Volume XII, Number 4, November 2011 Open Access at www.westjem.org ISSN 1936-900X A Peer-Reviewed Professional Journal AIRWAY 365 Rapid Sequence Intubation from the Patient’s Perspective (Brief Research Report) D Kimball, RC Kincaide, C Ives, S Henderson 368 Impending Airway Compromise due to Cystic Hygroma (Images in Emergency Medicine) G Weiser, N Beck-Razi, I Shavit 370 Quincke’s Disease (Images in Emergency Medicine) W Johnson, N Shastri, M Fowler CLINICAL PRACTICE 371 Myositis Ossificans (Images in Emergency Medicine) TY Chuah, TP Loh, HY Loi, KH Lee 372 Nonconvulsive Status Epilepticus in Hepatic Encephalopathy (Case Report) P Jhun, H Kim 375 Antibiotic Prescribing Practices of Emergency Physicians and Patient Expectations for Uncomplicated Lacerations (Original Research) S Ong, GJ Moran, A Krishnadasan, DA Talan 381 Comparison of Three Aspirin Formulations in Human Volunteers (Original Research) SP Nordt, RF Clark, EM Castillo, DA Guss 386 Reversal of Warfarin-Induced Hemorrhage in the Emergency Department (Review) M Zareh, A Davis, S Henderson 393 Tattoos and Piercings: A Review for the Emergency Physician (Review) M Urdang, JT Mallek, WK Mallon 399 Propofol and Etomidate are Safe for Deep Sedation in the Emergency Department (Review) MA Denny, R Manson, D Della-Giustina 404 Ileus and Small Bowel Obstruction in an Emergency Department Observation Unit: Are There Outcome Predictors? (Brief Research Report) ST Dorsey, ET Harrington, WF Peacock IV, CL Emerman Western Journal of Emergency Medicine
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Volume XII, Number 4, November 2011 open access at www.westjem.org IssN 1936-900X
A Peer-Reviewed Professional Journal
AIRWAY365 RapidSequenceIntubationfromthePatient’sPerspective(Brief Research Report) DKimball,RCKincaide,CIves,SHenderson
368 ImpendingAirwayCompromiseduetoCysticHygroma (Images in Emergency Medicine) GWeiser,NBeck-Razi,IShavit
370 Quincke’sDisease (Images in Emergency Medicine) WJohnson,NShastri,MFowler
CLINICALPRACTICE371 MyositisOssificans(Images in Emergency Medicine) TYChuah,TPLoh,HYLoi,KHLee
404 IleusandSmallBowelObstructioninanEmergencyDepartmentObservationUnit:AreThereOutcomePredictors? (Brief Research Report)
STDorsey,ETHarrington,WFPeacockIV,CLEmerman
Western Journal of Emergency Medicine
Volume XII, no. 4 : November 2011 i Western Journal of Emergency Medicine
Western Journal of Emergency Medicine
Section EditorsBehavioral EmergenciesLeslie Zun, MD, MBAChicago Medical SchoolClinical PracticeEric Snoey, MDAlameda County Medical CenterMichael Burg, MDKaweah Delta Health Care DistrictCritical CareH. Bryant Nguyen, MD, MSLoma Linda UniversityJeffrey Sankoff, MDUniversity of ColoradoDisaster MedicineChristopher Kang, MDMadigan Army Medical CenterEducationMichael Epter, DOUniversity of NevadaDouglas Ander, MDEmory UniversityED AdministrationJeffrey Druck, MDUniversity of ColoradoErik D. Barton, MD, MS, MBAUniversity of Utah
Official Journal of the California Chapter of the American Academy of Emergency Medicine, the California Chapter of the American College of Emergency Physicians
and the America College of Osteopathic Emergency Physicians
Available in Pub Med, Pub Med Central, CINAHL, SCOPUS, Google Scholar, eScholarship, Melvyl (The Catalog of the University of California Libraries), Directory of Open Access Journals, Medscape and MDLinx Emergency Med.
