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  1. Article ; Online: Fluid volumes in adults with sepsis.

    Long, Brit / Gottlieb, Michael

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2024  

    Language English
    Publishing date 2024-04-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14912
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  2. Article ; Online: Adjunctive Corticosteroids for Severe Community-Acquired Pneumonia.

    Long, Brit / Gottlieb, Michael

    American family physician

    2024  Volume 108, Issue 6, Page(s) Online

    MeSH term(s) Humans ; Adrenal Cortex Hormones/therapeutic use ; Pneumonia/drug therapy ; Community-Acquired Infections/drug therapy
    Chemical Substances Adrenal Cortex Hormones
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412694-4
    ISSN 1532-0650 ; 0002-838X ; 0572-3612
    ISSN (online) 1532-0650
    ISSN 0002-838X ; 0572-3612
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  3. Article ; Online: Extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest.

    Long, Brit / Gottlieb, Michael

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2024  Volume 31, Issue 2, Page(s) 190–192

    MeSH term(s) Humans ; Out-of-Hospital Cardiac Arrest/therapy
    Language English
    Publishing date 2024-01-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14844
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  4. Article ; Online: Emergency medicine updates: Lower gastrointestinal bleeding.

    Long, Brit / Gottlieb, Michael

    The American journal of emergency medicine

    2024  Volume 81, Page(s) 62–68

    Abstract: Introduction: Lower gastrointestinal bleeding (LGIB) is a condition commonly seen in the emergency department. Therefore, it is important for emergency medicine clinicians to be aware of the current evidence regarding the diagnosis and management of ... ...

    Abstract Introduction: Lower gastrointestinal bleeding (LGIB) is a condition commonly seen in the emergency department. Therefore, it is important for emergency medicine clinicians to be aware of the current evidence regarding the diagnosis and management of this disease.
    Objective: This paper evaluates key evidence-based updates concerning LGIB for the emergency clinician.
    Discussion: LGIB is most commonly due to diverticulosis or anorectal disease, though there are a variety of etiologies. The majority of cases resolve spontaneously, but patients can have severe bleeding resulting in hemodynamic instability. Initial evaluation should focus on patient hemodynamics, the severity of bleeding, and differentiating upper gastrointestinal bleeding from LGIB. Factors associated with LGIB include prior history of LGIB, age over 50 years, and presence of blood clots per rectum. Computed tomography angiography is the imaging modality of choice in those with severe bleeding to diagnose the source of bleeding and guide management when embolization is indicated. Among stable patients without severe bleeding, colonoscopy is the recommended modality for diagnosis and management. A transfusion threshold of 7 g/dL hemoglobin is recommended based on recent data and guidelines (8 g/dL in those with myocardial ischemia), though patients with severe bleeding and hemodynamic instability should undergo emergent transfusion. Anticoagulation reversal may be necessary. If bleeding does not resolve, embolization or endoscopic therapies are necessary. There are several risk scores that can predict the risk of adverse outcomes; however, these scores should not replace clinical judgment in determining patient disposition.
    Conclusions: An understanding of literature updates can improve the care of patients with LGIB.
    Language English
    Publishing date 2024-04-21
    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.2024.04.022
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  5. Article ; Online: Trauma in pregnancy: A narrative review of the current literature.

    April, Michael D / Long, Brit

    The American journal of emergency medicine

    2024  Volume 81, Page(s) 53–61

    Abstract: Introduction: Trauma accounts for nearly half of all deaths of pregnant women. Pregnant women have distinct physiologic and anatomic characteristics which complicate their management following major trauma.: Objective: This paper comprises a ... ...

    Abstract Introduction: Trauma accounts for nearly half of all deaths of pregnant women. Pregnant women have distinct physiologic and anatomic characteristics which complicate their management following major trauma.
    Objective: This paper comprises a narrative review of the most recent literature informing the management of pregnant trauma patients.
    Discussion: The incidence of trauma during pregnancy is 6-8%. The focus of clinical assessment must be on the mother, starting with the primary survey. During airway management, clinicians should consider early intubation if necessary and utilize gastric tubes to minimize the risk of aspiration. Pregnant women experience progesterone-mediated hyperventilation, and normal PaCO2 levels may portend imminent respiratory failure. Clinicians should utilize left lateral tilt in hypotensive pregnant women to displace the uterus off the inferior vena cava. Ultrasonography is an attractive imaging modality for pregnant women which is specific for ruling in intraabdominal hemorrhage but not sufficiently sensitive to exclude this diagnosis. Clinicians should not hesitate to order computed tomography imaging in unstable patients if there is diagnostic ambiguity. Cardiotocographic monitoring simultaneously assesses uterine contractions and fetal heart rate and should last at least 4 h for pregnant women following even minor abdominal trauma if their fetus has achieved viable gestational age (approximately 24 weeks). In the event of cardiac arrest, peri-mortem cesarean section may improve outcomes for the mother and fetus alike. Unique specific complications include uterine rupture and placental abruption, which require emergent resuscitation and obstetrics consultation for definitive management. Emergency clinicians should maintain a low threshold for transfer to a tertiary care center given correlations between even isolated and relatively minor traumatic injuries with adverse fetal and maternal outcomes.
    Conclusions: Trauma is a common cause of morbidity and mortality in pregnant women. Emergency clinicians must understand the evaluation and management of pregnant trauma patients.
    Language English
    Publishing date 2024-04-20
    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.2024.04.029
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  6. Article ; Online: Low-dose chest CT had 95% sensitivity and 91% specificity for diagnosing COVID-19 in patients with clinical symptoms.

