Publications by authors named "Brit Long"
Introduction: Several life-threatening conditions associated with thrombosis include acute ischemic stroke (AIS), acute myocardial infarction (AMI), and acute pulmonary embolism (PE). Fibrinolytics are among the treatment algorithms for these conditions.
Objective: This narrative review provides emergency clinicians with an overview of fibrinolytics for AIS, AMI, and PE in the emergency department (ED) setting.
Background: Junctional hemorrhage is a leading cause of battlefield death. Multiple FDA-approved junctional tourniquet (JTQ) models demonstrate effective hemorrhage control in laboratory settings. However, there are few real-world use cases within the literature.
View Article and Find Full Text PDFIntroduction: Multiple myeloma (MM) and its complications carry a high rate of morbidity and mortality.
Objective: This review evaluates MM and its complications, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence.
Discussion: MM is the second most common hematologic cancer and associated with monoclonal plasma cell proliferation.
Introduction: High-pressure injection injury is a serious condition that carries with it a high rate of morbidity and mortality.
Objective: This review highlights the pearls and pitfalls of high-pressure injection injury, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence.
Discussion: High-pressure injection injuries are uncommon entities caused by powerful jet streams, typically from high-pressure liquid spraying machines capable of generating forces exceeding thousands of pounds per square inch (psi).
Article Synopsis
- Bariatric surgery can lead to serious complications that have high rates of morbidity and mortality, necessitating careful management in emergency settings.
- The article reviews various types of bariatric surgeries and their potential complications, emphasizing the importance of patient history and signs such as fever and persistent vomiting for diagnosis.
- Early consultation with a bariatric surgeon and appropriate imaging are critical for effective intervention and reducing risks associated with these complications.
Article Synopsis
- The study aimed to assess how multiple attempts at emergency airway intubation in the emergency department (ED) increase the risk of complications.
- An analysis of data from a multicenter registry showed that out of 15,079 intubation cases, complications occurred in 14% of patients, with hypoxia being the most common major issue.
- The results indicated that the odds of major complications significantly increased with each additional intubation attempt, emphasizing the need for effective airway management strategies.
Article Synopsis
- * The primary causes of MH include tuberculosis globally, with other common causes like bronchiectasis and lung cancer prevalent in the U.S.; rapid assessment and necessary interventions are vital to prevent deterioration in patients.
- * Effective management involves initial stabilization, airway assessment, correcting coagulation issues, advanced imaging through CT angiography, and collaboration with specialists in pulmonary and surgical fields to ensure patient safety and recovery.
Article Synopsis
- Lisfranc injuries, while uncommon, are often misdiagnosed and can lead to serious long-term issues if not treated promptly.
- These injuries can range from minor subluxations to severe fractures and may present with midfoot pain, swelling, or bruising, making immediate diagnosis crucial.
- Advanced imaging like CT scans is essential when initial x-rays are inconclusive, and collaboration with orthopedic surgery is necessary for proper management.
Introduction: Airway management including endotracheal intubation (ETI) is a key skill for emergency clinicians. Therefore, it is important for emergency clinicians to be aware of the current evidence regarding the identification and management of patients requiring ETI.
Objective: This paper evaluates key evidence-based updates concerning ETI for the emergency clinician.
Introduction: Ectopic pregnancy is a serious condition that can have significant morbidity and mortality.
Objective: This review highlights the pearls and pitfalls of ectopic pregnancy, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence.
Discussion: Ectopic pregnancy is a pregnancy that implants outside the normal uterine cavity.
Background: Vital signs are an essential component of the emergency department (ED) assessment. Vital sign abnormalities are associated with adverse events in the ED setting and may indicate a risk of poor outcomes after ED discharge.
Clinical Question: What is the risk of adverse events among adult patients with abnormal vital signs at the time of ED discharge?
Evidence Review: Studies retrieved included 6 retrospective studies with adult patients discharged from the ED.
Background: Alcohol use disorder is associated with a variety of complications, including alcohol withdrawal syndrome (AWS), which may occur in those who decrease or stop alcohol consumption suddenly. AWS is associated with a range of signs and symptoms, which are most commonly treated with GABAergic medications.
Clinical Question: Is phenobarbital an effective treatment for AWS?
Evidence Review: Studies retrieved included two prospective, randomized, double-blind studies and three systematic reviews.