Medicine and Health Sciences Commons^™

Emergency Medicine Resident Identification Of Medication Safety Issues, Natalie E. Ebeling-Koning Do, Charles A. Soares Md, Gillian A. Beauchamp Md, Gavin C. Barr Jr. Md, Terrence E. Goyke Do, Shawn M. Quinn Do, Kevin Weaver D.O.,Facoep, Dawn M. Yenser C-Tagme, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Feasibility Of Implementing A Street Medicine Program To Deliver Naloxone Kits And Associated Education, Gillian A. Beauchamp Md, Lexis Laubach Bs, Hoonani M. Cuadrado Mspas, Pa-C, Seth A. Campbell Pa-C, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Jennifer E. Macfarlan Mph, Chase Jones Do, Aaron Fedor Do, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md

Department of Emergency Medicine

No abstract provided.

Evali During The Covid-19 Pandemic: A Needle In The Ground Glass, Derek J. Fikse Do, Matthew Nimmo Do, Alexandra Amaducci Do, Kenneth D. Katz Md

Department of Emergency Medicine

No abstract provided.

Interventions To Reduce Emergency Department Demand During A Pandemic, Cynthia Wang Bs, Bryan G. Kane Md, Jason L. Forgeon Md, Justin Giordano Do, Armando Orta Md, Richard S. Mackenzie Md

Department of Emergency Medicine

No abstract provided.

Spontaneous Tumor Lysis Syndrome In An Adenocarcinoma Of Unknown Origin., Joshua A. Kalter Ms3, Jamie Allen Do, Yuchen Yang Do, Tyler Willing Do, Elizabeth M. Evans Do

Department of Emergency Medicine

Spontaneous tumor lysis syndrome (STLS) is a rare oncologic emergency caused by massive cancer cell lysis or necrosis without a precipitating factor. Although tumor lysis syndrome (TLS) is most commonly associated with hematologic malignancies, a small number of cases in solid tumor malignancies have been reported. We present a case of spontaneous tumor lysis syndrome in a 77-year-old female with a widely metastatic, poorly differentiated adenocarcinoma of unknown origin. She presented in distributive shock, and laboratory testing at admission revealed acute renal failure, high anion gap metabolic acidosis, hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia. Rasburicase and continuous renal replacement therapy were …

Fat Embolism Syndrome As The Presenting Syndrome Of Undiagnosed Sickle Cell Disease In A Middle-Aged Adult, Jamie Allen Do, Osman Z. Abbasi Do, Louis Morolla Do, Andres Zirlinger Md, Jeffrey M. Gesell Do, Benjamin Lin Ms

Department of Emergency Medicine

No abstract provided.

Concurrent Primary Cardiac Tumors In A High Risk Patient Presenting With Tamponade, Joseph B. Zackary Md, Lauren Crowley Ba, Shawn M. Quinn Do, Timothy S. Misselbeck

Department of Emergency Medicine

No abstract provided.

Physician Directed Smoking Cessation In The Ed: Do Patients Opt-Out?, Ali S. Aziz Bs, Natalie M. Greco Md, Timothy J. Batchelor Md, Andrew H F Miller Do, Theodore Doherty Do, Robert Kruklitis Md, Phd, Lauren Crowley Ba, Edward W. Casey Rph, Mba, Elizabeth A. Maclean Pharmd, Phd, Joann B. Trainer Pharmd, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, Phillip M. Grenz Do, Mikayla B. Hurwitz Bs, Cody R. Mcwhirter Bs, Lexis Laubach Bs, Gillian A. Beauchamp Md, Judith Sabino Mph, Cdp, Beth Careyva M.D., Matthew D. Cook Do, Marna R. Greenberg Do, Mph, Facep, Robert D. Cannon Do, Ryan M Surmaitis Do

Department of Emergency Medicine

No abstract provided.

Using The Qsat To Generate Multi-Source Feedback On An In-Situ Pediatric Simulation Case, Michael C. Nguyen Md, Nicole Elliott Do, Matthew D. Cook Do, Diane Begany Md, Zachary Matuzsan Do, Louis Morolla Do, Suzanne S. Partington Msn, Rn, Ccrn, Jennifer E. Macfarlan Mph, Michael Jong Md, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Qualitative Analysis Of Emergency Medicine Resident Logged Patient Safety Observations, Bryan G. Kane Md, Jon D. Raso Bs, David M. Richardson Md, Kevin Weaver D.O.,Facoep, John W. Daubert Do, Rafay A. Khan Do, Claire L. Paulson Do, Dawn M. Yenser

Department of Emergency Medicine

No abstract provided.

