Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=13000
{ "count": 39500, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=13100", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=12900", "results": [ { "pk": 59293, "title": "The Human Brain and the Evolution of Language", "subtitle": null, "abstract": "Interview with Professor Terrence Deacon", "language": "en", "license": null, "keywords": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34b8m4dj", "frozenauthors": [ { "first_name": "Elettra", "middle_name": "", "last_name": "Preosti", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Russo", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Katie", "middle_name": "", "last_name": "Sanko", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Katheryn", "middle_name": "", "last_name": "Zhou", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Colbert", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-29T16:56:47-07:00", "date_accepted": "2020-07-29T16:56:47-07:00", "date_published": "2020-07-29T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59293/galley/45302/download/" } ] }, { "pk": 59292, "title": "The Rise and Demise of Software", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Features", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5k72m9s5", "frozenauthors": [ { "first_name": "Candy", "middle_name": "", "last_name": "Xu", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-29T16:54:27-07:00", "date_accepted": "2020-07-29T16:54:27-07:00", "date_published": "2020-07-29T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59292/galley/45301/download/" } ] }, { "pk": 59297, "title": "Toward a Synthetically Regenerative World", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Features", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4sj2n1mm", "frozenauthors": [ { "first_name": "Mina", "middle_name": "", "last_name": "Nakatani", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-29T17:03:02-07:00", "date_accepted": "2020-07-29T17:03:02-07:00", "date_published": "2020-07-29T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59297/galley/45306/download/" } ] }, { "pk": 59290, "title": "Understanding Human Cognition: The Cognitive Neuroscience of Motor Learning", "subtitle": null, "abstract": "Interview with Professor Richard Ivry", "language": "en", "license": null, "keywords": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/17n5r42w", "frozenauthors": [ { "first_name": "Sharon", "middle_name": "", "last_name": "Binoy", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ananya", "middle_name": "", "last_name": "Krishnapura", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Esther", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Xiong", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Rosa", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-29T16:52:17-07:00", "date_accepted": "2020-07-29T16:52:17-07:00", "date_published": "2020-07-29T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59290/galley/45299/download/" } ] }, { "pk": 59298, "title": "Urbanization Determines the Abundance of Disease Vector Mosquitoes in Moorea, French Polynesia", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34n8x5xx", "frozenauthors": [ { "first_name": "Jason", "middle_name": "Mark B.", "last_name": "Soriano", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-29T17:04:51-07:00", "date_accepted": "2020-07-29T17:04:51-07:00", "date_published": "2020-07-29T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59298/galley/45307/download/" } ] }, { "pk": 65976, "title": "Necrotizing Endomyometritis", "subtitle": null, "abstract": "An 18-year-old previously healthy female consulted for progressively increasing abdominal distension, pain, vomiting, and weakness...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Female Genitourinary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1tx3b81x", "frozenauthors": [ { "first_name": "Vincent", "middle_name": "", "last_name": "Ndebwanimana", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ling", "middle_name": "", "last_name": "Jing", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Uwamahoro", "middle_name": "", "last_name": "Doris", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-27T14:35:32.458796-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65976/galley/50568/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65976/galley/50568/download/" } ] }, { "pk": 3800, "title": "Challenging the Urban/Rural Divide: Implications for Contemporary Planning Theory and Practice", "subtitle": null, "abstract": "Defining the American urban form relies on a perceived division between ‘urban’ and ‘rural’ areas. I trace the idea of the urban/rural divide through the evolution of human settlement patterns in the United States from the nineteenth century onwards. I argue that while a superficial distinction between urban and rural land was once relevant to characterizing city forms and metropolitan growth trends, in contemporary contexts there no longer exists an actual separation of lands based on their ‘natural’ character around cities. Thus, continuing to plan for urban/rural areas ignores how pressing planning concerns arise from greater socio-ecological processes, and places that extend beyond designated settlement boundaries. I explore how new conceptualizations of urbanization, including urban sustainability, urban resilience, and planetary urbanization, can inform a post-urban/rural divide planning paradigm.", "language": "en", "license": null, "keywords": [ { "word": "Urban/Rural Divide, Planning Theory, Urban Sustainability, Urban Resilience, Planetary Urbanization" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26x0w39j", "frozenauthors": [ { "first_name": "Abigail", "middle_name": "Lynn", "last_name": "Cochran", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2019-02-27T20:10:03-08:00", "date_accepted": "2019-02-27T20:10:03-08:00", "date_published": "2020-07-26T17:39:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3800/galley/2466/download/" } ] }, { "pk": 65978, "title": "Lobar Pneumonia", "subtitle": null, "abstract": "A partially-vaccinated 6-year-old female with no significant past medical history presents to a district emergency department in rural Uganda. Her mother reports that she has had 4 days of progressively worsening cough and appears to have difficulty breathing at times...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Pulmonary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0w963799", "frozenauthors": [ { "first_name": "Travis", "middle_name": "", "last_name": "Kling", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-24T12:21:04.011161-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65978/galley/50570/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65978/galley/50570/download/" } ] }, { "pk": 66109, "title": "Subperiosteal Abscess", "subtitle": null, "abstract": "15-year-old male with sickle cell disease presents with acute-onset severe pain in his lower back and bilateral lower extremities. He has noticed swelling of his extremities for the past few days and has experienced fatigue and subjective fever for 1 week...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Musculoskeletal", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/80k8x9w1", "frozenauthors": [ { "first_name": "Kristopher", "middle_name": "de", "last_name": "Ga", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Stein-Wexler", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-22T15:52:15.278878-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66109/galley/50701/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66109/galley/50701/download/" } ] }, { "pk": 65977, "title": "Human Dirofilariasis", "subtitle": null, "abstract": "A 45-year-old male with a history of HIV presented with a three-week history of a painless subcutaneous nodule in his left forearm...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Soft Tissue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2qq7v006", "frozenauthors": [ { "first_name": "Amanda", "middle_name": "", "last_name": "Ferguson", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Stein-Wexler", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-22T13:09:33.111340-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65977/galley/50569/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65977/galley/50569/download/" } ] }, { "pk": 13883, "title": "COVID-19: Implications for Advanced Care Planning and End-of-Life Care", "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": "COVID-19, Critical Care, Palliative Care" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5506j8xs", "frozenauthors": [ { "first_name": "Mishal", "middle_name": "", "last_name": "Reja", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Division of Internal Medicine, Department of Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Jay", "middle_name": "", "last_name": "Naik", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Division of Internal Medicine, Department of Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Payal", "middle_name": "", "last_name": "Parikh", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Division of Internal Medicine, Department of Medicine, New Brunswick, New Jersey", "department": "None" } ], "date_submitted": "2020-05-05T13:55:32-07:00", "date_accepted": "2020-05-05T13:55:32-07:00", "date_published": "2020-07-21T16:03:45-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13883/galley/7223/download/" } ] }, { "pk": 13911, "title": "Mastery Learning Ensures Correct Personal Protective Equipment Use in Simulated Clinical Encounters of COVID-19", "subtitle": null, "abstract": "Introduction: \nThe correct use of personal protective equipment (PPE) limits transmission of serious communicable diseases to healthcare workers, which is critically important in the era of coronavirus disease 2019 (COVID-19). However, prior studies illustrated that healthcare workers frequently err during application and removal of PPE. The goal of this study was to determine whether a simulation-based, mastery learning intervention with deliberate practice improves correct use of PPE by physicians during a simulated clinical encounter with a COVID-19 patient.\nMethods: \nThis was a pretest-posttest study performed in the emergency department at a large, academic tertiary care hospital between March 31–April 8, 2020. A total of 117 subjects participated, including 56 faculty members and 61 resident physicians. Prior to the intervention, all participants received institution-mandated education on PPE use via an online video and supplemental materials. Participants completed a pretest skills assessment using a 21-item checklist of steps to correctly don and doff PPE. Participants were expected to meet a minimum passing score (MPS) of 100%, determined by an expert panel using the Mastery Angoff and Patient Safety standard-setting techniques. Participants that met the MPS on pretest were exempt from the educational intervention. Testing occurred before and after an in-person demonstration of proper donning and doffing techniques and 20 minutes of deliberate practice. The primary outcome was a change in assessment scores of correct PPE use following our educational intervention. Secondary outcomes included differences in performance scores between faculty members and resident physicians, and differences in performance during donning vs doffing sequences.\nResults:\n All participants had a mean pretest score of 73.1% (95% confidence interval [CI], 70.9-75.3%). Faculty member and resident pretest scores were similar (75.1% vs 71.3%, p = 0.082). Mean pretest doffing scores were lower than donning scores across all participants (65.8% vs 82.8%, p<0.001). Participant scores increased 26.9% (95% CI of the difference 24.7-29.1%, p<0.001) following our educational intervention resulting in all participants meeting the MPS of 100%.\nConclusion:\n A mastery learning intervention with deliberate practice ensured the correct use of PPE by physician subjects in a simulated clinical encounter of a COVID-19 patient. Further study of translational outcomes is 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": "mastery learning" }, { "word": "PPE" }, { "word": "Personal Protective Equipment" }, { "word": "COVID-19" }, { "word": "Workplace safety" }, { "word": "Infection control" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/480725sn", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Pokrajac", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Kimberly", "middle_name": "", "last_name": "Schertzer", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Cori", "middle_name": "M.", "last_name": "Poffenberger", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Al'ai", "middle_name": "", "last_name": "Alvarez", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Paloma", "middle_name": "", "last_name": "Marin-Nevarez", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Winstead-Derlega", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Gisondi", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" } ], "date_submitted": "2020-05-11T12:27:18-07:00", "date_accepted": "2020-05-11T12:27:18-07:00", "date_published": "2020-07-21T16:00:30-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13911/galley/7231/download/" } ] }, { "pk": 13881, "title": "Leveraging Remote Research Associates During a Pandemic", "subtitle": null, "abstract": "Introduction: \nThe coronavirus disease 2019 (COVID-19) pandemic has seriously impacted clinical research operations in academic medical centers due to social distancing measures and stay-at-home orders. The purpose of this paper is to describe the implementation of a program to continue clinical research based out of an emergency department (ED) using remote research associates (RA).\nMethods:\n Remote RAs were trained and granted remote access to the electronic health record (EHR) by the health system’s core information technology team. Upon gaining access, remote RAs used a dual-authentication process to gain access to a host-based, firewall-protected virtual network where the EHR could be accessed to continue screening and enrollment for ongoing studies. Study training for screening and enrollment was also provided to ensure study continuity.\nResults: \nWith constant support and guidance available to establish this EHR access pathway, the remote RAs were able to gain access relatively independently and without major technical troubleshooting. Each remote RA was granted access and trained on studies within one week and self-reported a high degree of program satisfaction, EHR access ease, and study protocol comfort through informal evaluation surveys.\nConclusions:\n In response to the COVID-19 pandemic, we virtualized a clinical research program to continue important ED-based studies.", "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": "Virtual research associates, electronic health record, clinical research, COVID-19, corona virus" } ], "section": "Research Methods", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9pq9z9kf", "frozenauthors": [ { "first_name": "Alexandrea", "middle_name": "O.", "last_name": "Cronin", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Morgan", "middle_name": "A.", "last_name": "Carlile", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Christian", "middle_name": "J.", "last_name": "Dameff", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California\nUniversity of California, San Diego, Department of Biomedical Informatics, San Diego, California\nUniversity of California, San Diego, Department of Computer Science and Engineering, San Diego, California", "department": "None" }, { "first_name": "Christopher", "middle_name": "J.", "last_name": "Coyne", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Edward", "middle_name": "M.", "last_name": "Castillo", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" } ], "date_submitted": "2020-05-05T11:37:50-07:00", "date_accepted": "2020-05-05T11:37:50-07:00", "date_published": "2020-07-21T15:55:31-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13881/galley/7222/download/" } ] }, { "pk": 65974, "title": "Pulmonary Embolism", "subtitle": null, "abstract": "A 58-year-old African female presented to Komfo Anoyke Teach Hospital in Kumasi, Ghana for evaluation of recent right lower extremity swelling, sudden onset breathlessness, and easy fatigability...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Echocardiography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9kb736f2", "frozenauthors": [ { "first_name": "Ideen", "middle_name": "", "last_name": "Zeinali", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Edwards", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-20T17:55:48.351248-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65974/galley/50566/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65974/galley/50566/download/" } ] }, { "pk": 65975, "title": "Aortic Dissection", "subtitle": null, "abstract": "A 66-year-old male with a past medical history of congestive heart failure (CHF) presents to Komfo Anokye Teaching Hospital (KATH) for evaluation of worsening shortness of breath on exertion and vague abdominal discomfort...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Echocardiography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2gx325d6", "frozenauthors": [ { "first_name": "Papa Kojo", "middle_name": "", "last_name": "Mbroh", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Chris", "middle_name": "", "last_name": "Oppong", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Ideen", "middle_name": "", "last_name": "Zeinali", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-20T16:47:55.866919-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65975/galley/50567/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65975/galley/50567/download/" } ] }, { "pk": 893, "title": "Patients with Mild COVID-19 Symptoms and Coincident Pulmonary Embolism: A Case Series", "subtitle": null, "abstract": "Introduction:\n Frequent thrombotic complications have been reported in patients with severe coronavirus disease 2019 (COVID-19) infection. The risk in patients with mild disease is unknown.\nCase Report:\n We report a case series of three individuals recently diagnosed with COVID-19, who presented to the emergency department with chest pain and were found to have pulmonary emboli. The patients had mild symptoms, no vital sign abnormalities, and were negative according to the pulmonary embolism rule-out criteria.\nConclusion:\n This suggests that patients with active or suspected COVID-19 should be considered at elevated risk for pulmonary embolism when presenting with chest pain, even without common risk factors for pulmonary embolism.", "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": "coronavirus" }, { "word": "pulmonary embolism" }, { "word": "Emergency Medicine" }, { "word": "coagulation" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/62j4010j", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "W.", "last_name": "Joseph", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Jonathan", "middle_name": "C.", "last_name": "Roberts", "name_suffix": "", "institution": "Beth Israel Lahey - Milton Hospital, Department of Emergency Medicine, Milton, Massachusetts", "department": "None" }, { "first_name": "Cheri", "middle_name": "N.", "last_name": "Weaver", "name_suffix": "", "institution": "Beth Israel Lahey - Milton Hospital, Department of Emergency Medicine, Milton, Massachusetts", "department": "None" }, { "first_name": "Jonathan", "middle_name": "S.", "last_name": "Anderson", "name_suffix": "", "institution": "Beth Israel Lahey - Milton Hospital, Department of Emergency Medicine, Milton, Massachusetts", "department": "None" }, { "first_name": "Matthew", "middle_name": "L.", "last_name": "Wong", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-07-20T15:32:50-07:00", "date_accepted": "2020-07-20T15:32:50-07:00", "date_published": "2020-07-20T15:33:41-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/893/galley/641/download/" } ] }, { "pk": 892, "title": "Man with Penile Pain", "subtitle": null, "abstract": "Case Presentation:\n We describe a case of spontaneous partial segmental thrombosis of the corpus cavernosum (PSTCC).