Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=13300
{ "count": 39500, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=13400", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=13200", "results": [ { "pk": 34784, "title": "Imagining Alternatives? Latin American Scholarship on International Economic Law and the Global Economic Order", "subtitle": null, "abstract": "This Article analyzes the role of Latin American international economic law scholarship within the global economic order. Many of the problems that Latin Americans face today relate to the global economy, such as labor conditions, access to medicine, and the use of natural resources, among others. The discussion of these problems, however, seldom recognizes the role of international economic law scholarship. Although the knowledge created by this scholarship may not completely explain why States actively behave in a certain way, it can serve to explain why they may refrain from certain actions. This Article argues that scholarship on international economic law plays a crucial role in the creation and reproduction of the current global economic order. If this claim is correct, regional scholarship can do more for Latin America than serving the advisory and litigation needs of States. By recognizing its role in constituting the global economic order, international economic law scholarship can promote alternative theories and practices that may help Latin America and its people find their place in the global economy.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "International Economics" }, { "word": "Latin American scholarship" }, { "word": "global economy" } ], "section": "Translations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7b40n1df", "frozenauthors": [ { "first_name": "Nicolás", "middle_name": "M.", "last_name": "Perrone", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T12:31:34-05:00", "date_accepted": "2020-05-08T12:31:34-05:00", "date_published": "2020-04-30T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34784/galley/25927/download/" } ] }, { "pk": 34782, "title": "O’odham Niok? In Indigenous Languages, U.S. “Jurisprudence” Means Nothing", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "indigenous rights" }, { "word": "Indigenous Languages" }, { "word": "U.S. jurisprudence" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2495r4h7", "frozenauthors": [ { "first_name": "Blake", "middle_name": "", "last_name": "Gentry", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T12:15:33-05:00", "date_accepted": "2020-05-08T12:15:33-05:00", "date_published": "2020-04-30T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34782/galley/25925/download/" } ] }, { "pk": 34781, "title": "Riding the Plessy Train: Tracking in the Lower Courts", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Plessy vs Ferguson" }, { "word": "Brown vs Board of Education" }, { "word": "Civil Rights" }, { "word": "Desegregation" }, { "word": "microdesegregation" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5v92261d", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "O.", "last_name": "Oluwole", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Preston", "middle_name": "C.", "last_name": "Green III", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T12:12:35-05:00", "date_accepted": "2020-05-08T12:12:35-05:00", "date_published": "2020-04-30T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34781/galley/25924/download/" } ] }, { "pk": 34780, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85z0f7h2", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T12:03:14-05:00", "date_accepted": "2020-05-08T12:03:14-05:00", "date_published": "2020-04-30T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34780/galley/25923/download/" } ] }, { "pk": 34783, "title": "The 1986 Immigration Reform and Control Act as Antecedent to Contemporary Latina/o/x Migration", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Immigration reform and control act" }, { "word": "IRCA" }, { "word": "migration trends" }, { "word": "Latinx migration" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rm94651", "frozenauthors": [ { "first_name": "Mariela", "middle_name": "", "last_name": "Olivares", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T12:21:58-05:00", "date_accepted": "2020-05-08T12:21:58-05:00", "date_published": "2020-04-30T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34783/galley/25926/download/" } ] }, { "pk": 833, "title": "An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles", "subtitle": null, "abstract": "Introduction:\n As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads across the globe, physicians face the challenges of a contagious pandemic including which patients to isolate, how to conserve personal protective equipment, and who to test. The current protocol at our hospital is to place anyone with new cough, dyspnea, or fever into airborne and contact precautions and consider them for testing. Unfortunately, the symptomatic presentations of coronavirus disease 2019 (COVID-19) are proving more variable than previously thought. \nCase Report:\n Our case of COVID-19 presented with headache and then progressed to a meningitis-like illness with co-existing shingles rash.\n \nConclusion:\n COVID-19 can have a variety of initial presentations that are not the classic respiratory symptoms and fever. These presenting symptoms of COVID-19 can include a meningitis-like illness, as our case report indicates. The wide variety of presentations of COVID-19 may warrant widespread testing to identify cases, protect healthcare workers, and prevent the spread of this pandemic", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" }, { "word": "novel coronavirus" }, { "word": "meningitis" }, { "word": "shingles" }, { "word": "presenting symptoms" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jm2d6g6", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "", "last_name": "Packwood", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Gayle", "middle_name": "", "last_name": "Galletta", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Tennyson", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" } ], "date_submitted": "2020-04-29T12:10:52-05:00", "date_accepted": "2020-04-29T12:10:52-05:00", "date_published": "2020-04-29T12:11:34-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/833/galley/586/download/" } ] }, { "pk": 832, "title": "A 45-year-old Female with an Atypical Presentation of Pharyngitis", "subtitle": null, "abstract": "Introduction: Emergency physicians are trained to treat a variety of ailments in the emergency department (ED), some of which are emergent, while others are not. A common complaint seen in the ED is a sore throat. While most sore throats are easily diagnosed and treated, less common causes are often not considered in the differential diagnoses. Therefore, the purpose of this case study was to present an atypical case of sore throat and discuss differential diagnoses.\nCase Presentation: The patient was a 45-year-old female who presented to the ED with a three-day history of sore throat that was exacerbated by eating and drinking. The patient was not on any prescription medications, but tried over-the-counter medications for the sore throat without any improvement in symptoms. Review of systems was positive for sore throat, fevers, and chills. Physical examination of her oropharynx revealed mildly dry mucous membranes with confluent plaques and white patchy ulcerative appearance involving the tongue, tonsils, hard palate, and soft palate. Rapid streptococcal antigen, mononucleosis spot test, and KOH test were performed and found to be negative.\nDiscussion: After initial testing was negative, a follow-up complete blood count with differential and complete metabolic profile were ordered. The patient was found to have decreased lymphocytes and platelets. Based upon those results, a diagnosis was made in the ED, the patient was started on medication, and further laboratory workup was ordered to confirm the diagnosis. ED providers should consider non-infectious as well as infectious causes for a sore throat, as this might lead to a diagnosis of an underlying condition.", "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": "HIV" }, { "word": "AIDS" }, { "word": "oral hairy leukoplakia" }, { "word": "oral lesion" } ], "section": "ACOEP Clinicopathological Cases (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0zg089px", "frozenauthors": [ { "first_name": "Artur", "middle_name": "", "last_name": "Schander", "name_suffix": "", "institution": "Sacred Heart Hospital, Department of Emergency Medicine, Pensacola, Florida", "department": "None" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Glickman", "name_suffix": "", "institution": "HCA/USF Morsani College of Medicine GME Consortium: Brandon Regional Hospital, Department of Emergency Medicine, Brandon, Florida", "department": "None" }, { "first_name": "Nancy", "middle_name": "", "last_name": "Weber", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas; Paul L. Foster School of Medicine, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Rodgers", "name_suffix": "", "institution": "Dallas Ear Institute, Dallas, Texas", "department": "None" }, { "first_name": "Michael", "middle_name": "B.", "last_name": "Carney", "name_suffix": "", "institution": "Reynold’s Memorial Hospital, Department of Emergency Medicine, Glen Dale, West Virginia", "department": "None" } ], "date_submitted": "2020-04-28T15:17:00-05:00", "date_accepted": "2020-04-28T15:17:00-05:00", "date_published": "2020-04-28T15:18:28-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/832/galley/585/download/" } ] }, { "pk": 40782, "title": "East Coast/West Coast: The Long Tradition of Italian Immigrant Performers", "subtitle": null, "abstract": "This article discusses the role of the immigrant stage in representing, imagining, exporting and importing, the Italian identity. In particular the essay examines the differences between the Italian Diasporic communities on the east Coast and in California and the diverse \nculture dello spettacolo\n they proposed to both American and Italian audiences.", "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": "Italian diaspora, spettacolo, New York, California" } ], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4x94q9wd", "frozenauthors": [ { "first_name": "Giuliana", "middle_name": "", "last_name": "Muscio", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2019-01-17T06:44:37-06:00", "date_accepted": "2019-01-17T06:44:37-06:00", "date_published": "2020-04-28T13:42:13-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40782/galley/30562/download/" } ] }, { "pk": 44947, "title": "Scombroid Fish Poisoning", "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/56w943b3", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "Ruman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T13:01:01-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44947/galley/33740/download/" } ] }, { "pk": 44946, "title": "Delayed Reversibility of Late Bioprosthetic Valve Thrombosis", "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/9f1860wk", "frozenauthors": [ { "first_name": "Pooja", "middle_name": "S.", "last_name": "Desai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ravi", "middle_name": "H.", "last_name": "Dave", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Shipra", "middle_name": "", "last_name": "Hingorany", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Tabibiazar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T12:54:50-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44946/galley/33739/download/" } ] }, { "pk": 44945, "title": "Subtle Visual Deficits Presenting as a Posterior Cerebral Artery Stroke", "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/6tj688x0", "frozenauthors": [ { "first_name": "Heaveen", "middle_name": "", "last_name": "Ahdi", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Manuel", "middle_name": "A.", "last_name": "Celedon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Zahir", "middle_name": "I.", "last_name": "Basrai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T12:38:34-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44945/galley/33738/download/" } ] }, { "pk": 44944, "title": "Sulfonylurea-Induced Hemolysis in a Patient with G6PD Deficiency", "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/9qx2r4t4", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Custer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Channick", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Neil", "middle_name": "", "last_name": "Parker", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Annapoorna", "middle_name": "", "last_name": "Chirra", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T12:26:15-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44944/galley/33737/download/" } ] }, { "pk": 831, "title": "A Case Report of Acute Heart Failure Due to Infective Aortic Endocarditis Diagnosed by Point-of-care Ultrasound", "subtitle": null, "abstract": "Introduction: Infective endocarditis (IE) is a life-threatening condition with significant morbidity and mortality, and can require surgical repair.\nCase Report: A 36-year-old man presented to the emergency department for worsening dyspnea and chest pain. Point-of-care echocardiography demonstrated a mobile oscillating mass on the aortic valve with poor approximation of the valve leaflets, suggesting aortic valve insufficiency secondary to IE as the cause of acute heart failure. The patient underwent emergent aortic valve replacement within 24 hours.\nDiscussion: While point-of-care echocardiography has been well documented in identifying tricuspid vegetations, aorticvalve involvement and subsequent heart failure is less well described. Earlier recognition of aortic valve vegetations and insufficiency can expedite surgical intervention, with decreased complication rates linked to earlier antimicrobial therapy.\nConclusion: This case report highlights the ability of point-of-care ultrasound to identify aortic vegetations, allowing for the earlier diagnosis and therapy.", "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": "infective endocarditis" }, { "word": "point-of-care-ultrasound" }, { "word": "aortic valve vegetation" }, { "word": "cardiac valve regurgitation" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2rz8p056", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Gallagher", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Wilson", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" }, { "first_name": "Pamela", "middle_name": "", "last_name": "Hite", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" }, { "first_name": "Bradley", "middle_name": "", "last_name": "Jackson", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" } ], "date_submitted": "2020-04-27T19:36:27-05:00", "date_accepted": "2020-04-27T19:36:27-05:00", "date_published": "2020-04-27T19:37:13-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/831/galley/584/download/" } ] }, { "pk": 13347, "title": "It’s In The Bag: Tidal Volumes in Adult and Pediatric Bag Valve Masks", "subtitle": null, "abstract": "Introduction:\n A bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient’s position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Multiple studies have shown the tidal volumes typically delivered by the adult BVM are often higher than recommended for lung-protective ventilation protocols. In this study we measure and compare the ventilation parameters delivered by the adult and pediatric BVM ventilators.\nMethods:\n A RespiTrainer Advance® adult mannequin was used to simulate a patient. Healthcare providers were directed to manually ventilate an intubated mannequin for two minutes using adult and pediatric sized BVMs. Tidal volume, minute ventilation, peak pressure, and respiration rate was recorded.\nResults: \nThe adult BVM provided a mean tidal volume of 807.7mL versus the pediatric BVM providing 630.7mL, both of which exceeded the upper threshold of 560mL of tidal volume necessary for lung protective ventilation of an adult male with an ideal body weight of 70kg. The adult BVM exceeded this threshold by 44.2% versus the pediatric BVM’s 12.6% with 93% of participants exceeding the maximum threshold with the adult BVM and 82.3% exceeding it with the pediatric BVM.\nConclusion: \nThe pediatric BVM in our study provided far more consistent and appropriate ventilation parameters for adult patients compared to an adult BVM, but still exceeded the upper limits of lung protective ventilation parameters. The results of this study highlight the potential dangers in using an adult BVM due to increased risk of pulmonary barotrauma. These higher tidal volumes can contribute to lung injury. This study confirms that smaller BVMs may provide safer ventilatory parameters. Future studies should focus on patient-centered outcomes with BVM.", "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": "CPR" }, { "word": "Critical care" }, { "word": "EMS" }, { "word": "ventilation" }, { "word": "Ventilator" }, { "word": "resuscitation" }, { "word": "BVM" }, { "word": "Bag Valve Mask" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37z118tt", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Dafilou", "name_suffix": "", "institution": "Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Schwester", "name_suffix": "", "institution": "Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey", "department": "None" }, { "first_name": "Nathan", "middle_name": "", "last_name": "Ruhl", "name_suffix": "", "institution": "Rowan University, Department of Biological Sciences, Glassboro, New Jersey", "department": "None" }, { "first_name": "Andreia", "middle_name": "", "last_name": "Marques-Baptista", "name_suffix": "", "institution": "Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey", "department": "None" } ], "date_submitted": "2019-11-04T21:46:07-06:00", "date_accepted": "2019-11-04T21:46:07-06:00", "date_published": "2020-04-27T14:53:44-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13347/galley/7010/download/" } ] }, { "pk": 13693, "title": "Descriptive Analysis of Extubations Performed in an Emergency Department-based Intensive Care Unit", "subtitle": null, "abstract": "Introduction: \nExtubation of appropriate patients in the emergency department (ED) may be a strategy to avoid preventable or short-stay intensive care unit (ICU) admissions, and could allow for increased ventilator and ICU bed availability when demand outweighs supply. Extubation is infrequently performed in the ED, and a paucity of outcome data exists. Our objective was to descriptively analyze characteristics and outcomes of patients extubated in an ED-ICU setting.\nMethods: \nWe conducted a retrospective observational study at an academic medical center in the United States. Adult ED patients extubated in the ED-ICU from 2015-2019 were retrospectively included and analyzed.\nResults:\n We identified 202 patients extubated in the ED-ICU; 42% were female and median age was 60.86 years. Locations of endotracheal intubation included the ED (68.3%), outside hospital ED (23.8%), and emergency medical services/prehospital (7.9%). Intubations were performed for airway protection (30.2%), esophagogastroduodenoscopy (27.7%), intoxication/ingestion (17.3%), respiratory failure (13.9%), seizure (7.4%), and other (3.5%). The median interval from ED arrival to extubation was 9.0 hours (interquartile range 6.2-13.6). One patient (0.5%) required unplanned re-intubation within 24 hours of extubation. The attending emergency physician (EP) at the time of extubation was not critical care fellowship trained in the majority (55.9%) of cases. Sixty patients (29.7%) were extubated compassionately; 80% of these died in the ED-ICU, 18.3% were admitted to medical-surgical units, and 1.7% were admitted to intensive care. Of the remaining patients extubated in the ED-ICU (n = 142, 70.3%), zero died in the ED-ICU, 61.3% were admitted to medical-surgical units, 9.9% were admitted to intensive care, and 28.2% were discharged home from the ED-ICU.\nConclusion: \nSelect ED patients were safely extubated in an ED-ICU by EPs. Only 7.4% required ICU admission, whereas if ED extubation had not been pursued most or all patients would have required ICU admission. Extubation by EPs of appropriately screened patients may help decrease ICU utilization, including when demand for ventilators or ICU beds is greater than supply. Future research is needed to prospectively study patients appropriate for ED extubation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/66z8j80m", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "L.", "last_name": "Haas", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan\nMichigan Center for Integrative Research in Critical Care, University of Michigan, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Patrick", "middle_name": "", "last_name": "Larabell", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Schaeffer", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Victoria", "middle_name": "", "last_name": "Hoch", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Miguel", "middle_name": "", "last_name": "Arribas", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Amanda", "middle_name": "C.", "last_name": "Melvin", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Stephanie", "middle_name": "L.", "last_name": "Laurinec", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Benjamin", "middle_name": "S.", "last_name": "Bassin", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan\nMichigan Center for Integrative Research in Critical Care, University of Michigan, Ann Arbor, Michigan", "department": "None" } ], "date_submitted": "2020-03-29T09:38:07-06:00", "date_accepted": "2020-03-29T09:38:07-06:00", "date_published": "2020-04-27T14:12:48-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13693/galley/7152/download/" } ] }, { "pk": 13690, "title": "Definitive Airway Management of Patients with a King Laryngeal Tube TM in Place in the COVID-19 Pandemic", "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": "king" }, { "word": "Extraglottic" }, { "word": "intubation" }, { "word": "Airway Management" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/94m1q30s", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "J.", "last_name": "Sandefur", "name_suffix": "", "institution": "Mayo Clinic College of Medicine and Science, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Brian", "middle_name": "E.", "last_name": "Driver", "name_suffix": "", "institution": "Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Calvin", "middle_name": "A.", "last_name": "Brown III", "name_suffix": "", "institution": "Brigham and Women’s Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Robert", "middle_name": "F.", "last_name": "Reardon", "name_suffix": "", "institution": "Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" } ], "date_submitted": "2020-03-28T15:54:16-06:00", "date_accepted": "2020-03-28T15:54:16-06:00", "date_published": "2020-04-24T15:48:27-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13690/galley/7149/download/" } ] }, { "pk": 13727, "title": "Humanism in the Age of COVID-19: Renewing Focus on Communication and Compassion", "subtitle": null, "abstract": "The global COVID-19 pandemic has become one of the largest clinical and operational challenges faced by emergency medicine, and our EDs continue to see increased volumes of infected patients, many of whom are not only ill, but acutely aware and fearful of their circumstances and potential mortality. Given this, there may be no more important time to focus on staff-patient communication and expression of compassion.