Nóbrega", "middle_name": "", "last_name": "Gomes", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:39:05+02:00", "date_accepted": "2020-11-01T04:39:05+02:00", "date_published": "2020-11-01T04:52:11+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53761/galley/40670/download/" } ] }, { "pk": 53760, "title": "El archivo encarnado en Lost Children Archive (2019)", "subtitle": null, "abstract": "Este trabajo analiza la última novela de la escritora mexicana Valeria Luiselli, \nLost Children Archive \n(2019), desde los estudios de performance. Específicamente, se utilizan los conceptos de archivo y repertorio que plantea Diana Taylor. Se propone que, en el texto se crea un \narchivo encarnado \nque guarda y transmite el acto performático, no por medio de soportes materiales, sino a través del cuerpo vivo. Esto se observa en las recreaciones y juegos que hacen los personajes Memphis y Swift Feather, en la ficción abismal que se crea por medio de la novela ficticia \nElegies for Lost Children \ny en los ecos que permean el texto.", "language": "es", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5sn6r23c", "frozenauthors": [ { "first_name": "Zyanya", "middle_name": "", "last_name": "Dóniz Ibáñez", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:35:41+02:00", "date_accepted": "2020-11-01T04:35:41+02:00", "date_published": "2020-11-01T04:52:01+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53760/galley/40669/download/" } ] }, { "pk": 53759, "title": "Mujer sin Edén: Fusiones del feminismo y guerra/posguerra", "subtitle": null, "abstract": "Este ensayo es un análisis literario de la colección de poesía \nMujer sin Edén\n (1947) escrito\n \npor Carmen Conde (1907-1996). Publicada durante la dictadura del Franciso Franco y un creciente feminismo en España, analiza los técnicos literarios que maneja Conde para protestar la represión sociopolítica en su país y ofrecer una lectura feminista a través del palimpsesto bíblico. Como base teórico, investigo cómo esta obra responde a la teoría del \ngenocentrismo,\n la cual propone que las escritoras españolas del siglo XX presentaban a la mujer como un ser marginada y autodeterminista. A la vez, comparo la representación feminista en \nMujer sin Edén\n con imágenes feministas presentes en tres novelas de Emilia Pardo Bazán (1851-1921). Arguyo que mientras Pardo Bazán retrata una mujer feminista en transición, Conde va un paso adelante al presentar voces poéticas que hacen el papel de la mujer que reconoce tanto su diferencia como su igualdad a los hombres. A lo largo del ensayo, reflexiono sobre la fusión de esta actitud feminista de Conde con su simbólica protesta de la guerra y la represión política por poderes patriarcales que reprimen principalmente a las mujeres por sus capacidades de crear y pensar.", "language": "es", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8x304777", "frozenauthors": [ { "first_name": "Tiffanie", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:32:33+02:00", "date_accepted": "2020-11-01T04:32:33+02:00", "date_published": "2020-11-01T04:51:52+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53759/galley/40668/download/" } ] }, { "pk": 53758, "title": "From the Editors", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3hr6q6zf", "frozenauthors": [ { "first_name": "2019-20", "middle_name": "", "last_name": "Lucero Editorial Team", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:27:13+02:00", "date_accepted": "2020-11-01T04:27:13+02:00", "date_published": "2020-11-01T04:51:41+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53758/galley/40667/download/" } ] }, { "pk": 53757, "title": "Dos bastidores ao palco—a trajetória da mulher no teatro de Júlia Lopes de Almeida e Guiomar Torresão", "subtitle": null, "abstract": "A recent effort by literary critics to highlight 19th century women playwrights’ work has brought fourth plays by the Portuguese Guiomar Torresão (1844-1898) and Brazilian Júlia Lopes de Almeida (1862-1934), several of which had never been published before. This work analyzes \nA herança\n (1908) and \nVai raiar o sol\n (2016) by Lopes de Almeida and \nO fraco da baronesa\n (2005) by Torresão in order to understand how ambiguity is used to persuade readers/spectators to support women’s cause for equality. In the case of Lopes de Almeida, who had been neglected by 20th century critics for her lack of support for equality, we find strong female protagonists that are not afraid to challenge their roles in order to find happiness. Torresão’s comedy, on the other hand, brings forward the hypocrisy of upper-class liberals that claimed to support women’s right for equality. All three plays were clearly written with the reader — men — in mind since women counted on their support to entice change.", "language": "por", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65q5h512", "frozenauthors": [ { "first_name": "Aline Xavier de", "middle_name": "", "last_name": "Araújo", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:19:24+02:00", "date_accepted": "2020-11-01T04:19:24+02:00", "date_published": "2020-11-01T04:51:32+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53757/galley/40666/download/" } ] }, { "pk": 53765, "title": "Rising from the Grave", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Poetry", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2397q5w3", "frozenauthors": [ { "first_name": "Mariana", "middle_name": "", "last_name": "Rivera", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-11-01T04:49:36+02:00", "date_accepted": "2020-11-01T04:49:36+02:00", "date_published": "2020-11-01T04:50:43+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lucero/article/53765/galley/40674/download/" } ] }, { "pk": 13762, "title": "Emergency Medicine Challenges in Ecuador", "subtitle": null, "abstract": "Introduction:\n 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-trainedemergency physicians countrywide. This study describes the current challenges in EM in Ecuador.\nMethods:\n We conducted 25 semi-structured, in-person interviews with residency-trained emergencyphysicians, general practitioners, public health specialists, prehospital personnel, and physiciansfrom other specialties. The interviewer asked about challenges in the areas of emergency care,working conditions of emergency physicians, EM residency education, EM leadership, andprehospital care. We analyzed data for challenges and registered the number of interviewees whomentioned each challenge.\nResults:\n Interviewees worked in the three largest cities in the country: Quito (60%); Guayaquil(20%); and Cuenca (20%). Interviewees included 16 (64%) residency-trained emergency physicians;six (24%) residency-trained physicians from other specialties working in or closely associatedwith the emergency department (ED); one (4%) general practitioner working in the ED; one (4%)specialist in disasters; and one (4%) paramedic. Shortage of medical supplies, need for bettermedico-legal protection, lack of EM residencies outside of Quito, and desire for more bedsideteaching were the challenges mentioned with the highest frequency (each 44%). The next mostfrequently mentioned challenges (each 38%) were the need for better access to ultrasoundequipment and the low presence of EM outside the capital city. Other challenges mentioned includedthe low demand for emergency physicians in private institutions, the lack of differential pay for nightand weekends, need for more training in administration and leadership, need for a more effective EMnational society, and lack of resources and experience in EM research.\nConclusion:\n Emergency medicine has a three-decade history in Ecuador, reaching importantmilestones such as the establishment of two EM residencies and a national EM society. Challengesremain in medical care, working conditions, residency education, leadership, and prehospitalcare. Stronger collaboration and advocacy among emergency physicians can help strengthen thespecialty and improve emergency care.", "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": "International Emergency Medicine, Emergency Medicine Development, Emergency Medicine Challenges, Ecuador, South America" } ], "section": "International Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/08f4v1xj", "frozenauthors": [ { "first_name": "Andrés", "middle_name": "M.", "last_name": "Patiño", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Santiago", "middle_name": "", "last_name": "Cantillo-Campos", "name_suffix": "", "institution": "Duke University, Department of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Alexis", "middle_name": "S.", "last_name": "Kearney", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Sean", "middle_name": "M.", "last_name": "Kivlehan", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Augusto", "middle_name": "", "last_name": "Maldonado", "name_suffix": "", "institution": "Universidad San Francisco de Quito, Hospital General Docente Calderon, Department of Emergency Medicine, Quito, Ecuador", "department": "None" } ], "date_submitted": "2020-04-15T00:51:54+03:00", "date_accepted": "2020-04-15T00:51:54+03:00", "date_published": "2020-10-28T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13762/galley/7174/download/" } ] }, { "pk": 13667, "title": "The Association of Sleep Hygiene and Drowsiness with Adverse Driving Events in Emergency Medicine Residents", "subtitle": null, "abstract": "Introduction:\n Prior research shows that physicians in training are at risk for drowsy driving following their clinical duties, which may put them in danger of experiencing adverse driving events. This study explores the relationship between sleepiness, overall sleep hygiene, level of training, and adverse driving events following an overnight shift in emergency medicine (EM) residents.\nMethods:\n Throughout the 2018-2019 academic year, 50 EM residents from postgraduate years 1–4 completed self-administered surveys regarding their sleepiness before and after their drive home following an overnight shift, any adverse driving events that occurred during their drive home, and their overall sleep hygiene.\nResults:\n Fifty out of a possible 57 residents completed the survey for a response rate of 87.7%. Sleepiness was significantly associated with adverse driving events (beta = 0.31; P < .001). Residents with high sleepiness levels reported significantly more adverse driving events. Residents reported significantly higher sleepiness levels after completing their drive home (mean = 7.04, standard deviation [SD] = 1.41) compared to sleepiness levels before driving home (mean = 5.58, SD = 1.81). Residency training level was significantly associated with adverse driving events (beta = -0.59, P < .01). Senior residents reported significantly fewer adverse driving events compared to junior residents.