Emergency & Disaster Medicine

Includes the clinical practices in the emergency department as well as disaster medicine (physician preparedness and physician response). Addresses natural disasters, terrorist events, pandemics, and nuclear/biological/chemical disasters.

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SMJ Article | Original Article

Telesimulation to Improve Critical Decision-Making in Prehospital Airway Management: A Feasibility Study

Objectives: Telesimulation, in which learners and evaluators use technology to connect remotely to simulation-based learning activities, is effective for skills and decision-making review. Historical models in which learners are colocated with the simulation equipment have inherent issues, especially for emergency medical services (EMS) providers. This feasibility study placed the evaluators...

SMJ Article | Original Article

Prehospital ABC Score Accurately Forecasts Patients Who Will Require Immediate Resource Utilization

Objectives: Scoring systems, such as the Assessment of Blood Consumption (ABC) Score, are used to identify patients at risk for massive transfusion (MT, ≥10 U red blood cells in 24 hours). Our aeromedical transport helicopter uses ultrasound to perform the Focused Assessment with Sonography for Trauma (FAST) examination. Our objective...

SMJ Article | Original Article

CME Article: Historical Alternans in the Emergency Department (H.A.t.E.D.) for Pain: An Analysis of Patient Pain Descriptors to Attending and Trainee Clinicians

Objectives: The concept of “historical alternans” (HA), a teaching folklore term referring to different descriptions of patient histories to trainees versus attending clinicians, can cause disjointed care and be a source of frustration for the trainee. Increased focus on the proper evaluation and treatment of pain in the emergency department...

SMJ Article | Original Article

National Estimates of Noncanine Bite and Sting Injuries Treated in US Hospital Emergency Departments, 2011–2015

Objectives: Injuries resulting from contact with animals are a significant public health concern. This study quantifies and updates nonfatal bite and sting injuries by noncanine sources using the most recent data available (2011–2015) from the National Electronic Injury Surveillance System-All Injury Program with the purpose of using these updates to...

SMJ Article | Original Article

Changes in Proportions of Emergency Department Patients with Mental Illness Noted in the National Hospital Ambulatory Medical Care Survey, 2012–2015

Objectives: The primary objective of this study was to determine whether there was a change in the rate and types of patients with psychiatric illnesses being seen in the emergency department (ED) from 2012 to 2015 using the National Ambulatory Care Survey. A secondary objective was to determine what if...

Posted in: Emergency & Disaster Medicine5 Mental Health22

SMJ Article | Original Article

Increasing Comfort with Sensory Processing Difficulties in the Prehospital Setting: Pre-Post Study of Education and Sensory Tools in EMS Providers

Objectives: Interfacing with patients with sensory processing difficulties is challenging to healthcare providers and even more problematic for emergency medical services (EMS) personnel in the acute care setting. Sensory training may be an effective nonpharmacologic method to deal with these patient populations. The purpose of this study was to evaluate...

Posted in: Emergency & Disaster Medicine5

SMJ Article | Original Article

CME Article: Assessment of the Need for Immediate Trauma Team Presence for Infants Presenting in Cardiac Arrest

Objectives: Out-of-hospital cardiac arrest (OHCA) is rare in infants, with the cause of arrest often unknown upon presentation. Nonaccidental trauma is a potential etiology of OHCA among infants, but its occult presentation makes this etiology challenging to diagnose. In the absence of apparent injuries, identifying the need for trauma team...

Posted in: Emergency & Disaster Medicine5

SMJ Article | Original Article

Emergency Medicine Resident–Driven Point of Care Ultrasound for Suspected Shoulder Dislocation

Objective: To determine the impact of implementing a musculoskeletal in-service educational intervention for emergency medicine (EM) residents on the use of point-of-care ultrasound (POCUS) to diagnose and manage shoulder dislocations in the emergency department (ED).Methods: This study was conducted in the ED of an academic teaching hospital in Miami, Florida....

SMJ Article | Author Response

Authors’ Response

To the Editor: Mr. Ho and Dr. Ware suggested advising an ill airline passenger regarding the Health Insurance Portability and Accountability Act of 19961 (HIPPA) protection of his or her health information “if circumstances permit” and/or with a surrogate “when feasible.” ” We agree with this recommendation; however, during an...

SMJ Article | Letter to the Editor

On “Healthcare Professionals and In-Flight Medical Emergencies: Resources, Responsibilities, Goals, and Legalities as a Good Samaritan”

To the Editor: We read with interest the article by de Caprariis et al that appeared inthe January 2019 issue of the Southern Medical Journal.1 The authors provide anauthoritative review of matters of importance to healthcare professionals who respond to in-flight emergencies, including expected resources on board US commercial carriers,...

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