\nHowever, many of the techniques usually employed by emergency clinicians to provide comfort to patients and their families are made more challenging or impossible by the current circumstances. Geriatric ED patients, who are at increased risk of severe disease, are particularly vulnerable to the effects of isolation.\nDespite many challenges, emergency clinicians have at their disposal a myriad of tools that can still be used to express compassion and empathy to their patients. Placing emphasis on using these techniques to maximize humanism in the care of COVID-19 patients during this crisis has the potential to bring improvements to ED patient care well after this pandemic has passed.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" }, { "word": "coronavirus" }, { "word": "Emergency Medicine" }, { "word": "humanism" }, { "word": "compassion" }, { "word": "Empathy" }, { "word": "Communication" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/802655ws", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "D.", "last_name": "Sonis", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Maura", "middle_name": "", "last_name": "Kennedy", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Emily", "middle_name": "L.", "last_name": "Aaronson", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Joshua", "middle_name": "J.", "last_name": "Baugh", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ali", "middle_name": "S.", "last_name": "Raja", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Brian", "middle_name": "J.", "last_name": "Yun", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Benjamin", "middle_name": "A.", "last_name": "White", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-04-07T08:14:53-05:00", "date_accepted": "2020-04-07T08:14:53-05:00", "date_published": "2020-04-24T15:40:47-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13727/galley/7164/download/" } ] }, { "pk": 13759, "title": "Ibuprofen During the COVID-19 Pandemic: Social Media Precautions and Implications", "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, coronavirus" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2406k469", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "M.", "last_name": "Carius", "name_suffix": "", "institution": "Brooke Army Medical Center, JBSA Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Steve", "middle_name": "G.", "last_name": "Schauer", "name_suffix": "", "institution": "Brooke Army Medical Center, JBSA Fort Sam Houston, Texas\nUS Army Institute of Surgical Research, JBSA Fort Sam Houston, Texas\nUniformed Services University of the Health Sciences, Bethesda, Maryland", "department": "None" } ], "date_submitted": "2020-04-14T11:24:28-05:00", "date_accepted": "2020-04-14T11:24:28-05:00", "date_published": "2020-04-24T15:37:41-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13759/galley/7173/download/" } ] }, { "pk": 13411, "title": "Impact of Scribes with Flow Coordination Duties on Throughput in an Academic Emergency Department", "subtitle": null, "abstract": "Introduction: \nWith the increasing influence of electronic health records in emergency medicine came concerns of decreasing operational efficiencies. Particularly worrisome was increasing patient length of stay (LOS). Medical scribes were identified to be in a good position to quickly address barriers to treatment delivery and patient flow. The objective of this study was to investigate patient LOS in the mid- and low-acuity zones of an academic emergency department (ED) with and without medical scribes.\nMethods:\n A retrospective cohort study compared patient volume and average LOS between a cohort without scribes and a cohort after the implementation of a scribe-flow coordinator program. Patients were triaged to the mid-acuity Vertical Zone (primarily Emergency Severity Index [ESI] 3) or low-acuity Fast Track (primarily ESI 4 and 5) at a tertiary academic ED. Patients were stratified by treatment zone, acuity level, and disposition.\nResults: \nThe pre-intervention and post-intervention periods included 8900 patients and 9935 patients, respectively. LOS for patients discharged from the Vertical Zone decreased by 12 minutes from 235 to 223 minutes (p<0.0001, 95% confidence interval [CI], -17,-7) despite a 10% increase in patient volume. For patients admitted from the Vertical Zone, volume increased 13% and LOS remained almost the same, increasing from 225 to 228 minutes (p=0.532, 95% CI, -6,12). For patients discharged from the Fast Track, volume increased 14% and LOS increased six minutes, from 89 to 95 minutes (p<0.0001, 95% CI, 4,9). Predictably, only 1% of Fast Track patients were admitted.\nConclusion:\n Despite substantially increased volume, the use of scribes as patient flow facilitators in the mid-acuity zone was associated with decreased LOS. In the low-acuity zone, scribes were not shown to be as effective, perhaps because rapid patient turnover required them to focus on documentation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "medical scribe" }, { "word": "Patient flow" }, { "word": "Documentation" }, { "word": "throughput" }, { "word": "Efficiency" }, { "word": "Length of Stay" }, { "word": "academic medical center" }, { "word": "Emergency Severity Index" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2g20v861", "frozenauthors": [ { "first_name": "Keith", "middle_name": "", "last_name": "Thomas", "name_suffix": "", "institution": "Stanford Hospital and Clinics, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Marcum", "name_suffix": "", "institution": "Stanford Hospital and Clinics, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Alexei", "middle_name": "", "last_name": "Wagner", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Kohn", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" } ], "date_submitted": "2019-12-07T21:40:40-06:00", "date_accepted": "2019-12-07T21:40:40-06:00", "date_published": "2020-04-24T15:35:16-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13411/galley/7042/download/" } ] }, { "pk": 44943, "title": "Myofascial Pain: Effective Diagnosis and Treatment May Prevent Surgery", "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/3f71w44x", "frozenauthors": [ { "first_name": "Isabella", "middle_name": "", "last_name": "Lai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Melody", "middle_name": "", "last_name": "Bral", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lawrence", "middle_name": "", "last_name": "Taw", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T13:21:54-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44943/galley/33736/download/" } ] }, { "pk": 44942, "title": "Cat Scratch 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/0504t2qg", "frozenauthors": [ { "first_name": "Cindy", "middle_name": "", "last_name": "Nguyen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T13:15:37-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44942/galley/33735/download/" } ] }, { "pk": 44941, "title": "A Case of Alien Hand Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3zm2g598", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Poon", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sherwin", "middle_name": "", "last_name": "Hsu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T13:13:57-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44941/galley/33734/download/" } ] }, { "pk": 44940, "title": "Chronic Mesenteric Ischemia", "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/2b50q6g9", "frozenauthors": [ { "first_name": "Rajinder", "middle_name": "", "last_name": "Kaushal", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Laura", "middle_name": "", "last_name": "McEnerney", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T13:11:11-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44940/galley/33733/download/" } ] }, { "pk": 44939, "title": "Primary Aldosteronism Presenting with Resistant Hypertension & Severe Hypokalemia", "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/8231r0kg", "frozenauthors": [ { "first_name": "Kasra", "middle_name": "", "last_name": "Navabi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Pouyan", "middle_name": "", "last_name": "Famini", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T13:09:10-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44939/galley/33732/download/" } ] }, { "pk": 830, "title": "Unsuspecting Dietary Factors in Hyperkalemia: A Case Report on Why History Matters", "subtitle": null, "abstract": "Introduction: We present a case of hyperkalemia secondary to excessive dietary intake of hard caramel candies.\nCase Report: An 88-year-old male who presented with acute abdominal pain and vomiting was found to have hyperkalemia of 6.9 milliequivalents per liter. He was stabilized, treated, and discharged the following day after resolution. The cause was identified as his daily consumption of 200 hard caramel candies.\nDiscussion: The patient had been consuming sugar-free candies, which induced a chronic diarrhea. This led to potassium wasting and augmentation of his home medications. When he transitioned to eating regular caramel candies, he retained too much potassium leading to his presentation.\nConclusion: While often overlooked, dietary history is a crucial part of history-taking to ensure that the underlying cause for illness is discovered and addressed.", "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": "Hyperkalemia" }, { "word": "diet" }, { "word": "history taking" }, { "word": "dietary habits" }, { "word": "sorbitol and diarrhea" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6z35c4s9", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "McLendon", "name_suffix": "", "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi; William Carey University College of Osteopathic Medicine, Department of Emergency Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Wiggins", "name_suffix": "", "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Derek", "middle_name": "", "last_name": "Hunt", "name_suffix": "", "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Gauthier", "name_suffix": "", "institution": "Merit Health Wesley, Department of Internal Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Deepu", "middle_name": "", "last_name": "Thoppil", "name_suffix": "", "institution": "Merit Health Wesley, Department of Internal Medicine, Hattiesburg, Mississippi", "department": "None" } ], "date_submitted": "2020-04-23T18:47:49-05:00", "date_accepted": "2020-04-23T18:47:49-05:00", "date_published": "2020-04-23T18:48:41-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/830/galley/583/download/" } ] }, { "pk": 829, "title": "Diet-induced Ketoacidosis in a Non-diabetic: A Case Report", "subtitle": null, "abstract": "Introduction: Anion gap metabolic acidosis is a common disorder seen in the emergency department. The differential can include toxicological, renal, endocrine, infectious, and cardiogenic disorders. Ketosis, however, is one of the rarer causes of metabolic acidosis seen by the emergency physician in developed nations.\nCase Report: A 53-year-old female presented after starting a low-carbohydrate ketogenic diet for weight loss. She reported xerostomia, nausea with abdominal pain and a 17-pound weight loss over the previous 22 days. Labs revealed an anion-gap metabolic acidosis with ketosis. She was treated with 5% dextrose in normal saline and a sliding scale insulin coverage. Her anion gap corrected during her hospital course and was discharged on hospital day three.\nDiscussion: The ketogenic diet typically consists of a high-fat, adequate protein and low carbohydrate diet that has previously been thought to be relatively safe for weight loss. However, when carbohydrates are completely removed from the diet an overproduction of ketones bodies results in ketoacidosis. Treatment should be aimed at halting the ketogenic process and patient education.\nConclusion: Although rarely included in the differential for metabolic acidosis, diet-induced ketosis should be included by the emergency physician when faced with a patient who recently changed their eating patterns.", "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": "Anion-Gap Metabolic Acidosis" }, { "word": "Ketosis" }, { "word": "Diet-Induced Ketosis" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2pv0f6sp", "frozenauthors": [ { "first_name": "Sam", "middle_name": "", "last_name": "Slade", "name_suffix": "", "institution": "Midwestern University, Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Midwestern University, Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" } ], "date_submitted": "2020-04-23T18:18:17-05:00", "date_accepted": "2020-04-23T18:18:17-05:00", "date_published": "2020-04-23T18:18:51-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/829/galley/582/download/" } ] }, { "pk": 828, "title": "Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report", "subtitle": null, "abstract": "Introduction: Brugada syndrome is an arrhythmogenic disorder that is a known cause of sudden cardiac death. It is characterized by a pattern of ST segment elevation in the precordial leads on an electrocardiogram (EKG) due to a sodium channelopathy.\nCase Report: This case report highlights the case of a five-year-old female who presented to the emergency department with a febrile viral illness and had an EKG consistent with Brugada syndrome.\nDiscussion: Fever is known to accentuate or unmask EKG changes associated with Brugada due to temperature sensitivity of the sodium channels.\nConclusion: Febrile patients with Brugada are at particular risk for fatal ventricular arrhythmias and fevers should be treated aggressively by the emergency medicine provider. Emergency medicine providers should also consider admitting febrile patients with Brugada syndrome who do not have an automatic implantable cardioverter-defibrillator for cardiac 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": "Brugada" }, { "word": "pediatric" }, { "word": "viral illness" }, { "word": "arrhythmias" }, { "word": "fever" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9d43f8v9", "frozenauthors": [ { "first_name": "Orhay", "middle_name": "", "last_name": "Mirzapolos", "name_suffix": "", "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois", "department": "None" }, { "first_name": "Perry", "middle_name": "", "last_name": "Marshall", "name_suffix": "", "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois", "department": "None" }, { "first_name": "April", "middle_name": "", "last_name": "Brill", "name_suffix": "", "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois", "department": "None" } ], "date_submitted": "2020-04-23T17:56:10-05:00", "date_accepted": "2020-04-23T17:56:10-05:00", "date_published": "2020-04-23T17:57:11-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/828/galley/581/download/" } ] }, { "pk": 827, "title": "Subacute Presentation of Central Cord Syndrome Resulting from Vertebral Osteomyelitis and Discitis: A Case Report", "subtitle": null, "abstract": "Introduction: Central cord syndrome (CCS) is a clinical syndrome of motor weakness and sensory changes. While CCS is most often associated with traumatic events. There have been few documented cases being caused by abscesses resulting from osteomyelitis.\nCase Report: A 56-year-old male presented to a regional trauma center complaining of excruciating neck and bilateral upper extremity pain. Computed tomography of the cervical and thoracic regions revealed severe discitis and osteomyelitis of the fourth and fifth cervical (C4-C5) with near-complete destruction of the C4 vertebral body, as well as anterolisthesis of C4 on C5 causing compression of the central canal. Empiric intravenous (IV) antibiotic therapy with ampicillin/sulbactam and vancomycin was initiated, and drainage of the abscess was scheduled. After the patient refused surgery, he was planned to be transferred to a skilled nursing facility to receive a six-week course of IV vancomycin therapy. A month later, patient returned to emergency department with the same complaint due to non-compliance with antibiotic therapy.\nDiscussion: Delayed diagnosis and treatment of osteomyelitis can result in devastating neurological sequelae, and literature supports immediate surgical debridement. Although past evidence has suggested surgical intervention in similar patients with presence of abscesses, this case may suggest that antibiotic treatment may be an alternative approach to the management of CCS due to an infectious etiology. However, the patient had been non-compliant with medication, so it is unknown whether there was definite resolution of the condition.\nConclusion: In patients presenting with non-traumatic central cord syndrome, it is vital to identify risk factors for infection in a thoroughly obtained patient history, as well as to maintain a low threshold for diagnostic imaging.", "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": "central cord syndrome" }, { "word": "vertebral osteomyelitis" }, { "word": "discitis" }, { "word": "case report" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/76g6892z", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "", "last_name": "Dang", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Fanglong", "middle_name": "", "last_name": "Dong", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Greg", "middle_name": "", "last_name": "Fenati", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California; California University of Science and Medicine, Department of Emergency Medicine, San Bernardino, California", "department": "None" }, { "first_name": "Massoud", "middle_name": "", "last_name": "Rabiei", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Melinda", "middle_name": "", "last_name": "Cerda", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Michael", "middle_name": "M.", "last_name": "Neeki", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California; California University of Science and Medicine, Department of Emergency Medicine, San Bernardino, California", "department": "None" } ], "date_submitted": "2020-04-23T17:34:48-05:00", "date_accepted": "2020-04-23T17:34:48-05:00", "date_published": "2020-04-23T17:36:45-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/827/galley/580/download/" } ] }, { "pk": 826, "title": "High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management", "subtitle": null, "abstract": "Introduction: High-pressure injection injuries have been chronicled for decades.1 These injuries often affect distal extremities as they are most commonly involved in workplace accidents.1 However, we discuss a young male with a paint-gun injection injury to his face.\nCase Report: We discuss the case of a young man presenting to the emergency department after high-pressure injection injury to the face. He eventually underwent extensive debridement of the face. We discuss differences in caring for an injection wound to an extremity versus the face, including time sensitivity of treatment, initial stabilizing measures, and critical steps.\nDiscussion: This case demonstrates a rare presentation of a high-pressure paint injection injury. This injury presented a unique surgical challenge where, despite compartment syndrome being less common, cosmetic outcome and infectious complication prevention remained critical priorities.\nConclusion: While similarities exist in management of an injection injury to a limb, due to the rarity and deceptive appearance of this particular injury to the face, high suspicion along with urgent imaging and surgical consultation is 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": "compartment, pressure, injection injury, plastics, face" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/90b4s68n", "frozenauthors": [ { "first_name": "Edan", "middle_name": "", "last_name": "Zitelny", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Blake", "middle_name": "", "last_name": "Briggs", "name_suffix": "", "institution": "Wake Forest University Baptist Medical Center, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Little", "name_suffix": "", "institution": "Wake Forest University Baptist Medical Center, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Masneri", "name_suffix": "", "institution": "Wake Forest University Baptist Medical Center, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2020-04-23T17:17:01-05:00", "date_accepted": "2020-04-23T17:17:01-05:00", "date_published": "2020-04-23T17:17:50-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/826/galley/579/download/" } ] }, { "pk": 825, "title": "A Case of Hyperkalemia Versus Pseudohyperkalemia in Chronic Lymphocytic Leukemia", "subtitle": null, "abstract": "Introduction: Both hyperkalemia and pseudohyperkalemia occur in the emergency department. True hyperkalemia necessitates emergent treatment while pseudohyperkalemia requires recognition to prevent inappropriate treatment. It is imperative that the emergency physician (EP) have an understanding of the causes and clinical presentations of both phenomena.