\nDiscussion:\n PSTCC is a rare condition in which thrombus formation occurs in the corpus cavernosum. This condition is managed in conjunction with a urologist, and management typically includes anticoagulation and pain control.", "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": "Partial segmental thrombosis of the corpus cavernosum" }, { "word": "partial priapism" }, { "word": "penile thrombus" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4gj6h20z", "frozenauthors": [ { "first_name": "Jesse", "middle_name": "", "last_name": "Wray", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Rachel", "middle_name": "E.", "last_name": "Bridwell", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Yoo", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Christopher", "middle_name": "N.", "last_name": "Belcher", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Joshua", "middle_name": "J.", "last_name": "Oliver", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2020-07-20T15:26:59-07:00", "date_accepted": "2020-07-20T15:26:59-07:00", "date_published": "2020-07-20T15:27:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/892/galley/640/download/" } ] }, { "pk": 891, "title": "Point-of-care Ultrasound for Long Head of the Biceps Tendon Rupture", "subtitle": null, "abstract": "Case Presentation:\n We present a case of a 59-year-old male who presented to the emergency department with left upper arm pain that started suddenly after lifting some plywood a few days prior. Point-of-care ultrasound (POCUS) was performed, which revealed a rupture of the long head of the biceps tendon.\nDiscussion:\n Biceps tendon rupture is a relatively rare occurrence; however, rupture of the long head is more common than the short head. Being competent in bedside musculoskeletal POCUS is important for the emergency physician and can help expedite care in cases such as the one presented here.", "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": "Biceps tendon rupture" }, { "word": "ultrasound" }, { "word": "musculoskeletal" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85r0q18b", "frozenauthors": [ { "first_name": "Browning", "middle_name": "S.", "last_name": "Wayman", "name_suffix": "", "institution": "University of Texas Health Science Center at San Antonio, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Joseph", "name_suffix": "", "institution": "University of Texas Health Science Center at San Antonio, Department of Emergency Medicine, San Antonio, Texas", "department": "None" } ], "date_submitted": "2020-07-20T15:18:59-07:00", "date_accepted": "2020-07-20T15:18:59-07:00", "date_published": "2020-07-20T15:21:07-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/891/galley/639/download/" } ] }, { "pk": 890, "title": "36-year-old Male with Syncope", "subtitle": null, "abstract": "Case Presentation:\n A 36-year-old incarcerated male presented to the emergency department (ED) after an episode concerning for syncope. The patient had nystagmus and ataxia on initial examination.\nDiscussion:\n There is a broad differential diagnosis for syncope, and for patients presenting to the ED we tend to focus on cardiogenic and neurologic causes. This case takes the reader through the differential diagnosis and systemic work-up of a patient presenting to the ED with syncope.", "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": "CPC" }, { "word": "syncope" }, { "word": "toxicology" } ], "section": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/20t4b05f", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "A.", "last_name": "King", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Spangler", "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": "2020-07-20T15:12:56-07:00", "date_accepted": "2020-07-20T15:12:56-07:00", "date_published": "2020-07-20T15:13:40-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/890/galley/638/download/" } ] }, { "pk": 889, "title": "Tubelight Adrenals in Diabetic Ketoacidosis", "subtitle": null, "abstract": "Case Presentation:\n We report a patient with the triad of diabetic ketoacidosis, hypertriglyceridemia, and acute pancreatitis associated with computed tomography hypoperfusion complex and adrenal hyperdensity on abdominal imaging – an association not previously reported in diabetic ketoacidosis.\nDiscussion:\n Presence of Computed tomography hypoperfusion complex with hyperdense ‘Tubelight adrenals’ in a patient with diabetic ketoacidosis is associated with poor prognosis and thus serves to guide clinicians towards early and aggressive management.", "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": "Diabetic ketoacidosis" }, { "word": "acute pancreatitis" }, { "word": "hypertriglyceridemia" }, { "word": "CT hypoperfusion" }, { "word": "tubelight adrenal" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0hs0g2wd", "frozenauthors": [ { "first_name": "Prakrati", "middle_name": "", "last_name": "Yadav", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of internal Medicine, Jodhpur, India", "department": "None" }, { "first_name": "Akhilesh", "middle_name": "", "last_name": "Kumar", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of internal Medicine, Jodhpur, India", "department": "None" }, { "first_name": "Rohit", "middle_name": "", "last_name": "Mathur", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of internal Medicine, Jodhpur, India", "department": "None" }, { "first_name": "Pawan", "middle_name": "", "last_name": "Garg", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of internal Medicine, Jodhpur, India", "department": "None" }, { "first_name": "Maya", "middle_name": "", "last_name": "Gopalakrishnan", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of internal Medicine, Jodhpur, India", "department": "None" }, { "first_name": "Mahendra", "middle_name": "", "last_name": "Kumar Garg", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of internal Medicine, Jodhpur, India", "department": "None" } ], "date_submitted": "2020-07-20T15:06:50-07:00", "date_accepted": "2020-07-20T15:06:50-07:00", "date_published": "2020-07-20T15:07:36-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/889/galley/637/download/" } ] }, { "pk": 887, "title": "Duty to Warn in the Emergency Department: Three Medical Legal Cases That Illustrate Providers’ Broad Risk and Liability", "subtitle": null, "abstract": "This article presents three medical-legal cases that define a physician’s duty to warn and include caveats on medical practice within the scope of the law. Some physicians may not recognize that these legal and liability requirements extend not only to physical danger, but also to infectious diseases, medical illness, and drug effects.", "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": "duty to warn" }, { "word": "emergency providers" } ], "section": "Medical Legal Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/83r246fw", "frozenauthors": [ { "first_name": "Rosemary", "middle_name": "", "last_name": "Pfaff", "name_suffix": "", "institution": "Baylor University School of Medicine, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Ross", "middle_name": "P.", "last_name": "Berkeley", "name_suffix": "", "institution": "University of Nevada, Las Vegas School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Gregory", "middle_name": "", "last_name": "Moore", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Heniff", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" } ], "date_submitted": "2020-07-20T14:52:54-07:00", "date_accepted": "2020-07-20T14:52:54-07:00", "date_published": "2020-07-20T14:54:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/887/galley/635/download/" } ] }, { "pk": 886, "title": "Medial Pontomedullary Stroke Mimicking Severe Bell’s Palsy: A Case Report", "subtitle": null, "abstract": "Introduction:\n Patients with acute unilateral upper and lower facial palsy frequently present to the emergency department fearing they have had a stroke, but many cases are benign Bell’s palsy.\nCase Report:\n We present a rare case of a medial pontomedullary junction stroke causing upper and lower hemifacial paralysis associated with severe dysphagia and contralateral face and arm numbness.\nConclusion:\n Although rare, pontine infarct must be considered in patients who present with both upper and lower facial weakness. Unusual neurologic symptoms (namely diplopia, vertigo, or dysphagia) and signs (namely gaze palsy, nystagmus, or contralateral motor or sensory deficits) should prompt evaluation for stroke.", "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": "Bell’s Palsy" }, { "word": "pontine stroke" }, { "word": "MRI" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3tg861kn", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Boodaie", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Manish", "middle_name": "", "last_name": "Amin", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Katayoun", "middle_name": "", "last_name": "Sabetian", "name_suffix": "", "institution": "Kern Medical, Department of Neurology, Bakersfield, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Quesada", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Tyler", "middle_name": "", "last_name": "Torrico", "name_suffix": "", "institution": "Ross University School of Medicine, Department of Medicine, Miramar, Florida", "department": "None" } ], "date_submitted": "2020-07-20T14:44:52-07:00", "date_accepted": "2020-07-20T14:44:52-07:00", "date_published": "2020-07-20T14:45:57-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/886/galley/634/download/" } ] }, { "pk": 885, "title": "Point-of-care Ultrasound Identification of Iliopsoas Abscess in Emergency Department: A Case Report", "subtitle": null, "abstract": "Introduction:\n The iliopsoas muscle is a rare place for an abscess to collect. While these abscesses can have high mortality, they are often misdiagnosed. The use of point-of-care ultrasound (POCUS) can aid in earlier diagnosis.\nCase Report:\n A 45-year-old male presented to the emergency department (ED) with severe lower back pain. The pain radiated to both of his legs and was associated with fever, weight loss, and malaise. The differential diagnosis for this patient was broad. A POCUS was performed at the bedside and revealed bilateral iliopsoas abscesses. This finding was then confirmed by computed tomography.\nConclusion:\n In this case report we will discuss how to identify an iliopsoas abscess using POCUS in ED patients, and the utility of POCUS to facilitate an expedited diagnosis.", "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": "abdominal pain" }, { "word": "flank pain" }, { "word": "psoas abscess" }, { "word": "ultrasound" }, { "word": "bedside ultrasound" }, { "word": "POCUS" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9v7189zp", "frozenauthors": [ { "first_name": "Nehal", "middle_name": "A.", "last_name": "Al-Sadhan", "name_suffix": "", "institution": "King Fahad Medical City, Department of Emergency Medicine, Riyadh, Saudi Arabia", "department": "None" }, { "first_name": "Otto", "middle_name": "", "last_name": "Liebmann", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Division of Emergency Ultrasound, Providence, Rhode Island", "department": "None" }, { "first_name": "Kristin", "middle_name": "H.", "last_name": "Dwyer", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Division of Emergency Ultrasound, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2020-07-20T14:31:33-07:00", "date_accepted": "2020-07-20T14:31:33-07:00", "date_published": "2020-07-20T14:32:17-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/885/galley/633/download/" } ] }, { "pk": 884, "title": "37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation", "subtitle": null, "abstract": "Introduction:\n Patients in the emergency department may experience sudden decompensation despite initially appearing stable.\nCase Presentation:\n A 37-year-old transgender man presented to the emergency department (ED) with several months of fevers, myalgias, and weight loss. The patient acutely became febrile, tachycardic, and hypotensive after an initially reassuring assessment in the ED.\nDiscussion:\n This case takes the reader through the differential diagnosis and work-up of the decompensating patient initially presenting with subacute symptoms.", "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": "Clinicopathological cases" }, { "word": "Infectious disease" }, { "word": "drug reaction" } ], "section": "Clinicopathological Cases", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7204k238", "frozenauthors": [ { "first_name": "Emily", "middle_name": "R.", "last_name": "Fleming", "name_suffix": "", "institution": "University of Wisconsin University Hospital, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "J. David", "middle_name": "", "last_name": "Gatz", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2020-07-20T14:18:17-07:00", "date_accepted": "2020-07-20T14:18:17-07:00", "date_published": "2020-07-20T14:20:50-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/884/galley/632/download/" } ] }, { "pk": 883, "title": "Intracavernous Internal Carotid Artery Aneurysm Presenting as Acute Diplopia: A Case Report", "subtitle": null, "abstract": "Introduction:\n Diplopia is an uncommon emergency department (ED) complaint representing only 0.1% of visits, but it has a large differential. One cause is a cranial nerve palsy, which may be from a benign or life-threatening process.\nCase Report:\n A 69-year-old female presented to the ED with two days of diplopia and dizziness. The physical exam revealed a sixth cranial nerve palsy isolated to the left eye. Imaging demonstrated an intracavernous internal carotid artery aneurysm. The patient was treated with embolization by neurointerventional radiology.\nDiscussion:\n The evaluation of diplopia is initially divided into monocular, usually from a lens problem, or binocular, indicating an extraocular process. Microangiopathic disease is the most common cause of sixth nerve palsy; however, more serious etiologies may be present, such as an intracavernous internal carotid artery aneurysm, as in the patient described. Imaging modalities may include computed tomography or magnetic resonance imaging.\nConclusion:\n Some causes of sixth nerve palsy are benign, while others will require more urgent attention, such as consideration of an intracavernous internal carotid artery aneurysm.", "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": "Sixth cranial nerve palsy" }, { "word": "diplopia" }, { "word": "intracavernous internal carotid artery" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/39n0x329", "frozenauthors": [ { "first_name": "Austin", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "Adena Regional Medical Center, Department of Emergency Medicine, Chillicothe, Ohio", "department": "None" }, { "first_name": "Heath", "middle_name": "", "last_name": "Jolliff", "name_suffix": "", "institution": "Adena Regional Medical Center, Department of Emergency Medicine, Chillicothe, Ohio", "department": "None" }, { "first_name": "Douglas", "middle_name": "", "last_name": "Poe", "name_suffix": "", "institution": "Adena Regional Medical Center, Department of Emergency Medicine, Chillicothe, Ohio", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Weinstock", "name_suffix": "", "institution": "Adena Regional Medical Center, Department of Emergency Medicine, Chillicothe, Ohio; Wexner Medical Center at The Ohio State University, Department of Emergency Medicine, Columbus, Ohio", "department": "None" } ], "date_submitted": "2020-07-20T14:07:25-07:00", "date_accepted": "2020-07-20T14:07:25-07:00", "date_published": "2020-07-20T14:08:09-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/883/galley/631/download/" } ] }, { "pk": 13940, "title": "The Bullets He Carried", "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": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7j5344pt", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "W.", "last_name": "Hargarten", "name_suffix": "", "institution": "Medical College of Wisconsin, Comprehensive Injury Center, Milwaukee, Wisconsin", "department": "None" } ], "date_submitted": "2020-05-14T12:30:56-07:00", "date_accepted": "2020-05-14T12:30:56-07:00", "date_published": "2020-07-20T13:46:50-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13940/galley/7244/download/" } ] }, { "pk": 44972, "title": "What is the Utility of HLA-B51 Positivity in Behcet’s Disease?", "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/1fb4n7pg", "frozenauthors": [ { "first_name": "Ramandeep", "middle_name": "", "last_name": "Bains", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-20T08:51:18-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44972/galley/33765/download/" } ] }, { "pk": 43007, "title": "About the Contributors", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 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\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nd/4.0" }, "keywords": [ { "word": "Journal of Transnational American Studies 11.1 Contributors bios" } ], "section": "Contributors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/40g092pf", "frozenauthors": [ { "first_name": "JTAS", "middle_name": "", "last_name": "Managing Editor", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-07-20T18:17:32-07:00", "date_accepted": "2020-07-20T18:17:32-07:00", "date_published": "2020-07-20T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43007/galley/32049/download/" } ] }, { "pk": 43006, "title": "About this Issue", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 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\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nd/4.0" }, "keywords": [], "section": "Editor in Chief's Note", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/36c0b253", "frozenauthors": [ { "first_name": "Nina", "middle_name": "Y.", "last_name": "Morgan", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" } ], "date_submitted": "2020-07-20T17:39:47-07:00", "date_accepted": "2020-07-20T17:39:47-07:00", "date_published": "2020-07-20T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43006/galley/32048/download/" } ] }, { "pk": 888, "title": "Chest Wall Pain after Minor Trauma", "subtitle": null, "abstract": "Case Presentation:\n A 30-year-old healthy male presented with a complaint of chest pain after mild thoracic trauma sustained while rescuing stranded flood victims during Hurricane Harvey. Careful physical examination revealed a tender palpable cord along the lateral aspect of his chest consistent with a superficial thrombophlebitis.\nDiscussion:\n Mondor’s disease is a superficial thrombophlebitis with myriad underlying causes that can involve the thoracic wall. Although Mondor’s disease has been well described in the literature, this case describes a unique presentation in an austere environment with blunt trauma as the underlying cause.", "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": "Mondor’s disease" }, { "word": "superficial thrombophlebitis" }, { "word": "chest pain" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vj3n7hw", "frozenauthors": [ { "first_name": "Deepak", "middle_name": "", "last_name": "Chandwani", "name_suffix": "", "institution": "California Task Force 6 - Urban Search and Rescue, Riverside, California; Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Jeff", "middle_name": "", "last_name": "Arnold", "name_suffix": "", "institution": "California Task Force 1 - Urban Search and Rescue, Los Angeles City Fire Department, Los Angeles, California", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Terrusa", "name_suffix": "", "institution": "California Task Force 1 - Urban Search and Rescue, Los Angeles City Fire Department, Los Angeles, California", "department": "None" } ], "date_submitted": "2020-07-20T15:00:10-07:00", "date_accepted": "2020-07-20T15:00:10-07:00", "date_published": "2020-07-20T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/888/galley/636/download/" } ] }, { "pk": 43005, "title": "“Internationalism and Its Limits,” from The World in a City: Multiethnic Radicalism in Early Twentieth-Century Los Angeles by David M. Struthers", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 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\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nd/4.0" }, "keywords": [ { "word": "Transnational American Studies" }, { "word": "Shelley Fisher Fishkin Prize 2019" }, { "word": "JTAS" } ], "section": "SHELLEY FISHER FISHKIN PRIZE for INTERNATIONAL SCHOLARSHIP in TRANSNATIONAL AMERICAN STUDIES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3hv6891j", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Struthers", "name_suffix": "", "institution": "Independent Scholar", "department": "None" } ], "date_submitted": "2020-07-19T16:34:40-07:00", "date_accepted": "2020-07-19T16:34:40-07:00", "date_published": "2020-07-20T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43005/galley/32047/download/" } ] }, { "pk": 65973, "title": "Supracondylar Fracture", "subtitle": null, "abstract": "A previously healthy 6-year-old girl presents with a chief complaint of right arm pain after a witnessed fall while running...