JACEP Open

🚨Exciting news!🚨 JACEP Open is proud to announce Dr. Marianne Gausche-Hill as our new Editor-in-Chief! A trailblazer in EM, EMS, and pediatrics, she’s ready to lead the journal into its next chapter. Join us in celebrating this exciting milestone! 🎉 @mgauschehill @ACEPNation

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New Video on JACEP Open: A transit passenger with unilateral leg pain A 57-year-old man with recent trauma and long flight presented with severe thigh pain and sepsis, initially concerning for DVT. POCUS ruled out DVT and identified a fluid collection within the hamstring, consistent with pyomyositis. He improved after antibiotics and surgical drainage, highlighting the role of ultrasound in diagnosing musculoskeletal infections.

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New Video on JACEP Open: Traumatic Forehead Mass: An Ultrasound Lens A persistent posttraumatic forehead mass initially thought to be a hematoma was identified on POCUS with Doppler as a vascular lesion, concerning for pseudoaneurysm or AVM. CTA confirmed an arteriovenous malformation, highlighting the importance of assessing vascularity in nonresolving soft tissue masses. Article link in the comments ⬇️

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New Video on JACEP Open from @StanfordEMED: 28-Year-Old Female Presenting for Pregnancy Confirmation Vanishing twin syndrome occurs in up to 36% of twin pregnancies, where one gestation spontaneously regresses early—often with minimal symptoms and a normal remaining pregnancy. Article link in the comments ⬇️

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New Video on JACEP Open: An Immunocompromised Man With a Chest Wall Mass A 57-year-old man with Crohn’s disease presented with a chest wall “abscess” that was found on POCUS to communicate with the pleural space, consistent with empyema necessitans. This case highlights how POCUS can distinguish deep thoracic infection from superficial abscess and guide urgent surgical management. Article link in the comments ⬇️

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New Video on JACEP Open: A Female With Missing Anatomical Landmarks During Emergency Endotracheal Intubation A 72-year-old woman with inhalational injury required emergent intubation, but video laryngoscopy revealed absent epiglottis due to prior supraglottic laryngectomy, creating unexpected airway anatomy. Recognition of altered landmarks and adaptation of technique enabled successful intubation with a hyperangulated stylet. Article link in the comments ⬇️

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New in JACEP Open: Characterizing Emergency Department Visits for Product-Related Head Injuries in the United States 2014 to 2024 This study analyzed U.S. ED visits for consumer product–related head injuries from 2014–2024, identifying over 571,000 cases with increasing rates over time. Injury patterns varied by age, with sports equipment common in adolescents and household structures like floors and stairs more common in older adults. Article link in the comments ⬇️

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New in JACEP Open: Safety Planning for Youth in the Emergency Department Who Have Suicide Risk This review highlights the emergency department’s role in identifying suicide risk among youth and implementing safety planning and lethal means counseling. It outlines practical strategies to improve implementation, including clinical pathways, staff training, EMR integration, and emerging approaches to expand access to these interventions. Article link in the comments ⬇️

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New Video on JACEP Open: Syncope After a Run A 66-year-old man presenting with syncope and elevated troponin was found to have a rare thrombosed giant right coronary artery aneurysm with contained rupture and coronary fistula. Point-of-care echocardiography identified a cystic mass causing cardiac compression, prompting definitive surgical repair. Article link in the comments ⬇️

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New in JACEP Open: Ocular Trauma Following Ground Level Fall An 82-year-old woman presented after a fall with decreased vision, hyphema, and an irregular nonreactive pupil, raising concern for open globe injury. Exam revealed iris prolapse through a corneal defect despite negative CT imaging. She received antibiotics, eye shielding, and urgent transfer for surgical repair with improved postoperative vision. Article link in the comments ⬇️

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New in JACEP Open: Prevalence of Exposures and Moral Injury in First Responders In a survey of 292 first responders, exposure to potentially morally injurious events (PMIEs) was common, with 18.4% of those exposed reporting clinically meaningful moral injury. Moral injury symptoms showed strong correlations with PTSD, anxiety, depression, and burnout, underscoring the mental health risks faced by first responders. Article link in the comments ⬇️