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  1. Article ; Online: Unplanned Extubations: Rare Event Monitoring for Continuous Quality Improvement.

    Baker, William E / Lentz, Skyler

    Respiratory care

    2023  Volume 69, Issue 1, Page(s) 151–153

    MeSH term(s) Humans ; Airway Extubation ; Quality Improvement
    Language English
    Publishing date 2023-12-28
    Publishing country United States
    Document type Editorial
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.11759
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  2. Article ; Online: Metabolic Acid-Base Disorders.

    Lentz, Skyler A / Ackil, Daniel

    Emergency medicine clinics of North America

    2023  Volume 41, Issue 4, Page(s) 849–862

    Abstract: Metabolic acid-base disturbances are frequently encountered in the emergency department, and many of these patients are critically ill. In the evaluation of patients with these maladies, it is important for the emergency clinician to determine the cause, ...

    Abstract Metabolic acid-base disturbances are frequently encountered in the emergency department, and many of these patients are critically ill. In the evaluation of patients with these maladies, it is important for the emergency clinician to determine the cause, which can usually be elicited from a thorough history and physical examination. There are several mnemonics that can be used to form an appropriate list of potential causes. Most of the time, the management of these patients requires no specific treatment of the acid-base status but, rather, requires treatment of the underlying disorder that is causing the acid-base disturbance.
    MeSH term(s) Humans ; Acid-Base Imbalance/diagnosis ; Acid-Base Imbalance/therapy ; Acid-Base Imbalance/etiology ; Acidosis/diagnosis ; Acidosis/therapy ; Acidosis/etiology ; Alkalosis/complications ; Alkalosis/therapy
    Language English
    Publishing date 2023-07-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605637-4
    ISSN 1558-0539 ; 0733-8627
    ISSN (online) 1558-0539
    ISSN 0733-8627
    DOI 10.1016/j.emc.2023.06.008
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  3. Article ; Online: A case for lifelong learning in emergency medicine: The perspective from a rural state.

    Lentz, Skyler / Weisman, Ashley / Ship, Jordan / Siket, Matthew S

    AEM education and training

    2023  Volume 7, Issue 2, Page(s) e10860

    Language English
    Publishing date 2023-03-26
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10860
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  4. Article ; Online: Haloperidol May Be Safely Administered Intravenously in the Emergency Department.

    Lentz, Skyler A / Walsh, Katherine / Long, Brit

    Annals of emergency medicine

    2022  Volume 81, Issue 1, Page(s) 95–96

    MeSH term(s) Humans ; Haloperidol/therapeutic use ; Antipsychotic Agents/adverse effects ; Emergency Service, Hospital ; Psychomotor Agitation
    Chemical Substances Haloperidol (J6292F8L3D) ; Antipsychotic Agents
    Language English
    Publishing date 2022-10-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2022.07.004
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  5. Article ; Online: Chest Radiography Should Be Routinely Performed Prior to Cardiac Catheterization in Patients With ST-elevation Myocardial Infarction.

    Lentz, Skyler A / Boushra, Marina / Singh, Manpreet

    Annals of emergency medicine

    2022  Volume 80, Issue 6, Page(s) 562–564

    MeSH term(s) Humans ; ST Elevation Myocardial Infarction/diagnostic imaging ; ST Elevation Myocardial Infarction/therapy ; Cardiac Catheterization ; Myocardial Infarction ; Radiography ; Electrocardiography
    Language English
    Publishing date 2022-10-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2022.07.023
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  6. Article ; Online: High flow nasal cannula: The importance of patient selection and monitoring.

    Long, Brit / Liang, Stephen Y / Lentz, Skyler

    The American journal of emergency medicine

    2021  Volume 57, Page(s) 185–186

    MeSH term(s) Cannula ; Humans ; Noninvasive Ventilation ; Oxygen Inhalation Therapy ; Patient Selection
    Language English
    Publishing date 2021-12-24
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.12.047
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  7. Article ; Online: High flow nasal cannula in acute exacerbation of chronic obstructive pulmonary disease.

    Long, Brit / Liang, Stephen Y / Lentz, Skyler

    The American journal of emergency medicine

    2021  Volume 48, Page(s) 333–334

    MeSH term(s) Cannula ; Humans ; Noninvasive Ventilation ; Pulmonary Disease, Chronic Obstructive/therapy
    Language English
    Publishing date 2021-08-08
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.08.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Emergency Department Management of Uncomplicated Hyperglycemia in Patients without History of Diabetes.

    Schwartz, Xavier / Porter, Blake / Gilbert, Matthew P / Sullivan, Alison / Long, Brit / Lentz, Skyler

    The Journal of emergency medicine

    2023  Volume 65, Issue 2, Page(s) e81–e92

    Abstract: Background: Hyperglycemia is a common finding in patients presenting to the emergency department (ED). Recommendations addressing uncomplicated hyperglycemia in the ED are limited, and the management of those without a prior diagnosis of diabetes ... ...

