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  1. Article ; Online: Not all that twinkles is gold.

    Levine, Rykiel / Jian, William

    Journal of the American College of Emergency Physicians open

    2023  Volume 4, Issue 2, Page(s) e12901

    Language English
    Publishing date 2023-02-25
    Publishing country United States
    Document type Journal Article
    ISSN 2688-1152
    ISSN (online) 2688-1152
    DOI 10.1002/emp2.12901
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: CT scan of a COVID-positive patient.

    Levine, Rykiel / Caputo, Nicholas

    Journal of the American College of Emergency Physicians open

    2020  Volume 1, Issue 2, Page(s) 143–147

    Keywords covid19
    Language English
    Publishing date 2020-04-16
    Publishing country United States
    Document type Journal Article
    ISSN 2688-1152
    ISSN (online) 2688-1152
    DOI 10.1002/emp2.12073
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Time to Renitrogenation After Maximal Denitrogenation in Healthy Volunteers in the Supine and Sitting Positions.

    West, Jason R / Levine, Rykiel / Raggi, Jason / Nguyen, Du-Thuyen / Oliver, Matthew / Caputo, Nicholas D / Sakles, John C

    The western journal of emergency medicine

    2022  Volume 23, Issue 6, Page(s) 926–930

    Abstract: Introduction: Prior to intubation, preoxygenation is performed to denitrogenate the lungs and create an oxygen reservoir. After oxygen is removed, it is unclear whether renitrogenation after preoxygenation occurs faster in the supine vs the sitting ... ...

    Abstract Introduction: Prior to intubation, preoxygenation is performed to denitrogenate the lungs and create an oxygen reservoir. After oxygen is removed, it is unclear whether renitrogenation after preoxygenation occurs faster in the supine vs the sitting position.
    Methods: We enrolled 80 healthy volunteers who underwent two preoxygenation and loss of preoxygenation procedures (one while supine and one while sitting) via bag-valve-mask ventilation with spontaneous breathing. End-tidal oxygen (ETO
    Results: The mean ETO
    Conclusion: Preoxygenation loss, or renitrogenation, occurred rapidly after oxygen removal and was not different in the supine and sitting positions. After maximal denitrogenation in healthy volunteers, renitrogenation occurred rapidly after oxygen removal and was not different in the supine and sitting positions.
    MeSH term(s) Humans ; Sitting Position ; Healthy Volunteers ; Respiration, Artificial/methods ; Oxygen ; Lung
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375700-0
    ISSN 1936-9018 ; 1936-9018
    ISSN (online) 1936-9018
    ISSN 1936-9018
    DOI 10.5811/westjem.2022.5.55378
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Wooden chest syndrome: Beware of opioid antagonists, not just agonists.

    Levine, Rykiel / Veliz, Sergio / Singer, Daniel

    The American journal of emergency medicine

    2019  Volume 38, Issue 2, Page(s) 411.e5–411.e6

    Abstract: Background: In a constantly increasing world of opioid addiction, naloxone has become a topic of great discussion and use. With seemingly minimal side effects, naloxone has become one of the most wellknown and widely used reversal agents for opioid ... ...

    Abstract Background: In a constantly increasing world of opioid addiction, naloxone has become a topic of great discussion and use. With seemingly minimal side effects, naloxone has become one of the most wellknown and widely used reversal agents for opioid intoxication. While more common effects of using naloxone include agitation, abdominal cramps, piloerection, diarrhea, nausea, and yawning, lesser known side effects involve muscle spasms, flushing, hyperreflexia in neonates, and seizures. This case study demonstrates a side effect of rigidity secondary to IV naloxone that has not previously been documented.
    Case: A 56 year old man was brought in by EMS after being found unresponsive in a car with a bag of drugs beside him. He was given 0.5 mg naloxone IV by EMS and immediately brought to the hospital. On arrival, the pt was noted to have tight rigidity of his upper extremities, with severe flexion. This presentation was not noted before the delivery of naloxone by EMS.
    Conclusions: While this case highlights a patient with a rare side effect of naloxone, it reminds physicians that all medications come with a cost. Of course, ABCs remain the highest priority of resuscitation, however when administering a medication to reverse a drug overdose, it is important to keep in mind all possible consequences of said agent. Recognizing that complete muscle rigidity may remain a result of naloxone administration allows physicians to perhaps save patients from further medical workup.
    MeSH term(s) Adult ; Analgesics, Opioid/adverse effects ; Emergency Service, Hospital ; Female ; Humans ; Muscle Rigidity/chemically induced ; Naloxone/administration & dosage ; Naloxone/adverse effects ; Narcotic Antagonists/administration & dosage ; Narcotic Antagonists/adverse effects ; Opioid-Related Disorders/drug therapy ; Syndrome ; Thoracic Wall/drug effects ; Thoracic Wall/physiopathology
    Chemical Substances Analgesics, Opioid ; Narcotic Antagonists ; Naloxone (36B82AMQ7N)
    Language English
    Publishing date 2019-11-15
    Publishing country United States
    Document type Case Reports
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2019.09.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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