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  1. Article ; Online: Exploring Teamwork Challenges Perceived by International Medical Graduates in Emergency Medicine Residency.

    Khoujah, Danya / Ibrahim, Ahmed

    The western journal of emergency medicine

    2023  Volume 24, Issue 1, Page(s) 50–58

    Abstract: Introduction: Non-US international medical graduates (IMG) represent a gradually increasing portion of emergency medicine (EM) residents in the United States. Yet there are no previous studies that explore the needs of this learner population. We ... ...

    Abstract Introduction: Non-US international medical graduates (IMG) represent a gradually increasing portion of emergency medicine (EM) residents in the United States. Yet there are no previous studies that explore the needs of this learner population. We conducted a qualitative study to examine non-US IMGs' perceptions of challenges they face specifically regarding team dynamics during their first year of an EM residency.
    Method: Nine non-US IMGs in EM from all over the US participated in anonymous, semi-structured phone interviews lasting 45-60 minutes. We then coded and analyzed the interviews to identify axes and themes using an inductive approach informed by grounded theory. Focused coding and member checking were employed.
    Results: Non-US IMGs' perceptions of challenges regarding team dynamics during their first year of an EM residency coalesced into two themes: system-based challenges, such as a new power dynamic and understanding the local hospital system, and interpersonal challenges, such as establishing rapport and articulation of critical thinking.
    Conclusion: Non-US IMGs perceived several unique challenges regarding team dynamics during their first year of an EM residency, whether system-based or interpersonal-based. We propose solutions such as a transitional curriculum (as suggested by the participants as well) and cultural-competence training for academic leadership.
    MeSH term(s) Humans ; United States ; Internship and Residency ; Interpersonal Relations ; Qualitative Research
    Language English
    Publishing date 2023-01-11
    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.2022.11.58002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The emergency neurology literature 2020.

    Khoujah, Danya / Chang, Wan-Tsu W

    The American journal of emergency medicine

    2022  Volume 54, Page(s) 1–7

    Abstract: Managing neurological emergencies is an essential element of emergency physicians' armamentarium, irrelevant of the specific nature of their practice. The combination of evolving literature and advances in imaging fuel the rapidly changing standards of ... ...

    Abstract Managing neurological emergencies is an essential element of emergency physicians' armamentarium, irrelevant of the specific nature of their practice. The combination of evolving literature and advances in imaging fuel the rapidly changing standards of care, especially in high-stakes diagnoses such as stroke. Navigating the emergency neurology literature to stay abreast of the current updates is becoming more challenging with the sheer volume of publications, combined with the recent dominance of COVID-19 on the literature and media attention. This review article summarizes emergency neurology literature updates that can help you improve your care of these high-risk presentations; articles covering stroke, dizziness, intracerebral hemorrhage, head trauma imaging, headache, seizures, and COVID-19 are reviewed.
    MeSH term(s) COVID-19 ; Dizziness/diagnosis ; Dizziness/etiology ; Headache ; Humans ; Neurology ; Vertigo
    Language English
    Publishing date 2022-01-19
    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.2022.01.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2005: Show issues Location:
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  3. Article ; Online: The geriatric emergency literature 2020: COVID and beyond.

    Khoujah, Danya / Cimino-Fiallos, Nicole

    The American journal of emergency medicine

    2021  Volume 44, Page(s) 177–183

    Abstract: Older adults are a rapidly growing patient population with unique characteristics and health considerations. Over the past few years, emergency physicians have started to recognize the complexities and importance of Geriatric Emergency Medicine. Several ... ...