Sex-Specific Outcomes In A Substance Use Intervention Program., Alexandra Amaducci, Marna R. Greenberg Do, Mph, Facep, Andrew W. Sheen Do, Hanna R. Warren Do, Pratik M. Parikh Do, Paige Roth Lsw, Kevin Weaver D.O.,Facoep, David M. Richardson Md, David B. Burmeister Do, Facep, Cpe, Jennifer Stephens Do, Robert D. Cannon Do

Department of Emergency Medicine

PURPOSE: We performed an emergency department (ED)-based substance use screening, motivational interview-based intervention, and treatment referral program with the goal of determining sex-specific outcomes. Specifically, in this quality improvement project, we aimed to determine whether there was a difference among sexes in the type of substances used; the frequency of positive screening results for substance use disorder; agreeing to an intervention; the type of follow-up evaluation, participation, and referral; and attempts to change substance use after intervention.

METHODS: We prospectively studied a convenience sample of patients at 3 hospitals in Northeastern Pennsylvania from May 2017 through February 2018. Inclusion criteria …

Hour Prediction Rule - Letter To The Editor., Andrew L. Koons Do, Robert D. Cannon Do, Facmt, Gillian A. Beauchamp Md, Kenneth D. Katz Md, Matthew D. Cook Do, Ryan M. Surmaitis Do

Department of Emergency Medicine

In a recent issue of Academic Emergency Medicine, we read with interest the article titled: Hospital Observation Upon Reversal (HOUR) with Naloxone: A Prospective Clinical Prediction Rule Validation Study by Clemency et al. In order to avoid over-reliance on this decision rule and possible untoward effects of early discharge, we feel that there are some key points worth considering in this regard. It is important to note that the average dose of prehospital naloxone was 3.1mg, which was administered intranasally (IN) in 85% of the patients. This fact was briefly discussed in the paper in terms of area under the …

Overcoming Brick And Mortar: Feasibility Of Implementation Of A Mat And Linkage To Treatment Program By Leveraging Community Partnerships, Gillian A. Beauchamp Md, Priyanka Lauber Do, Jamie Allen Do, Nathan Boateng Ba, Samantha A. Shaak Phd, Paige Roth Msw, Lsw, Crs, Lexis Laubach Bs, Lauren M. Crowley Ba, David B. Burmeister Do, Facep, Cpe, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

Feasibility Of Implementation Of An Emergency Department Discharge Opioid Taper Protocol, Gillian A. Beauchamp Md, Joshua Rosentel Bsn, Rn, Erin Farber Do, Joseph Levi Do, Dpt, Lexis Laubach Bs, Lauren Crowley Ba, Richard S. Mackenzie Md, Mboe, David M. Richardson Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

Acute Fondaparinux (Arixtra) Intentional Overdose Via Self-Injection: A Case Report, Andrew L. Koons Do, Kenneth D. Katz Md, Matthew D. Cook Do, Robert D. Cannon Do, Gillian A. Beauchamp Md, Ryan M. Surmaitis Do

Department of Emergency Medicine

No abstract provided.

Beware Of Barbiturates: Coma And Hypothermia In A 94-Year-Old Woman Due To Combined Secobarbital And Pentobarbital Toxicity, Andrew L. Koons Do, Amy Wier Do, Kenneth D. Katz Md, Matthew D. Cook Do, Robert D. Cannon Do, Gillian A. Beauchamp Md, Ryan M. Surmaitis Do

Department of Emergency Medicine

No abstract provided.

Hallway Bed Status Is Associated With Lower Patient Satisfaction, Max Needham Ba, Kathryn B. Bartlett Do, Akshay Gupta Do, John J. Scholz Do, Jennifer Sadowski Do, Bryan G. Kane Md, Jeanne L. Jacoby Md, Marna R. Greenberg Do, Mph, Facep, David M. Richardson Md

Department of Emergency Medicine

No abstract provided.

A Case Of Creutzfeldt-Jakob Disease Presenting With Depression And Anxiety, Kathryn B. Bartlett Do, Kathleen E. Kane Md, Bryan G. Kane Md, Kevin Weaver D.O.,Facoep, Gavin C. Barr Jr. Md

Department of Emergency Medicine

No abstract provided.

Sex Specific Outcomes Of An Ed Stopping Elderly Accidents, Deaths, And Injuries (Ed-Steadi) Program, Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Victoria Goodheart Do, Alexander Youngdahl Do, Ryan Day Md, Danielle Collins Md, Lauren Crowley Ba, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Using The Qsat To Generate Multi-Source Feedback On An In-Situ Pediatric Simulation Case, Michael C. Nguyen Md, Nicole Elliott Do, Michael R. Jong Md, Msc, Suzanne S. Puentes Bsn, Ccrn, Rn, Diane Begany Md, Matthew D. Cook Do, Louis Morolla Do, Zachary Matuzsan Do, Jennifer E. Macfarlan Mph, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Safety Oriented, Low-Cost Peritonsillar Abscess Needle Aspiration Model For Emergency Medicine Simulation, Anne Mai Bs, Julie A. Fritzges Do, Gavin C. Barr Jr. Md, Marna R. Greenberg Do, Mph, Facep, Smeet Bhimani Do

Department of Emergency Medicine

No abstract provided.