\nConclusion: \nEmergency physicians in training are at risk for drowsy driving-related motor vehicle crashes following overnight work shifts. Trainees of all levels underestimated their true degree of sleepiness prior to initiating their drive home, while junior residents were at higher risk for adverse driving events.", "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": "Sleep Hygiene" }, { "word": "Emergency Medicine" }, { "word": "Drowsy Driving" }, { "word": "Physician In Training" }, { "word": "Driving Safety" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9cb650kp", "frozenauthors": [ { "first_name": "Walter", "middle_name": "", "last_name": "Green", "name_suffix": "", "institution": "Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Xiang", "middle_name": "", "last_name": "Gao", "name_suffix": "", "institution": "Colorado State University, Department of Health and Exercise Science, Fort Collins, Colorado", "department": "None" }, { "first_name": "Kaigang", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab)\nColorado State University, Department of Health and Exercise Science, Fort Collins, Colorado", "department": "None" }, { "first_name": "Barbara", "middle_name": "C.", "last_name": "Banz", "name_suffix": "", "institution": "Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab)\nYale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Jia", "middle_name": "", "last_name": "Wu", "name_suffix": "", "institution": "Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab)\nYale Child Study Center, New Haven, Connecticut", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Crowley", "name_suffix": "", "institution": "Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab)\nYale Child Study Center, New Haven, Connecticut", "department": "None" }, { "first_name": "Deepa", "middle_name": "R.", "last_name": "Camenga", "name_suffix": "", "institution": "Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab)\nYale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Federico", "middle_name": "E.", "last_name": "Vaca", "name_suffix": "", "institution": "Yale Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab)\nYale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut\nYale Child Study Center, New Haven, Connecticut", "department": "None" } ], "date_submitted": "2020-03-31T22:41:07+03:00", "date_accepted": "2020-03-31T22:41:07+03:00", "date_published": "2020-10-27T23:11:08+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13667/galley/7135/download/" } ] }, { "pk": 955, "title": "The Woes of a Stuffy Nose: A Case Report of Allergic Fungal Sinusitis", "subtitle": null, "abstract": "Introduction:\n Allergic fungal sinusitis (AFS) is a relatively uncommon cause of sinus pain and congestion. Extreme cases may require specialty evaluation and surgical treatment.\nCase Report:\n In this case, an otherwise healthy young man presented to the emergency department with sinus pain and congestion for two weeks and was admitted to surgery for resection of his AFS.\nConclusion:\n This case demonstrates how a thorough history and physical exam can help catch potentially serious diseases, such as allergic fungal sinusitis, from the frequently benign chief complaint of sinus pain.", "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": "headache" }, { "word": "sinus pain" }, { "word": "congestion" }, { "word": "stuffy nose" }, { "word": "eye pain" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5zb275qs", "frozenauthors": [ { "first_name": "Tyler", "middle_name": "", "last_name": "Lopachin", "name_suffix": "", "institution": "Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia", "department": "None" }, { "first_name": "Grace", "middle_name": "", "last_name": "Landers", "name_suffix": "", "institution": "Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia", "department": "None" } ], "date_submitted": "2020-10-26T21:10:47+02:00", "date_accepted": "2020-10-26T21:10:47+02:00", "date_published": "2020-10-26T21:12:26+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/955/galley/703/download/" } ] }, { "pk": 954, "title": "A Noteworthy Case Report of Neuroborreliosis in an Unvaccinated Pediatric Patient", "subtitle": null, "abstract": "Introduction:\n Lyme disease typically presents with viral-like symptoms and a pathognomonic rash. With disease progression, symptoms of nervous system involvement usually include facial nerve palsy and meningitis, but other atypical neurologic manifestations have less commonly been documented.\nCase Report:\n A six-year-old male presented with prolonged fevers, rash, headache, and non-specific neurologic symptoms. The diagnosis of neuroborreliosis with meningitis and polyradiculitis was confirmed with laboratory evaluation and lumbar puncture.\nConclusion:\n Neuroborreliosis is a disseminated form of Lyme disease. While meningitis is a common sign, the presentation of polyradiculitis in children is rare and can lead to misdiagnosis and delay in treatment.", "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": "Lyme disease" }, { "word": "neuroborreliosis" }, { "word": "Lyme meningitis" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1wq8m668", "frozenauthors": [ { "first_name": "Amber", "middle_name": "R.", "last_name": "Walker", "name_suffix": "", "institution": "Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Teresita", "middle_name": "", "last_name": "Morales-Yurick", "name_suffix": "", "institution": "Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio", "department": "None" } ], "date_submitted": "2020-10-26T20:56:13+02:00", "date_accepted": "2020-10-26T20:56:13+02:00", "date_published": "2020-10-26T20:56:52+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/954/galley/702/download/" } ] }, { "pk": 953, "title": "Gastric Diverticulum Presenting as Hematemesis: A Case Report Detailing an Uncommon Presentation of an Already Rare Entity", "subtitle": null, "abstract": "Introduction:\n Gastric diverticula (GD) are uncommon. Most are asymptomatic and diagnosed incidentally. Symptoms range from reflux and epigastric discomfort to life-threatening bleeding and perforation. We describe a case of symptomatic GD presenting as hematemesis requiring surgical treatment.\nCase Report:\n A 57-year-old female presented to the emergency department (ED) with one day of epigastric pain and hematemesis. Hemoglobin was found to be stable, but blood urea nitrogen was elevated. Imaging revealed a fundal GD. Esophagogastroduodenoscopy did not show other etiology of hematemesis. The patient underwent partial gastric resection for GD removal and did well without further symptoms on follow-up.\nConclusion:\n Although rare, GD needs to be included on a differential diagnosis when evaluating gastrointestinal symptoms in the ED. Patients may present with an array of complaints but can potentially develop serious complications. Providers should be familiar with the diagnostic options and treatment regimens available to better care for patients presenting with GD.", "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": "Gastric diverticulum" }, { "word": "hematemesis" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1640g2sq", "frozenauthors": [ { "first_name": "Maddi", "middle_name": "", "last_name": "Massa", "name_suffix": "", "institution": "Spectrum Health Lakeland, Department of Emergency, Saint Joseph, Michigan", "department": "None" }, { "first_name": "Karla", "middle_name": "", "last_name": "Newbold", "name_suffix": "", "institution": "Spectrum Health Lakeland, Department of Emergency, Saint Joseph, Michigan", "department": "None" } ], "date_submitted": "2020-10-26T20:50:11+02:00", "date_accepted": "2020-10-26T20:50:11+02:00", "date_published": "2020-10-26T20:50:58+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/953/galley/701/download/" } ] }, { "pk": 46902, "title": "Early in the Pandemic, There Was No Partisan Divide over Preferences for Voting by Mail in the 2020 Election", "subtitle": null, "abstract": "In April, 2020, was there a partisan divide between eligible voters from California’s major parties over whether they preferred to vote in person or through mail ballots in the November election, and what percentage of likely voters from each party said they would not vote if the election were held exclusively through the mail? Did partisans divide over policy proposals about how to conduct this election? We investigate these questions by analyzing a statewide survey of a diverse sample of 12,276 eligible voters conducted April 8-22, 2020. When we asked eligible voters how they wanted to cast their ballots this November, we found no significant divide between the Republican and Democratic eligible voters. More than half of eligible voters in both parties prefer to cast a ballot by mail, with nearly another two in ten voters preferring to drop off a ballot that has been sent to them in the mail. Gaps of eight to twelve percentage points emerge between partisans over support for policies that advance voting by mail, though there is still a strong consensus supporting these changes among all partisan affiliations.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rq7p8fp", "frozenauthors": [ { "first_name": "Thad", "middle_name": "", "last_name": "Kousser", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Mindy", "middle_name": "", "last_name": "Romero", "name_suffix": "", "institution": "Center for Inclusive Democracy at the University of Southern California", "department": "None" }, { "first_name": "Mackenzie", "middle_name": "", "last_name": "Lockhart", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Seth", "middle_name": "", "last_name": "Hill", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Merolla", "name_suffix": "", "institution": "University of California, Riverside", "department": "None" } ], "date_submitted": "2020-10-22T20:03:29+03:00", "date_accepted": "2020-10-22T20:03:29+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46902/galley/35461/download/" } ] }, { "pk": 46901, "title": "Election Law Changes as a Result of COVID-19", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34r2021f", "frozenauthors": [ { "first_name": "Tom", "middle_name": "", "last_name": "Umberg", "name_suffix": "", "institution": "California State Senator", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Rivera Diaz", "name_suffix": "", "institution": "UC Hastings", "department": "None" } ], "date_submitted": "2020-10-22T20:00:22+03:00", "date_accepted": "2020-10-22T20:00:22+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46901/galley/35460/download/" } ] }, { "pk": 46893, "title": "Ensuring That Every Vote Counts: Protecting Historically Disenfranchised Communities’ Access to the Ballot During the COVID-19 Pandemic", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mr4m21h", "frozenauthors": [ { "first_name": "Christina", "middle_name": "", "last_name": "Fletes-Romo", "name_suffix": "", "institution": "ACLU of California", "department": "None" }, { "first_name": "Brittany", "middle_name": "", "last_name": "Stonesifer", "name_suffix": "", "institution": "ACLU of California", "department": "None" }, { "first_name": "Julia", "middle_name": "", "last_name": "Gomez", "name_suffix": "", "institution": "ACLU of California", "department": "None" } ], "date_submitted": "2020-10-22T19:30:33+03:00", "date_accepted": "2020-10-22T19:30:33+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46893/galley/35452/download/" } ] }, { "pk": 46896, "title": "How Can We Increase Turnout among Low Propensity Voters?", "subtitle": null, "abstract": "Abstract. How can we increase voter turnout among low-propensity voters? Researchers and practitioners have found interventions that increase voter turnout, but these interventions tend to increase turnout among individuals already likely to vote, and therefore appear to exacerbate existing inequalities in participation. This project developed and tested an intervention designed to encourage people with a lower prior likelihood of voting into the electorate. First, in summer 2018, we surveyed a diverse sample of voting and non-voting Californians about their political attitudes. We concluded that feeling inadequately informed and feeling inefficacious may contribute to low turnout rates. Based on the results of the survey, we designed messages to address these feelings and tested them in an experiment to increase turnout in two special elections in June 2019 by targeting these sentiments among people with infrequent prior turnout records. Letters with information and encouragement about the voting process did not increase turnout in the subsequent election. We conclude that further work is needed to identify interventions that successfully increase turnout among low-propensity voters.