\nCase Report: We present a case of an 88-year-old male with chronic lymphocytic leukemia (CLL) and suspected blast crisis who was found to have elevated serum potassium levels without other manifestations of hyperkalemia and eventually was determined to have pseudohyperkalemia due to white cell fragility.\nDiscussion: Differentiation of hyperkalemia and pseudohyperkalemia is a critical skill for the EP. We discuss multiple causes of hyperkalemia and pseudohyperkalemia in an effort to broaden the knowledge base.\nConclusion: We present a case of CLL as an unusual cause of pseudohyperkalemia and review common causes of pseudohyperkalemia.", "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": "pseudohyperkalemia" }, { "word": "hyperleukocytosis" }, { "word": "chronic lymphocytic leukemia" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5mf771vd", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "D.", "last_name": "Le", "name_suffix": "", "institution": "Albany Medical Center Hospital, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Sean", "middle_name": "P.", "last_name": "Geary", "name_suffix": "", "institution": "Albany Medical Center Hospital, Department of Emergency Medicine and Department of Surgery, Division of Surgical Critical Care, Albany, New York", "department": "None" } ], "date_submitted": "2020-04-23T17:11:25-05:00", "date_accepted": "2020-04-23T17:11:25-05:00", "date_published": "2020-04-23T17:12:15-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/825/galley/578/download/" } ] }, { "pk": 824, "title": "55-year-old Male with Exertional Dyspnea", "subtitle": null, "abstract": "Introduction: Dyspnea is a common presenting complaint for many patients in the emergency department.\nCase Presentation: A 55-year-old man with type I diabetes presented to the emergency department with one month of intermittent palpitations and dyspnea. His lungs were clear to auscultation, and his chest radiograph was normal.\nDiscussion: This case takes the reader through the differential diagnosis and systematic work-up of dyspnea with discussion of the diagnostic study, which ultimately led to this patient’s diagnosis and successful treatment.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Clinicopathological cases" }, { "word": "cardiology" }, { "word": "Epidemiology" } ], "section": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/41p6s11g", "frozenauthors": [ { "first_name": "Eric", "middle_name": "R.", "last_name": "Friedman", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "J.", "middle_name": "David", "last_name": "Gatz", "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": "2020-04-23T16:54:58-05:00", "date_accepted": "2020-04-23T16:54:58-05:00", "date_published": "2020-04-23T16:55:38-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/824/galley/577/download/" } ] }, { "pk": 823, "title": "Accidental Chlorine Gas Exposure in a Pediatric Patient: A Case Report", "subtitle": null, "abstract": "Introduction: Chlorine gas is a known irritant of the respiratory tract, which may cause damage to various systems depending on time of exposure and concentration of the gas. Current treatments are mainly supportive. While no definitive studies have been completed to date, it has been noted that treatment with a sodium bicarbonate solution via nebulizer may lead to improved outcomes for patients dealing with chlorine gas exposure.\nCase Report: We present a case of a nine-year-old child arriving at the emergency department after exposure to chlorine gas. Complete recovery from his symptoms occurred rapidly with the administration of nebulized sodium bicarbonate.\nDiscussion: Inhaled chlorine gas acts as a mucous membrane irritant, with symptoms usually beginning within minutes of exposure. Inhaled nebulized sodium bicarbonate has been suggested as a therapy for chlorine exposure. Although its mechanism of action is not well understood, it is thought that inhaled sodium bicarbonate neutralizes the hydrochloric acid formed when the chlorine gas reacts with the water in the lungs.\nConclusion: Nebulized sodium bicarbonate solution at a low concentration appeared to rapidly and effectively reverse the symptoms due to chlorine gas inhalation in a young child.", "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": "Chlorine gas exposure" }, { "word": "treatment" }, { "word": "nebulized sodium bicarbonate" }, { "word": "pediatric" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15m7551h", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "", "last_name": "Antolick", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "Lindsey", "middle_name": "", "last_name": "Ouellette", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Judge", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "Brad", "middle_name": "", "last_name": "Riley", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "JS", "middle_name": "", "last_name": "Jones", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" } ], "date_submitted": "2020-04-23T16:43:21-05:00", "date_accepted": "2020-04-23T16:43:21-05:00", "date_published": "2020-04-23T16:44:19-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/823/galley/576/download/" } ] }, { "pk": 822, "title": "Gastric Adenocarcinoma Presenting as Chronic Back Pain: A Case Report", "subtitle": null, "abstract": "Introduction: Early stage gastric cancer is usually asymptomatic. It is not until later stages of the disease, usually with metastasis, that patients typically develop symptoms that would prompt further evaluation.\nCase Report: We present a case of a patient with chronic back pain who was found to have a gastric antral mass as the etiology of her pain. The patient proceeded to have a partial gastrectomy with complete surgical excision of her early-stage gastric cancer, after which her chronic back pain resolved.\nConclusion: This case demonstrates the importance of considering significant pathology in patients presenting with chronic complaints to the emergency department.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Gastric adenocarcinoma" }, { "word": "gastric cancer" }, { "word": "back pain" }, { "word": "chronic back pain" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1zn235hc", "frozenauthors": [ { "first_name": "Alexandra", "middle_name": "", "last_name": "Chitty", "name_suffix": "", "institution": "HCA Healthcare, St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" }, { "first_name": "Dennis", "middle_name": "", "last_name": "Cardriche", "name_suffix": "", "institution": "HCA Healthcare, St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" }, { "first_name": "Thomas", "middle_name": "H.", "last_name": "Matese Jr", "name_suffix": "", "institution": "HCA Healthcare, St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" } ], "date_submitted": "2020-04-23T16:34:33-05:00", "date_accepted": "2020-04-23T16:34:33-05:00", "date_published": "2020-04-23T16:38:43-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/822/galley/575/download/" } ] }, { "pk": 821, "title": "A Case Report of Angioedema and Anaphylactic Shock Induced by Ingestion of Polyethylene Glycol", "subtitle": null, "abstract": "Introduction: We report one of few documented cases of a severe anaphylactic reaction with angioedema to polyethylene glycol (PEG).\nCase Report: The patient presented 30 minutes after onset of his symptoms and quickly developed hypoxia and hypotension refractory to intramuscular epinephrine, intravenous fluids, methylprednisolone, and supplemental oxygen via non-rebreather mask. He ultimately required intubation, an epinephrine infusion, and admission to the medical intensive care unit.\nDiscussion: This case depicts a clinical reaction to PEG, a medication rarely implicated in severe anaphylaxis or angioedema.\nConclusion: The allergenic potential of PEG-containing products should be raised, and providers should have a heightened awareness of these potential side 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": "Polyethylene glycol" }, { "word": "PEG" }, { "word": "allergic" }, { "word": "angioedema" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2119r9w5", "frozenauthors": [ { "first_name": "Amy", "middle_name": "", "last_name": "Rossi", "name_suffix": "", "institution": "University of Texas at Houston, McGovern Medical School, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Lesley", "middle_name": "", "last_name": "Osborn", "name_suffix": "", "institution": "University of Texas at Houston, McGovern Medical School, Department of Emergency Medicine, Houston, Texas", "department": "None" } ], "date_submitted": "2020-04-23T16:18:43-05:00", "date_accepted": "2020-04-23T16:18:43-05:00", "date_published": "2020-04-23T16:19:20-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/821/galley/574/download/" } ] }, { "pk": 820, "title": "55 year-old Female with Hematuria", "subtitle": null, "abstract": "Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC).\nDiscussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.", "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": "hematuria" }, { "word": "flank pain" }, { "word": "renal cell carcinoma" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/07k0v4jk", "frozenauthors": [ { "first_name": "Drew", "middle_name": "A.", "last_name": "Long", "name_suffix": "", "institution": "San Antonio Military Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Brit", "middle_name": "", "last_name": "Long", "name_suffix": "", "institution": "San Antonio Military Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2020-04-23T16:10:28-05:00", "date_accepted": "2020-04-23T16:10:28-05:00", "date_published": "2020-04-23T16:11:09-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/820/galley/573/download/" } ] }, { "pk": 818, "title": "Ultrasonography of a Helical Left Common Carotid Artery", "subtitle": null, "abstract": "Case Presentation: An 83-year-old woman was admitted to the intensive care unit for septic shock at which point an internal jugular central venous line was placed. The patient’s common carotid artery was visualized in an atypical location, lateral to the internal jugular vein. Further inspection revealed the common carotid artery travelling in a rotational trajectory around the internal jugular vein.\nDiscussion: For at least two decades, point-of-care ultrasound has become the standard of care for placing central venous lines. This surprising anatomical orientation is rare and cautions physicians to fully explore a patient’s anatomy prior to placing central lines.", "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/7m148119", "frozenauthors": [ { "first_name": "Bethany", "middle_name": "J.", "last_name": "Busack", "name_suffix": "", "institution": "Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana", "department": "None" }, { "first_name": "Vy", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "Ochsner Clinic Foundation, Department of Anesthesiology, New Orleans, Louisiana", "department": "None" }, { "first_name": "Christopher", "middle_name": "D.", "last_name": "Busack", "name_suffix": "", "institution": "Tulane University School of Medicine, Department of Anesthesiology, New Orleans, Louisiana", "department": "None" }, { "first_name": "Christine", "middle_name": "J.", "last_name": "Butts", "name_suffix": "", "institution": "Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana", "department": "None" } ], "date_submitted": "2020-04-23T01:05:12-05:00", "date_accepted": "2020-04-23T01:05:12-05:00", "date_published": "2020-04-23T15:26:57-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/818/galley/571/download/" } ] }, { "pk": 817, "title": "Heroin Adulterated with the Novel Synthetic Cannabinoid, 5F-MDMB-PINACA: A Case Series", "subtitle": null, "abstract": "Introduction: Heroin can be adulterated with various substances that may or may not have pharmacological effects. Here we report a case series of 8 patients who presented to the emergency department after overdose with intravenous heroin preparation adulterated with the synthetic cannabinoid methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-carboxamido)-3,3-dimethylbutanoate (5F-MDMB-PINACA).\nCase Series: Except for one patient, all of them presented with a typical initial opioid toxidrome consisting of central nervous system and respiratory depression along with pinpoint pupils. Naloxone was given to them, triggering severe agitation and combative behavior along with overlapping features of anticholinergic and sympathomimetic toxidrome. All patients required multiple doses of benzodiazepines. Three were successfully treated with physostigmine.\nDiscussion: 5F-MDMB-PINACA is a synthetic cannabinoid that was added to heroin in samples obtained from patients reported in this case series. Patients demonstrated significant agitation after receiving naloxone for opioid toxidrome, presumably because of the removal of the depressant effect of opioids, which unmasked the excitatory effects of the synthetic cannabinoids. Three patients required physostigmine along with the benzodiazepines for control of their agitation, urine retention and abnormal vitals, suggesting the possibility of an anticholinergic toxidrome to have developed in these patients.\nConclusion: Heroin contaminated with 5F-MDMB-PINACA exhibits variable severities of anticholinergic effects, some on presentation and others only after opiate antagonism.", "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": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6fz2q2tm", "frozenauthors": [ { "first_name": "Muhammed", "middle_name": "", "last_name": "Ershad", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Maricel", "middle_name": "", "last_name": "Dela Cruz", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Ahmed", "middle_name": "", "last_name": "Mostafa", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Muhammad", "middle_name": "M.", "last_name": "Khalid", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Arnold", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Hamilton", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2020-04-23T00:59:31-05:00", "date_accepted": "2020-04-23T00:59:31-05:00", "date_published": "2020-04-23T15:26:24-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/817/galley/570/download/" } ] }, { "pk": 816, "title": "Euglycemic Diabetic Ketoacidosis in Concurrent Very Low-carbohydrate Diet and Sodium-glucose Transporter-2 Inhibitor Use: A Case Report", "subtitle": null, "abstract": "Introduction: With the incredibly high incidence of Type 2 Diabetes in the current population of emergency department patients, it is critical for clinicians to understand the possible complications of the treatment of this disease. Medication like canagliflozin are more common to encounter on patient’s home medication lists and clinicians should be aware of how these medications, alone or combined with dietary modifications, can result in significant pathology and even mortality if not appropriately treated.\nCase Report: We report a case of a patient with type II diabetes mellitus who presented with euglycemic diabetic ketoacidosis in the setting of concurrent use of canagliflozin, a sodium-glucose transporter-2 (SGLT-2) inhibitor, and strict adherence to a low-carbohydrate ketogenic diet for weight control.\nDiscussion: Euglycemic ketoacidosis has previously been observed in both diabetic and non-diabetic patients following strict ketogenic diets, as well as in diabetic patients being treated with SGLT-2 inhibitors.\nConclusion: As more patients choose ketogenic diets for weight control and diabetes management, clinicians should be aware of this potentially life-threatening complication in patients concurrently taking SGLT-2 inhibitors.", "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": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2jt8z9w8", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "", "last_name": "Earle", "name_suffix": "", "institution": "University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Ault", "name_suffix": "", "institution": "University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Caitlin", "middle_name": "", "last_name": "Bonney", "name_suffix": "", "institution": "University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" } ], "date_submitted": "2020-04-23T00:54:31-05:00", "date_accepted": "2020-04-23T00:54:31-05:00", "date_published": "2020-04-23T15:25:36-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/816/galley/569/download/" } ] }, { "pk": 815, "title": "The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant", "subtitle": null, "abstract": "Introduction: Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease.\nCase report: We present a case of a 27-year-old previously healthy man who presented with bilateral facial paralysis.\nDiscussion: Despite the variance in presentation, the recommended standard of practice for diagnostics (cerebrospinal fluid albumin-cytological dissociation) and disposition (admission for observation, intravenous immunoglobulin, and serial negative inspiratory force) of facial diplegia are the same as for other presentations of GBS.\nConclusion: When presented with bilateral facial palsy emergency providers should consider autoimmune, infectious, idiopathic, metabolic, neoplastic, neurologic, and traumatic etiologies in addition to the much more common neurologic Lyme disease.", "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": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1bt8r09p", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "", "last_name": "Lowe", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Pfaff", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2020-04-23T00:48:30-05:00", "date_accepted": "2020-04-23T00:48:30-05:00", "date_published": "2020-04-23T15:25:04-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/815/galley/568/download/" } ] }, { "pk": 814, "title": "Heterotopic Pregnancy Diagnosed with Point-of-care Ultrasound in the Emergency Department: A Case Report", "subtitle": null, "abstract": "Introduction: Heterotopic pregnancies are rare. However, they are occurring with increasing frequency. Unfortunately, diagnosis is frequently delayed, with patients presenting in extremis.\nCase Report: We present a case of a heterotopic pregnancy diagnosed by point-of-care ultrasound (POCUS) in a woman presenting with lower abdominal pain, who had a documented normal first trimester ultrasound the day prior to presentation.\nDiscussion: Given the increasing rates of heterotopic pregnancies, we can no longer be reassured by the presence of an intra-uterine pregnancy (IUP) in a patient with concerning signs and symptoms of a ruptured ectopic pregnancy. A thorough POCUS evaluation of the uterus and adnexa is essential for the diagnosis of heterotopic pregnancy in the emergency department.\nConclusion: This case highlights the value POCUS brings to the emergency department evaluation of patients in early pregnancy.", "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": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4612b75k", "frozenauthors": [ { "first_name": "Ian", "middle_name": "J.", "last_name": "Holley", "name_suffix": "", "institution": "Washington University School of Medicine in St. Louis, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" }, { "first_name": "Sean", "middle_name": "P.", "last_name": "Stickles", "name_suffix": "", "institution": "Washington University School of Medicine in St. Louis, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" } ], "date_submitted": "2020-04-23T00:42:53-05:00", "date_accepted": "2020-04-23T00:42:53-05:00", "date_published": "2020-04-23T15:24:21-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/814/galley/567/download/" } ] }, { "pk": 819, "title": "Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling", "subtitle": null, "abstract": "Introduction: Painful neck swelling is a common emergency complaint but can present diagnostic challenges. Eagle syndrome is a rare clinical entity in which a pathologically elongated styloid process or ossified stylohyoid ligament produces a constellation of symptoms in the head and neck region.\nCase Report: We present the case of a 50-year-old male with a spontaneous, atraumatic fracture of an elongated styloid process associated with hematoma formation and radiological findings of airway impingement.\nDiscussion: The classic triad for Eagle syndrome consists of unilateral cervicofacial pain, globus sensation, and dysphagia. Diagnosis of Eagle syndrome should be made based on a combination of physical examination and radiological findings. Treatment options vary based on severity of symptoms.