The Year Book of Emergency Medicine brings you abstracts of the articles that reported the year's breakthrough developments in emergency medicine, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Topics covered in the 2012 edition include Trauma, Resuscitation, Cardiovascular Emergencies, Gastrointestinal Emergencies, Infections and Immunologic Disorders, Neurology, and Pediatric Emergency Medicine. Focused, fast, and insightful information for the busy Emergency Room Physician!
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 2 4. Trauma - p. 7 5. Evaluation - p. 7 6. Assessing the Feasibility of the American College of Surgeons' Benchmarks for the Triage of Trauma Patients - p. 7 7. Effect of the Modified Glasgow Coma Scale Score Criteria for Mild Traumatic Brain Injury on Mortality Prediction: Comparing Classic and Modified Glasgow Coma Scale Score Model Scores of 13 - p. 8 8. Over Reliance on Computed Tomography Imaging in Patients With Severe Abdominal Injury: Is the Delay Worth the Risk? - p. 9 9. Validation and Refinement of a Rule to Predict Emergency Intervention in Adult Trauma Patients - p. 10 10. Extremity Injury - p. 11 11. Head and Neck Injury - p. 12 12. Cheerio, Laddie! Bidding Farewell to the Glasgow Coma Scale - p. 12 13. Computed Tomography Alone May Clear the Cervical Spine in Obtunded Blunt Trauma Patients: A Prospective Evaluation of a Revised Protocol - p. 13 14. Concussive symptoms in emergency department patients diagnosed with minor head injury - p. 14 15. Do Children With Blunt Head Trauma and Normal Cranial Computed Tomography Scan Results Require Hospitalization for Neurologic Observation? - p. 15 16. Factors Associated With Cervical Spine Injury in Children After Blunt Trauma - p. 16 17. Pain Control and Sedation - p. 17 18. A Randomized Controlled Trial of Ketamine/Propofol Versus Propofol Alone for Emergency Department Procedural Sedation - p. 17 19. Analgesic Efficacy and Safety of the Diclofenac Epolamine Topical Patch 1.3% (DETP) in Minor Soft Tissue Injury - p. 18 20. Thoraco-Abdominal Injury - p. 19 21. Appropriate Use of Emergency Department Thoracotomy: Implications for the Thoracic Surgeon - p. 19 22. Risk factors that predict mortality in patients with blunt chest wall trauma: A systematic review and meta-analysis - p. 20 23. The ribs or not the ribs: which influences mortality? - p. 21 24. Clinical Policy: Critical Issues in the Evaluation of Adult Patients Presenting to the Emergency Department With Acute Blunt Abdominal Trauma - p. 22 25. Miscellaneous - p. 23 26. An assessment of the impact of pregnancy on trauma mortality - p. 23 27. Damage Control Resuscitation Is Associated With a Reduction in Resuscitation Volumes and Improvement in Survival in 390 Damage Control Laparotomy Patients - p. 24 28. Definition of mortality for trauma center performance evaluation: A comparative study - p. 25 29. Emergency Department Crystalloid Resuscitation of 1.5 L or More is Associated With Increased Mortality in Elderly and Nonelderly Trauma Patients - p. 26 30. EMS Provider Assessment of Vehicle Damage Compared with Assessment by a Professional Crash Reconstructionist - p. 27 31. Snow shovel–related injuries and medical emergencies treated in US EDs, 1990 to 2006 - p. 28 32. The Relationship Between Annual Hospital Volume of Trauma Patients and In-Hospital Mortality in New York State - p. 29 33. Treatment outcomes of injured children at adult level 1 trauma centers: are there benefits from added specialized care? - p. 30 34. Resuscitation - p. 31 35. Cardiac Arrest - p. 31 36. A randomised control trial to determine if use of the iResus© application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency - p. 31 37. Adverse events and their relation to mortality in out-of-hospital cardiac arrest patients treated with therapeutic hypothermia - p. 32 38. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest - p. 33 39. Emergent precordial percussion revisited – pacing the heart in asystole - p. 34 40. Self-directed Versus Traditional Classroom Training for Neonatal Resuscitation - p. 35 41. Teamwork and Leadership in Cardiopulmonary Resuscitation - p. 36 42. Shock - p. 37 43. Association between timing of antibiotic administration and mortality from septic shock in patients treated with a quantitative resuscitation protocol - p. 37 44. Cardiac Output Determination From Endotracheally Measured Impedance Cardiography: Clinical Evaluation of Endotracheal Cardiac Output Monitor - p. 38 45. Initial fluid resuscitation of patients with septic shock in the intensive care unit - p. 39 46. Resuscitation in massive obstetric haemorrhage using an intraosseous needle - p. 40 47. The role of albumin as a resuscitation fluid for patients with sepsis: A systematic review and meta-analysis - p. 41 48. Miscellaneous - p. 42 49. A fresh take on whole blood - p. 42 50. Efficacy of Field Treatments to Reduce Body Core Temperature in Hyperthermic Subjects - p. 43 51. Cardiovascular - p. 44 52. Acute Myocardinal Infarction - p. 44 53. A new hydrodynamic approach by infusion of drag-reducing polymers to improve left ventricular function in rats with myocardial infarction - p. 44 54. Circadian variations of infarct size in acute myocardial infarction - p. 45 55. Electrocardiogram Findings in Emergency Department Patients With Syncope - p. 46 56. Impact of missing data on standardised mortality ratios for acute myocardial infarction: evidence from the Myocardial Ischaemia National Audit Project (MINAP) 2004–7 - p. 47 57. Myocardial infarction vaccine? Evidence supporting the influenza vaccine for secondary prevention - p. 48 58. Oxygen Therapy for Acute Myocardial Infarction—Then and Now. A Century of Uncertainty - p. 49 59. Emergency physician–initiated cath lab activation reduces door to balloon times in ST-segment elevation myocardial infarction patients - p. 50 60. Atrial Fibrillation - p. 51 61. A Clinical Prediction Model to Estimate Risk for 30-Day Adverse Events in Emergency Department Patients With Symptomatic Atrial Fibrillation - p. 51 62. Low-dose diltiazem in atrial fibrillation with rapid ventricular response - p. 52 63. Congestive Heart Failure - p. 53 64. Beyond dyspnoea as an endpoint in acute heart failure trials - p. 53 65. Hypertensive heart failure: patient characteristics, treatment, and outcomes - p. 54 66. Natriuretic peptide testing in EDs for managing acute dyspnea: a meta-analysis - p. 55 67. Short-term Mortality Risk in Emergency Department Acute Heart Failure - p. 56 68. Miscellneous - p. 57 69. Acute myocarditis presenting as acute coronary syndrome: role of early cardiac magnetic resonance in its diagnosis - p. 57 70. Autologous Cardiomyotissue Implantation Promotes Myocardial Regeneration, Decreases Infarct Size, and Improves Left Ventricular Function - p. 58 71. Cardiac bone marrow cell therapy: the proof of the pudding remains in the eating - p. 59 72. CLUE: a randomized comparative effectiveness trial of IV nicardipine versus labetalol use in the emergency department - p. 60 73. Abnormally high prevalence of major components of the metabolic syndrome in subjects with early-onset idiopathic venous thromboembolism - p. 61 74. ED technicians can successfully place ultrasound-guided intravenous catheters in patients with poor vascular access - p. 62 75. Gastrointestinal - p. 63 76. A pilot study on potential new plasma markers for diagnosis of acute appendicitis - p. 63 77. Acute cholecystitis in the elderly: use of computed tomography and correlation with ultrasonography - p. 64 78. Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, non-inferiority, randomised controlled trial - p. 65 79. Effect of delay in presentation on rate of perforation in children with appendicitis - p. 66 80. Is nasogastric tube lavage in patients with acute upper GI bleeding indicated or antiquated? - p. 67 81. Peritoneal fluid cultures rarely alter management in patients with ascites - p. 68 82. Randomized Clinical Trial of Rapid Versus 24-Hour Rehydration for Children With Acute Gastroenteritis - p. 69 83. The Treatment of Pediatric Gastroenteritis: A Comparative Analysis of Pediatric Emergency Physicians' Practice Patterns - p. 70 84. Clinical triage decision vs risk scores in predicting the need for endotherapy in upper gastrointestinal bleeding - p. 71 85. Neurology - p. 72 86. An analysis of admissions from 155 United States hospitals to determine the influence of weather on stroke incidence - p. 72 87. Biomarkers for Stroke: In Search of Fingerprints - p. 73 88. TWO ACES: Transient Ischemic Attack Work-Up as Outpatient Assessment of Clinical Evaluation and Safety - p. 74 89. Use of biomarkers in triage of patients with suspected stroke - p. 75 90. Steroids for migraine headaches: a randomized double-blind, two-armed, placebo-controlled trial - p. 76 91. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study - p. 77 92. Low-Dose Recombinant Tissue-Type Plasminogen Activator Enhances Clot Resolution in Brain Hemorrhage: The Intraventricular Hemorrhage Thrombolysis Trial - p. 78 93. Infections and Immunologic Disorders - p. 79 94. Blood Cultures at Central Line Insertion in the Intensive Care Unit: Comparison with Peripheral Venipuncture - p. 79 95. Blood Cultures in the Emergency Department Evaluation of Childhood Pneumonia - p. 80 96. Cost-effectiveness of an emergency department-based early sepsis resuscitation protocol - p. 81 97. Pediatric Emergency Medicine - p. 82 98. Cardiovascular - p. 82 99. A pilot study of the feasibility of heart screening for sudden cardiac arrest in healthy children - p. 82 100. A pilot study of the feasibility of heart screening for sudden cardiac arrest in healthy children - p. 83 101. Beneficial Effects of Terlipressin in Pediatric Cardiac Arrest - p. 84 102. Endocrinology - p. 85 103. ENT - p. 86 104. A Placebo-Controlled Trial of Antimicrobial Treatment for Acute Otitis Media - p. 86 105. How Do Parents of Preverbal Children With Acute Otitis Media Determine How Much Ear Pain Their Child Is Having? - p. 87 106. Hematology/Oncology - p. 88 107. Changes in Platelet Count as a Predictive Tool in Sickle Cell Acute Vaso-Occlusive Crises: A Pediatric Study - p. 88 108. Pediatric vasoocclusive crisis and weather conditions - p. 89 109. Changes in Platelet Count as a Predictive Tool in Sickle Cell Acute Vaso-Occlusive Crises: A Pediatric Study - p. 90 110. Infectious Disease - p. 91 111. A pilot study of the ability of the forced response test to discriminate between 3-year-old children with chronic otitis media with effusion or with recurrent acute otitis media - p. 91 112. Is a Lumbar Puncture Necessary When Evaluating Febrile Infants (30 to 90 Days of Age) With an Abnormal Urinalysis? - p. 92 113. Month-by-Month Age Analysis of the Risk for Serious Bacterial Infections in Febrile Infants With Bronchiolitis - p. 93 114. National Ambulatory Antibiotic Prescribing Patterns for Pediatric Urinary Tract Infection, 1998–2007 - p. 94 115. Neonatal scalp abscess: is it a benign disease? - p. 95 116. Pediatric emergency department-based rapid HIV testing: adolescent attitudes and preferences - p. 96 117. Prospective Longitudinal Study of Signs and Symptoms Associated With Primary Tooth Eruption - p. 97 118. Risk factors for contamination of catheterized urine specimens in febrile children - p. 98 119. The Low Rate of Bacterial Meningitis in Children, Ages 6 to 18 Months, With Simple Febrile Seizures - p. 99 120. Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months - p. 100 121. Neuroscience - p. 101 122. Neurodiagnostic Evaluation of the Child With a Simple Febrile Seizure - p. 101 123. Practice variability in the management of complex febrile seizures by pediatric emergency physicians and fellows - p. 102 124. Procedures - p. 103 125. Bedside Ultrasound in the Diagnosis of Pediatric Clavicle Fractures - p. 103 126. Bedside ultrasound in the diagnosis of skull fractures in the pediatric emergency department - p. 104 127. Detection of hypoventilation by capnography and its association with hypoxia in children undergoing sedation with ketamine - p. 105 128. Management of uncomplicated nail bed lacerations presenting to a children's emergency department - p. 106 129. Outcomes After Rigid Bronchoscopy in Children With Suspected or Confirmed Foreign Body Aspiration: A Retrospective Study - p. 107 130. Pulmonary - p. 108 131. Coprescription of Antibiotics and Asthma Drugs in Children - p. 108 132. Exhaled nitric oxide levels during treatment of pediatric acute asthma exacerbations and association with the need for hospitalization - p. 109 133. Safety and clinical findings of BiPAP utilization in children 20 kg or less for asthma exacerbations - p. 110 134. Steroids and bronchodilators for acute bronchiolitis in the first two years of life: systematic review and meta-analysis - p. 111 135. Surgery - p. 112 136. Abusive Head Trauma During a Time of Increased Unemployment: A Multicenter Analysis - p. 112 137. Acute scrotum in children: an 18-year retrospective study - p. 113 138. Delayed diagnosis of injuries in pediatric trauma: the role of radiographic ordering practices - p. 114 139. Effect of age on cervical spine injury in pediatric population: a National Trauma Data Bank review - p. 115 140. Effectiveness of Biobrane for treatment of