Explanipedia

Patients in Rhabdomyolysis Presenting to the Emergency Department Open

Scott M. Alter, Lisa M. Clayton, Patrick G. Hughes, Richard D. Shih · 2025

Although pressure injuries and exercise were the most common causes identified, rhabdomyolysis was also frequently caused by hyperactive delirium with severe agitation. In all patients with proximate causes identified, many had substance u…

Pharmacogenomic Drug-Gene Interactions in Geriatric Emergency Department Patients Who Sustained Falls: A Pilot Study Open

Richard D. Shih, Gabriella Engström, Abhijit S. Pandya, Gregg B. Fields, Borivoje Furht , et al. · 2025

Introduction: Pharmacogenomic-assisted prescribing of medications uses individual genetic information to identify drug-gene interactions. We aimed to assess potential pharmacogenomic drug-gene interactions in geriatric emergency department…

493 Dementia Increases Rates of Intracranial Hemorrhage in Geriatric Emergency Department Head Trauma Patients Open

C. Roycraft, Richard D. Shih, Gabriella Engström, Mike Wells, Scott M. Alter , et al. · 2025

Addition of a Screen-Based Human-Like Avatar to Traditional Mannequin-Based Simulation for Emergency Medicine Resident Training Open

SV Phadnis, Lisa M. Clayton, Patrick G. Hughes, Scott M. Alter, Christopher R. Williams · 2025

Tattoo-associated Uveitis Presenting to the Emergency Department Open

Sara Twadell, Anabelle N. Taveras, William Benda, Scott M. Alter · 2025

Eye complaints are common presentations to the emergency department that require prompt diagnosis and appropriate care to prevent visual impairment. Uveitis is a serious cause of visual problems needing urgent treatment. An uncommon etiolo…

Pharmacogenomic Drug-Gene Interactions in Geriatric Emergency Department Patients That Have Fallen Open

Richard D. Shih, Gabriella Engström, Abhijit S. Pandya, Gregg B. Fields, Borivoje Furht , et al. · 2024

Background Pharmacogenomic assisted prescribing of medications utilizes individual genetic information to identify drug-gene interactions. We aimed to assess potential pharmacogenomic drug-gene interactions in geriatric emergency departmen…

Alcohol use is associated with intracranial hemorrhage in older emergency department head trauma patients Open

Alexander Zirulnik, Shan Liu, Mike Wells, Scott M. Alter, Gabriella Engström , et al. · 2024

Educational concepts: A longitudinal interleaved curriculum for emergency medicine residency training Open

Lisa M. Clayton, Mike Wells, Scott M. Alter, Joshua J. Solano, Patrick G. Hughes , et al. · 2024

Traditionally, emergency medicine (EM) residency programs teach non-adult emergency department activities (such as pediatric EM, point-of-care ultrasound [PoCUS], emergency medical services, and others) in a block format. In this way, a re…

Cerebellar Infarction from a Vertebral Artery Dissection after Blunt Chest Injury: A Case Report Open

Daniella Lamour, Joshua J. Solano, Jovana Rutherford, Scott M. Alter · 2023

Introduction: Traumatic vertebral artery dissections resulting in stroke are relatively rare occurrences, especially in the absence of classic physical examination ﬁndings.Case Report: We present the case of a 30-year-old male with chest p…

Repeat Fall Risk in Geriatric Patients After Fall-Induced Head Trauma Open

Scott M. Alter, Brandon W Knopp, Joshua J. Solano, Patrick G. Hughes, Lisa M. Clayton , et al. · 2023

Head computerized tomography in emergency department evaluation of the geriatric patient with generalized weakness Open

Elizabeth A. Calhoun, Richard D. Shih, Patrick G. Hughes, Joshua J. Solano, Lisa M. Clayton , et al. · 2023

Few patients with generalized weakness evaluated with head CT had acutely abnormal intracranial findings. Patients with objective weakness or neurologic deficits were more likely to have acute abnormalities. Although head CT is frequently …

The Role of Thromboelastography in Identifying Coagulopathy Among Geriatric Traumatic Brain Injury Patients Open

Alexander M. Busko, Joshua J. Solano, Lisa M. Clayton, Patrick G. Hughes, Richard J. Paley , et al. · 2022

Background The geriatric population has the highest incidence of head injury, and those who are anticoagulated have an increased risk of traumatic intracranial hemorrhage (ICH). The availability of viscoelastic coagulation studies has coin…

A Simulation-based PPE orientation training curriculum for novice physicians Open

Spencer W. Greaves, Scott M. Alter, Rami A. Ahmed, Kate E. Hughes, Devin Doos , et al. · 2022

Pelvic Exam Laws in the United States: A Systematic Review Open

Mihael Plantak, Scott M. Alter, Lisa M. Clayton, Patrick G. Hughes, Richard D. Shih , et al. · 2022

