| Original Contributions |
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Article Title |
Author(s) |
Pages |
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Early Goal-directed Therapy (EGDT) for Severe Sepsis/Septic Shock: Which Components of Treatment are More Difficult to Implement in a Community-based Emergency Department?
06 May 2011
Abstract: Background: Early goal-directed therapy (EGDT) has been shown to reduce mortality in patients with severe sepsis/septic shock, however, implementation of this protocol in the emergency depar...
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Rory O’Neill,
Javier Morales,
Michael Jule
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503-510
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TRIAD III: Nationwide Assessment of Living Wills and Do Not Resuscitate Orders
21 November 2011
Abstract: Background: Concern exists that living wills are misinterpreted and may result in compromised patient safety. Objective: To determine whether adding code status to a living will improves und...
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Ferdinando L. Mirarchi,
Erin Costello,
Justin Puller,
Timothy Cooney,
Nathan Kottkamp
et al.
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511-520
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Use of RIFLE Criteria to Predict the Severity and Prognosis of Acute Kidney Injury in Emergency Department Patients with Rhabdomyolysis
06 May 2011
Abstract: Background: RIFLE criteria (Risk, Injury, Failure, Loss, End-stage) have not been evaluated in Emergency Department (ED) patients at risk of acute kidney injury (AKI). AKI occurs in rhabdomy...
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Kathleen A. Delaney,
Melissa L. Givens,
Rais B. Vohra
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521-528
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| Clinical Communications: Adults |
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Article Title |
Author(s) |
Pages |
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Intestinal Perforation Secondary to Blunt Inguinal Trauma in a Soccer Player: A Case Report
22 May 2009
Abstract: Background: Intestinal perforation caused by blunt trauma to an inguinal hernia is a very uncommon event. Case Report: We present the case of a 55-year old man who suffered trauma to the ing...
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Nevenka Vucetich,
Max Andresen,
Pablo Hasbún,
Tomás Regueira,
Luis Ibáñez,
Alejandro González
et al.
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529-531
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Charles Bonnet Syndrome: Three Cases in the Emergency Department
01 May 2009
Abstract: Background: Charles Bonnet Syndrome (CBS) is a cause of visual hallucinations in elderly patients that is often unrecognized by emergency physicians and has a relatively benign course. As th...
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Elizabeth J. Frost,
J. Lawrence Mottley,
Jonathan A. Edlow
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532-534
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Bronchial Rupture by an Unusual Mechanism of Thoracic Hyperextension
01 May 2009
Abstract: Background: Tracheobronchial disruption usually occurs in the setting of blunt chest trauma and may be overlooked due to co-existing injuries and non-specific symptoms. Objectives: Review th...
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Xavier Soler,
Rebecca Sell,
José Maestre,
Juan Ruiz-Manzano
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535-537
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| Clinical Communications: Pediatrics |
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Article Title |
Author(s) |
Pages |
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Torsion of an Undescended Testis Located in the Inguinal Canal
09 September 2011
Abstract: Background: Torsion of undescended testis located within the inguinal canal is a rare finding in the emergency department (ED). This diagnosis can present as undifferentiated abdominal or gr...
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Andrew P. Weiss,
Jon Van Heukelom
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538-539
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| Clinical Communications: OB/GYN |
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Article Title |
Author(s) |
Pages |
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Pneumoperitoneum after Sexual Assault in a Patient Who Had Hysterectomy 30 Years Ago: Case Report
19 August 2011
Abstract: Background: A non-surgical etiology accounts for approximately 10% of cases of pneumoperitoneum. However, in the patient with pneumoperitoneum, one must be suspicious of the less common non-...
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Daniel D. Im,
Peter S. Pak,
Bennett Cua,
Elyssa Feinberg
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540-542
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| Selected Topics: Toxicology |
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Article Title |
Author(s) |
Pages |
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Recurrent Respiratory Depression Associated with Fentanyl Transdermal Patch Gel Reservoir Ingestion
29 April 2011
Abstract: Background: Opioid abuse is common in the United States and is currently on the rise. Fentanyl transdermal patches (FTPs) have been on the market since 1991, and have recently become a popul...