partial-thickness burns in children - p. 116 141. Hypothermia is associated with poor outcome in pediatric trauma patients - p. 117 142. Paediatric pelvic ring fractures and associated injuries - p. 118 143. Pediatric firearm injuries: a 10-year single-center experience of 194 patients - p. 119 144. Pediatric Trauma Transport Performance Measures in a Mountain State: Adherence and Outcomes - p. 120 145. Primary Repair of Facial Dog Bite Injuries in Children - p. 121 146. Risk Factors for Blunt Cerebrovascular Injury in Children: Do They Mimic Those Seen in Adults? - p. 122 147. Trauma - p. 123 148. Elevated Cardiac Troponin I Level in Cases of Thoracic Nonaccidental Trauma - p. 123 149. Elevated Cardiac Troponin I Level in Cases of Thoracic Nonaccidental Trauma - p. 124 150. Is the Broselow Tape a Reliable Indicator for Use in All Pediatric Trauma Patients?: A Look at a Rural Trauma Center - p. 125 151. Miscellaneous - p. 126 152. A Randomized Controlled Trial of Home Injury Hazard Reduction: The HOME Injury Study - p. 126 153. A simple modified bicarbonate regimen for urine alkalinization in moderate pediatric salicylate poisoning in the emergency department - p. 127 154. Child Passenger Safety: An Evidence-Based Review - p. 128 155. Development of a Screening Tool for Pediatric Sexual Assault May Reduce Emergency-Department Visits - p. 129 156. Emergency Department Laboratory Evaluations of Fever Without Source in Children Aged 3 to 36 Months - p. 130 157. Health Effects of Energy Drinks on Children, Adolescents, and Young Adults - p. 131 158. Pediatric Injuries Attributable to Falls From Windows in the United States in 1990–2008 - p. 132 159. Pediatric Submersion Events in Portable Above-Ground Pools in the United States, 2001–2009 - p. 133 160. Physicians' Perceptions of Background Noise in a Pediatric Emergency Department - p. 134 161. Use of Skeletal Surveys to Evaluate for Physical Abuse: Analysis of 703 Consecutive Skeletal Surveys - p. 135 162. Emergency Medical Service Systems - p. 136 163. Airway - p. 136 164. Cardiovascular - p. 137 165. Prehospital triage in the ambulance reduces infarct size and improves clinical outcome - p. 137 166. Prehospital Troponin T Testing in the Diagnosis and Triage of Patients with Suspected Acute Myocardial Infarction - p. 138 167. Serial Prehospital 12-Lead Electrocardiograms Increase Identification of ST-segment Elevation Myocardial Infarction - p. 139 168. Severity of Cardiovascular Disease Patients Transported by Air Ambulance - p. 140 169. Sustained Ventricular Fibrillation in an Alert Patient: Preserved Hemodynamics with a Left Ventricular Assist Device - p. 141 170. Syncope in the emergency department: comparison of standardized admission criteria with clinical practice - p. 142 171. Safety and Resource Utilization - p. 143 172. A Comparison of Cooling Techniques in Firefighters After a Live Burn Evolution - p. 143 173. A Descriptive Analysis of Occupational Health Exposures in an Urban Emergency Medical Services System: 2007–2009 - p. 145 174. A Descriptive Analysis of Occupational Health Exposures in an Urban Emergency Medical Services System: 2007–2009 - p. 146 175. Air Medical Evacuations from a Developing World Conflict Zone - p. 147 176. Assessing Air Medical Crew Real-Time Readiness to Perform Critical Tasks - p. 148 177. Association Between Poor Sleep, Fatigue, and Safety Outcomes in Emergency Medical Services Providers - p. 149 178. Factors at the Scene of Injury Associated with Air versus Ground Transport to Definitive Care in a State with a Large Rural Population - p. 150 179. Physical Stressors during Neonatal Transport: Helicopter Compared with Ground Ambulance - p. 151 180. Prehospital Factors Associated with Mortality in Injured Air Medical Patients - p. 152 181. Termination of Resuscitation of Nontraumatic Cardiopulmonary Arrest: Resource Document for the National Association of EMS Physicians Position Statement - p. 155 182. ‘Time critical’ rapid amputation using fire service hydraulic cutting equipment - p. 156 183. Who Has the Controls? - p. 157 184. Treatment And Imaging - p. 158 185. Miscellaneous - p. 159 186. Facing the Nuclear Threat: Thyroid Blocking Revisited - p. 159 187. Active Cooling During Transport of Neonates with Hypoxic-Ischemic Encephalopathy - p. 160 188. EMS Provider Assessment of Vehicle Damage Compared with Assessment by a Professional Crash Reconstructionist - p. 161 189. Helicopters and the Civilian Trauma System: National Utilization Patterns Demonstrate Improved Outcomes After Traumatic Injury - p. 162 190. Management of ingested foreign bodies and food impactions - p. 163 191. Mother's Little Helper: The Problem of Narcotic Diversion - p. 164 192. Semiautomatic Intraosseous Devices in Pediatric Prehospital Care - p. 165 193. Sensitivity of erythrocyte sedimentation rate and C-reactive protein for the exclusion of septic arthritis in emergency department patients - p. 166 194. The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement - p. 167 195. Emergency Center Activities - p. 168 196. Clinical Skills - p. 168 197. Emergency Medicine and Society - p. 169 198. “Family Plan”—Multiple-Patient Visits From the Same Family to an Inner-City Pediatric Emergency Department - p. 169 199. “Sign Right Here and You're Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions - p. 170 200. “Sign Right Here and You're Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions - p. 171 201. A Content Analysis of Parents' Written Communication of Needs and Expectations for Emergency Care of Their Children - p. 172 202. A Hierarchical Communication Model of the Antecedents of Health Care Professionals' Support for Donations after Cardiac Death - p. 173 203. Antithrombotic effect of grape seed proanthocyanidins extract in a rat model of deep vein thrombosis - p. 174 204. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada - p. 175 205. Availability and Potential Effect of Rural Rotations in Emergency Medicine Residency Programs - p. 176 206. Can we identify women at risk of pregnancy despite using emergency contraception? Data from randomized trials of ulipristal acetate and levonorgestrel - p. 177 207. Catheter-directed ultrasound-accelerated thrombolysis for the treatment of acute pulmonary embolism - p. 178 208. Changes in Barriers to Primary Care and Emergency Department Utilization - p. 179 209. Charlson Comorbidity Index Adjustment in Intracerebral Hemorrhage - p. 180 210. Combination warfarin-ASA therapy: Which patients should receive it, which patients should not, and why? - p. 181 211. Comparing National Institutes of Health Funding of Emergency Medicine to Four Medical Specialties - p. 182 212. Constructing a Composite Quality Score for the Care of Acute Myocardial Infarction Patients at Discharge: Impact on Hospital Ranking - p. 183 213. Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction - p. 184 214. Effects of Benefits and Harms on Older Persons' Willingness to Take Medication for Primary Cardiovascular Prevention - p. 185 215. Emergency Department Utilization After the Implementation of Massachusetts Health Reform - p. 186 216. National Survey of Preventive Health Services in US Emergency Departments - p. 187 217. Outcomes in Patients Visiting Hospital Emergency Departments in the United States Because of Periodontal Conditions - p. 188 218. The Effect of Triage Diagnostic Standing Orders on Emergency Department Treatment Time - p. 189 219. Miscellaneous - p. 190 220. A pragmatic randomised trial of stretching before and after physical activity to prevent injury and soreness - p. 190 221. Assessment of a Training Curriculum for Emergency Ultrasound for Pediatric Soft Tissue Infections - p. 191 222. ED handoffs: observed practices and communication errors - p. 192 223. ED handoffs: observed practices and communication errors - p. 193 224. Evaluation of the Effectiveness of Systematized Training of Advanced Trauma Life Support Protocol in the Interpretation of Cervical Spine and Chest Radiographs in Three Different Emergency Services - p. 194 225. Hot water irrigation as treatment for intractable posterior epistaxis in an out-patient setting - p. 195 226. Respiratory Distress - p. 196 227. Accuracy of a transcutaneous carbon dioxide pressure monitoring device in emergency room patients with acute respiratory failure - p. 196 228. Nebulized Budesonide Added to Standard Pediatric Emergency Department Treatment of Acute Asthma: A Randomized, Double-Blind Trial - p. 197 229. Two Days of Dexamethasone Versus 5 Days of Prednisone in the Treatment of Acute Asthma: A Randomized Controlled Trial - p. 198 230. Comparison of Succinylcholine and Rocuronium for First-attempt Intubation Success in the Emergency Department - p. 199 231. Out-of-Hospital Lingual Dystonia Resulting in Airway Obstruction - p. 200 232. Pulmonary - p. 201 233. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Suspected Pulmonary Embolism - p. 201 234. Effectiveness and Acceptability of a Computerized Decision Support System Using Modified Wells Criteria for Evaluation of Suspected Pulmonary Embolism - p. 202 235. Abdominal Pain - p. 203 236. Toxicology - p. 204 237. Antidotes and Treatment - p. 204 238. A dosing regimen for immediate N-acetylcysteine treatment for acute paracetamol overdose - p. 204 239. A prospective, randomized, trial of phenobarbital versus benzodiazepines for acute alcohol withdrawal - p. 205 240. Acetaminophen psi parameter: A useful tool to quantify hepatotoxicity risk in acute acetaminophen overdose - p. 206 241. Acute cholestatic liver injury caused by polyhexamethyleneguanidine hydrochloride admixed to ethyl alcohol - p. 207 242. Acute Ethanol Intoxication and the Trauma Patient: Hemodynamic Pitfalls - p. 208 243. Amanita Poisoning and Liver Transplantation: Do We Have the Right Decision Criteria? - p. 209 244. Fatal poisoning in children: Acute Colchicine intoxication and new treatment approaches - p. 210 245. Improved survival in severe paraquat poisoning with repeated pulse therapy of cyclophosphamide and steroids - p. 211 246. Increase of paradoxical excitement response during propofol-induced sedation in hazardous and harmful alcohol drinkers - p. 212 247. Ketamine With and Without Midazolam for Emergency Department Sedation in Adults: A Randomized Controlled Trial - p. 213 248. Management of intentional superwarfarin poisoning with long-term vitamin K and brodifacoum levels - p. 214 249. Serum concentrations in three children with unintentional tetrahydrozoline overdose - p. 215 250. Serum uric acid level as a marker for mortality and acute kidney injury in patients with acute paraquat intoxication - p. 216 251. Severe acute cardiomyopathy associated with venlafaxine overdose and possible role of CYP2D6 and CYP2C19 polymorphisms - p. 217 252. Studies on ethylene glycol poisoning: One patient – 154 admissions - p. 218 253. Tricyclic Antidepressant Overdose in a Toddler Treated With Intravenous Lipid Emulsion - p. 219 254. Unrecognized fatalities related to colchicine in hospitalized patients - p. 220 255. The effects of intravenous calcium in patients with digoxin toxicity - p. 221 256. Drugs of Abuse - p. 222 257. Identification of Recent Cannabis Use: Whole-Blood and Plasma Free and Glucuronidated Cannabinoid Pharmacokinetics following Controlled Smoked Cannabis Administration - p. 222 258. Myocardial Infarction Associated With Use of the Synthetic Cannabinoid K2 - p. 223 259. Treatment of cocaine overdose with lipid emulsion - p. 224 260. Environmental and Occupational - p. 225 261. Carbon monoxide poisoning associated with water pipe smoking - p. 225 262. Residential Carbon Monoxide Detector Failure Rates in the United States - p. 226 263. Solid organ procurement from donors with carbon monoxide poisoning and/or burn - a systematic review - p. 227 264. Natural Toxins and Envenomation - p. 228 265. “Spider Bite” Lesions are Usually Diagnosed as Skin and Soft-Tissue Infections - p. 228 266. A heteromeric Texas coral snake toxin targets acid-sensing ion channels to produce pain - p. 229 267. Acute Generalized Exanthematous Pustulosis and Coombs-Positive Hemolytic Anemia in a Child Following Loxosceles reclusa Envenomation - p. 230 268. Cardiac abnormalities in severe acute dichlorvos poisoning - p. 231 269. Evaluation of the Test-mate ChE (Cholinesterase) Field Kit in Acute Organophosphorus Poisoning - p. 232 270. Is there a role for fasciotomy in Crotalinae envenomations in North America? - p. 233 271. Pressure bandaging for North American snake bite? No! - p. 234 272. Miscellaneous - p. 235 273. Acute leukoencephalopathy after buprenorphine intoxication in a 2-year-old child - p. 235 274. Cefixime-Induced Oculogyric Crisis - p. 236 275. Falsely Normal Anion Gap in Severe Salicylate Poisoning Caused by Laboratory Interference - p. 237 276. First-Onset Seizure After Use of 5-hour ENERGY - p. 238 277. Massive acetylcysteine overdose associated with cerebral edema and seizures - p. 239 278. Methanol and ethylene glycol acute poisonings – predictors of mortality - p. 240 279. Nicotine, Carbon Monoxide, and Carcinogen Exposure after a Single Use of a Water Pipe - p. 241 280. Quail consumption can be harmful - p. 242 281. The rising incidence of intentional ingestion of ethanol-containing hand sanitizers - p. 243
