https://www.clinicalkey.com/dura/browse/journalIssue/01960644 Content from the latest issue of Annals of Emergency Medicine. https://www.clinicalkey.com/playContent/1-s2.0-S0196064425012843 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 512-514 | Rech, Megan A., PharmD, MS; Gottlieb, Michael, MD<br/>Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor’s Note that su... https://www.clinicalkey.com/playContent/1-s2.0-S0196064425012843 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002726 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 539-540 | Dong, Weikai, MD; Zhou, Yebin, MD; Jiang, Junying, MM<br/>We have read with great interest the recent publication by Henein et al entitled “Urgent Care and Emergency Department Visitors: A Latent Class Analysis.” The study uses national survey data and latent class analysis to explore 4 types of health c... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002726 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600301X Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 534-535 | Su, Yu-Chia, MD; Chen, Jie-Ming, MD; Fan, Chieh-Min, MD, PhD;...<br/>Contrast-enhanced computed tomography angiography of the abdomen reveals a large abdominal wall hematoma with active contrast extravasation (arrow) originating from the left lateral abdominal wall vasculature, confirming the diagnosis and necessit... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600301X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003161 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 546-547 | Schenkel, Stephen M., MD, MPP; Schriger, David L., MD, MPH<br/>We appreciate that Drs. Frush and Frush both took the time to review our editorial on ambient charting in emergency medicine and to submit a letter to the editor in response. Would it be surprising to acknowledge that we share the grim forebodings... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003161 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012874 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 537-538 | J. Spiegel, Rory, MD; P. Radecki, Ryan, MD, MS<br/>Article In Review ARISE FLUIDS Investigators, the ANZICS Clinical Trials Group, and the ACEM Clinical Trials Network; Peake SL, Macdonald SPJ, Howe BD, et al. Vasopressors or fluids in early septic shock. N Engl J Med. Published online June 11, 20... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012874 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426004725 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 519-522 | Leamon, Annie B., MD; Hou, Peter C., MD<br/>[The following reprinted MMWR article has been abridged from the original. See MMWR for the full article.] [Thompson JM, Carpenter A, Kersh GJ, et al. Geographic Distribution of Suspected Alpha-gal Syndrome Cases—United States, January 2017–Decemb... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426004725 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003203 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 481-491 | Hoffmann, Jennifer A., MD, MS; Foster, Ashley A., MD; Krass, Polina, MD;...<br/>Study objectiveTo identify high-priority research questions related to emergency care of children with mental and behavioral health conditions and develop a consensus-based research agenda. MethodsWe recruited expert partners to participate in a m... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003203 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002404 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 525-527 | Tripod, Matthew, MD; Omay, Barbara, MD; Betancourt, Javier, DO<br/>Photograph of the patient’s chest wall while coughing, showing a bulge in the axilla. Radiograph of the chest, posterior-anterior view, showing normal-appearing chest wall. Computed tomography of the chest (axial view) showing a normal-appearing c... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002404 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002593 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 528-529 | Imran, Mohammed Naveeth, DNB; S., Hari Ganesh, MBBS; V.T., Amrithanand, MD<br/>Lung point-of-care ultrasound showing the pleural line (yellow arrow) and horizontal A-lines (white arrow), consistent with aerated lung without consolidation. Computed tomography of the chest (axial view) showing a markedly dilated fluid-filled e... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002593 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002623 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 532-533 | Nai, Wei-Hsuan, MD; Hou, Chung-Hung, MD; Liu, Ching-Chih, MD;...<br/>Anteroposterior (left panel) and lateral (right panel) radiographic views of the left knee demonstrating an abnormally high-riding patella, consistent with patella alta (arrow). Long-axis panoramic point-of-care ultrasound view of the left knee de... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002623 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600315X Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 545-546 | Frush, Benjamin W., MD, MA; Frush, Jennifer M., MD, MTS<br/>Schriger and Schenkel note some of the hypothesized benefits of ambient artificial intelligence (AI) large language model charting on emergency department (ED) workflow, but their vision would benefit from a “steel man” account of the potential ne... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600315X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003148 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 544-545 | Dark, Cedric, MD, MPH; Friedman, Ari, MD, PhD; Koshy, George, DO, MPH<br/>The crisis of rural hospital closures is anticipated to worsen, exacerbated by the One Big Beautiful Bill Act, with nearly 20% of rural hospitals at risk of closure. These closures leave behind health care deserts: communities lacking a single boa... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003148 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013223 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages A15-A15<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013223 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012886 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 443-446 | Huff, Charlotte<br/>By early 2023, Anson General Hospital was the last of 3 rural hospitals still open in Jones County, a West Texas agricultural community just north of Abilene, and the 45-bed-licensed hospital teetered on the brink of closure. It carried roughly $2... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012886 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003112 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 503-511 | Haimovich, Adrian D., MD, PhD; Erion-Barner, Gabriel, MD, PhD; Nathanson, Larry A., MD;...<br/>Study objectivesTo compare end-of-life predictions as measured by the physician-answered surprise question (SQ), “Would you be surprised if this patient died in the next 6 months?”), the Geriatric End-of-Life Screening Tool (GEST) artificial intel... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003112 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003744 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages e43-e68 | Silvers, Scott M., MD; Gibson, Courtney Blayke, MD, MBA; Lech, Christie, MD, MHPE;...<br/>Approach to downgrading strength of evidence. Downgrading Design/Class 1 2 3 None I II III 1 level II III X 2 levels III X X Fatally flawed X X X Likelihood ratios and number needed to treat. LR (+) LR (–) 1.0 1.0 Does not change pretest probabili... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003744 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002611 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 530-531 | Wang, Chih-Hao, MD<br/>Chest radiograph showing near-complete opacification of the right hemithorax with leftward mediastinal shift. A previously healthy 1-year-old boy presented to the emergency department with acute dyspnea and perioral cyanosis noted on the day of pr... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002611 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002738 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 540-541 | Denham, Alina, PhD; Henein, Justina M., MD<br/>We are grateful to Weikai Dong and colleagues for the insights and recommendations on our article. We are in absolute agreement that to meaningfully inform health policy, health services researchers must incorporate provider and system influences ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002738 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003239 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 547-548 | Boggs, Krislyn M., MPH; Sullivan, Ashley F., MS, MPH; Espinola, Janice A., MPH;...<br/>We read the article by Shaughnessy and colleagues titled, “A Google Maps-Based Method to Create a National Emergency Department Database” with great interest. We commend the authors on their efforts to identify publicly available tools to create a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003239 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426004737 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 522-524 | Leamon, Annie B., MD; Hou, Peter C., MD<br/>Alpha-gal syndrome (AGS) is a serious, potentially life-threatening allergy and tickborne disease. It is caused by a molecule (galactose-α-1,3-galactose) that is naturally produced in the bodies of most mammals (but not humans) and is also found i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426004737 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003082 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 462-469 | Thomas, Alexa L., MD; Rupp, Jordan D., MD; Suszanski, Julian, MD;...<br/>Study objectiveAssessment of right ventricular dysfunction facilitates risk stratification of emergency department (ED) patients with pulmonary embolism (PE). We evaluated the accuracy of emergency physician-interpreted point-of-care ultrasound (P... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003082 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002751 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 543-544 | Srikrishnaraj, Arjuna, MSc; Souter, Allison Ruth, BHSc; Woods, Nicolas, MSc;...<br/>We thank Wu and Yu for their interest in our recently published study, “Two-Bag Versus One-Bag Method for Adult and Pediatric Diabetic Ketoacidosis Management.” Our decision to use the Mantel-Haenszel approach under a fixed-effect model for this o... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002751 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600274X Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 541-543 | Wu, Shanshan, MMed; Yu, Heshan, Bachelor's degree<br/>We read with great interest the recent article by Srikrishnaraj et al (2026) entitled “Two-Bag Versus One-Bag Method for Adult and Pediatric Diabetic Ketoacidosis Management” published in your journal. However, after a thorough review of the study... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600274X https://www.clinicalkey.com/playContent/1-s2.0-S019606442601320X Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages A10-A12<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S019606442601320X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426004944 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 536-536 | George, Nicholas H., MD<br/>I drove home in silence tonight. Amid the familiar humdrum of my rush-hour commute, I found myself at a loss. In over a decade of medical training, I’ve learned, and experienced, so much. From working in the Australian outback to quaternary Americ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426004944 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013181 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages A3-A7<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013181 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003859 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 514-515 | Watson, Haley D., PharmD, BCEMP; Kooda, Kirstin, PharmD, MS, BCCCP, BCIDP<br/>Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor's Note that su... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426003859 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012898 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 447-447<br/>Editor’s note:Annals has partnered with a small group of selected journals of international emergency medicine societies to share from each a highlighted research study, as selected monthly by their editors. Our goals are to increase awareness of ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012898 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426001782 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 448-461 | Weekes, Anthony J., MD, MSc; Raper, Jaron D., MD; Esener, Dasia, MD, MS;...<br/>Study objectiveTo compare the strength of association and classification characteristics of the Composite Pulmonary Embolism Shock (CPES) score with the simplified Pulmonary Embolism Severity Index (sPESI) and European Society of Cardiology (ESC) ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426001782 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426001812 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 494-502 | Lee, Sangil, MD, MS; Gunaga, Satheesh, DO; Liu, Shan W., MD, SD;...<br/>Study objectiveEmergency department (ED) boarding, defined as the time an admitted patient remains in the ED awaiting an inpatient bed, has become a growing challenge in the United States, particularly for older adults with Alzheimer’s disease–rel... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426001812 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002532 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 516-518 | Johnson, Benjamin A., MD, MSc; Abid, Areeba A., MD; Silverio, Luz M., MD<br/>Diabetic ketoacidosis is a life-threatening endocrine disorder frequently treated by emergency physicians. However, ketoacidosis variations, such as euglycemic diabetic ketoacidosis and nondiabetic ketoacidosis, can produce diagnostic uncertainty ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002532 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002520 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 492-493 | Jacobson, Juliet, MD; Lee, Sangil, MD, MS<br/>Take-Home Message Nebulized ipratropium bromide reduces hospitalizations in pediatric patients with asthma exacerbations. Methods This systematic review searched for randomized controlled trials across 5 databases (Medline, EMBASE, CINAHL, Cochran... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002520 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002362 Annals of Emergency Medicine, Volume 88, Issue 4, 2026 Oct, Pages 470-480 | Green, Steven M., MD; Roback, Mark G., MD<br/>Study objectiveWe sought to compile the reported frequencies of adverse events from studies including ≥250 subjects of pediatric emergency department (ED) ketamine sedation by the intravenous route and determine their variances and pooled estimate... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426002362 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008218 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S118-S118 | Brower, I.; Wilson, L.; Piktel, J.<br/>Objectives 2026 AHA/ACC acute pulmonary embolism (PE) guidelines emphasize risk-stratified management with outpatient treatment recommended for low-risk patients and multidisciplinary PE response team (PERT) assessment for patients with higher cli... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008218 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008334 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S125-S125 | Ozturan, I.; Kitapcioglu, D.; Utomo, P.;...<br/>Study Objectives Programmatic assessment (PA) is widely endorsed in postgraduate medical education, but empirical reports remain concentrated in North American emergency medicine (EM) programs. This study aimed to design, implement, and evaluate a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008334 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008395 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S127-S128 | Shin, H.<br/>Study Objectives Hurricane Ian reached peak intensity of 140 kt and 937 mb before making Category 4 landfall near Cayo Costa, Florida on September 28, 2022, causing USD 109.5 billion in Florida damages and over 150 deaths. Using exclusively open p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008395 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008437 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S129-S130 | Accatino, E.; Plaitano, E.; Powell, J.;...<br/>Objectives Emergency medical service (EMS) clinicians are at a higher risk for substance use problems than adults in other careers, and frequently report using avoidant coping strategies (eg, distraction and denial) to manage recurrent work-relate... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008437 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008280 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S122-S122 | Lake, I.; Kim, S.; Mackey, Z.;...<br/>Study Objectives Emergency Department re-visits have been used as an indicator of quality. Both the Accreditation Council for Graduate Medical Education and the American Board of Emergency Physicians require participation in quality improvement in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008280 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008462 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S131-S131 | McGuire, S.; Osborne, R.; Klassen, A.;...<br/>Objectives Widespread closure of obstetric (OB) units has increased emergency medical services (EMS) interfacility transports (IFTs) of pregnant patients, among whom transport decisions are nuanced and high-risk. After our agency experienced an in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008462 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008620 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S139-S139<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008620 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600836X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S126-S126 | Topping, C.; Gettel, C.; Rotenberg, N.;...<br/>Objective Over the past decade, the number of emergency medicine (EM) residencies has grown, with many newer programs based at hospitals lacking Council of Teaching Hospital (COTH) status and hospitals with for-profit status. As trauma and stroke ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600836X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008541 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S135-S135 | Perelman, S.; Simmons, W.; Rumble, P.;...<br/>Background Patients admitted to the hospital frequently board in the emergency department (ED) for an extended time after a decision is made to admit while awaiting an inpatient bed. Boarding may lead to delirium, deconditioning, prolonged hospita... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008541 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008723 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S142-S142 | Valdovinos, E.; Friedman, M.; Loganathan, A.;...<br/>Objectives The emergency department (ED) serves as a critical access point for sexually transmitted infection (STI) detection, yet screening rates for HIV and syphilis remain low in EDs across the country. Data from the NAMCS/NHAMCS found that HIV... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008723 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600853X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S134-S134 | Lee, S.; Torbati, S.; Berdahl, C.<br/>Study Objectives As the population ages, emergency departments (EDs) will increasingly care for older adults with high-acuity, resource-intensive needs. Adults aged 85 years and older may represent a particularly important subgroup, but this oldes... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600853X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008322 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S124-S125 | Cerino-Penaloza, M.S.; Padilla-Zambrano, H.; Martinez, P.;...<br/>Objectives Adolescent sexually transmitted infections (STIs) are a persistent public health concern. Pediatric emergency departments (PEDs) serve as critical access points for adolescent STI care. Despite their important role in adolescent STI car... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008322 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008735 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S142-S143 | Ford, J.; Shayo, F.; Biita, M.;...<br/>Objectives To evaluate implementation and clinical outcomes of a combined hepatitis B virus (HBV) and hepatocellular carcinoma (HCC) screening program integrated into emergency department (ED) workflows in Tanzania. Methods We conducted a multicen... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008735 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012400 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S300-S300 | Kishore, E.; Mast, J.; Floyd, J.;...<br/>Study Objectives Hospitals increasingly face concurrent crises that threaten operational resilience. The combined effects of biological and digital disruptions on emergency department (ED) and hospital function are not well characterized. This stu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012400 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012308 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S296-S297 | Cevallos, C.; Jones, M.; Taylor, L.;...<br/>Study Objectives Point-of-care ultrasound (POCUS) is routinely used to evaluate patients with acute vision changes to assess for pathology such as vitreous hemorrhage (VH), vitreous detachment (VD), and retinal detachment (RD), among others. Benig... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012308 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012424 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S301-S301 | Fernandez, C.; Mukherjee, R.; Elrais, M.;...<br/>Study Objectives Social determinants of health (SDOH), including housing instability, food insecurity, and transportation barriers, are major drivers of emergency department (ED) overutilization and poor health outcomes. Although the ED is well-po... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012424 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012473 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S304-S304 | Liang, F.; Carter-Edwards, L.; Rubin, A.;...<br/>Study Objectives When disaster strikes, how can medical students be involved in the call to action? In the aftermath of the Eaton and Palisades Fires in Los Angeles in January 2025, students at the Kaiser Permanente School of Medicine (KPSOM) were... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012473 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012333 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S297-S298 | Holbert, S.E.; Kane, B.; Warren, H.;...<br/>Study Objectives Multimodal pain control (MMPC) is core to the practice of EM. Ultrasound guided fascia iliaca nerve block (UGFINB) has been an important example in the care of patients with hip fractures. This study sought to measure both physici... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012333 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012552 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S307-S307 | Brancati, F.; Kuchibhatla, M.; Fernandez, A.;...<br/>Study Objectives Opioid-associated (OA) out-of-hospital cardiac arrests (OHCA) are a significant cause of death in the United States. Compared to non-OA-OHCAs, these patients are younger, more likely to arrest in public, and more likely to survive... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012552 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012692 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S312-S313 | Maccauro, V.; Bonadia, N.; Cacciamani Fanell, P.M.;...<br/>Study Objective Early Warning Scores (EWSs) are widely used to standardize the identification of clinical deterioration, yet their comparative performance against expert clinical judgment in Emergency Department (ED) triage remains uncertain. We a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012692 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601245X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S303-S303 | Marschke, B.; Klickstein-Kahrs, L.; Laurence, C.<br/>Study Objectives Street Medicine, where healthcare is practiced in untraditional settings, can provide care to unhoused persons, those with limited access to healthcare resources, or individuals afraid of utilizing traditional medical care for fea... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601245X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012515 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S305-S306 | Zimmerman, A.; Hacnik, J.; Mock, P.;...<br/>Study Objectives Undocumented immigrants frequently rely on emergency departments (EDs) for acute medical care. The most common non-traumatic ED diagnoses and associated operational resource utilization patterns in this population remain incomplet... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012515 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012618 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S309-S309 | Gartenberg, A.; Murk, W.; Seu, R.;...<br/>Study Objectives Human immunodeficiency virus (HIV) remains underdiagnosed despite Centers for Disease Control and Prevention (CDC) recommendations for routine opt-out screening. Emergency Departments (EDs) disproportionately serve populations at ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012618 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012588 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S308-S308 | Smith, S.; Jain, S.; Banks, J.;...<br/>Study Objectives Gun violence disproportionately targets young people, with teenagers and young adults bearing a high burden of firearm violence. When violence occurs in densely populated neighborhoods, bystander intervention can significantly imp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012588 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012254 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S295-S295 | Rainey, H.; Kline, H.; Marshall, K.;...<br/>Introduction Whole-body computed tomography (WBCT) is commonly used in trauma evaluation, but its utility in patients with apparently isolated hip/femur fractures is unclear. After these patients transitioned from general medicine to trauma surger... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012254 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012643 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S310-S311 | Schindler, Z.; Wood, M.; Shah, K.<br/>Study Objectives Noncontiguous (NC) spine fractures are associated with increased morbidity. Previous large scale analyses have focused on the prevalence of NC fractures of any spinal region, and multivariable analyses identifying factors associat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012643 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013545 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S317-S317 | Sharma, D.; Gupta, A.; Malcom, W.;...<br/>Study Objectives Vaso-occlusive episodes (VOE) secondary to sickle cell disease (SCD) require rapid analgesia, with established guidelines recommending the first dose be administered within 60 minutes of ED arrival. However, in single center studi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013545 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013478 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages A1-A2<br/>McCormick Place Convention Center Chicago, IL 2026 Research Forum Planning Committee Peter B. Pruitt, MD, MS, FACEP, ResearchForum Chair 2026 James Paxton, MD, MBA, FACEP, Incoming, Research Forum Chair 2027 Patrick J. Maher, MD, MS, FACEP, Incomi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013478 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005688 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S5-S5<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005688 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005718 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S5-S6 | Jones, D.; Klassen, A.; Dangerfield, B.;...<br/>Study Objective Emergency department (ED) crowding is typically measured using retrospective, spatially nonspecific metrics that do not provide advance warning of emerging bottlenecks. We sought to develop and validate a graph neural network (GNN)... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005718 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600569X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S5-S5 | Walker, T.; Salavec, L.; Hernandez, N.;...<br/>Study Objectives The Emergency Department (ED) at Lincoln Medical & Mental Health Center sees roughly 160,000 patients per year in a socio-economically stressed area of New York City. Limited access to routine care and an ongoing nurse shortage ar... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600569X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005731 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S6-S7 | McKee, V.; Degtyar, A.; Wood, A.;...