\nConclusion: Although more likely to be an indolent and progressive complaint, providers in the acute care setting should be familiar with Eagle syndrome due to the potential for a spontaneous fracture of an elongated styloid process to cause acute, painful neck swelling and life-threatening airway compromise.", "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": "Eagle syndrome" }, { "word": "atraumatic" }, { "word": "Fracture" }, { "word": "airway impingement" }, { "word": "hematoma" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2h269608", "frozenauthors": [ { "first_name": "Cameron", "middle_name": "P.", "last_name": "Worden", "name_suffix": "", "institution": "Virginia Tech Carilion School of Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Sanjeeb", "middle_name": "S.", "last_name": "Bhandari", "name_suffix": "", "institution": "Virginia Tech Carilion, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Benjamin", "middle_name": "B.", "last_name": "Cable", "name_suffix": "", "institution": "Virginia Tech Carilion Clinic School of Medicine, Division of Otolaryngology, Department of Surgery, Roanoke, Virginia", "department": "None" }, { "first_name": "Damon", "middle_name": "R.", "last_name": "Kuehl", "name_suffix": "", "institution": "Virginia Tech Carilion, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" } ], "date_submitted": "2020-04-23T15:21:52-05:00", "date_accepted": "2020-04-23T15:21:52-05:00", "date_published": "2020-04-23T15:22:34-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/819/galley/572/download/" } ] }, { "pk": 44938, "title": "Mesothelioma, Discovered Incidentally", "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/644670wx", "frozenauthors": [ { "first_name": "Edward", "middle_name": "K.", "last_name": "Hui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:55:32-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44938/galley/33731/download/" } ] }, { "pk": 44937, "title": "Varicella Zoster", "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/1h89n6jx", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "Ruman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:53:28-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44937/galley/33730/download/" } ] }, { "pk": 44936, "title": "Esophageal Sarcoidosis", "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/5tj1n2v6", "frozenauthors": [ { "first_name": "Jesse", "middle_name": "", "last_name": "Szatkowski", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Hope", "middle_name": "", "last_name": "Cassano", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:51:49-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44936/galley/33729/download/" } ] }, { "pk": 44935, "title": "A Spotted Zebra: An Unusual Presentation of Autoimmune Polyglandular Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/32n0m3x1", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "", "last_name": "Larson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Goodman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:49:33-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44935/galley/33728/download/" } ] }, { "pk": 44934, "title": "An Atypical Cause of Chest Pain", "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/5nc0x4fq", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "", "last_name": "Busuttil", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Melkon", "middle_name": "", "last_name": "Macobian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Eskidar", "middle_name": "", "last_name": "Gizaw", "name_suffix": "NP", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Peyman", "middle_name": "", "last_name": "Benharash", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:35:33-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44934/galley/33727/download/" } ] }, { "pk": 44933, "title": "A Case of Tertiary Hyperparathyroidism and Parathyromatosis", "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/3tf2s798", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "J.", "last_name": "Day", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Stephanie", "middle_name": "Smooke", "last_name": "Praw", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:33:03-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44933/galley/33726/download/" } ] }, { "pk": 44932, "title": "Pancreas Cancer in a Pancreatic Cyst Detected at Wellness Exam", "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/49t5d90q", "frozenauthors": [ { "first_name": "Hyunah", "middle_name": "", "last_name": "Poa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Shih-Fan", "middle_name": "", "last_name": "Sun", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:30:48-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44932/galley/33725/download/" } ] }, { "pk": 44930, "title": "Endo-bariatrics: A New Paradigm for Weight Loss", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Review" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3b83w89v", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Phan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Danny", "middle_name": "", "last_name": "Issa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T11:26:51-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44930/galley/33723/download/" } ] }, { "pk": 13177, "title": "Retrospective Analysis of Emergency Medical Services (EMS) Physician Medical Control Calls", "subtitle": null, "abstract": "Introduction:\n Although emergency medical services (EMS) standing-order protocols provide more efficient and accurate on-scene management by paramedics, online medical direction (OLMD) has not been eliminated from practice. In this modern era of OLMD, no studies exist to describe the prevalence of reasons for contacting OLMD.\nObjectives:\n The primary goal of this study was to describe the quantity of and reasons for calls for medical direction. We also sought to determine time diverted from emergency physicians due to OLMD. Finally, we hoped to identify any areas for potential improvement or additional training opportunities for EMS providers.\nMethods:\n This was a descriptive study with retrospective data analysis of recorded OLMD calls from January 1, 2016, to December 31, 2016. Data were extracted by research personnel listening to audio recordings and were entered into a database for descriptive analysis. We abstracted the date and length of call, patient demographic information (age and gender), category of call (trauma, medical, cardiac, or obstetrics), reason for call, and origin of call (prehospital, interhospital, nursing home, or discharge).\nResults:\n The total number of recordings analyzed was 519. Calls were divided into four categories pertaining to their nature: 353 (68.5%) medical; 70 (13.6%) trauma; 83 (16.1%) cardiac; and 9 (8%) were obstetrics related. Repeat calls regarding the same patient encounter comprised 48 (9.4%) of the calls. Patient refusal of transport was the most common reason for a call medical direction (32.3% of calls). The total time for medical direction calls for the year was 26.6 hours. The maximum number of calls in a single day was seven, with a mean of 2.04 calls per day (standard deviation [SD] ± 1.18). The mean call length was 3.06 minutes (SD ± 2.51).\nConclusion:\n Our analysis shows that the use of OLMD frequently involves complex decision-making such as determination of the medical decision-making capacity of patients to refuse treatment and transport, and evaluation of the appropriate level of care for interfacility transfers. Further investigation into the effect of EMS physician-driven medical direction on both the quality and time required for OLMD could allow for better identification of areas of potential improvement and training.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "Medical Control" }, { "word": "Online Medical Direction" }, { "word": "Capacity Assessment" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/91x7249p", "frozenauthors": [ { "first_name": "Balaj", "middle_name": "", "last_name": "Rai", "name_suffix": "", "institution": "The Christ Hospital, Department of Internal Medicine, Cincinnati, Ohio", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Tennyson", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "R.", "middle_name": "Trevor", "last_name": "Marshall", "name_suffix": "", "institution": "Stony Brook University, Department of Emergency Medicine, Stony Brook, New York", "department": "None" } ], "date_submitted": "2019-08-22T14:55:49-05:00", "date_accepted": "2019-08-22T14:55:49-05:00", "date_published": "2020-04-22T15:46:32-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13177/galley/6929/download/" } ] }, { "pk": 40834, "title": "Introduction to Volume 9, Issue 1: Italia senza frontiere/Borderless Italy", "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": [], "section": "Vol. 9: Italia senza frontiere/Borderless Italy", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/30j9m648", "frozenauthors": [ { "first_name": "Claudio", "middle_name": "", "last_name": "Fogu", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Stephanie", "middle_name": "Malia", "last_name": "Hom", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Laura", "middle_name": "E.", "last_name": "Ruberto", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-04-22T14:02:30-05:00", "date_accepted": "2020-04-22T14:02:30-05:00", "date_published": "2020-04-22T14:02:54-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40834/galley/30589/download/" } ] }, { "pk": 40833, "title": "Marguerite Waller: A Tribute", "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": [], "section": "Vol. 9: Italia senza frontiere/Borderless Italy", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/02h7t4bg", "frozenauthors": [ { "first_name": "Áine", "middle_name": "", "last_name": "O’Healy", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-04-22T13:28:25-05:00", "date_accepted": "2020-04-22T13:28:25-05:00", "date_published": "2020-04-22T13:30:11-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40833/galley/30588/download/" } ] }, { "pk": 44929, "title": "Turmeric: Anti-inflammatory Effects and Evidence for Use in Osteoarthritis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Review" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4393t7j7", "frozenauthors": [ { "first_name": "S. Anjani", "middle_name": "", "last_name": "Mattai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-22T12:53:23-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44929/galley/33722/download/" } ] }, { "pk": 813, "title": "55-year-old Woman with Headache, Vomiting, and Visual Disturbance", "subtitle": null, "abstract": "Case Presentation: A 55-year-old woman with a past medical history of hypertension, hyperlipidemia, and iron deficiency anemia presented to the emergency department with three days of headache, nausea, vomiting, and visual changes. Her vital signs were within normal limits. She was noted to have a left cranial nerve six palsy on exam.\nResults: Her laboratory testing revealed leukocytosis, hyponatremia, and hypokalemia. A non-contrast computed tomography scan of the head revealed an enlarged sella turcica and pituitary gland with hemorrhage and deviation of the optic chiasm.\nConclusion: Her symptoms improved and she was discharged from the hospital in stable condition.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "headache" }, { "word": "pituitary apoplexy" }, { "word": "pituitary adenoma" } ], "section": "Clinicopathological Cases", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3k68n6r4", "frozenauthors": [ { "first_name": "Lana", "middle_name": "", "last_name": "Shaker", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" }, { "first_name": "Jill", "middle_name": "", "last_name": "Ripper", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" }, { "first_name": "Tiffany", "middle_name": "", "last_name": "Murano", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" } ], "date_submitted": "2020-04-21T15:42:19-05:00", "date_accepted": "2020-04-21T15:42:19-05:00", "date_published": "2020-04-21T15:45:18-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/813/galley/566/download/" } ] }, { "pk": 13234, "title": "The Emergency Medicine Group Standardized Letter of Evaluation as a Workplace-Based Assessment: The Validity Is in the Detail", "subtitle": null, "abstract": "Introduction:\n Interest is growing in specialty-specific assessments of student candidates based on clinical clerkship performance to assist in the selection process for postgraduate training. The most established and extensively used is the emergency medicine (EM) Standardized Letter of Evaluation (SLOE), serving as a substitute for the letter of recommendation. Typically developed by a program’s leadership, the group SLOE strives to provide a unified institutional perspective on performance. The group SLOE lacks guidelines to direct its development raising questions regarding the assessments, processes, and standardization programs employ. This study surveys EM programs to gather validity evidence regarding the inputs and processes involved in developing group SLOEs.\nMethods:\n A structured telephone interview was administered to assess the input data and processes employed by United States EM programs when generating group SLOEs.\nResults:\n With 156/178 (87.6%) of Accreditation Council of Graduate Medical Education-approved programs responding, 146 (93.6%) reported developing group SLOEs. Issues identified in development include the following: (1) 84.9% (124/146) of programs limit the consensus process by not employing rigorous methodology; (2) several stakeholder groups (nurses, patients) do not participate in candidate assessment placing final decisions at risk for construct under-representation; and (3) clinical shift assessments don’t reflect the task-specific expertise of each stakeholder group nor has the validity of each been assessed.\nConclusion:\n Success of the group SLOE in its role as a summative workplace-based assessment is dependent upon valid input data and appropriate processes. This study of current program practices provides specific recommendations that would strengthen the validity arguments for the group SLOE.", "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": "Assessments, Workplace Based Assessments, Validity" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82s834jc", "frozenauthors": [ { "first_name": "Jeff", "middle_name": "N.", "last_name": "Love", "name_suffix": "", "institution": "Georgetown University School of Medicine", "department": "None" }, { "first_name": "Christopher", "middle_name": "I.", "last_name": "Doty", "name_suffix": "", "institution": "University of Kentucky College of Medicine, Department of Emergency Medicine, Lexington, Kentucky", "department": "None" }, { "first_name": "Jessica", "middle_name": "L.", "last_name": "Smith", "name_suffix": "", "institution": "Alpert Medical School, Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Nicole", "middle_name": "M.", "last_name": "Deiorio", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "David Geffen School of Medicine, Harbor UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" }, { "first_name": "Michael", "middle_name": "W.", "last_name": "Van Meter", "name_suffix": "", "institution": "McGovern Medical School, University of Texas-Houston, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Mary Ann", "middle_name": "", "last_name": "Edens", "name_suffix": "", "institution": "Louisiana State University School of Medicine-Shreveport, Department of Emergency Medicine, Shreveport, Louisiana", "department": "None" }, { "first_name": "Cullen", "middle_name": "B.", "last_name": "Hegarty", "name_suffix": "", "institution": "University of Minnesota-HealthPartners Institute/Region Hospital, Department of Emergency Medicine, Saint Paul, Minnesota", "department": "None" } ], "date_submitted": "2019-09-04T20:11:33-05:00", "date_accepted": "2019-09-04T20:11:33-05:00", "date_published": "2020-04-21T13:56:27-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13234/galley/6968/download/" } ] }, { "pk": 13312, "title": "Retrospective Study of Midazolam Protocol for Prehospital Behavioral Emergencies", "subtitle": null, "abstract": "Introduction:\n Agitated patients in the prehospital setting pose challenges for both patient care and emergency medical services (EMS) provider safety. Midazolam is frequently used to control agitation in the emergency department setting; however, limited data exist in the prehospital setting. We describe our experience treating patients with midazolam for behavioral emergencies in a large urban EMS system. We hypothesized that using midazolam for acute agitation leads to improved clinical conditions without causing significant clinical deterioration.\nMethods:\n We performed a retrospective review of EMS patient care reports following implementation of a behavioral emergencies protocol in a large urban EMS system from February 2014–June 2016. For acute agitation, paramedics administered midazolam 1 milligram (mg) intravenous (IV), 5 mg intramuscular (IM), or 5 mg intranasal (IN). Results were analyzed using descriptive statistics, Levene’s test for assessing variance among study groups, and t-test to evaluate effectiveness based on route.\nResults:\n In total, midazolam was administered 294 times to 257 patients. Median age was 30 (interquartile range 24–42) years, and 66.5% were male. Doses administered were 1 mg (7.1%) and 5 mg (92.9%). Routes were IM (52.0%), IN (40.8%), and IV (7.1%). A second dose was administered to 37 patients. In the majority of administrations, midazolam improved the patient’s condition (73.5%) with infrequent adverse events (3.4%). There was no significant difference between the effectiveness of IM and IN midazolam (71.0% vs 75.4%; p = 0.24).\nConclusion:\n A midazolam protocol for prehospital agitation was associated with reduced agitation and a low rate of adverse events.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "EMS, prehospital, agitation, behavioral, midazolam, intranasal" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11g353h7", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "M.", "last_name": "Huebinger", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UT Health), Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Hashim", "middle_name": "Q.", "last_name": "Zaidi", "name_suffix": "", "institution": "University of Chicago Pritzker School of Medicine, Section of Emergency Medicine, Chicago, Illinois\nChicago Emergency Medical Services System, Chicago, Illinois", "department": "None" }, { "first_name": "Katie", "middle_name": "L.", "last_name": "Tataris", "name_suffix": "", "institution": "University of Chicago Pritzker School of Medicine, Section of Emergency Medicine, Chicago, Illinois\nChicago Emergency Medical Services System, Chicago, Illinois", "department": "None" }, { "first_name": "Joseph", "middle_name": "M.", "last_name": "Weber", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nJohn H. Stroger, Jr., Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Kenneth", "middle_name": "S.", "last_name": "Pearlman", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nNorthwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Eddie", "middle_name": "", "last_name": "Markul", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nAdvocate Illinois Masonic Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Leslee", "middle_name": "", "last_name": "Stein-Spencer", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nIllinois Department of Public Health, Springfield, Illinois", "department": "None" }, { "first_name": "Christopher", "middle_name": "T.", "last_name": "Richards", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nNorthwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois\nNorthwestern Feinberg School of Medicine Center for Healthcare Studies, Institute for Public Health and Medicine, Chicago, Illinois \nUniversity of Cincinnati School of Medicine, Division of EMS, Department of Emergency Medicine, Cincinnati, Ohio", "department": "None" } ], "date_submitted": "2019-10-14T15:15:16-05:00", "date_accepted": "2019-10-14T15:15:16-05:00", "date_published": "2020-04-21T13:47:28-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13312/galley/7002/download/" } ] }, { "pk": 13304, "title": "Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n Emergency department (ED) crowding is a growing problem. Psychiatric patients have long ED lengths of stay awaiting placement and transportation to a psychiatric facility after disposition.\nMethods:\n Retrospective analysis of length of ED stay after disposition for voluntary psychiatric patients before and after the use of Lyft ridesharing services for inter-facility transport.\nResults:\n Using Lyft transport to an outside crisis center shortens time to discharge both statistically and clinically from 113 minutes to 91 minutes (p = 0.028) for voluntary psychiatric patients. Discharge time also decreased for involuntary patients from 146 minutes to 127 minutes (p = 0.0053).\nConclusion:\n Ridesharing services may be a useful alternative to medical transportation for voluntary psychiatric 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": "operations" }, { "word": "Efficiency" }, { "word": "emergency department" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26q198rn", "frozenauthors": [ { "first_name": "Andrea", "middle_name": "", "last_name": "Blome", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Rosenbaum", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Nicole", "middle_name": "", "last_name": "Lucas", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kraftin", "middle_name": "", "last_name": "Schreyer", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-10-11T11:41:40-05:00", "date_accepted": "2019-10-11T11:41:40-05:00", "date_published": "2020-04-21T13:41:08-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13304/galley/6999/download/" } ] }, { "pk": 13296, "title": "Adolescents’ Acceptance of Long-Acting Reversible Contraception After an Educational Intervention in the Emergency Department: A Randomized Controlled Trial", "subtitle": null, "abstract": "Introduction: \nAdolescents who seek care in the emergency department (ED) are a cohort at increased risk of unintended pregnancy. Although adolescents are interested in learning about pregnancy prevention in the ED, there is a lack of effective educational interventions in this setting. Long-acting reversible contraceptives (LARC) are highly effective and safe in teens, yet are underutilized. This study assessed contraception use among adolescents in the ED and evaluated the impact of an educational video on their interest in and uptake of LARCs.