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9mq6n7qx", "frozenauthors": [ { "first_name": "Seth", "middle_name": "", "last_name": "Hill", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Thad", "middle_name": "", "last_name": "Kousser", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Gabriel", "middle_name": "", "last_name": "Lenz", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" }, { "first_name": "Mackenzie", "middle_name": "", "last_name": "Lockhart", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Mitchell", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2020-10-22T19:40:20+03:00", "date_accepted": "2020-10-22T19:40:20+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46896/galley/35455/download/" } ] }, { "pk": 46897, "title": "How Did the Voter’s Choice Act Affect Turnout in 2018?", "subtitle": null, "abstract": "In its first year of implementation, did the Voter’s Choice Act (VCA) change turnout patterns in the counties – Madera, Napa, Nevada, Sacramento, and San Mateo – that adopted this new reform? How did this reform affect the turnout of groups of Californians – young voters, Latinos, and Asian Americans– who have often participated in elections at lower rates than others? We address these questions by gathering data on turnout rates, voter demographics, and electoral competition from 2002 through the primary and general elections of 2018, comparing trends in the adopting counties to the rest of the state.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8951w9td", "frozenauthors": [ { "first_name": "Eric", "middle_name": "", "last_name": "McGhee", "name_suffix": "", "institution": "Public Policy Institute of California", "department": "None" }, { "first_name": "Mindy", "middle_name": "", "last_name": "Romero", "name_suffix": "", "institution": "Center for Inclusive Democracy at the University of Southern California", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Daly", "name_suffix": "", "institution": "University of Southern California", "department": "None" }, { "first_name": "Thad", "middle_name": "", "last_name": "Kousser", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" } ], "date_submitted": "2020-10-22T19:43:34+03:00", "date_accepted": "2020-10-22T19:43:34+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46897/galley/35456/download/" } ] }, { "pk": 46898, "title": "How Do Californians Want to Cast their Ballots During the COVID-19 Crisis?", "subtitle": null, "abstract": "In April 2020, how did Californians of all demographic groups want to cast their ballots during the COVID-19 pandemic, what changes to the electoral process would they support during this critical moment, and how would reforms made in 2020 reshape our state’s electorate in the future? We address these questions by analyzing a statewide survey of a diverse sample of 12,276 eligible voters (adult citizens) conducted April 8-22, 2020. As a whole, California’s eligible voters plan to vote by mail more than ever before in November 2020. Voting by mail is the method that gives them the most confidence in the integrity of election results, and they are strongly supportive of policies that expand access to voting by mail. The level of support for voting by mail differs across California’s diverse racial and ethnic groups. Consistent with past studies, our survey found that Latino and African-American eligible voters are generally less likely to prefer this method of voting than non-Latino whites and Asian Americans. It will be important to consider the potentially disparate impacts that any election administration changes could bring and to conduct broad outreach efforts. When presented with scientific projections predicting a fall peak in the impact of COVID-19, eligible voters were even more likely to prefer voting by mail and to express concerns about waiting in line or working at a polling place that did not adhere to social distancing protocols. Specifying a set of social distancing guidelines for in-person voting resolved these concerns for many eligible voters of all types.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9ft457vc", "frozenauthors": [ { "first_name": "Thad", "middle_name": "", "last_name": "Kousser", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Mindy", "middle_name": "", "last_name": "Romero", "name_suffix": "", "institution": "Center for Inclusive Democracy at the University of Southern California", "department": "None" }, { "first_name": "Mackenzie", "middle_name": "", "last_name": "Lockhart", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Seth", "middle_name": "", "last_name": "Hill", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Merolla", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-10-22T19:47:12+03:00", "date_accepted": "2020-10-22T19:47:12+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46898/galley/35457/download/" } ] }, { "pk": 46899, "title": "Messaging Matters: How Information about Underrepresentation Affects the Political Participation of Racial and Ethnic Groups in California", "subtitle": null, "abstract": "Can racial and ethnic minorities be mobilized to participate in politics at greater rates? We theorize that mobilization messages providing information about a group’s underrepresentation in government may increase participation among racial/ethnic minorities. However, responsiveness to such messages should vary depending on individuals’ prior awareness of their group’s underrepresentation. Using a two-wave panel survey that randomly assigned different get out the vote messages, we find that messages highlighting a racial/ethnic group’s underrepresentation in government do not increase Latinos’, Blacks’, or Asians’ likelihood of voting. We also find that such messages can decrease other forms of political participation among Asians and Latinos who were previously unaware of their group’s underrepresentation. These findings indicate that information about underrepresentation can actually demobilize certain segments of the electorate. Thus, practical efforts to boost participation among underrepresented groups should either communicate information about underrepresentation in other ways or provide a different type of message altogether.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/54m4h8kc", "frozenauthors": [ { "first_name": "Cheryl", "middle_name": "", "last_name": "Boudreau", "name_suffix": "", "institution": "University of California, Davis", "department": "None" }, { "first_name": "Jennifer", "middle_name": "L.", "last_name": "Merolla", "name_suffix": "", "institution": "University of California, Riverside", "department": "None" }, { "first_name": "Sono", "middle_name": "", "last_name": "Shah", "name_suffix": "", "institution": "Pew Research Center", "department": "None" } ], "date_submitted": "2020-10-22T19:55:34+03:00", "date_accepted": "2020-10-22T19:55:34+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46899/galley/35458/download/" } ] }, { "pk": 46894, "title": "Past Electoral Reforms Have Prepared California for Pandemic Challenges", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0c27x2xr", "frozenauthors": [ { "first_name": "Ben", "middle_name": "", "last_name": "Allen", "name_suffix": "", "institution": "California State Senator", "department": "None" } ], "date_submitted": "2020-10-22T19:34:32+03:00", "date_accepted": "2020-10-22T19:34:32+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46894/galley/35453/download/" } ] }, { "pk": 46895, "title": "Protecting the Right to Vote in California’s 2020 Election While Keeping Voters, Election Workers and the Public Safe", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1s27b8zd", "frozenauthors": [ { "first_name": "Marc", "middle_name": "", "last_name": "Berman", "name_suffix": "", "institution": "California State AssemblyMember", "department": "None" } ], "date_submitted": "2020-10-22T19:36:31+03:00", "date_accepted": "2020-10-22T19:36:31+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46895/galley/35454/download/" } ] }, { "pk": 46900, "title": "The Pandemic in Prison: Implications for California Politics and Policymaking", "subtitle": null, "abstract": "The effects of COVID-19 across California have been devastating, but the impact of the virus has been particularly acute in the state’s overcrowded prisons and jails. The epidemic has clear implications for incarcerated individuals and their families, but also for the tens of thousands of Californians employed in the state’s prison system. These workers represent a powerful force in state politics (Myers, 2018; Williams et al., 2020).", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/14p2v75w", "frozenauthors": [ { "first_name": "Amy", "middle_name": "E.", "last_name": "Lerman", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" }, { "first_name": "Jessie", "middle_name": "", "last_name": "Harney", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2020-10-22T19:58:03+03:00", "date_accepted": "2020-10-22T19:58:03+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46900/galley/35459/download/" } ] }, { "pk": 46903, "title": "Will Concurrent Elections Reshape the Electorate?", "subtitle": null, "abstract": "In 2015, Governor Jerry Brown signed the California Voter Participation Rights Act (SB 415) into law. As its title suggests, the bill aimed to increase turnout in local elections by forcing all California jurisdictions to hold elections concurrently with statewide elections (in June or November of even years). Turnout in local elections is significantly lower than national turnout, averaging only 20% by some estimates (Alford and Lee 1968, Wood 2002, Hajnal and Lewis 2003, Caren 2007, Hajnal 2009). Scholars have found that election timing is the most important predictor of differences in aggregate turnout rates across cities (Alford and Lee 1968, Anzia 2014, Anzia 2011, Hajnal and Trounstine 2005). Hajnal and Lewis find that city elections that coincide with presidential elections are associated with a turnout of registered voters 36 percentage points higher than turnout in cities that do not hold elections that coincide with the presidential election (2001, 656). Caren finds that cities holding elections concurrent with the presidential election increase voter turnout by 27% compared to cities that do not (2007, 41). The logic behind SB 415 is that moving local elections to coincide with national elections will improve electoral participation.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/502819f5", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "", "last_name": "Collins", "name_suffix": "", "institution": "Brown University", "department": "None" }, { "first_name": "Eddie", "middle_name": "", "last_name": "Lucero", "name_suffix": "", "institution": "University of California, Merced", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Trounstine", "name_suffix": "", "institution": "University of California, Merced", "department": "None" } ], "date_submitted": "2020-10-22T20:05:38+03:00", "date_accepted": "2020-10-22T20:05:38+03:00", "date_published": "2020-10-22T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46903/galley/35462/download/" } ] }, { "pk": 952, "title": "Female with Vaginal Bleeding", "subtitle": null, "abstract": "Case Presentation:\n A 24-year-old pregnant female presented to the emergency department with lower abdominal cramping and vaginal bleeding. A point-of-care ultrasound demonstrated a calcified yolk sac.