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Musculoskeletal", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5sq471z8", "frozenauthors": [ { "first_name": "Averyl", "middle_name": "", "last_name": "Shindruk", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T19:53:18.810785-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65973/galley/50565/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65973/galley/50565/download/" } ] }, { "pk": 66098, "title": "Perforated Appendicitis", "subtitle": null, "abstract": "A 5-year-old boy with no past medical history presented with fever and abdominal pain. One week prior, he had one episode of large volume emesis and periumbilical pain...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rw567pk", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "", "last_name": "Vong", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Stein-Wexler", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T19:02:31.055272-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66098/galley/50690/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66098/galley/50690/download/" } ] }, { "pk": 65963, "title": "Hydrocephalus", "subtitle": null, "abstract": "Term infant born via cesarean section for breech presentation and hypoglycemia, found to have macrocephaly...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Head", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/28z9k8rb", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "", "last_name": "Vong", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Stein-Wexler", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T18:20:58.249233-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65963/galley/50555/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65963/galley/50555/download/" } ] }, { "pk": 65972, "title": "Midgut Volvulus", "subtitle": null, "abstract": "An otherwise healthy 10-month-old female presents with 1 day of bilious emesis and fussiness...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9cd8739m", "frozenauthors": [ { "first_name": "Kristopher", "middle_name": "de", "last_name": "Ga", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Stein-Wexler", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T17:29:46.025656-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65972/galley/50564/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65972/galley/50564/download/" } ] }, { "pk": 65971, "title": "Ruptured Ectopic Pregnancy: FAST", "subtitle": null, "abstract": "<p>A 25-year-old female with no significant past medical history presents to a regional referral emergency department in Uganda with one day of sudden onset diffuse abdominal pain, worse in the lower abdomen...</p>", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Female Genitourinary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/48590710", "frozenauthors": [ { "first_name": "Freshta", "middle_name": "", "last_name": "Sahak", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T16:16:44.936809-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65971/galley/50563/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65971/galley/50563/download/" } ] }, { "pk": 65969, "title": "Miliary Tuberculosis", "subtitle": null, "abstract": "A 35-year-old previously healthy Ugandan male, presents with cough for 3-4 months, dark sputum and intermittent fevers. The cough has been constant, and sputum production is thickening...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Systemic Diseases", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4tt9q5s1", "frozenauthors": [ { "first_name": "Jordan", "middle_name": "", "last_name": "Rode", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Melony", "middle_name": "", "last_name": "Chakrabarty", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T12:55:20.828318-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65969/galley/50561/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65969/galley/50561/download/" } ] }, { "pk": 65968, "title": "Amoebic Liver Abscess", "subtitle": null, "abstract": "A 24-year-old female presents to an emergency department in southern Uganda with a chief complaint of three weeks of night sweats. Her symptoms progressed gradually with increasing abdominal pain, localized to the right upper quadrant...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9k93p0nh", "frozenauthors": [ { "first_name": "Romeo", "middle_name": "", "last_name": "Wahome", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Mirsch", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-18T11:21:41.243523-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65968/galley/50560/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65968/galley/50560/download/" } ] }, { "pk": 65961, "title": "Peripartum Cardiomyopathy", "subtitle": null, "abstract": "Two sisters presented to the Emergency Department (ED) with concerns that their abdomens were increasing after giving birth...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Echocardiography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6bb8h3vx", "frozenauthors": [ { "first_name": "Albert", "middle_name": "", "last_name": "Mugisa", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Deus", "middle_name": "", "last_name": "Twinomugisha", "name_suffix": "ECP", "institution": "", "department": "" }, { "first_name": "Tracy", "middle_name": "", "last_name": "Walczynski", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-17T15:45:35.544150-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65961/galley/50553/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65961/galley/50553/download/" } ] }, { "pk": 65967, "title": "Echinococcus Granulosus Hydatid Cyst", "subtitle": null, "abstract": "A 69-year-old female with a history of hypertension presented to the emergency department with malaise, right upper quadrant pain, and nausea intermittently for two months, worsening over the past three days...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3fd18143", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "", "last_name": "Langan", "name_suffix": "DO", "institution": "", "department": "" }, { "first_name": "Josh", "middle_name": "", "last_name": "Greenstein", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Barry", "middle_name": "", "last_name": "Hahn", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-16T16:45:41.009773-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65967/galley/50559/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65967/galley/50559/download/" } ] }, { "pk": 14240, "title": "Volume 21, Issue 4 - July", "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": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zv2w7j9", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Louis", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-06-29T15:17:38-07:00", "date_accepted": "2020-06-29T15:17:38-07:00", "date_published": "2020-07-16T16:08:13-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14240/galley/7346/download/" } ] }, { "pk": 882, "title": "Using Lung Point-of-care Ultrasound in Suspected COVID-19: Case Series and Proposed Triage Algorithm", "subtitle": null, "abstract": "Introduction:\n First detected in December 2019, the severe acute respiratory syndrome coronavirus 2 pandemic upended the global community in a few short months. Diagnostic testing is currently limited in availability, accuracy, and efficiency. Imaging modalities such as chest radiograph (CXR), computed tomography, and lung ultrasound each demonstrate characteristic findings of coronavirus disease 2019 (COVID-19). Lung ultrasound offers benefits over other imaging modalities including portability, cost, reduced exposure of healthcare workers as well as decreased contamination of equipment such as computed tomography scanners.\nCase Series:\n Here we present a case series describing consistent lung ultrasound findings in patients with confirmed COVID-19 despite variable clinical presentations and CXR findings. We discuss a triage algorithm for clinical applicability and utility of lung point-of-care ultrasound in the setting of COVID-19 and advocate for judicious and targeted use of this tool.\nConclusion\n: Lung point-of-care ultrasound can provide valuable data supporting diagnostic and triage decisions surrounding suspected cases of COVID-19. Prospective studies validating our proposed triage algorithm are warranted.", "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": "lung" }, { "word": "ultrasound" }, { "word": "POCUS" }, { "word": "COVID-19" }, { "word": "SARS-CoV-2" }, { "word": "coronavirus" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6p61b048", "frozenauthors": [ { "first_name": "Nicole", "middle_name": "M.", "last_name": "Duggan", "name_suffix": "", "institution": "Massachusetts General Hospital, Division of Ultrasound in Emergency Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Andrew", "middle_name": "S.", "last_name": "Liteplo", "name_suffix": "", "institution": "Massachusetts General Hospital, Division of Ultrasound in Emergency Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Hamid", "middle_name": "", "last_name": "Shokoohi", "name_suffix": "", "institution": "Massachusetts General Hospital, Division of Ultrasound in Emergency Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Goldsmith", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Division of Emergency Ultrasound, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-07-16T13:05:57-07:00", "date_accepted": "2020-07-16T13:05:57-07:00", "date_published": "2020-07-16T13:07:21-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/882/galley/630/download/" } ] }, { "pk": 881, "title": "COVID-19 with Hypoxic Respiratory Failure", "subtitle": null, "abstract": "Case Presentation:\n We describe an elderly male presenting to the emergency department with shortness of breath that progressed to hypoxic respiratory failure. Radiography and computed tomography findings were suggestive of coronavirus disease 2019 (COVID-19).\nDiscussion:\n We review the clinical presentation of COVID-19 and its complications. We also describe the characteristic presentation of COVID-19 on imaging. Our case illustrates the hallmark findings of bilateral and peripheral ground-glass opacities of 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": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0wn2r69s", "frozenauthors": [ { "first_name": "Miguel", "middle_name": "A.", "last_name": "Martinez-Romo", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "C. Eric", "middle_name": "", "last_name": "McCoy", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2020-07-16T12:34:51-07:00", "date_accepted": "2020-07-16T12:34:51-07:00", "date_published": "2020-07-16T12:35:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/881/galley/629/download/" } ] }, { "pk": 880, "title": "COVID-19 and Pulmonary Emboli: A Case Series and Literature Review", "subtitle": null, "abstract": "Introduction:\n There is recent evidence that coronavirus disease 2019 (COVID-19) infection results in a prothrombotic state that may increase the risk of venous thromboembolism. Both COVID-19 infection and pulmonary emboli can present with dyspnoea, tachypnoea, hypoxaemia and an elevated D-dimer. Identifying a pulmonary embolus in a patient with COVID-19 and differentiating it from the typical clinical and biochemical features of COVID-19 is challenging.\nCase Reports:\n We report four cases, and reviewed two further cases in the literature, of a pulmonary embolus in patients who presented to the emergency department with COVID-19 and no other risk factor for a pulmonary embolus.\nConclusion:\n We identified a series of atypical features that should raise suspicion for a pulmonary embolus: pleuritic chest pain; haemoptysis; atrial fibrillation; tachycardia; hypotension; late onset deterioration; evidence of right heart strain; or a disproportionally elevated D-dimer in comparison to ferritin.", "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": "pulmonary embolus" }, { "word": "COVID-19" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0hj7b1dh", "frozenauthors": [ { "first_name": "James", "middle_name": "", "last_name": "Greenan-Barrett", "name_suffix": "", "institution": "Royal Free Hospital, Department of Emergency Medicine, Hampstead, London, United Kingdom", "department": "None" }, { "first_name": "Adrian", "middle_name": "", "last_name": "Perera", "name_suffix": "", "institution": "Royal Free Hospital, Department of Emergency Medicine, Hampstead, London, United Kingdom", "department": "None" } ], "date_submitted": "2020-07-16T12:24:26-07:00", "date_accepted": "2020-07-16T12:24:26-07:00", "date_published": "2020-07-16T12:25:48-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/880/galley/628/download/" } ] }, { "pk": 6788, "title": "A Longitudinal Study of Sequential Organization of L2 Repair in Classroom Contexts", "subtitle": null, "abstract": "This paper builds on and extends Seedhouse (2004)’s study on conversational interaction and second language (L2) learning in formal pedagogical contexts through a longitudinal investigation of repair. Theoretically, the project engages with concepts of repair and language learning within the field of Conversation Analysis (CA) and attempts to re-examine the relationship between L2 repair and L2 classroom contexts proposed by Seedhouse. Methodologically, the research employs conversation analytic approach to L2 spoken data and as a departure from the traditional CA approach, it incooperates quantitative analysis as well as the researcher’s field notes and interviews to explore the complexities of L2 repair in terms of its sequential organization overtime.\n \nThe findings supported Seedhouse in that L2 repair is sequenced differently in accordance with the pedagogic goals set by the teacher. More importantly, this study adds to the previous research in that the learners orientated to achieving L2 accuracy in all pedagogic contexts regardless of the initial pedagogic focus.", "language": "en", "license": null, "keywords": [ { "word": "L2 repair, L2 learning, Conversation Analysis, English as a second language." } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93c0k7t0", "frozenauthors": [ { "first_name": "Ha Rim", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "University of Auckland", "department": "None" } ], "date_submitted": "2019-02-13T18:49:31-08:00", "date_accepted": "2019-02-13T18:49:31-08:00", "date_published": "2020-07-16T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/6788/galley/3899/download/" } ] }, { "pk": 6799, "title": "Book Review", "subtitle": null, "abstract": "Book Review", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2wm06385", "frozenauthors": [ { "first_name": "Mathijs", "middle_name": "", "last_name": "Arens", "name_suffix": "", "institution": "California State University Los Angeles", "department": "None" } ], "date_submitted": "2020-07-16T14:54:04-07:00", "date_accepted": "2020-07-16T14:54:04-07:00", "date_published": "2020-07-16T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/6799/galley/3900/download/" } ] }, { "pk": 6779, "title": "Indigenous Language Teaching Policy in California/the U.S.: What’s Left Unsaid in Discourse/Funding", "subtitle": null, "abstract": "This paper addresses the issue of indigenous language revitalization in California and the United States as it relates to language policy in schools. How do language policies—specifically, No Child Left Behind, the Native American Languages Act, and those of local funding—affect revitalization efforts? Based on a grounded exploration of language policies regarding Native American communities in the State of California, this paper offers: 1) a close analysis of how policies relegate Native community language needs to the background, and 2) how the realities of funding affect the implicit and explicit statements of these policies. In particular, a critical discourse analysis of policy documents is put forth. This analysis reveals that language revitalization efforts involve more than communities working to teach dying languages; they involve us addressing several background issues concerning existing language policies as well as efforts on the part of funders to raise awareness of Native American language concerns.", "language": "en", "license": null, "keywords": [ { "word": "Language policy" }, { "word": "No Child Left Behind" }, { "word": "Native American Languages Act" }, { "word": "language education" }, { "word": "discourse analysis" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1mt841b8", "frozenauthors": [ { "first_name": "Emily", "middle_name": "Ariel", "last_name": "Moline", "name_suffix": "", "institution": "UC Davis", "department": "None" } ], "date_submitted": "2017-11-23T17:01:21-08:00", "date_accepted": "2017-11-23T17:01:21-08:00", "date_published": "2020-07-16T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/6779/galley/3898/download/" } ] }, { "pk": 65964, "title": "Focal Seizure and Use of Optic Nerve Sheath Diameter", "subtitle": null, "abstract": "A 7-year-old female presented to the Emergency Department in status epilepticus...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Head", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/98f040xf", "frozenauthors": [ { "first_name": "Charles", "middle_name": "", "last_name": "McElyea", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T17:18:10.220114-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65964/galley/50556/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65964/galley/50556/download/" } ] }, { "pk": 65965, "title": "Typhoid Intestinal Perforation", "subtitle": null, "abstract": "A 14-year-old male who lives in rural Uganda, presented to Masaka Regional Referral Hospital with 3 days of high-grade fever, constipation, and severe abdominal pain...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7bc140vq", "frozenauthors": [ { "first_name": "Kevin Xerxes", "middle_name": "", "last_name": "Durgun", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T17:12:33.879782-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65965/galley/50557/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65965/galley/50557/download/" } ] }, { "pk": 65966, "title": "Ascariasis", "subtitle": null, "abstract": "7-year-old male presented with fever and diarrhea, worsening diffuse abdominal pain and weight loss over the past 2 weeks after traveling from Honduras 3 weeks ago...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6c02329s", "frozenauthors": [ { "first_name": "Wayne", "middle_name": "", "last_name": "Fu", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Josh", "middle_name": "", "last_name": "Greenstein", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Amit", "middle_name": "", "last_name": "Ramjit", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T16:55:41.334550-07:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65966/galley/50558/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65966/galley/50558/download/" } ] }, { "pk": 879, "title": "De Winter T-wave Pattern in Proximal Left Anterior Descending Artery Occlusion", "subtitle": null, "abstract": "Case Presentation: \nWe describe a case of an acute myocardial infarction with an atypical electrocardiogram showing a de Winter T-wave pattern suggesting the 100% proximal left anterior descending artery occlusion seen on emergent cardiac catheterization.\nDiscussion:\n Timely recognition of acute myocardial ischemia is paramount for emergency providers. As highlighted in this case, It is important to be mindful of atypical electrocardiogram findings, such as de Winter T-waves, which suggest acute myocardial ischemia.", "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": "ECG" }, { "word": "de Winter" }, { "word": "T-wave" }, { "word": "STEMI" }, { "word": "AMI" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2x83308h", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Gregory", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Wexler", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "Brent", "middle_name": "", "last_name": "Becker", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" } ], "date_submitted": "2020-07-15T11:40:50-07:00", "date_accepted": "2020-07-15T11:40:50-07:00", "date_published": "2020-07-15T11:41:22-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/879/galley/627/download/" } ] }, { "pk": 878, "title": "Ruptured Splenic Artery Aneurysm in the Postpartum Patient: A Case Series", "subtitle": null, "abstract": "Introduction:\n The evaluation of an unstable peripartum patient in the emergency department includes a differential diagnosis spanning multiple organ systems. Splenic artery aneurysm (SAA) is one of those rare diagnoses with potentially high morbidity and mortality.\nCase Series:\n This case series explores two unusual cases of postpartum SAAs. Despite differences in presentation, both patients had a ruptured SAA.