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Ann Emerg Med [JOURNAL]

Sun 200 papers

Doppler Ultrasound for Arterial Pulsatility in Cardiac Arrest: Early Promise and Cautious Steps Forward.

Dong W, Lv Z, Lu S

Ann Emerg Med · 2026 Apr · PMID 41864653 · Publisher ↗

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Ketamine Versus Etomidate in Rapid Sequence Intubation: What Difference Would Convince You?: April 2026 Annals of Emergency Medicine Journal Club.

Freeman B, Bukvic A, Swaminathan AK

Ann Emerg Med · 2026 Apr · PMID 41864652 · Publisher ↗

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Pregnant in the Pit.

Hill-Yeterian S

Ann Emerg Med · 2026 Apr · PMID 41864651 · Publisher ↗

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"Comet Tail" Artifacts in the Gastric Wall.

Xu C, Zhou X, Xu Z … +1 more , Chen B

Ann Emerg Med · 2026 Apr · PMID 41864650 · Publisher ↗

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Man With Recurrent Polyarthralgia.

Kohen B, Alpizar A, Stein S … +1 more , Melnitsky L

Ann Emerg Med · 2026 Apr · PMID 41864649 · Publisher ↗

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Woman With Chest Discomfort.

Garcia Hernandez M, Garcia ECM

Ann Emerg Med · 2026 Apr · PMID 41864648 · Publisher ↗

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A Boy With Ulcerated Lips.

Wang CH, Chi H

Ann Emerg Med · 2026 Apr · PMID 41864647 · Publisher ↗

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Man With Respiratory Failure.

Chen CC

Ann Emerg Med · 2026 Apr · PMID 41864646 · Publisher ↗

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Ocular Ultrasound of a Young Man With Vision Loss.

Soetan N, Murray D, Simotas A

Ann Emerg Med · 2026 Apr · PMID 41864645 · Publisher ↗

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A Man With Syncope.

Lye AHM, Saclolo R, Lee CH … +2 more , Chan WH, Ang JS

Ann Emerg Med · 2026 Apr · PMID 41864644 · Publisher ↗

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Man With Massive Pleural Effusion.

Chakrabarty R, Chitale A, Fakhouri JA … +2 more , Checchi K, Schindlbeck M

Ann Emerg Med · 2026 Apr · PMID 41864643 · Publisher ↗

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COMMENTARY.

LoVecchio F

Ann Emerg Med · 2026 Apr · PMID 41864642 · Publisher ↗

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Thrombolytics Should Not Be Given to Acute Ischemic Stroke Patients on Factor Xa Inhibitors.

Gilbert BW, Brown CS

Ann Emerg Med · 2026 Apr · PMID 41864641 · Publisher ↗

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Thrombolytics Can Be Used in Selected Patients With Acute Ischemic Stroke Taking Factor Xa Inhibitors.

Rech MA, Gottlieb M

Ann Emerg Med · 2026 Apr · PMID 41864640 · Publisher ↗

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Chest Pain With Subtle But Lifesaving ECG Findings.

Hamm RS, Meyers HP, Smith SW

Ann Emerg Med · 2026 Apr · PMID 41864639 · Publisher ↗

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Unexpected Pauses.

Gutierrez SA, Brenner DS

Ann Emerg Med · 2026 Apr · PMID 41864638 · Publisher ↗

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Intraosseous Access Should Be Prioritized Over Intravenous Access in Cardiac Arrest.

Schauer SG, Hudson IL, April MD

Ann Emerg Med · 2026 Apr · PMID 41864637 · Publisher ↗

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Intravenous Access Should Be Prioritized Over Intraosseous Access in Cardiac Arrest.

Alindogan A, Long B, Gottlieb M

Ann Emerg Med · 2026 Apr · PMID 41864636 · Publisher ↗

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Early Clinical Deterioration Among Emergency Department Boarders: A Retrospective Analysis.

Rizer NW, Klein E, Copenhaver MS … +3 more , Zhao X, Kelen GD, Hinson JS

Ann Emerg Med · 2026 Jun · PMID 41860510 · Publisher ↗

STUDY OBJECTIVE: To define the incidence and identify factors associated with early clinical deterioration among patients boarding in the emergency department (ED). METHODS: We conducted a retrospective study of adult ED... STUDY OBJECTIVE: To define the incidence and identify factors associated with early clinical deterioration among patients boarding in the emergency department (ED). METHODS: We conducted a retrospective study of adult ED patients admitted to internal medicine or medicine subspecialty services at a floor level of care who boarded between 4 and 48 hours within a 5-hospital academic health system from January 2018 to June 2024. Early deterioration was any escalation from floor to intermediate or intensive level of care within 48 hours of admission order. Logistic regression models were employed to estimate adjusted odds ratios (aOR). Covariates included boarding time, demographics, comorbidities, vital signs, laboratory values, ED and hospital census, overnight admission, and socioeconomic status. RESULTS: Among 173,168 consecutive encounters meeting enrollment criteria, 6,299 (3.6%) experienced deterioration; 2,823 (45%) occurred while still in the ED. Median boarding time was 12.5 hours (interquartile range [IQR]: 8.2 to 20.7 hours) for those with deterioration versus 10.2 hours (IQR: 6.9 to 18.3) for those without. Boarding duration was associated with deterioration both overall (aOR: 1.17, 95% confidence interval [CI] 1.10 to 1.24) and deterioration occurring in the ED (aOR 1.58, 95% CI 1.46 to 1.71) with a 0.8% and 2.4% increased relative risk for each excess hour of boarding, respectively. Other independent predictors included care at an academic safety-net hospital (aOR 2.41; 95% CI 2.17 to 2.67), overnight admission (aOR 1.29; 95% CI 1.21 to 1.38), and elevated lactate (aOR 1.93; 95% CI 1.72 to 2.17). The 28-day mortality rate was higher in patients experiencing deteriorations (13.0% vs 3.9%, OR 3.66, 95% CI 3.38 to 3.96). CONCLUSIONS: Early clinical deterioration occurs with a meaningful frequency among ED boarders. Boarding duration was independently associated with increased odds of early clinical deterioration, an event known to increase morbidity and mortality. These data underscore the considerable patient safety risks inherent to boarding.

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Does the Addition of Subcutaneous Basal Insulin Administration Safely Improve Outcomes of Diabetic Ketoacidosis Compared With Intravenous Insulin Infusion Alone?

Obadi O, Bermudez ES, Long B

Ann Emerg Med · 2026 Mar · PMID 41860509 · Publisher ↗

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