WestJEM, 101 The City Drive, Rt. 128-01, Orange, CA 92868-3201: Office (714) 456-6389; Email: [email protected]
Emergency Cardiac CareAmal Mattu, MDUniversity of MarylandEmergency Medical Services Christopher Kahn, MD, MPH University of California, San DiegoDavid E. Slattery, MDUniversity of NevadaGeriatricsTeresita M. Hogan, MDResurrection Medical Center, ChicagoInfectious DiseaseRobert Derlet, MDUniversity of California, DavisSukhjit S. Takhar, MDHarvard Medical SchoolTechnology in Emergency MedicineJames Killeen, MDUniversity of California, San DiegoSanjay Arora, MDUniversity of Southern CaliforniaInjury PreventionBharath Chakravarthy, MD, MPHUniversity of California, IrvineShahram Lotfipour, MD, MPHUniversity of California, Irvine
International MedicineTareg Bey, MDUniversity of California, IrvineChris Mills, MD, MPHSanta Clara Valley Medical CenterLegal MedicineGreg P. Moore, MD, JDMadigan Army Medical CenterMethodology and BiostatisticsCraig Anderson, MPH, PhDUniversity of California, IrvineChristian McClung, MD University of Southern CaliforniaMichael Menchine, MD, MPHUniversity of Southern CaliforniaNeurosciencesJohn Sarko, MDUniversity of ArizonaPediatric Emergency MedicineJudith Klein, MDUniversity of California, San FranciscoPaul Walsh, MD, MScKern Medical Center
Public HealthJeremy Hess, MD, MPHEmory UniversityTrevor Mills, MD, MPHLouisiana State UniversityResident/Student/Fellow ForumLaleh Gharahbaghian, MDStanford UniversityBeau Briese, MD, MAStanford/Kaiser EM ProgramTraumaAli S. Raja, MD, MBA, MPHBrigham & Women’s Hospital/ Harvard Medical SchoolToxicologyJeffrey R. Suchard, MD, FACMTUniversity of California, IrvineBrandon Wills, DO, MSVirginia Commonwealth UniversityUltrasoundSeric Cusick, MD, RDMSUniversity of California, DavisJ. Christian Fox, MD, RDMSUniversity of California, Irvine
Editorial Board
PublisherDepartment of Emergency Medicine, University of
California, Irvine
Mark I. Langdorf, MD, MHPE, Editor-in-Chief University of California, Irvine School of Medicine
Shahram Lotfipour, MD, MPH, Managing Associate EditorUniversity of California, Irvine School of Medicine
Rick McPheeters, DO, Associate EditorKern Medical Center
Tiffany Abramson, BAEditorial AssistantSamer A. Assaf, BAEditorial AssistantErik A. Berg, BAEditorial AssistantMarcia BlackmanAAEM Liaison
Barry E. Brenner, MD, MPHCase Western Reserve UniversityRobert W. Derlet, MDUniversity of California, DavisSteven Gabaeff, MDAmerican Academy of EM
Debra Houry, MD, MPHEmory University
Brent King, MD, MMMUniversity of Texas, Houston
Edward Michelson, MDCase Western UniversityJonathan Olshaker, MDBoston University
Edward Panacek, MD, MPHUniversity of California, Davis
Niels K. Rathlev, MDTufts University Medical School and Baystate Medical Center
Robert M. Rodriguez, MD University of California, San Francisco
Scott Rudkin, MD, MBAUniversity of California, Irvine
Peter Sokolove, MDUniversity of California, Davis
Samuel J. Stratton, MD, MPHOrange County, CA, EMS Agency
(Images in Emergency Medicine) THagopian,FZuniga,SRSurani
577 FractureDislocationC6toC7:ImportanceofAdequateRadiographs (Images in Emergency Medicine)
EMuñoz-Mahamud,ACombalia
579 PericardialCyst:UnexpectedFindingonaChestRadiograph (Images in Emergency Medicine) ERSchmitt,MDBurg
581 SevereOpenAnkleSprain(Images in Emergency Medicine) BASinnott,JStrote
Policies for peer review, conflicts of interest, human and animal subjects protections and author instructions can be found online at www.westjem.org.