    Abstract Older adults are a rapidly growing patient population with unique characteristics and health considerations. Over the past few years, emergency physicians have started to recognize the complexities and importance of Geriatric Emergency Medicine. Several noteworthy elements of their healthcare were brought to the forefront of emergency medicine because this especially vulnerable patient population was disproportionately affected by the pandemic. Clinical topics such as delirium, telehealth, end-of-life care, and elder abuse came into focus; select relevant articles are reviewed. We also highlight equally notable literature which address clinically challenging topics, such as hip fractures and syncope. Finally, articles about improving the experience of and decreasing recidivism in geriatric emergency department patients are reviewed. In short, this review article summarizes geriatric emergency medicine literature that can help you improve your practice while caring for older adults.
    MeSH term(s) COVID-19/epidemiology ; Emergency Medicine/trends ; Geriatrics/trends ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/virology ; SARS-CoV-2 ; Vulnerable Populations
    Language English
    Publishing date 2021-04-21
    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.2021.04.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2005: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Rapid Fire: Acute Brain Failure in Older Emergency Department Patients.

    Eagles, Debra / Khoujah, Danya

    Emergency medicine clinics of North America

    2021  Volume 39, Issue 2, Page(s) 287–305

    Abstract: Delirium is common in older emergency department (ED) patients. Although associated with significant morbidity and mortality, it often goes unrecognized. A consistent approach to evaluation of mental status, including use of validated tools, is key to ... ...

    Abstract Delirium is common in older emergency department (ED) patients. Although associated with significant morbidity and mortality, it often goes unrecognized. A consistent approach to evaluation of mental status, including use of validated tools, is key to diagnosing delirium. Identification of the precipitating event requires thorough evaluation, including detailed history, medication reconciliation, physical examination, and medical work-up, for causes of delirium. Management is aimed at identifying and treating the underlying cause. Meaningful improvements in delirium care can be achieved when prevention, identification, and management of older delirious ED patients is integrated by physicians and corresponding frameworks implemented at the health system level.
    MeSH term(s) Aged ; Antipsychotic Agents/therapeutic use ; Benzodiazepines/therapeutic use ; Causality ; Delirium/diagnosis ; Delirium/etiology ; Delirium/therapy ; Drug-Related Side Effects and Adverse Reactions ; Emergency Service, Hospital ; Humans ; Medical History Taking ; Medication Reconciliation ; Neuropsychological Tests ; Physical Examination ; Psychomotor Agitation ; Restraint, Physical
    Chemical Substances Antipsychotic Agents ; Benzodiazepines (12794-10-4)
    Language English
    Publishing date 2021-03-11
    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.2020.12.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1919: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Genitourinary Emergencies in Older Adults.

    Soria, Nicole / Khoujah, Danya

    Emergency medicine clinics of North America

    2021  Volume 39, Issue 2, Page(s) 361–378

    Abstract: Older adults are frequently seen in the emergency department for genitourinary complaints, necessitating that emergency physicians are adept at managing a myriad of genitourinary emergencies. Geriatric patients may present with acute kidney injury, ... ...

    Abstract Older adults are frequently seen in the emergency department for genitourinary complaints, necessitating that emergency physicians are adept at managing a myriad of genitourinary emergencies. Geriatric patients may present with acute kidney injury, hematuria, or a urinary infection and aspects of how managing these presentations differs from their younger counterparts is emphasized. Older adults may also present with acute urinary retention or urinary incontinence as a result of genitourinary pathology or other systemic etiologies. Finally, genital complaints as they pertain to older adults are briefly highlighted with emphasis on emergent management and appropriate referrals.
    MeSH term(s) Aged ; Anti-Bacterial Agents/therapeutic use ; Asymptomatic Diseases ; Elder Abuse/diagnosis ; Emergencies ; Female ; Female Urogenital Diseases/diagnosis ; Female Urogenital Diseases/etiology ; Female Urogenital Diseases/therapy ; Humans ; Male ; Male Urogenital Diseases/diagnosis ; Male Urogenital Diseases/etiology ; Male Urogenital Diseases/therapy ; Medical History Taking ; Medication Reconciliation ; Physical Examination ; Urinalysis
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2021-03-11
    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.2021.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1919: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: The geriatric emergency literature 2019.