Laws regulating patient care are an essential component of protecting patients and doctors alike. No studies have previously examined what laws exist regarding pelvic examinations in the United States (US). This study systematically review…

AMJ volume 48 issue 4 Cover and Front matter Open

Mihael Plantak, Scott M. Alter, Lisa M. Clayton, Patrick G. Hughes, Richard D. Shih , et al. · 2022

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Impact of <span>COVID</span>‐19 on emergency medicine resident procedure performance Open

Tony W. Bruno, Rohan Janwadkar, Lisa M. Clayton, Patrick G. Hughes, Joshua J. Solano , et al. · 2022

Background As a result of the COVID‐19 pandemic, patterns of patient presentations and medical education have changed, potentially resulting in fewer and different types of patient encounters. Procedural proficiency is a cornerstone of eme…

The Treatment of COVID-19 With Monoclonal Antibody Therapy: Patient-Reported Outcomes Open

Daniella Lamour, Nika Vafadari, Lisa M. Clayton, Joshua J. Solano, Patrick G. Hughes , et al. · 2022

Controversial COVID-19 Cures: Hydroxychloroquine and Oleander Pediatric Ingestion Simulation Cases Open

Joshua J. Solano, Rebecca Mendelsohn, Rami A. Ahmed, Richard D. Shih, Lisa M. Clayton , et al. · 2022

Ivermectin in COVID-19: The Case for a Moratorium on Prescriptions Open

Andreea Molnar, Stephanie Lau, Maja Berges, Raymond B. Masa, Joshua J. Solano , et al. · 2022

Table of Contents Open

Joseph Alpert, Daniel M. Gelfman, Adam Gaffney, Charles H. Hennekens, Manas Rane , et al. · 2021

Woman with atraumatic leg pain Open

Tony W. Bruno, Scott M. Alter · 2021

27 Thromboelastography May Help Identify Anticoagulant or Antiplatelet Effects in Geriatric Traumatic Brain Injury Patients Open

Joshua J. Solano, Lisa M. Clayton, Patrick G. Hughes, Richard D. Shih, Scott M. Alter · 2021

Updates on Hydroxychloroquine in Prevention and Treatment of COVID-19 Open

Charles H. Hennekens, Manas Rane, Joshua J. Solano, Scott M. Alter, Heather M. Johnson , et al. · 2021

Genomic surveillance to combat COVID-19: challenges and opportunities Open

Janet D. Robishaw, Scott M. Alter, Joshua J. Solano, Richard D. Shih, David L. DeMets , et al. · 2021

Covid-19 in the United States: A Tale of One Country and Two Large States Open

Dennis G. Maki, Joshua J. Solano, Richard D. Shih, Robert S. Levine, Scott M. Alter · 2021

Purpose: In the United States (US), after only one year, COVID-19 has already led to a reduction in life expectancy of about one year. In this study we review the mitigation and containment strategies of the epidemic in the US as a w…

Acute and delayed intracranial hemorrhage in head-injured patients on warfarin versus direct oral anticoagulant therapy Open

PatrickG Hughes, Scott M. Alter, SpencerW Greaves, BenjaminA Mazer, JoshuaJ Solano , et al. · 2021

Patients on warfarin had a higher rate of acute ICH, but not delayed ICH, compared to those on DOACs. Given the low rate of delayed ICH with no resultant morbidity or mortality, routine observation and repeat head CT on patients with no ac…

Syncope: A Very Atypical Presentation of COVID-19 Open

Richard D. Shih, Paul M. Louis, Scott M. Alter, Patrick G. Hughes, Joshua J. Solano , et al. · 2020

Possible COVID-19 patients have presented commonly to United States Emergency Departments. Patients presenting with cough, fever and shortness of breath are easy to identify as suspected cases. Unfortunately, not all COVID-19 patients pres…

Antiplatelet therapy is associated with a high rate of intracranial hemorrhage in patients with head injuries Open

Scott M. Alter, Benjamin A Mazer, Joshua J. Solano, Richard D. Shih, Mary J. Hughes , et al. · 2020

Background Antiplatelet agents are increasingly used in cardiovascular treatment. Limited research has been performed into risks of acute and delayed traumatic intracranial hemorrhage (ICH) in these patients who sustain head injuries. Our …

The menacing assaults on science, FDA, CDC, and health of the US public Open

Scott M. Alter, Dennis G. Maki, Suzanne LeBlang, Richard D. Shih, Charles H. Hennekens · 2020

An Unusual Presentation of Retinal Detachment and Conjunctivitis: A Case Report Open

Bailey Pierce, Scott M. Alter, Kyle Gerakopoulos, Jeniel Parmar · 2020

Introduction: Vision loss is an ophthalmologic emergency with broad differential requiring prompt medical attention. Case Report: We describe a 55-year-old male presenting to the emergency department (ED) with unilateral, painless visual f…

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