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Joseph L. D’Orazio,
Jason A. Fischel
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543-548
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Whole Fentanyl Patch Ingestion: A Multi-center Case Series
17 June 2011
Abstract: Background: Fentanyl is a potent synthetic opioid with large abuse potential. A common preparation of fentanyl is a sustained-release transdermal patch. To our knowledge, there are only two ...
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Rita Mrvos,
Alexander C. Feuchter,
Kenneth D. Katz,
Lynn F. Duback-Morris,
Daniel E. Brooks,
Edward P. Krenzelok
et al.
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549-552
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| Selected Topics: Prehospital Care |
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Article Title |
Author(s) |
Pages |
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Prehospital Use of Continuous Positive Airway Pressure for Acute Severe Congestive Heart Failure
12 September 2011
Abstract: Background: The utility of continuous positive airway pressure (CPAP) in the in-hospital treatment of congestive heart failure (CHF) is well established. Its exact role is less clear in the ...
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Joe E. Dib,
Scott A. Matin,
Amy Luckert
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553-558
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| Selected Topics: Emergency Radiology |
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Article Title |
Author(s) |
Pages |
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Comparative Sensitivity of Computed Tomography vs. Magnetic Resonance Imaging for Detecting Acute Posterior Fossa Infarct
06 February 2012
Abstract: Background: Posterior fossa strokes, particularly those related to basilar occlusion, pose a high risk for progression and poor neurological outcomes. The clinical history and examination ar...
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David Y. Hwang,
Gisele S. Silva,
Karen L. Furie,
David M. Greer
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559-565
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| Ultrasound in Emergency Medicine |
| |
Article Title |
Author(s) |
Pages |
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Identification of Intraluminal Thrombus by Ultrasonography in Emergency Department Patients with Acute Deep Venous Thrombosis
24 October 2011
Abstract: Background: Traditionally, the diagnosis of deep venous thrombosis (DVT) using duplex ultrasonography (DU) has relied on the absence of venous compressibility. Visualization of an intralumin...
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Ninfa Mehta,
Joshua Schecter,
Michael Stone
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566-568
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| Case Presentations of the Harvard Affiliated Emergency Medicine Residencies |
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Article Title |
Author(s) |
Pages |
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Sacral Decubitus Ulcers and Bacterial Meningitis
27 February 2012
Dr. Leah Honigman: Today’s case is that of an 86-year-old woman with a history of dementia who presented to the Emergency Department (ED) with fever and altered mental status. On the day of presentati...
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Leah Honigman,
John Jesus,
Sachin Pandey,
Marc Camacho,
Carrie Tibbles,
Ryan Friedberg
et al.
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569-572
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| Visual Diagnosis in Emergency Medicine |
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Article Title |
Author(s) |
Pages |
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Disseminated Lemierre Syndrome Presenting as Septic Arthritis
01 November 2010
A 26-year-old man was brought to our institution with left elbow pain. He had presented to the Emergency Department (ED) 1 week earlier with fever, sore throat, and cough. He was diagnosed with pneumo...
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Bryan J. Chow,
Janis P. Tupesis
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573-575
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Multiple Occipital Ring-Enhancing Lesions in a Healthy Woman
07 June 2010
A 41-year-old woman from Haiti with no past medical or surgical history presented to the Emergency Department with low-grade diffuse headaches for 3 weeks. She described her headache as constant, mild...
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Sapna Pawa,
Jarone Lee,
Kaushal H. Shah
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576-577
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| Medical Classics |
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Article Title |
Author(s) |
Pages |
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Charles McBurney: McBurney's Point
07 October 2011
Abstract: Charles McBurney published a treatise on appendicitis in 1891, in which he described the exact point on the abdomen at which tenderness was maximal in cases of acute appendicitis—the point n...
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Casey A. Grover,
George Sternbach
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578-581
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| Editorial |
| |
Article Title |
Author(s) |
Pages |
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A Physician's Got to Know His (Test's) Limitations
03 February 2012
“A man’s got to know his limitations.”