    Khoujah, Danya / Cimino-Fiallos, Nicole

    The American journal of emergency medicine

    2020  Volume 38, Issue 9, Page(s) 1834–1840

    Abstract: Geriatric Emergency Medicine is an important frontier for study and innovation by emergency practitioners. The rapid growth of this patient population combined with complex medical and social needs has prompted research ranging from which tests and ... ...

    Abstract Geriatric Emergency Medicine is an important frontier for study and innovation by emergency practitioners. The rapid growth of this patient population combined with complex medical and social needs has prompted research ranging from which tests and screening tools are most effective for geriatric evaluation to how we can safely manage pain in the elderly or address goals of care in the Emergency Department. This review summarizes emergency medicine articles focused on the older patient population published in 2019, which the authors consider critical to the practice of geriatric emergency medicine.
    MeSH term(s) Aged ; Bibliometrics ; Emergency Medicine ; Geriatrics ; Humans
    Language English
    Publishing date 2020-05-18
    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.2020.05.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2005: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Neurologic Emergencies at the Extremes of Age.

    Khoujah, Danya / Cobb, Megan J

    Emergency medicine clinics of North America

    2020  Volume 39, Issue 1, Page(s) 47–65

    Abstract: The diagnosis and management of neurologic conditions are more complex at the extremes of age than in the average adult. In the pediatric population, neurologic emergencies are somewhat rare and some may require emergent consultation. In older adults, ... ...

    Abstract The diagnosis and management of neurologic conditions are more complex at the extremes of age than in the average adult. In the pediatric population, neurologic emergencies are somewhat rare and some may require emergent consultation. In older adults, geriatric physiologic changes with increased comorbidities leads to atypical presentations and worsened outcomes. The unique considerations regarding emergency department presentation and management of stroke and altered mental status in both age groups is discussed, in addition to seizures and intracranial hemorrhage in pediatrics, and Parkinson's disease and meningitis in the geriatric population.
    MeSH term(s) Acute Disease ; Age Factors ; Aged ; Child ; Dementia/diagnosis ; Dementia/therapy ; Emergencies ; Emergency Service, Hospital ; Humans ; Intracranial Hemorrhages/diagnosis ; Intracranial Hemorrhages/therapy ; Meningitis/diagnosis ; Meningitis/therapy ; Nervous System Diseases/diagnosis ; Nervous System Diseases/therapy ; Parkinson Disease/diagnosis ; Parkinson Disease/therapy ; Seizures/diagnosis ; Seizures/therapy ; Stroke/diagnosis ; Stroke/therapy
    Language English
    Publishing date 2020-11-05
    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.2020.09.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1919: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Ferritin, fever, and frequent visits: Hyperferritinemic syndromes in the emergency department.

    Annous, Youssef / Manning, Sara / Khoujah, Danya

    The American journal of emergency medicine

    2021  Volume 48, Page(s) 249–254

    Abstract: Fever of unknown origin (FUO) is defined as persistent fevers without an identifiable cause despite extensive medical workup. Emergency physicians caring for patients reporting a persistent, nonspecific, febrile illness should carefully consider ... ...