Western Journal of Emergency Medicine vi Volume XII, no. 4 : November 2011
To become a departmental sponsor of the journal, receive print, as well as electronic copies, and free advertisement space please visit www.calaaem.org/westjem or contact:
Marcia Blackman Shahram Lotfipour, MD, MPHCal/AAEM: WestJEM or Managing Associate Editor555 East Wells Street Phone: (714) 456-2326Milwaukee, WI 53202 [email protected]: (800) [email protected]
Society Sponsors
This open access publication would not be possible without the generous support of our society sponsors, the Department of Emergency Medicine at the University of California Irvine, advertisers and department sponsors.
California Chapter of the ameriCan aCademy of emergenCy mediCine
California Chapter of the ameriCan College of emergenCy physiCians
Florida Chapter oF theameriCan aCademy oF emergenCy mediCine
Virginia State Chapter oF theameriCan aCademy oF emergenCy mediCine
ameriCan College of osteopathiC emergenCy physiCians
neVada Chapter oF the ameriCan aCademy oF emergenCy mediCine
UniFormed SerViCeS Chapter oF the ameriCan aCademy oF emergenCy mediCine
Department SponsorsBayState mediCal Center/tUFtS UniVerSitySpringField, maBrigham and Women’S hoSpital/harVard mediCal SChoolBoSton, madenVer healthdenVer, Coemory UniVerSityAtlanta, GAFlorida hoSpital mediCal CenterOrlando, FLhenry Ford Fairlane mediCal CenterDearborn, MIhenry Ford mediCal CenterDetroit, MI Kern mediCal CenterBakersfield, CAlehigh Valley hoSpital and health netWorKAllentown, PA
madigan army mediCal CenterTacoma, WA maimonideS mediCal CenterBrooklyn, NY mariCopa mediCal CenterPhoenix, AZ maSSaChUSettS general hoSpitalBoston, MAmediCal College oF georgia Augusta, GAmediCal UniVerSity oF SoUth CarolinaCharleston, SC neW yorK mediCal CollegeValhalla, NY ohio State UniVerSity mediCal CenterColumbus, OHreSUrreCtion mediCal CenterChicago, ILroBert Wood JohnSon hoSpital New Brunswick, NJStanFord UniVerSityPalo Alto, CA
UC daViSDavis, CAUC IrvineOrange, CAUC San diegoLa Jolla, CAUC San FranCiSCo FreSnoFresno, CA UC San FranCiSCoSan Francisco, CA UniVerSity oF illinoiS at ChiCago Chicago, ILUniVerSity oF neBraSKa mediCal CenterOmaha, NEUniVerSity oF neVada Las Vegas, NV UniVerSity oF SoUthern CaliFornialoS angeleS, CaUniVerSity oF texaS, hoUStonHouston, TXUniVerSity oF UtahSalt Lake City, UT
Thank you to our sponsors
Volume XII, no. 4 : November 2011 vii Western Journal of Emergency Medicine
Acknowledgment of WestJEM Top Section Editor and Top Reviewers
As 2011 draws to a close, WestJEM would like to honor the top reviewers and section editors of the past year. Without their generous contributions of time and expertise to the peer-review process, the Journal would not be able to advance its mission of emphasizing practical, efficient, and world-class emergency care. The top section editors and reviewers are chosen based on their quality of work, number of assignments, and timeliness of reviews.
Top Section Editors
Leslie Zun, MD, MBA H. Bryant Nguyen, MD Chicago Medical Center Loma Linda University
Top Reviewers
Douglas Ander, MDEmory University
Beau Briese, MD, MAStanford/Kaiser EM Program
David I. Bruner, MD, LCDR, MCNaval Medical Center,Portsmouth, Virginia
Robert Derlet, MDUniversity of California, Davis
Jeffrey Druck, MDUniversity of Colorado
Michael Epter, DOUniversity of Nevada
Laleh Gharahbaghian, MDStanford University
Julie A. Gorchynski, MD, MScTexas A&M University
Casey A. Grover, MDStanford University
Jeremy Hess, MD, MPHEmory University
Amal Mattu, MDUniversity of Maryland
Michael Menchine, MDUniversity of Southern California
Lisa Moreno-Walton, MDLouisiana State University
H. Bryant Nguyen, MDLoma Linda University
John Sarko, MDUniversity of Arizona
David E. Slattery, MDUniversity of Nevada
Eric Snoey, MDAlameda County Medical Center
Jeffrey R. Suchard, MDUniversity of California, Irvine
Leslie Zun, MD, MBAChicago Medical School
WestJEM Seeking Section Editors and ReviewersWestJEM is seeking Section Editors in the fields of Behavioral Emergencies, Geriatrics, Disaster
Medicine, Emergency Cardiac Care, and Trauma.