\nDiscussion:\n When identified, calcification of the yolk sac in the first trimester is a sign of fetal demise. It is important for an emergency physician to be aware of the various signs and findings on point-of-care ultrasound and be familiar with the management of these pathologies.", "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": "ultrasound" }, { "word": "pregnancy" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6419q28p", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Quilon", "name_suffix": "", "institution": "Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York", "department": "None" }, { "first_name": "Alec", "middle_name": "", "last_name": "Glucksman", "name_suffix": "", "institution": "Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York", "department": "None" }, { "first_name": "Gregory", "middle_name": "", "last_name": "Emmanuel", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Radiology, Boston, Massachusetts", "department": "None" }, { "first_name": "Josh", "middle_name": "", "last_name": "Greenstein", "name_suffix": "", "institution": "Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York", "department": "None" }, { "first_name": "Barry", "middle_name": "", "last_name": "Hahn", "name_suffix": "", "institution": "Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York", "department": "None" } ], "date_submitted": "2020-10-21T02:20:23+03:00", "date_accepted": "2020-10-21T02:20:23+03:00", "date_published": "2020-10-21T02:21:14+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/952/galley/700/download/" } ] }, { "pk": 951, "title": "Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations", "subtitle": null, "abstract": "Introduction: \nEctopic pregnancy carries a high morbidity and mortality; patients are at risk for rupture and life-threatening hemorrhage.\nCase Report:\n We present a rare case of ruptured abdominal ectopic pregnancy in a patient with a well-positioned intrauterine device (IUD) and discuss the diagnostic utility that transabdominal point-of-care ultrasound (POCUS) can have when performed at the bedside.\nConclusion: \nWhile pregnancy with an IUD in place is rare, when it is encountered the emergency provider should maintain a high degree of suspicion for extrauterine pregnancy and perform prompt evaluation for hemorrhagic shock using diagnostic POCUS.", "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": "ectopic pregnancy" }, { "word": "point-of-care ultrasound" }, { "word": "intrauterine device" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gp6p5xq", "frozenauthors": [ { "first_name": "Derick", "middle_name": "D.", "last_name": "Jones", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic Health System Albert Lea and Austin, Department of Emergency Medicine, Austin, Minnesota", "department": "None" }, { "first_name": "Tobias", "middle_name": "", "last_name": "Kummer", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Jessica", "middle_name": "C.", "last_name": "Schoen", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic Health System Albert Lea and Austin, Department of Emergency Medicine, Austin, Minnesota", "department": "None" } ], "date_submitted": "2020-10-21T02:13:49+03:00", "date_accepted": "2020-10-21T02:13:49+03:00", "date_published": "2020-10-21T02:14:23+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/951/galley/699/download/" } ] }, { "pk": 950, "title": "40-year-old Male with a Headache and Altered Mental Status", "subtitle": null, "abstract": "A 40-year-old man presents to the emergency department with headache, nausea and paresthesias, with subsequent fever and mental status change. Magnetic resonance imaging showed increased fluid-attenuation inversion recovery signal involving multiple areas of the brain, including the pons. This case takes the reader through the differential diagnosis of rhombencephalitis (inflammation of the hindbrain) with discussion of the unanticipated ultimate diagnosis and its treatment.", "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": [], "section": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5bd8c915", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "J.", "last_name": "Rubenstein", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Leen", "middle_name": "", "last_name": "Alblaihed", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Zachary", "middle_name": "D.W.", "last_name": "Dezman", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Laura", "middle_name": "J.", "last_name": "Bontempo", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2020-10-21T02:08:06+03:00", "date_accepted": "2020-10-21T02:08:06+03:00", "date_published": "2020-10-21T02:09:06+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/950/galley/698/download/" } ] }, { "pk": 949, "title": "One Notable Complication of Nasopharyngeal Airway: A Case Report", "subtitle": null, "abstract": "Introduction:\n The nasopharyngeal airway (NPA) is used by emergency providers and first responders to assist with oxygenation in obtunded, critically ill patients. There are few recorded NPA complications.\nCase Report:\n We describe a unique case in which a patient went multiple days with recurrent symptoms of upper airway obstruction secondary to retained NPA. Discussion: Nasopharyngeal airways may be uniquely prone to being displaced and retained due to their use in emergent situations, their small size, and time of insertion in the field prior to emergency department (ED) contact where handoff is not often standardized.\nConclusion:\n The use of large-flanged NPAs might reduce incidences of displacement into the nasal cavity. This case highlights the need for improved handoff communication between emergency medical services and ED staff, especially to account for all inserted devices to prevent foreign body retention.", "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": "Nasopharyngeal airway" }, { "word": "nasal foreign body" }, { "word": "EMS, emergency department communication" }, { "word": "retained foreign bodies" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1f7276hw", "frozenauthors": [ { "first_name": "Blake", "middle_name": "", "last_name": "Briggs", "name_suffix": "", "institution": "University of South Alabama, Department of Emergency Medicine, Mobile, Alabama", "department": "None" }, { "first_name": "Chase", "middle_name": "", "last_name": "Countryman", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Henderson", "middle_name": "D.", "last_name": "McGinnis", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2020-10-21T02:02:04+03:00", "date_accepted": "2020-10-21T02:02:04+03:00", "date_published": "2020-10-21T02:02:42+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/949/galley/697/download/" } ] }, { "pk": 948, "title": "Three Medicolegal Cases of Searching for the Stone: Lessons Learned Along the Journey", "subtitle": null, "abstract": "We present three medicolegal cases of medical negligence settled out of court. These cases all involved patients who presented to the emergency department (ED) with a suspected diagnosis of kidney stone. Highlighted are the importance of patient communication, addressing incidental findings found during a patient’s ED visit, anticipating complications, and the need for thorough documentation.", "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": "Malpractice" }, { "word": "kidney stone" }, { "word": "contributory negligence" } ], "section": "Medical Legal Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7hx6w8z0", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "A.", "last_name": "Jacobson", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Ayumi", "middle_name": "E.", "last_name": "Sakamoto", "name_suffix": "", "institution": "Mayo Clinic, Kogod Center on Aging, Rochester, Minnesota", "department": "None" }, { "first_name": "Gregory", "middle_name": "P.", "last_name": "Moore", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Eric", "middle_name": "T.", "last_name": "Boie", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2020-10-21T01:57:24+03:00", "date_accepted": "2020-10-21T01:57:24+03:00", "date_published": "2020-10-21T01:58:02+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/948/galley/696/download/" } ] }, { "pk": 947, "title": "Secondary Syphilis", "subtitle": null, "abstract": "Case Presentation:\n A 40-year-old male presented the the emergency department (ED) due to a diffuse body rash after a sexual encounter. Examination revealed a maculopapular rash that included the palms and soles of the feet bilaterally. A rapid plasma reagin was positive, and the patient was treated with 2.4 million units of benzathine benzylpenicillin intramuscularly.\nDiagnosis:\n Secondary syphilis can mimic many disease processes but classically presents as a painless macular rash on the palms of the hands and soles of the feet. Diagnosis is based upon clinical examination coupled with serological testing. Emergency department management should include 2.4 million units of benzathine benzylpenicillin intramuscularly and mitigation strategies.", "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": "Syphilis" }, { "word": "secondary syphilis" } ], "section": "ACOEP Images in Emergency Medicine (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mw6d8v6", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Ehlers", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "Shane", "middle_name": "", "last_name": "Sergent", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" } ], "date_submitted": "2020-10-21T01:50:56+03:00", "date_accepted": "2020-10-21T01:50:56+03:00", "date_published": "2020-10-21T01:51:49+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/947/galley/695/download/" } ] }, { "pk": 946, "title": "Dysphagia Alone as a Unique Presentation of Wound Botulism in the Emergency Department: A Case Report", "subtitle": null, "abstract": "Introduction: \nWound botulism is a rare and potentially fatal infectious disease, often seen in patients who abuse injection drugs. It classically presents with dysfunction of bilateral cranial nerves followed by proximal and distal motor weakness, which can progress to respiratory failure.\nCase Report:\n We report a case of a 31-year-old female who presented to the emergency department for the fifth time with an eight-day history of isolated dysphagia without any other neurologic symptoms. She reported a history of injection drug abuse via “skin popping,” was admitted to the hospital, and ultimately diagnosed with wound botulism.\nConclusion: \nThis case exemplifies the diagnostic pitfalls of rare diseases such as wound botulism and provides insight regarding the diagnosis and treatment of this entity. This case also highlights the unique medical and social challenges emergency physicians face while trying to reliably evaluate patients who abuse controlled substances.", "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": "Wound" }, { "word": "botulism" }, { "word": "dysphagia" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4v3737h0", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "H.", "last_name": "Wyatt", "name_suffix": "", "institution": "Valleywise Health Medical Center, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Eytan", "middle_name": "", "last_name": "Shtull-Leber", "name_suffix": "", "institution": "Valleywise Health Medical Center, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Thomas", "middle_name": "E.", "last_name": "Kelly", "name_suffix": "", "institution": "Valleywise Health Medical Center, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" } ], "date_submitted": "2020-10-21T01:42:48+03:00", "date_accepted": "2020-10-21T01:42:48+03:00", "date_published": "2020-10-21T01:43:29+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/946/galley/694/download/" } ] }, { "pk": 945, "title": "A Case Report of Neonatal Supraventricular Tachycardia Resolved with Single-Syringe Adenosine", "subtitle": null, "abstract": "Introduction:\n Supraventricular tachycardia (SVT) is a condition requiring emergency care in neonates.