Department Blog

Posted 9/22/2017 by Linda Kesselring

Painless Aortic Dissection

A commentary by Amal Mattu, MD, was published in the Emergency Medicine Viewpoints column of Medscape on September 15 (www.medscape.com/viewarticle/885676). Titled “Painless Aortic Dissection in the Emergency Department,” it summarizes the article by Kit Ling Fan and Ling Pong Leung, from the University of Hong Kong, in the April issue of The American Journal of Emergency Medicine. Based on the conclusions of that source article, “Clinical Profile of Patients of Acute Aortic Dissection Presenting to the ED Without Chest Pain,” Dr. Mattu advises that, for most medical conditions, including AAD, “classic” presentations exist only in textbooks and on board exams.


Posted 9/12/2017 by Linda Kesselring

Advanced IV Access: Predictors and Delays

Michael Witting, MD, MS, Siamak Moayedi, MD, Latoya Brown, BS, and Ammar Ismail, MBBS, RDMS, published the article titled “Predictors and Delays Associated with the Need for Advanced Techniques for Intravenous Access” in the August issue of The Journal of Emergency Medicine (53[2]:172-177).

 


Posted 8/3/2017 by Linda Kesselring

Diagnosing ACS in Patients with Low-Risk Chest Pain

Semhar Tewelde, MD, and Amal Mattu, MD, with William Brady, MD, from the University of Virginia School of Medicine, published “Pitfalls in Electrocardiographic Diagnosis of Acute Coronary Syndrome in Low-Risk Chest Pain” in the June issue of the Western Journal of Emergency Medicine (2017;18[4]:601-606).

 


Posted 8/1/2017 by Linda Kesselring

Observation Medicine Discussed in EMCNA

R. Gentry Wilkerson, MD, is a guest editor of this month's issue of Emergency Medicine Clinics of North America, on the topic of observation medicine. He co-authored the preface with his colleague Christopher Baugh, MD, MBA, from Harvard Medical School and the article titled “Care of Acute Gastrointestinal Conditions in the Observation Unit” (35[3]:571-587]).


Posted 7/31/2017 by Linda Kesselring

Use of History and Exam to Stratify ACS

Zachary D.W. Dezman, MD, and Amal Mattu, MD, with Richard Body, MB ChB, PhD, Manchester Royal Infirmary, UK, published the article titled “Utility of the History and Physical Examination in the Detection of Acute Coronary Syndromes in Emergency Department Patients,” in the June issue of the Western Journal of Emergency Medicine (18[4]:752-760). Through a literature review, they evaluated whether atypical symptoms and "classic" symptoms can be used to reliably rule in or rule out the diagnosis of acute coronary syndrome and whether further testing is necessary at all.


Posted 6/27/2017 by Linda Kesselring

Acupuncture Needle Fragments: An Incidental Finding

Joshua McClain, MD, and Zachary D.W. Dezman, MD, published a case report, “Japanese Immigrant with Abdominal Pain,” in the June issue of the Journal of Emergency Medicine (53[6]:e249-50). The patient's pain was presumably caused by a reflux condition, but radiographic evaluation incidentally revealed dozens of needle fragments in her subcutaneous tissues, left intentionally by a practitioner of Hari acupuncture.

 


Posted 6/17/2017 by Linda Kesselring

Dr. Stone's Presentations at EMSCare 2017

Roger Stone, MD, MS, was an invited speaker for Maryland EMSCare 2017, the annual educational conference sponsored by Maryland’s Regional EMS Advisory Councils and the Maryland Institute for Emergency Medical Services Systems. The event was held in Ocean City in late April. Dr. Stone co-presented the lecture titled “What About ‘Reverse Specialty Centers’?: Alternative Transport Destinations That Can Receive Some of Our Lower Acuity EMS Patients.” He also was an instructor for a 2-hour airway management module for paramedics, which included a surgical airway lab and hands-on training in video laryngoscopy. 


Posted 6/15/2017 by Linda Kesselring

Low-Risk Chest Pain and the Rapid Rule-Out Protocol

Maite Huis in ‘t Veld, MD, Zachary Dezman, MD, and Amal Mattu, MD, in collaboration with colleagues from Royal Brisbane and Women’s Hospital, Wake Forest School of Medicine, and Medisch Centrum Haaglanden in The Hague, published “The Fast and Furious: Low-Risk Chest Pain and the Rapid Rule-Out Protocol” in the April issue of Western Journal of Emergency Medicine (18[3]:474-478).


Posted 6/13/2017 by Linda Kesselring

Effect of the ACA on ED Super Users

Daniel Gingold, MD, MPH, is the lead author of the article titled “Impact of the Affordable Care Act Medicaid Expansion on Emergency Department High Utilizers with Ambulatory Care Sensitive Conditions: A Cross-Sectional Study,” which was published in the May issue of the American Journal of Emergency Medicine. To design and conduct the study, he collaborated with Rachelle Pierre-Mathieu, MD, MPP, Medical Director, Office of Health Care Quality, Maryland Department of Health and Mental Hygiene, Brandon Cole, MD, MPH, Clinical Director, Emergency Department, Prince George’s Hospital Center, Andrew Miller, MD, Assistant Professor of Emergency Medicine, West Virginia University School of Medicine, and Joneigh Khaldun, MD, MPH, the former Medical Director, Baltimore Health Department, and now Medical Director, Detroit Health Department. They found that, after implemenation of the ACA, the proportion of ED users who were high utilizers decreased while the number of visits by high utilizers for ambulatory care sensitive conditions remained stable.


Alexis Salerno, MD, Brad Cotter, MD (now at Brown University), and Michael Winters, MD, published “The Use of Tissue Plasminogen Activator in the Treatment of Wallenberg Syndrome Caused by Vertebral Artery Dissection” in the May issue of the Journal of Emergency Medicine.