WestJEM also seeks reviewers in all topics of emergency medicine.
Please send CV and letter of interest to Editor-in-Chief, Dr Mark Langdorf at [email protected].
Western Journal of Emergency Medicine viii Volume XII, no. 4 : November 2011
Acknowledgment to all WestJEM ReviewersThe Editors thanks all the reviewers of 2010–2011 for doing outstanding work. Their dedication and work
ethic continues to help WestJEM grow and maintain high standards.
Abigail HankinAdria Winter Adrienne Fratini Aileen Wiglesworth Alex MaloneAllan R. Mottram Allen Marino Alyssa AboAmandeep Singh Amit Rajparia Andrew J. CurranAndrew FineAnne McCarttAnne-Michelle Ruha Annie Sadosty Anthony MedakAvinash PatilBarbara K. BlokBarry E. Brenner Bart HammigBeau Briese Benjamin HarrisonBerenice PerezBesh Barcega Bharath Chakravarthy Bonnie HartsteinBrad BunneyBradley N. YounggrenBrandon H. BacklundBrian ChinnockBrian ClyneBrian DewBrian EastridgeBrian PayneBrian PottsBrian W. Lin Brooks LaselleBruce C. PerryBryan GriffinCarl SkinnerCatherine A. LynchChad S. KesslerChandra AubinCharles GarciaCharles M. LittleCharles SaldanhaCharlotte Page Wills Cherie HargisChinwe OgedegbeChris ChisholmChrissy BabcockChristian D. McClungChristian Young Christine M. CarrChristopher Dong Christopher G. Strother Christopher Gee
Christopher N. MillsChristopher R. Carpenter Cindy ChanClinton J. CoilCorey HeitzCraig NewgardCyrus G. ShahparDan QuanDaniel J. WhitakerDaniel WuDanielle CampagneDarien D. CohenDarren Malinoski Dave W. LuDavid A. JerrardDavid A. Townes David B. MisnerDavid Della-Giustina David E. Slattery David F. Gaieski David GitlinDavid HileDavid JohnsonDavid K. English David N. ZullDavid R. VinsonDavid T. Schwartz David TanenDebbie Washke Deborah BattagliaDeepak Chandwani Deirdre AnglinDennis HanlonDiane Kang Diane Winn Divy RavindranathDouglas BrosnanDouglas W. Lowery-NorthDr. LernerEdward M. Castillo Ejaaz A. Kalimullah Elise O. LovellElissa PerkinsElizabeth DeVos Emily LuerssenEric D. Isaacs Eric Katz Eric Lavonas Erik B. KulstadErin RuelEwen Wang Faheem W. GuirgisFaried BanimahdFederico E. VacaFernando R. SilvaFiona GallahueFrancis DeRoos
Fred HenretigFrederic P. Schoenberg Gail Stewart Gene Hern JrGerald A. MaguireGerald Maloney Jr Gregory Moore Gus M. GarmelH. Bryant Nguyen Hagop Afarian Hannah F. WattsHarman AroraHarold SimonHarry KarydesHeather BorekHolly AveyIan BrownIngrid LimJ.R. RichardsJ. Dave BarryJag S. HeerJake JacobyJames A. PfaffJames AndruchowJames BrownJames F. HolmesJames HardyJames P. CapesJames W. Rhee Jamie ShandroJan M. ShoenbergerJanak K. AcharyaJason BryantJason HaukoosJason W. FischerJeanette Walley-JeanJeffrey Druck Jeffrey GreenJeffrey HomJeffrey R. Suchard Jennifer BaineJenny J. Lu Joanne WilliamsJoel FeinJoel M. Schofer Joel MeyersJoel T. LevisJohn Belko John C. SaklesJohn Kendall John McCourtJohn SarkoJonathan C. RorkJonathan ElmerJonathan S. IlgenJosh HargravesJoshua Easter