\nCase Report:\n We describe a successfully treated case of neonatal SVT in a four-week-old neonate using the novel adenosine administration method. This technique is potentially easier to facilitate and does not require equipment such as a stopcock. Adenosine 0.2 milligrams per kilogram was drawn up into a syringe containing 0.9% sodium chloride to a total volume of 3 milliliters. Once administered, the patient had near-immediate return to normal sinus rhythm without sequelae.\nConclusion:\n This case demonstrates that the single-syringe method appears potentially safe and effective in neonates.", "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": "Supraventricular tachycardia" }, { "word": "adenosine" }, { "word": "SVT" }, { "word": "neonatal" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6df9m4jg", "frozenauthors": [ { "first_name": "Marc", "middle_name": "", "last_name": "McDowell", "name_suffix": "", "institution": "Advocate Children’s Hospital, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Tasneem", "middle_name": "", "last_name": "Ahmed", "name_suffix": "", "institution": "Advocate Children’s Hospital, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Bill", "middle_name": "", "last_name": "Schroeder", "name_suffix": "", "institution": "Advocate Children’s Hospital, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Shannon", "middle_name": "", "last_name": "Staley", "name_suffix": "", "institution": "Advocate Children’s Hospital, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" } ], "date_submitted": "2020-10-21T01:32:04+03:00", "date_accepted": "2020-10-21T01:32:04+03:00", "date_published": "2020-10-21T01:32:43+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/945/galley/693/download/" } ] }, { "pk": 944, "title": "“Botched”: A Case Report of Silicone Embolism Syndrome After Penile and Scrotal Injection", "subtitle": null, "abstract": "Introduction:\n Silicone has been commonly used for both major and minor plastic and reconstructive surgery for decades. Due to the high costs associated with minor cosmetic procedures and plastic surgery, the unauthorized use of silicone injections by laypersons has become increasingly common. Improper or illegal subcutaneous injectable silicone has caused significant pulmonary complications and neurological complications, which can range from mild chest pain, hypoxia, and respiratory failure to coma and altered mental status.\nCase Report:\n We present a patient who had a rare complication of respiratory failure secondary to silicone embolism syndrome (SES). SES is a rare, potentially deadly complication and has been associated with subcutaneous silicone injections. The diagnosis of SES can be challenging and requires a thorough patient history indicating recent cosmetic procedures.\nConclusion:\n This case describes the first case of SES of a male patient who presented to a community emergency department complaining of dyspnea after an episode of self-administered injectable silicone into his penis and scrotum and who developed SES-induced respiratory failure.", "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": "Silicone embolism syndrome" }, { "word": "illicit silicone injections" }, { "word": "injected liquid silicone" }, { "word": "acute respiratory failure" }, { "word": "acute respiratory distress syndrome" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7bh2p1nd", "frozenauthors": [ { "first_name": "Anantha", "middle_name": "", "last_name": "Singarajah", "name_suffix": "", "institution": "Lincoln Memorial University – DeBusk College of Osteopathic Medicine, Harrogate, Tennessee", "department": "None" }, { "first_name": "Albert", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" }, { "first_name": "Julie", "middle_name": "", "last_name": "Sayegh", "name_suffix": "", "institution": "Los Alamitos Medical Center, Department of Emergency Medicine, Los Alamitos, California", "department": "None" }, { "first_name": "Gary", "middle_name": "M.", "last_name": "Vilke", "name_suffix": "", "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Faith", "middle_name": "C.", "last_name": "Quenzer", "name_suffix": "", "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" } ], "date_submitted": "2020-10-21T01:27:10+03:00", "date_accepted": "2020-10-21T01:27:10+03:00", "date_published": "2020-10-21T01:27:45+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/944/galley/692/download/" } ] }, { "pk": 943, "title": "A Case of Bilateral Hearing Loss", "subtitle": null, "abstract": "Case Presentation:\n A 53-year-old male presented to the emergency department with acute onset of bilateral hearing loss as well as vertigo and severe vomiting. The Head Impulse– Nystagmus–Test of Skew exam was indicative of a central neurologic process. Computed tomography angiogram of the head and neck revealed near-total bilateral vertebral artery occlusions in the second and third segments. The patient was admitted for further evaluation; subsequent magnetic resonance imaging revealed multiple areas of infarction in the cerebellar hemispheres, medulla, and occipital lobes.\nDiscussion:\n This case describes a unique presentation of a posterior stroke. Common symptoms include vertigo, loss of balance, and vomiting. However, bilateral hearing loss as a prominent symptom is uncommon. Imaging revealed a rare finding of bilateral vertebral artery occlusion.", "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": "Bilateral hearing loss" }, { "word": "posterior stroke" }, { "word": "vertebral artery occlusion" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/55p0t22d", "frozenauthors": [ { "first_name": "Boris", "middle_name": "", "last_name": "Ryabtsev", "name_suffix": "", "institution": "Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Slane", "name_suffix": "", "institution": "Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida", "department": "None" } ], "date_submitted": "2020-10-21T01:21:25+03:00", "date_accepted": "2020-10-21T01:21:25+03:00", "date_published": "2020-10-21T01:22:09+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/943/galley/691/download/" } ] }, { "pk": 942, "title": "Case Report: Delayed Presentation of Bowel Obstruction Caused by Blunt Abdominal Trauma", "subtitle": null, "abstract": "Introduction:\n Bowel obstruction is a rare but well reported complication of blunt abdominal trauma (BAT). Obstruction is most often seen acutely caused by bowel wall hematomas and chronically as a result of post-traumatic strictures. Here, we present a novel case of BAT causing a subacute obstructing bowel wall hematoma.\nCase Report:\n A healthy, 32-year-old male presented to our emergency department with three days of nausea and vomiting. Chart review revealed he had been seen two weeks prior after a high-speed motor vehicle collision. During that initial visit, the patient had a benign abdominal exam and was discharged without imaging. On this return visit, the patient was found to have a large, obstructing colonic hematoma.\nConclusion:\n Because emergency physicians care for patients in both the acute and subacute phases of trauma, clinicians should recognize the more subtle sequelae of BAT.", "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": "bowel obstruction" }, { "word": "blunt trauma" }, { "word": "delayed presentation" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/53b816t3", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "H.", "last_name": "George", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Charles", "middle_name": "A.", "last_name": "Baldi", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "James", "middle_name": "M.", "last_name": "Tonascia", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Siamak", "middle_name": "", "last_name": "Moayedi", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2020-10-21T01:17:17+03:00", "date_accepted": "2020-10-21T01:17:17+03:00", "date_published": "2020-10-21T01:17:59+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/942/galley/690/download/" } ] }, { "pk": 13823, "title": "Minimizing Pulse Check Duration Through Educational Video Review", "subtitle": null, "abstract": "Introduction:\n 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).\nMethods:\n Cameras recorded cases of CPR in the emergency department (ED). Investigators reviewed resuscitation videos for ultrasound use during pulse check, pulse check duration, and compression-fraction ratio. Investigators reviewed health records for patient outcomes. Providers received written feedback regarding pulse check duration and compression-fraction ratio. Researchers reviewed selected videos in multidisciplinary grand round presentations, with research team members facilitating discussion. These presentations highlighted strategies that include the following: limit on pulse check duration; emphasis on compressions; and use of “record, then review” method for pulse checks with POCUS. The primary endpoint was pulse check duration with and without POCUS.\nResults:\n Over 19 months, investigators reviewed 70 resuscitations with a total of 325 pulse checks. The mean pulse check duration was 11.5 ± 8.8 seconds (n = 224) and 13.8 ± 8.6 seconds (n = 101) without and with POCUS, respectively. POCUS pulse checks were significantly longer than those without POCUS (P = 0.001). Mean pulse check duration per three-month block decreased statistically significantly from study onset to the final study period (from 17.2 to 10 seconds [P<0.0001]) overall; decreased from 16.6 to 10.5 seconds (P<0.0001) without POCUS; and with POCUS from 19.8 to 9.88 seconds (P<0.0001) with POCUS. Pulse check times decreased significantly over the study period of educational interventions. The strongest effect size was found in POCUS pulse check duration (P = -0.3640, P = 0.002).\nConclusion:\n Consistent with previous studies, POCUS prolonged pulse checks. Educational interventions were associated with significantly decreased overall pulse-check duration, with an enhanced effect on pulse checks involving POCUS. Performance feedback and video review-based education can improve CPR by increasing chest compression-fraction ratio.", "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": "cardiopulmonary resuscitation" }, { "word": "CPR" }, { "word": "Point-of-care Ultrasonography" }, { "word": "POCUS" }, { "word": "cardiac arrest" }, { "word": "compression-fraction ratio" }, { "word": "pulse check" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3h9202gj", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Yamane", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC\nGeorge Washington University, Department of Anesthesiology and Critical Care Medicine, Washington DC", "department": "None" }, { "first_name": "Patrick", "middle_name": "", "last_name": "McCarville", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Natalie", "middle_name": "", "last_name": "Sullivan", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Evan", "middle_name": "", "last_name": "Kuhl", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Carolyn Robin", "middle_name": "", "last_name": "Lanam", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Payette", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Anahita", "middle_name": "", "last_name": "Rahimi-Saber", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Rabjohns", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Andrew", "middle_name": "D.", "last_name": "Sparks", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Keith", "middle_name": "", "last_name": "Boniface", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Aaran", "middle_name": "", "last_name": "Drake", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington DC", "department": "None" } ], "date_submitted": "2020-04-25T02:43:23+03:00", "date_accepted": "2020-04-25T02:43:23+03:00", "date_published": "2020-10-21T00:04:15+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13823/galley/7201/download/" } ] }, { "pk": 13544, "title": "Accuracy of Hemolyzed Potassium Levels in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n In the emergency department (ED), pseudohyperkalemia from hemolysis mayindirectly harm patients by exposing them to increased length of stay, cost, and repeat blooddraws. The need to repeat hemolyzed potassium specimens in low-risk patients has not beenwell studied. Our objective was to determine the rate of true hyperkalemia among low-risk, adultED patients with hemolyzed potassium specimens.