<br/>Study Objectives As emergency department (ED) volumes rise across the country, the negative effects of hospital boarding are becoming more apparent. Prolonged boarding has been widely recognized as a barrier to the delivery of quality emergency he... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005731 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005676 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S4-S5 | Okonkwo, E.; Penny, P.; Cruz, L.;...<br/>Study Objectives Rapid thromboelastography (rTEG) is most commonly used to guide emergency department (ED) trauma resuscitations. Trauma-induced coagulopathy is characterized by delayed clot initiation, impaired clot propagation, reduced clot stre... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005676 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005615 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S2-S2 | Adhikari, S.; Yang, L.; Ozkut, Y.;...<br/>Study Objectives Pulmonary embolism (PE) is associated with significant morbidity and mortality, primarily due to acute right ventricular (RV) dysfunction leading to hemodynamic collapse. Mortality rates exceed 50% among hemodynamically unstable p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005615 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005809 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S9-S10 | Alvarez, A.; Hirsh, E.L.; Sun, W.W.;...<br/>Study Objectives Shift work threatens emergency physician well-being and workforce sustainability, yet consensus scheduling practices for academic emergency departments (EDs) remain undefined. This study determined which scheduling, compensation, ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005809 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005755 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S7-S7 | McKillip, R.; Baker, A.; Terri, J.;...<br/>Study Objectives Emergency department (ED) crowding is widespread across the United States and is largely driven by inpatient boarding, which reduces available treatment space and forces EDs to adapt their operations to maintain patient flow. Hall... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005755 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005780 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S9-S9 | Wu, F.; Darracq, M.<br/>Study Objectives Physician Assistants (PAs) and Nurse Practitioners (NPs) help augment the rural emergency care workforce in the United States (US). A prior study found that PAs and NPs are 26.8% of the emergency care workforce in rural counties. ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005780 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005822 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S10-S11 | Randall, H.; Rana, A.; Roarty, J.;...<br/>Study Objectives Time constraints and scattered supplies prevent emergency clinicians from performing high-yield ultrasound-guided regional anesthesia blocks (PENG, FICB, ESPB). We aimed to implement a mobile, zero-cost Regional Anesthesia Cart to... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005822 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005810 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S10-S10 | Hanna, M.; McStay, C.; Lim, A.;...<br/>Study Objectives Labor actions and strikes carry recognized implications for patient care delivery, yet their measurable effects on emergency department (ED) operations remain poorly characterized in the literature. The 2026 New York City nursing ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005810 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005858 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S12-S12 | Li, H.; Cheong, K.M.; Tsai, T.-Y.;...<br/>Study Objectives Ultrasound-guided regional anesthesia (UGRA) is increasingly used in emergency departments (EDs) for acute pain management. Although the technique is considered relatively easy to learn, many operators experience hesitancy in perf... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005858 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005652 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S3-S4 | Boone, S.; Scheurer, M.; Keene, K.;...<br/>Study Objectives Iron deficiency anemia (IDA) is the most common hematologic disorder in the United States and worldwide. Women with IDA due to abnormal uterine bleeding (AUB) frequently present to the emergency department (ED). Intravenous (IV) i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005652 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005792 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S9-S9 | Dilip, M.; Dorritie, M.; Shah, R.;...<br/>Study Objectives Emergency department (ED) imaging throughput depends on adequate staffing across interconnected operational stages including patient transport, CT scanner availability, and radiologist interpretation. While scanner expansion is fr... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005792 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005883 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S13-S13 | Gawel, R.; Shofer, F.S.; Aulia, U.A.;...<br/>Study Objective Knee pain is a common reason for emergency department (ED) presentation and is frequently managed with systemic analgesics and opioids, which may be ineffective or contraindicated in older adults and patients with certain comorbidi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005883 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005895 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S14-S14 | O'Connell, D.; Paul, K.K.; Wynn, A.;...<br/>Study Objectives Etomidate and ketamine are commonly used induction agents for emergency department rapid sequence intubation (RSI). While prior studies have focused on hemodynamic stability and short-term physiological outcomes, comparative data ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005895 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005767 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S8-S8 | Kravitz, J.; Neyman, G.; Stander, E.<br/>Background Professional longevity has always been a challenge in emergency medicine (EM). Workload demand, burnout, performance metrics are just some of the challenges to a long career. 2018 data showed that while 44% of all practicing physicians ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005767 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005834 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S11-S11 | Shammout, A.; Harris, C.<br/>Study Objectives Acute hip and femur fractures are common, painful injuries in older adults and are frequently associated with high opioid exposure, hospitalization, and delirium. Peripheral nerve blocks offer targeted analgesia and may reduce opi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005834 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600586X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S12-S13 | Mathew, R.; Boyle, K.; Sacavage, S.;...<br/>Study Objectives A fixed-dose combination (FDC) of acetaminophen (Acet) and naproxen sodium (NPX) has the potential to deliver highly effective analgesia, combining fast onset and long duration in a single product. A prior proof-of-concept post-su... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600586X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005871 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S13-S13 | Gawel, R.; Aulia, U.A.; Rodriguez, S.;...<br/>Study Objectives Fascia iliaca compartment blocks (FICBs) are increasingly used to provide opioid-sparing analgesia for hip fracture patients in the emergency department (ED). However, many patients receive systemic opioids prior to block placemen... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005871 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006463 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S38-S38 | Castillo, E.; Molina, A.; Bergstrom, J.;...<br/>Study Objectives Older adults are seen with increasing frequency in the emergency department (ED) for fall injuries. Markers of resilience and frailty may be important to study in this population for short term morbidity risk and recovery. As part... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006463 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005846 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S11-S12 | Lazaro-Paulina, F.; Dreyfuss, A.; Rivera-Ulloa, K.A.;...<br/>Study Objectives Traumatic rib fractures are associated with significant morbidity and mortality, with inadequate analgesia contributing to respiratory complications, including pneumonia, atelectasis, and respiratory failure. Cryoneurolysis produc... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005846 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600644X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S37-S37 | Aguilera, P.; Lara, B.<br/>Study Objective Frailty is a geriatric syndrome characterized by reduced physiological reserve and increased vulnerability to acute stressors, and is strongly associated with adverse clinical outcomes. Older adults account for a substantial propor... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600644X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006499 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S39-S40 | Gunaga, S.; Rammal, J.-A.; Welchans, M.;...<br/>Study Objectives Elder mistreatment is common but substantially underrecognized, with community estimates suggesting approximately 1 in 10 older adults are affected and that for every reported case, as many as 22 cases may go unreported. Emergency... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006499 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006487 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S39-S39 | Nelson, C.; Dahlke, L.; Qureshi, N.;...<br/>Study Objectives Little is known regarding how emergency care team partners approach treating patients living with dementia (PLWD) in the emergency department (ED). Our objectives were to describe how interdisciplinary ED care team members approac... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006487 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006505 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S40-S40 | Fischer, M.; Wright, R.M.; Kearcher, K.;...<br/>Study Objective This Geriatric Emergency Care Applied Research Network Advancing Dementia Care (GEAR 2.0-ADC) funded pilot study examined factors contributing to emergency department (ED) visits among community-dwelling people living with dementia... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006505 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006542 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S42-S42 | Raj, H.; Radhakrishnan, A.; Ganne, T.<br/>Study Objectives AI tools are rapidly entering emergency care without systematic equity evidence. Trained on historically biased data, these systems may scale existing disparities. This evidence gap map (EGM) identifies where equity evidence is es... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006542 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006517 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S40-S41 | Roumpz, C.; Ditkowsky, J.; Perotte, R.;...<br/>Study Objectives Older adults represent a growing proportion of emergency department (ED) visits and are at risk of hospitalization, repeat utilization, functional decline, and care fragmentation upon discharge. Traditional ED workflows often fail... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006517 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006633 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S45-S46 | Buehler, C.; Archer, A.; White-Archer, M.;...<br/>Study Objective To quantify the catastrophic health expenditure (CHE) risk among uninsured, treat-and-release “avoidable use” emergency department (ED) visits, as defined by the Agency for Healthcare Research and Quality (AHRQ) Prevention Quality ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006633 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006657 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S47-S47 | Rainer, T.; Leung, M.K.M.; Kin, P.;...<br/>Introduction Neutropenic fever post chemotherapy requires prompt antibiotic administration. Under the Hospital Authority, Accident and Emergency (A&E) Departments aim to have a door-to-antibiotic time of https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006657 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006530 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S41-S42 | Tarantino, B.; Buck, M.; Alicea, J.;...<br/>Study Objectives Physical abuse is a significant public health issue in the United States, affecting millions of individuals per year and leading to multiple downstream health outcomes such as chronic illness, depression, anxiety, and substance us... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006530 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006578 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S43-S43 | Habchi, S.; Bannelier, H.; Jarman, A.;...<br/>Background The diagnostic algorithm for pulmonary embolism (PE) recommends pre-test risk stratification by clinical probability, which is commonly done using unstructured clinician gestalt in the Emergency Department (ED). Emerging evidence sugges... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006578 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600658X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S43-S44 | Peeke, M.; Landon, J.; Atreya, G.;...<br/>Study Objectives Acute pain relief has been recognized as a fundamental human right, yet evidence consistently shows that racial/ethnic minorities experience disproportionate undertreatment of pain. Prehospital disparities are less well characteri... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600658X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006645 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S46-S46 | Koski-Vacirca, R.; Gettel, C.; Ross, J.S.;...<br/>Study Objectives Rural hospitals are chronically under resourced, and ongoing rural hospital closures threaten emergency care access in many communities. The Critical Access Hospital (CAH) model has provided financial support for small rural hospi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006645 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006451 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S37-S38 | Ding, X.; Culkin, C.; Venkatesh, A.K.;...<br/>Study Objectives Functional impairment – including limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) – is common among older adults and may influence patterns of healthcare utilization. Prior emer... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006451 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600716X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S71-S71 | Ji, L.; Rodriguez, R.<br/>Background Return visits to the emergency department (ED) within 72 hours are commonly used as a quality indicator in healthcare. However, the drivers of these revisits are multifactorial, spanning patient characteristics, illness progression, phy... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600716X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006736 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S49-S50 | Kipust, A.; Chi, C.; Wajner, B.;...<br/>Study Objectives Adults with autism spectrum disorder (ASD) use emergency department (ED) care at two to three times the rate of the general population, with disparities in admission and post-care mortality, yet qualitative research on adult ED ex... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006736 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006712 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S49-S49 | Boussina, A.; Ford, J.; Wong, A.;...<br/>Study Objectives Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have demonstrated anti-inflammatory, cardiometabolic, and organ-protective effects that may influence outcomes during critical illness. We sought to evaluate the association be... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006712 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006724 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S49-S49 | Koski-Vacirca, R.; Gettel, C.; Rothenberg, C.;...<br/>Study Objectives Hospital prices are a major driver of health care cost growth in the US. Prior work has examined price variation for shoppable services such as elective surgeries and has shown that hospitals with favorable hospital and market cha... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006724 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006529 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S41-S41 | Jenkins-Morales, M.; Ricketts, S.; Cuthel, A.;...<br/>Study Objectives Persons living with dementia (PLWD) visit the emergency department (ED) at higher rates than their peers and frequently experience adverse outcomes during the ED-to-home transition. The Community Paramedic-led Transitions Interven... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006529 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006803 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S52-S52 | Kahl, N.; Patel, A.; Daffer, N.;...<br/>Study Objectives Recent literature suggests that emergency physicians (EPs) may systematically underdocument critical care services due to the requirement that they explicitly declare that critical care was performed in their clinical note. Baseli... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006803 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007134 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S70-S70 | Islam, N.; Johnstone, M.J.; Haber, S.;...<br/>Study Objectives Abdominal pain is one of the most common emergency department (ED) chief complaints and frequently requires timely analgesia and reassessment. Prior studies have suggested that disparities may exist in pain management based on pat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007134 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006566 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S43-S43 | Meyers, E.; Cua, G.; Clark, M.;...<br/>Study Objectives Firearm injuries are the leading cause of death for pediatrics in the US with a disproportionate impact on Black and low-income youth. Appropriate pain management is a critical component of clinical care of firearm injuries as an ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006566 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007328 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S77-S78 | Lee, J.H.<br/>Study Objectives Traditional triage scores (eg, NEWS2, qSOFA) capture only a single snapshot and fail to account for the duration of a patient's physiological derangement. While continuous monitor data can quantify this cumulative high-risk burden... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007328 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007304 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S77-S77 | Greineder, C.; Tripu, D.; Chaulagain, B.;...<br/>Background Given the substantial morbidity and mortality associated with traumatic brain injury (TBI), translational therapeutics capable of reducing neuronal death and improving functional outcomes remain amongst the most pressing unmet needs in ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007304 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007341 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S78-S78<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007341 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007390 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S80-S80 | Jenkins, M.; Scarrow, C.; Taporco, J.;...<br/>Study Objectives About 8,000 people are bit by a venomous snake in the US every year. The genus Crotalidae is responsible for approximately 99% of these envenomations, leading to both hemotoxic and cytotoxic effects. The most common of these is Ag... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007390 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007365 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S79-S79 | Gordon, D.; Moghis, A.; Masood, S.;...<br/>Study Objectives To assess the effects of peripheral perfusion-directed management compared with standard care (MAP- or lactate-guided resuscitation) in adults with septic shock. We hypothesized that peripheral perfusion-directed management would ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007365 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006815 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S52-S53 | Xiao, V.; Epstein, E.; Koziatek, C.;...<br/>Study Objectives Ambient artificial intelligence (AI) documentation tools are increasingly deployed in emergency departments (EDs), with early evaluations focused on documentation efficiency and electronic health record time. Less is known about t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006815 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007535 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S86-S87 | Smartt, A.; Pazdernik, V.M.; Coombes, B.J.;...<br/>Study Objectives A history of complicated alcohol withdrawal is among the strongest predictors of subsequent complicated withdrawal, yet emergency physicians frequently encounter patients without such a history in whom risk stratification and disp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007535 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007511 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S85-S86 | Quintero, T.; Habermann, S.; Goyal, M.;...<br/>Study Objectives There is a paucity of data examining whether well-appearing patients treated for alcohol withdrawal syndrome (AWS) with IV phenobarbital can be safely discharged from the Emergency Department (ED) after symptom resolution or requi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007511 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007559 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S89-S89 | Bachman, C.; Stevens, R.; Obrien, C.;...<br/>Study Objectives An association between cannabis and psychosis has been described in the medical literature since the 1930s. Since recreational legalization in 2018, Michigan emergency departments (EDs) have reported a sharp rise in visits for neu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007559 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007274 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S75-S76 | Ali, S.; Brijesh, L.; Christiaan, C.;...<br/>Study Objectives Among emergency department (ED)-origin adults hospitalized with opioid-associated cardiac arrest (OA-CA), 2016–2023, to (1) quantify national trends in opioid subtype and case volume; (2) describe the resuscitation burden (invasiv... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007274 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007468 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S83-S83 | Lopez Juarez, A.; Quijano, C.S.; Amaya, C.;...<br/>Study Objectives Geriatric Emergency Department (GED) Guidelines recommend screening older adults for cognitive impairment (CI) to identify patients who may have undiagnosed dementia. The ED is a key point of healthcare access for marginalized, lo... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007468 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007705 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S94-S95 | Mukaddim, R.A.; Schnittke, N.; Ghoshal, G.;...<br/>Study Objective Focused Assessment with Sonography for Trauma (FAST) is a widely adopted point-of-care ultrasound exam for evaluating blunt abdominal trauma, yet its diagnostic accuracy remains heavily operator-dependent. The objective of this wor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007705 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600778X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S98-S98 | Woodland, N.; Khan, A.; Hudock, S.;...<br/>Study Objectives Age-related differences in patients with Fournier’s gangrene (FG) are poorly defined, as most studies aggregate adults into a single cohort or derive from single-center surgical series. The purpose of this study was to characteriz... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600778X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007237 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S74-S74 | Lu, H.; Nadell, M.; Duggineni, D.;...<br/>Study Objectives Established oncology patients often present to the emergency department (ED) with symptoms that require timely re-evaluation but not necessarily inpatient admission. Limited access to urgent oncology follow-up leads ED providers t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007237 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007596 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S90-S91 | Arana-Arri, E.; García-de-Vicuña, A.; Santorcuato, A.;...<br/>Study Objectives Repeat head computed tomography (CT) is frequently performed after an initial negative scan in patients with mild traumatic brain injury (mTBI), particularly in older adults and those receiving antithrombotic therapy, despite limi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007596 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007729 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S95-S95 | Clark, M.; Williamson, W.; Gomez-Picazo, J.;...<br/>Study Objectives Emergency physician (EP) burnout, distress, and workforce attrition remain major challenges for the specialty. Sleep disruption related to shift work is common and may represent a modifiable contributor to occupational stress. How... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007729 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600781X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S99-S99 | Shah, V.; Gridley, D.<br/>Background Trace pelvic free fluid is commonly identified on pelvic imaging in adult women presenting to the Emergency Department with acute pelvic pain. However, its clinical significance remains poorly defined. Unlike large-volume or complex fre... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600781X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007870 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S102-S103 | Biel, A.; Moss, D.; Hollender, M.;...<br/>Study Objective Timely electrocardiogram (EKG) acquisition is critical in the emergency department (ED), particularly for patients presenting with symptoms suggestive of cardiac ischemia. Prolonged EKG acquisition time can lead to delayed diagnosi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007870 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007869 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S102-S102 | You, A.; Kreshak, A.; Lafree, A.;...<br/>Study Objective Candida auris is an emerging multidrug-resistant organism associated with healthcare-associated outbreaks, high mortality, and environmental persistence. Due to its high transmissibility and infection control implications, screenin... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007869 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007924 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S106-S106 | Vieux, T.; Bannelier, H.; Freund, Y.<br/>Study Objectives To assess whether publication of the Randomized Trial of Sedative Choice for Intubation influenced clinicians’ preferences regarding sedative choice for rapid sequence intubation. Published in the New England Journal of Medicine i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007924 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600795X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S107-S107<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S019606442600795X https://www.clinicalkey.com/playContent/1-s2.0-S019606442600764X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S92-S92 | Trejo, D.; Papa, L.; Valadka, A.;...<br/>Study Objectives Patients with traumatic brain injury (TBI) experience markedly different outcomes, ranging from rapid recovery to persistent neurological impairment and death, even when presenting with similar initial Glasgow Coma Scale (GCS) sco... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600764X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013557 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S317-S318 | Alshareef, A.; Abudrea, M.; Abubakar, T.;...<br/>Objectives Artificial intelligence-based electrocardiographic models have been proposed as rapid screening tools for pulmonary embolism in emergency care. However, diagnostic performance varies across electrocardiogram-only and multimodal models. ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013557 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012710 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S313-S314 | Eisenbraun, K.; Stielow, S.; Schlewitt, J.;...<br/>Study Objectives The emergency department is known for being “healthcare’s front door,” open to anyone that requires medical care. Specifically at Emory, ED utilization is highest amongst self-pay patients (ie uninsured) since 2022 (Emory Healthca... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012710 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426014113 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S318-S318 | Bueno, C.; Varão, T.; Pedroza, A.;...<br/>Objective To evaluate the impact of a theoretical-practical training program in Basic LifeSupport (BLS) and Foreign Body Airway Obstruction (FBAO) management on the knowledge ofelementary school teachers from public and private schools. Methods Th... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426014113 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012679 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S312-S312 | Valdovinos, E.; Bennigson, B.; Loganathan, A.S.;...<br/>Study Objectives Opt-out screening protocols for HIV testing in emergency departments (EDs) have been recommended by the Centers for Disease Control for two decades (Galletly et al., 2009) and are one strategy in reaching people who do not have ac... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012679 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005664 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S4-S4 | Okonkwo, E.; Thoenen, J.; Paudel, D.;...<br/>Study Objectives Triage and disposition decision-making for emergency department (ED) patients with upper gastrointestinal bleeding (UGIB) depends on identifying which patients will require interventions. Because they do not account for underlying... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005664 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005779 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S8-S9 | Dilip, M.; Sun, W.W.; Dorritie, M.;...<br/>Study Objectives To evaluate the impact of a nursing strike-related Clinical Disruption Period (CDP) on emergency department (ED) patient experience across multiple hospital sites within a large New York health system and to identify communication... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005779 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006013 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S18-S18 | Ashburn, N.; Snavely, A.C.; Ehrig, M.R.;...<br/>Study Objectives Glycated albumin (GA) reflects 4-week glycemic control and has been evaluated in longitudinal cohorts of patients with diabetes. However, data evaluating the relationship between short-term glycemic control, measured by GA, and ac... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006013 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006116 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S22-S22 | Raisch, N.; Nama, A.; Offenbacher, J.;...<br/>Study Objectives To compare the agreement of automated scoring and real-time instructor scoring with a consensus-derived expert reference benchmark in emergency medicine (EM) simulation. Methods In this retrospective validation study, EM residents... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006116 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005743 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S7-S7 | Brahmbhatt, K.; Lai, O.; Tsai, A.;...<br/>Study Objectives At the UCLA emergency department (ED), patients meeting institutional trauma activation criteria receive a primary and secondary survey in the trauma resuscitation bay upon arrival. After initial evaluation and the completion of d... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005743 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005640 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S3-S3 | Gordon, B.; Zwank, M.D.; Kpegeol, C.K.;...<br/>Study Objectives For patients presenting to the emergency department (ED) with acute gastrointestinal bleed (GIB), CT angiography (CTA) using a specialized GIB protocol is an attractive non-invasive diagnostic test to order. However, this imaging ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005640 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006347 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S33-S33 | Malik, A.; Paudel, R.; Briggs, A.;...<br/>Study Objective Emergency medical service (EMS) clinicians are trained to prioritize the resuscitation and transport of critically ill patients. However, the treatment needs and care goals of hospice patients may differ substantially from usual EM... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006347 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600627X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S29-S30 | Nene, R.; Kawano, B.; Santorelli, J.;...<br/>Study Objectives The decision to utilize ground-based emergency medical services (GEMS) or helicopter EMS (HEMS) for interfacility transfers of trauma patients is complex, and often depends on a combination of patient acuity, distance between the ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600627X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006207 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S26-S27 | Rudolf, F.; Subramony, R.; Van Lighten, M.<br/>Study Objectives Fourth-year medical students often enter residency with limited structured assessment of urgent clinical communication and interprofessional collaboration despite paging and interdisciplinary communication being core intern respon... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006207 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006268 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S29-S29 | Tilley, L.; Cowie, J.; Morrison, K.;...<br/>Study Objective A Large-Scale Combat Operation (LSCO) is predicted to require civilian healthcare support to care for returning military casualties. While the National Disaster Medical System (NDMS) was created in 1984 as a collaborative federal e... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006268 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006190 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S26-S26 | Techarukpong, N.; Puliyadi, V.; Hartner, I.;...<br/>Study Objectives Sexual violence affects over half of women and a third of men in the U.S, with a higher burden among racial and gender minorities. Despite its prevalence, medical education lacks training in trauma-informed and sexual assault care... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006190 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006359 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S33-S33 | Sanghvi, S.; Ostermayer, D.; Fu, S.;...<br/>Study Objectives As the population ages, the emergency department (ED) has become a critical juncture for realigning care with the values of seriously ill adults, yet the frequency of resuscitation-focused goals-of-care (RF-GOC) discussions there ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006359 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006852 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S54-S54<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006852 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006384 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S34-S34 | Donovan, J.<br/>Study Objectives A randomized clinical trial (RCT) has shown that hyperacute prehospital blood pressure (BP)-lowering improves outcomes for intracerebral hemorrhage (ICH) but worsens outcomes for ischemic stroke (IS). Consequently, an emerging tre... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006384 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006074 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S20-S21 | Saadi Neto, E.; Schlager, R.; Dribin, T.E.;...<br/>Study Objectives Anaphylaxis is a potentially life-threatening allergic reaction. Refractory anaphylaxis carries a particularly high risk of fatal outcomes. However, limited data exist to support early recognition of patients at increased risk of ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006074 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006414 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S35-S36 | Poh, J.; Chua, G.<br/>Background Falls in older adults represent a major public health concern worldwide and account for 85% of older adult trauma in the Emergency Department (ED) in Singapore. Evidence shows that structured protocols reduce recurrent falls and limit f... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006414 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006438 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S36-S37 | Sahin, M.; Ozturan, I.; Ulas, I.;...<br/>Study Objectives Frailty in older emergency department (ED) patients is typically conceptualized in physical terms, but frailty also has a social dimension whose independent prognostic value in acute care has not been well established. This study ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006438 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006931 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S57-S57 | Balsamo, I.; Bonadia, N.; Antonio, D.;...<br/>Study Objective Accurate differentiation between acute cerebrovascular events (CVEs) and stroke mimics remains a major challenge in emergency department (ED) triage, where rapid diagnostic decisions directly influence treatment eligibility and cli... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006931 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006943 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S58-S58 | Paxton, J.; Keenan, K.J.; Smith, W.S.<br/>Study Objectives Endovascular thrombectomy can significantly reduce mortality and morbidity due to large vessel occlusion (LVO) ischemic stroke, but outcomes remain time-sensitive. Prehospital LVO detection permits efficient and appropriate emerge... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006943 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006979 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S59-S59 | Gerard, J.; Briggs, B.; Anderson, M.;...<br/>Study Objectives Pediatric prehospital advanced airway management is high-stakes and low-frequency. Prior analyses have been limited to single-agency air medical groups or ground EMS cohorts. National multi-agency air medical performance is not we... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006979 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006864 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S54-S55 | DiStefano, J.; Rizvi, S.<br/>Study Objectives Artificial intelligence (AI) models are increasingly being explored for emergency department (ED) triage and diagnostic support. This study evaluated the diagnostic and disposition accuracy of the Anthropic Claude Sonnet large lan... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006864 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006992 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S60-S60 | Leff, R.; Kummer, T.; Nagler, J.;...<br/>Study Objectives Contrast-enhanced focused assessment with sonography for trauma (cFAST) has demonstrated superior sensitivity compared to conventional FAST for detecting solid organ injury in blunt abdominal trauma, yet no prior study has evaluat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006992 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600702X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S61-S62 | Srivastava, D.; Hathcock, E.; Milsten, A.;...<br/>Study Objectives Opioid overdose and firearm violence are major drivers of premature mortality in the United States. In 2023, the CDC reported 46,728 deaths from firearms and over 100,000 drug overdose deaths, including around 79,000 involving opi... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600702X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006967 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S58-S59 | Muhammad, K.; Qamar, I.; Haider, A.;...<br/>Study Objective The Emergency Severity Index (ESI) is the predominant emergency department triage tool, yet its application in children and the equity of that application remain poorly characterized. Undertriage risks delays in care and preventabl... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006967 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007018 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S61-S61 | Barnes, K.; Schroffenegger, L.M.; Klinger, J.A.;...<br/>Background Cannabinoid hyperemesis syndrome (CHS) is characterized by recurrent episodes of intractable nausea and vomiting in the setting of chronic, excessive cannabis use. Emergency department (ED) visits for CHS have increased nationally with ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007018 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006840 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S54-S54 | Boccio, E.; Katz, R.; Weiss, M.<br/>Study Objectives To evaluate whether implementation of a non-interruptive, workflow-integrated electronic health record (EHR) clinical decision support (CDS) tool was associated with a sustained change in provider documentation rates of HEART scor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006840 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006323 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S31-S32 | Neelam, H.; Mowbray, F.; Beam, L.;...<br/>Study Objectives Emergency department (ED) initiated hospice and palliative care (HPC) consultations are increasingly integrated into emergency medicine workflows for patients with serious illness. However, operational performance metrics includin... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006323 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006402 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S35-S35 | DiCesare, D.; Fitzpatrick, D.; Zuver, C.;...<br/>Study Objectives The optimal vasopressor strategy in the prehospital management of shock remains controversial. Continuous epinephrine infusions are commonly used but may be challenging to prepare and administer in the prehospital environment, par... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006402 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006554 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S42-S42 | Fulks, T.; Mullink, A.; Hayes, M.;...<br/>Study Objectives This study was performed to evaluate whether female emergency medicine (EM) physicians experience more pushback during hospital admission requests than male physicians, assess the frequency of microaggressive behaviors during admi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006554 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006591 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S44-S44 | Sharma, D.; Chakravarthula, S.N.; Malcom, W.