\nConclusion: \nOften, SAAs are misdiagnosed. Early diagnosis is key, especially for the fetus. If the patient presents in shock, the expedited diagnosis and treatment can be lifesaving for both the mother and the fetus.", "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": "splenic artery aneurysm" }, { "word": "postpartum complications" }, { "word": "antepartum complications" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0nh369wh", "frozenauthors": [ { "first_name": "Angel", "middle_name": "", "last_name": "Rochester", "name_suffix": "", "institution": "Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Tracy", "middle_name": "", "last_name": "Lance", "name_suffix": "", "institution": "Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Dane", "middle_name": "E.", "last_name": "Smith", "name_suffix": "", "institution": "Prisma Health Upstate, Department of Surgery, Greenville, South Carolina", "department": "None" }, { "first_name": "Camiron", "middle_name": "", "last_name": "Pfennig", "name_suffix": "", "institution": "Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Tyson", "name_suffix": "", "institution": "Prisma Health Upstate, Department of Obstetrics and Gynecology, Greenville, South Carolina", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Moschella", "name_suffix": "", "institution": "Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" } ], "date_submitted": "2020-07-15T11:30:06-07:00", "date_accepted": "2020-07-15T11:30:06-07:00", "date_published": "2020-07-15T11:34:23-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/878/galley/626/download/" } ] }, { "pk": 44971, "title": "An Encounter with a Stingray", "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/34q7c539", "frozenauthors": [ { "first_name": "Miguel", "middle_name": "", "last_name": "Lemus", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Derrick", "middle_name": "", "last_name": "Darnsteadt", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T08:32:34-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44971/galley/33764/download/" } ] }, { "pk": 44970, "title": "A Case of Non-Bacterial Thrombotic Endocarditis", "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/5hj3q8wh", "frozenauthors": [ { "first_name": "Sina", "middle_name": "", "last_name": "Shafiei", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "E.", "last_name": "Lazarus", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T08:30:10-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44970/galley/33763/download/" } ] }, { "pk": 44969, "title": "Less Common Symptoms of Uncontrolled Hypothyroidism", "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/2m22w2qr", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Liao", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mina", "middle_name": "", "last_name": "Ma", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T08:28:23-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44969/galley/33762/download/" } ] }, { "pk": 44968, "title": "Cutibacterium acnes Isolated from Neck Mass: True Infection or Contaminant?", "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/38p5d7f0", "frozenauthors": [ { "first_name": "Ruihong", "middle_name": "", "last_name": "Luo", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T08:26:50-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44968/galley/33761/download/" } ] }, { "pk": 44967, "title": "Type 1 Autoimmune Pancreatitis with Systemic Lymphadenopathy: An IgG-Related Disease", "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/3n22t3q4", "frozenauthors": [ { "first_name": "Amy", "middle_name": "S.", "last_name": "Wang", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lillian", "middle_name": "", "last_name": "Chen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-15T08:24:59-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44967/galley/33760/download/" } ] }, { "pk": 39779, "title": "The geographic distribution of Protura (Arthropoda: Hexapoda): a review", "subtitle": null, "abstract": "Protura is a poorly known class of Hexapoda represented by more than 800 species belonging to 77 genera worldwide. They are tiny soil organisms with low dispersal ability, mainly attributable to water and human-mediated transfer. The analysis of biogeography of Protura is hindered by the lack of knowledge on their natural history, systematics and distribution. In order to provide a starting point for future more detailed investigations, we reviewed the available literature on their geographic distribution, making a distinction between continental and insular areas. A general overview based on Wallace’s biogeographic regionalization is outlined, highlighting a maximum of known richness and endemism at the genus level in the Palearctic region, and particularly within its eastern part. Some detailed examples of disjunct distribution and their interpretation based on vicariance or dispersal events are given.", "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.\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/4.0" }, "keywords": [ { "word": "Acerentomata, Eosentomata, Sinentomata, Continental Drift, Biogeography" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ng7g6td", "frozenauthors": [ { "first_name": "Loris", "middle_name": "", "last_name": "Galli", "name_suffix": "", "institution": "Genoa University", "department": "None" }, { "first_name": "Ivano", "middle_name": "", "last_name": "Rellini", "name_suffix": "", "institution": "Genoa University", "department": "None" } ], "date_submitted": "2020-06-05T12:48:59-07:00", "date_accepted": "2020-06-05T12:48:59-07:00", "date_published": "2020-07-15T07:08:23-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39779/galley/29960/download/" } ] }, { "pk": 42124, "title": "Border South / Frontera Sur", "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": "transit migration" }, { "word": "Central American migrants" }, { "word": "borders" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8tn3z5nd", "frozenauthors": [ { "first_name": "Melissa", "middle_name": "", "last_name": "Gauthier", "name_suffix": "", "institution": "University of Victoria", "department": "None" } ], "date_submitted": "2020-06-09T13:41:56-07:00", "date_accepted": "2020-06-09T13:41:56-07:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42124/galley/31452/download/" } ] }, { "pk": 42123, "title": "Designing an Assignment on Undocumented Migration: It’s All About Framing", "subtitle": null, "abstract": "Teaching about undocumented Mexican migration means teaching about an issue often seen as controversial. In many contexts, assumptions students bring with them can inhibit their ability to engage with nuance to more effectively understand the issue. It is therefore imperative that instructors deliver this information in a way that allows students to see such nuance. This article details an essay assignment I use to teach about undocumented Mexican migration in the context of the political and economic frameworks that help drive it. A key feature of this assignment is its use of “decoupling,” or separating the issue at hand from ideologies and associations surrounding it in order to facilitate understanding. Use of this strategy helps students understand this complex issue in a way, it is hoped, they can apply to complex issues beyond.", "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": "migration" }, { "word": "controversy" }, { "word": "decoupling" } ], "section": "Commentaries", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06q2b2qh", "frozenauthors": [ { "first_name": "Evin", "middle_name": "", "last_name": "Rodkey", "name_suffix": "", "institution": "Muskegon Community College", "department": "None" } ], "date_submitted": "2020-02-25T13:49:01-08:00", "date_accepted": "2020-02-25T13:49:01-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42123/galley/31451/download/" } ] }, { "pk": 42125, "title": "Frontera Sur / Border South", "subtitle": null, "abstract": "", "language": "es", "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": "transit migration" }, { "word": "Central American migrants" }, { "word": "borders" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zv8p8zq", "frozenauthors": [ { "first_name": "Melissa", "middle_name": "", "last_name": "Gauthier", "name_suffix": "", "institution": "University of Victoria", "department": "None" } ], "date_submitted": "2020-06-10T15:19:51-07:00", "date_accepted": "2020-06-10T15:19:51-07:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42125/galley/31453/download/" } ] }, { "pk": 42115, "title": "“Judging Extreme Hardship”: An in-class activity for teaching critical interrogation of discursive frames in U.S. im/migration law", "subtitle": null, "abstract": "A key element in teaching the anthropology of im/migration is fostering critical analysis of the discursive frames used in conversations about im/migrants. In this article I describe an in-class activity I use to foster critical thinking about discursive frames on im/migration—specifically those which are embedded into U.S. immigration law. Students are asked to play the role of an immigration judge deciding on a de-identified version of an actual “hardship waiver” case—a petition for relief from deportation. By putting themselves in the shoes of an immigration judge, students must work to disconnect from their own biases and assumptions in order to attempt to apply immigration law. In the process, students learn about the inner workings of the immigration system and interrogate how discursive frames shape the application of immigration law.", "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": "immigration discourse" }, { "word": "Immigration Law" }, { "word": "immigration judge" }, { "word": "hardship waiver" }, { "word": "deportation" } ], "section": "Commentaries", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0c60j8hc", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Cook", "name_suffix": "", "institution": "Southern Methodist University", "department": "None" } ], "date_submitted": "2020-02-15T13:32:23-08:00", "date_accepted": "2020-02-15T13:32:23-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42115/galley/31447/download/" } ] }, { "pk": 42122, "title": "Offering Informal Education in Public Libraries through Exhibit Design", "subtitle": null, "abstract": "The American Anthropological Association’s forthcoming traveling exhibit on the subject of migration and mobility is designed to be hosted by public libraries. By recruiting libraries as host institutions, we make scholarship accessible to general audiences and provide a focal point for programming and community engagement. This essay outlines our approach to designing with libraries in mind, aiming to influence public discourse about a topical issue.", "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": "migration" }, { "word": "informal education" }, { "word": "museum anthropology" }, { "word": "youth outreach" } ], "section": "Commentaries", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/44n939r2", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Ginsberg", "name_suffix": "", "institution": "American Anthropological Association", "department": "None" } ], "date_submitted": "2020-02-25T09:12:07-08:00", "date_accepted": "2020-02-25T09:12:07-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42122/galley/31450/download/" } ] }, { "pk": 42114, "title": "Project- and Human-Centered Teaching and Learning: Diplomacy Lab and the Expanded Public Charge Rule for New Cabo Verdean Immigrants", "subtitle": null, "abstract": "This commentary introduces the U.S. State Department-sponsored Diplomacy Lab. This program provides interdisciplinary teams of students an opportunity to learn how to directly inform government policy development and implementation. In the project discussed here, a team of student researchers considered how the new public charge final rule could impact Cabo Verdean immigrants in the United States. The program demonstrates how project- and human-centered pedagogy through social science research advances student learning by providing students an opportunity to directly observe the complex effects of policy decisions on people’s lives.", "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": "experiential learning" }, { "word": "Cabo Verde" }, { "word": "Immigration" }, { "word": "final public charge rule" }, { "word": "Diplomacy Lab" } ], "section": "Commentaries", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8999f57n", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "D", "last_name": "Lundy", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Allison", "middle_name": "C.", "last_name": "Garefino", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Brenda", "middle_name": "L", "last_name": "Cleaver", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Danielle", "middle_name": "", "last_name": "Dumett", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Kaitlyn", "middle_name": "", "last_name": "Godwin", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Agazeet", "middle_name": "", "last_name": "Haile", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "William", "middle_name": "P", "last_name": "Hasse", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Alexandria", "middle_name": "", "last_name": "Seigler", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Kathleen", "middle_name": "B", "last_name": "Smith", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" }, { "first_name": "Nicholas", "middle_name": "A", "last_name": "Zingleman", "name_suffix": "", "institution": "Kennesaw State University", "department": "None" } ], "date_submitted": "2020-02-15T10:17:06-08:00", "date_accepted": "2020-02-15T10:17:06-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42114/galley/31446/download/" } ] }, { "pk": 42093, "title": "Reading Alex E. Chávez's Sounds of Crossing: Music, Migration, and the Aural Poetics of Huapango Arribeño (Duke University Press, 2017), a Pedagogical Lesson", "subtitle": null, "abstract": "In this article we argue for a slow, methodical, and collaborative approach to difficult texts. This article is the story of how, thanks to the efforts of the students and professor, a book that rewards diligent effort, and some creative pedagogical strategies borne of desperation, the experience of reading Alex E. Chávez’s Sounds of Crossing became a highlight of our college experience. In this article we explore the differing perspectives of students and faculty, including the reasons students came to view this as a meaningful experience. Some of our significant findings include the following: 1) the reading of the book was meaningful even though it was difficult; 2) the meaningfulness of the reading was not diminished by how difficult the theoretical and musical material remained, even with close exegesis; 3) the difficulty was eased by specific pedagogical methods, mainly based on collaborative learning, that were found by the students to be effective for increasing comprehension and navigation of the text; and 4) the connection between the book and the students’ lived experience enhanced the appeal of the text, their willingness to continue with it in spite of difficulty, their tolerance for confusion, and their overall satisfaction with the experience of reading it.", "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": "ethnography" }, { "word": "pedagogy" }, { "word": "migration" }, { "word": "teaching anthropology" }, { "word": "Collaborative learning" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/76x4d7jv", "frozenauthors": [ { "first_name": "Alyshia", "middle_name": "", "last_name": "Gálvez", "name_suffix": "", "institution": "Lehman College", "department": "None" }, { "first_name": "Lizbeth", "middle_name": "", "last_name": "Bravo", "name_suffix": "", "institution": "Lehman College", "department": "None" }, { "first_name": "Edith", "middle_name": "", "last_name": "Carrasco", "name_suffix": "", "institution": "Lehman College", "department": "None" }, { "first_name": "Kathryn", "middle_name": "", "last_name": "Chuber", "name_suffix": "", "institution": "Lehman College", "department": "None" }, { "first_name": "Daisy", "middle_name": "", "last_name": "Flores", "name_suffix": "", "institution": "Lehman College", "department": "None" } ], "date_submitted": "2019-04-30T10:53:19-07:00", "date_accepted": "2019-04-30T10:53:19-07:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42093/galley/31434/download/" } ] }, { "pk": 42129, "title": "Special Issue: Teaching Migration", "subtitle": null, "abstract": "Introduction to a special issue on teaching migration.", "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": "migration" }, { "word": "Immigration" }, { "word": "public anthropology" }, { "word": "pedagogy" } ], "section": "Editorials", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8x98f8vf", "frozenauthors": [ { "first_name": "Angela", "middle_name": "C.", "last_name": "Jenks", "name_suffix": "", "institution": "University of California, Irvine", "department": "None" } ], "date_submitted": "2020-07-15T02:59:31-07:00", "date_accepted": "2020-07-15T02:59:31-07:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42129/galley/31455/download/" } ] }, { "pk": 42113, "title": "Teaching Im/migration through an Ethnographic Portrait Project", "subtitle": null, "abstract": "The Im/migrant Ethnographic Portrait Project was designed for introductory cultural anthropology courses and has a threefold aim: 1) to familiarize students with research methods, 2) to facilitate students’ deeper understanding of migration by connecting course readings with a hands-on project, and 3) to humanize im/migrants by bringing students into one-on-one conversations where they will hear a person’s story in their own words. To support students’ success with this semester-long project and to ensure (as far as is possible) that no harm is done, we provide instruction and feedback through a series of progressive assignments. In this essay we explain each of these steps before concluding with remarks about the challenges and benefits of teaching this project.", "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": "im/migration" }, { "word": "ethnographic project" }, { "word": "interview" }, { "word": "assignment" } ], "section": "Commentaries", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/39n937nt", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "R", "last_name": "Guzmán", "name_suffix": "", "institution": "State University of New York, Geneseo", "department": "None" }, { "first_name": "Melanie", "middle_name": "A", "last_name": "Medeiros", "name_suffix": "", "institution": "State University of New York, Geneseo", "department": "None" }, { "first_name": "Gwendolyn", "middle_name": "", "last_name": "Faulkner", "name_suffix": "", "institution": "State University of New York, Geneseo", "department": "None" } ], "date_submitted": "2020-02-14T19:51:05-08:00", "date_accepted": "2020-02-14T19:51:05-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42113/galley/31445/download/" } ] }, { "pk": 42106, "title": "Telling Migration Stories: Course Connections and Building Classroom Community", "subtitle": null, "abstract": "This commentary shares an assignment on family migration stories from an upper-division undergraduate course on global migration. The assignment, which asks students to interview each other about their family migration histories and then analyze their partner’s story, requires students to apply course readings to the real-world context of their peers’ experiences. The commentary provides an overview of the assignment and challenges students encountered. I also highlight the lessons learned, both in terms of course content and classroom community. The large public teaching university where I work is a Hispanic-serving institution and is home to around 1,000 undocumented students. Many more students are immigrants or the children of immigrants. Bringing in students’ personal experiences with migration serves to build academic confidence and classroom community among these mostly first-generation students while building connections among students and setting the tone for the course as a whole. It positions students as experts and valuable members of our classroom learning community, while recognizing the importance of their experiences with issues of culture and identity, xenophobia, transnational family-life, immigration enforcement, and immigration status. The assignment also disrupts narrow assimilationist narratives of migration by highlighting the diversity of students’ migration histories.", "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": ": family migration" }, { "word": "storytelling" }, { "word": "class community" }, { "word": "first-generation students" } ], "section": "Commentaries", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0bv3d6c5", "frozenauthors": [ { "first_name": "Caitlin", "middle_name": "E", "last_name": "Fouratt", "name_suffix": "", "institution": "California State University, Long Beach", "department": "None" } ], "date_submitted": "2020-02-07T08:32:54-08:00", "date_accepted": "2020-02-07T08:32:54-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42106/galley/31443/download/" } ] }, { "pk": 42117, "title": "The Journey for the American Dream", "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": "Immigration" }, { "word": "American Dream" }, { "word": "family stories" } ], "section": "Student Showcase", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1cp107j8", "frozenauthors": [ { "first_name": "Idalia", "middle_name": "", "last_name": "Mora", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2020-02-15T18:02:28-08:00", "date_accepted": "2020-02-15T18:02:28-08:00", "date_published": "2020-07-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/teachinglearninganthro/article/42117/galley/31448/download/" } ] }, { "pk": 877, "title": "Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma", "subtitle": null, "abstract": "Case Presentation:\n An eight-week-old infant presented to the emergency department in cardiac arrest. Return of spontaneous circulation was obtained and the patient subsequently began seizing. Point-of-care ultrasound of the anterior fontanelle revealed an extra-axial fluid collection consistent with subdural hematoma (SDH).