\nMethods:\n We conducted a two-arm randomized controlled trial on a convenience sample of sexually active females 14 to 21 years old in an urban pediatric ED. Participants were randomized to an educational video or standard care. All participants completed a survey and were given an informational card about affiliated teen clinics with the option to schedule an appointment. We assessed pre-post mean differences between control and intervention participants and pre-post differences among intervention participants. Participants were followed three months after their ED visit to examine use of contraception.\nResults:\n A total of 79 females were enrolled (42 control and 37 intervention). The mean age was 17 years, and most were youth of color. The proportion of participants with a prior pregnancy was 18%. Almost all participants reported wanting to avoid pregnancy, yet 18% reported not using contraception at last intercourse. At baseline, 17.7% of participants were somewhat or very interested in the intrauterine device (IUD) or implant. After watching the video, 42.3% were somewhat or very interested in the IUD and 35.7% in the implant. Among those who watched the video, there were significant increases in interest in using an IUD or implant (p<.001). Compared to controls, adolescents who watched the video were also significantly more likely to report wanting an IUD (p<0.001) or implant (p=0.002). A total of 46% were reached for follow-up. Of these, 16% had initiated a LARC method after their ED visit (p=NS).\nConclusion:\n Most adolescent females in the ED want to avoid pregnancy, but are using ineffective methods of contraception. A brief educational video on LARCs was acceptable to adolescents and feasible to implement in a busy urban ED setting. Adolescents who watched the video had significantly greater interest in using LARCs, but no demonstrated change in actual adoption of contraception.", "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": "adolescent pregnancy, contraception, emergency department" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6j65b1kp", "frozenauthors": [ { "first_name": "Tatyana", "middle_name": "", "last_name": "Vayngortin", "name_suffix": "", "institution": "Rady Children’s Hospital, University of California San Diego, Division of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Lela", "middle_name": "", "last_name": "Bachrach", "name_suffix": "", "institution": "University of California San Francisco Benioff Children’s Hospital Oakland, Department of Adolescent Medicine, Oakland, California", "department": "None" }, { "first_name": "Sima", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "University of California San Francisco Benioff Children’s Hospital Oakland, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Kathleen", "middle_name": "", "last_name": "Tebb", "name_suffix": "", "institution": "University of California San Francisco, Department of Adolescent Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2019-10-04T14:25:13-05:00", "date_accepted": "2019-10-04T14:25:13-05:00", "date_published": "2020-04-21T13:37:46-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13296/galley/6996/download/" } ] }, { "pk": 13563, "title": "Standards of Care for Children in Emergency Departments: International Federation of Emergency Medicine Agenda for the Care of Children", "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": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4p50z1v7", "frozenauthors": [ { "first_name": "Camilo", "middle_name": "E.", "last_name": "Gutierrez", "name_suffix": "", "institution": "Children’s National Hospital, George Washington University School of Medicine and Health Sciences, Division of Emergency Medicine and Trauma Center, Washington, District of Columbia", "department": "None" }, { "first_name": "Marianne", "middle_name": "", "last_name": "Gausche-Hill", "name_suffix": "", "institution": "Los Angeles County Emergency Medical Services Agency, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Rodrick", "middle_name": "K.", "last_name": "Lim", "name_suffix": "", "institution": "Children’s Hospital at LHSC, Department of Pediatrics and Medicine, Schulich School of Medicine & Dentistry-Western University, London, Ontario, Canada", "department": "None" } ], "date_submitted": "2020-02-11T13:37:16-06:00", "date_accepted": "2020-02-11T13:37:16-06:00", "date_published": "2020-04-21T13:32:33-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13563/galley/7095/download/" } ] }, { "pk": 13333, "title": "Boarding is Associated with Reduced Emergency Department Efficiency that is not Mitigated by a Provider in Triage", "subtitle": null, "abstract": "Introduction:\n Boarding of patients in the emergency department (ED) is associated with decreased ED efficiency. The provider-in-triage (PIT) model has been shown to improve ED throughput, but it is unclear how these improvements are affected by boarding. We sought to assess the effects of boarding on ED throughput and whether implementation of a PIT model mitigated those effects.\nMethods:\n We performed a multi-site retrospective review of 955 days of ED operations data at a tertiary care academic ED (AED) and a high-volume community ED (CED) before and after implementation of PIT. Key outcome variables were door to provider time (D2P), total length of stay of discharged patients (LOSD), and boarding time (admit request to ED departure [A2D]).\nResults:\n Implementation of PIT was associated with a decrease in median D2P by 22 minutes or 43% at the AED (p < 0.01), and 18 minutes (31%) at the CED (p < 0.01). LOSD also decreased by 19 minutes (5.9%) at the AED and 8 minutes (3.3%) at the CED (p<0.01). After adjusting for variations in daily census, the effect of boarding (A2D) on D2P and LOSD was unchanged, despite the implementation of PIT. At the AED, 7.7 minutes of boarding increased median D2P by one additional minute (p < 0.01), and every four minutes of boarding increased median LOSD by one minute (p < 0.01). At the CED, 7.1 minutes of boarding added one additional minute to D2P (p < 0.01), and 4.8 minutes of boarding added one minute to median LOSD (p < 0.01).\nConclusion:\n In this retrospective, observational multicenter study, ED operational efficiency was improved with the implementation of a PIT model but worsened with boarding. The PIT model was unable to mitigate any of the effects of boarding. This suggests that PIT is associated with increased efficiency of ED intake and throughput, but boarding continues to have the same effect on ED efficiency regardless of upstream efficiency measures that may be designed to minimize its impact.", "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, boarding, operations, provider in triage" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5hv7t832", "frozenauthors": [ { "first_name": "Anthony", "middle_name": "", "last_name": "Napoli", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Shihab", "middle_name": "", "last_name": "Ali", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Alexis", "middle_name": "", "last_name": "Lawrence", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Janette", "middle_name": "", "last_name": "Baird", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2019-10-29T09:31:12-06:00", "date_accepted": "2019-10-29T09:31:12-06:00", "date_published": "2020-04-21T13:30:17-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13333/galley/7008/download/" } ] }, { "pk": 13243, "title": "A 2-Question Summative Score Correlates with the Maslach Burnout Inventory", "subtitle": null, "abstract": "Introduction:\n There is a high prevalence of burnout among emergency medicine (EM) residents. The Maslach Burnout Inventory - Human Services Survey (MBI-HSS) is a widely used tool to measure burnout. The objective of this study was to compare the MBI-HSS and a two-question tool to determine burnout in the EM resident population.\nMethods: \nBased on data from the 2017 National Emergency Medicine Resident Wellness Survey study, we determined the correlation between two single-item questions with their respective MBI subscales and the full MBI-HSS. We then compared a 2-Question Summative Score to the full MBI-HSS with respect to primary, more restrictive, and more inclusive definitions of burnout previously reported in the literature.\nResults:\n Of 1,522 residents who completed the survey 37.0% reported “I feel burned out from my work,” and 47.1% reported “I have become more callous toward people since I took this job” once a week or more (each item >3 on a scale of 0-6). A 2-Question Summative Score totaling >3 correlated most closely with the primary definition of burnout (Spearman’s rho 0.65 [95% confidence interval 0.62-0.68]). Using the summative score, 77.7% of residents were identified as burned out, compared to 76.1% using the full MBI-HSS, with a sensitivity and specificity of 93.6% and 73.0%, respectively.\nConclusion: \nAn abbreviated 2-Question Summative Score correlates well with the full MBI-HSS tool in assessing EM resident physician burnout and could be considered a rapid screening tool to identify at-risk residents experiencing burnout.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Wellness, Well being, Burnout, Residency Training, Emergency Medicine" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/56m1g6ss", "frozenauthors": [ { "first_name": "Simiao", "middle_name": "", "last_name": "Li-Sauerwine", "name_suffix": "", "institution": "The Ohio State University, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Rebillot", "name_suffix": "", "institution": "Los Angeles County-University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Melamed", "name_suffix": "", "institution": "New York Presbyterian Brooklyn Methodist Hospital, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Newton", "middle_name": "", "last_name": "Addo", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2019-09-10T11:21:55-05:00", "date_accepted": "2019-09-10T11:21:55-05:00", "date_published": "2020-04-21T13:26:45-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13243/galley/6973/download/" } ] }, { "pk": 41718, "title": "A new \nLyropecten\n (Pectinidae, Bivalvia, Mollusca) from the central California Miocene, USA", "subtitle": null, "abstract": "A new pectinid, \nLyropecten terrysmithae\n n. sp., has been recognized in middle to late Miocene rock units referred to as the Monterey Formation and Santa Margarita Sandstone in the southern Salinas Valley, central California. Previously, \nL. terrysmithae\n had been identified as a flat form belonging to either \nL. estrellanus \nor \nL. catalinae\n, then more recently to \nArgopecten\n sp. The earlier assignments were based on its moderate size and a radial rib count nearly identical to these taxa. However, its hinge, flat unledged valves, looped lamellar growth lines, and hinge crura set \nL. terrysmithae\n apart from \nArgopecten\n and all species of \nLyropecten\n. Localities where it occurs in the Salinas Valley that can be accurately dated are from the late middle to middle late Miocene “Margaritan” California provincial molluscan stage. While \nL. terrysmithae\n has been collected at other sites, those localities lack diagnostic age-specific species necessary to determine an accurate geological age and maybe older.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — 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.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "fossil pectins, “Margaritan\", Monterey Formation, Santa Margarita Sandstone, Salinas Valley" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6kz5b8kw", "frozenauthors": [ { "first_name": "Charles", "middle_name": "L.", "last_name": "Powell, II", "name_suffix": "", "institution": "U.S. Geological Survey, Menlo Park, CA 94025", "department": "None" }, { "first_name": "Cheryl", "middle_name": "D.", "last_name": "Millard", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Garcia", "name_suffix": "", "institution": "California Academy of Sciences, 55 Music Concourse Dr., San Francisco, CA 94118", "department": "None" } ], "date_submitted": "2020-04-21T18:28:21-05:00", "date_accepted": "2020-04-21T18:28:21-05:00", "date_published": "2020-04-21T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41718/galley/31206/download/" } ] }, { "pk": 5559, "title": "Distinguishing personal belief from scientific knowledge for the betterment of killer whale welfare – a commentary", "subtitle": null, "abstract": "We contest publication of Marino et al. regarding captive killer whale (\nOrcinus orca\n) welfare because of misrepresentations of available data and the use of citations that do not support assertions. Marino et al. misrepresent stress response concepts and erroneously cite studies, which appear to support Marino et al.’s philosophical beliefs regarding the cetacean hypothalamic–pituitary–adrenal axis. To be clear, these misrepresentations are not differences of scientific opinion, as the authors’ conclusions lack any scientific basis. More extensive review of Marino et al.’s citations reveal a dearth of empirical evidence to support their assertions. Further, Marino et al.’s approach to animal welfare is not consistent with conventional veterinary approaches to animal welfare, including their apparent opposition to use of preventative and therapeutic veterinary interventions. While Marino et al. argue that killer whales’ cognitive and spatial needs preclude management of this species under human care, misrepresentation of the citations used to support this opinion invalidates their arguments. Misleading interpretations of data relative to killer whales’ cognitive and emotional needs and specious and unsubstantiated comparisons with states experienced by humans with posttraumatic stress disorder and other conditions, represent a number of strategies used to misrepresent knowledge regarding killer whale welfare. These misrepresentations and fallacies are inconsistent with scientific ethical standards for credible, peer-reviewed journals (ICMJE, 2018), and are barriers to rigorous discourse and identification of strategies for optimizing killer whale welfare. Assertions in the paper amount to nothing more than a compilation of conclusory, philosophical statements. We would also like to mention that manuscripts such as Marino et al.’s do great damage to the fields of comparative psychology and to behavioral science as a whole.", "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": "killer whales" }, { "word": "Orcinus orca" }, { "word": "Behavior" }, { "word": "Welfare" }, { "word": "stressors" }, { "word": "peer review publication" }, { "word": "scientific credibility" }, { "word": "research integrity" } ], "section": "Letters", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6cj9473p", "frozenauthors": [ { "first_name": "Kathleen", "middle_name": "M", "last_name": "Dudzinski", "name_suffix": "", "institution": "Dolphin Communication Project", "department": "None" }, { "first_name": "Heather", "middle_name": "M", "last_name": "Hill", "name_suffix": "", "institution": "Psychology, St. Mary’s University", "department": "None" }, { "first_name": "Annalisa", "middle_name": "", "last_name": "Zaccaroni", "name_suffix": "", "institution": "Department of Veterinary Medical Sciences, University of Bologna", "department": "None" }, { "first_name": "Radhika", "middle_name": "", "last_name": "Makecha", "name_suffix": "", "institution": "Psychology/Animal Studies, Eastern Kentucky University", "department": "None" }, { "first_name": "Malin", "middle_name": "", "last_name": "Lilly", "name_suffix": "", "institution": "Psychology, Texas A&M University", "department": "None" }, { "first_name": "Javier", "middle_name": "", "last_name": "Almunia", "name_suffix": "", "institution": "Loro Parque Fundación", "department": "None" }, { "first_name": "Erin", "middle_name": "", "last_name": "Frick", "name_suffix": "", "institution": "Animal Studies, Eckerd College", "department": "None" }, { "first_name": "Todd", "middle_name": "", "last_name": "Feucht", "name_suffix": "", "institution": "Oerca", "department": "None" }, { "first_name": "Grey", "middle_name": "", "last_name": "Stafford", "name_suffix": "", "institution": "Grand Canyon University", "department": "None" }, { "first_name": "Charles", "middle_name": "I.", "last_name": "Abramson", "name_suffix": "", "institution": "Psychology, Oklahoma State University", "department": "None" } ], "date_submitted": "2020-03-05T10:10:47-06:00", "date_accepted": "2020-03-05T10:10:47-06:00", "date_published": "2020-04-20T12:21:31-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5559/galley/3364/download/" } ] }, { "pk": 61782, "title": "Mass Casualty Management in the Emergency Department – Lessons Learned in Beirut, Lebanon - Part II", "subtitle": null, "abstract": "The first article in this series (Part I) discussed the abundant exposure of our emergency department (ED) to mass casualty incidents (MCIs), particularly over the past 14 years. This experience led us to define practical strategies that emergency departments can use to develop their own MCI response plans. In the first part, our main focus was to highlight the abrupt nature of MCIs and the subsequent need to use disaster drills. Additionally, we discussed the importance of having a tiered response and activation as well as other lessons learned from our experience to maximize the preparedness of the emergency department to receive mass casualty.In this article, we discuss the optimal way to triage patients. In addition, we will tackle the best methods for documentation and communication, which are vital yet overlooked during mass casualty incidents. We will also elaborate on what we learned from dealing with outbursts of anger and violence in the ED during MCIs and how to ensure the safety of the ED staff.", "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": "disaster" }, { "word": "disaster management" }, { "word": "emergency department" }, { "word": "Emergency management" }, { "word": "Mass Casualty Incident" }, { "word": "triage" } ], "section": "Special Contribution", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zp7540z", "frozenauthors": [ { "first_name": "Mazen", "middle_name": "J", "last_name": "El Sayed", "name_suffix": "", "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon", "department": "" }, { "first_name": "Eveline", "middle_name": "A.", "last_name": "Hitti", "name_suffix": "", "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon", "department": "" }, { "first_name": "Mohamad Ali", "middle_name": "", "last_name": "Cheaito", "name_suffix": "", "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon", "department": "" }, { "first_name": "Tim", "middle_name": "", "last_name": "Davis", "name_suffix": "", "institution": "Department of Emergency Medicine, Emory University, Atlanta, Georgia, National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States", "department": "" }, { "first_name": "Amin", "middle_name": "A.", "last_name": "Kazzi", "name_suffix": "", "institution": "Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon", "department": "" } ], "date_submitted": "2019-12-12T02:22:34-06:00", "date_accepted": "2019-12-12T02:22:34-06:00", "date_published": "2020-04-20T02:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61782/galley/47667/download/" } ] }, { "pk": 5546, "title": "Female and male Wistar rats (Rattus norvegicus) discriminate diets according to energetic quantity", "subtitle": null, "abstract": "The food choice of animals is influenced by several factors including the quantity and nutrients available. It is not known, however, whether faced with alternatives that present the same amount of food, with similar flavor and obtained with the same response cost, rats would discriminate between diets with different energetic quantities. The aim was to verify whether female and male Wistar rats (\nRattus norvegicus\n) discriminate between three types of food that differ in their energetic content (whether or not they prefer one) and whether the flavor could affect the choice between two diets with equal energetic quantities. Twelve Wistar rats (six of each sex) underwent tests of choice between pairs of diets of different energetic values. After the tests, the animals had at their disposal, in the home cage, two diets with the same energetic content, which differed in flavor (one contained sucrose) - Flavor test. The consumption of each diet was measured for five consecutive days. All the subjects demonstrated a preference for the more energetic alternative, regardless of the combination of diets presented. In the Flavor test the animals did not show significant preference for any diet, i.e., the consumption of both the S and N diets were statistically equal for all subjects. It was concluded that the animals, regardless of sex, discriminated between the diets with different energetic values and that the flavor did not seem to be a determinant variable in the food choice.", "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": "energetic value discrimination, diets, males and females, Wistar rats" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2058s84r", "frozenauthors": [ { "first_name": "Vinícius", "middle_name": "", "last_name": "Warisaia", "name_suffix": "", "institution": "University of Sao Paulo", "department": "None" }, { "first_name": "Vítor", "middle_name": "", "last_name": "Pansarim", "name_suffix": "", "institution": "University Of Sao Paulo", "department": "None" }, { "first_name": "Davi", "middle_name": "Casadele", "last_name": "Aragon", "name_suffix": "", "institution": "University Of Sao Paulo", "department": "None" }, { "first_name": "Fernando", "middle_name": "Sergio", "last_name": "Zucoloto", "name_suffix": "", "institution": "University of Sao Paulo", "department": "None" }, { "first_name": "Andreia", "middle_name": "", "last_name": "Schmidt", "name_suffix": "", "institution": "University of Sao Paulo", "department": "None" } ], "date_submitted": "2019-07-01T14:53:17-05:00", "date_accepted": "2019-07-01T14:53:17-05:00", "date_published": "2020-04-17T13:39:49-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5546/galley/3358/download/" } ] }, { "pk": 40832, "title": "Prefatory Note: Borderless Italy in the Age of the Coronavirus", "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": [], "section": "Vol. 9: Italia senza frontiere/Borderless Italy", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/63n3f4f1", "frozenauthors": [ { "first_name": "Claudio", "middle_name": "", "last_name": "Fogu", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Stephanie", "middle_name": "Malia", "last_name": "Hom", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Laura", "middle_name": "E.", "last_name": "Ruberto", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-04-17T11:22:22-05:00", "date_accepted": "2020-04-17T11:22:22-05:00", "date_published": "2020-04-17T11:23:52-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40832/galley/30587/download/" } ] }, { "pk": 44928, "title": "Concomitant Graves’ Disease and Papillary Thyroid Carcinoma", "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/51h8v0pf", "frozenauthors": [ { "first_name": "Pouyan", "middle_name": "", "last_name": "Famini", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Kasra", "middle_name": "", "last_name": "Navabi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-17T10:52:40-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44928/galley/33721/download/" } ] }, { "pk": 812, "title": "Early Multi-organ Point-of-Care Ultrasound Evaluation of Respiratory Distress During SARS-CoV-2 Outbreak: Case Report", "subtitle": null, "abstract": "Introduction: Coronavirus disease 2019 (COVID-19) is caused by the virus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several case series from Italy and China have highlighted the lung ultrasound findings of this disease process and may demonstrate its clinical utility during the current pandemic.