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Jonathan Edlow
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582-583
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| Letters to the Editor |
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Article Title |
Author(s) |
Pages |
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Lamotrigine-associated Thrombocytopenia and Leukopenia
26 July 2010
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Mesut Okur,
Avni Kaya,
Hüseyin Çaksen,
Gökmen Taşkın
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584-585
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Subcapsular Hepatic Hematoma Revealed by Hemorrhagic Shock in a Preeclamptic Patient
28 September 2010
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S. Zidouh,
L. Belyamani,
J. Kouach,
N. Drissi Kamili
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585-586
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Takotsubo Cardiomyopathy Associated with Acute Subarachnoid Hemorrhage
08 October 2010
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Luciano Santana-Cabrera,
Cristina Rodríguez Escot,
José María Medina Gil,
Carmen Pérez Ortiz
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586-587
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| Administration of Emergency Medicine |
| |
Article Title |
Author(s) |
Pages |
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Gender Disparity in Emergency Department Non-ST Elevation Myocardial Infarction Management
01 October 2010
Abstract: Background: Many studies have looked at differences between men and women with acute coronary syndrome. These studies demonstrate that women have worse outcomes, receive fewer invasive inter...
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Marna Rayl Greenberg,
William F. Bond,
Richard S. MacKenzie,
Rezarta Lloyd,
Monisha Bindra,
Valerie A. Rupp,
Anne-Marie Crown,
James F. Reed
et al.
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588-597
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American Academy of Emergency Medicine
|
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598-599
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| Brief Reports |
| |
Article Title |
Author(s) |
Pages |
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Inter-rater Reliability of Sonographic Measurements of the Inferior Vena Cava
13 January 2012
Abstract: Background: Bedside ultrasound is emerging as a useful tool in the assessment of intravascular volume status by examining measurements of the inferior vena cava (IVC). Many previous studies ...
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Turandot Saul,
Resa E. Lewiss,
Alexis Langsfeld,
Michael S. Radeos,
Marina Del Rios
et al.
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600-605
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Cricoid Pressure Provides Incomplete Esophageal Occlusion Associated with Lateral Deviation: A Magnetic Resonance Imaging Study
13 June 2011
Abstract: Background: Cricoid pressure is a routine component of rapid sequence induction and is designed to reduce the risk of reflux and its associated morbidity. Recent studies have raised question...
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Sylvain Boet,
Kaylene Duttchen,
Jean Chan,
An-Wen Chan,
William Morrish,
Andre Ferland,
Gregory M.T. Hare,
Aaron P. Hong
et al.
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606-611
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| Clinical Reviews |
| |
Article Title |
Author(s) |
Pages |
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The Use of Cephalosporins in Penicillin-allergic Patients: A Literature Review
11 July 2011
Abstract: Background: The practice of avoiding cephalosporin administration to penicillin-allergic patients persists despite the low rate of cross reactions between both groups of antibiotics. Objecti...
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James D. Campagna,
Michael C. Bond,
Esteban Schabelman,
Bryan D. Hayes
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612-620
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| Book and Other Media Reviews |
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Article Title |
Author(s) |
Pages |
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Challenging and Emerging Conditions in Emergency Medicine
02 March 2012
Emergency medicine textbooks are generally divided into two types: the general, which attempts to cover all of emergency medicine, and the specific, which covers a particular area such as gastrointest...
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Edward J. Otten
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621
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| Abstracts |
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Article Title |
Author(s) |
Pages |
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Risk of Acute Myocardial Infarction after the Death of a Significant Person in One's Life: The Determinants of Myocardial Infarction Onset Study: Mostofsky E, Maclure M, Sherwood JB, et al. Circulation 2012;125:491–6.
In this retrospective cohort crossover analysis, the authors attempted to show that a recent death, independent of other variables, increased one's risk of having an acute myocardial infarction (MI). ...
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Maegan S. Reynolds
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622
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Lack of Neurologic Improvement after Aortic Repair for Acute Type A Aortic Dissection Complicated by Cerebral Malperfusion: Predictors and Association with Survival: Morimoto N, Okada K, Okita Y. J Thorac Cardiovasc Surg 2011;142:1540–4.
