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Western Journal of Emergency Medicine
Scopus
ISSN 1936-9018 · eScholarship Publishing, University of California · 3,099 articles in the index
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Journal Article
Clinical Predictors of Intracranial Pathology in Emergency Department Patients with Non-traumatic Headache and No Neurological Deficits: Prospective Study
Introduction: Non-traumatic headache is a common emergency department (ED) presentation, yet identifying intracranial causes remains challenging in the absence of neurological deficits. In this study we aimed to evaluate the incidence and predictive ability of clinical red flag signs and symptoms…
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Journal Article
Advances in Patient Monitoring Systems for Prehospital and Resource-Limited Settings
Introduction: Vital sign monitoring is essential to the management of critically ill and injured patients. Recent advances in patient monitoring systems have the potential to improve outcomes by providing real-time data and predictive insights, which are particularly valuable in prehospital and…
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Journal Article
Physician Gestalt for Anemia Detection in the Emergency Department: A Prospective Study
Introduction: Anemia is common in the emergency department (ED). Physicians often rely on inspecting conjunctival pallor or other body parts for gestalt estimates. We aimed to evaluate the validity and reliability of physician gestalt for anemia detection and examine the impact of clinical…
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Journal Article
Modified SIRS Criteria for Patients ≥ 65 Years with Addition of Altered Mental Status and Reduced Heart Rate for Atrioventricular Nodal Blockers
Introduction: Sepsis is a life-threatening condition caused by an exaggerated immune response to infection, causing damage to the body’s own tissues and organ dysfunction. The elderly are at higher risk for mortality from sepsis compared to younger adults. Our objective in this study was to…
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Journal Article
COVID-19 and Emergency Department Visits: An Interrupted Time Series Analysis of Ontario and Alberta, Canada
Introduction: Emergency department (ED) use declined drastically in the early stages of the COVID-19 pandemic. While the immediate effects of the pandemic are well-characterized, the longer term recovery patterns in ED use and regional differences in these patterns remain poorly understood. In…
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Journal Article
Cross-Sectional Examination of Hospital Visits in the Year Prior to Suicide Death in Illinois
Introduction: Suicide is a growing public health issue in the United States. Healthcare visits in the year prior to suicide death, including those to emergency departments (ED) and inpatient settings, may be missed opportunities for risk-screening and intervention delivery. Our objective in this…
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Journal Article
Feasibility of Implementing Evidence-based Practices for Suicidality Management in the Emergency Department
Introduction: Best practice recommendations and guidelines for the assessment and management of suicidality within the emergency department (ED) have recently been updated. Despite national efforts to improve the management of suicidality in the ED, evidence-based practices remain underused with…
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Journal Article
Use of D-dimer to Screen for Cerebral Pathology in ED Patients with Non-traumatic Headache and Normal Neurological Exam
Introduction: Our goal in this study was to evaluate the diagnostic utility of bedside D-dimer testing for identifying secondary headache due to intracranial pathology among patients presenting to the emergency department (ED) with non-traumatic headache and no neurological deficits. Methods: We…
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Journal Article
Reducing Emergency Diagnostic Uncertainty with TRACE: Triage and Risk Assessment via Cost Estimation
Introduction: Diagnostic uncertainty significantly impacts patient safety in emergency medicine, leading to missed diagnoses and severe harm. Current predictive models primarily emphasize diagnostic likelihood without explicitly addressing potential clinical harm from errors. We propose Triage and…
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Journal Article
A Cost Analysis of Mobile Integrated Health for Acute Care
Objectives: Mobile integrated health programs have emerged as a means to reduce avoidable emergency department (ED) visits and optimize healthcare resource utilization. Such models are estimated to cost less than ED encounters but may be more costly than traditional ambulatory services. However…
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Journal Article
US Emergency Department Use and Operations Amid Natural Disasters: A Narrative Review
In the United States from 2014–2024, an average of 18.2 national disasters per year caused over a billion dollars in inflation-adjusted damage, compared with 3.3 national disasters per year during the 1980s. The increased frequency and intensity of severe weather phenomena—attributed by climate…
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Journal Article
12-Year Case Series of Patients with Heat Illness from an Urban Hospital System in the American Southwest
Objectives: Climate change has led to more frequent and intense heat events with dramatic increases in heat illness and heat-related deaths. We compared demographic characteristics such as age, sheltering status, and underlying health conditions that contribute to susceptibility to extreme heat. We…
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Journal Article
Comparison of Emergency Department Patients with Salpingitis and Oophoritis with and without Documented Social Determinants of Health
Introduction: Social determinants of health (SDoH) have emerged as a critical focus of research due to their significant impact on clinical outcomes; however, there is a gap in research specific to women’s health. Understanding the factors underlying trends in gynecologic emergency diagnoses…
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Journal Article
Association of Electrocardiogram Abnormalities with Clinical Outcomes in Emergency Department Sepsis Patients
Introduction: Sepsis, a critical condition caused by dysregulated host responses to infection, frequently involves cardiac complications. Electrocardiogram (ECG) provides valuable insights into the cardiovascular status of sepsis patients and may guide early interventions. However, comprehensive…
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Journal Article
Accuracy of Emergency Physicians in Grading Diastolic Dysfunction Using Visual Estimation of Waveforms
Introduction: Diastolic dysfunction occurs when the ventricular walls of the heart stiffen and fail to relax appropriately. Early recognition in the emergency department (ED) enables identification of heart failure with preserved ejection fraction, guides antihypertensive and diuretic therapy, and…
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Journal Article
Isolated Distal Radius Fracture Reductions in Adult Emergency Department Patients in a Large Healthcare System
Introduction: Distal radius fractures account for up to 18% of fractures in older adults and up to 20% of all fractures treated in the emergency department (ED). These fractures often require reduction and immobilization, with different modalities to provide analgesia. Our objective in this study…
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Journal Article
Interdepartmental Commensality: A Strategy for Increased Interdepartmental Collaboration
Introduction: The concept of commensality, the act of eating together, is as old as humanity and has been extensively explored in the social sciences and humanities. We sought to assess whether an interdepartmental commensality program would improve cross-departmental familiarity, willingness to…
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Journal Article
Fascia Iliaca vs. Combined Iliaca Blocks for Proximal Hip Fractures in the Emergency Department
Introduction: Over 335,000 adults are hospitalized annually for proximal hip fractures, with the incidence of these injuries increasing as the population ages. Our objective in this study was to compare pain scores of patients with proximal hip fracture 30 minutes after undergoing a combined fascia…
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Journal Article
Epidemiology and Outcomes of Patients Presenting to United States Emergency Departments with Vaginal Bleeding
Introduction: There are significant gaps in knowledge regarding the epidemiology, management, and outcomes of patients presenting to the emergency department (ED) with vaginal bleeding. Methods: This was a retrospective, successional cross-sectional study using data from the National Hospital…
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Journal Article
Effect of Ice Consistency and Sodium Chloride Additives on Cooling Speed and Final Temperature for Cold Water–Ice Immersion in Heat Stroke
Introduction: Heat stroke can rapidly progress to end organ damage and death if not promptly treated. The diagnosis is characterized by core body temperature > 40.5 °C. In this study we evaluate how the form of ice (crushed vs cubed), the addition of sodium chloride, and the initial temperature of…
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