The Year Book of Emergency Medicine brings you abstracts of the articles that reported the year's breakthrough developments in emergency medicine, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Topics covered in the 2012 edition include Trauma, Resuscitation, Cardiovascular Emergencies, Gastrointestinal Emergencies, Infections and Immunologic Disorders, Neurology, and Pediatric Emergency Medicine. Focused, fast, and insightful information for the busy Emergency Room Physician!
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 2 4. Trauma - p. 7 5. Evaluation - p. 7 6. Assessing the Feasibility of the American College of Surgeons' Benchmarks for the Triage of Trauma Patients - p. 7 7. Effect of the Modified Glasgow Coma Scale Score Criteria for Mild Traumatic Brain Injury on Mortality Prediction: Comparing Classic and Modified Glasgow Coma Scale Score Model Scores of 13 - p. 8 8. Over Reliance on Computed Tomography Imaging in Patients With Severe Abdominal Injury: Is the Delay Worth the Risk? - p. 9 9. Validation and Refinement of a Rule to Predict Emergency Intervention in Adult Trauma Patients - p. 10 10. Extremity Injury - p. 11 11. Head and Neck Injury - p. 12 12. Cheerio, Laddie! Bidding Farewell to the Glasgow Coma Scale - p. 12 13. Computed Tomography Alone May Clear the Cervical Spine in Obtunded Blunt Trauma Patients: A Prospective Evaluation of a Revised Protocol - p. 13 14. Concussive symptoms in emergency department patients diagnosed with minor head injury - p. 14 15. Do Children With Blunt Head Trauma and Normal Cranial Computed Tomography Scan Results Require Hospitalization for Neurologic Observation? - p. 15 16. Factors Associated With Cervical Spine Injury in Children After Blunt Trauma - p. 16 17. Pain Control and Sedation - p. 17 18. A Randomized Controlled Trial of Ketamine/Propofol Versus Propofol Alone for Emergency Department Procedural Sedation - p. 17 19. Analgesic Efficacy and Safety of the Diclofenac Epolamine Topical Patch 1.3% (DETP) in Minor Soft Tissue Injury - p. 18 20. Thoraco-Abdominal Injury - p. 19 21. Appropriate Use of Emergency Department Thoracotomy: Implications for the Thoracic Surgeon - p. 19 22. Risk factors that predict mortality in patients with blunt chest wall trauma: A systematic review and meta-analysis - p. 20 23. The ribs or not the ribs: which influences mortality? - p. 21 24. Clinical Policy: Critical Issues in the Evaluation of Adult Patients Presenting to the Emergency Department With Acute Blunt Abdominal Trauma - p. 22 25. Miscellaneous - p. 23 26. An assessment of the impact of pregnancy on trauma mortality - p. 23 27. Damage Control Resuscitation Is Associated With a Reduction in Resuscitation Volumes and Improvement in Survival in 390 Damage Control Laparotomy Patients - p. 24 28. Definition of mortality for trauma center performance evaluation: A comparative study - p. 25 29. Emergency Department Crystalloid Resuscitation of 1.5 L or More is Associated With Increased Mortality in Elderly and Nonelderly Trauma Patients - p. 26 30. EMS Provider Assessment of Vehicle Damage Compared with Assessment by a Professional Crash Reconstructionist - p. 27 31. Snow shovel–related injuries and medical emergencies treated in US EDs, 1990 to 2006 - p. 28 32. The Relationship Between Annual Hospital Volume of Trauma Patients and In-Hospital Mortality in New York State - p. 29 33. Treatment outcomes of injured children at adult level 1 trauma centers: are there benefits from added specialized care? - p. 30 34. Resuscitation - p. 31 35. Cardiac Arrest - p. 31 36. A randomised control trial to determine if use of the iResus© application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency - p. 31 37. Adverse events and their relation to mortality in out-of-hospital cardiac arrest patients treated with therapeutic hypothermia - p. 32 38. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest - p. 33 39. Emergent precordial percussion revisited – pacing the heart in asystole - p. 34 40. Self-directed Versus Traditional Classroom Training for Neonatal Resuscitation - p. 35 41. Teamwork and Leadership in Cardiopulmonary Resuscitation - p. 36 42. Shock - p. 37 43. Association between timing of antibiotic administration and mortality from septic shock in patients treated with a quantitative resuscitation protocol - p. 37 44. Cardiac Output Determination From Endotracheally Measured Impedance Cardiography: Clinical Evaluation of Endotracheal Cardiac Output Monitor - p. 38 45. Initial fluid resuscitation of patients with septic shock in the intensive care unit - p. 39 46. Resuscitation in massive obstetric haemorrhage using an intraosseous needle - p. 40 47. The role of albumin as a resuscitation fluid for patients with sepsis: A systematic review and meta-analysis - p. 41 48. Miscellaneous - p. 42 49. A fresh take on whole blood - p. 42 50. Efficacy of Field Treatments to Reduce Body Core Temperature in Hyperthermic Subjects - p. 43 51. Cardiovascular - p. 44 52. Acute Myocardinal Infarction - p. 44 53. A new hydrodynamic approach by infusion of drag-reducing polymers to improve left ventricular function in rats with myocardial infarction - p. 44 54. Circadian variations of infarct size in acute myocardial infarction - p. 45 55. Electrocardiogram Findings in Emergency Department Patients With Syncope - p. 46 56. Impact of missing data on standardised mortality ratios for acute myocardial infarction: evidence from the Myocardial Ischaemia National Audit Project (MINAP) 2004–7 - p. 47 57. Myocardial infarction vaccine? Evidence supporting the influenza vaccine for secondary prevention - p. 48 58. Oxygen Therapy for Acute Myocardial Infarction—Then and Now. A Century of Uncertainty - p. 49 59. Emergency physician–initiated cath lab activation reduces door to balloon times in ST-segment elevation myocardial infarction patients - p. 50 60. Atrial Fibrillation - p. 51 61. A Clinical Prediction Model to Estimate Risk for 30-Day Adverse Events in Emergency Department Patients With Symptomatic Atrial Fibrillation - p. 51 62. Low-dose diltiazem in atrial fibrillation with rapid ventricular response - p. 52 63. Congestive Heart Failure - p. 53 64. Beyond dyspnoea as an endpoint in acute heart failure trials - p. 53 65. Hypertensive heart failure: patient characteristics, treatment, and outcomes - p. 54 66. Natriuretic peptide testing in EDs for managing acute dyspnea: a meta-analysis - p. 55 67. Short-term Mortality Risk in Emergency Department Acute Heart Failure - p. 56 68. Miscellneous - p. 57 69. Acute myocarditis presenting as acute coronary syndrome: role of early cardiac magnetic resonance in its diagnosis - p. 57 70. Autologous Cardiomyotissue Implantation Promotes Myocardial Regeneration, Decreases Infarct Size, and Improves Left Ventricular Function - p. 58 71. Cardiac bone marrow cell therapy: the proof of the pudding remains in the eating - p. 59 72. CLUE: a randomized comparative effectiveness trial of IV nicardipine versus labetalol use in the emergency department - p. 60 73. Abnormally high prevalence of major components of the metabolic syndrome in subjects with early-onset idiopathic venous thromboembolism - p. 61 74. ED technicians can successfully place ultrasound-guided intravenous catheters in patients with poor vascular access - p. 62 75. Gastrointestinal - p. 63 76. A pilot study on potential new plasma markers for diagnosis of acute appendicitis - p. 63 77. Acute cholecystitis in the elderly: use of computed tomography and correlation with ultrasonography - p. 64 78. Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, non-inferiority, randomised controlled trial - p. 65 79. Effect of delay in presentation on rate of perforation in children with appendicitis - p. 66 80. Is nasogastric tube lavage in patients with acute upper GI bleeding indicated or antiquated? - p. 67 81. Peritoneal fluid cultures rarely alter management in patients with ascites - p. 68 82. Randomized Clinical Trial of Rapid Versus 24-Hour Rehydration for Children With Acute Gastroenteritis - p. 69 83. The Treatment of Pediatric Gastroenteritis: A Comparative Analysis of Pediatric Emergency Physicians' Practice Patterns - p. 70 84. Clinical triage decision vs risk scores in predicting the need for endotherapy in upper gastrointestinal bleeding - p. 71 85. Neurology - p. 72 86. An analysis of admissions from 155 United States hospitals to determine the influence of weather on stroke incidence - p. 72 87. Biomarkers for Stroke: In Search of Fingerprints - p. 73 88. TWO ACES: Transient Ischemic Attack Work-Up as Outpatient Assessment of Clinical Evaluation and Safety - p. 74 89. Use of biomarkers in triage of patients with suspected stroke - p. 75 90. Steroids for migraine headaches: a randomized double-blind, two-armed, placebo-controlled trial - p. 76 91. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study - p. 77 92. Low-Dose Recombinant Tissue-Type Plasminogen Activator Enhances Clot Resolution in Brain Hemorrhage: The Intraventricular Hemorrhage Thrombolysis Trial - p. 78 93. Infections and Immunologic Disorders - p. 79 94. Blood Cultures at Central Line Insertion in the Intensive Care Unit: Comparison with Peripheral Venipuncture - p. 79 95. Blood Cultures in the Emergency Department Evaluation of Childhood Pneumonia - p. 80 96. Cost-effectiveness of an emergency department-based early sepsis resuscitation protocol - p. 81 97. Pediatric Emergency Medicine - p. 82 98. Cardiovascular - p. 82 99. A pilot study of the feasibility of heart screening for sudden cardiac arrest in healthy children - p. 82 100. A pilot study of the feasibility of heart screening for sudden cardiac arrest in healthy children - p. 83 101. Beneficial Effects of Terlipressin in Pediatric Cardiac Arrest - p. 84 102. Endocrinology - p. 85 103. ENT - p. 86 104. A Placebo-Controlled Trial of Antimicrobial Treatment for Acute Otitis Media - p. 86 105. How Do Parents of Preverbal Children With Acute Otitis Media Determine How Much Ear Pain Their Child Is Having? - p. 87 106. Hematology/Oncology - p. 88 107. Changes in Platelet Count as a Predictive Tool in Sickle Cell Acute Vaso-Occlusive Crises: A Pediatric Study - p. 88 108. Pediatric vasoocclusive crisis and weather conditions - p. 89 109. Changes in Platelet Count as a Predictive Tool in Sickle Cell Acute Vaso-Occlusive Crises: A Pediatric Study - p. 90 110. Infectious Disease - p. 91 111. A pilot study of the ability of the forced response test to discriminate between 3-year-old children with chronic otitis media with effusion or with recurrent acute otitis media - p. 91 112. Is a Lumbar Puncture Necessary When Evaluating Febrile Infants (30 to 90 Days of Age) With an Abnormal Urinalysis? - p. 92 113. Month-by-Month Age Analysis of the Risk for Serious Bacterial Infections in Febrile Infants With Bronchiolitis - p. 93 114. National Ambulatory Antibiotic Prescribing Patterns for Pediatric Urinary Tract Infection, 1998–2007 - p. 94 115. Neonatal scalp abscess: is it a benign disease? - p. 95 116. Pediatric emergency department-based rapid HIV testing: adolescent attitudes and preferences - p. 96 117. Prospective Longitudinal Study of Signs and Symptoms Associated With Primary Tooth Eruption - p. 97 118. Risk factors for contamination of catheterized urine specimens in febrile children - p. 98 119. The Low Rate of Bacterial Meningitis in Children, Ages 6 to 18 Months, With Simple Febrile Seizures - p. 99 120. Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months - p. 100 121. Neuroscience - p. 101 122. Neurodiagnostic Evaluation of the Child With a Simple Febrile Seizure - p. 101 123. Practice variability in the management of complex febrile seizures by pediatric emergency physicians and fellows - p. 102 124. Procedures - p. 103 125. Bedside Ultrasound in the Diagnosis of Pediatric Clavicle Fractures - p. 103 126. Bedside ultrasound in the diagnosis of skull fractures in the pediatric emergency department - p. 104 127. Detection of hypoventilation by capnography and its association with hypoxia in children undergoing sedation with ketamine - p. 105 128. Management of uncomplicated nail bed lacerations presenting to a children's emergency department - p. 106 129. Outcomes After Rigid Bronchoscopy in Children With Suspected or Confirmed Foreign Body Aspiration: A Retrospective Study - p. 107 130. Pulmonary - p. 108 131. Coprescription of Antibiotics and Asthma Drugs in Children - p. 108 132. Exhaled nitric oxide levels during treatment of pediatric acute asthma exacerbations and association with the need for hospitalization - p. 109 133. Safety and clinical findings of BiPAP utilization in children 20 kg or less for asthma exacerbations - p. 110 134. Steroids and bronchodilators for acute bronchiolitis in the first two years of life: systematic review and meta-analysis - p. 111 135. Surgery - p. 112 136. Abusive Head Trauma During a Time of Increased Unemployment: A Multicenter Analysis - p. 112 137. Acute scrotum in children: an 18-year retrospective study - p. 113 138. Delayed diagnosis of injuries in pediatric trauma: the role of radiographic ordering practices - p. 114 139. Effect of age on cervical spine injury in pediatric population: a National Trauma Data Bank review - p. 115 140. Effectiveness of Biobrane for treatment of