abstract：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine-sponsored residency and fellowship programs, as well as the residents and fellows training in those programs. We present the 2018 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Nelson LS,Keim SM,Baren JM,Beeson MS,Carius ML,Chudnofsky CR,Gausche-Hill M,Goyal DG,Kowalenko T,Marco CA,Muelleman RL,Research Committee, American Board of Emergency Medicine.,Johnston MM,Joldersma KB,American Board of Emerg

更新日期：2018-05-01 00:00:00

abstract：STUDY OBJECTIVE:We examine the availability of follow-up appointments for emergency department (ED) patients without established primary care by insurance and clinical condition. METHODS:We used "secret shopper" methodology, employing 2 black men to telephone all 53 primary care practices in greater New Haven, posing ...

journal_title：Annals of emergency medicine

authors： Chou SC,Deng Y,Smart J,Parwani V,Bernstein SL,Venkatesh AK

更新日期：2018-04-01 00:00:00

abstract：STUDY OBJECTIVE:Approximately 1 in 3 computed tomography (CT) scans performed for head injury may be avoidable. We evaluate the association of implementation of the Canadian CT Head Rule on head CT imaging in community emergency departments (EDs). METHODS:We conducted an interrupted time-series analysis of encounters ...

journal_title：Annals of emergency medicine

authors： Sharp AL,Huang BZ,Tang T,Shen E,Melnick ER,Venkatesh AK,Kanter MH,Gould MK

更新日期：2018-01-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the effectiveness of patient-controlled analgesia in the emergency department (ED). We hypothesized that decline in pain intensity from 30 to 120 minutes after initial intravenous opioid administration is greater in patients receiving morphine by patient-controlled analgesia compared with usua...

journal_title：Annals of emergency medicine

authors： Bijur PE,Mills AM,Chang AK,White D,Restivo A,Persaud S,Schechter CB,Gallagher EJ,Birnbaum AJ

更新日期：2017-12-01 00:00:00

abstract：STUDY OBJECTIVE:We compare utilization, price per visit, and the types of care delivered across freestanding emergency departments (EDs), hospital-based EDs, and urgent care centers in Texas. METHODS:We analyzed insurance claims processed by Blue Cross Blue Shield of Texas from 2012 to 2015 for patient visits to frees...

journal_title：Annals of emergency medicine

authors： Ho V,Metcalfe L,Dark C,Vu L,Weber E,Shelton G Jr,Underwood HR

更新日期：2017-12-01 00:00:00

abstract：STUDY OBJECTIVE:The objective of our study is to evaluate the association between Ohio's April 2012 emergency physician guidelines aimed at reducing inappropriate opioid prescribing and the number and type of opioid prescriptions dispensed by emergency physicians. METHODS:We used Ohio's prescription drug monitoring pr...

journal_title：Annals of emergency medicine

authors： Weiner SG,Baker O,Poon SJ,Rodgers AF,Garner C,Nelson LS,Schuur JD

更新日期：2017-12-01 00:00:00

abstract：:Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would ...

journal_title：Annals of emergency medicine

authors： Wolf SJ,Maloney GE,Shih RD,Shy BD,Brown MD,American College of Emergency Physicians.

更新日期：2017-11-01 00:00:00

abstract：STUDY OBJECTIVE:Increasingly, hospitals are using utilization review software to reduce hospital admissions in an effort to contain costs. Such practices have the potential to increase the number of unsafe discharges, particularly in public safety-net hospitals. Utilization review software tools are not well studied wi...

journal_title：Annals of emergency medicine

authors： Desai S,Gruber PF,Eiting E,Seabury SA,Mack WJ,Voyageur C,Vasquez V,Kim HT,Terp S

更新日期：2017-11-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluated the influence of home visiting on the risk for medically attended unintentional injury during home visiting (0 to 3 years) and subsequent to home visiting (3 to 5 years). METHODS:A retrospective, quasi-experimental study was conducted in a cohort of mother-child pairs in Hamilton County, O...

journal_title：Annals of emergency medicine

authors： Folger AT,Bowers KA,Dexheimer JW,Sa T,Hall ES,Van Ginkel JB,Ammerman RT

更新日期：2017-09-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the prevalences of bacterial meningitis and herpes simplex virus meningoencephalitis (HSV-ME) in children with a complex febrile seizure and determine these prevalences in the subgroup of children with a clinical examination result not suggestive of meningitis or encephalitis. METHODS:This mu...

journal_title：Annals of emergency medicine

authors： Guedj R,Chappuy H,Titomanlio L,De Pontual L,Biscardi S,Nissack-Obiketeki G,Pellegrino B,Charara O,Angoulvant F,Denis J,Levy C,Cohen R,Loschi S,Leger PL,Carbajal R