    Abstract Background: Hyperglycemia is a common finding in patients presenting to the emergency department (ED). Recommendations addressing uncomplicated hyperglycemia in the ED are limited, and the management of those without a prior diagnosis of diabetes presents a challenge.
    Objective: This narrative review will discuss the ED evaluation and management of hyperglycemic adult patients without a history of diabetes who do not have evidence of a hyperglycemic crisis, such as diabetic ketoacidosis or hyperosmolar hyperglycemic state.
    Discussion: Many adults who present to the ED have risk factors for diabetes and meet American Diabetes Association (ADA) criteria for diabetes screening. A new diagnosis of type 2 diabetes can be established in the ED by the ADA criteria in patients with a random plasma glucose ≥ 200 mg/dL (11.1 mmol/L) and symptoms of hyperglycemia. The diagnosis should be considered in patients with an elevation in random blood glucose > 140 mg/dL (7.8 mmol/L). Treatment may begin in the ED and varies depending on the presenting severity of hyperglycemia. Treatment options include metformin, long-acting insulin, or deferring for close outpatient management.
    Conclusions: Emergency clinician knowledge of the evaluation and management of new-onset hyperglycemia and diabetes is important to prevent long-term complications.
    MeSH term(s) Adult ; Humans ; Diabetes Mellitus, Type 2/complications ; Blood Glucose ; Hyperglycemia/complications ; Hyperglycemia/diagnosis ; Diabetic Ketoacidosis/complications ; Diabetic Ketoacidosis/diagnosis ; Emergency Service, Hospital
    Chemical Substances Blood Glucose
    Language English
    Publishing date 2023-04-26
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2023.04.018
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    Zs.A 1895: Show issues Location:
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  9. Article ; Online: High flow nasal cannula for adult acute hypoxemic respiratory failure in the ED setting.

    Long, Brit / Liang, Stephen Y / Lentz, Skyler

    The American journal of emergency medicine

    2021  Volume 49, Page(s) 352–359

    Abstract: Introduction: High flow nasal cannula (HFNC) is a noninvasive ventilation (NIV) system that has demonstrated promise in the emergency department (ED) setting.: Objective: This narrative review evaluates the utility of HFNC in adult patients with ... ...

    Abstract Introduction: High flow nasal cannula (HFNC) is a noninvasive ventilation (NIV) system that has demonstrated promise in the emergency department (ED) setting.
    Objective: This narrative review evaluates the utility of HFNC in adult patients with acute hypoxemic respiratory failure in the ED setting.
    Discussion: HFNC provides warm (37 °C), humidified (100% relative humidity) oxygen at high flows with a reliable fraction of inspired oxygen (FiO
    Conclusions: HFNC demonstrates promise in several conditions requiring respiratory support. Further randomized trials are needed in the ED setting.
    MeSH term(s) Adult ; COVID-19 ; Cannula ; Emergency Service, Hospital ; Humans ; Noninvasive Ventilation ; Oxygen Inhalation Therapy ; Randomized Controlled Trials as Topic ; Respiratory Insufficiency/etiology ; Respiratory Insufficiency/therapy ; SARS-CoV-2
    Language English
    Publishing date 2021-07-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.06.074
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  10. Article: Diagnosis and Management of Adrenal Insufficiency and Adrenal Crisis in the Emergency Department.

    Lentz, Skyler / Collier, Kathryn C / Willis, George / Long, Brit

    The Journal of emergency medicine

    2022  Volume 63, Issue 2, Page(s) 212–220

    Abstract: Background: Adrenal insufficiency can result in significant patient morbidity and mortality, but due to the range of symptoms and variable clinical course and etiologies, it can be a challenging condition to diagnose and manage.: Objective: This ... ...

    Abstract Background: Adrenal insufficiency can result in significant patient morbidity and mortality, but due to the range of symptoms and variable clinical course and etiologies, it can be a challenging condition to diagnose and manage.
    Objective: This narrative review will discuss the evaluation of an adult patient at risk for a new diagnosis of adrenal insufficiency and the management of a patient with known or suspected adrenal insufficiency.
    Discussion: A new presentation of adrenal insufficiency can range from nonspecific, minor symptoms including fatigue, to a life-threatening adrenal crisis with hemodynamic instability. Due to the variety of signs and symptoms, the diagnosis is often missed. Those with known adrenal insufficiency are at risk for adrenal crisis, which may occur due to a variety of triggers. Initial evaluation includes assessment for the underlying etiology or concomitant condition, laboratory analysis, and imaging, when clinically indicated. Although not necessary for evaluation in the emergency department setting, the diagnosis is confirmed by specific testing such as the cosyntropin stimulation test. The mainstay of treatment in adrenal crisis is hydrocortisone, intravenous fluid, glucose repletion, and treatment of the underlying acute trigger.
    Conclusions: Emergency clinicians must be prepared to recognize, evaluate, and manage those with known or suspected adrenal insufficiency or adrenal crisis.
    MeSH term(s) Acute Disease ; Adrenal Insufficiency/diagnosis ; Adrenal Insufficiency/therapy ; Adult ; Cosyntropin/therapeutic use ; Emergency Service, Hospital ; Glucose/therapeutic use ; Humans ; Hydrocortisone/therapeutic use
    Chemical Substances Cosyntropin (16960-16-0) ; Glucose (IY9XDZ35W2) ; Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2022-08-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2022.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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