\nDiscussion: \nAbusive head trauma is still frequently missed on initial presentation. In addition to validated screening clinical prediction rules, point-of-care cranial ultrasound can be used as a noninvasive adjunct for detection of SDH related to abusive head trauma in infants with an open fontanelle.", "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": "abusive head trauma" }, { "word": "subdural hematoma" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xx632kp", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "", "last_name": "Rowland", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Dean", "middle_name": "", "last_name": "Fouchia", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Favot", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2020-07-14T12:27:58-07:00", "date_accepted": "2020-07-14T12:27:58-07:00", "date_published": "2020-07-14T12:29:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/877/galley/625/download/" } ] }, { "pk": 876, "title": "Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series", "subtitle": null, "abstract": "Introduction: \nTraumatic subdural hematomas beget significant morbidity and mortality if not rapidly decompressed. This presents a unique challenge to the emergency physician without immediate neurosurgical support.\nCase Report:\n We report two cases of patients in Los Angeles County with traumatic subdural hematomas and clinical deterioration in the emergency department (ED) who were treated with decompression using an intraosseous needle drill.\nDiscussion:\n We believe these cases represent the first use of this technique to temporize a subdural hematoma 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": "Emergency Medicine" }, { "word": "extra-axial hematoma" }, { "word": "burr hole" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/51d544js", "frozenauthors": [ { "first_name": "Brett", "middle_name": "", "last_name": "Barro", "name_suffix": "", "institution": "LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Scott", "middle_name": "", "last_name": "Kobner", "name_suffix": "", "institution": "Keck School of Medicine of USC, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Ashkon", "middle_name": "", "last_name": "Ansari", "name_suffix": "", "institution": "Keck School of Medicine of USC, Department of Emergency Medicine, Los Angeles, California; Antelope Valley Hospital, Department of Emergency Medicine, Lancaster, California", "department": "None" } ], "date_submitted": "2020-07-14T12:21:26-07:00", "date_accepted": "2020-07-14T12:21:26-07:00", "date_published": "2020-07-14T12:22:59-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/876/galley/624/download/" } ] }, { "pk": 875, "title": "A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult", "subtitle": null, "abstract": "Introduction:\n Post-tonsillectomy hemorrhage is a potentially life-threatening, postoperative complication that is commonly encountered in the emergency department (ED).\nCase Report:\n Herein, we describe the case of a 22-year-old male who presented to the ED with an active post-tonsillectomy hemorrhage. He rapidly became hypotensive and experienced an episode of syncope. Immediate interventions included intravenous fluids, emergency release blood and nebulized tranexamic acid (TXA). After completion of the nebulized TXA, the patient’s bleeding was controlled.\nConclusion:\n To our knowledge, this is the first case in the emergency medicine literature that describes the use of nebulized TXA in an adult to achieve hemostasis in post-tonsillectomy hemorrhage.", "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": "tranexamic acid" }, { "word": "TXA" }, { "word": "post-tonsillectomy hemorrhage" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5fc0z5rx", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Poppe", "name_suffix": "", "institution": "Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Felipe", "middle_name": "", "last_name": "Grimaldo", "name_suffix": "", "institution": "Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" } ], "date_submitted": "2020-07-14T12:15:43-07:00", "date_accepted": "2020-07-14T12:15:43-07:00", "date_published": "2020-07-14T12:16:40-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/875/galley/623/download/" } ] }, { "pk": 874, "title": "A Missed Celiac Artery Aneurysm Leading to Rupture: A Case Report", "subtitle": null, "abstract": "Introduction: \nAbdominal pain is a common complaint seen in the emergency department (ED). We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart.\nCase Report:\n On the initial visit the patient was discharged with undifferentiated abdominal pain after computed tomography imaging and laboratory investigations. On the repeat visit he was found to have a rapidly expanding CAA with rupture. He became unstable requiring intubation, blood transfusions, and emergent transfer to a tertiary care center for surgical management where, unfortunately, he died hours after failed operative management.\nConclusion: \nAlthough rare, abdominal pain caused by CAAs can rapidly progress to rupture and have a high mortality.", "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": "celiac artery aneurysm" }, { "word": "abdominal pain" }, { "word": "neurofibromatosis" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/75k8c917", "frozenauthors": [ { "first_name": "Jason", "middle_name": "", "last_name": "Della Vecchia", "name_suffix": "", "institution": "Clovis Community Medical Center, Department of Emergency Medicine, Clovis, California", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Blazar", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" } ], "date_submitted": "2020-07-14T12:11:06-07:00", "date_accepted": "2020-07-14T12:11:06-07:00", "date_published": "2020-07-14T12:11:53-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/874/galley/622/download/" } ] }, { "pk": 873, "title": "A Case Report on Paget-Schroetter Syndrome Presenting as Acute Localized Rhabdomyolysis", "subtitle": null, "abstract": "Introduction:\n The life- or limb-threatening differential diagnosis for upper extremity swelling can include deep vein thrombosis (DVT), infectious processes, and compartment syndrome. Chronic anatomic abnormalities such as axillary vein stenosis are rarely a consideration in the emergency department.\nCase Report:\n We present a 26-year-old female with history of Chiari type 1 malformation who presented with acute left arm swelling. Initial workup, including point-of-care ultrasound, revealed the presence of significant soft tissue swelling without evidence of DVT.\nConclusion:\n Further workup revealed an early, localized rhabdomyolysis secondary to axillary vein stenosis or venous thoracic outlet syndrome, also known as Paget-Schroetter syndrome.", "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": "Paget-Schroetter syndrome" }, { "word": "point-of-care ultrasound" }, { "word": "axillary vein stenosis" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nq099mt", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "B.", "last_name": "Lee", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Ami", "middle_name": "", "last_name": "Kurzweil", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shadi", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2020-07-14T12:04:17-07:00", "date_accepted": "2020-07-14T12:04:17-07:00", "date_published": "2020-07-14T12:05:10-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/873/galley/621/download/" } ] }, { "pk": 872, "title": "Rare Cause of Syncope in a Gravid Female", "subtitle": null, "abstract": "Case Presentation:\n A 33-year-old gravid female was brought to the emergency department after she collapsed in the street. Point-of-care ultrasound showed free fluid in the abdomen and confirmed an intrauterine pregnancy. Surgical teams were consulted, and cross-sectional imaging revealed a spontaneously ruptured splenic artery aneurysm (SAA). The patient was taken expeditiously to the operating room for splenic artery ligation and subsequent splenectomy.\nDiscussion:\n Ruptured SAA in pregnant patients is associated with significant mortality for both mother and fetus. Maintaining a high index of suspicion in the correct population is crucial to avoid diagnostic errors and provide definitive care with operative repair.", "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": "splenic artery aneurysm" }, { "word": "aneurysm rupture" }, { "word": "pregnancy" }, { "word": "syncope" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1wv700zx", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Bellino", "name_suffix": "", "institution": "Stanford University School of Medicine, Emergency Medicine Residency Program, Stanford, California", "department": "None" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Staats", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Ngo", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" } ], "date_submitted": "2020-07-14T11:23:04-07:00", "date_accepted": "2020-07-14T11:23:04-07:00", "date_published": "2020-07-14T11:23:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/872/galley/620/download/" } ] }, { "pk": 871, "title": "Point-of-care Ultrasound Detection of Cataract in a Patient with Vision Loss: A Case Report", "subtitle": null, "abstract": "Background:\n Point-of-care ocular ultrasound in the emergency department (ED) is an effective tool for promptly evaluating for several vision-threatening etiologies and can be used to identify more slowly progressing etiologies as well, such as cataract formation within the lens.\nCase Report:\n A 62-year-old female presented to the ED with a two-day history of painless vision loss of the left eye as well as reduced vision for the prior 30 days.\nConclusion:\n Point-of-care ultrasound was performed and showed calcification of the lens consistent with cataract.", "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": "POCUS" }, { "word": "ultrasonography" }, { "word": "ocular" }, { "word": "cataract" }, { "word": "vision loss" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pq6544f", "frozenauthors": [ { "first_name": "Kyle", "middle_name": "", "last_name": "Dornhofer", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Marawan", "middle_name": "", "last_name": "Alkhattabi", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shadi", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2020-07-14T10:20:19-07:00", "date_accepted": "2020-07-14T10:20:19-07:00", "date_published": "2020-07-14T11:14:20-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/871/galley/619/download/" } ] }, { "pk": 869, "title": "A Case Report: The Challenging Diagnosis of Spontaneous Cervical Epidural Hematoma", "subtitle": null, "abstract": "Introduction:\n We present the case of a patient with a spontaneous cervical epidural hematoma that presented with neck pain and mild, left arm parasthesia.\nCase Report:\n A 59-year old man presented with sudden onset of severe neck pain, without history of injury or trauma. The patient also complained of associated left arm parasthesias that progressed to left arm and leg weakness while in the emergency department. Multiple diagnoses were considered and worked up; eventually the correct diagnosis was made with magnetic resonance imaging of the cervical spine.\nConclusion:\n Spontaneous cervical epidural hematoma typically presents with neck pain, and variable neurologic complaints. This case illustrates the challenge in making this uncommon but serious diagnosis.", "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": "Spontaneous cervical epidural hematoma" }, { "word": "neck pain" }, { "word": "epidural hematoma" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7r3204xc", "frozenauthors": [ { "first_name": "Francis", "middle_name": "L.", "last_name": "Counselman", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia", "department": "None" }, { "first_name": "Julie", "middle_name": "M.", "last_name": "Tondt", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "Harry", "middle_name": "", "last_name": "Lustig", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia", "department": "None" } ], "date_submitted": "2020-07-13T13:12:44-07:00", "date_accepted": "2020-07-13T13:12:44-07:00", "date_published": "2020-07-13T13:26:58-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/869/galley/618/download/" } ] }, { "pk": 13523, "title": "Visual Estimation of Tricuspid Annular Plane Systolic Excursion by Emergency Medicine Clinicians", "subtitle": null, "abstract": "Introduction: \nTricuspid annular plane systolic excursion (TAPSE) is an established echocardiographic marker of right ventricular (RV) systolic function. The objective of this study was to evaluate whether emergency clinicians can visually estimate RV function using TAPSE in a set of video clips compared to a reference standard M-mode measurement.\nMethods:\n Emergency clinicians were shown a five-minute educational video on TAPSE. Participants then viewed 20 apical four-chamber point-of-care ultrasound (POCUS) echocardiography clips and recorded their estimate of TAPSE distance in centimeters (cm), as well as whether TAPSE was normal (>1.9 cm), borderline (1.5-1.9 cm), or abnormal (<1.5 cm). We calculated sensitivity, specificity, and overall accuracy of visual TAPSE categorization using M-mode measurement as the criterion standard. Participants also reported their comfort with assessing TAPSE on a five-point Likert scale before and after participation in the study.\nResults:\n Among 70 emergency clinicians, including 20 postgraduate year 1-4 residents, 22 attending physicians, and 28 physician assistants (PA), the pooled sensitivity and specificity for visual assessment of TAPSE was 88.6% (95% confidence interval, 85.4-91.7%) and 81.6% (95% CI, 78.2-84.4%), respectively. The sensitivity and specificity for the clips in which the measured TAPSE was <1.5 cm or >1.9 cm was 91.4% (95% CI, 88.4-94.3%) and 90.8% (95% CI, 87.7-93.9%), respectively. There was no significant difference in sensitivity (p = 0.27) or specificity (p = 0.55) between resident and attending physicians or between physicians and PAs (p = 0.17 and p = 0.81). Median self-reported comfort with TAPSE assessment increased from 1 (interquartile range [IQR] 1-2) to 3 (IQR 3-4) points after participation in the study.\nConclusion:\n A wide range of emergency clinicians demonstrated fair accuracy for visual estimation of TAPSE on previously recorded POCUS echocardiography video clips. These findings should be considered hypothesis generating and warrant validation in larger, prospective studies.", "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, Echocardiography, Tricuspid Annular Plane Systolic Excursion, Right Ventricular Function" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5xq303b0", "frozenauthors": [ { "first_name": "Youyou", "middle_name": "", "last_name": "Duanmu", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Goldsmith", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Patricia", "middle_name": "C.", "last_name": "Henwood", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Elke", "middle_name": "", "last_name": "Platz", "name_suffix": "", "institution": "Harvard Medical School, Brigham and Women’s Hospital, Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts", "department": "None" }, { "first_name": "Janet", "middle_name": "E.", "last_name": "Hoyler", "name_suffix": "", "institution": "123Sonography, Cohasset, Massachusetts", "department": "None" }, { "first_name": "Heidi", "middle_name": "H.", "last_name": "Kimberly", "name_suffix": "", "institution": "Newton Wellesley Hospital, Department of Emergency Medicine, Newton, Massachusetts", "department": "None" } ], "date_submitted": "2020-01-26T21:25:43-08:00", "date_accepted": "2020-01-26T21:25:43-08:00", "date_published": "2020-07-10T12:55:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13523/galley/7081/download/" } ] }, { "pk": 13362, "title": "Emergency Department-based Hepatitis A Vaccination Program in Response to an Outbreak", "subtitle": null, "abstract": "Introduction:\n The Philadelphia Department of Public Health (PDPH) declared a public health emergency due to hepatitis A in August 2019.1 Our emergency department (ED) serves a population with many of the identified risk factors for hepatitis A transmission. This study examines the impact of an ED-based hepatitis A vaccination program, developed in partnership with the PDPH, on incidence of hepatitis A infection and hospital admission.\nMethods:\n We conducted a retrospective review of all ED visits in the 12-week period centered around the implementation of the ED-based hepatitis A vaccination program. All adult patients presenting to the ED were offered vaccination, with vaccines supplied free of charge by the PDPH. We compared the incidence of diagnosis and of hospital admission for treatment of hepatitis A before and after implementation of the program.\nResults:\n There were 10,033 total ED visits during the study period, with 5009 of them prior to the implementation of the vaccination program and 5024 after implementation. During the study period, 669 vaccines were administered. Before the vaccination program began, 73 patients were diagnosed with hepatitis A, of whom 67 were admitted. After implementation of the program, 38 patients were diagnosed with hepatitis A, of whom 31 were admitted.\nConclusion:\n A partnership between an ED and the local public health department resulted in the vaccination of 669 patients in six weeks in the midst of an outbreak of a vaccine-preventable illness, with a corresponding drop in ED visits and hospital admission for acute hepatitis 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": "Hepatitis A, Emergency Department, Population Health" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rd6j6f4", "frozenauthors": [ { "first_name": "Caroline", "middle_name": "", "last_name": "Kaigh", "name_suffix": "", "institution": "Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Andrea", "middle_name": "", "last_name": "Blome", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kraftin", "middle_name": "E.", "last_name": "Schreyer", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Megan", "middle_name": "", "last_name": "Healy", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-11-11T08:00:32-08:00", "date_accepted": "2019-11-11T08:00:32-08:00", "date_published": "2020-07-10T12:52:12-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13362/galley/7014/download/" } ] }, { "pk": 13399, "title": "Necrotizing Fasciitis Within 72 hours After Presentation with Skin and Skin Structure Infection", "subtitle": null, "abstract": "Introduction:\n A small percentage of patients with skin infections later develop necrotizing fasciitis (NF). Diagnostic testing is needed to identify patients with skin infections at low risk of NF who could be discharged from the emergency department (ED) after antibiotic initiation. Elevated lactate has been associated with NF; existing estimates of the frequency of NF are based on retrospective reviews, and cases often lack testing for lactate. We present the incidence of patients with skin infections who developed NF and their baseline lactates.\nMethods:\n In four phase-3 trials, 2883 adults with complicated or acute bacterial skin and skin structure infections were randomized to dalbavancin or comparator, with early and late follow-up visits through Day 28. We prospectively collected baseline plasma lactates in one trial to assess an association with NF.