\nMethods:\n We conducted this prospective observational study at two large (129,000 annualvisits) academic EDs in the mid-Atlantic. Data were collected from June 2017–November2017 as baseline data for planned departmental quality improvement and again from June2018–November 2018. Inclusion criteria were an initial basic metabolic panel in the ED with ahemolyzed potassium level > 5.1 milliequivalents per liter that was repeated within 12 hours, age≥18, and bicarbonate (HCO3) > 20. Exclusion criteria were age > 65, glomerular filtration rate(GFR) < 60, creatine phosphokinase > 500, hematologic malignancy, taking potassium-sparing orangiotensin-acting agents, or treatment with potassium-lowering agents (albuterol, insulin, HCO3,sodium polystyrene sulfonate, or potassium-excreting diuretic) prior to the repeat lab draw.\nResults:\n Of 399 encounters with a hemolyzed, elevated potassium level in patients with GFR≥ 60 and age > 18 that were repeated, we excluded 333 patients for age > 64, lab repeat > 12hours, invalid identifiers, potassium-elevating or lowering medicines or hematologic malignancies.This left 66 encounters for review. There were no instances of hyperkalemia on the repeated,non-hemolyzed potassium levels, correlating to a true positive rate of 0% (95% confidenceinterval 0-6%). Median patient age was 46 (interquartile range [IQR] 34 - 56) years. Medianhemolyzed potassium level was 5.8 (IQR 5.6 - 6.15) millimoles per liter (mmol/L), and medianrepeated potassium level was 3.9 (IQR 3.6 - 4.3) mmol/L. Median time between lab draws was145 (IQR 87 - 262) minutes.\nConclusion:\n Of 66 patients who met our criteria, all had repeat non-hemolyzed potassiumswithin normal limits. The median of 145 minutes between lab draws suggests an opportunity todecrease the length of stay for these patients. Our results suggest that in adult patients < 65 withnormal renal function, no hematologic malignancy, and not on a potassium-elevating medication,there is little to no risk of true hyperkalemia. Further studies should be done with a larger patientpopulation and multicenter trials.", "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": "hemolysis, potassium, kidney disease, emergency management" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1qw4k4x5", "frozenauthors": [ { "first_name": "Matt", "middle_name": "", "last_name": "Wilson", "name_suffix": "", "institution": "Medstar Washington Hospital Center, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Sam", "middle_name": "", "last_name": "Adelman", "name_suffix": "", "institution": "Medstar Washington Hospital Center, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "JB", "middle_name": "", "last_name": "Maitre", "name_suffix": "", "institution": "Medstar Washington Hospital Center, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Joe", "middle_name": "", "last_name": "Izzo", "name_suffix": "", "institution": "Medstar Washington Hospital Center, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Ronald", "middle_name": "", "last_name": "Valencia", "name_suffix": "", "institution": "MedStar Washington Hospital Center", "department": "None" }, { "first_name": "Mike", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "Medstar Washington Hospital Center, Department of Emergency Medicine, Washington DC", "department": "None" }, { "first_name": "Jeff", "middle_name": "", "last_name": "Dubin", "name_suffix": "", "institution": "MedStar Washington Hospital Center", "department": "None" }, { "first_name": "Munish", "middle_name": "", "last_name": "Goyal", "name_suffix": "", "institution": "Medstar Washington Hospital Center, Department of Emergency Medicine, Washington DC", "department": "None" } ], "date_submitted": "2020-02-04T03:37:43+02:00", "date_accepted": "2020-02-04T03:37:43+02:00", "date_published": "2020-10-20T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13544/galley/7089/download/" } ] }, { "pk": 13466, "title": "Characterization of Regional Poison Center Utilization Through Geospatial Mapping", "subtitle": null, "abstract": "Background:\n Penetrance is the annual rate of human exposure calls per 1000 persons, a measurethat historically describes poison center (PC) utilization. Penetrance varies by sociodemographiccharacteristics and by geography. Our goal in this study was to characterize the geospatial distributionof PC calls and describe the contribution of geospatial mapping to the understanding of PC utilization.\nMethods:\n This was a single-center, retrospective study of closed, human, non-healthcare facilityexposure calls to a regional PC over a five-year period. Exposure substance, gender, age, andzone improvement plan (ZIP) Code were geocoded to 2010 US Census data (household income,educational attainment, age, primary language) and spatially apportioned to US census tracts, andthen analyzed with linear regression. Penetrance was geospatially mapped and qualitatively analyzed.\nResults:\n From a total of 304,458 exposure calls during the study period, we identified 168,630non-healthcare exposure calls. Of those records, 159,794 included ZIP Codes. After exclusions,we analyzed 156,805 records. Penetrance ranged from 0.081 - 38.47 calls/1000 population/year(median 5.74 calls/1000 persons/year). Regression revealed positive associations between >eighthgradeeducational attainment (β = 5.05, p = 0.008), non-Hispanic Black (β = 1.18, p = 0.032) andAmerican Indian (β = 3.10, p = 0.000) populations, suggesting that regions with higher proportionsof these groups would display greater PC penetrance. Variability explained by regression modellingwas low (R2 = 0.054), as anticipated. Geospatial mapping identified previously undocumentedpenetrance variability that was not evident in regression modeling.\nConclusion:\n PC calls vary substantially across sociodemographic strata. Higher proportionsof non-Hispanic Black or American Indian residents and >eighth-grade educational attainmentwere associated with higher PC call penetrance. Geospatial mapping identified novel variationsin penetrance that were not identified by regression modelling. Coupled with sociodemographiccorrelates, geospatial mapping may reveal disparities in PC access, identifying communities atwhich PC resources may be appropriately directed. Although the use of penetrance to describe PCutilization has fallen away, it may yet provide an important measure of disparity in healthcare accesswhen coupled with geospatial mapping.", "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": "geospatial mapping, poison center, underserved, exposure, penetrance" } ], "section": "Toxicology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/05d4n3hf", "frozenauthors": [ { "first_name": "Travis", "middle_name": "D.", "last_name": "Olives", "name_suffix": "", "institution": "Minnesota Poison Control System, Minneapolis, Minnesota; Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota; University of Minnesota Medical School, Department of Emergency Medicine,\nMinneapolis, Minnesota", "department": "None" }, { "first_name": "Bjorn", "middle_name": "C.", "last_name": "Westgard", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota; University of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota; Regions Hospital, Department of Emergency Medicine, St. Paul, Minnesota", "department": "None" }, { "first_name": "Lila", "middle_name": "W.", "last_name": "Steinberg", "name_suffix": "", "institution": "Minnesota Poison Control System, Minneapolis, Minnesota; Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota; University of Minnesota Medical School, Department of Emergency Medicine,\nMinneapolis, Minnesota", "department": "None" }, { "first_name": "Jon", "middle_name": "B.", "last_name": "Cole", "name_suffix": "", "institution": "Minnesota Poison Control System, Minneapolis, Minnesota; Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota; University of Minnesota Medical School, Department of Emergency Medicine,\nMinneapolis, Minnesota", "department": "None" } ], "date_submitted": "2020-04-27T23:25:09+03:00", "date_accepted": "2020-04-27T23:25:09+03:00", "date_published": "2020-10-20T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13466/galley/7057/download/" } ] }, { "pk": 941, "title": "Extensive Upper Airway Hematoma Secondary to Supratherapeutic Warfarin Anticoagulation", "subtitle": null, "abstract": "Case Presentation:\n A 63-year-old female presented to the emergency department complaining of cough, neck swelling, dysphagia, and dysphonia for two days, with a past medical history of atrial fibrillation managed with warfarin. Investigations revealed a supratherapeutic international normalised ratio (greater than 10). Imaging and endoscopic examination showed an extensive retropharyngeal hematoma with significant mass effect on the airway.\nDiscussion:\n A rare but potentially fatal complication of warfarin anticoagulation is upper airway hematoma, with violent coughing described as an inciting cause. Signs of airway compromise necessitate specialist consultation and definitive airway management, while mild cases without airway concerns can be managed conservatively with medical anticoagulation reversal.", "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": "anticoagulation" }, { "word": "Swelling" }, { "word": "airway" }, { "word": "hematoma" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6bd8v8sm", "frozenauthors": [ { "first_name": "Taofiq", "middle_name": "Olusegun", "last_name": "Oyedokun", "name_suffix": "", "institution": "University of Saskatchewan, Department of Emergency Medicine, Saskatoon, Saskatchewan, Canada; University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Kevin", "middle_name": "Manuel", "last_name": "Durr", "name_suffix": "", "institution": "University of Saskatchewan, Department of Emergency Medicine, Saskatoon, Saskatchewan, Canada; University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada", "department": "None" } ], "date_submitted": "2020-10-20T02:59:23+03:00", "date_accepted": "2020-10-20T02:59:23+03:00", "date_published": "2020-10-20T03:00:02+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/941/galley/689/download/" } ] }, { "pk": 940, "title": "An Unusual Case of Tetanus Masquerading as an Acute Abdomen: A Case Report", "subtitle": null, "abstract": "Introduction:\n Tetanus is an acute onset neurological disease that is often lethal. It has a high disease burden in low and middle-income countries. Tetanus is caused by a toxin made by spores of the bacterium Clostridium tetani, which are found in soil, dust, and animal feces. The toxin impairs the motor neurons leading to muscle stiffness. However, with the development of a toxoid vaccine, the incidence has sharply declined and is now categorized as a vaccine-preventable disease. The treatment of tetanus is primarily supportive and focuses on managing the complications until the effects of toxins resolve.