Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, Professor, Department of Emergency Medicine, is among the authors of the American College of Emergency Physicians clinical policy, “Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache” (full text available), recently published in the Annals of Emergency Medicine. The policy is based on a systematic review of the literature to derive evidence-based recommendations, with evidence graded and recommendations made based on the strength of the available data.
Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, Professor, Department of Emergency Medicine, is among the authors of the article, “Survival Associated With Sirolimus Plus Tacrolimus Maintenance Without Induction Therapy Compared With Standard Immunosuppression After Lung Transplant” (full text available) published in JAMA Network Open. Their objective was to compare survival between patients receiving sirolimus plus tacrolimus vs mycophenolate mofetil plus tacrolimus (the most common maintenance therapy) and to identify the combination of induction and maintenance therapy associated with the highest survival. They found that sirolimus plus tacrolimus was associated with improved patient survival after lung transplant compared with mycophenolate mofetil plus tacrolimus, and that no antibody induction therapy with sirolimus plus tacrolimus was associated with maximal survival.
Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, Professor, Department of Emergency Medicine, is among the authors of the article, “Emergency Care Research Ethics in Low-Income and Middle-Income Countries” (full text available), published in BMJ Global Health. Their article examines the ethical and regulatory challenges to conducting emergency care research with human participants in low- and middle-income countries, presents potential solutions or frameworks for addressing these challenges, and identifies gaps.
Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, Professor, Department of Emergency Medicine, was among the authors of "Driving Behavior and Road Traffic Crashes Among Professional and Nonprofessional Drivers in South Egypt” (abstract available), which was published in the International Journal of Injury Control and Safety Promotion on July 8.
The authors aimed to investigate the correlates with driving behaviors and road traffic crashes (RTCs) among professional and nonprofessional drivers in South Egypt. They found that that professional drivers had more lapses, errors, and violations compared to nonprofessional drivers and female drivers were more likely to lapse than males. Driving lapses, errors, and violations did not significantly increase the risk of RTCs.
Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, Professor, and Laura Pimentel, MD, CPME, Clinical Professor, both from the Department of Emergency Medicine, were among the authors of the article, “Resource Utilization in Non-Academic Emergency Departments With Advanced Practice Providers” (full text available), which was published in the Western Journal of Emergency Medicine in July.
Their objectives were to compare resource utilization in emergency departments (EDs) that use advanced practice providers (APPs) in their staffing model with those that do not and to estimate costs associated with the utilized resources. They found that EDs staffing APPs were associated with modest increases in resource utilization as measured by admissions and imaging studies.
Mike Witting, MD, Professor; Mak Moayedi, MD, CDEM, Assistant Professor; Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, Professor; and Steve Schenkel, MD, Associate Professor, all from the Department of Emergency Medicine, were among the authors of “Predicting Failure of Intravenous Access in Adults: The Value of Prior Difficulty” (full text available), which was published in the Journal of Emergency Medicine in July.
Their objective was to validate prior need for an advanced technique to establish intravenous access as a predictor of failure to achieve access via traditional methods and to estimate the risk difference associated with this finding. They found that patients with a prior need for advanced techniques were 14% more likely to have failure of intravenous access by traditional methods than those without prior difficulty.
Kinjal Sethuraman, MD, MPH, is among the authors of the article, “Acute Direct Traumatic Optic Neuropathy Treated With Steroids, Minocycline and Hyperbaric Oxygen: A Case Report” (abstract available), recently published in Undersea and Hyperbaric Medicine. The authors describe the emergency management of a man who experienced acute vision loss diagnosed as direct traumatic optic neuropathy in his right eye (no light perception) after falling from a height. They conclude that immediate hyperbaric oxygen for ischemic and mechanical injury to the optic nerve following trauma is a therapeutic option.
Doug Sward, MD, and Kinjal Sethuraman, MD, MPH, are among the authors of the article, “Hyperbaric Oxygen Therapy for Perioperative Posterior Ischemic Optic Neuropathy: A Case Report” (abstract available), recently published in Undersea and Hyperbaric Medicine. The authors report on the successful treatment of postoperative posterior ischemic optic neuropathy (PION) with hyperbaric oxygen therapy and review the current literature on the pathogenesis and treatment of PION.
EM:RAP (Emergency Medicine Reviews and Perspectives) recently unveiled its revolutionary new online textbook, CorePendium, and the Department of Emergency Medicine contributed in a big way, with far more involvement in the text than any other emergency medicine program in the United States.
CorePendium’s content is enriched with podcasts, videos, and other media and there are plans for quarterly updates. As Mel Herbert, EM:RAP’s founder and CEO puts it in this introductory video, “CorePendium is the grand unified educational experience and textbook that we’ve been marching towards for nearly 20 years.”
Contributions from our faculty:
Amal Mattu, MD, co-editor in chief
Mike Winters, MD:
Semhar Tewelde, MD:
Laura Bontempo, MD:
Sarah Dubbs, MD:
Sara Manning, MD:
Mike Abraham, MS, section editor, Nervous System Disorders
Michael Bond, MD, section editor, Musculoskeletal Disorders
Ryan Spangler, MD, section editor, Renal and Urogenital Disorders
George Willis, MD, section editor, Endocrine and Metabolic Disorders
Victoria Hammond, MD:
David Gatz, MD, author, Dialysis and Renal Transplant Related Emergencies and Spinal Trauma chapters
Tu Nguyen, DO, author, Upper Gastrointestinal Disorders and Male Genitourinary Emergencies chapters
Neeraja Murali, DO, MPH, author, Appendicitis and Pancreatic Disease chapters
Kim Boswell, MD:
Jay Menaker, MD
Michele Callahan, MD, author, Sexual Assault Evaluation chapter
Joseph Martinez, MD, author, Mesenteric Ischemia chapter
Rupal Jain, MD, author, Ear Emergencies chapter
Siamak Moayedi, MD, co-author, Cardiac Pacing and HIV Post-Exposure Prophylaxis chapters
Kinjal Sethuraman, MD, MPH, co-author, Dental Trauma and Oral Cavity Infections chapters
Mercedes Torres, MD, co-author, Cardiac Pacing and HIV Post-Exposure Prophylaxis chapters
Mike Billet, MD, co-author, Seizures in Adults chapter
Elizabeth Clayborne, MD, co-author, Adrenal Emergencies chapter
Brent King, MD, co-author, Pediatric Resuscitation chapter
Jaron Santelli, MD, co-author, Tendinitis and Bursitis chapter
Bradford Schwartz, MD, co-author, Hemophilia and von Willebrand Disease chapter
Sarah Sommerkamp, MD, co-author, Infections of the Urogenital System chapter
R. Gentry Wilkerson, MD, co-author, Angioedema chapter
Jon Mark Hirshon, MD, MPH, FACEP, FAAEM, FACPM, is among the authors of the article, “Correlation Between the Revised Trauma Score and Injury Severity Score: Implications for Prehospital Trauma Triage” (abstract available), published in Prehospital Emergency Care. The objectives of their study were to:
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