Open Access DOI:10.23937/2469-5718/1510214
Speed Marching in Military Boots: The Walk-To-Run Transition Speed and Vertical Ground Reaction Forces
LTC Wes O. Zimmermann, MD, PhD and MAJ Eric M. Lever, MD
Article Type: Research Article | First Published: January 24, 2022
Speed marching is the term for moving on foot, in which service members alternate marching and running to cover a certain distance in limited time. The standard load for speed marching is 25 kilograms, this includes a backpack, a tactical vest and rifle. When increasing walking speed, a person will switch from walking to running at a certain speed, this is called walk-to-run transition. The walkto- run transition speed for marching in military boots, with or without a rifle, is unknown. Marching...
Open Access DOI:10.23937/2378-3516/1410168
Sarcoidosis Presenting as a Case of Pulmonary Thrombotic Disease- An Unusual Presentation
Muhammad Haseeb ul Rasool, MBBS, Sara Z Khan, MD and Pervaiz Iqbal, MD, FCCP
Article Type: Case Report | First Published: January 24, 2022
Sarcoidosis is a chronic inflammatory disease involving multiple organ systems for which the inciting stimulus is unknown. It is characterized by elevated markers of inflammation and disseminated granuloma in the affected organs. Factor V Leiden deficiency has been long associated with an elevated risk of thrombosis, however, it has been observed in the patients having sarcoidosis, a secondary inciting stimulus is required to trigger the thromboembolic phenomenon, as to date only a few cases of ...
Open Access DOI:10.23937/2378-3516/1410167
A Novel Approach to Confirm Endotracheal Tube Depth Using Ultrasound Color Doppler: A Cadaveric Model
Ariel Daube, MD, Leroy Phillips, MD, Erin West, MS, Lorraine Ng, MD, Lindsey T Chaudoin, MD, Arthur Smerling, MD and David Kessler, MD, MSc
Article Type: Research Article | First Published: January 24, 2022
Proper endotracheal tube (ETT) depth must be confirmed immediately after intubation. We developed a novel point-of-care ultrasound examination called the cuff puff (CP) and hypothesized it would accurately confirm appropriate ETT depth in a cadaveric model. CP comprises visualization of cuff inflation using color Doppler sonography. On a single fresh frozen cadaver, a well-positioned tube was defined as the tip lying between 6.5 cm below the vocal cords and 3 cm above the carina. The ETT was pla...
Open Access DOI:10.23937/2469-5769/1510086
Decision Making Surrounding Mode of Initial Enteral Feeding in Critically Ill Pediatric Patients
Arianne M Maya, BS, Kathleen R Ehresmann, MD, Moiz M Mustafa, MD, Janice A Taylor, MD, MEd, Shawn D Larson, MD, Saleem Islam, MD, MPH and Robin T Petroze, MD, MPH
Article Type: Original Article | First Published: January 21, 2022
Wide practice variation and weak guidelines exist when considering enteral feeding options and the decision to proceed with gastric or postpyloric enteral feeding in critically ill infants and children. The purpose of this pilot study is to explore provider decision making in early feeding of critically ill pediatric patients, review the indications for choice of enteral feeding access, and qualitatively explore the role of institutional culture in medical decision making. In-person structured i...
Open Access DOI:10.23937/2378-346X/1410133
Postoperative Outcomes and Backgrounds of Patients above the Age of 90 Years Who Underwent Cataract Surgery
Riko Kanesaka, Tetsutaro Oki, Yoshinori Ito, Yoshiaki Kabata and Tadashi Nakano
Article Type: Case Report | First Published: January 27, 2022
To retrospectively analyze postoperative outcomes and backgrounds of patients above the age of 90 years who underwent cataract surgery. The present study retrospectively analyzed the data pertaining to 18 patients (25 cases) ≥ 90 years of age who underwent cataract surgery at the Jikei University Daisan Hospital in 2019. The data regarding age, preoperative and postoperative visual acuity, underlying diseases, ocular comorbidities, intraoperative and postoperative complications, and living env...
Open Access DOI:10.23937/2474-3674/1510136
Need for Trauma Intervention and Improving Under-Triaging in Geriatric Trauma Patients: Under-Triaged or Misclassified
Gabriel Beam, MSN, RN, Kimberly Gorman, DNP, AG-ACNP-BC, CNL, CCRN, CNRN, TCRN, Siddhartha Nannapaneni, MD, Jami Zipf, BSN, RN, Thomas Simunich, MS, MBA and Russell Dumire, MD
Article Type: Original Research | First Published: January 24, 2022
Combining the Need for Trauma Intervention (NFTI) calculation with the Cribari Matrix Method (CMM) more accurately determines appropriate triage, particularly of geriatric trauma patients. These patients (>/= age 65 years) have comorbidities, increased frailty, and decreased overall functional capacity. The CMM alone does not address their increased risk of mortality secondary to inappropriate or suboptimal care; performance improvement efforts to decrease the risk of under-triage have prompted ...
Open Access DOI:10.23937/2474-3674/1510135
A Case of Wernicke’s Encephalopathy in a Post-Bariatric Surgery Patient in a Community Emergency Department
Daniel S Steinberg, MD and Christopher Wilbert, MD
Article Type: Case Report | First Published: January 23, 2022
A 22-year-old woman with a history of idiopathic intracranial hypertension who presented to our emergency department with acute onset strabismus and bilateral sixth nerve palsy in the setting of recent sleeve gastrectomy and vomiting. Further testing revealed multiple vitamin deficiencies, including thiamine, leading to a diagnosis of Wernicke’s encephalopathy. Her symptoms resolved after vitamin and nutritional repletion. Incidence of similar presentations is increasing in the setting of risi...