更新日期：2017-07-01 00:00:00

abstract：STUDY OBJECTIVE:The presence of leukocyte esterase by urine dipstick and microscopic pyuria are both indicators of possible urinary tract infection. The effect of urine concentration on the diagnostic performance of the urinalysis for pediatric urinary tract infection has not been studied. Our objective is to determine...

journal_title：Annals of emergency medicine

authors： Chaudhari PP,Monuteaux MC,Shah P,Bachur RG

更新日期：2017-07-01 00:00:00

abstract：STUDY OBJECTIVE:Lumbar puncture is a commonly performed procedure, although previous studies have documented low rates of successful completion in infants. Ultrasonography can visualize the anatomic landmarks for lumbar puncture and has been shown in some studies to reduce the failure rate of lumbar puncture in adults....

journal_title：Annals of emergency medicine

authors： Neal JT,Kaplan SL,Woodford AL,Desai K,Zorc JJ,Chen AE

更新日期：2017-05-01 00:00:00

abstract：STUDY OBJECTIVE:Researchers from low- and middle-income countries have limited access to publishing and editing resources. This study describes a journal-initiated platform to improve publication quantity and quality in Sub-Saharan Africa emergency care research: Author Assist. METHODS:This is a descriptive report of ...

journal_title：Annals of emergency medicine

authors： Bruijns SR,Banner M,Jacquet GA

更新日期：2017-04-01 00:00:00

abstract：STUDY OBJECTIVE:The Quick Sequential Organ Failure Assessment (qSOFA) score (composed of respiratory rate ≥22 breaths/min, systolic blood pressure ≤100 mm Hg, and altered mental status) may identify patients with infection who are at risk of complications. We determined the association between qSOFA scores and outcomes...

journal_title：Annals of emergency medicine

authors： Singer AJ,Ng J,Thode HC Jr,Spiegel R,Weingart S

更新日期：2017-04-01 00:00:00

abstract：STUDY OBJECTIVE:For an emergency medicine pharmacist to become a well-integrated multidisciplinary team member, his or her services need to be accepted by the emergency department (ED) staff. There have been 2 published studies attesting the value of the emergency medicine pharmacist by ED staff: at an academic medical...

journal_title：Annals of emergency medicine

authors： Splawski J,Horner D,Tao K

更新日期：2017-03-01 00:00:00

abstract：:Significant evidence identifies point-of-care ultrasound (PoCUS) as an important diagnostic and therapeutic tool in resource-limited settings. Despite this evidence, local health care providers on the African continent continue to have limited access to and use of ultrasound, even in potentially high-impact fields suc...

journal_title：Annals of emergency medicine

authors： Salmon M,Landes M,Hunchak C,Paluku J,Malemo Kalisya L,Salmon C,Muller MM,Wachira B,Mangan J,Chhaganlal K,Kalanzi J,Azazh A,Berman S,Zied ES,Lamprecht H

更新日期：2017-02-01 00:00:00

abstract：STUDY OBJECTIVE:Recent data suggest that emergency airway preoxygenation with a bag-valve-mask (BVM) device (held with a tight mask seal but without squeezing the bag) is superior to a nonrebreather (NRB) mask at standard oxygen flow rates. We seek to determine whether preoxygenation with an NRB mask with flush rate ox...

journal_title：Annals of emergency medicine

authors： Driver BE,Prekker ME,Kornas RL,Cales EK,Reardon RF

更新日期：2017-01-01 00:00:00

abstract：:In 2013 and 2014, more than 700 deaths were attributed to fentanyl and fentanyl analogues in the United States. Of recent concern is the cluster of unintentional fentanyl overdoses because of tablets thought to be "Norco" purchased on the street in Northern California. U-47700 (trans-3,4-dichloro-N-[2-(dimethyl-amino)...

journal_title：Annals of emergency medicine

authors： Armenian P,Olson A,Anaya A,Kurtz A,Ruegner R,Gerona RR

更新日期：2017-01-01 00:00:00

abstract：:We report a case of traumatic arterial hemorrhage from the posterior urethral artery, refractory to traditional hemostatic technique, and successfully managed with intraurethral thrombin hemostatic matrix (FloSeal [Baxter Healthcare Corporation, Deerfield, Illinois, US]). We believe that this demonstrates a safe, effe...

journal_title：Annals of emergency medicine

authors： Park BR,Kuehl DR

更新日期：2016-12-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the diagnostic accuracy of a high-sensitivity cardiac troponin T (hs-cTnT) level less than 5 ng/L or less than or equal to 14 ng/L at emergency department (ED) presentation, combined with the emergency physician's assessment of history and ECG, for ruling out major adverse cardiac events wit...

