• Clinical Ultrasound Is Safe and Highly Specific for Acute Appendicitis in Moderate to High Pre-test Probability Patients 

  Corson-Knowles, Daniel; Russell, Frances M. (eScholarship, 2018-05)

  Introduction: Clinical ultrasound (CUS) is highly specific for the diagnosis of acute appendicitis but is operator-dependent. The goal of this study was to determine if a heterogeneous group of emergency physicians (EP) ...
• Effect of an Educational Intervention on Medical Student Scripting and Patient Satisfaction: A Randomized Trial 

  Pettit, Katie E.; Turner, Joseph S.; Pollard, Katherine A.; Buente, Bryce B.; Humbert, Aloysius J.; Perkins, Anthony J.; Hobgood, Cherri D.; Kline, Jeffrey A. (eScholarship, 2018-05)

  Introduction: Effective communication between clinicians and patients has been shown to improve patient outcomes, reduce malpractice liability, and is now being tied to reimbursement. Use of a communication strategy ...
• Inside help: An integrative review of champions in healthcare-related implementation 

  Miech, Edward J.; Rattray, Nicholas A.; Flanagan, Mindy E.; Damschroder, Laura; Schmid, Arlene A.; Damush, Teresa M. (Sage, 2018-05-17)

  Background/aims: The idea that champions are crucial to effective healthcare-related implementation has gained broad acceptance; yet the champion construct has been hampered by inconsistent use across the published ...
• Design and rationale of the B-lines lung ultrasound guided emergency department management of acute heart failure (BLUSHED-AHF) pilot trial 

  Russell, Frances M.; Ehrman, Robert R.; Ferre, Robinson; Gargani, Luna; Noble, Vicki; Rupp, Jordan; Collins, Sean P.; Hunter, Benton; Lane, Kathleen A.; Levy, Phillip; Li, Xiaochun; O'Connor, Christopher; Pang, Peter S. (Elsevier, 2018)

  Background Medical treatment for acute heart failure (AHF) has not changed substantially over the last four decades. Emergency department (ED)-based evidence for treatment is limited. Outcomes remain poor, with a 25% ...
• Acute Heart Failure Risk Stratification in the Emergency Department: Are We There Yet? 

  Russell, Frances; Pang, Peter S. (Elsevier, 2018)
• A Social Emergency Medicine Approach to the Implementation of Sexual and Reproductive Health Interventions in the Emergency Department 

  Alexander, Andreia B.; Ott, Mary A. (Wiley, 2018)
• Confronting the Opioid Crisis by Taking a Long Look in the Mirror … and at Our Peers 

  Hays, Geoffrey P.; Mycyk, Mark B. (Wiley, 2018-05)
• Computer-facilitated review of electronic medical records reliably identifies emergency department interventions in older adults 

  Biese, Kevin J.; Forbach, Cory R.; Medlin, Richard P.; Platts- Mills, Timothy F.; Scholer, Matthew J.; McCall, Brenda; Shofer, Frances S.; LaMantia, Michael; Hobgood, Cherri; Kizer, J. S.; Busby-Whitehead, Jan; Cairns, Charles B. (Society for Academic Emergency Medicine, 2013-06)

  OBJECTIVES: An estimated 14% to 25% of all scientific studies in peer-reviewed emergency medicine (EM) journals are medical records reviews. The majority of the chart reviews in these studies are performed manually, a ...
• The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care 

  Faris, Gregory W.; Marcin, James P.; Weinstein, Elizabeth (Elsevier, 2018)

  Many hospitals and emergency departments lack resources to optimally care for ill and injured children, perpetuating risks of receiving fragmented and “uneven” care. In this article, we describe the present state of our ...
• Effect of Socioeconomic Status Bias on Medical Student–Patient Interactions Using an Emergency Medicine Simulation 

  Pettit, Katie E.; Turner, Joseph S.; Kindrat, Jason K.; Blythe, Gregory J.; Hasty, Greg E.; Perkins, Anthony J.; Ashburn-Nardo, Leslie; Milgrom, Lesley B.; Hobgood, Cherri D.; Cooper, Dylan D. (Wiley, 2017-04)

  Objectives Implicit bias in clinical decision making has been shown to contribute to healthcare disparities and results in negative patient outcomes. Our objective was to develop a high‐fidelity simulation model for ...
• Tension pneumothorax: Lateral needle decompression 

  Welch, Julie L.; Saltarelli, Nicholas (Elsevier, 2018)

  A 37 yo man presented to the ED with sudden onset of left sided chest pain and dyspnea after lifting a box. On physical examination the patient was hypotensive (86/55), tachycardiac (HR 125), hypoxic (88%), diaphoretic, ...
• N-Terminal Pro–B-Type Natriuretic Peptide in the Emergency Department: The ICON-RELOADED Study 

  Januzzi, James L.; Chen-Tournoux, Annabel A.; Christenson, Robert H.; Doros, Gheorghe; Hollander, Judd E.; Levy, Phillip D.; Nagurney, John T.; Nowak, Richard M.; Pang, Peter S.; Patel, Darshita; Peacock, W. Franklin; Rivers, E. Joy; Walters, Elizabeth L.; Gaggin, Hanna K. (Elsevier, 2018-03-20)