\nCase Report: We present a case of a COVID-19 patient who presented to the emergency department twice within a 24-hour period with rapidly progressing illness. A multi-organ point-of-care ultrasound (POCUS) evaluation was used on the return visit and assisted clinical decision-making.\nDiscussion: A multi-organ POCUS exam allows for quick assessment of acute dyspnea in the emergency department. As the lung involvement of COVID-19 is primarily a peripheral process it is readily identifiable via lung ultrasound. We believe that when applied efficiently and safely a POCUS exam can reduce clinical uncertainty and potentially limit the use of other imaging modalities when treating patients with COVID-19.\nConclusion: This case highlights the utility of an early multiorgan point-of-care assessment for patients presenting with moderate respiratory distress during the severe SARS-CoV-2 pandemic.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" }, { "word": "SARS-CoV-2" }, { "word": "ultrasound" }, { "word": "respiratory distress" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xp8z5n7", "frozenauthors": [ { "first_name": "Robert", "middle_name": "", "last_name": "Farrow II", "name_suffix": "", "institution": "Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Graham", "middle_name": "", "last_name": "Becherer-Bailey", "name_suffix": "", "institution": "Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Mantuani", "name_suffix": "", "institution": "Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" } ], "date_submitted": "2020-04-16T19:02:33-05:00", "date_accepted": "2020-04-16T19:02:33-05:00", "date_published": "2020-04-16T19:03:18-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/812/galley/565/download/" } ] }, { "pk": 811, "title": "Novel, Inexpensive Portable Respiratory Protection Unit (PRPU) for Healthcare Workers", "subtitle": null, "abstract": "Introduction: Given concern for increased aerosolization during intubation of patients with severe acute respiratory syndrome coronavirus, we sought to create a portable, inexpensive, and easily constructed device to help protect healthcare workers.\nMethods: A respiratory protection unit can be constructed in approximately 30 minutes and for less than 50 United States dollars in materials, using polyvinylchloride pipe and automobile collision wrap.\nConclusion: This device provides possible increased protection during video laryngoscopy and can easily be replicated.", "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": "intubation" }, { "word": "airway" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/17z0q2gt", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "S.", "last_name": "Sampson", "name_suffix": "", "institution": "University of Missouri School of Medicine, Department of Emergency Medicine, Columbia, Missouri", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Beckett", "name_suffix": "", "institution": "University of Missouri School of Medicine, Department of Emergency Medicine, Columbia, Missouri", "department": "None" } ], "date_submitted": "2020-04-16T18:06:20-05:00", "date_accepted": "2020-04-16T18:06:20-05:00", "date_published": "2020-04-16T18:09:30-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/811/galley/564/download/" } ] }, { "pk": 13488, "title": "Evaluating the Diversity of Emergency Medicine Foundation (EMF) Grant Recipients in the Last Decade", "subtitle": null, "abstract": "On behalf of the ACEP Research Committee\nIntroduction:\n To study diversity of researchers and barriers to success among Emergency Medicine Foundation (EMF) grant recipients in the last 10 years.\nMethods\n: EMF grant awardees were approached to complete a brief survey, which included demographics, queries related to contributions to the literature, success in obtaining grants, and any perceived barriers they encountered.\nResults:\n Of the 342 researchers contacted by email, a total of 147 completed the survey for a response rate of 43%. The respondents were predominately mid to late career white-male-heterosexual-Christian with an average age of 44 years (range 25-69 years of age). With regards to training and education, the majority of respondents (50%) were either Associate or Professor clinical rank (8% instructor/resident/fellow and 31% Assistant). Sixty-two percent of the respondents reported perceived barriers to career advancement since completion of residency. The largest perceived barrier to success was medical specialty (26%), followed by gender (21%) and age (16%).\nConclusion:\n Our survey of EMF grant recipients in the last 10 years shows a considerable lack of diversity. The most commonly perceived barriers to career advancement by this cohort were medical specialty, gender, and age. An opportunity exists for further definition of barriers and development of mechanisms to overcome them, with a goal of increased success for those that are underrepresented.", "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": "Diversity" }, { "word": "research" } ], "section": "Research Publishing", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/23f534xj", "frozenauthors": [ { "first_name": "Richard", "middle_name": "D.", "last_name": "Gordon", "name_suffix": "", "institution": "UTHealth McGovern, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Nancy", "middle_name": "S.", "last_name": "Kwon", "name_suffix": "", "institution": "Long Island Jewish Medical Center, Department of Emergency Medicine, New Hyde Park, New York", "department": "None" }, { "first_name": "Phillip", "middle_name": "D.", "last_name": "Levy", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine and Integrative Biosciences Center, Detroit, Michigan", "department": "None" }, { "first_name": "Tracy", "middle_name": "E.", "last_name": "Madsen", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Deptartment of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Marna", "middle_name": "Rayl", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Hospital/University of South Florida Morsani College of Medicine, Department of Emergency & Hospital Medicine, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2020-01-11T08:31:48-06:00", "date_accepted": "2020-01-11T08:31:48-06:00", "date_published": "2020-04-16T18:09:18-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13488/galley/7067/download/" } ] }, { "pk": 13389, "title": "What is a Freestanding Emergency Department? Definitions Differ Across Major United States Data Sources", "subtitle": null, "abstract": "Introduction:\n Despite the growing number of freestanding emergency departments (FSED) in the United States (US), FSED definitions differ across major US data sources of healthcare facilities and use. We compare these sources and propose a universal definition of FSED (and its two major types) to improve communications regarding these facilities and their patients.\nMethods:\n We collected definitions of FSEDs from 11 national data sources using their websites, email, and telephone communications. For each source, we asked how they define FSEDs, whether being open 24/7 is a requirement to be called an ED, and whether they maintain a dataset of FSEDs.\nResults:\n Definitions varied across the data sources. All sources recognize FSEDs in their definitions, regardless of type; only one (the National Health Intervew Survey) does not differentiate them from other EDs. Five of the 11 sources (45%) omit autonomous FSEDs from their definitions and do not separately identify satellite FSEDs from their affiliated hospitals. One source does separately identify satellite FSEDs from their affiliated hospitals, but also omits autonomous FSEDs. Furthermore, three of the 11 sources (27%) do not require being open 24/7, while all others (73%) employ this criterion. Six of the 11 (55%) maintain datasets of FSEDs using their definition.\nConclusion: \nAs FSEDs continue to change the landscape of emergency care, it is important that they also be represented in national ED data sources. The current differences in the definition of an FSED make it difficult to provide accurate and longitudinal analysis for these facilities and patients who receive services at these facilities. We propose a universal definition of FSEDs as described by both the American College of Emergency Physicians and the National Emergency Department Inventory. Implementing a standard definition would facilitate a more accurate representation of FSEDs in national data sources and enhance ongoing efforts to improve the quality of emergency care delivered in FSEDs.", "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 care, freestanding emergency department" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37z00532", "frozenauthors": [ { "first_name": "Darya", "middle_name": "M.", "last_name": "Herscovici", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Krislyn", "middle_name": "M.", "last_name": "Boggs", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ashley", "middle_name": "F.", "last_name": "Sullivan", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr.", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-11-26T09:55:28-06:00", "date_accepted": "2019-11-26T09:55:28-06:00", "date_published": "2020-04-16T17:51:57-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13389/galley/7029/download/" } ] }, { "pk": 13361, "title": "Efficacy of Laryngeal Tube versus Bag Mask Ventilation by Inexperienced Providers", "subtitle": null, "abstract": "Introduction: \nBag mask ventilation (BMV) and extraglottic devices (EGDs) are two common methods of providing rescue ventilation. BMV can be difficult to perform effectively, especially for inexperienced providers and in patients with difficult airway characteristics. There is some evidence that the laryngeal tube (LT) can be successfully placed by inexperienced providers to provide effective ventilation. However, it is unclear whether ventilation provided by LT is superior to that of BMV, especially in the hands of inexperienced airway providers. Therefore, we aimed to compare ventilation efficacy of inexperienced airway providers with BMV versus LT by primarily measuring tidal volumes and secondarily measuring peak pressures on a simulated model.\nMethods:\n We performed a crossover study first year emergency medicine residents and third and fourth year medical students. After a brief instructional video followed by hands on practice, participants performed both techniques in random order on a simulated model for two minutes each. Returned tidal volumes and peak pressures were measured.\nResults:\n Twenty participants were enrolled and 1200 breaths were measured, 600 per technique. The median ventilation volumes were 194 milliliters (mL) for BMV, and 387 mL for the laryngeal tube, with a median absolute difference of 170 mL (95% confidence interval [CI] 157-182 mL) (mean difference 148 mL [95% CI, 138-158 mL], p<0.001). The median ventilation peak pressures were 23 centimeters of water (cm H2O) for BMV, and 30 cm H2O for the laryngeal tube, with a median absolute difference of 7 cm H2O (95% CI, 6-8 cm H2O) (mean difference 8 cm H2O [95% CI, 7-9 cm H2O], p<0.001).\nConclusion:\n Inexperienced airway providers were able to provide higher ventilation volumes and peak pressures with the LT when compared to BMV in a manikin model. Inexperienced providers should consider using an LT when providing rescue ventilations in obtunded or hypoventilating patients without intact airway reflexes. Further study is required to understand whether these findings are generalizable to live 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": "airway, ventilation, laryngeal tube, bag valve mask, supraglottic device" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8cp7f85r", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "", "last_name": "Hart", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Driver", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Gautham", "middle_name": "", "last_name": "Kartha", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Reardon", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Miner", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" } ], "date_submitted": "2019-11-10T20:54:04-06:00", "date_accepted": "2019-11-10T20:54:04-06:00", "date_published": "2020-04-16T17:48:04-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13361/galley/7013/download/" } ] }, { "pk": 13250, "title": "Demographics and Outcomes of Pulmonary Hypertension Patients in United States Emergency Departments", "subtitle": null, "abstract": "Introduction: \nPulmonary hypertension (PH) is a common, yet under-diagnosed, contributor to morbidity and mortality. Our objective was to characterize the prevalence of PH among adult patients presenting to United States (US) emergency departments (ED) and to identify demographic patterns and outcomes of PH patients in the ED.\nMethods:\n We analyzed the Nationwide Emergency Department Sample (NEDS) database, with a focus on ED patients aged 18 years and older, with any International Classification of Diseases, Clinical Modification (ICD)-9-CM or ICD-10-CM diagnosis code for PH from 2011 to 2015. The primary outcome was inpatient, all-cause mortality. The secondary outcomes were hospital admission rates and hospital length of stay (LOS).\nResults:\n From 2011 to 2015, in a sample of 121,503,743 ED visits, representing a weighted estimate of 545,500,486 US ED visits, patients with a diagnosis of PH accounted for 0.78% (95% confidence interval [CI], 0.75- 0.80%) of all US ED visits. Of the PH visits, 86.9% were admitted to the hospital, compared to 16.3% for all other ED visits (P <0.001). Likewise, hospital LOS and hospital-based mortality were higher in the PH group than for other ED patients (e.g., inpatient mortality 4.5% vs 2.6%, P < 0.001) with an adjusted odds ratio (aOR) of 1.34 (95% CI, 1.31–1.37). Age had the strongest association with mortality, with an aOR of 10.6 for PH patients over 80 years (95% CI, 10.06–11.22), compared to a reference of ages 18 to 30 years.\nConclusion:\n In this nationally representative sample, presentations by patients with PH were relatively common, accounting for nearly 0.8% of US ED visits. Patients with PH were significantly more likely to be admitted to the hospital than all other patients, had longer hospital LOS, and increased risk of inpatient 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": "Pulmonary Hypertension, Outcomes, Disposition" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1192d4rd", "frozenauthors": [ { "first_name": "Susan", "middle_name": "R.", "last_name": "Wilcox", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "M.", "middle_name": "Kamal", "last_name": "Faridi", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr.", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-09-12T17:14:56-05:00", "date_accepted": "2019-09-12T17:14:56-05:00", "date_published": "2020-04-16T17:43:07-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13250/galley/6976/download/" } ] }, { "pk": 13252, "title": "Males Receive Low-Tidal Volume Component of Lung Protective Ventilation More Frequently than Females in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nMechanical ventilation is a commonly performed procedure in the emergency department (ED). Approximately 240,000 patients per year receive mechanical ventilation in the ED representing 0.23% of ED visits. An ED-based trial published in 2017 showed that a bundle of interventions in mechanically ventilated patients, including low tidal volume ventilation, reduced the development of acute respiratory distress syndrome by nearly 50%. Prior literature has shown that as many as 40% of ED patients do not receive lung protective ventilation. Our goal was to determine whether differences exist between the percent of males vs females who are ventilated at ≥ 8 milliliters per kilogram (mL/kg) of predicted body weight.\nMethods:\n We conducted this study at Temple University Hospital, a tertiary care center located in Philadelphia, Pennsylvania. This was a planned subgroup analysis of study looking at interventions to improve adherence to recommended tidal volume settings. We used a convenience sample of mechanically ventilated patients in our ED between September 1, 2017, and September 30, 2018. All adult patient > 18 years old were eligible for inclusion in the study. Our primary outcome measure was the number of patients who had initial tidal volumes set at > 8 mL/kg of predicted body weight. Our secondary outcome was the number of patients who had tidal volumes set at ≥ 8 mL/kg at 60 minutes after initiation of mechanical ventilation.\nResults:\n A total of 130 patients were included in the final analysis. We found that significantly more females were initially ventilated with tidal volumes ≥ 8 mL/kg compared to men: 56% of females vs 9% of males (p=<0.001). Data was available for 107 patients (82%) who were in the ED at 60 minutes after initiation of mechanical ventilation. Again, a significantly larger percentage of females were ventilated with tidal volumes ≥ 8 mL/kg at 60 minutes: 56% of females vs 10% of males (p<0.001).\nConclusion: \nThe vast majority of tidal volumes ≥ 8 mL/kg during mechanical ventilation occurs in females. We suggest that objective measurements, such as a tape measure and tidal volume card, be used when setting tidal volumes for all patients, especially females.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8kb1k1g2", "frozenauthors": [ { "first_name": "Derek", "middle_name": "L.", "last_name": "Isenberg", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Bloom", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Nina", "middle_name": "", "last_name": "Gentile", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Hannah", "middle_name": "", "last_name": "Reimer", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Owen", "middle_name": "D.", "last_name": "Glaze", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Paige", "middle_name": "", "last_name": "Palumbo", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Fenstermacher", "name_suffix": "", "institution": "Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-09-13T09:19:48-05:00", "date_accepted": "2019-09-13T09:19:48-05:00", "date_published": "2020-04-16T17:37:55-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13252/galley/6978/download/" } ] }, { "pk": 12339, "title": "Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable Population", "subtitle": null, "abstract": "Human trafficking is a human rights violation affecting millions worldwide. Victims may go unrecognized during their emergency department (ED) visit, and may lose the opportunity to address their complex needs. Using a published toolkit based on existing guidelines and recommendations from experts, and models from other centers, we describe the implementation of an ED response protocol. In following the recommendations of the toolkit, we began with attempts to fully understand the local human trafficking problem and then networked with those working in anti-trafficking efforts. Collaboration with other specialties is highlighted as a key part of this process. Building upon the knowledge gained from these steps, we were able to develop a concise protocol to guide members of our department in more effectively caring for known or suspected victims of human trafficking. The first section of the protocol addresses ways in which providers can identify at-risk patients through both screening questions and general observations. Interviewing techniques are outlined with an emphasis on patient-centered and trauma-informed care. Additionally, the protocol discusses physician responsibility in documenting encounters and legal reporting, which may vary depending on location. We stress the importance of meeting the needs of the patient while prioritizing the safety of all involved. Additionally, the protocol provides a list of resources for the patient beyond medical care such as emergency housing, legal assistance, and food pantries. The overall purpose of this protocol is to provide coordinated response so that all providers may be consistent in caring for this vulnerable population.", "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": "Human Trafficking, Emergency Medicine" } ], "section": "Population Health and Social Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06z370g3", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Tiller", "name_suffix": "", "institution": "Levine Children’s Hospital and Carolinas Medical Center, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Charlotte, North Carolina", "department": "None" }, { "first_name": "Stacey", "middle_name": "", "last_name": "Reynolds", "name_suffix": "", "institution": "Levine Children’s Hospital and Carolinas Medical Center, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Charlotte, North Carolina", "department": "None" } ], "date_submitted": "2018-11-19T13:36:12-06:00", "date_accepted": "2018-11-19T13:36:12-06:00", "date_published": "2020-04-16T17:34:09-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12339/galley/6572/download/" } ] }, { "pk": 13251, "title": "Variations in the California Emergency Medical Services Response to Opioid Use Disorder", "subtitle": null, "abstract": "Introduction:\n Opioids contributed to over 300,000 deaths in the United States in the past 10 years. Most research on drug use occurs in clinics or hospitals; few studies have evaluated the impact of opioid use on emergency medical services (EMS) or the EMS response to opioid use disorder (OUD). This study describes the perceived burden of disease, data collection, and interventions in California local EMS agencies (LEMSA).