    Long, Brit

    Annals of internal medicine

    2020  Volume 173, Issue 12, Page(s) JC68

    Abstract: Source citation: Schulze-Hagen M, Hübel C, Meier-Schroers M, et al. ...

    Abstract Source citation: Schulze-Hagen M, Hübel C, Meier-Schroers M, et al.
    MeSH term(s) Aged ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19 Testing/methods ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Pandemics ; ROC Curve ; Radiography, Thoracic/methods ; SARS-CoV-2 ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2020-12-14
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Multicenter Study
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/ACPJ202012150-068
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  7. Article ; Online: Managing Peritonsillar Abscess.

    Long, Brit / Gottlieb, Michael

    Annals of emergency medicine

    2023  Volume 82, Issue 1, Page(s) 101–107

    MeSH term(s) Humans ; Peritonsillar Abscess/diagnostic imaging ; Peritonsillar Abscess/surgery ; Drainage
    Language English
    Publishing date 2023-01-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2022.10.023
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  8. Article: Nonconvulsive Status Epilepticus: A Review for Emergency Clinicians.

    Long, Brit / Koyfman, Alex

    The Journal of emergency medicine

    2023  Volume 65, Issue 4, Page(s) e259–e271

    Abstract: Background: Status epilepticus is associated with significant morbidity and mortality and is divided into convulsive status epilepticus and nonconvulsive status epilepticus (NCSE).: Objective: This review provides a focused evaluation of NCSE for ... ...

    Abstract Background: Status epilepticus is associated with significant morbidity and mortality and is divided into convulsive status epilepticus and nonconvulsive status epilepticus (NCSE).
    Objective: This review provides a focused evaluation of NCSE for emergency clinicians.
    Discussion: NCSE is a form of status epilepticus presenting with prolonged seizure activity. This disease is underdiagnosed, as it presents with nonspecific signs and symptoms, most commonly change in mental status without overt convulsive motor activity. Causes include epilepsy, cerebral pathology or injury, any systemic insult such as infection, and drugs or toxins. Mortality is primarily related to the underlying condition. Patients most commonly present with altered mental status, but other signs and symptoms include abnormal ocular movements and automatisms such as lip smacking or subtle motor twitches in the face or extremities. The diagnosis is divided into electrographic and electroclinical, and although electroencephalogram (EEG) is recommended for definitive diagnosis, emergency clinicians should consider this disease in patients with prolonged postictal state after a seizure with no improvement in mental status, altered mental status with acute cerebral pathology (e.g., stroke, hypoxic brain injury), and unexplained altered mental status. Assessment includes laboratory evaluation and neuroimaging with EEG. Management includes treating life-threatening conditions, including compromise of the airway, hypoglycemia, hyponatremia, and hypo- or hyperthermia, followed by rapid cessation of the seizure activity with benzodiazepines and other antiseizure medications.
    Conclusions: An understanding of the presentation and management of NCSE can assist emergency clinicians in the care of these patients.
    Language English
    Publishing date 2023-06-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2023.05.012
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  9. Article ; Online: Direct oral anticoagulants versus conventional anticoagulants for deep vein thrombosis.

    Long, Brit / Gottlieb, Michael

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2023  Volume 30, Issue 9, Page(s) 974–976

    MeSH term(s) Humans ; Anticoagulants/adverse effects ; Pulmonary Embolism/drug therapy ; Venous Thromboembolism/drug therapy ; Venous Thrombosis/drug therapy ; Administration, Oral
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2023-06-23
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14763
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  10. Article ; Online: Thyrotoxicosis.

    Inman, Brannon L / Long, Brit

    Emergency medicine clinics of North America

    2023  Volume 41, Issue 4, Page(s) 759–774

    Abstract: Hyperthyroidism is a diagnosis existing along a spectrum of severity. Patients present with a variety of signs and symptoms: tachycardia, elevated heart rate, anxiety, changes in mental status, gastrointestinal disturbances, and hyperthermia. Management ... ...

    Abstract Hyperthyroidism is a diagnosis existing along a spectrum of severity. Patients present with a variety of signs and symptoms: tachycardia, elevated heart rate, anxiety, changes in mental status, gastrointestinal disturbances, and hyperthermia. Management of subclinical hyperthyroidism and thyrotoxicosis without thyroid storm is heavily dependent on outpatient evaluation. Thyroid storm is the most severe form of hyperthyroidism with the highest mortality. Management of thyroid storm follows a stepwise approach, with resuscitation and detection of the precipitating cause being paramount. Special attention should be paid to cardiac function in patients with thyroid storm before treatment, as these patients may develop cardiac collapse.
    MeSH term(s) Humans ; Thyroid Crisis/therapy ; Thyroid Crisis/drug therapy ; Thyrotoxicosis/diagnosis ; Thyrotoxicosis/therapy
    Language English
    Publishing date 2023-07-28
    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.2023.06.005
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