<br/>Study Objectives The 2022 Transparency in Coverage Rule required health insurers to publish their negotiated rates, but the massive file sizes make the data very difficult for hospitals to use. Furthermore, commercial negotiated prices are known t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006591 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600675X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S50-S51 | Friedman, A.; Gupta, A.; Adler, L.;...<br/>Study Objectives The corporatization of emergency department (ED) staffing has accelerated, with private equity-backed and publicly-traded companies playing a growing role. We aim to describe the changes in ownership structure of emergency medicin... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600675X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006426 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S36-S36 | Li, K.; Chipman, A.K.; Ben Ma, Z.;...<br/>Study Objectives The KINDER 1 fall risk assessment tool is widely used in emergency departments to identify patients at risk for in-ED falls, triggering immediate safety interventions. However, its utility for identifying patients at elevated risk... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006426 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006244 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S28-S28 | Contreras, G.; Carruth, A.; Wong, R.;...<br/>Study Objectives Clinical vignettes may use race/ethnicity, social determinants of health (SDOH), and potentially stigmatized patient characteristics to support realism and clinical reasoning, but unnecessary or stigmatizing details may reinforce ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006244 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006475 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S38-S39 | Dresden, S.; Gray, E.; Kocherginsky, M.;...<br/>Study Objectives Prior observational studies demonstrated reduction in hospitalizations for older adults cared for in the Geriatric Emergency Department Innovations (GEDI) program when patients were selected for additional care by clinicians. The ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006475 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600661X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S45-S45 | Crowley, K.; Lin, G.; Chou, S.-C.<br/>Study Objectives Rising out-of-pocket costs increasingly affect patient decision-making, yet little is known about how patients navigate financial concerns during acute care visits in the emergency department (ED). Financial concerns could be part... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600661X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006785 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S51-S51 | Humes, S.; Tang, K.; Maffetone, N.;...<br/>Study Objectives Physician and provider documentation in the electronic health record (EHR) is a known contributor to burnout, as convenience and efficiency are continuously at odds with regulatory and billing requirements. Artificial intelligence... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006785 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006621 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S45-S45 | Bennett, C.; Courtney, D.M.; Gettel, C.;...<br/>Study Objective To characterize the current US emergency physician workforce. Methods We analyzed the 2026 American Medical Association Physician Masterfile, including all physicians who designated emergency medicine as their primary or secondary ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006621 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006748 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S50-S50 | Hutchison, B.; Snavely, A.C.; Villenthi, A.;...<br/>Study Objectives Patients with known coronary artery disease (CAD) are at increased risk for myocardial infarction (MI). While prior coronary catheterization is often used to risk stratify these patients, its prognostic performance in those with r... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006748 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006669 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S47-S47 | Elsherif, S.; Daouk, F.; Shulaiba, F.;...<br/>Study Objectives To evaluate the clinical utility of blood cultures in patients admitted with suspected urosepsis, specifically their impact on antibiotic management and clinical outcomes. Methods We conducted a retrospective observational study o... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006669 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006797 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S51-S52 | Duffy, E.; Gancz, L.; English, B.;...<br/>Study Objectives Electronic health record use has been associated with clinician burnout, particularly through after-hours documentation and clerical workload. Ambient artificial intelligence (AI) scribes are increasingly promoted as a strategy to... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006797 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006682 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S48-S48 | Singer, A.; Motov, S.; Kellerman, L.;...<br/>Study Objectives Management of patients who present to the emergency department (ED) or Urgent Care Center (UCC) and are suspected of having community-acquired pneumonia (CAP) but test positive for a viral etiology remains controversial. While the... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006682 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007055 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S63-S65 | Mani, V.; Srinivasan, S.S.; Khan, Z.;...<br/>Study Objectives Fentanyl related overdose deaths have increased dramatically in the United States over the past decade and remain a major public health crisis. Due to its extreme potency and widespread availability, fentanyl has become a leading ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007055 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006670 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S47-S48 | McElhinny, M.; Divello, S.; Butler, W.;...<br/>Study Objectives From 2012-2022, the number of heat-related deaths from excessive environmental heat has been increasing. Along with temperature, hyperthermic patients often meet SIRS criteria and have vital signs that mimic those of a patient pre... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006670 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007109 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S68-S69 | Willner, K.; Doughton, C.; Kerestes, J.;...<br/>Study Objectives Dispensing topical ophthalmic anesthetics for home use for simple corneal abrasion remains controversial. The cornea is a densely enervated structure and tears in the epithelium are very painful, but effectively relieved by topica... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007109 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007067 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S65-S66 | Kahn, Z.; Mani, V.; Linton, S.C.;...<br/>Study Objective Unintentional poisoning is a leading cause of injury related mortality among children and adolescents in the United States. While poisoning deaths have increased in recent years, the age groups driving these trends remain incomplet... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007067 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007389 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S80-S80<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007389 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006694 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S48-S49 | Ford, A.; Martin, C.; Hoelle, R.;...<br/>Study Objectives Sepsis is the third leading cause of death in United States hospitals. On November 15, 2024, a single community hospital increased the sensitivity for sepsis alerts when they changed the trigger for a sepsis bundle initiation and ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006694 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007079 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S66-S67 | Mani, V.; Srinivasan, S.S.; Shaikh, S.;...<br/>Study Objectives Methamphetamine and other psychostimulants with abuse potential have emerged alongside fentanyl as major contributors to the overdose crisis in the United States. While synthetic opioid mortality patterns have been extensively des... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007079 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007845 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S100-S101 | Ditkowsky, J.; Goldstein, A.; Dorgan, J.;...<br/>Study Objectives Delirium is a critical safety concern in the emergency department (ED), affecting approximately 2.6 million older adults annually and contributing to $164 billion in healthcare costs. Despite its prevalence, it is frequently under... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007845 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007882 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S103-S103 | Wahba, J.; Mishra, D.; Haussner, D.;...<br/>Study Objectives Accurate diagnosis of female urogenital sexually transmitted infections (STIs) in the emergency department (ED) requires reliable specimen collection and ordering. At a large academic ED, multiple swab types, a confusing electroni... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007882 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007894 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S104-S104 | Mireles-Romo, C.; Santiago, J.; Lafree, A.;...<br/>Study Objectives Magnetic Resonance Imaging (MRI) is a resource intensive diagnostic imaging modality. Obtaining non-emergent MRI imaging in the Emergency Department (ED) may increase length of stay (LOS), place unnecessary strain on hospital reso... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007894 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007687 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S94-S94 | Slattery, S.; Bussinger, B.; Dove, A.;...<br/>Background Point of care ultrasound (POCUS) is increasingly utilized in austere, disaster, wilderness, and resource limited environments. Ultrasound image acquisition requires commercially available gel which may be limited due to weight, cost, an... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007687 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007900 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S104-S104 | Lake, I.; Lerew, B.A.; Melnychuk, E.M.;...<br/>Study Objectives When patients present to the emergency department (ED) with sepsis, serum lactate measurement is a key element for diagnosis and management of this life-threatening state given its correlation with tissue hypoxia and hypoperfusion... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007900 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007936 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S106-S106 | Ahern, T.; Ognian, I.; Park, J.;...<br/>Study Objectives Low-dose buprenorphine (LDB) has emerged as a potential emergency department (ED) analgesic option, though optimal initial dosing remains unclear. During implementation of an ED LDB analgesia protocol, clinician practice evolved f... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007936 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007833 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S100-S100 | Wu, Y.<br/>Study Objectives The critical challenge in the early management of acute pancreatitis (AP) lies in providing diagnostic support for atypical cases and achieving accurate risk stratification for severity before structural complications manifest. Co... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007833 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008012 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S109-S109 | Chen, Y.; Chen, C.; Meng, K.;...<br/>Study Objectives Rapid community response is a key determinant of survival in out of hospital cardiac arrest(OHCA), yet delays in automated external defibrillator (AED) access and responder mobilization remain common. We implemented a dispatch-lin... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008012 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007985 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S108-S108 | Raya, I.; Patel, A.; Gilbertson, R.;...<br/>Study Objectives Cannabis use has been associated with increased risk of psychosis, particularly in vulnerable populations. Individuals with attention-deficit/hyperactivity disorder (ADHD) may be at heightened risk due to overlapping neurodevelopm... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007985 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007961 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S107-S107 | Roncagli, C.; Waters, A.; Shuber, K.;...<br/>Background Procedural sedation (PS) is used for the relief of pain/anxiety in patients undergoing procedures. Prior non-emergency department (ED) studies report an increased risk of adverse events (AEs) during PS for patients using recreational dr... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007961 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008048 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S110-S110 | Snow, T.; Soljacic, F.; Baker, R.<br/>Study Objectives Prehospital termination of resuscitation (TOR) practices range from paramedic standing orders to mandatory online medical direction (OLMD). In hybrid systems requiring physician authorization, the role of OLMD remains poorly chara... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008048 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008024 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S109-S109<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008024 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008085 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S111-S112 | Gutierrez, D.; Nocek, J.; Eilbert, W.;...<br/>Study Objectives To externally validate the association between LAD and markers of disease severity in SCD using an independent multicenter cohort. Methods We conducted a retrospective cohort study using data from a national SCD registry encompass... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008085 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008061 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S111-S111 | Kuang, S.; Helander, M.; Wojcik, S.;...<br/>Study Objective Prior research has relied on billing designations to classify advanced life support (ALS) and basic life support (BLS) encounters. The purpose of this study was to determine whether prehospital management by ALS versus BLS is assoc... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008061 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007973 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S107-S108 | Roncagli, C.; Shuber, K.; Waters, A.;...<br/>Background Procedural sedation (PS) is used to relieve pain/anxiety in patients undergoing procedures. There are no large emergency department (ED) PS studies evaluating recreational drug use and adverse events (AE). Study Objectives To characteri... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007973 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008103 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S112-S112 | Cheng, T.; Yao, R.; Tian, S.;...<br/>Background Heat stroke (HS) is a life-threatening condition, and its prognosis is severely compromised when accompanied by cardiorenal syndrome (CRS). Early identification of HS-induced CRS is essential for enhancing clinical outcomes. Study Objec... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008103 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008127 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S113-S113 | De Smet, K.; Sandefur, B.J.; Kopecky, K.F.;...<br/>Study Objectives In 2013, Mayo Clinic Rochester implemented an Emergency Department–embedded Cardiology Consult Service (EDCCS) to support real-time cardiovascular decision-making in the ED. The service was designed to facilitate timely diagnostic... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008127 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008097 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S112-S112 | Uppaluri, S.C.; Meghna, N.S.<br/>Study Objectives Mitral annular plane systolic excursion (MAPSE) is a rapid bedside measure of longitudinal left ventricular (LV) systolic function that may serve as a practical surrogate for left ventricular ejection fraction (LVEF) in emergency ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008097 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008607 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S138-S138 | Ecoff, S.; Kelley, P.; Schaefer, A.;...<br/>Background Psychiatric patients in crisis constitute a vulnerable population whose clinical course may be impacted by demographic disparities such as a language discordance that may exist between the patient’s preferred language (PPL) and that of ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008607 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008176 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S116-S116 | Coyne, C.; Jouny, R.; Gruber, M.;...<br/>Objectives Patients with cancer diagnosed with pulmonary embolism (PE) in the emergency department (ED) have high short-term morbidity and mortality, but existing PE risk tools were not developed specifically for this population. We evaluated the ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008176 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008036 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S109-S110 | Lee, J.H.<br/>Study Objectives The optimal timing of advanced airway management (AAM) during out-of-hospital cardiac arrest (OHCA) may depend on emergency medical service (EMS) configuration and available manpower. We evaluated the association between early AAM... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008036 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008826 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S147-S147 | Jordano, J.; Gonzalez, B.M.; Staub, M.;...<br/>Objective Over-prescription of unnecessary antibiotics contributes to harm, including emergency department (ED) revisits, rehospitalizations, adverse events, and antimicrobial resistance. Although the majority are viral, up to 61% of upper respira... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008826 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008565 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S135-S136 | Martin-Castano, E.; Castano, A.; Rappaport, D.<br/>Study Objectives Patients often rely on both institutional discharge instructions and online resources to understand their care. Equitable access to clear information in a patient’s preferred language is essential, particularly in the Emergency De... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008565 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008759 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S143-S144 | Thomas, C.B.; Creel, B.; Taylor, J.;...<br/>Study Objectives Sepsis is a common cause of morbidity and mortality in patients with end stage renal disease (ESRD). Early identification is necessary to reduce the risk of adverse outcomes. These patients often have an atypical and nonspecific p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008759 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008784 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S145-S145 | Ballard, D.; Somers, M.; Rauchwerger, A.;...<br/>Objective Within a large integrated healthcare delivery system, we evaluated the impact of the California Febrile Infant Risk Stratification Tool (CA FIRST), an electronic clinical decision support system (CDSS) for febrile infants. Methods We pro... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008784 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008942 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S153-S154 | Radu, S.; Wilson, C.; Mann, M.<br/>Study Objectives Workplace violence is a pervasive and escalating occupational hazard in emergency medicine, with physicians experiencing rates of assault far exceeding those of other professions. These incidents contribute to burnout, moral injur... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008942 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008875 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S149-S150 | Meurer, W.; Baecker, A.; Jancis, M.;...<br/>Study Objectives The Dix-Hallpike test (DHT), canalith repositioning maneuver (CRM), and gaze-stabilization exercises (GSE) are recommended for selected patients with dizziness but are infrequently used in emergency department (ED) practice. We ev... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008875 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009042 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S158-S158 | Bhagat, G.; Penzkowski, S.; Demchuk, C.;...<br/>Study Objectives To identify knowledge gaps among emergency medicine and pharmacy providers regarding safe, evidence-based care of breastfeeding and lactating patients. Methods A voluntary, anonymous cross-sectional knowledge assessment survey was... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009042 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009017 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S156-S157 | Shaker, L.; Ullo, M.; Perotte, R.;...<br/>Study Objectives While Quality Improvement and Patient Safety (QIPS) curricula are mandated in residency, their impact on the psychological well-being of trainees, particularly on Second Victim Syndrome (SVS) following adverse events, is not well ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009017 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008917 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S151-S152 | Hale, O.; Hartka, T.; El Kebbi, O.;...<br/>Study Objectives Eye and orbital injuries are among the most time-sensitive presentations encountered in the emergency department (ED), requiring rapid assessment to identify vision-threatening pathology such as hyphema, globe rupture, and orbital... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008917 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600908X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S159-S160 | Coba Clementel, A.; Chan, L.; Genes, N.;...<br/>Objectives Timely access to emergency department (ED) resources is influenced by the Emergency Severity Index (ESI). Precise triage influences ED disposition and health outcomes, which may be complicated by language barriers that compromise ESI as... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600908X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008905 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S151-S151 | Van Dillen, C.; Papa, L.; Engasser, K.;...<br/>Study Objectives Consistent with the Guideline for Reasonable and Appropriate Care in the Emergency Department (GRACE-3) recommendations emphasizing bedside assessment, our ED implemented a dedicated physical therapist (PT) collaborating with emer... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008905 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009170 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S164-S164 | Khatri, U.; Dai, Y.; Samuels, E.;...<br/>Background The emergency department (ED) is a critical touchpoint for patients experiencing opioid use disorder (OUD) or non-fatal overdoses. This study investigates the association between ED-initiated buprenorphine and successful linkage to outp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009170 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009108 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S161-S161 | Thukral, S.; Grant, R.; Roussas, A.;...<br/>Objectives The emergency department (ED) frequently cares for undocumented immigrants as patients. Their social, economic, and legal concerns often represent significant barriers to care; thus, identifying and addressing these concerns is an impor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009108 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009121 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S162-S162 | Oo, K.; Kumar, R.; Khowong, T.;...<br/>Study Objective Sexual and reproductive health concerns, such as unmet contraception needs and early pregnancy loss (EPL) are frequently encountered in the emergency department (ED). Despite this, there is limited formal training or protocolized m... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009121 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009212 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S166-S166 | Sweeney, E.; Kovacs, M.; Cucher, D.;...<br/>Study Objectives This Study aimed to evaluate whether gender-based disparities exist in the management and outcomes of adults with blunt splenic injury using the American College of Surgeons Trauma Quality Improvement Program (TQIP) data from 2013... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009212 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600925X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S168-S168 | Ries, R.; Zeserson, E.; Herpich, F.;...<br/>Study Objectives The management of isolated traumatic subarachnoid hemorrhage (itSAH) in awake trauma patients continues to evolve. Historically, these patients have been routinely managed in intensive care units at trauma centers with neurosurgic... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600925X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009431 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S176-S176 | Khan, M.; Samones, E.; Phan, T.;...<br/>Study Objective Critical event preparedness training for in-hospital providers remains limited compared to the structured disaster drills common in prehospital settings. While disaster preparedness exercises emphasize a clear chain of command to e... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009431 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009479 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S177-S178 | Jagtiani, T.; Sanchez, T.; Smith, B.;...<br/>Background Breaking bad news is a fundamental skill for emergency physicians, yet most residents have limited opportunities to practice before encounters with real patients and families. These encounters are emotionally charged, often occur withou... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009479 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009340 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S172-S172 | Sayed, A.; Cernkovic, C.; Carralero, C.;...<br/>Study Objectives Emergency department (ED) boarding, caring for admitted patients in the ED after an admission order has been placed, is a pervasive challenge in US emergency medicine. Our prior work at high-volume community emergency department i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009340 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009522 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S179-S180 | Shin, H.; Moon, J.E.<br/>Objectives Mass public shootings impose severe burdens on civilian emergency medical systems. Counties vary substantially in historical incident exposure and emergency medical access capacity, yet no reproducible national preparedness index exists... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009522 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009467 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S177-S177 | Alorda, A.<br/>Study Objectives To evaluate the impact of a structured gamified board review curriculum on emergency medicine resident engagement, Study behaviors, and self-reported preparedness for the In-Training Examination (ITE) in comparison to traditional ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009467 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009571 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S181-S182 | Alghaith, A.; Seaton, S.; Whitley, G.;...<br/>Study Objectives Paediatric Early Warning Systems (PEWS) support the detection of clinical deterioration; however, little is known about the factors influencing their implementation in prehospital care prior to adoption. This study aimed to identi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009571 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009625 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S183-S184 | Huang, H.-H.<br/>Study Objectives Sarcopenia is a major geriatric syndrome that is closely associated with poor prognosis in older patients, and its prevalence is determined by multiple risk factors. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and dipept... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009625 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009388 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S173-S174 | Jean-Louis, R.; Snavely, A.; Ashburn, N.;...<br/>Objectives Historical redlining practices have been associated with disparities in cardiovascular health outcomes. However, it remains unclear whether redlining impacts care for U.S. emergency department (ED) patients with chest pain. This study a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009388 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009534 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S180-S180 | Wong, A.; Hopwood, C.; Dinesh Jaliparthi, S.S.;...