Pub Date : 2024-09-16DOI: 10.1016/j.ajem.2024.09.027
Murtaza Akhter
{"title":"Fluids in septic heart failure patients.","authors":"Murtaza Akhter","doi":"10.1016/j.ajem.2024.09.027","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.027","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIMThe aim of this study is to evaluate gender perception among patients in the emergency department (ED) and to examine the effect of gender perception on patients' preference of physician's gender.METHODSThis was a cross-sectional survey study. The survey comprised three sections. The first section collected general information, while the second section inquired about patients' preferences for physicians' gender in the ED, in general examinations, and regarding "sensitive" medical issues. The third section of the survey, entitled the "Perception of Gender Scale," comprised a series of questions designed to assess the participants' perceptions of gender. The scale employed a Likert-type response format, with scores ranging from 25 to 125. Higher scores indicated a more egalitarian gender perception.RESULTSThe number of participants in the study was 431, with 194 males and 237 females. The median age of the participants was 38.5 years (interquartile range [IQR] 28-48). Over half of the participants had completed university education. The study population exhibited a Perception of the Gender Scale (PGS) score of 96 (IQR 78.5-109). With regard to the patient's preference for physicians' gender, in emergency settings (ES) and in general examinations (GE), over three-quarters of the participants indicated that they do not have a preference. However, for sensitive medical issues (SMI), the proportion of participants indicating no preference decreased to 45 %. Among those with the lowest quartile of PGS scores, the percentage of individuals who expressed no gender preference in ES, GE and SMI was 65 %, 60 %, 26 % and who expressed a preference for male physicians was 13 %, 19 %, 43 % respectively. In contrast, of those with the highest quartile of PGS scores, the percentages of those who had no gender preference were 86 %, 90 %, 68 %, while the percentages of those who preferred male physicians were 1.9 %, 1 %, and 4.8 %, respectively.CONCLUSIONIn the context of emergency settings and general examinations, approximately three-quarters of the participants indicated no preference regarding the gender of the physician. However, in the case of sensitive medical issues, the proportion of participants with no gender preference was less than half. For patients with a gender preference for their physician, perception of gender is a significant predictor.
{"title":"The perception of gender and the approach taken towards female physicians.","authors":"Gülşah Çıkrıkçı Işık,Ayşe Şahin,Betül Karagöz,Yunsur Çevik","doi":"10.1016/j.ajem.2024.09.029","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.029","url":null,"abstract":"AIMThe aim of this study is to evaluate gender perception among patients in the emergency department (ED) and to examine the effect of gender perception on patients' preference of physician's gender.METHODSThis was a cross-sectional survey study. The survey comprised three sections. The first section collected general information, while the second section inquired about patients' preferences for physicians' gender in the ED, in general examinations, and regarding \"sensitive\" medical issues. The third section of the survey, entitled the \"Perception of Gender Scale,\" comprised a series of questions designed to assess the participants' perceptions of gender. The scale employed a Likert-type response format, with scores ranging from 25 to 125. Higher scores indicated a more egalitarian gender perception.RESULTSThe number of participants in the study was 431, with 194 males and 237 females. The median age of the participants was 38.5 years (interquartile range [IQR] 28-48). Over half of the participants had completed university education. The study population exhibited a Perception of the Gender Scale (PGS) score of 96 (IQR 78.5-109). With regard to the patient's preference for physicians' gender, in emergency settings (ES) and in general examinations (GE), over three-quarters of the participants indicated that they do not have a preference. However, for sensitive medical issues (SMI), the proportion of participants indicating no preference decreased to 45 %. Among those with the lowest quartile of PGS scores, the percentage of individuals who expressed no gender preference in ES, GE and SMI was 65 %, 60 %, 26 % and who expressed a preference for male physicians was 13 %, 19 %, 43 % respectively. In contrast, of those with the highest quartile of PGS scores, the percentages of those who had no gender preference were 86 %, 90 %, 68 %, while the percentages of those who preferred male physicians were 1.9 %, 1 %, and 4.8 %, respectively.CONCLUSIONIn the context of emergency settings and general examinations, approximately three-quarters of the participants indicated no preference regarding the gender of the physician. However, in the case of sensitive medical issues, the proportion of participants with no gender preference was less than half. For patients with a gender preference for their physician, perception of gender is a significant predictor.","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing the educational value of YouTube and TikTok videos on home suture removal.","authors":"Lauren Sellers,Larissa Dean,Layla Hak,Jonathan Thompson,Annie Vu,Christian Kolacki,Jason Seamon,Todd Chassee,Lindsey Ouellette,Jeffrey Jones","doi":"10.1016/j.ajem.2024.09.032","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.032","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12DOI: 10.1016/j.ajem.2024.09.018
Jose Antonio Suárez,Mario Urriola,Maickol Manuel Moreno-Botello,Laura Naranjo-Lara,Nathan Gundacker,Luis C Ascanio,Christian Olivo-Freites,Alberto Paniz-Mondolfi
Colubrids represent a diverse group of snakes historically regarded as harmless. With over 300 genera, the Colubridae family is the largest, encompassing approximately two-thirds of extant snake species. We describe a case of an 18-year-old male who suffered a colubrid snakebite from Erythrolamprus bizona, commonly known as the double-stranded coral snake mimic or false coral snake, which he misidentified as Lampropeltis sp., a fangless colubrid snake. Patient experienced localized erythema and edema, which later spread to the entire left hand along with moderate pain. Laboratory tests revealed leukocytosis and elevated creatine kinase. Symptoms resolved one week later. This case highlights the public health significance of ophidian accidents due to apparently "non-venomous snakes" or low-risk snakes such as the opisthoglyphous colubrid E. bizona. It also underscores the need to correctly identify and differentiate these snakes from other harmless colubrids, particularly double-stranded coral snake mimics in areas of geographic overlap and avoid their manipulation if uncertain of their taxonomic status.