journal_title：Annals of emergency medicine

authors： Mokhtari A,Lindahl B,Smith JG,Holzmann MJ,Khoshnood A,Ekelund U

更新日期：2016-12-01 00:00:00

abstract：STUDY OBJECTIVE:In 2001, less than 20% of emergency medicine residents had more than $150,000 of educational debt. Our emergency medicine residents anecdotally reported much larger debt loads. Surveys have reported that debt affects career and life choices. Qualitative approaches are well suited to explore how and why ...

journal_title：Annals of emergency medicine

authors： Young TP,Brown MM,Reibling ET,Ghassemzadeh S,Gordon DM,Phan TH,Thomas TL,Brown L

更新日期：2016-10-01 00:00:00

abstract：:Positive-pressure bag-valve-mask ventilation during emergency airway management often results in significant gastric insufflation, which may impede adequate ventilation and oxygenation. Current-generation supraglottic airways have beneficial features, such as channels for gastric decompression while ventilation is ong...

journal_title：Annals of emergency medicine

authors： Dodd KW,Strobel AM,Driver BE,Reardon RF

更新日期：2016-10-01 00:00:00

abstract：STUDY OBJECTIVE:Hospital-based emergency departments (EDs) are the gateway to hospital admissions for many Americans. Approximately half of all US hospital admissions originate from EDs, and more than 3 in 4 are among Medicare beneficiaries. Recent literature has demonstrated nearly 2-fold variation in both physician- ...

journal_title：Annals of emergency medicine

authors： Caines K,Shoff C,Bott DM,Pines JM

更新日期：2016-10-01 00:00:00

abstract：STUDY OBJECTIVE:Peripheral intravenous catheters are the most common invasive device in health care yet have very high failure rates. We investigate whether the failure rate could be reduced by the addition of skin glue to standard peripheral intravenous catheter care. METHODS:We conducted a single-site, 2-arm, nonbli...

journal_title：Annals of emergency medicine

authors： Bugden S,Shean K,Scott M,Mihala G,Clark S,Johnstone C,Fraser JF,Rickard CM

更新日期：2016-08-01 00:00:00

abstract：STUDY OBJECTIVE:Methanol poisoning outbreaks are a global public health issue, with delayed treatment causing poor outcomes. Out-of-hospital ethanol administration may improve outcome, but the difficulty of conducting research in outbreaks has meant that its effects have never been assessed. We study the effect of out-...

journal_title：Annals of emergency medicine

authors： Zakharov S,Pelclova D,Urban P,Navratil T,Nurieva O,Kotikova K,Diblik P,Kurcova I,Belacek J,Komarc M,Eddleston M,Hovda KE

更新日期：2016-07-01 00:00:00

abstract：STUDY OBJECTIVE:A 2-hour accelerated diagnostic pathway based on the Thrombolysis in Myocardial Infarction score, ECG, and troponin measures (ADAPT-ADP) increased early discharge of patients with suspected acute myocardial infarction presenting to the emergency department compared with standard care (from 11% to 19.3%)...

journal_title：Annals of emergency medicine

authors： Than MP,Pickering JW,Aldous SJ,Cullen L,Frampton CM,Peacock WF,Jaffe AS,Goodacre SW,Richards AM,Ardagh MW,Deely JM,Florkowski CM,George P,Hamilton GJ,Jardine DL,Troughton RW,van Wyk P,Young JM,Bannister L,Lord SJ

更新日期：2016-07-01 00:00:00

abstract：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine residency programs and the residents training in those programs. We present the 2016 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Marco CA,Baren JM,Beeson MS,Carius ML,Counselman FL,Gausche-Hill M,Goyal DG,Kowalenko T,Muelleman RL,Nelson LS,Wahl RP,Joldersma KB,Research Committee, American Board of Emergency Medicine.

更新日期：2016-05-01 00:00:00

abstract：STUDY OBJECTIVE:The Centers for Medicare & Medicaid Services (CMS) recently published emergency department (ED) timeliness measures. These data show substantial variation in hospital performance and suggest the need for process improvement initiatives. However, the CMS measures are not risk adjusted and may provide mis...

journal_title：Annals of emergency medicine

authors： Sun BC,Laurie A,Prewitt L,Fu R,Chang AM,Augustine J,Reese C 4th,McConnell KJ

更新日期：2016-04-01 00:00:00

abstract：STUDY OBJECTIVE:The STONE score is a clinical decision rule that classifies patients with suspected nephrolithiasis into low-, moderate-, and high-score groups, with corresponding probabilities of ureteral stone. We evaluate the STONE score in a multi-institutional cohort compared with physician gestalt and hypothesize...

journal_title：Annals of emergency medicine

authors： Wang RC,Rodriguez RM,Moghadassi M,Noble V,Bailitz J,Mallin M,Corbo J,Kang TL,Chu P,Shiboski S,Smith-Bindman R

更新日期：2016-04-01 00:00:00

abstract：STUDY OBJECTIVE:In 2008, a pay-for-performance program was implemented in sequential waves in Ontario emergency departments (EDs), with the aim of reducing length of stay. We seek to evaluate its effects on ED length of stay and quality of care. METHODS:This was a retrospective observational study of ED visits in Onta...