\nResults:\n NF was diagnosed in 3/2883 patients (0.1%); all three survived. In the study with prospectively collected baseline lactates (n = 622), 15/622 (2.4%) had a lactate ≥4 millimoles per liter (mmol/L), including 3/622 (0.5%) with a lactate ≥7 mmol/L. NF was not seen in patients with a lactate <4 mmol/L; NF was seen in 1/15 (6.7%) with a lactate ≥4 mmol/L, including 1/3 (33.3%) with lactate ≥7 mmol/L.\nConclusions:\n NF incidence within 72 hours of antibiotic initiation in patients with complicated or acute bacterial skin and skin structure infections was extremely low (0.1%) and occurred in 6.7% with a lactate ≥4 mmol/L. Lactate <4 mmol/L can be used to identify patients at low risk of NF who could be safely discharged from the ED after antibiotic initiation.", "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": "necrotizing fasciitis" }, { "word": "skin infection" }, { "word": "lactate" }, { "word": "Diagnosis" }, { "word": "emergency department" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1v38f51n", "frozenauthors": [ { "first_name": "Urania", "middle_name": "", "last_name": "Rappo", "name_suffix": "", "institution": "Allergan PLC, Madison, New Jersey", "department": "None" }, { "first_name": "H.", "middle_name": "Bryant", "last_name": "Nguyen", "name_suffix": "", "institution": "Loma Linda University, Division of Pulmonary, Critical Care, Hyperbaric, Allergy and Sleep Medicine Loma Linda, California", "department": "None" }, { "first_name": "Sailaja", "middle_name": "", "last_name": "Puttagunta", "name_suffix": "", "institution": "Allergan PLC, Madison, New Jersey\nBiomX Ltd, Ness Ziona, Israel", "department": "None" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Ojaimi", "name_suffix": "", "institution": "Allergan PLC, Madison, New Jersey\nNovartis Pharmaceuticals Corp, East Hanover, New Jersey", "department": "None" }, { "first_name": "Karthik", "middle_name": "", "last_name": "Akinapelli", "name_suffix": "", "institution": "Independent consultant, Hamden, Connecticut\nIterum Therapeutics, Old Saybrook, Connecticut", "department": "None" }, { "first_name": "Michael", "middle_name": "W.", "last_name": "Dunne", "name_suffix": "", "institution": "Allergan PLC, Madison, New Jersey\nIterum Therapeutics, Old Saybrook, Connecticut", "department": "None" } ], "date_submitted": "2019-12-08T19:37:27-08:00", "date_accepted": "2019-12-08T19:37:27-08:00", "date_published": "2020-07-10T12:49:47-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13399/galley/7034/download/" } ] }, { "pk": 12674, "title": "Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers", "subtitle": null, "abstract": "Introduction:\n Falls are a frequent reason geriatric patients visit the emergency department (ED). To help providers, the Geriatric Emergency Department Guidelines were created to establish a standard of care for geriatric patients in the ED. We conducted a survey of emergency providers to assess 1) their knowledge of fall epidemiology and the geriatric ED guidelines; 2) their current ED practice for geriatric fall patients; and 3) their willingness to conduct fall-prevention interventions.\nMethods: \nWe conducted an anonymous survey of emergency providers including attending physicians, residents, and physician assistants at a single, urban, Level 1 trauma, tertiary referral hospital in the northeast United States.\nResults: \nWe had a response rate of 75% (102/136). The majority of providers felt that all geriatric patients should undergo screening for fall risk factors (84%, 86/102), and most (76%, 77/102) answered that all geriatric patients screened and at risk for falls should have an intervention performed. While most (80%, 82/102) answered that geriatric falls prevention was very important, providers were not willing to spend much time on screening or interventions. Less than half (44%, 45/102) were willing to spend 2-5 minutes on a fall risk assessment and prevention, while 46% (47/102) were willing to spend less than 2 minutes.\nConclusion:\n Emergency providers understand the importance of geriatric fall prevention but lack knowledge of which patients to screen and are not willing to spend more than a few minutes on screening for fall interventions. Future studies must take into account provider knowledge and willingness to intervene.", "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": "geriatric" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69m1p4fd", "frozenauthors": [ { "first_name": "Kathleen", "middle_name": "", "last_name": "Davenport", "name_suffix": "", "institution": "University of North Carolina Medical Center, Department of Emergency Medicine, Chapel Hill, North Carolina", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Cameron", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Margot", "middle_name": "", "last_name": "Samson", "name_suffix": "", "institution": "University of Central Florida, College of Medicine, Orlando, Florida", "department": "None" }, { "first_name": "Jiraporn", "middle_name": "", "last_name": "Lekand", "name_suffix": "", "institution": "Navamindradhiraj University, Geriatric Emergency Medicine Research Unit, Bangkok, Thailand", "department": "None" }, { "first_name": "Shan", "middle_name": "Woo", "last_name": "Liu", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-04-10T13:33:16-07:00", "date_accepted": "2019-04-10T13:33:16-07:00", "date_published": "2020-07-10T12:45:32-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12674/galley/6701/download/" } ] }, { "pk": 13316, "title": "The Utility of Color Doppler to Confirm Endotracheal Tube Placement: A Pilot Study", "subtitle": null, "abstract": "Introduction: \nGrayscale ultrasound (US) imaging has been used as an adjunct for confirming endotracheal tube (ETT) placement in recent years. The addition of color Doppler imaging (CDI) has been proposed to improve identification but has not been well studied. The aim of this study was to assess whether CDI improves correct localization of ETT placement.\nMethods:\n A convenience sample of emergency and critical care physicians at various levels of training and experience participated in an online assessment. Participants viewed US video clips of patients, which included either tracheal or esophageal intubations captured in grayscale or with CDI; there were five videos of each for a total of 20 videos. Participants were asked to watch each clip and then assess the location of the ETT.\nResults:\n Thirty-eight subjects participated in the online assessment. Levels of training included medical students (13%), emergency medicine (EM) residents (50%), EM attendings (32%), and critical care attendings (5%). The odds ratio of properly assessing tracheal placement using color relative to a grayscale imaging technique was 1.5 (p = 0.21). Regarding the correct assessment of esophageal placement, CDI had 1.4 times the odds of being correctly assessed relative to grayscale (p = 0.26). The relationship between training level and correct assessments was not significant for either tracheal or esophageal placements.\nConclusion:\n In this pilot study we found no significant improvement in correct identification of ETT placement using color Doppler compared to grayscale ultrasound; however, there was a trend toward improvement that might be better elucidated in a larger study.", "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": "intubation" }, { "word": "Intratracheal" }, { "word": "ultrasound" }, { "word": "Doppler, Color" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/30z890sc", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "H.", "last_name": "Gildea", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Kenton", "middle_name": "L.", "last_name": "Anderson", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Kian", "middle_name": "R.", "last_name": "Niknam", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Laleh", "middle_name": "", "last_name": "Gharahbaghian", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Sarah", "middle_name": "R.", "last_name": "Williams", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Timothy", "middle_name": "", "last_name": "Angelotti", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Paul", "middle_name": "S.", "last_name": "Auerbach", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Viveta", "middle_name": "", "last_name": "Lobo", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" } ], "date_submitted": "2019-11-12T19:04:51-08:00", "date_accepted": "2019-11-12T19:04:51-08:00", "date_published": "2020-07-10T12:40:37-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13316/galley/7005/download/" } ] }, { "pk": 868, "title": "A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female", "subtitle": null, "abstract": "Introduction:\n It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic.\nCase report:\n A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient’s right main pulmonary artery with pulmonary infarcts and a pleural effusion.\nConclusion:\n Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring.", "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": "Migrated coil" }, { "word": "pelvic congestion syndrome" }, { "word": "pulmonary infarct" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2rr850qs", "frozenauthors": [ { "first_name": "Angel", "middle_name": "", "last_name": "Guerrero", "name_suffix": "", "institution": "Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Rebecca", "middle_name": "G.", "last_name": "Theophanous", "name_suffix": "", "institution": "Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina", "department": "None" } ], "date_submitted": "2020-07-09T23:02:59-07:00", "date_accepted": "2020-07-09T23:02:59-07:00", "date_published": "2020-07-09T23:04:21-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/868/galley/617/download/" } ] }, { "pk": 867, "title": "Symptomatic Aortic Endograft Occlusion in a 70-year-old Male", "subtitle": null, "abstract": "Case Presentation:\n A 70-year-old male with prior aorta endovascular aneurysm repair presented with progressive lower extremity weakness over the course of several hours. There was noted loss of palpable bilateral femoral pulses in the emergency department. Computed tomography angiography revealed a kinked and occluded aortic endograft. He subsequently underwent successful axillobifemoral bypass revascularization.\nDiscussion:\n Kinking of endograft limbs and occlusion has been reported in a small percentage of patients. Bilateral leg ischemia due to aortic endograft occlusion is rare.", "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" }, { "word": "aortic endograft occlusion" }, { "word": "leg ischemia" }, { "word": "EVAR" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/50w3g5rv", "frozenauthors": [ { "first_name": "Jose", "middle_name": "", "last_name": "Cardenas", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" }, { "first_name": "Babak", "middle_name": "", "last_name": "Khazaeni", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" } ], "date_submitted": "2020-07-09T22:54:00-07:00", "date_accepted": "2020-07-09T22:54:00-07:00", "date_published": "2020-07-09T22:55:45-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/867/galley/616/download/" } ] }, { "pk": 866, "title": "Tranexamic Acid in a Case Report of Life-threatening Nontraumatic Hemorrhage in Immune Thrombocytopenic Purpura", "subtitle": null, "abstract": "Introduction:\n Immune thrombocytopenic purpura (ITP) is an autoimmune-mediated disorder in which the body produces antibodies that destroy platelets, causing an increased risk of bleeding and bruising. Tranexamic acid (TXA) is a medication that prevents clot breakdown and is used to treat uncontrolled bleeding.\nCase Report:\n We present the case of an 11-year-old female with significant epistaxis and hypotension in the emergency department. Traditional therapies were initiated; however, the patient continued to have bleeding and remained hypotensive, so intravenous TXA was given. The patient’s bleeding then resolved.\nConclusion:\n TXA may be a safe and effective adjunct to traditional therapies for the treatment of life-threatening hemorrhage in ITP 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": "immune thrombocytopenic purpura" }, { "word": "tranexamic acid" }, { "word": "epistaxis" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3205x12m", "frozenauthors": [ { "first_name": "Melanie", "middle_name": "M.", "last_name": "Randall", "name_suffix": "", "institution": "Loma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Nurse", "name_suffix": "", "institution": "San Gorgonio Memorial Hospital, Department of Emergency Medicine, Banning, California", "department": "None" }, { "first_name": "Karan", "middle_name": "P.", "last_name": "Singh", "name_suffix": "", "institution": "San Gorgonio Memorial Hospital, Department of Emergency Medicine, Banning, California", "department": "None" } ], "date_submitted": "2020-07-09T21:57:06-07:00", "date_accepted": "2020-07-09T21:57:06-07:00", "date_published": "2020-07-09T21:59:30-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/866/galley/615/download/" } ] }, { "pk": 865, "title": "Ingestion of A Common Plant’s Leaves Leads to Acute Respiratory Arrest and Paralysis: A Case Report", "subtitle": null, "abstract": "Background:\n Nicotiana glauca is a plant known to cause acute toxicity upon ingestion or dermal exposure due to the nicotinic alkaloid, anabasine. Nicotinic alkaloids cause toxicity by acting as agonists on nicotinic-type acetylcholine receptors (nAChRs). Initial stimulation of these receptors leads to symptoms such as tachycardia, miosis, and tremors. The effects of high doses of nicotinic alkaloids are biphasic, and eventual persistent depolarization of nAChRs at the neuromuscular junction occurs. This causes apnea, paralysis, and cardiovascular collapse.\nCase Report:\n In this report, we present a case of respiratory arrest due to nicotinic alkaloid poisoning from the ingestion of Nicotiana glauca. The diagnosis was suspected after the patient’s family gave a history of the patient ingesting a plant prior to arrival. They were able to also provide a physical sample of the plant.\nConclusion:\n The phone application, “Plant Snap”, determined the plant species and helped confirm the diagnosis. This case describes how modern technology and thorough history taking can combine to provide the best possible 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": "Nicotiana glauca" }, { "word": "nicotinic alkaloids" }, { "word": "respiratory arrest" }, { "word": "toxicity" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1vm1t2vv", "frozenauthors": [ { "first_name": "Breelan", "middle_name": "M.", "last_name": "Kear", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Richard", "middle_name": "W.", "last_name": "Lee", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Internal Medicine, Orange, California", "department": "None" }, { "first_name": "Sanford", "middle_name": "B.", "last_name": "Church", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Internal Medicine, Orange, California", "department": "None" }, { "first_name": "Fady", "middle_name": "A.", "last_name": "Youssef", "name_suffix": "", "institution": "Memorial Care, Long Beach Medical Center, Department of Pulmonary and Critical Care Medicine, Long Beach, California; University of California, Irvine Medical Center, Department of Pulmonary and Critical Care Medicine, Orange, California", "department": "None" }, { "first_name": "Anthony", "middle_name": "", "last_name": "Arguija", "name_suffix": "", "institution": "Memorial Care, Long Beach Medical Center, Department of Emergency Medicine, Long Beach, California", "department": "None" } ], "date_submitted": "2020-07-09T21:42:16-07:00", "date_accepted": "2020-07-09T21:42:16-07:00", "date_published": "2020-07-09T21:46:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/865/galley/614/download/" } ] }, { "pk": 864, "title": "Detection of Migrainous Infarction with Formal Visual Field Testing: A Case Report", "subtitle": null, "abstract": "Introduction:\n Cerebrovascular accidents (CVA) of the posterior circulation are a rare complication of migraine, and present with atypical CVA symptomatology.\nCase Report:\n A 49-year-old-male presented with complaint of persistent visual aura and resolved mild cephalgia. His exam corroborated his reported incomplete left inferior quadrantanopia, and was confirmed by immediate formal optometry evaluation. Occipital CVA was confirmed on admission.\nConclusion:\n Migrainous strokes of posterior circulation should be considered as a potential diagnosis in any headache patient with persistent visual aura. This case suggests that incorporation of formal visual field testing in the emergent setting can shorten the time required for diagnosis in certain circumstances.", "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": "cerebrovascular accident" }, { "word": "homonymous hemianopsia" }, { "word": "migraine" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0625v6dq", "frozenauthors": [ { "first_name": "William", "middle_name": "", "last_name": "Bylund", "name_suffix": "", "institution": "Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "Ross", "middle_name": "", "last_name": "Patrick", "name_suffix": "", "institution": "Naval Hospital Okinawa, Department of Internal Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "Ann", "middle_name": "", "last_name": "Macdonald", "name_suffix": "", "institution": "Naval Hospital Okinawa, Department of Optometry, Okinawa, Japan", "department": "None" } ], "date_submitted": "2020-07-09T19:02:11-07:00", "date_accepted": "2020-07-09T19:02:11-07:00", "date_published": "2020-07-09T19:03:37-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/864/galley/613/download/" } ] }, { "pk": 39533, "title": "Global Quest for Zero Routine Flaring: An Appraisal of Nigeria’s Legal and Regulatory Abatement Frameworks", "subtitle": null, "abstract": "This paper evaluates Nigeria’s commitment to ending gas flaring within the context of the global quest for zero routine flaring by 2030. The combination of strategies deployed by Nigeria has been generally ineffective in inducing compliance from IOCs. The ineffectiveness is linked to both Nigeria’s weak institutional framework and the unattractiveness of economic payoffs associated with investing in gas-gathering infrastructure by IOCs. Using data from secondary sources, the paper locates the non-realization of flare-out dates in the disconnect between legal enactments and economic permutations, especially in view of the huge capital outlay required to develop gas-gathering infrastructure and the uncertainty surrounding the gas market. The paper contends that achieving zero gas flaring in 2020 as planned by Nigeria or 2030 as projected by the international community will entail going beyond present operational arrangements by adopting a holistic implementation strategy that is capable of extracting unconditional compliance from IOCs.", "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.\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/4.0" }, "keywords": [ { "word": "Gas flaring" }, { "word": "gas gathering infrastructure" }, { "word": "weak penalty regime" }, { "word": "associated gas" }, { "word": "nigeria" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1p59r0bw", "frozenauthors": [ { "first_name": "Agaptus", "middle_name": "", "last_name": "Nwozor", "name_suffix": "", "institution": "Landmark University", "department": "None" }, { "first_name": "John", "middle_name": "Shola", "last_name": "Olanrewaju", "name_suffix": "", "institution": "Landmark University", "department": "None" }, { "first_name": "Modupe", "middle_name": "", "last_name": "Ake", "name_suffix": "", "institution": "Landmark University", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Aleyomi", "name_suffix": "", "institution": "Landmark University", "department": "None" } ], "date_submitted": "2019-10-12T02:52:16-07:00", "date_accepted": "2019-10-12T02:52:16-07:00", "date_published": "2020-07-09T15:18:49-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39533/galley/29841/download/" } ] }, { "pk": 13376, "title": "A Novel Multimodal Approach to Point-of-Care Ultrasound Education in Low-Resource Settings", "subtitle": null, "abstract": "Point-of-care ultrasound (POCUS) enables physicians to make critical diagnosis and treatment decisions at the bedside. However, access to and expertise with this technology remain limited in Peru. Establishing longitudinal POCUS educational curriculums in remote, low-resource settings can be challenging due to geographical distances, encumbering the ability to provide ongoing hands-on support. Previously described educational interventions have focused on training individual users on clinical applications of POCUS, rather than training physicians how to teach POCUS, thereby limiting scalability and sustainable impact. We therefore describe our experiences establishing the first ultrasound fellowship curriculum in Peru, which incorporates tele-ultrasonography to circumvent traditional geographical barriers.", "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 (POCUS), global health education, telemedicine, tele-ultrasonography" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/81j0z7hq", "frozenauthors": [ { "first_name": "Andrea", "middle_name": "", "last_name": "Dreyfuss", "name_suffix": "", "institution": "Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "David", "middle_name": "A.", "last_name": "Martin", "name_suffix": "", "institution": "Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Angel", "middle_name": "", "last_name": "Farro", "name_suffix": "", "institution": "Hospital Nacional Dos de Mayo, Department of Emergency Medicine, Cercado de Lima, Peru", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Inga", "name_suffix": "", "institution": "Hospital Nacional Dos de Mayo, Department of Emergency Medicine, Cercado de Lima, Peru", "department": "None" }, { "first_name": "Sayuri", "middle_name": "", "last_name": "Enríquez", "name_suffix": "", "institution": "Hospital Nacional Dos de Mayo, Department of Emergency Medicine, Cercado de Lima, Peru", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Mantuani", "name_suffix": "", "institution": "Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" } ], "date_submitted": "2019-11-19T00:54:09-08:00", "date_accepted": "2019-11-19T00:54:09-08:00", "date_published": "2020-07-09T14:29:25-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13376/galley/7021/download/" } ] }, { "pk": 13401, "title": "Rural Interfacility Emergency Department Transfers: Framework and Qualitative Analysis", "subtitle": null, "abstract": "Introduction:\n Interfacility transfers from rural emergency departments (EDs) are an important means of access to timely and specialized care.