{"title":"Colubrid snake envenomation: Erythrolamprus bizona \"false coral\" snakebite - clinical aspects and importance of identifying mimics.","authors":"Jose Antonio Suárez,Mario Urriola,Maickol Manuel Moreno-Botello,Laura Naranjo-Lara,Nathan Gundacker,Luis C Ascanio,Christian Olivo-Freites,Alberto Paniz-Mondolfi","doi":"10.1016/j.ajem.2024.09.018","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.018","url":null,"abstract":"Colubrids represent a diverse group of snakes historically regarded as harmless. With over 300 genera, the Colubridae family is the largest, encompassing approximately two-thirds of extant snake species. We describe a case of an 18-year-old male who suffered a colubrid snakebite from Erythrolamprus bizona, commonly known as the double-stranded coral snake mimic or false coral snake, which he misidentified as Lampropeltis sp., a fangless colubrid snake. Patient experienced localized erythema and edema, which later spread to the entire left hand along with moderate pain. Laboratory tests revealed leukocytosis and elevated creatine kinase. Symptoms resolved one week later. This case highlights the public health significance of ophidian accidents due to apparently \"non-venomous snakes\" or low-risk snakes such as the opisthoglyphous colubrid E. bizona. It also underscores the need to correctly identify and differentiate these snakes from other harmless colubrids, particularly double-stranded coral snake mimics in areas of geographic overlap and avoid their manipulation if uncertain of their taxonomic status.","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to \"The hypoxia-age-shock index at triage is a useful and rapid tool\" [American Journal of Emergency Medicine 83 (2024) 154-155].","authors":"Pao-Shan Chen,Chia-Yin Hsieh,Fu-Shan Jaw,Hsaio-Kang Chen,Kuo-Yang Hsi,Hung-Pin Chang","doi":"10.1016/j.ajem.2024.09.022","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.022","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.ajem.2024.09.021
Hang A Park,Ju Ok Park,Sola Kim,Ki Ok Ahn
{"title":"Factors influencing emergency physicians' provision of cognitive rest information to patients with concussions.","authors":"Hang A Park,Ju Ok Park,Sola Kim,Ki Ok Ahn","doi":"10.1016/j.ajem.2024.09.021","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.021","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.ajem.2024.09.010
Amiya Kumar Barik,Ijas Muhammed Shaji,Chitta Ranjan Mohanty,Rakesh Vadakkethil Radhakrishnan,Gaurav Juneja
{"title":"Comment on the effect of intravenous ondansetron on QT interval in the emergency department.","authors":"Amiya Kumar Barik,Ijas Muhammed Shaji,Chitta Ranjan Mohanty,Rakesh Vadakkethil Radhakrishnan,Gaurav Juneja","doi":"10.1016/j.ajem.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.010","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-10DOI: 10.1016/j.ajem.2024.09.020
Muhammed Said Beşler
{"title":"Capability of GPT-4o in cranial imaging interpretation for emergency medicine.","authors":"Muhammed Said Beşler","doi":"10.1016/j.ajem.2024.09.020","DOIUrl":"https://doi.org/10.1016/j.ajem.2024.09.020","url":null,"abstract":"","PeriodicalId":501288,"journal":{"name":"The American Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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