Zachary Dezman
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View article: Trends and characteristics during 17 years of naloxone distribution and administration through an overdose prevention program in Pittsburgh, Pennsylvania
Trends and characteristics during 17 years of naloxone distribution and administration through an overdose prevention program in Pittsburgh, Pennsylvania Open
Objective Describe time trends during 17.5 years of community-based naloxone distribution Methods Analysis of administrative records from a harm reduction program in Pittsburgh, Pennsylvania, USA, collected during encounters for overdose e…
View article: Trends and characteristics during 17 years of naloxone distribution and administration through an overdose prevention program in Pittsburgh, Pennsylvania
Trends and characteristics during 17 years of naloxone distribution and administration through an overdose prevention program in Pittsburgh, Pennsylvania Open
Objective Describe time trends during 17.5 years of community-based naloxone distribution Methods Analysis of administrative records from a harm reduction program in Pittsburgh, Pennsylvania, USA, collected during encounters for overdose e…
View article: Mentorship as a Catalyst for Academic Writing in Emergency Medicine
Mentorship as a Catalyst for Academic Writing in Emergency Medicine Open
View article: Mentorship as a Catalyst for Academic Writing in Emergency Medicine
Mentorship as a Catalyst for Academic Writing in Emergency Medicine Open
Background Academic writing is an important professional development skill, yet emergency medicine (EM) residents rank their competency in this area poorly. The goal of this study is to define the impact of an academic writing mentorship p…
View article: Trends and Characteristics during 17 Years of Naloxone Distribution and Administration through a Harm Reduction Program in Pittsburgh, Pennsylvania
Trends and Characteristics during 17 Years of Naloxone Distribution and Administration through a Harm Reduction Program in Pittsburgh, Pennsylvania Open
Objective Describe time trends during 17.6 years of community-based naloxone distribution. Methods Analysis of administrative records from a harm reduction program in Pittsburgh, Pennsylvania, USA, collected during encounters for overdose …
View article: The impact of a point‐of‐care visual clinical decision support tool on admissions for cellulitis in the University of Maryland medical system
The impact of a point‐of‐care visual clinical decision support tool on admissions for cellulitis in the University of Maryland medical system Open
View article: 58-year-old Male with a Headache, Hand Numbness, and Phantosmia
58-year-old Male with a Headache, Hand Numbness, and Phantosmia Open
Introduction: A 58-year-old male presents to the emergency department with headache, hand numbness, and phantosmia. Case Presentation: Magnetic resonance imaging showed multiple acute and early subacute lesions involving the cortex and sub…
View article: Patterns of opioid prescribing in emergency departments during the early phase of the COVID-19 pandemic
Patterns of opioid prescribing in emergency departments during the early phase of the COVID-19 pandemic Open
View article: Contents
Contents Open
View article: 57-year-old Female with Unusual Left-arm Movements
57-year-old Female with Unusual Left-arm Movements Open
Introduction: A 57-year-old, right-hand dominant female presented to the emergency department striking herself with her left hand. Case Presentation: The astute medical staff looked beyond a behavioral health etiology. A detailed history, …
View article: Coding Disparity and Specificity during Emergency Department Visits after Transitioning to the Tenth Version of the International Classification of Diseases.