\nMethods:\n We surveyed medical directors of all 33 California LEMSAs with 25 multiple-choice and free-answer questions. Results were collected in RedCap and downloaded into Excel (Microsoft Corporation, Redmond WA). This study was exempt from review by the Alameda Health System - Highland Hospital Institutional Review Board.\nResults:\n Of the 33 California LEMSAs, 100% responded, all indicating that OUD significantly affects their patients. Most (91%) had specific protocols directing care of those patients and repeat naloxone dosing. After naloxone administration, none permitted release to law enforcement custody, 6% permitted patient refusal of care, and 45% directed base hospital contact for refusal of care. Few protocols directed screening or treatment of OUD or withdrawal symptoms. Regular data collection occurred in 76% of LEMSAs, with only 48% linking EMS data with hospital or coroner outcomes. In only 30% did the medical director oversee regular quality improvement meetings. Of respondents, 64% were aware of public health agency-based outreach programs and 42% were aware of emergency department BRIDGE programs (Medication Assisted Treatment and immediate referral). Only 9% oversaw naloxone kit distribution (all under the medical director), and 6% had EMS-based outreach programs. In almost all (94%), law enforcement officers carried naloxone and administered it anywhere from a few times a year to greater than 200 in one LEMSA.\nConclusion:\n This study represents an important description of EMS medical directors’ approaches to the impact of OUD as well as trends in protocols and interventions to treat and prevent overdoses. Through this study, we can better understand the variable response to patients with OUD across California.", "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": "opioid, Naloxone, EMS" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8b26t5j6", "frozenauthors": [ { "first_name": "Nancy", "middle_name": "K.", "last_name": "Glober", "name_suffix": "", "institution": "Indiana University, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Gene", "middle_name": "", "last_name": "Hern", "name_suffix": "", "institution": "Alameda Health System-Highland Hospital, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Owen", "middle_name": "", "last_name": "McBride", "name_suffix": "", "institution": "Alameda Health System-Highland Hospital, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Mary", "middle_name": "P.", "last_name": "Mercer", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2019-09-12T14:13:37-05:00", "date_accepted": "2019-09-12T14:13:37-05:00", "date_published": "2020-04-16T15:46:14-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13251/galley/6977/download/" } ] }, { "pk": 5543, "title": "Laterality of Eye Use by Bottlenose (Tursiops truncatus) and Rough-toothed (Steno bredanensis) Dolphins While Viewing Predictable and Unpredictable Stimuli", "subtitle": null, "abstract": "Laterality of eye use has been increasingly studied in cetaceans. Research supports that many cetacean species keep prey on the right side while feeding and preferentially view unfamiliar objects with the right eye. In contrast, the left eye has been used more by calves while in close proximity to their mothers. Despite some discrepancies across and within species, laterality of eye use generally indicates functional specialization of brain hemispheres in cetaceans. The present study aimed to examine laterality of eye use in bottlenose dolphins (\nTursiops truncatus\n) and rough-toothed dolphins (\nSteno bredanensis\n) under managed care. Subjects were video-recorded through an underwater window while viewing two different stimuli, one predictable and static and the other unpredictable and moving. Bottlenose dolphins displayed an overall right-eye preference, especially while viewing the unpredictable, moving stimulus. Rough-toothed dolphins did not display eye preference while viewing stimuli. No significant correlations between degree of laterality and behavioral interest in the stimuli were found. Only for bottlenose dolphins were the degree of laterality and curiosity ratings correlated. This study extends research on cetacean lateralization to a species not extensively examined and to stimuli that varied in movement and degree of predictability. Further research is needed to make conclusions regarding lateralization in cetaceans.", "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": "laterality" }, { "word": "lateralization" }, { "word": "bottlenose dolphins" }, { "word": "rough-toothed dolphins" }, { "word": "eye use" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8cd919jh", "frozenauthors": [ { "first_name": "Malin", "middle_name": "K.", "last_name": "Lilley", "name_suffix": "", "institution": "The University of Southern Mississippi\nTexas A & M University- San Antonio", "department": "None" }, { "first_name": "Amber", "middle_name": "J.", "last_name": "de Vere", "name_suffix": "", "institution": "Plumpton College", "department": "None" }, { "first_name": "Deirdre", "middle_name": "B.", "last_name": "Yeater", "name_suffix": "", "institution": "Sacred Heart University", "department": "None" } ], "date_submitted": "2019-06-14T21:49:17-05:00", "date_accepted": "2019-06-14T21:49:17-05:00", "date_published": "2020-04-16T14:19:25-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5543/galley/3356/download/" } ] }, { "pk": 44927, "title": "Erythema Nodosum: An Unusual Reaction to Lidocaine", "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/2fb6k6tv", "frozenauthors": [ { "first_name": "Karen", "middle_name": "", "last_name": "Cheng", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daryl", "middle_name": "", "last_name": "Lum", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-16T11:33:36-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44927/galley/33720/download/" } ] }, { "pk": 44926, "title": "Papillary Thyroid Carcinoma", "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/0hv3m9z3", "frozenauthors": [ { "first_name": "Rauz", "middle_name": "A.", "last_name": "Eshraghi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sonya", "middle_name": "", "last_name": "Heitmann", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-16T11:31:08-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44926/galley/33719/download/" } ] }, { "pk": 44925, "title": "A Curious Case of Carcinoid Crisis", "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/8m46n98d", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Wang", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Charles", "middle_name": "W.", "last_name": "Lanks", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-16T11:28:42-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44925/galley/33718/download/" } ] }, { "pk": 44924, "title": "From Diving to Skiing to Your ED: A Case of HAPE", "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/4qx6p9m3", "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": "2020-04-16T11:21:20-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44924/galley/33717/download/" } ] }, { "pk": 44923, "title": "Splinter Hemorrhages: Pomegranate Preparation and Other Mechanisms of Injury", "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/0km2x7gr", "frozenauthors": [ { "first_name": "S. Anjani", "middle_name": "D.", "last_name": "Mattai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-16T11:17:56-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44923/galley/33716/download/" } ] }, { "pk": 44870, "title": "Elevated Serum Creatinine in a Patient Taking HIV Pre-exposure Prophylaxis", "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/1gk2v5ks", "frozenauthors": [ { "first_name": "George", "middle_name": "C.", "last_name": "Yen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gregory", "middle_name": "J.", "last_name": "Lam", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-16T11:12:58-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44870/galley/33663/download/" } ] }, { "pk": 40831, "title": "From Igiaba Scego, La mia casa è dove sono (Home Is Where I Am), Milan: Rizzoli, 2010", "subtitle": null, "abstract": "Translated by Jon R. Snyder and Megan Williamson", "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": [], "section": "Border Imaginaries: Politics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4xj7n9vv", "frozenauthors": [ { "first_name": "Jon", "middle_name": "R.", "last_name": "Snyder", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Megan", "middle_name": "", "last_name": "Williamson", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-04-15T11:50:27-05:00", "date_accepted": "2020-04-15T11:50:27-05:00", "date_published": "2020-04-15T17:58:50-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40831/galley/30586/download/" } ] }, { "pk": 40771, "title": "Towards a Literary and Feminist Neo-Avant-Garde: Carla Vasio’s Experimental Fiction", "subtitle": null, "abstract": "Despite her active involvement in several of the Gruppo 63’s meetings and activities over the years, Carla Vasio (b. 1923) is rarely mentioned in critical discussions of the Italian neo-avant-garde, and very little attention has been devoted to her work. This is not an isolated oversight, but a part of a larger pattern of marginalizing women writers. Our reading of two of Vasio’s most interesting and innovative novels—\nL’orizzonte \n(1966) and \nLa più grande anamorfosi del mondo \n(2009)–shows that this marginalization is unjustified, and that she is a writer who actively contributed to the aesthetic innovation of the Gruppo 63 while creating her own experimental narrative style. Vasio’s literary experimentation is an example of neo-avant-garde aesthetics, distinguished by its sophisticated feminist critique of both the dominant masculinist dynamic of the Gruppo 63 and the misogyny of postwar Italian culture and society.", "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": "Carla Vasio" }, { "word": "Feminism" }, { "word": "Neo-Avant-Garde" }, { "word": "Experimental Literature" } ], "section": "Vol.9: Open Theme", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/16r2j5c9", "frozenauthors": [ { "first_name": "Lucia", "middle_name": "", "last_name": "Re", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Tumolo", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" } ], "date_submitted": "2019-01-07T12:32:06-06:00", "date_accepted": "2019-01-07T12:32:06-06:00", "date_published": "2020-04-15T12:56:30-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40771/galley/30556/download/" } ] }, { "pk": 40778, "title": "Black Italianità: Citizenship and Belonging in the Black Mediterranean", "subtitle": null, "abstract": "This article discusses the fraught relationship between legal citizenship and Black belonging as depicted in the works of two Black Italian women writers. The protagonists in the short story “Salsicce” (“Sausages”) by Igiaba Scego and the novella \nKkeywa: Storia di una bimba meticcia \nby Carla Macoggi resist multiple forms of dispossession and struggle to hold on to the autonomy of their self-identification and cultural attachments. Both Scego and Macoggi affirm the necessity to reclaim the power of self-definition, self-representation, and political agency when reckoning with the citizenship project and its inherent exclusions. Thus, these writings showcase the importance of studying the dynamic body of Black literature in Italian and offer us insight into some of the racialized, gendered, and religious negotiations of Italian sociopolitics for Black people navigating life throughout Italy and the Mediterranean.", "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": "citizenship, identity and the law, immigration, letteratura migrante, race, dispossession, Black Italia" } ], "section": "Border Imaginaries: Politics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nm019xg", "frozenauthors": [ { "first_name": "SA", "middle_name": "", "last_name": "Smythe", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" } ], "date_submitted": "2019-02-01T15:59:43-06:00", "date_accepted": "2019-02-01T15:59:43-06:00", "date_published": "2020-04-15T12:45:30-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40778/galley/30560/download/" } ] }, { "pk": 40784, "title": "Soli al Mondo: The Recourse to \"Sovereigntism\" in Contemporary Italian Populism", "subtitle": null, "abstract": "\"Sovranismo\" has become the “go-to” word to use in contrasting those advocating “take back control” and nationalism against the “globalists” who are the bête noire of populism. This paper discusses the recent provenance of the word and the impluses that underlie it. It then considers the various arguments for sovranismo more broadly. The final section discusses the actual history of state sovereignty and suggests that current usage lacks much understanding of its complexities.", "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": "sovranismo,sovereignty, Italy, populism" } ], "section": "Border Imaginaries: Politics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5v09k295", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "Agnew", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2019-01-21T18:29:21-06:00", "date_accepted": "2019-01-21T18:29:21-06:00", "date_published": "2020-04-15T12:44:35-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40784/galley/30563/download/" } ] }, { "pk": 40785, "title": "Jewish Refugee Women, Transnational Coalition Politics, and Affect in Ebe Cagli Seidenberg’s Come ospiti: Eva ed altri", "subtitle": null, "abstract": "Writing across and beyond borders evokes at once the human aspiration to connectedness and the reality of a divided world invested in particular interests. For Ebe Cagli Seidenberg, the act of writing emanates from the Fascist racial laws of 1938, which forced her – a young Jewish Italian woman – to leave her native Italy and find refuge in the United States. The production of a five-volume series entitled \nCiclo dell’esilio obbligato\n [\nCycle of the Forced Exile\n, 1975-91] is a testament to that unwanted separation and the implications that borders have on processes of self and communal identity, hybridization and exclusion. \nCome ospiti: Eva ed altri \n(1991) is the last volume of \nCiclo\n and the focus of this essay. The novel is a portrayal of a small community of European refugees gathered in the hills of Berkeley, California. This essay explores two different articulations of coalition politics and borders in \nCome ospiti\n: the first one emphasizes affect, gender and class relationships, and the destructive effects of silencing and social masking, especially in relation to women and motherhood. On another level, and perhaps as a counterpoint to the impermanent female alliances of the story, coalition politics is articulated through the quest for literary interlocutors across national and linguistic borders. The result, I contend, is a liminal literary space molded on a national tradition but set to achieve a transnational status.", "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": "Italian Jewish" }, { "word": "Italian Literature" }, { "word": "Italian American" }, { "word": "Transnational literature" }, { "word": "affect theory" }, { "word": "coalition politics" }, { "word": "refugees" }, { "word": "Race and ethnicity" }, { "word": "Racial laws" }, { "word": "Women Studies" }, { "word": "Italians in California" } ], "section": "Border Imaginaries: Politics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0p82z5nn", "frozenauthors": [ { "first_name": "Eveljn", "middle_name": "", "last_name": "Ferraro", "name_suffix": "", "institution": "Santa Clara University", "department": "None" } ], "date_submitted": "2019-01-25T12:23:18-06:00", "date_accepted": "2019-01-25T12:23:18-06:00", "date_published": "2020-04-15T12:43:03-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40785/galley/30564/download/" } ] }, { "pk": 40753, "title": "Dante's Afterlife in Argentina", "subtitle": null, "abstract": "In the 1890s, Bartolomé Mitre (President of Argentina from 1862-1868) published a Spanish translation of the \nDivine Comedy\n that\n \nwas as key to the diffusion of Dante in the Río de la Plata as Henry Wadsworth Longfellow’s English translation (1867) was in the U.S. This article examines Mitre’s motives for dedicating a decade of his life to the translation, as well as his mission to bring European (and specifically Italian) high culture to his fledgling nation. I have found Mitre’s reading of Dante to have important resonances with the readings of Risorgimento Italians such as Mazzini, who associated Dante with political unity, morality, and high culture. This study also examines Mitre’s role as an advocate of Italian immigration to Argentina.", "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": "Dante" }, { "word": "Bartolomé Mitre" }, { "word": "Risorgimento" }, { "word": "Italian immigration in Argentina" }, { "word": "nation-building" } ], "section": "Border Imaginaries: Politics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2qq1510s", "frozenauthors": [ { "first_name": "Heather", "middle_name": "R", "last_name": "Sottong", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2018-10-04T17:23:46-05:00", "date_accepted": "2018-10-04T17:23:46-05:00", "date_published": "2020-04-15T12:42:16-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40753/galley/30550/download/" } ] }, { "pk": 40799, "title": "“A invençó do Brasile”: Juó Bananére and Non-Italian Italian literature", "subtitle": null, "abstract": "This essay focuses on the fascinating case of Juó Bananére, a comic writer of the Italian diaspora in Brazil, to propose an experiment in how literary historians might conceive of Italian Literature from perspectives immanent to Italy’s various global interactions. By approaching Bananére, a non-Italian, outside of Italy, who chose to write as though he were Italian, in a language only an Italian immigrant could have realistically spoken\n, \nthis essay offers one such perspective.", "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": [], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5cx9821v", "frozenauthors": [ { "first_name": "Nelson", "middle_name": "", "last_name": "Shuchmacher Endebo", "name_suffix": "", "institution": "Department of Comparative Literature\nStanford University", "department": "None" } ], "date_submitted": "2019-07-30T18:54:37-05:00", "date_accepted": "2019-07-30T18:54:37-05:00", "date_published": "2020-04-15T12:40:20-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40799/galley/30571/download/" } ] }, { "pk": 40780, "title": "La trilogia del naufragio di Lina Prosa (2003-2013) : un teatro tra due frontiere", "subtitle": null, "abstract": "Sin dalla fine del XX° secolo l’Italia ha visto arrivare sulle proprie coste centinaia di migliaia di migranti che, rischiando la propria vita, attraversano con mezzi di fortuna il Mediterraneo, frontiera sommersa tra l’Africa e l’Europa, con la speranza di costruire una vita migliore. Molti di questi uomini e di queste donne perdono la vita durante la traversata, altri riescono a raggiungere le spiagge siciliane sotto lo sguardo sorpreso dei turisti italiani e stranieri.\nIn Italia, questi uomini e queste donne sono accolti dalle autorità italiane che li inviano in campi di transito lontani dalle zone urbane. Spesso si ritrovano nel nord della penisola, isolati in valli alpine in attesa che venga esaminata la loro domanda di asilo. In questi campi sono confrontati a due nuovi ostacoli il più delle volte insormontabili : le Alpi e la neve, esattamente come gli emigranti italiani in \nIl cammino della speranza\n di Pietro Germi che nel dopoguerra cercavano di raggiungere la Francia.\nIl teatro di Lina Prosa drammaturga e regista siciliana (Premio della critica teatrale italiana 2015) fa di questa condizione migratoria contemporanea e della questione della frontiera il fulcro della propria scrittura drammatica. Con \nLa Trilogia del naufragio\n (2003-2012) entrata nel repertorio della \nComédie française\n dal 2011, rappresentata al Piccolo teatro di Milano nel 2016, Lina Prosa dà voce a Shauba e a suo fratello Mohamed confrontati al dramma ed alla violenza della migrazione. \nLampedusa beach\n, \nLampedusa snow\n et \nLampedusa way\n fanno entrare gli spettatori all’interno di questa tragedia umana contemporanea attraverso il punto di vista dei protagonisti della \nTrilogia\n facendo condividere lo sguardo critico con cui osservano la nostra civiltà occidentale, cittadella chiusa nelle proprie frontiere.