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    Emergency Medicine

    Explore the latest in emergency medicine, including prehospital care, resuscitation, trauma, respiratory failure, arrhythmias, and more.

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    • Palpitations and Shortness of Breath—Just a “Bump in the Road” or Something More?
      JAMA Internal Medicine
      Case Report
      February 6, 2023

      A previously healthy person in their 60s with progressive shortness of breath and fatigue for the past 6 months presented to the emergency department with palpitations and shortness of breath. What is your diagnosis?

      Cardiology Pulmonary Medicine Challenges in Clinical Electrocardiography Rhythm Disorders
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Effect of COVID-19 Vaccine Messaging Platforms in Emergency Departments on Vaccine Acceptance and Uptake: A Cluster Randomized Clinical Trial
      JAMA Internal Medicine
      Research
      February 1, 2023

      This cluster randomized clinical trial aims to determine whether provision of COVID-19 vaccine messaging platforms in emergency departments increases COVID-19 vaccine acceptance and uptake in unvaccinated patients.

      Shared Decision Making and Communication Vaccination Public Health Coronavirus (COVID-19)
      Full Text | pdf link PDF free
    • A Peculiar ST Elevation Mimicking STEMI
      JAMA Internal Medicine
      Case Report
      February 1, 2023

      This case report describes a patient in their 60s who presented to the emergency department with a 2-week history of shortness of breath and back pain exacerbated that morning.

      Critical Care Medicine Challenges in Clinical Electrocardiography Resuscitation Cardiology Acute Coronary Syndromes
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Recurrent Angina After Alcohol Consumption
      JAMA Internal Medicine
      Case Report
      February 1, 2023

      This case report describes a patient in their 50s with recurrent abdominal pain and syncope after drinking alcohol.

      Substance Use and Addiction Medicine Challenges in Clinical Electrocardiography Alcohol Ischemic Heart Disease Cardiology
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Shark Sighting in an Electrocardiogram
      JAMA Internal Medicine
      Case Report
      February 1, 2023

      This case report describes a patient in their late 50s with elevated high-sensitivity cardiac troponin and a medical history of poorly controlled diabetes and cocaine, cannabis, and tobacco use.

      Acute Coronary Syndromes Cardiology Substance Use and Addiction Medicine Challenges in Clinical Electrocardiography Ischemic Heart Disease
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Mental Health Revisits at US Pediatric Emergency Departments
      JAMA Pediatrics
      Research
      February 1, 2023

      This cohort study uses Pediatric Health Information System data to describe trends in mental health pediatric emergency department revisits.

      Adolescent Medicine Psychiatry and Behavioral Health Child and Adolescent Psychiatry Pediatrics
      Full Text | pdf link PDF has multimedia
    • Surge in Pediatric Firearm Injuries Presenting to US Children’s Hospitals During the COVID-19 Pandemic
      JAMA Pediatrics
      Research
      February 1, 2023

      This cohort study uses administrative health data to evaluate trends in pediatric firearm injuries before and during the COVID-19 pandemic.

      Trauma and Injury Firearms Violence Pediatrics Coronavirus (COVID-19)
      Full Text | pdf link PDF free
    • Rising Rates of Homicide of Children and Adolescents: Preventable and Unacceptable
      JAMA Pediatrics
      Opinion
      February 1, 2023
      Firearms Pediatrics Trauma and Injury Violence Adolescent Medicine
      Full Text | pdf link PDF
    • Chest Pain Management Using Prehospital Point-of-Care Troponin and Paramedic Risk Assessment
      JAMA Internal Medicine
      Research
      January 30, 2023

      This economic evaluation uses cost-minimization analysis to estimate the cost savings of paramedic risk stratification of adult acute chest pain and point-of-care troponin testing.

      Ischemic Heart Disease Cardiology
      Full Text | pdf link PDF
    • Are We Ready for Prehospital Troponin Testing?
      JAMA Internal Medicine
      Opinion
      January 30, 2023
      Cardiology Ischemic Heart Disease
      Full Text | pdf link PDF
    • Wide QRS Complex Tachycardia Change to Narrow QRS Complex Tachycardia After β-Blocker Administration
      JAMA Internal Medicine
      Case Report
      January 30, 2023

      This case report describes a patient in their 80s with a history of paroxysmal atrial fibrillation who presented with palpitation, dizziness, nausea, and vomiting.