\nCase Report:\n We report the case of a 67-year-old farmer who previously sustained a laceration injury approximately 45 days prior to presenting to the emergency department with abdominal pain and rigidity. After a comprehensive evaluation to rule out other items in the differential diagnoses, he was diagnosed with tetanus based on clinical symptoms and ultimately required mechanical ventilation. The patient was then managed in the intensive care unit and later made an uneventful recovery.\nConclusion:\n This case illustrates an uncommon presentation of tetanus and the latency of the infectious process. Often when patients present with atypical symptoms, it poses a diagnostic dilemma to the clinicians. Thus, it is very important to carefully elicit a history of contaminated injury. This case also highlights the importance of prophylactic vaccine in low and middle-income countries, which can reduce disease-related mortality and morbidity.", "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": "Tetanus" }, { "word": "acute abdomen" }, { "word": "abdominal muscle spasm" }, { "word": "toxoid" }, { "word": "Vaccine" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0ff2m0wg", "frozenauthors": [ { "first_name": "Rahul", "middle_name": "", "last_name": "Kumar Thakur", "name_suffix": "", "institution": "B.P. Koirala Institute of Health Sciences, Department of Emergency Medicine, Dharan, Nepal", "department": "None" }, { "first_name": "Rajshree", "middle_name": "", "last_name": "Singh", "name_suffix": "", "institution": "Nepalese Army Institute of Health Sciences College of Medicine, Department of Emergency Medicine, Kathmandu, Nepal", "department": "None" }, { "first_name": "Sabin", "middle_name": "", "last_name": "Nepal", "name_suffix": "", "institution": "Nepalgunj Medical College and Teaching Hospital, Department of Radiology, Bheri, Nepal", "department": "None" }, { "first_name": "Prasanna", "middle_name": "", "last_name": "Ghimire", "name_suffix": "", "institution": "Nepalgunj Medical College and Teaching Hospital, Department of Radiology, Bheri, Nepal", "department": "None" } ], "date_submitted": "2020-10-20T02:54:46+03:00", "date_accepted": "2020-10-20T02:54:46+03:00", "date_published": "2020-10-20T02:55:31+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/940/galley/688/download/" } ] }, { "pk": 939, "title": "Cerebral Malaria in a Patient with Recent Travel to the Congo Presenting with Delirium: A Case Report", "subtitle": null, "abstract": "Introduction:\n Cerebral malaria, a syndrome of altered consciousness, is a rare and severe neurologic complication resulting from Plasmodium falciparum.1 Historically, cerebral malaria has been seen more frequently in children rather than adults. To complicate the diagnosis, cerebral malaria has few specific symptoms and neurologic findings can vary with each case.\nCase Report:\n We describe a case of a 61-year-old male who returned from the Democratic Republic of Congo and presented to the emergency department with dehydration, fatigue, and intermittent confusion. He was ultimately diagnosed with cerebral malaria caused by P falciparum.\nConclusion:\n Even with close monitoring and appropriate treatment, cerebral malaria carries a severe risk of long-term neurocognitive deficits and a high mortality rate.", "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": "malaria" }, { "word": "cerebral malaria" }, { "word": "fever in returned traveler" }, { "word": "Plasmodium falciparum" }, { "word": "delirium" }, { "word": "altered mental status" }, { "word": "travel history" }, { "word": "Infectious disease" }, { "word": "tropical medicine" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99z5d0sh", "frozenauthors": [ { "first_name": "Megan", "middle_name": "T.", "last_name": "Roberson", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Austin", "middle_name": "T.", "last_name": "Smith", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" } ], "date_submitted": "2020-10-20T02:49:12+03:00", "date_accepted": "2020-10-20T02:49:12+03:00", "date_published": "2020-10-20T02:50:06+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/939/galley/687/download/" } ] }, { "pk": 938, "title": "A Case Report of B-cell Lymphoblastic Leukemia/Lymphoma Presenting as Isolated Torticollis in a 2-year-old Female", "subtitle": null, "abstract": "Introduction:\n Malignancy is a rare cause of acquired torticollis in children, and spinal cord involvement from hematolymphoid malignancies is similarly unusual. Neurologic abnormalities may not be present on initial evaluation, and delayed diagnosis and treatment is associated with increased risk of permanent paralysis.\nCase Report:\n The author describes a case of isolated torticollis in a 2-year-old evaluated multiple times in the emergency department (ED) and outpatient settings. For her first three presentations, the patient had no associated neurologic abnormalities. She was discharged with return precautions and a presumptive diagnosis of viral infection/lymphadenitis. She later developed weakness of her left arm and was diagnosed with a B-cell lymphoblastic leukemia/lymphoma causing spinal cord compression.\nConclusion:\n This case highlights the importance of continued comprehensive and meticulous physical examination in patients with repeat ED visits, as well as the value of detailed discharge instructions in mitigating diagnostic delays in these patients.", "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": "atraumatic torticollis" }, { "word": "malignancy" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/97j9924k", "frozenauthors": [ { "first_name": "Marina", "middle_name": "", "last_name": "Boushra", "name_suffix": "", "institution": "East Carolina University School of Medicine, Department of Emergency Medicine, Greenville, North Carolina; Vidant Medical Center, Department of Emergency Medicine, Greenville, North Carolina; Vidant Beaufort Hospital, Department of Emergency Medicine, Washington, North Carolina", "department": "None" } ], "date_submitted": "2020-10-20T02:38:55+03:00", "date_accepted": "2020-10-20T02:38:55+03:00", "date_published": "2020-10-20T02:39:28+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/938/galley/686/download/" } ] }, { "pk": 937, "title": "Case Report: Spontaneous Rupture of Inferior Epigastric Artery Masquerading as Inguinal Hernia", "subtitle": null, "abstract": "Introduction:\n Spontaneous rupture of an inferior epigastric artery aneurysm is rare with very few cases reported in the medical literature. Although surgical options are available, this case was managed conservatively with outpatient management.\nCase Report:\n A 29-year-old male presented with right groin pain and swelling that was initially felt to be consistent with an incarcerated inguinal hernia. Further evaluation revealed spontaneous rupture of an inferior epigastric artery aneurysm. The patient was treated conservatively and was ultimately discharged home from the emergency department.\nConclusion:\n Due to the similar clinical presentations, it was important to consider a broad differential to ultimately arrive at the correct diagnosis. In some reported cases of spontaneous epigastric artery aneurysm, surgical intervention was required for control of the bleeding. In our patient, however, conservative management was employed, and the patient was able to be safely discharged with close outpatient follow-up.", "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": "inferior epigastric artery rupture" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7d1985dv", "frozenauthors": [ { "first_name": "Kathryn", "middle_name": "", "last_name": "Sulkowski", "name_suffix": "", "institution": "University of Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Christian", "middle_name": "", "last_name": "Young", "name_suffix": "", "institution": "University of Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" } ], "date_submitted": "2020-10-20T02:28:16+03:00", "date_accepted": "2020-10-20T02:28:16+03:00", "date_published": "2020-10-20T02:30:35+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/937/galley/685/download/" } ] }, { "pk": 13639, "title": "Applying a Model of Teamwork Processes to Emergency Medical Services", "subtitle": null, "abstract": "Introduction:\n Effective teamwork has been shown to optimize patient safety. However, researchcentered on the critical inputs, processes, and outcomes of team effectiveness in emergency medicalservices (EMS) has only recently begun to emerge. We conducted a theory-driven qualitative studyof teamwork processes—the interdependent actions that convert inputs to outputs—by frontline EMSpersonnel in order to provide a model for use in EMS education and research.\nMethods:\n We purposively sampled participants from an EMS agency in Houston, TX. Full-timeemployees with a valid emergency medical technician license were eligible. Using semi-structuredformat, we queried respondents on task/team functions and enablers/obstacles of teamwork in EMS.Phone interviews were recorded and transcribed. Using a thematic analytic approach, we combinedcodes into candidate themes through an iterative process. Analytic memos during coding and analysisidentified potential themes, which were reviewed/refined and then compared against a model ofteamwork processes in emergency medicine.\nResults:\n We reached saturation once 32 respondents completed interviews. Among participants, 30(94%) were male; the median experience was 15 years. The data demonstrated general support forthe framework. Teamwork processes were clustered into four domains: planning; action; reflection;and interpersonal processes. Additionally, we identified six emergent concepts during open coding:leadership; crew familiarity; team cohesion; interpersonal trust; shared mental models; and proceduralknowledge.