\nIl nostro studio si propone di analizzare la rappresentazione e il senso della nozione di frontiera nella \nTrilogia del naufragio\n. Ci interrogheremo sui mezzi linguistici che rendono concreta la presenza della frontiera nel teatro di questa autrice siciliana e su alcune soluzioni sceniche adottate per renderla visibile.", "language": "it", "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": "italian Theatre, migration, Lina Prosa" } ], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6sk7s23x", "frozenauthors": [ { "first_name": "Francesco", "middle_name": "", "last_name": "D'Antonio", "name_suffix": "", "institution": "University of Strasburg (France)", "department": "None" } ], "date_submitted": "2019-01-15T04:23:34-06:00", "date_accepted": "2019-01-15T04:23:34-06:00", "date_published": "2020-04-15T12:39:19-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40780/galley/30561/download/" } ] }, { "pk": 40776, "title": "Il visuale italiano nella crisi della cittadinanza. L’Italianness nei dispositivi di cattura neoliberali del “Migrant Cinema”", "subtitle": null, "abstract": "L'articolo, adottando un approccio transdisciplinare e intersezionale vicino ai \ncultural studies\n, alla \nvisual culture\n e ai \ncritical migration studies\n, tenta di ricostruire lo spazio di articolazione italiano della crisi discorsiva dello \nspazio europeo\n, analizzando in che modo le produzioni visuali italiane esprimono l'attuale crisi discorsiva della cittadinanza. All’interno del panorama visuale italiano dedicato al tema, alcune produzioni visuali finiscono per ricadere in un sistema di cattura neoliberale di rappresentazione della cittadinanza che qui viene definito ‘Migrollywood’, un sistema che invisibilizza la vita delle nuove generazioni di italiani (\nNew Italians of color\n) all'interno della rappresentazione della migrazione. Attraverso la lettura contrappuntistica di due produzioni visuali del campo artistico-cinematografico: il documentario \n18 Ius Soli\n (2011) del regista italo-ghanese Fred K. Kuwornu e il lungometraggio \nPer un figlio\n (2017) del regista italo-srilankese Suranga D. Katugampala, l'articolo indaga come viene rappresentata l’identità italiana (\nItalianness)\n e in che modo il visuale è in grado di costituire un metodo per una contro-epistemologia di decolonizzazione della cittadinanza e dei suoi confini interni, dislocando il punto di vista privilegiato – di razza, genere, classe, religione, ecc. – del cittadino italiano.", "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": "Italianness" }, { "word": "visual culture" }, { "word": "citizenship" } ], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7fv8p3tv", "frozenauthors": [ { "first_name": "Eleonora", "middle_name": "", "last_name": "Meo", "name_suffix": "", "institution": "University of Naples \"L'Orientale\"", "department": "None" } ], "date_submitted": "2019-01-14T17:35:16-06:00", "date_accepted": "2019-01-14T17:35:16-06:00", "date_published": "2020-04-15T12:36:45-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40776/galley/30559/download/" } ] }, { "pk": 40770, "title": "Concealing African Art: Ardengo Soffici and Carlo Carrà’s Ambivalent Primitivism", "subtitle": null, "abstract": "Post-colonial scholarship on Italy is an important field, but has not adequately examined the reception of ‘primitive’ art before and during Fascism. For instance, Italian primitivism before World War I has been studied, but its implications with respect to colonialism, racism, and the transnational rise of a formalist approach to modernism have yet to be fully explored. Unfortunately, Italian artists’ disavowal or modification of their primitivism has contributed to this. In order to remedy this, my paper traces how Ardengo Soffici and Carlo Carrà’s appropriation of African sculpture was replaced by a preference for folk or naïve art in writings and works of art. I also consider futurist primitivism between the wars, since artists such as Fortunato Depero and Enrico Prampolini also shifted their approach; after the invasion of Ethiopia, their celebration of African-American’s modernity was expelled in order to configure a colonial iconography during late Fascism. Eventually, racist critics and publications such as La Difesa della razza simultaneously rejected and relied on primitivist avant-gardism, adding yet another layer to this complex dependence. In general, Italian artists absorbed and later dismissed exotic primitivism, which had been mostly used as a critique of the West, to renew Italian culture according to nationalist conceptions. The range and number of works that referenced Africa and its culture demonstrates the complex nature of this reliance/disavowal, revealing Italy’s fraught relationship to the exotic. Moreover, a similar approach that minimized the role of African art within modernism was employed in the United States, which also obscured certain aspects of Italy’s primitivism.", "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": "Italian modernism, Italian colonialism, primitivism, Cubism, Futurism, Ardengo Soffici, Carlo Carrà, Fortunato Depero, Enrico Prampolini, Alfred H. Barr, Jr." } ], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gc9g00j", "frozenauthors": [ { "first_name": "Mariana", "middle_name": "", "last_name": "Aguirre", "name_suffix": "", "institution": "Instituto de Investigaciones Estéticas, Universidad Nacional Autónoma de México", "department": "None" } ], "date_submitted": "2019-01-15T18:16:01-06:00", "date_accepted": "2019-01-15T18:16:01-06:00", "date_published": "2020-04-15T12:36:02-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40770/galley/30555/download/" } ] }, { "pk": 40756, "title": "Re/Writing the Orient: Ludovico Ariosto’s Orlando Furioso, the Thousand and One Nights, and the Hundred and One Nights", "subtitle": null, "abstract": "Canto XXIII marks a tragicomic turning point in the \nOrlando Furioso\n, as the tension sustaining the titular character’s epic stoicism and romantic chivalry falls away to reveal a maniacal anti-hero. This canto’s staging of Orlando’s madness signals a significant extra-textual literary transition, unsettling the binary of medieval and classical literary traditions that Ariosto draws on, and suggesting a novel genre of literary expression. This article explores one avenue by which Ariosto disrupts such ostensible polarities through the dynamic intertextual practice of \nwriting\n and \nrewriting\n the “Orient.” A close reading of Canto XXVIII’s resounding echoes of the \nThousand and One Nights’\n and the lesser-known \nHundred and One Nights’\n frame tales, illuminates the \nFurioso\n’s double focus upon movement toward and away from Muslim-Arab cultural affiliation, a push-pull that opens a space of difference where literary traditions can converge neither in reconciliation nor domination of one another. In particular, this paper examines how Ariosto’s poem captures the ambiguous hybridity of the medieval Mediterranean as an ever-shifting terrain defined not only by oppositionality and hostility, but also by curiosity, exchange, and alliance.", "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": "Orlando Furioso, Thousand and One Nights, Orientalism, hybridity, intertextuality, Mediterranean" } ], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6td3w8vh", "frozenauthors": [ { "first_name": "Amanda", "middle_name": "", "last_name": "Batarseh", "name_suffix": "", "institution": "University of California, San Diego", "department": "None" } ], "date_submitted": "2018-11-03T12:31:29-06:00", "date_accepted": "2018-11-03T12:31:29-06:00", "date_published": "2020-04-15T12:35:22-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40756/galley/30551/download/" } ] }, { "pk": 40793, "title": "Memory, Identity and Migrant Generations: Articulating Italianità in Twentieth- and Twenty-First-Century Northern England through the Case of Kingston upon Hull", "subtitle": null, "abstract": "Owing to its geographical location and the collapse of its fishing and shipping industries, the UK city of Kingston upon Hull post-WWII rapidly acquired a reputation as a declining outpost of the British nation with no real links to the rest of the world. Yet, historically, Hull has always been a multicultural city that welcomed different migrant communities. Links with Italy, for instance, date back to the 1500s, as the recent ‘Italian Connections’ exhibition, held in one of the local museums, has shown. This exhibition was then also the opportunity to rediscover and reaffirm the existence of an Italian community in the city. This article presents a selection of stories from members of this community, which emerged during and immediately after the exhibition, as a means of exploring the nature of Hull’s historic Italian community and to analyse the extent to which an ‘Anglo-Italian’ identity emerges in this case. It focuses in particular on two case studies: the Coletta and Bottery families. Hirsh’s notion of post-memory and Bedingfield’s idea of trans-memory are used to investigate how members of these families view their Italian background and construct their identities, how memories are transmitted and “translated” across generations, which external factors impacted on their identity construction, and which image of Italy emerges from their recollections. Being able to discuss their family history matters to this group of people: they see this opportunity both as a mechanism by which to reaffirm their personal histories and heritage and as a way to uncover a hidden aspect of Hull’s past which can impact positively on the city’s future.", "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": "Italian community" }, { "word": "migrant experience" }, { "word": "Hull" }, { "word": "postmemory" }, { "word": "trans-memory" }, { "word": "Anglo-Italian identity" } ], "section": "Border Imaginaries: Geographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/24d3b6xr", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "", "last_name": "Haworth", "name_suffix": "", "institution": "University of Hull", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Rorato", "name_suffix": "", "institution": "University of Hull", "department": "None" } ], "date_submitted": "2019-02-28T06:16:16-06:00", "date_accepted": "2019-02-28T06:16:16-06:00", "date_published": "2020-04-15T12:26:52-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40793/galley/30569/download/" } ] }, { "pk": 40763, "title": "Viaggio e viaggiatori italiani nel Seicento: relazioni odeporiche per una nuova geografia del vecchio continente", "subtitle": null, "abstract": "After the Age of Discovery (XV-XVI), new types of travelers began to replace the great ocean routes to the Indies, with the overland, and more restricted, itineraries of an Old Continent that appeared as a land of new discoveries. Within this process – generally widespread across Europe – the contribution offered by the Italians is still to be defined, often classified as a niche phenomenon, especially compared to the mobility expressed by the rest of the Europeans.\nThrough a quick review of some published and unpublished texts of Seventeenth-century Italian travelers, the article intends to reflect on the Italian participation in travel culture during the early modern age. A completely new image emerges: Italians as dynamic people. Well-integrated in the continental European circuit, they were confident also with the itineraries of Central-Eastern and Northern Europe, lands well-known to them and part of an Italian geography much more extended than we usually know.", "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": "Italian travellers" }, { "word": "Early Modern Europe" }, { "word": "travel history" } ], "section": "Border Imaginaries: Geographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/72h8k2bt", "frozenauthors": [ { "first_name": "Alessandro", "middle_name": "", "last_name": "Boccolini", "name_suffix": "", "institution": "Tuscia University - Viterbo. Italy", "department": "None" } ], "date_submitted": "2018-11-27T04:06:13-06:00", "date_accepted": "2018-11-27T04:06:13-06:00", "date_published": "2020-04-15T12:26:10-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40763/galley/30554/download/" } ] }, { "pk": 40786, "title": "Italia come Africa e Africa come Italia: movimenti migratori, confini reali, espansioni immaginarie da S.T. Coleridge a Erri De Luca", "subtitle": null, "abstract": "This article tackles the question of the territorial boundaries of “italianità,” i.e. defining a place for Italy, through the analysis of some key moments in its discursive construction in modernity. I begin by summarizing the results of my long-standing research into the origins and diffusion of what is named “meridionism,” claiming that the territorialization of Italian-ness starts with the diffusion of the discursive metaphor of “(Southern) Italy equals Africa” in the 19th century, which fostered the racial profiling of Southern Italians as Africans within. This process, I propose, finds its completion in the present migration movements that have brought about the actual \narrival\n of Africa in Southern Italy. By contrast, the bulk of the article focuses on the discursive reversal of that equation in the prophetic works of Pier Paolo Pasolini’s and Erri De Luca.", "language": "it", "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": [], "section": "Border Imaginaries: Geographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2d06n74w", "frozenauthors": [ { "first_name": "Luigi", "middle_name": "", "last_name": "Cazzato", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2019-01-30T10:41:28-06:00", "date_accepted": "2019-01-30T10:41:28-06:00", "date_published": "2020-04-15T12:23:35-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40786/galley/30565/download/" } ] }, { "pk": 40801, "title": "A Mediterranean Woman Writer from Naples to Tangier: Female Storytelling as Resistance in Elisa Chimenti", "subtitle": null, "abstract": "Italian-born author and scholar Elisa Chimenti (Naples 1883—Tangier 1969), still virtually unknown to English-language readers and scholars (and scarcely known to this day even in France and Italy) devoted much of her life’s work to recording and translating the oral traditions of the people, particularly the women, of Morocco, the country where she elected to spend most of her life, living and teaching Italian and other languages in Tangier and effectively becoming at once Mediterranean-Italian and \nTangeroise\n. Chimenti’s cosmopolitanism contrasted deeply with Mussolini’s Mediterranean agenda, and the Fascist regime effectively confiscated her school in Tangier. As a young woman, Chimenti traveled extensively across Morocco, eventually mastering several indigenous dialects of Arabic and Berber. Her prodigious linguistic abilities laid the framework for much of her scholarly and literary works, including multiple collections of indigenous folktales, songs, and oral poetry such a \nÈves marocaines\n (1935),\n \nChants de femmes arabes \n(1942), and \nLégendes marocaines\n (1959). She also wrote a series of stories about the European “Petits Blancs,” working-class immigrants, merchants and entrepreneurs–including Italians–who lived and worked in Tangier in the early twentieth century. Chimenti published primarily in French and occasionally Spanish (although she also wrote in Italian), a choice that not only allowed her works to reach a greater readership, but that also reflects the author’s perennial interest—similarly evident in her pedagogical and journalistic endeavors—in facilitating transnational cultural dialogue within and beyond the Mediterranean. Myriad explanatory footnotes and a glossary of Darija Arabic accompany each of her texts and are a testament to the transnational ambitions of Chimenti’s projects. The same is true of the author’s only published novel, \nAu cœur du harem\n (1958), translated into Italian in 2000 as \nAl cuore dell’harem\n. As in her non-fiction texts, Chimenti’s novel blends influences from Jewish, Muslim, Christian, and pre-Muslim North African beliefs and folklore, in a manner that reflects the cultural métissage of Chimenti’s beloved Tangier, at a time when it was a veritable crossroads of the Mediterranean. Though her influences are many and varied, Chimenti’s texts share a recurrent theme: a focus on women’s voices. Female storytelling and song are central to both the poetic rhythm and the plot of her novel, which is a polyphonic tour de force that captures the oral quality of Chimenti’s diverse transnational influences with remarkable poetic dexterity. In this article, we examine Chimenti’s text as a work of feminist Mediterranean literature that presents female storytelling and community as a means of resisting two interrelated forms of violence: domestic abuse and enslavement, as well as the historical silencing of Moroccan women through the exclusion of their voices and stories from public discourse. In situating her novel within a domestic harem, Chimenti also works on a symbolic level to demystify a space where systems of colonial and gender domination have historically coalesced into an Orientalist, voyeuristic narrative. In \nAu cœur du harem\n, this female space is the site of transnational dialogue and debate, where contrasting Mediterranean cultures and value systems intersect, in a manner that reflects the author’s own transnational heritage and work.", "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": "Elisa Chimenti" }, { "word": "Mediterranean women writers" }, { "word": "Italian-Mediterranean" }, { "word": "Orientalism" }, { "word": "Italy and Morocco" }, { "word": "cosmopolitanism" }, { "word": "Colonialism and literature" }, { "word": "Feminist resistance" }, { "word": "Women storytellers" }, { "word": "Harem" } ], "section": "Border Imaginaries: Geographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1739368v", "frozenauthors": [ { "first_name": "Lucia", "middle_name": "", "last_name": "Re", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Kelly", "middle_name": "", "last_name": "Roso", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2019-09-03T18:16:15-05:00", "date_accepted": "2019-09-03T18:16:15-05:00", "date_published": "2020-04-15T12:22:33-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40801/galley/30572/download/" } ] }, { "pk": 40773, "title": "(R)esistenze in conflitto nella narrativa di Anna Messina e Fausta Cialente ambientata ad Alessandria d’Egitto", "subtitle": null, "abstract": "In this essay, I examine the ways in which Anna Messina’s and Fausta Cialente’s narratives set in Alexandria, Egypt in the interwar period suggest conflicting representations of Italian identity. Relying on the notion of resistance and the different ways to exist/resist in the porous context of the city, I propose that Messina’s \nCronache del Nilo \nrecreates a monolithic, idealized vision of the Italian identity within Alexandria’s international community. Her characters strenuously oppose any form of relation and contamination in the name of aesthetic, racial, and national superiority nourished by Fascist ideologies. On the other hand, Cialente’s \nBallata levantina \nrepresents more complex and hybrid subjectivities that rebel against the homogenization imposed by Fascist propaganda in the colonial settings.", "language": "ita", "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": "Alexandria" }, { "word": "Resistance" }, { "word": "Italian identity" }, { "word": "mobility" }, { "word": "Colonial Contexts" } ], "section": "Border Imaginaries: Geographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67p224k3", "frozenauthors": [ { "first_name": "Arianna", "middle_name": "", "last_name": "Fognani", "name_suffix": "", "institution": "Coastal Carolina University", "department": "None" } ], "date_submitted": "2019-01-08T18:00:11-06:00", "date_accepted": "2019-01-08T18:00:11-06:00", "date_published": "2020-04-15T12:20:52-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40773/galley/30557/download/" } ] }, { "pk": 40775, "title": "The Making of Italians in Tunisia: A Biopolitical Colonial Project (1881-1911)", "subtitle": null, "abstract": "This essay explores the way in which Italian colonialist imaginary perceived the French protectorate of Tunisia and the Italian migrants settled there. The first part of the paper deals with the relations between French capitals and Italian workforce within Tunisian colonial society. Then I analyse how the colonial regime and the nationalist narratives fostered communitarian fractures breaking the internationalist labor movement. Tunisian case reveales how the diasporas in colonial spaces during the age of high imperialism were interesting political and social laboratories of identities. The paper particularly focuses on how the Tunisian context was a place of peculiar Italian nation-building project based on colonial and racial categories. Italian colonialist imaginary not only included Tunisia in a Greater Italy, but also assessed the Sicilian settlers in French Tunisia as a colonial avant-garde for overseas expansions, especially to Libya. In the end I argue that this Tunisian case study could show us how tight is the link between nation-, race- and class-making processes.", "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": "Italians of Tunisia, Colonialism, nation-building" } ], "section": "Border Imaginaries: Geographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/92d594q8", "frozenauthors": [ { "first_name": "Gabriele", "middle_name": "", "last_name": "Montalbano", "name_suffix": "", "institution": "University of Bologna", "department": "None" } ], "date_submitted": "2019-01-11T10:24:53-06:00", "date_accepted": "2019-01-11T10:24:53-06:00", "date_published": "2020-04-15T12:07:05-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40775/galley/30558/download/" } ] } ] }