\nMethods:\n Our goal was to identify and explore facilitators and barriers in transfer processes and their implications for emergency rural care and access. Semi-structured interviews with ED staff at five rural and two urban Veterans Health Administration (VHA) hospitals were recorded, transcribed, coded, and analyzed using an iterative inductive-deductive approach to identify themes and construct a conceptual framework.\nResults:\n From 81 interviews with clinical and administrative staff between March–June 2018, four themes in the interfacility transfer process emerged: 1) patient factors; 2) system resources; and 3) processes and communication for transfers, which culminate in 4) the location decision. Current and anticipated resource limitations were highly influential in transfer processes, which were described as burdensome and diverting resources from clinical care for emergency patients. Location decision was highly influenced by complexity of the transfer process, while perceived quality at the receiving location or patient preferences were not reported in interviews as being primary drivers of location decision. Transfers were described as burdensome for patients and their families. Finally, patients with mental health conditions epitomized challenges of emergency transfers.\nConclusion:\n Interfacility transfers from rural EDs are multifaceted, resource-driven processes that require complex coordination. Anticipated resource needs and the transfer process itself are important determinants in the location decision, while quality of care or patient preferences were not reported as key determinants by interviewees. These findings identify potential benefits from tracking transfer boarding as an operational measure, directed feedback regarding outcomes of transferred patients, and simplified transfer processes.", "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": "Veterans" }, { "word": "inter-facility transfers" }, { "word": "Mental Health" }, { "word": "access" }, { "word": "Resources" }, { "word": "qualitative analysis" }, { "word": "Rural" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1z3840ts", "frozenauthors": [ { "first_name": "Candace", "middle_name": "D.", "last_name": "McNaughton", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee\nTenessee Valley Healthcare System, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Kemberlee", "middle_name": "", "last_name": "Bonnett", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Schlundt", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Nicholas", "middle_name": "M.", "last_name": "Mohr", "name_suffix": "", "institution": "Evaluation (CADRE) Iowa City VA Healthcare System, Center for Access & Delivery Research and Evaluation, Iowa City, Iowa\nUniversity of Iowa Carver College of Medicine, Department of Emergency Medicine, Iowa City, Iowa \nUniversity of Iowa Carver College of Medicine, Department of Anesthesia, Iowa City, Iowa", "department": "None" }, { "first_name": "Suemin", "middle_name": "", "last_name": "Chung", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Peter", "middle_name": "J.", "last_name": "Kaboli", "name_suffix": "", "institution": "Evaluation (CADRE) Iowa City VA Healthcare System, Center for Access & Delivery Research and Evaluation, Iowa City, Iowa\nUniversity of Iowa Carver College of Medicine, Department of Internal Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Ward", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee\nTenessee Valley Healthcare System, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" } ], "date_submitted": "2019-12-03T15:53:06-08:00", "date_accepted": "2019-12-03T15:53:06-08:00", "date_published": "2020-07-09T14:23:26-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13401/galley/7036/download/" } ] }, { "pk": 13476, "title": "Consensus Guidelines for Digital Scholarship in Academic Promotion", "subtitle": null, "abstract": "Introduction:\n As scholarship moves into the digital sphere, applicant and promotion and tenure (P&T) committee members lack formal guidance on evaluating the impact of digital scholarly work. The P&T process requires the appraisal of individual scholarly impact in comparison to scholars across institutions and disciplines. As dissemination methods evolve in the digital era, we must adapt traditional P&T processes to include emerging forms of digital scholarship.\nMethods:\n We conducted a blended, expert consensus procedure using a nominal group process to create a consensus document at the Council of Emergency Medicine Residency Directors Academic Assembly on April 1, 2019.\nResults:\n We discussed consensus guidelines for evaluation and promotion of digital scholarship with the intent to develop specific, evidence-supported recommendations to P&T committees and applicants. These recommendations included the following: demonstrate scholarship criteria; provide external evidence of impact; and include digital peer-review roles. As traditional scholarship continues to evolve within the digital realm, academic medicine should adapt how that scholarship is evaluated. P&T committees in academic medicine are at the epicenter for supporting this changing paradigm in scholarship.\nConclusion:\n P&T committees can critically appraise the quality and impact of digital scholarship using specific, validated tools. Applicants for appointment and promotion should highlight and prepare their digital scholarship to specifically address quality, impact, breadth, and relevance. It is our goal to provide specific, timely guidance for both stakeholders to recognize the value of digital scholarship in advancing our field.", "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": "Digital Scholarchip" }, { "word": "Academic Medicine" }, { "word": "Emergency Medicine" }, { "word": "education theory" } ], "section": "Research Publishing", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/44f3v8f1", "frozenauthors": [ { "first_name": "Abbas", "middle_name": "", "last_name": "Husain", "name_suffix": "", "institution": "Staten Island University Hospital - Northwell Health, Department of Emergency Medicine, Staten Island, New York", "department": "None" }, { "first_name": "Zachary", "middle_name": "", "last_name": "Repanshek", "name_suffix": "", "institution": "Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Manpreet", "middle_name": "", "last_name": "Singh", "name_suffix": "", "institution": "University of California, Los Angeles Medical School, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Felix", "middle_name": "", "last_name": "Ankel", "name_suffix": "", "institution": "University of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Beck-Esmay", "name_suffix": "", "institution": "Mount Sinai St. Luke’s-West, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cabrera", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Teresa", "middle_name": "M.", "last_name": "Chan", "name_suffix": "", "institution": "McMaster University, Department of Medicine, Hamilton, Ontario", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Cooney", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gisondi", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Jay", "middle_name": "", "last_name": "Khadpe", "name_suffix": "", "institution": "University of Florida College of Medicine, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Repanshek", "name_suffix": "", "institution": "Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Mason", "name_suffix": "", "institution": "University of San Francisco-Fresno, Department of Emergency Medicine, Fresno, California", "department": "None" }, { "first_name": "Dimitri", "middle_name": "", "last_name": "Papanagnou", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Jeff", "middle_name": "", "last_name": "Riddell", "name_suffix": "", "institution": "University of Southern California Keck School of Medicine, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "N.", "middle_name": "Seth", "last_name": "Trueger", "name_suffix": "", "institution": "Northwestern University, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Fareen", "middle_name": "", "last_name": "Zaver", "name_suffix": "", "institution": "University of Calgary, Department of Emergency Medicine, Calgary, Alberta, Canada", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Brumfield", "name_suffix": "", "institution": "Oschner Clinic Foundation, Department of Emergency Medicine, New Orleans, Louisiana", "department": "None" } ], "date_submitted": "2020-01-06T04:20:52-08:00", "date_accepted": "2020-01-06T04:20:52-08:00", "date_published": "2020-07-08T12:52:48-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13476/galley/7061/download/" } ] }, { "pk": 13857, "title": "Identifying Patients at Greatest Risk of Mortality due to COVID-19: A New England Perspective", "subtitle": null, "abstract": "Introduction:\n Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly since December 2019, resulting in a pandemic that has, as of May 24, 2020, yielded over 5.3 million confirmed cases and over 340,000 deaths.1 As businesses move to safely reopen and frontline healthcare workers (HCW) continue to face this crisis, it is essential that health officials know who in the population is at the greatest risk of mortality if hospitalized and, therefore, has the greatest need to protect themselves from being infected. We examined the factors that increase the risk of mortality among hospitalized COVID-19 patients.\nMethods:\n This was a retrospective cohort study including confirmed COVID-19 patients admitted to the four Trinity Health of New England hospitals (THONE) in Connecticut and Massachusetts who either died or were discharged between March 1–April 22, 2020. Demographics, comorbidities, and outcomes of care were extracted from the electronic health record. A model of in-hospital mortality was made using a generalized linear model with binomial distribution and log link.\nResults: \nThe analysis included 346 patients: 229 discharged and 117 deceased. The likelihood of in-hospital mortality was increased for patients who were aged 60 or older (relative risk [RR] = 2.873; 95% confidence interval [CI], 1.733-4.764; p = <0.001), had diabetes (RR = 1.432; 95% CI,1.068-1.921; p = 0.016), or had chronic obstructive pulmonary disease (COPD) (RR = 1.410; 95% CI, 1.058-1.878; p = 0.019). Hyperlipidemia had a protective effect, reducing the likelihood of mortality (odds ratio = 0.745; 95% CI, 0.568-0.975; p = 0.032). Sensitivity and specificity of the model were 51.4% and 88.4%, respectively.\nConclusions:\n Being age 60 or older or having a history of diabetes or COPD are the most useful risk factors associated with mortality in hospitalized COVID-19 patients. As states ease stay-at-home orders, risk factors of severe disease can be used to identify those more likely to have worse outcomes if infected and hospitalized and, therefore, who in particular should continue to follow public health guidelines for avoiding infection: stay home if possible; practice physical distancing; and wear a facemask.", "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, sars-cov-2, risk factors, in-hospital mortality" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/88z3f7sd", "frozenauthors": [ { "first_name": "Aaron", "middle_name": "A.", "last_name": "Smith", "name_suffix": "", "institution": "Quinnipiac University, Frank H. Netter MD School of Medicine, North Haven, Connecticut", "department": "None" }, { "first_name": "Jeremy", "middle_name": "", "last_name": "Fridling", "name_suffix": "", "institution": "Quinnipiac University, Frank H. Netter MD School of Medicine, North Haven, Connecticut", "department": "None" }, { "first_name": "Danyal", "middle_name": "", "last_name": "Ibrahim", "name_suffix": "", "institution": "Trinity Health of New England, Saint Mary’s Hospital, Waterbury, Connecticut", "department": "None" }, { "first_name": "Paul", "middle_name": "S.", "last_name": "Porter Jr.", "name_suffix": "", "institution": "Trinity Health of New England, Saint Mary’s Hospital, Waterbury, Connecticut", "department": "None" } ], "date_submitted": "2020-04-30T12:41:44-07:00", "date_accepted": "2020-04-30T12:41:44-07:00", "date_published": "2020-07-08T12:26:19-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13857/galley/7213/download/" } ] }, { "pk": 13841, "title": "Predictors of Mortality in Adult Population Admitted with COVID-19: A Retrospective Cohort Study from New York City", "subtitle": null, "abstract": "Introduction: \nRapid spread of coronavirus disease 2019 (COVID-19) in the United States, especially in New York City (NYC), led to a tremendous increase in hospitalizations and mortality. There is very limited data available that associates outcomes during hospitalization in patients with COVID-19.\nMethods:\n In this retrospective cohort study, we reviewed the health records of patients with COVID-19 who were admitted from March 9–April 9, 2020, to a community hospital in NYC. Subjects with confirmed reverse transcriptase-polymerase chain reaction (RT-PCR) of the nasopharyngeal swab for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) were included. We collected data related to demographics, laboratory results, and outcome of hospitalization. Outcome was measured based on whether the patient was discharged home or died during hospitalization.\nResults: \nThere were 888 consecutive admissions with COVID-19 during the study period, of which 513 were excluded with pending outcome or incomplete information. We included a total of 375 patients in the study, of whom 215 (57%) survived and 160 (43%) died during hospitalization. The majority of patients were male (63%) and of Hispanic origin (66%) followed by Blacks (25%), and others (9%). Hypertension (60%) stands out to be the most common comorbidity followed by diabetes mellitus (47%), cardiovascular disease (17%), chronic kidney disease (17%), and human immunodeficiency virus/acquired immunodeficiency syndrome (9%). On multiple regression analysis, increasing odds of mortality during hospitalization was associated with older age (odds ratio [OR] 1.04; 95% confidence interval [CI], 1.01-1.06 per year increase; p < 0.0001), admission D-dimer more than 1000 nanograms per milliliter (ng/mL) (OR 3.16; 95% CI, 1.75-5.73; p<0.0001), admission C-reactive protein (CRP) levels of more than 200 milligrams per liter (mg/L) (OR 2.43; 95% CI, 1.36-4.34; p = 0.0028), and admission lymphopenia (OR 2.63; CI, 1.47-4.69; p 0.0010).\nConclusion: \nIn this retrospective cohort study originating in NYC, older age, admission levels of D-dimer of more than 1000 ng/mL, CRP of more than 200 mg/L and lymphopenia were associated with mortality in individuals hospitalized for COVID-19. We recommend using these risk factors on admission to triage patients to critical care units or surge units to maximize the use of surge capacity beds.", "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": "Risk factors" }, { "word": "New York" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82x5x8g1", "frozenauthors": [ { "first_name": "Sridhar", "middle_name": "", "last_name": "Chilimuri", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Haozhe", "middle_name": "", "last_name": "Sun", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Ahmed", "middle_name": "", "last_name": "Alemam", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Nikhitha", "middle_name": "", "last_name": "Mantri", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Elona", "middle_name": "", "last_name": "Shehi", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Jairo", "middle_name": "", "last_name": "Tejada", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Alla", "middle_name": "", "last_name": "Yugay", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" }, { "first_name": "Suresh", "middle_name": "K.", "last_name": "Nayudu", "name_suffix": "", "institution": "BronxCare Health System, Department of Medicine, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, New York", "department": "None" } ], "date_submitted": "2020-04-27T14:25:03-07:00", "date_accepted": "2020-04-27T14:25:03-07:00", "date_published": "2020-07-08T12:17:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13841/galley/7209/download/" } ] }, { "pk": 13404, "title": "Risky Behavior: Hospital Transfers Associated with Early Mortality and Rates of Goals of Care Discussions", "subtitle": null, "abstract": "Introduction:\n Inter-hospital transfer (IHT) patients have higher in-hospital mortality, higher healthcare costs, and worse outcomes compared to non-transferred patients. Goals of care (GoC) discussions prior to transfer are necessary in patients at high risk for decline to ensure that the intended outcome of transfer is goal concordant. However, the frequency of these discussions is not well understood. This study was intended to assess the prevalence of GoC discussions in IHT patients with early mortality, defined as death within 72 hours of transfer, and prevalence of primary diagnoses associated with in-hospital mortality.\nMethods:\n This was a retrospective study of IHT patients aged 18 and older who died within 72 hours of transfer to Wake Forest Baptist Medical Center between October 1, 2016-October 2018. Documentation of GoC discussions within the electronic health record (EHR) prior to transfer was the primary outcome. We also assessed charts for primary diagnosis associated with in-hospital mortality, code status changes prior to death, in-hospital healthcare interventions, and frequency of palliative care consults.\nResults:\n We included in this study a total of 298 patients, of whom only 10.1% had documented GoC discussion prior to transfer. Sepsis (29.9%), respiratory failure (28.2%), and cardiac arrest (27.5%) were the top three diagnoses associated with in-hospital mortality, and 73.2% of the patients transitioned to comfort measures prior to death. After transfer, 18.1% of patients had invasive procedures performed with 9.7% undergoing major surgery. Palliative care consultation occurred in only 4.4%.