journal_title：Annals of emergency medicine

authors： Vermeulen MJ,Stukel TA,Boozary AS,Guttmann A,Schull MJ

更新日期：2016-04-01 00:00:00

abstract：STUDY OBJECTIVE:We derive a clinical decision rule for ongoing investigation of patients who present to the emergency department (ED) with chest pain. The rule identifies patients who are at low risk of acute coronary syndrome and could be discharged without further cardiac testing. METHODS:This was a prospective obse...

journal_title：Annals of emergency medicine

authors： Greenslade JH,Parsonage W,Than M,Scott A,Aldous S,Pickering JW,Hammett CJ,Cullen L

更新日期：2016-04-01 00:00:00

abstract：STUDY OBJECTIVE:Epinephrine autoinjector use for anaphylaxis is increasing. There are reports of digit injections because of incorrect autoinjector use, but no previous reports of lacerations, to our knowledge. We report complications of epinephrine autoinjector use in children and discuss features of these devices, an...

journal_title：Annals of emergency medicine

authors： Brown JC,Tuuri RE,Akhter S,Guerra LD,Goodman IS,Myers SR,Nozicka C,Manzi S,Long K,Turner T,Conners GP,Thompson RW,Park E

更新日期：2016-03-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the accuracy of an age-adjusted D-dimer threshold to detect pulmonary embolism in emergency department (ED) patients older than 50 years and describe current ED practices when evaluating possible pulmonary embolism. METHODS:This was a retrospective study of ED encounters for suspected pulm...

journal_title：Annals of emergency medicine

authors： Sharp AL,Vinson DR,Alamshaw F,Handler J,Gould MK

更新日期：2016-02-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the ability of 5 established risk scores to identify patients with suspected acute coronary syndromes who are suitable for discharge after a modified single-presentation high-sensitivity troponin result. METHODS:This was a prospective observational study conducted in a UK district general ho...

journal_title：Annals of emergency medicine

authors： Carlton EW,Khattab A,Greaves K

更新日期：2015-12-01 00:00:00

abstract：:This review synthesizes the existing literature to provide evidence-based predictions for the future of emergency care in the United States as a result of the Patient Protection and Affordable Care Act, with a focus on emergency department (ED) visit volume, acuity, and reimbursement. Patient behavior will likely be q...

journal_title：Annals of emergency medicine

authors： Medford-Davis LN,Eswaran V,Shah RM,Dark C

更新日期：2015-11-01 00:00:00

abstract：STUDY OBJECTIVE:Publication bias compromises the validity of systematic reviews. This problem can be addressed in part through searching clinical trials registries to identify unpublished studies. This study aims to determine how often systematic reviews published in emergency medicine journals include clinical trials ...

journal_title：Annals of emergency medicine

authors： Keil LG,Platts-Mills TF,Jones CW

更新日期：2015-10-01 00:00:00

abstract：STUDY OBJECTIVE:Recent studies have demonstrated that a single episode of acute kidney injury from a number of causes can increase the risk of severe long-term outcomes, including major cardiovascular events and death. We tested the hypothesis that patients who develop acute kidney injury consistent with contrast-induc...

journal_title：Annals of emergency medicine

authors： Mitchell AM,Kline JA,Jones AE,Tumlin JA

更新日期：2015-09-01 00:00:00

abstract：:The foundation of safe care for patients with confirmed or suspected Ebola virus disease is effective infection control practice, which requires implementation of appropriate administrative policies, work practices, and environmental controls, accompanied by focused education, training, and supervision. In 2002, Emory...

journal_title：Annals of emergency medicine

authors： Isakov A,Miles W,Gibbs S,Lowe J,Jamison A,Swansiger R

更新日期：2015-09-01 00:00:00

abstract：:Although all emergency physicians are familiar with catastrophic causes of free intraperitoneal air, we describe the case of a healthy 26-year-old woman who presented to our emergency department (ED) with a nonsurgical and previously unreported cause of pneumoperitoneum. The patient presented to our ED with complaints...

journal_title：Annals of emergency medicine

authors： Frank D,Gilleran E,Hewitt K

更新日期：2015-08-01 00:00:00

abstract：STUDY OBJECTIVE:Salicylate poisoning is a challenging clinical entity associated with substantial morbidity and mortality. The indications for extracorporeal treatments such as hemodialysis are poorly defined. We present a systematic review of the literature along with evidence- and consensus-based recommendations on t...

journal_title：Annals of emergency medicine

authors： Juurlink DN,Gosselin S,Kielstein JT,Ghannoum M,Lavergne V,Nolin TD,Hoffman RS,EXTRIP Workgroup.

更新日期：2015-08-01 00:00:00