Coding Disparity and Specificity during Emergency Department Visits after Transitioning to the Tenth Version of the International Classification of Diseases. Open
The purpose of this study was to examine coding changes using the International Classification of Diseases (ICD) after the transition from ICD-9 to ICD-10. We studied a national cohort of emergency department visits from the Veterans Healt…
View article: 73-year-old Female with Syncope and Motor Vehicle Collision
73-year-old Female with Syncope and Motor Vehicle Collision Open
Introduction: Patients with traumatic injuries can be difficult to assess, and their evaluation often evolves in the emergency department (ED). We describe how an ED attending physician member developed a differential diagnosis for this pr…
View article: The actual, long-term cost of intentional injury care among a cohort of Maryland Medicaid recipients
The actual, long-term cost of intentional injury care among a cohort of Maryland Medicaid recipients Open
BACKGROUND Intentional injury (both self-harm and interpersonal) is a major cause of morbidity and mortality, yet there are little data on the per-person cost of caring for these patients. Extant data focus on hospital charges related to t…
View article: 219 A Non-Inferiority Trial of Peer Recovery Coaches for Screening, Brief Intervention and Referral to Treatment for Substance Use Disorders via In-Person versus Telehealth Interviews
219 A Non-Inferiority Trial of Peer Recovery Coaches for Screening, Brief Intervention and Referral to Treatment for Substance Use Disorders via In-Person versus Telehealth Interviews Open
View article: 19-year-old Woman with Intermittent Weakness
19-year-old Woman with Intermittent Weakness Open
Introduction: Systemic weakness is a common chief complaint of patients presenting to the emergency department (ED). A well thought out approach to the assessment and workup of these patients is key to diagnostic accuracy and definitive th…
View article: Masking for COVID-19 Is Associated with Decreased Emergency Department Utilization for Non-COVID Viral Illnesses and Respiratory Conditions in Maryland
Masking for COVID-19 Is Associated with Decreased Emergency Department Utilization for Non-COVID Viral Illnesses and Respiratory Conditions in Maryland Open
View article: 55-year-old Male with Fatigue
55-year-old Male with Fatigue Open
This clinicopathological case presentation from the University of Maryland details the initial assessment and management of a 55-year-old, dialysis-dependent man with fatigue. We present how one of our emergency medicine faculty develops h…
View article: 40-year-old Female with Sudden Onset Dyspnea
40-year-old Female with Sudden Onset Dyspnea Open
A 40-year-old female presented to the emergency department (ED) after the acute onset of dyspnea. The patient was tachypneic with accessory muscle usage and diffuse wheezing on initial examination. Despite aggressive treatment, the patient…
View article: 40-year-old Male with a Headache and Altered Mental Status
40-year-old Male with a Headache and Altered Mental Status Open
A 40-year-old man presents to the emergency department with headache, nausea and paresthesias, with subsequent fever and mental status change. Magnetic resonance imaging showed increased fluid-attenuation inversion recovery signal involvin…
View article: 36-year-old Male with Syncope
36-year-old Male with Syncope Open
Case Presentation: A 36-year-old incarcerated male presented to the emergency department (ED) after an episode concerning for syncope. The patient had nystagmus and ataxia on initial examination. Discussion: There is a broad differential d…
View article: <i>Notes from the Field:</i> High Prevalence of Fentanyl Detected by the Maryland Emergency Department Drug Surveillance System — Baltimore, Maryland, 2019
<i>Notes from the Field:</i> High Prevalence of Fentanyl Detected by the Maryland Emergency Department Drug Surveillance System — Baltimore, Maryland, 2019 Open
This report describes a new University of Maryland study that found that after implementing enhanced testing methods, fentanyl topped the list of drugs detected in overdose patients at two Baltimore hospital emergency departments.
View article: 55-year-old Male with Exertional Dyspnea
55-year-old Male with Exertional Dyspnea Open
Introduction: Dyspnea is a common presenting complaint for many patients in the emergency department. Case Presentation: A 55-year-old man with type I diabetes presented to the emergency department with one month of intermittent palpitatio…
View article: 50-year-old Male With Chest Pain
50-year-old Male With Chest Pain Open
A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of n…
View article: 93 Coding Disparity and Specificity During Emergency Department Visits After Transitioning to the Tenth Version of the International Classification of Disease
93 Coding Disparity and Specificity During Emergency Department Visits After Transitioning to the Tenth Version of the International Classification of Disease Open
View article: 75-year-old Woman with a Fever and Rash
75-year-old Woman with a Fever and Rash Open
CASE PRESENTATION (Resident Presentation)A 75-year-old woman with a history of multiple myeloma presents to the emergency department (ED) with her daughter for chief complaints of fevers and a rash.Much of the history was provided by the p…
View article: Eight-year-old Boy with New-onset Seizure
Eight-year-old Boy with New-onset Seizure Open
An eight-year-old boy presented to the emergency department for a first-time seizure. The patient had only signs of mild dehydration on physical exam and had an uneventful postictal recovery. First-time seizures in pediatric patients are o…
View article: 38-year-old Woman with a Cough and a Rash
38-year-old Woman with a Cough and a Rash Open
Author(s): Donahue, Megan P.; Clayborne, Elizabeth P.; Dezman, Zachary D.W.; Bontempo, Laura J.
View article: 83-year-old Woman with a Fever and Emesis
83-year-old Woman with a Fever and Emesis Open
CASE PRESENTATION (DR. BIRCH
View article: 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse Open
A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was wel…
View article: 65-year-old Female with Cardiac Arrest and Return of Spontaneous Circulation
65-year-old Female with Cardiac Arrest and Return of Spontaneous Circulation Open
CASE PRESENTATIONA 65-year-old female was transported to the emergency department (ED) at approximately 2:00 AM following a witnessed cardiac arrest.According to the patient's husband, she had been asleep in bed when she awoke suddenly, sa…