Two articles published in American Journal of Emergency Medicine

June 13, 2017

Dr. Andrew MeltzerDr. Jesse PinesDr. Meltzer, Dr. Pines, and Lorna Richards co-authors on a study exploring national trends in recent years (2007–2013) in demographics, disposition decisions, medication use, and CT scan utilization for adult ED patients with abdominal pain, using the National Hospital Ambulatory Medical Care Survey (NHAMCS).

NHAMCS is a yearly survey released by the Centers for Disease Control and Prevention (CDC) that can be used to make national estimates about U.S. ED visits. Changes in patient and hospital characteristics were investigated in NHAMCS using survey-weighted linear combinations of estimators. We also modeled the risk factors for two important public health issues surrounding abdominal pain: ED opioid analgesic use and CT scan utilization using a survey-weighted logistic regression.

Dr. Ali PourmandDr. Francis O'ConnellDr. Pourmand and Dr. O'Connnell co-authors on a review of recent updates in pre-oxygenation techniques.

Transient oxygen desaturation during emergency department intubation is an event with potentially devastating consequences. Pre-oxygenation is an important means of increasing a patient's oxygen reserve and duration of safe apnea prior to intubation. In the emergent setting, important modifications to pre-oxygenation techniques need to be considered to best manage critically ill patients. In this review, we discuss recent updates in pre-oxygenation techniques and evaluate the evidence supporting both commonly used and newly emerging techniques for pre-oxygenation, assessing nature and level of illness, the best delivery method of oxygen, using delayed sequence intubation in patients who cannot tolerate non-invasive pre-oxygenation and using apneic oxygenation via nasal cannula and non-rebreather mask during intubation.