partial-thickness burns in children - p. 116 141. Hypothermia is associated with poor outcome in pediatric trauma patients - p. 117 142. Paediatric pelvic ring fractures and associated injuries - p. 118 143. Pediatric firearm injuries: a 10-year single-center experience of 194 patients - p. 119 144. Pediatric Trauma Transport Performance Measures in a Mountain State: Adherence and Outcomes - p. 120 145. Primary Repair of Facial Dog Bite Injuries in Children - p. 121 146. Risk Factors for Blunt Cerebrovascular Injury in Children: Do They Mimic Those Seen in Adults? - p. 122 147. Trauma - p. 123 148. Elevated Cardiac Troponin I Level in Cases of Thoracic Nonaccidental Trauma - p. 123 149. Elevated Cardiac Troponin I Level in Cases of Thoracic Nonaccidental Trauma - p. 124 150. Is the Broselow Tape a Reliable Indicator for Use in All Pediatric Trauma Patients?: A Look at a Rural Trauma Center - p. 125 151. Miscellaneous - p. 126 152. A Randomized Controlled Trial of Home Injury Hazard Reduction: The HOME Injury Study - p. 126 153. A simple modified bicarbonate regimen for urine alkalinization in moderate pediatric salicylate poisoning in the emergency department - p. 127 154. Child Passenger Safety: An Evidence-Based Review - p. 128 155. Development of a Screening Tool for Pediatric Sexual Assault May Reduce Emergency-Department Visits - p. 129 156. Emergency Department Laboratory Evaluations of Fever Without Source in Children Aged 3 to 36 Months - p. 130 157. Health Effects of Energy Drinks on Children, Adolescents, and Young Adults - p. 131 158. Pediatric Injuries Attributable to Falls From Windows in the United States in 1990–2008 - p. 132 159. Pediatric Submersion Events in Portable Above-Ground Pools in the United States, 2001–2009 - p. 133 160. Physicians' Perceptions of Background Noise in a Pediatric Emergency Department - p. 134 161. Use of Skeletal Surveys to Evaluate for Physical Abuse: Analysis of 703 Consecutive Skeletal Surveys - p. 135 162. Emergency Medical Service Systems - p. 136 163. Airway - p. 136 164. Cardiovascular - p. 137 165. Prehospital triage in the ambulance reduces infarct size and improves clinical outcome - p. 137 166. Prehospital Troponin T Testing in the Diagnosis and Triage of Patients with Suspected Acute Myocardial Infarction - p. 138 167. Serial Prehospital 12-Lead Electrocardiograms Increase Identification of ST-segment Elevation Myocardial Infarction - p. 139 168. Severity of Cardiovascular Disease Patients Transported by Air Ambulance - p. 140 169. Sustained Ventricular Fibrillation in an Alert Patient: Preserved Hemodynamics with a Left Ventricular Assist Device - p. 141 170. Syncope in the emergency department: comparison of standardized admission criteria with clinical practice - p. 142 171. Safety and Resource Utilization - p. 143 172. A Comparison of Cooling Techniques in Firefighters After a Live Burn Evolution - p. 143 173. A Descriptive Analysis of Occupational Health Exposures in an Urban Emergency Medical Services System: 2007–2009 - p. 145 174. A Descriptive Analysis of Occupational Health Exposures in an Urban Emergency Medical Services System: 2007–2009 - p. 146 175. Air Medical Evacuations from a Developing World Conflict Zone - p. 147 176. Assessing Air Medical Crew Real-Time Readiness to Perform Critical Tasks - p. 148 177. Association Between Poor Sleep, Fatigue, and Safety Outcomes in Emergency Medical Services Providers - p. 149 178. Factors at the Scene of Injury Associated with Air versus Ground Transport to Definitive Care in a State with a Large Rural Population - p. 150 179. Physical Stressors during Neonatal Transport: Helicopter Compared with Ground Ambulance - p. 151 180. Prehospital Factors Associated with Mortality in Injured Air Medical Patients - p. 152 181. Termination of Resuscitation of Nontraumatic Cardiopulmonary Arrest: Resource Document for the National Association of EMS Physicians Position Statement - p. 155 182. ‘Time critical’ rapid amputation using fire service hydraulic cutting equipment - p. 156 183. Who Has the Controls? - p. 157 184. Treatment And Imaging - p. 158 185. Miscellaneous - p. 159 186. Facing the Nuclear Threat: Thyroid Blocking Revisited - p. 159 187. Active Cooling During Transport of Neonates with Hypoxic-Ischemic Encephalopathy - p. 160 188. EMS Provider Assessment of Vehicle Damage Compared with Assessment by a Professional Crash Reconstructionist - p. 161 189. Helicopters and the Civilian Trauma System: National Utilization Patterns Demonstrate Improved Outcomes After Traumatic Injury - p. 162 190. Management of ingested foreign bodies and food impactions - p. 163 191. Mother's Little Helper: The Problem of Narcotic Diversion - p. 164 192. Semiautomatic Intraosseous Devices in Pediatric Prehospital Care - p. 165 193. Sensitivity of erythrocyte sedimentation rate and C-reactive protein for the exclusion of septic arthritis in emergency department patients - p. 166 194. The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement - p. 167 195. Emergency Center Activities - p. 168 196. Clinical Skills - p. 168 197. Emergency Medicine and Society - p. 169 198. “Family Plan”—Multiple-Patient Visits From the Same Family to an Inner-City Pediatric Emergency Department - p. 169 199. “Sign Right Here and You're Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions - p. 170 200. “Sign Right Here and You're Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions - p. 171 201. A Content Analysis of Parents' Written Communication of Needs and Expectations for Emergency Care of Their Children - p. 172 202. A Hierarchical Communication Model of the Antecedents of Health Care Professionals' Support for Donations after Cardiac Death - p. 173 203. Antithrombotic effect of grape seed proanthocyanidins extract in a rat model of deep vein thrombosis - p. 174 204. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada - p. 175 205. Availability and Potential Effect of Rural Rotations in Emergency Medicine Residency Programs - p. 176 206. Can we identify women at risk of pregnancy despite using emergency contraception? Data from randomized trials of ulipristal acetate and levonorgestrel - p. 177 207. Catheter-directed ultrasound-accelerated thrombolysis for the treatment of acute pulmonary embolism - p. 178 208. Changes in Barriers to Primary Care and Emergency Department Utilization - p. 179 209. Charlson Comorbidity Index Adjustment in Intracerebral Hemorrhage - p. 180 210. Combination warfarin-ASA therapy: Which patients should receive it, which patients should not, and why? - p. 181 211. Comparing National Institutes of Health Funding of Emergency Medicine to Four Medical Specialties - p. 182 212. Constructing a Composite Quality Score for the Care of Acute Myocardial Infarction Patients at Discharge: Impact on Hospital Ranking - p. 183 213. Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction - p. 184 214. Effects of Benefits and Harms on Older Persons' Willingness to Take Medication for Primary Cardiovascular Prevention - p. 185 215. Emergency Department Utilization After the Implementation of Massachusetts Health Reform - p. 186 216. National Survey of Preventive Health Services in US Emergency Departments - p. 187 217. Outcomes in Patients Visiting Hospital Emergency Departments in the United States Because of Periodontal Conditions - p. 188 218. The Effect of Triage Diagnostic Standing Orders on Emergency Department Treatment Time - p. 189 219. Miscellaneous - p. 190 220. A pragmatic randomised trial of stretching before and after physical activity to prevent injury and soreness - p. 190 221. Assessment of a Training Curriculum for Emergency Ultrasound for Pediatric Soft Tissue Infections - p. 191 222. ED handoffs: observed practices and communication errors - p. 192 223. ED handoffs: observed practices and communication errors - p. 193 224. Evaluation of the Effectiveness of Systematized Training of Advanced Trauma Life Support Protocol in the Interpretation of Cervical Spine and Chest Radiographs in Three Different Emergency Services - p. 194 225. Hot water irrigation as treatment for intractable posterior epistaxis in an out-patient setting - p. 195 226. Respiratory Distress - p. 196 227. Accuracy of a transcutaneous carbon dioxide pressure monitoring device in emergency room patients with acute respiratory failure - p. 196 228. Nebulized Budesonide Added to Standard Pediatric Emergency Department Treatment of Acute Asthma: A Randomized, Double-Blind Trial - p. 197 229. Two Days of Dexamethasone Versus 5 Days of Prednisone in the Treatment of Acute Asthma: A Randomized Controlled Trial - p. 198 230. Comparison of Succinylcholine and Rocuronium for First-attempt Intubation Success in the Emergency Department - p. 199 231. Out-of-Hospital Lingual Dystonia Resulting in Airway Obstruction - p. 200 232. Pulmonary - p. 201 233. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Suspected Pulmonary Embolism - p. 201 234. Effectiveness and Acceptability of a Computerized Decision Support System Using Modified Wells Criteria for Evaluation of Suspected Pulmonary Embolism - p. 202 235. Abdominal Pain - p. 203 236. Toxicology - p. 204 237. Antidotes and Treatment - p. 204 238. A dosing regimen for immediate N-acetylcysteine treatment for acute paracetamol overdose - p. 204 239. A prospective, randomized, trial of phenobarbital versus benzodiazepines for acute alcohol withdrawal - p. 205 240. Acetaminophen psi parameter: A useful tool to quantify hepatotoxicity risk in acute acetaminophen overdose - p. 206 241. Acute cholestatic liver injury caused by polyhexamethyleneguanidine hydrochloride admixed to ethyl alcohol - p. 207 242. Acute Ethanol Intoxication and the Trauma Patient: Hemodynamic Pitfalls - p. 208 243. Amanita Poisoning and Liver Transplantation: Do We Have the Right Decision Criteria? - p. 209 244. Fatal poisoning in children: Acute Colchicine intoxication and new treatment approaches - p. 210 245. Improved survival in severe paraquat poisoning with repeated pulse therapy of cyclophosphamide and steroids - p. 211 246. Increase of paradoxical excitement response during propofol-induced sedation in hazardous and harmful alcohol drinkers - p. 212 247. Ketamine With and Without Midazolam for Emergency Department Sedation in Adults: A Randomized Controlled Trial - p. 213 248. Management of intentional superwarfarin poisoning with long-term vitamin K and brodifacoum levels - p. 214 249. Serum concentrations in three children with unintentional tetrahydrozoline overdose - p. 215 250. Serum uric acid level as a marker for mortality and acute kidney injury in patients with acute paraquat intoxication - p. 216 251. Severe acute cardiomyopathy associated with venlafaxine overdose and possible role of CYP2D6 and CYP2C19 polymorphisms - p. 217 252. Studies on ethylene glycol poisoning: One patient – 154 admissions - p. 218 253. Tricyclic Antidepressant Overdose in a Toddler Treated With Intravenous Lipid Emulsion - p. 219 254. Unrecognized fatalities related to colchicine in hospitalized patients - p. 220 255. The effects of intravenous calcium in patients with digoxin toxicity - p. 221 256. Drugs of Abuse - p. 222 257. Identification of Recent Cannabis Use: Whole-Blood and Plasma Free and Glucuronidated Cannabinoid Pharmacokinetics following Controlled Smoked Cannabis Administration - p. 222 258. Myocardial Infarction Associated With Use of the Synthetic Cannabinoid K2 - p. 223 259. Treatment of cocaine overdose with lipid emulsion - p. 224 260. Environmental and Occupational - p. 225 261. Carbon monoxide poisoning associated with water pipe smoking - p. 225 262. Residential Carbon Monoxide Detector Failure Rates in the United States - p. 226 263. Solid organ procurement from donors with carbon monoxide poisoning and/or burn - a systematic review - p. 227 264. Natural Toxins and Envenomation - p. 228 265. “Spider Bite” Lesions are Usually Diagnosed as Skin and Soft-Tissue Infections - p. 228 266. A heteromeric Texas coral snake toxin targets acid-sensing ion channels to produce pain - p. 229 267. Acute Generalized Exanthematous Pustulosis and Coombs-Positive Hemolytic Anemia in a Child Following Loxosceles reclusa Envenomation - p. 230 268. Cardiac abnormalities in severe acute dichlorvos poisoning - p. 231 269. Evaluation of the Test-mate ChE (Cholinesterase) Field Kit in Acute Organophosphorus Poisoning - p. 232 270. Is there a role for fasciotomy in Crotalinae envenomations in North America? - p. 233 271. Pressure bandaging for North American snake bite? No! - p. 234 272. Miscellaneous - p. 235 273. Acute leukoencephalopathy after buprenorphine intoxication in a 2-year-old child - p. 235 274. Cefixime-Induced Oculogyric Crisis - p. 236 275. Falsely Normal Anion Gap in Severe Salicylate Poisoning Caused by Laboratory Interference - p. 237 276. First-Onset Seizure After Use of 5-hour ENERGY - p. 238 277. Massive acetylcysteine overdose associated with cerebral edema and seizures - p. 239 278. Methanol and ethylene glycol acute poisonings – predictors of mortality - p. 240 279. Nicotine, Carbon Monoxide, and Carcinogen Exposure after a Single Use of a Water Pipe - p. 241 280. Quail consumption can be harmful - p. 242 281. The rising incidence of intentional ingestion of ethanol-containing hand sanitizers - p. 243