      Challenges in Clinical Electrocardiography Rhythm Disorders Cardiology
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Perceptions of Prehospital Care for Patients With Limited English Proficiency Among Emergency Medical Technicians and Paramedics
      JAMA Network Open
      Research
      January 27, 2023

      This qualitative study assesses factors perceived by firefighters/emergency medical technicians (EMTs) and paramedics as barriers and facilitators to prehospital care for patients with limited English proficiency (LEP).

      Equity, Diversity, and Inclusion Health Disparities Health Policy Health Inequities
      Full Text | pdf link PDF open access
    • Misdiagnosis in the Emergency Department: Time for a System Solution
      JAMA
      Opinion
      January 27, 2023

      This Viewpoint offers 3 insights in response to the AHRQ report on diagnostic errors made in US emergency departments: focus on the delivery systems instead of individuals, establish ways to set definitions and assess error rates, and design safe delivery systems to prevent errors.

      Health Care Safety Health Care Quality Health Policy
      Full Text | pdf link PDF free
    • Prevalence of Undiagnosed Diabetes Identified by a Novel Electronic Medical Record Diabetes Screening Program in an Urban Emergency Department in the US
      JAMA Network Open
      Research
      January 26, 2023

      This cross-sectional study describes a screening program that was developed to screen for type 2 diabetes in an urban emergency department setting in the US.

      Diabetes and Endocrinology Health Informatics Clinical Decision Support Electronic Health Records Diabetes
      Full Text | pdf link PDF open access
    • Assessment of Trauma Team Activation Fees by US Region and Hospital Ownership
      JAMA Network Open
      Research
      January 24, 2023

      This cross-sectional study examines the variability of trauma activation fees at trauma centers across the US and assesses whether certain hospital characteristics are associated with higher fees.

      Surgery Health Care Economics, Insurance, Payment Trauma and Injury Health Policy
      Full Text | pdf link PDF open access
    • Trauma Activation Fees—A Fair Approach to Reimburse Trauma Readiness Costs or a Pathway to Profitability?
      JAMA Network Open
      Opinion
      January 24, 2023
      Surgery Trauma and Injury Health Policy Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access
    • Rabies
      JAMA
      Patient Information
      January 24, 2023

      This JAMA Patient Page describes rabies and its symptoms, diagnosis, and prevention measures.

      Vaccination Patient Information JAMA Patient Information Neurology Infectious Diseases
      Full Text | pdf link PDF free
    • A Paradoxical ST-Segment Elevation Distribution Rendering a Challenging Prediction of the Culprit Vessel in Acute Myocardial Infarction
      JAMA Internal Medicine
      Case Report
      January 23, 2023

      This case report describes a patient in their 50s with sudden-onset chest pain.

      Cardiology Challenges in Clinical Electrocardiography Ischemic Heart Disease Acute Coronary Syndromes
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Association Between Early Return to School Following Acute Concussion and Symptom Burden at 2 Weeks Postinjury
      JAMA Network Open
      Research
      January 20, 2023

      This cohort study examines the typical time to return to school after a concussion and evaluates whether an earlier return to school is associated with symptom burden at 14 days postinjury at 9 pediatric emergency departments in Canada.

      Pediatrics Traumatic Brain Injury Neurology Trauma and Injury Sports Medicine
      Full Text | pdf link PDF open access
    • Prevalence of Behavioral Flags in the Electronic Health Record Among Black and White Patients Visiting the Emergency Department
      JAMA Network Open
      Research
      January 19, 2023

      This cohort study investigates the incidence of behavioral flags in electronic health records (EHR) of patients seeking care in the emergency department (ED), whether there were patient-level differences in how the flags were used, and whether the presence of a flag was associated with clinical care.

      Equity, Diversity, and Inclusion Health Disparities Health Care Safety Psychiatry and Behavioral Health Health Policy
      Full Text | pdf link PDF open access
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