\nConclusion: \nThe majority (89.9%) of IHT patients with early mortality did not have GoC discussion documented within EHR prior to transfer, although most transitioned to comfort measures prior to their deaths, highlighting that additional work is needed in this area.", "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 medical services, inter-hospital transfers, goals of care, palliative care, emergency medicine" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/51q9m6md", "frozenauthors": [ { "first_name": "Justin", "middle_name": "K.", "last_name": "Brooten", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina\nWake Forest School of Medicine, Department of Internal Medicine, Section on Gerontology & Geriatric Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Alyssa", "middle_name": "S.", "last_name": "Buckenheimer", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Internal Medicine, Section on General Internal Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Joy", "middle_name": "K.", "last_name": "Hallmark", "name_suffix": "", "institution": "University of North Carolina, Department of Emergency Medicine, Chapel Hill, North Carolina", "department": "None" }, { "first_name": "Carl", "middle_name": "R.", "last_name": "Grey", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Internal Medicine, Section on Gerontology & Geriatric Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "M.", "last_name": "Cline", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Candace", "middle_name": "J.", "last_name": "Breznau", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Internal Medicine, Section on Gerontology & Geriatric Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Tyler", "middle_name": "S.", "last_name": "McQueen", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Internal Medicine, Section on Gerontology & Geriatric Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Zvi", "middle_name": "J.", "last_name": "Harris", "name_suffix": "", "institution": "Wake Forest Graduate School of Arts and Science, Department of Biomedical Science, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Welsh", "name_suffix": "", "institution": "Wake Forest School of Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Jeff", "middle_name": "D.", "last_name": "Williamson", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Internal Medicine, Section on Gerontology & Geriatric Medicine, Winston-Salem, North Carolina\nWake Forest School of Medicine, Center for Health Care Innovation, Department of Internal Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Jennifer", "middle_name": "L.", "last_name": "Gabbard", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Internal Medicine, Section on Gerontology & Geriatric Medicine, Winston-Salem, North Carolina\nWake Forest School of Medicine, Center for Health Care Innovation, Department of Internal Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2019-12-04T18:35:02-08:00", "date_accepted": "2019-12-04T18:35:02-08:00", "date_published": "2020-07-08T11:52:26-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13404/galley/7038/download/" } ] }, { "pk": 13363, "title": "Impact of Emergency Department Crowding on Delays in Acute Stroke Care", "subtitle": null, "abstract": "Introduction: \nDelays in identification and treatment of acute stroke contribute to significant morbidity and mortality. Multiple clinical factors have been associated with delays in acute stroke care. We aimed to determine the relationship between emergency department (ED) crowding and the delivery of timely emergency stroke care.\nMethods: \nWe used prospectively collected data from our institutional Get with the Guidelines-Stroke registry to identify consecutive acute ischemic stroke patients presenting to our urban academic ED from July 2016–August 2018. We used capacity logs to determine the degree of ED crowding at the time of patients’ presentation and classified them as ordinal variables (normal, high, and severe capacity constraints). Outcomes of interest were door-to-imaging time (DIT) among patients potentially eligible for alteplase or endovascular therapy on presentation, door-to-needle time (DTN) for alteplase delivery, and door-to-groin puncture (DTP) times for endovascular therapy. Bivariate comparisons were made using t-tests, chi-square, and Wilcoxon rank-sum tests as appropriate. We used regression models to examine the relationship after accounting for patient demographics, transfer status, arrival mode, and initial stroke severity by the National Institutes of Health Stroke Scale.\nResults:\n Of the 1379 patients with ischemic stroke presenting during the study period, 1081 (78%) presented at times of normal capacity, 203 (15%) during high ED crowding, and 94 (7%) during severe crowding. Median DIT was 26 minutes (interquartile range [IQR] 17-52); DTN time was 43 minutes (IQR 31-59); and median DTP was 58.5 minutes (IQR 56.5-100). Treatment times were not significantly different during periods of higher ED utilization in bivariate or in multivariable testing.\nConclusion:\n In our single institution analysis, we found no significant delays in stroke care delivery associated with increased ED crowding. This finding suggests that robust processes of care may enable continued high-quality acute care delivery, even during times with an increased capacity burden.", "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 crowding" }, { "word": "stroke" }, { "word": "Endovascular Therapy" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3494c2qc", "frozenauthors": [ { "first_name": "Todd", "middle_name": "A.", "last_name": "Jaffe", "name_suffix": "", "institution": "Harvard Affiliated Emergency Medicine Residency at Massachusetts General Hospital and Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Joshua", "middle_name": "N.", "last_name": "Goldstein", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Brian", "middle_name": "J.", "last_name": "Yun", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Etherton", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Neurology, Boston, Massachusetts", "department": "None" }, { "first_name": "Thabele", "middle_name": "", "last_name": "Leslie-Mazwi", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Neurology, Boston, Massachusetts", "department": "None" }, { "first_name": "Lee", "middle_name": "H.", "last_name": "Schwamm", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Neurology, 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" } ], "date_submitted": "2019-12-19T10:32:00-08:00", "date_accepted": "2019-12-19T10:32:00-08:00", "date_published": "2020-07-08T11:43:31-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13363/galley/7015/download/" } ] }, { "pk": 862, "title": "Atypical Cause of Sepsis from Bilateral Iliopsoas Abscesses Seeded from Self-mutilation: A Case Report", "subtitle": null, "abstract": "Introduction:\n An iliopsoas abscess (IPA) is an abscess located adjacent to the iliopsoas and iliacus muscles. Although rare, their variable clinical presentations often lead to a delay in diagnosis.\nCase report:\n We present a case of sepsis secondary to multiple IPAs that was missed despite multiple healthcare encounters. The patient had no classical risk factors for an IPA, and the abscesses were found to be seeded via hematogenous spread from self-inflicted cutting.\nConclusion:\n This case illustrates the importance of obtaining a complete history, including psychiatric screen, and performing a thorough examination when evaluating patients with low back pain to rule out overlooked sources of bacteremia.", "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": "abscess" }, { "word": "sepsis" }, { "word": "iliopsoas abscess" }, { "word": "self-mutilation" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8fx441mk", "frozenauthors": [ { "first_name": "Sam", "middle_name": "", "last_name": "Langberg", "name_suffix": "", "institution": "University of Queensland School of Medicine, Ochsner Clinical School, Department of Emergency Medicine, New Orleans, Louisiana; Ochsner Health System, Department of Emergency Medicine, Division of Emergency Ultrasound, New Orleans, Louisiana", "department": "None" }, { "first_name": "Shayan", "middle_name": "", "last_name": "Azizi", "name_suffix": "", "institution": "University of Queensland School of Medicine, Ochsner Clinical School, Department of Emergency Medicine, New Orleans, Louisiana", "department": "None" } ], "date_submitted": "2020-07-07T12:34:40-07:00", "date_accepted": "2020-07-07T12:34:40-07:00", "date_published": "2020-07-07T12:35:30-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/862/galley/612/download/" } ] }, { "pk": 13388, "title": "Emergency Department-based Intensive Care Unit Use Peaks Near Emergency Department Shift Turnover", "subtitle": null, "abstract": "Introduction:\n The Emergency Critical Care Center (EC3) is an emergency department-based intensive care unit (ED-ICU) designed to improve timely access to critical care for ED patients. ED patients requiring intensive care are initially evaluated and managed in the main ED prior to transfer to a separate group of ED-ICU clinicians. The timing of patient transfers to the ED-ICU may decrease the number of handoffs between main ED teams and have an impact on both patient outcomes and optimal provider staffing models, but has not previously been studied. We aimed to analyze patterns of transfer to the ED-ICU and the relationship with shift turnover times in the main ED. We hypothesized that the number of transfers to the ED-ICU increases near main ED shift turnover times.\nMethods: \nAn electronic health record search identified all patients managed in the ED and ED-ICU in 2016 and 2017. We analyzed the number of ED arrivals per hour, the number of ED-ICU consults per hour, the time interval from ED arrival to ED-ICU consult, the distribution throughout the day, and the relationship with shift turnover times in the main ED.\nResults:\n A total of 160,198 ED visits were queried, of which 5308 (3.3%) were managed in the ED-ICU. ED shift turnover times were 7 am, 3 pm, and 11 pm. The mean number of ED-ICU consults placed per hour was 221 (85 standard deviation), with relative maximums occurring near ED turnover times: 10:31 pm -11:30 pm (372) and 2:31 pm -3:30 pm (365). The minimum was placed between 7:31 am – 8:30 am (88), shortly after the morning ED turnover time. The median interval from ED arrival time to ED-ICU consult order was 161 minutes (range 6-1,434; interquartile range 144-174). Relative minimums were observed for patients arriving shortly prior to ED turnover times: 4:31 am - 5:30 am (120 minutes [min]), 12:31 pm - 1:30 pm (145 min), and 9:31 pm - 10:30 pm (135 min). Relative maximums were observed for patients arriving shortly after ED turnover times: 7:31 am - 8:30 am (177 min), 4:31 pm - 5:30 pm (218 min), and 11:31 pm - 12:30 am (179 min).\nConclusion:\n ED-ICU utilization was highest near ED shift turnover times, and utilization was dissimilar to overall ED arrival patterns. Patients arriving immediately prior to ED shift turnover received earlier consults to the ED-ICU, suggesting these patients may have been preferentially transferred to the ED-ICU rather than signed out to the next team of emergency clinicians. These findings may guide operational planning, staffing models, and timing of shift turnover for other institutions implementing ED-ICUs. Future studies could investigate whether an ED-ICU model improves critically ill patients’ outcomes by minimizing ED provider handoffs.", "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" }, { "word": "intensive care unit" }, { "word": "Critical care" }, { "word": "operations" }, { "word": "staffing" }, { "word": "turnover" }, { "word": "Handoff" }, { "word": "transitions of care" }, { "word": "Sign-out" }, { "word": "ED" }, { "word": "ICU" }, { "word": "ED-ICU" }, { "word": "Emergency Critical Care" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7g4451f1", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "L.", "last_name": "Haas", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan\nMichigan Medicine, Division of Emergency Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Henrique", "middle_name": "A.", "last_name": "Puls", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Adan", "name_suffix": "", "institution": "University of Cincinnati, Department of Emergency Medicine, Cincinnati, Ohio", "department": "None" }, { "first_name": "Colman", "middle_name": "", "last_name": "Hatton", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "John", "middle_name": "R.", "last_name": "Joseph", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Hebert", "name_suffix": "", "institution": "University of Washington, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Seattle, Washington", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Hackenson", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan\nMichigan Medicine, Division of Emergency Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Kyle", "middle_name": "J.", "last_name": "Gunnerson", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan\nMichigan Medicine, Division of Emergency Critical Care, Ann Arbor, Michigan\nMichigan Medicine, Department of Internal Medicine, Ann Arbor, Michigan\nMichigan Medicine, Department of Anesthesiology/Critical Care, 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 Medicine, Division of Emergency Critical Care, Ann Arbor, Michigan", "department": "None" } ], "date_submitted": "2019-11-26T06:55:53-08:00", "date_accepted": "2019-11-26T06:55:53-08:00", "date_published": "2020-07-06T15:34:57-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13388/galley/7028/download/" } ] }, { "pk": 13402, "title": "Clinical Teaching: An Evidence-based Guide to Best Practices from the Council of Emergency Medicine Residency Directors", "subtitle": null, "abstract": "Clinical teaching is the primary educational tool use to train learners from day one of medical school all the way to the completion of fellowship. However, concerns over time constraints and patient census have led to a decline in bedside teaching. This paper provides a critical review of the literature on clinical teaching with a focus on instructor teaching strategies, clinical teaching models, and suggestions for incorporating technology. Recommendations for instructor-related teaching factors include adequate preparation, awareness of effective teacher attributes, using evidence-based-knowledge dissemination strategies, ensuring good communication, and consideration of environmental factors. Proposed recommendations for potential teaching strategies include the Socratic method, the One-Minute Preceptor model, SNAPPS, ED STAT, teaching scripts, and bedside presentation rounds. Additionally, this article will suggest approaches to incorporating technology into clinical teaching, including just-in-time training, simulation, and telemedical teaching. This paper provides readers with strategies and techniques for improving clinical teaching effectiveness.", "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": "Teaching" }, { "word": "Clinical" }, { "word": "Bedside" }, { "word": "CORD" }, { "word": "Best practices" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5h23k7d4", "frozenauthors": [ { "first_name": "Sreeja", "middle_name": "", "last_name": "Natesan", "name_suffix": "", "institution": "Duke University, Division of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Bailitz", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "King", "name_suffix": "", "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Sara", "middle_name": "M.", "last_name": "Krzyzaniak", "name_suffix": "", "institution": "University of Illinois College of Medicine at Peoria/OSF Healthcare, Department of Emergency Medicine, Peoria, Illinois", "department": "None" }, { "first_name": "Sara", "middle_name": "K.", "last_name": "Kennedy", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Albert", "middle_name": "J.", "last_name": "Kim", "name_suffix": "", "institution": "Washington University in Saint Louis School of Medicine, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Byyny", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush Medical Center, Department of Emergency medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-12-03T19:11:19-08:00", "date_accepted": "2019-12-03T19:11:19-08:00", "date_published": "2020-07-03T15:31:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13402/galley/7037/download/" } ] }, { "pk": 13373, "title": "Food Insecurity and Insulin Use in Hyperglycemic Patients Presenting to the Emergency Department", "subtitle": null, "abstract": "Introduction:\n The prevalence of food insecurity (FI) and insulin rationing among patients with diabetes who present to the emergency department (ED) is unclear. We examined the prevalence of food insecurity and subtherapeutic insulin use among patients who presented to the ED with a blood glucose level of greater than 250 milligrams per deciliter.\nMethods:\n This was a single-center, cross-sectional survey of clinically stable, hyperglycemic adults in the ED for food insecurity using the Hunger Vital Sign screening tool. Patients who were insulin dependent were asked about insulin usage and rationing.\nResults:\n Of the 85 eligible patients, 76 (89.4%) were enrolled; 35 (46%) screened positive for food insecurity. Food insecure patients were 1.9 times more likely to be hospitalized than non-food insecure patients (relative risk = 1.90 [1.21-2.99], p<.01). Food insecure patients were younger than non-food insecure patients (50.4 vs 57.5 p<.02), and had significantly higher hemoglobin A1c (HgbA1c) levels (11.2% vs 9.9% p = 0.04). Of the 49 patients prescribed insulin, 17 (34.6%) stated they had used less insulin during the prior week than had been prescribed, and 21 (42.9%) stated they had used less insulin during the prior year than had been prescribed. Food insecure patients were more likely to have used less insulin than prescribed in the prior year (odds ratio = 3.60 [1.09-11.9], p = 0.04).\nConclusion: \nOur exploratory findings suggest almost half of clinically stable adults presenting to our inner-city ED with hyperglycemia experience food insecurity. More than one-third of those prescribed insulin used less than their prescribed amount in the prior year.", "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": "Food Insecurity" }, { "word": "Diabetes" }, { "word": "Emergency Medicine" }, { "word": "social determinants of health" } ], "section": "Population Health and Social Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/823183bj", "frozenauthors": [ { "first_name": "Heng", "middle_name": "Ky", "last_name": "Nhoung", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Munish", "middle_name": "", "last_name": "Goyal", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia\nMedStar Washington Hospital Center, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Maria", "middle_name": "", "last_name": "Cacciapuoti", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Hannah", "middle_name": "", "last_name": "Day", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Taymour", "middle_name": "", "last_name": "Hashemzadeh", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Magee", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia\nMedStar Health,\u2028MedStar Diabetes Institute, Columbia, Maryland", "department": "None" }, { "first_name": "Yumi", "middle_name": "S.", "last_name": "Jarris", "name_suffix": "", "institution": "Georgetown University School of Medicine, Washington, District of Columbia\nMedStar Georgetown University Hospital, Georgetown University School of Medicine, Department of Family Medicine, Washington, District of Columbia", "department": "None" } ], "date_submitted": "2019-11-18T14:58:34-08:00", "date_accepted": "2019-11-18T14:58:34-08:00", "date_published": "2020-07-03T15:19:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13373/galley/7020/download/" } ] }, { "pk": 861, "title": "Spinal Arteriovenous Fistula, A Manifestation of Hereditary Hemorrhagic Telangiectasia: A Case Report", "subtitle": null, "abstract": "Introduction:\n Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by arteriovenous malformations (AVM). HHT can have neurological manifestations.\nCase Report:\n A 32-year-old woman with a history of HHT presented to the emergency department with acute partial paralysis of the right leg, urinary retention, and right-sided back and hip pain. Magnetic resonance imaging of the spine demonstrated multiple, dilated blood vessels along the cervical spine, diffuse AVMs in the lumbar and thoracic spine, and a new arteriovenous fistula at the twelfth thoracic (T12) vertebral level. Her symptoms improved after endovascular embolization of the fistula.\nConclusion:\n Spinal AVMs are thought to be more prevalent in patients with HHT. Given the high morbidity of arteriovenous fistulas, early recognition and intervention are critical.", "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": "pinal AVMs are thought to be more prevalent in patients with HHT. Given the high morbidity of arteriovenous fistulas, early recognition and intervention are critical" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2fw674wb", "frozenauthors": [ { "first_name": "Jodi", "middle_name": "", "last_name": "Spangler", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Bjorn", "middle_name": "", "last_name": "Watsjold", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Jonathan", "middle_name": "S.", "last_name": "Ilgen", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2020-07-03T13:23:04-07:00", "date_accepted": "2020-07-03T13:23:04-07:00", "date_published": "2020-07-03T13:25:44-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/861/galley/611/download/" } ] } ] }