This was a single-center retrospective study out of Japan that aimed to evaluate the predictors of a lack of neurologic improvement after aortic repair for acute Type A aortic dissection complicated b...
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Lina Tran
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622
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Randomized Clinical Trial for Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Kim J, Oh S, Lee S, et al. Neurology 2012;78:159–66.
Dizziness is a common complaint in the emergency department, with benign paroxysmal positional vertigo (BPPV) being the underlying etiology in a number of cases. BPPV involving the horizontal semicirc...
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Elena Ewert
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622-623
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Multicenter Analysis of Quality Indicators for Children Treated in the Emergency Department for Asthma: Sills MR, Ginde AA, Clark S, Camargo CA. Pediatrics 2012;129:e325–32.
In this prospective multi-center cohort analysis, the authors retrospectively looked into the association between process and outcome measures in acute asthma care for children in the emergency depart...
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Maegan S. Reynolds
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623-624
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Predictors of Cognitive Function and Recovery 10 Years after Traumatic Brain Injury in Young Children: Anderson V, Godfrey C, Rosenfeld JV, et al. Pediatrics 2012;129:254–61.
Traumatic brain injury (TBI) is one of the leading causes of disrupted development in childhood. Previous studies have demonstrated that severe injury at a young age is associated with poorer outcomes...
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Lina Tran
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624
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Emergency Department Adherence to American Heart Association Guidelines for Blood Pressure Management in Acute Ischemic Stroke: Grise E, Adeoye O, Lindsell C, et al. Stroke 2012;43:557–9.
Acute ischemic stroke (AIS) is commonly associated with elevated blood pressure (BP). Severely elevated BP levels are associated with poor outcomes and increased risk for neurological decline. For BP ...
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Elena Ewert
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624-625
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The Effects of Sepsis on Mitochondria: Garrabou G, Moren C, Lopez S, et al. J Infect Dis 2012;205:392–400.
In this laboratory study, the authors attempted to analyze mitochondrial function in sepsis. Specifically, they analyzed blood from 19 patients admitted from March 2005 to November 2009 who had eviden...
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Maegan S. Reynolds
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625
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Association of Emergency Department Length of Stay with Safety-net Status: Fee C, Burstin H, Maselli JH, et al. JAMA 2012;307:476–82.
This study investigated emergency department (ED) compliance with length-of-stay measures with respect to patient disposition and hospital safety-net status from data obtained from the 2008 National H...
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Lina Tran
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625
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Long-term Cardiovascular Mortality after Procedure-related or Spontaneous Myocardial Infarction in Patients with Non-ST-Segment Elevation Acute Coronary Syndrome: A Collaborative Analysis of Individual Patient Data from the FRISC II, ICTUS, and RITA-3 Trials (FIR) Damman P, Wallentin L, Fox K, et al. Circulation 2012;125:568–76.
Although procedural interventions are commonly performed in patients with acute coronary syndrome, there is a known complication of procedure-related myonecrosis that may occur from various insults su...
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Elena Ewert
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625-626
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Patients with Acute Coronary Syndrome and Normal High-sensitivity Troponin: Meune C, Balmelli C, Twerenbold R, et al. Am J Med 2011;124:1151–7.
In this prospective multi-center cohort study, the authors sought to characterize the incidence of and outcomes for patients with acute coronary syndrome (ACS) but a normal high-sensitivity cardiac tr...
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Maegan S. Reynolds
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626
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Concurrent Use of Warfarin and Antibiotics and the Risk of Bleeding in Older Adults: Baillargeon J, Holmes HM, Lin Y, Raji MA, Sharma G, Kuo YF. Am J Med 2012;125:183–9.
This was a case-control cohort study that investigated the risk of bleeding in older adults on chronic warfarin with concurrent use of any of six commonly prescribed antibiotic classes: azole antifung...
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Lina Tran
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626-627
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Diagnostic and Prognostic Stratification in the Emergency Department Using Urinary Biomarkers of Nephron Damage: A Multicenter Prospective Cohort Study: Nockolas T, Schmidt-Ott K, Canetta P, et al. J Am Coll Cardiol 2012;59:246–55.