\nConclusion:\n In this thematic analysis, we outlined a new framework of EMS teamwork processes todescribe the procedures that EMS operators employ to convert individual inputs into team performanceoutputs. The revised framework may be useful in both EMS education and research to empiricallyevaluate the key planning, action, reflection, and interpersonal processes that are critical to teamworkeffectiveness in EMS.", "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": "teamwork processes, emergency medical services, patient safety" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1jq76006", "frozenauthors": [ { "first_name": "William", "middle_name": "G.", "last_name": "Fernandez", "name_suffix": "", "institution": "UT Health-San Antonio, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Justin", "middle_name": "K.", "last_name": "Benzer", "name_suffix": "", "institution": "The University of Texas at Austin, Department of Psychiatry, Austin, Texas", "department": "None" }, { "first_name": "Martin", "middle_name": "P.", "last_name": "Charns", "name_suffix": "", "institution": "Boston University School of Public Health, Department of Health Law, Boston, Massachusetts", "department": "None" }, { "first_name": "James", "middle_name": "F.", "last_name": "Burgess", "name_suffix": "", "institution": "Boston University School of Public Health, Department of Health Law, Boston, Massachusetts;\nDeceased", "department": "None" } ], "date_submitted": "2020-03-06T02:44:25+02:00", "date_accepted": "2020-03-06T02:44:25+02:00", "date_published": "2020-10-19T10:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13639/galley/7122/download/" } ] }, { "pk": 54086, "title": "Climate Change, Race, and Migration", "subtitle": null, "abstract": "This article examines the relationship among climate change, racial subordination, and the capitalist world economy through the framework of racial capitalism. It argues that climate change is a logical consequence of an economic system based on extraction, accumulation through dispossession, and white supremacy. Climate change imposes disproportionate burdens on racialized communities all over the world, many of whom will be expelled from their homes in record numbers as the climate emergency intensifies. International law has been deeply complicit in the project of racial capitalism and is now being deployed to address climate change-induced displacement. This article evaluates the emerging legal and policy responses to climate displacement, and proposes alternative approaches based on the perspectives of states and peoples facing imminent displacement, including their demand for self-determination. Climate change is not an isolated crisis, but a symptom of an economic (dis)order that jeopardizes the future of life on this planet. Through a race-conscious analysis of climate change grounded in political economy, this article seeks to engage scholars in a variety of disciplines in order to develop more robust critiques of the laws, institutions, and ideologies that maintain racial capitalism and pose an existential threat to humanity.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "climate change" }, { "word": "racial capitalism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4bw094qc", "frozenauthors": [ { "first_name": "Carmen", "middle_name": "", "last_name": "Gonzalez", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-01-11T22:01:44+02:00", "date_accepted": "2020-01-11T22:01:44+02:00", "date_published": "2020-10-14T11:01:03+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54086/galley/40913/download/" } ] }, { "pk": 936, "title": "Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section", "subtitle": null, "abstract": "Introduction:\n Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients.\nCase Report:\n A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen.\nConclusion:\n Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.", "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": "traumatic uterine rupture" }, { "word": "emergency cesarean section" }, { "word": "trauma in pregnancy" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/14t136pq", "frozenauthors": [ { "first_name": "Krista", "middle_name": "Shaw", "last_name": "Wiese", "name_suffix": "", "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Stacey", "middle_name": "", "last_name": "Ernest", "name_suffix": "", "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "W.", "middle_name": "Seth", "last_name": "Dukes", "name_suffix": "", "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California", "department": "None" } ], "date_submitted": "2020-10-10T05:41:03+03:00", "date_accepted": "2020-10-10T05:41:03+03:00", "date_published": "2020-10-10T05:41:55+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/936/galley/684/download/" } ] }, { "pk": 935, "title": "Pharmacologically-induced Recreational Priapism: Case Report and Review", "subtitle": null, "abstract": "Introduction:\n Priapism, a time-sensitive urologic emergency, is associated with hematologic disorders, malignancies, trauma, pharmaceuticals, and recreational drugs.\nCase Report:\n A 51-year-old male presented with 36 hours of priapism after recreational use of nonprescribed pharmaceuticals including an oral phosphodiesterase inhibitor and intracorporally injected erectile medications, together with unspecified quantities of cocaine and alcohol. Venous blood gas confirmed ischemic priapism. Detumescence was achieved with intracavernosal phenylephrine injection, aspiration, and irrigation.\nConclusion:\n This case highlights the risk that recreational use of vasoactive medications by patients who seek to prolong sexual activity may lead to delayed presentation for ischemic priapism", "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": "ischemic priapism" }, { "word": "phosphodiesterase inhibitor" }, { "word": "intracorporal injection" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7jv7d0cp", "frozenauthors": [ { "first_name": "Grace", "middle_name": "", "last_name": "Kunas", "name_suffix": "", "institution": "Abrazo Health, Department of Emergency Medicine, Goodyear, Arizona", "department": "None" }, { "first_name": "Janet", "middle_name": "A.", "last_name": "Smereck", "name_suffix": "", "institution": "Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Diana", "middle_name": "", "last_name": "Ladkany", "name_suffix": "", "institution": "Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Jonathan", "middle_name": "E.", "last_name": "Davis", "name_suffix": "", "institution": "Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" } ], "date_submitted": "2020-10-10T05:33:35+03:00", "date_accepted": "2020-10-10T05:33:35+03:00", "date_published": "2020-10-10T05:34:35+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/935/galley/683/download/" } ] }, { "pk": 934, "title": "Case Report of a Left-sided Superior Vena Cava Causing Unique Positioning of Central Line", "subtitle": null, "abstract": "Introduction:\n Persistent left-sided superior vena cava is a rare congenital venous malformation. While often clinically asymptomatic, these variations in normal anatomy may give rise to complications with central venous catheter placement.\nCase Report:\n We present a case of a 71-year-old male who presented to the emergency department with sepsis of unknown etiology. A right-sided central venous catheter was placed, and due to a persistent left-sided superior vena cava the post-procedure chest radiograph showed a uniquely positioned catheter tip within the left atrium.\nConclusion:\n A persistent left-sided superior vena cava may lead to uniquely positioned catheter tip placement on post-procedural imaging. This case demonstrates the need to consider variants in normal venous anatomy, such as persistent left-sided superior vena cava, to aid with correct interpretation of post-procedure imaging findings.", "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": "Left sided superior vena cava" }, { "word": "congenital venous malformation" }, { "word": "malpositioned central venous catheter" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3mm7s6h1", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Mancera", "name_suffix": "", "institution": "University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Genthe", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin", "department": "None" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Lepa", "name_suffix": "", "institution": "University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2020-10-10T05:26:05+03:00", "date_accepted": "2020-10-10T05:26:05+03:00", "date_published": "2020-10-10T05:26:44+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/934/galley/682/download/" } ] }, { "pk": 933, "title": "A Case Report Highlighting That Silica Gel Products Are Not Always Benign", "subtitle": null, "abstract": "Introduction:\n Silica gel packets are commonly used desiccants for medication products; these packets generally only pose a choking risk in young children. However, new cylindrical desiccant canisters have been developed, which may increase the risk for obstruction in adults.\nCase Report:\n An elderly male presented to the emergency department complaining of difficulty swallowing after taking his morning medications. Through a diligent work-up a desiccant canister was found lodged in the lower esophageal sphincter. The patient was endotracheally intubated and a Roth Net retriever was used to remove the canister.\nConclusion:\n Cylindrical desiccant canisters pose an increased risk of esophageal obstruction.", "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": "Silica gel" }, { "word": "esophageal obstruction" }, { "word": "desiccant" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7j86n0bs", "frozenauthors": [ { "first_name": "Nolan", "middle_name": "", "last_name": "Lassiter", "name_suffix": "", "institution": "Touro University - California - College of Osteopathic Medicine, Vallejo, California", "department": "None" }, { "first_name": "Nhia", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "Sacramento City College, Stockton, California", "department": "None" }, { "first_name": "Lakshma", "middle_name": "", "last_name": "Tiyyagura", "name_suffix": "", "institution": "Gastroenterology, Stockton, California", "department": "None" }, { "first_name": "K.", "middle_name": "Scott", "last_name": "Whitlow", "name_suffix": "", "institution": "Touro University - California - College of Osteopathic Medicine, Department of Emergency Medicine, Vallejo, California", "department": "None" } ], "date_submitted": "2020-10-10T05:18:03+03:00", "date_accepted": "2020-10-10T05:18:03+03:00", "date_published": "2020-10-10T05:18:41+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/933/galley/681/download/" } ] }, { "pk": 932, "title": "Case Report and Literature Review: Post-Arthroscopy Pneumothorax with Anterior Decompression", "subtitle": null, "abstract": "Introduction:\n Emergency providers should recognize that pneumothorax is a rare but serious complication of shoulder arthroscopy that may require a unique approach to decompression.\nCase Report:\n We present a case of a 60-year-old female who presented to the emergency department with right-sided facial swelling, voice change, and shortness of breath three hours after an elective arthroscopic right rotator-cuff repair and was noted to have a right-sided pneumothorax. We also describe a potential novel approach to chest tube decompression that maintains shoulder adduction in patients with recently repaired rotator cuffs.\nConclusion:\n Although most cases of post-arthroscopy pneumothoraces are reported in patients who received regional anesthesia or have underlying lung pathology, it can occur in lower-risk patients as was demonstrated in our case. We also suggest considering an alternative anterior approach between the midclavicular and anterior axillary lines for chest decompression in select patients when a traditional approach is less ideal due to the need to maintain shoulder immobilization postoperatively.", "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": "Shoulder surgery complication" }, { "word": "subcutaneous emphysema" }, { "word": "chest tube" }, { "word": "thoracostomy" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/90k089sz", "frozenauthors": [ { "first_name": "Marc", "middle_name": "A.", "last_name": "Cassone", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "Kristin", "middle_name": "L.", "last_name": "Kish", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "Jordan", "middle_name": "R.", "last_name": "Nester", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Orthopedic Surgery, Danville, Pennsylvania", "department": "None" }, { "first_name": "Lisa", "middle_name": "M.", "last_name": "Hoffman", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" } ], "date_submitted": "2020-10-10T05:08:01+03:00", "date_accepted": "2020-10-10T05:08:01+03:00", "date_published": "2020-10-10T05:09:49+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/932/galley/680/download/" } ] } ] }