  Background Contemporary reconsideration of diagnostic N-terminal pro–B-type natriuretic peptide (NT-proBNP) cutoffs for diagnosis of heart failure (HF) is needed. Objectives This study sought to evaluate the diagnostic ...
• Anxiety Associated With Increased Risk for Emergency Department Recidivism in Patients With Low-Risk Chest Pain 

  Musey, Paul I., Jr.; Patel, Roma; Fry, Colin; Jimenez, Guadalupe; Koene, Rachael; Kline, Jeffrey A. (Elsevier, 2018)

  Anxiety contributes to the chest pain symptom complex in 30% to 40% of patients with low-risk chest pain seen in the emergency department (ED). The validated Hospital Anxiety Depression Scale-Anxiety subscale (HADS-A) has ...
• Acute Dyspnea and Decompensated Heart Failure 

  Pang, Peter S.; Collins, Sean P.; Gheorghiade, Mihai; Butler, Javed (Elsevier, 2018-02)

  The majority of patients hospitalized with acute heart failure (AHF) initially present to the emergency department (ED). Correct diagnosis followed by prompt treatment ensures optimal outcomes. Paradoxically, identification ...
• Comparison of outcomes in patients with intracranial hemorrhage on factor Xa inhibitors versus vitamin K antagonists treated with 4-factor prothrombin complex concentrate 

  Harrison, Sarah K.; Garrett, John S.; Kohman, Kelsey N.; Kline, Jeffrey A. (Taylor & Francis, 2018-04-11)

  The relative clinical efficacy of 4-factor prothrombin complex concentrate (4F-PCC) in oral anticoagulant-associated intracranial hemorrhage is unknown, especially for factor Xa-inhibiting anticoagulants. We report short-term ...
• Chronic Embolic Pulmonary Hypertension Caused by Pulmonary Embolism and Vascular Endothelial Growth Factor Inhibition 

  Neto-Neves, Evandro M.; Brown, Mary B.; Zaretskaia, Maria V.; Rezania, Samin; Goodwill, Adam G.; McCarthy, Brian P.; Persohn, Scott A.; Territo, Paul R.; Kline, Jeffrey A. (Elsevier, 2017-04)

  Our understanding of the pathophysiological basis of chronic thromboembolic pulmonary hypertension (CTEPH) will be accelerated by an animal model that replicates the phenotype of human CTEPH. Sprague-Dawley rats were ...
• Randomized trial of inhaled nitric oxide to treat acute pulmonary embolism: The iNOPE trial 

  Kline, Jeffrey A.; Hall, Cassandra L.; Jones, Alan E.; Puskarich, Michael A.; Mastouri, Ronald; Lahm, Tim (Elsevier, 2017-04)

  BACKGROUND: The study hypothesis is that administration of inhaled nitric oxide (NO) plus oxygen to subjects with submassive pulmonary embolism (PE) will improve right ventricular (RV) systolic function and reduce RV ...
• Defining Priorities to Improve Patient Experience in Non-Muscle Invasive Bladder Cancer 

  Garg, Tullika; Connors, Jill Nault; Ladd, Ilene G.; Bogaczyk, Tyler L.; Larson, Sharon L. (IOS Press, 2018-01-20)

  Although approximately 75% of bladder cancers are non-muscle invasive (NMIBC) at diagnosis, most research tends to focus on invasive disease (e.g., experiences related to radical cystectomy and urinary diversion). There ...
• Design and Rationale of a Randomized Trial of a Care Transition Strategy in Patients With Acute Heart Failure Discharged From the Emergency Department: GUIDED-HF (Get With the Guidelines in Emergency Department Patients With Heart Failure). 

  Fermann, Gregory J.; Levy, Phillip D.; Pang, Peter; Butler, Javed; Ayaz, S. Imran; Char, Douglas; Dunn, Pat; Jenkins, Cathy A.; Kampe, Christy; Khan, Yosef; Kumar, Vijaya A.; Lindenfeld, JoAnn; Liu, Dandan; Miller, Karen; Peacock, W. Frank; Rizk, Samaa; Robichaux, Chad; Rothman, Russell L.; Schrock, Jon; Singer, Adam; Sterling, Sarah A.; Storrow, Alan B.; Walsh, Cheryl; Wilburn, John; Collins, Sean P. (American Heart Association, 2017-02)

  GUIDED-HF (Get With the Guidelines in Emergency Department Patients With Heart Failure) is a multicenter randomized trial of a patient-centered transitional care intervention in patients with acute heart failure (AHF) who ...
• Evaluation of the pulmonary embolism rule out criteria (PERC rule) in children evaluated for suspected pulmonary embolism 

  Kline, Jeffrey A.; Ellison, Angela M.; Kanis, Jessica; Pike, Jonathan; Hall, Cassandra L. (Elsevier, 2018-08)

  Background The pulmonary embolism rule out criteria (PERC) reliably predicts a low probability of PE in adults. We examine the diagnostic accuracy of the objective components of the PERC rule in children previously tested ...

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