Acute kidney injury (AKI) is both a common and a serious diagnosis made in over 1 million hospitalized patients each year in the United States. Although elevated serum creatinine and decreased urinary...
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Elena Ewert
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627
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Calendar of Events
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628
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| Clinical Communications: Adults |
| |
Article Title |
Author(s) |
Pages |
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Pulmonary Embolism Presenting as Flank Pain: A Case Series
31 March 2009
Abstract: Background: Pulmonary embolism (PE) is a potentially fatal disease that can be effectively treated once diagnosed. Due to insidious and often cryptogenic presentations, the diagnosis of this...
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Michael Amesquita,
Michael N. Cocchi,
Michael W. Donnino
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e97-e100
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Covert Cryptococcal Meningitis in a Patient With Systemic Lupus Erythematous
14 May 2009
Abstract: Background: Cryptococcal meningitis is a rare but well-recognized illness with a high mortality rate in immunosuppressed patients with systemic lupus erythematosus (SLE). The diagnosis of cr...
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Senthil K. Sivalingam,
Pragathi Saligram,
Sivakumar Natanasabapathy,
Armando S. Paez
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e101-e104
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Chronic Aortic Dissection in a Young Adult
14 May 2009
Abstract: Background: Acute aortic dissection is a life-threatening disease that is often a diagnostic challenge in the Emergency Department (ED). Patients with acute aortic dissection often have unde...
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Adam B. Landman,
Sam S. Torbati
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e105-e108
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| Visual Diagnosis in Emergency Medicine |
| |
Article Title |
Author(s) |
Pages |
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Pseudo Subarachnoid Hemorrhage in Meningeal Leukemia
10 May 2010
The characteristic finding of subarachnoid hemorrhage (SAH) is the increased attenuation in the basal cisterns and subarachnoid spaces on brain computed tomography (CT) scan. The appearance of SAH in ...
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Sun-Wung Hsieh,
Gim-Thean Khor,
Chau-Nee Chen,
Poyin Huang
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e109-e111
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Traumatic Hemobilia Without Liver Parenchymal Injury Due to Blunt Trauma
26 May 2010
A 47-year-old previously healthy man presented to the Emergency Department (ED) with epigastric pain. The patient had been kicked several times in his abdomen approximately 20 h before presenting to t...
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Oh Young Kwon,
Jong Seok Lee,
Han Sung Choi,
Hoon Pyo Hong,
Young Gwan Ko
et al.
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e113-e114
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Dysrhythmiartifact
25 June 2010
A 68-year-old woman with a medical history significant for dyslipidemia and diabetes mellitus presented to the Emergency Department with pre-syncope. On arrival, she was found to be mildly hypertensiv...
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Sony Jacob,
Joya A. Ganguly,
Naga V.A. Kommuri
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e115-e116
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Magnetic Resonance Imaging of Cerebral Malaria
13 August 2010
A 37-year-old man presented with moderate to high-grade fever for 10 days and altered sensorium for 2 days. Physical examination revealed jaundice and hepatosplenomegaly. On neurological examination, ...
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Sameer Vyas,
Vivek Gupta,
Anil Hondappanavar,
Vinay Sakhuja,
Nidhi Bhardwaj,
Paramjeet Singh,
Niranjan Khandelwal
et al.
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e117-e119
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Posterior Sternoclavicular Joint Dislocation with First Rib Fracture and Ipsilateral Vocal Cord Palsy
30 September 2010
A 38-year-old man who was ejected from his car during a traffic accident was brought to our Emergency Department (ED). He had complaints of right shoulder and upper chest pain when moving his shoulder...
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Mehmet Sukru Sahin,
Tarkan Ergun,
Gokhan Cakmak,
Mehmet Akyuz
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e121-e123
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| Frontmatter |
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Article Title |
Author(s) |
Pages |
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Editorial Board
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A2
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Issue Highlights
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A5
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Contents
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A6-A8
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Partial Contents of Volume 42, Number 6
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A10
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