    Abstract Fever of unknown origin (FUO) is defined as persistent fevers without an identifiable cause despite extensive medical workup. Emergency physicians caring for patients reporting a persistent, nonspecific, febrile illness should carefully consider potentially serious non-infectious causes of FUO. We present a case of a 35-year-old man who presented to the emergency department (ED) three times over a 10-day period for persistent febrile illness and was ultimately diagnosed with Adult-Onset Still's Disease (AOSD) after a serum ferritin level was found to be over 42,000 μg/L. AOSD, along with macrophage activation syndrome, catastrophic antiphospholipid syndrome, and septic shock comprise the four hyperferritinemic syndromes. These are potentially life-threatening febrile illnesses that characteristically present with elevated ferritin levels. In this article, we highlight the value of a serum ferritin level in the workup of a patient with prolonged febrile illness and its utility in facilitating early diagnosis and prompt treatment of hyperferritinemic syndromes in the ED.
    MeSH term(s) Adult ; Antiphospholipid Syndrome/blood ; Antiphospholipid Syndrome/complications ; Emergency Service, Hospital ; Fever of Unknown Origin/etiology ; Fever of Unknown Origin/physiopathology ; Humans ; Hyperferritinemia/blood ; Hyperferritinemia/etiology ; Macrophage Activation Syndrome/blood ; Macrophage Activation Syndrome/complications ; Male ; Shock, Septic/blood ; Shock, Septic/complications ; Still's Disease, Adult-Onset/blood ; Still's Disease, Adult-Onset/complications ; Still's Disease, Adult-Onset/diagnosis ; Still's Disease, Adult-Onset/physiopathology
    Language English
    Publishing date 2021-05-14
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.04.088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2005: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: The National Early Warning Score on admission predicts severe disease and in-hospital mortality of the coronavirus disease 2019 Delta variant: A retrospective cohort study.

    Endo, Takuro / Khoujah, Danya / Motohashi, Takako / Shinozaki, Tomohiro / Tsushima, Kenji / Fujitani, Shigeki / Shiga, Takashi

    Acute medicine & surgery

    2023  Volume 10, Issue 1, Page(s) e851

    Abstract: Background: Clinical risk scores are widely used in emergency medicine, and some studies have evaluated their use in patients with coronavirus disease 2019 (COVID-19). However, no studies have evaluated their use in patients with the COVID-19 Delta ... ...

    Abstract Background: Clinical risk scores are widely used in emergency medicine, and some studies have evaluated their use in patients with coronavirus disease 2019 (COVID-19). However, no studies have evaluated their use in patients with the COVID-19 Delta variant. We aimed to study the performance of four different clinical scores (National Early Warning Score [NEWS], quick Sequential Organ Failure Assessment [qSOFA], Confusion, Respiratory rate, Blood pressure, and Age ≥65 [CRB-65], and Kanagawa score) in predicting the risk of severe disease (defined as the need for intubation and in-hospital mortality) in patients with the COVID-19 Delta variant.
    Methods: This was a retrospective cohort study of patients hospitalized with suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Delta variant infection between June 1 and December 31, 2021. The primary outcomes were the sensitivity and specificity of the aforementioned clinical risk scores at admission to predict severe disease. Areas under the receiver operating characteristic curves (AUROCs) were compared between the clinical risk scores and we identified new cut-off points for all four scores.
    Results: A total of 249 adult patients were included, of whom 18 developed severe disease. A NEWS ≥7 at admission predicted severe disease with 72.2% sensitivity and 86.2% specificity. The NEWS (AUROC 0.88) was superior to both the qSOFA (AUROC 0.74) and the CRB-65 (AUROC 0.67), and there was no significant difference between the NEWS and Kanagawa score (AUROC 0.86).
    Conclusion: The NEWS at hospital admission predicted the severity of the COVID-19 Delta variant with high accuracy.
    Language English
    Publishing date 2023-05-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2751184-4
    ISSN 2052-8817 ; 2052-8817
    ISSN (online) 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.851
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Preface.

    Anderson, Robert S / Magidson, Phillip D / Khoujah, Danya

    Emergency medicine clinics of North America

    2021  Volume 39, Issue 2, Page(s) xv–xvi

    MeSH term(s) Disease Management ; Emergencies/epidemiology ; Emergency Medical Services/methods ; Humans ; Incidence ; North America/epidemiology ; Periodicals as Topic
    Language English
    Publishing date 2021-03-09
    Publishing country United States
    Document type Editorial
    ZDB-ID 605637-4
    ISSN 1558-0539 ; 0733-8627
    ISSN (online) 1558-0539
    ISSN 0733-8627
    DOI 10.1016/j.emc.2021.02.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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