Ketamine administration for acute painful sickle cell crisis: A randomized controlled trial.

Objective: The objective was to evaluate the efficacy and safety of single-dose ketamine infusion in adults with sickle cell disease (SCD) who presented with acute sickle vasoocclusive crisis (VOC).

Methods: This study was a parallel-group, prospective, randomized, double-blind, pragmatic trial. Participants were randomized to receive a single dose of either ketamine or morphine, infused over 30 min.

Factors Important to Top Clinical Performance in Emergency Medicine Residency: Results of an Ideation Survey and Delphi Panel.

Objectives: We explore attributes, traits, background, skills, and behavioral factors important to top clinical performance in emergency medicine (EM) residency.

Methods: We used a two-step process-an ideation survey with the Council of Emergency Medicine Residency Directors and a modified Delphi technique-to identify: 1) factors important to top performance, 2) preresidency factors that predict it, and 3) the best ways to measure it. In the Delphi, six expert educators in emergency care assessed the presence of the factors from the ideation survey results in their top clinical performers.

National trends in stroke and TIA care in U.S. emergency departments and inpatient hospitalizations (2006-2014).

Background: We examine recent trends in U.S. emergency department (ED) and hospital care for stroke and transient ischemic attack (TIA).

Patient-Focused Online Resources for Melanoma: Highly Variable Content and Quality.

When patients are diagnosed or concerned with the diagnosis of melanoma, they commonly use the Internet for information. We assessed the content of patient-focused websites about melanoma. We searched for "melanoma" in four search engines then assessed the first 30 websites in each search.

Measurement Under the Microscope: High Variability and Limited Construct Validity in Emergency Department Patient-Experience Scores.

Study Objective: We evaluate variability and construct validity in commercially generated patient-experience survey data in a large sample of US emergency departments (EDs).

Methods: We used Press Ganey patient-experience data from a national emergency medicine group from 2012 to 2015 across 42 facilities and 242 physicians. We estimated variability as month-to-month changes in percentile scores and through intraclass correlations.

Bilateral acute closed angle glaucoma associated with the discontinuation of escitalopram: a case report.

A 45-year-old woman presented to the Emergency Department complaining of severe headache for 3 hours duration associated with bilateral blurred vision, photophobia, and one attack of vomiting. Her clinical examination revealed normal vital signs and decrease in visual acuity with hazy cornea bilaterally. There were no signs of increased intracranial pressure and no neck rigidity or meningeal signs.