Joshua NiclasJoshua TobiasJR R. PickettJustin Davis Kael DupreyKakoli RoyKapil R. DhingraKara HennellyKarl A. SporerKatherine DouglassKathleen C. BasileKathleen E. KaneKathryn Challoner Keith K. FrenchKen M. KelleyKenneth C. Jackimczyk JrKenneth Linden Kennon Heard Kenny V. BanhKrista D. CaldwellKristen NordenholzKristin DunkleKristine TuckerKyle NelsonKym SterlingL. Shakiyla SmithLaleh Gharahbaghian Lalena M. YarrisLane SmithLarry Corman Larry RaneyLee Shockley Leslie C. Oyama Leslie SimonLinda ScheetzLisa HileLisa MerckLisa R. MufticLouise W. Kao Lucas KaraeliasLuke K. HermannMalini K. SinghManish Amin Manish GoyalMarc ProbstMarci F. HertzMaria HugiMaria MoreiraMarie MullenMarilyn GeninattiMary Beth Shirk Mary W. RutherfordMary Z. Taylor Maryann E. MazerMathew A. WaxmanMatt BreidingMatt T. Keadey
Matthew Valento Megan Boysen Megan RanneyMelanie HeniffMelissa GivensMichael AbrahamMichael Burg Michael EpterMichael J. Mello Michael Juliano Michael Menchine Michael Richards Michael WindleMichael YoungMichelle FleuratMisha KasselMoira DavenportNancy J. ThompsonNathanael J. McKeown NoelleAngelique M. MolinariOtto LiebmannP. IshiminePatricia KavanaghPatrick WhiteleyPaul MrozPaul Tran Paul Walsh Peter C. HouPeter J. CuencaPeter P. TaillacPeter W. Pryor IIRais VohraRaymond HemmertRenee HsaiRichard ByynyRichard DavidsonRichard M. PatelRichard T. GriffeyRick A. McPheetersRick WalkerRobert BlankenshipRobert BrewerRobert Kacprowicz Robert M. BossarteRobert M. Rodriguez Robert Steele Robert W. Derlet Roberta CappRobyn HoelleRolando TorresRonald DieckmannRonny OteroRoss P. Berkeley Ross W. HookerS. Charles SchulzSaleen ManternachSam Kuan
Samuel D. LuberSamuel J. StellpflugSamuel J. StrattonSamuel LamSanjay AroraSarah L. CookScott E. Rudkin Scott GrosseShannon Self-BrownSheryl HeronSheryl StrasserSobia Ansari Sridhar Basavaraju Stanley WeiStephanie CooperStephen G. Sanko Stephen J. Wolf Steve McLaughlinSteve PittsSteve Weiss Steven C. GabaeffSteven H. MitchellStuart P. SwadronTae Kim Taher VohraTareg BeyTeal BellThomas G. Martin Thomas KellyThomas M. RiceThomas Price Thomas Simon Tim MeehanTimothy W. LineberryTodd BergerTodd M. LarabeeTodd McArthurTorrey A. LaackTrevonne ThompsonTrevor S. CadoganTristan KnutsonTsuyoshi MitaraiVincent L. Ball Volkan TopalliWalter Allen FinkWarren WiechmannWendy C. CoatesWilliam DodgeWilliam Ken MilneWilliam MeehanWilliam T. HurleyWirachin Hoonpongsimanont Yashwant ChathampallyZachary M. Shinar Zane HorowitzZiad Kazzi
CALIFORNIA ACEP’s
35th Annual
Emergency Medicine in Yosemite
Save the Date! January 12-14, 2012
Contact CALIFORNIA ACEP • Website: www.californiaacep.org