A Case Report Of Massive Acetaminophen Poisoning Treated With A Novel “Triple Therapy”: N-Acetylcysteine, 4-Methylpyrazole, And Hemodialysis, Emily A. Kiernan Do, Julie A. Fritzges Do, Kathryn Henry Do, Kenneth D. Katz Md

Department of Emergency Medicine

Massive acetaminophen (N-acetyl-p-aminophenol; APAP) ingestion is characterized by a rapid onset of mitochondrial dysfunction, including metabolic acidosis, lactemia, and altered mental status without hepatotoxicity which may not respond to the standard doses of N-acetylcysteine (NAC). A 64-year-old woman without medical history presented comatose after an ingestion of 208 tablets of Tylenol PM™ (APAP 500 mg and diphenhydramine 25 mg). The initial APAP concentration measured 1,017 µg/mL (therapeutic range 10-30 µg/mL), and elevated anion gap metabolic acidosis, lactemia, and 5-oxoprolinemia were detected. High-dose intravenous (IV) NAC, 4-methylpyrazole (4-MP), and hemodialysis (HD) were initiated. She was transferred to a liver …

Lamotrigine Odt-Induced Seizure In A 3-Year-Old Child After Accidental Ingestion, Ashley Griswold Do, Briana Tully, Kenneth D. Katz Md, Gillian A. Beauchamp Md, Matthew D. Cook Do, Robert D. Cannon Do

Department of Emergency Medicine

Lamotrigine is a new generation antiepileptic which blocks sodium channels and can cause significant toxicity in overdose. A case of a three-year-old child who suffered a seizure and required endotracheal intubation after accidental lamotrigine ingestion is presented. The lamotrigine concentration measured 23.2 mcg/mL which is the highest reported after accidental pediatric exposure. A review of the literature regarding pediatric lamotrigine poisoning is also included.

Comparative Success Of A Substance Use Intervention Between Providers, Pratik M. Parikh Do, Erica K. Mason Do, Hillary H. Ward Do, Hanna R. Warren Do, Paige Roth Msw, Lsw, Crs, Manuel F. Colón Bs, David B. Burmeister Do, Mba, Cpe, Facep, Jennifer Stephens Do, Facp, David M. Richardson Md, Marna R. Greenberg Do, Mph, Facep, Robert D. Cannon Do

Department of Emergency Medicine

No abstract provided.

Medical Student Brief Motivational Interviewing For Substance Use In The Emergency Department, Alanna M. Balbi Bs, Anthony E. Gak Ms, Esther S. Kim Ba, Tennessee D. Park Ba, Joann F. Quinn Phd, Mba, Manuel F. Colón Bs, Paige Roth Msw, Lsw, Crs, Kevin R. Weaver Do,Facoep, David M. Richardson Md, Robert D. Cannon Do, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

Sex Specific Outcomes In A Substance Use Intervention Program, Alexandra M. Amaducci Do, Ryan A. Anderson Do, Aaron S. Frey Do, Andrew W. Sheen Do, Manuel F. Colón Bs, Paige Roth Msw, Lsw, Crs, Jennifer Stephens Do, Facp, Kevin R. Weaver D.O.,Facoep, David B. Burmeister Do, Mba, Cpe, Facep, Marna R. Greenberg Do, Mph, Facep, Robert D. Cannon Do

Department of Emergency Medicine

No abstract provided.

Reducing Substance Use By An Emergency Department Intervention, Matthew D. Marschall Do, Smeet Bhimani Do, Rachel Fieman Md, Derek J. Fikse Do, Paige Roth Lsw, Jennifer Stephens Do, Manuel F. Colón Bs, Kevin Weaver D.O.,Facoep, David M. Richardson Md, Marna R. Greenberg Do, Mph, Facep, Robert D. Cannon Do

Department of Emergency Medicine

No abstract provided.

Sex Differences In Poisonings Among Older Adults: An Analysis Of The Toxicology Investigators Consortium (Toxic) Registry, 2010 To 2016., Gillian A. Beauchamp Md, Jennifer L. Carey Md, Tyler Adams Bs, Amy Wier, Manuel F. Colón Bs, Matthew D. Cook Do, Robert D. Cannon Do, Kenneth D. Katz Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

PURPOSE: Adults aged >65 years are susceptible to intentional and unintentional poisoning, with contributing factors that include polypharmacy, comorbidity, susceptibility to medication error, and gaps in research. Although toxicologists are often tasked with managing and preventing poisoning among older adults, little is known about sex differences in these poisonings. The aim of this study was to review sex differences in poisonings among older adults managed at the bedside by medical toxicologists.

METHODS: All case subjects aged >65 years in the Toxicology Investigators Consortium (ToxIC) registry between January 2010 and December 2016 were reviewed. Data included reasons for exposure and consultation, …