<br/>Study Objective: In the United States, the opioid epidemic claims tens of thousands of lives and costs more than 1 trillion dollars annually and has led to the widespread utilization of naloxone amongst Emergency Medical Services (EMS) providers. ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009534 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009558 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S181-S181 | Ang, K.X.M.; Chua, S.Y.I.<br/>Background/Objectives Trauma remains a leading cause of mortality and disability worldwide. While timely pre-hospital care is crucial, the optimal balance between rapid transport and advanced on-scene interventions remains unclear, particularly in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009558 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009406 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S174-S175 | Haider, A.; Ahmad, M.; Khurram, M.M;...<br/>Study Objectives Out-of-hospital cardiac arrest (OHCA) remains one of the most time-critical medical emergencies worldwide, with survival rates that vary substantially across different populations and settings. Unlike community behavior, EMS pract... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009406 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009728 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S188-S188 | Higgins, M.; Snavely, A.; Ashburn, N.;...<br/>Background Rurality is a major driver of disparities in cardiovascular care and outcomes. However, it is unknown whether differences in diagnostic testing and cardiovascular outcomes exist for rural patients presenting the Emergency Department (ED... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009728 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009595 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S182-S182 | Lara, J.; Shaw, B.; Rayburn, D.<br/>Study Objectives Acute dyspnea is among the most common prehospital chief complaints, and field differentiation of acute heart failure from reactive airway disease remains difficult. Lung ultrasound (LUS) is established for evaluation of dyspnea i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009595 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009674 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S186-S186 | Sarangarm, P.; Zimmerman, D.; Acquisto, N.;...<br/>Study Objective Anti-amyloid therapies (AATs) for Alzheimer’s disease complicate emergency stroke care due to the potential for amyloid-related imaging abnormalities (ARIA), which can mimic acute ischemic stroke and increase hemorrhagic risk. We e... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009674 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009303 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S170-S171 | Teran, F.; Owyang, C.; Martin-Flores, M.;...<br/>Background Cardiac arrest carries high mortality. Standard landmark-guided chest compressions (CC) frequently overlie the left ventricular outflow tract (LVOT). During cardiopulmonary resuscitation (CPR) transesophageal echocardiography (TEE) can ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009303 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009777 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S190-S191 | Berdahl, C.; Pak, L.; Vazquez, E.;...<br/>Study Objectives During a public health emergency such as COVID-19, rapid dissemination of information to emergency clinicians about emerging innovations is critical to ensuring the best outcomes for patients. However, little is known about how cl... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009777 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010255 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S212-S212 | Yu, E.; Clark, C.; Subramony, R.<br/>Objectives Cricothyrotomy is a critical skill for physicians in patients that cannot be intubated or oxygenated adequately. Accurate identification of the cricothyroid membrane (CTM) by palpation alone is often unreliable and associated with signi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010255 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010140 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S207-S208 | Brady, M.; Stader, D.; Chai, P.;...<br/>Study Objectives Public access naloxone programs increasingly place naloxone nasal spray in outdoor locations, where freezing may impair device actuation. The manufacturer-recommended thawing procedure of keeping the device at room temperature for... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010140 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009753 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S189-S190 | Kanning, D.<br/>Study Objectives Emergency department overcrowding remains a persistent challenge in pediatric emergency medicine and is increasingly driven by low-acuity visits that could be managed in alternative care settings. Caregivers frequently seek emerge... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009753 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010309 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S215-S215 | Goebel, J.; Sidle, J.; Filippazzo, C.<br/>Background Litigation is an inevitable reality in emergency medicine, where high-acuity decisions are made routinely. Clinicians face a disproportionate risk of being named in lawsuits, even when care is appropriate. This persistent threat contrib... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010309 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010401 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S218-S218 | Pacheco, G.; Cook, K.; Hurst, N.<br/>Objectives Young children are particularly vulnerable to hypoxemia and hemodynamic instability during intubation because of reduced functional residual capacity, higher oxygen consumption, and limited oxygen reserve. We compared first-pass (FPS) i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010401 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010413 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S218-S219 | Chhatriwala, E.; Al-Rahman Traboulsi, A.; Baugh, C.<br/>Study Objectives Upper gastrointestinal bleeding (UGIB) accounts for approximately 430,000 annual emergency department (ED) visits in the United States, with disproportionately high hospital admission rates even among low-risk patients. Although v... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010413 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013508 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages A29-A31<br/>Abbo J, 498 Abdelati A, 561 Abramson T, 482 Accatino E, 280 Achterkirch E, 345 Adams H, 695 Aden I, 636 Adesina A, 526 Adhikari S, 3, 204 Adkins R, 530 Adwan R, 479 Aguilera P, 85 Ahern T, 231, 420 Ajhar A, 661 Albaba D, 491 Albeloushi S, 634 Albe... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013508 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005639 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S3-S3 | Ju, S.C.; Tsai, C.-L.; Chou, T.-H.;...<br/>Study Objectives Acute mesenteric ischemia (AMI) is a rare but life-threatening vascular emergency that is challenging to recognize in the emergency department (ED). We aimed to identify the incidence, predictors, and patient outcomes associated w... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005639 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005597 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S1-S1 | Edwards, J.; Costigan, A.; O'Connor, L.;...<br/>Study Objective In light of recent federal policies, financial strains, and private equity involvement, hospital closures have become increasingly common. Consequently, nearby hospitals must absorb these displaced patients, raising concerns about ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005597 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005706 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S5-S5 | McKillip, R.; Sayed, F.; Terri, J.;...<br/>Study Objectives Incomplete visits (ICV) are a standard metric for emergency department (ED) throughput performance but correlate strongly with crowding, a product of patient arrivals and inpatient boarding. Because these factors are outside depar... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005706 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005627 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S2-S3 | Melucci, N.; Shpigel, D.I.; Loganathan, A.S.;...<br/>Study Objective Performance of stabilizing procedures on critical patients is a core emergency physician (EP) competency, but current rates of EP procedure performance are unknown. Given the importance of procedures for EP skill maintenance and re... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005627 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006049 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S19-S19<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006049 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600572X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S6-S6 | Pourmand, A.; Akbarin, M.; Lagunzad, I.;...<br/>Study Objectives Left without being seen (LWBS) and left before treatment completed (LBTC) refer to patients who leave the emergency department (ED) before completion of evaluation by a healthcare provider, and are key indicators of ED performance... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600572X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006141 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S23-S23 | Patel, D.; Parasuram, N.; Modi, P.;...<br/>Background Patient agitation is a common and high-stakes challenge in the emergency department, affecting healthcare worker safety, restraint use, and quality of care. Verbal de-escalation is the recommended first-line intervention, yet training i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006141 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600613X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S23-S23 | Nevias-Ida, A.; Ortego, A.; Li, W.;...<br/>Study Objectives Telemedicine is increasingly relevant to emergency care, yet many Emergency Medicine (EM) trainees receive limited structured training in virtual care. This study evaluated whether a simulation-based telemedicine curriculum incorp... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600613X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006128 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S22-S23 | Decker-Curry, A.; Joshi, S.; Javaheri, J.;...<br/>Study Objective Point of Care Ultrasound (POCUS) serves as a fast, cost-effective screening tool for a variety of pathologies, with its use becoming more widespread over the last decade with the introduction of compact, portable devices. Advanceme... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006128 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006293 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S30-S30 | DiCesare, D.; Fitzpatrick, D.; Schiffert, S.;...<br/>Study Objectives Uncontrolled hemorrhage remains a leading cause of preventable death in trauma patients. Prehospital tourniquet use has been shown to reduce mortality and may necessitate the need for higher-level or specialized hospital care. How... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006293 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006025 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S18-S19 | Tertel, R.; VanEpps, J.S.; Muraglia, K.A.<br/>Study Objectives Intravascular devices can damage the vascular endothelium through physical, thermal, chemical, and infectious mechanisms. These insults are known to induce endothelial activation, barrier dysfunction, and cellular injury. Together... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006025 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006189 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S25-S26 | Munshi, M.; Muglia, A.; Kickert, A.;...<br/>Study Objective There is currently no standardized training available for residents regarding trauma-informed care and working with patients who have faced sexual assault. The Sexual Assault Nurse Examiner (SANE) plays a critical role in providing... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006189 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006232 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S28-S28 | Gupta, R.; Qu, M.; Sanchez, T.;...<br/>Introduction The Standardized Letter of Evaluation (SLOE) is an integral part of the emergency medicine applicant’s profile and allows programs to view EM bound students through a consistent lens. Despite the vital importance of the SLOE, when the... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006232 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006360 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S33-S34 | Baniqued, M.; Alzaabi, S.; Maddike, S.;...<br/>Study Objectives Accurate determination of last known normal (LKN) is essential for thrombolytic decision-making in acute stroke. We aimed to compare LKN documented by emergency medical services (EMS) or emergency department (ED) staff (LKN1) with... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006360 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006396 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S35-S35 | Arms, K.; Wells-Pittman, J.L.; McGuire, S.S.;...<br/>Study Objectives Early recognition and treatment of acute ischemic stroke improves neurologic outcomes. Although many stroke centers rely on emergency department (ED)-initiated stroke activations, this approach may delay neurologic assessment and ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006396 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006219 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S27-S27 | Lara, B.; Rojas, I.; Aguilera, P.<br/>Background Clinical research in emergency medicine is challenged by high patient volumes, time-sensitive care, limited protected time, and shortages of dedicated research personnel. These barriers are particularly relevant in Chile, where emergenc... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006219 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006311 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S31-S31 | Sanghvi, S.; des Bordes, J.; Puzio, T.;...<br/>Study Objectives Emergency departments (EDs) represent a critical care destination for approximately 75% of patients with advanced serious illness in the last six months of life. Although early resuscitation-focused goals-of-care (RF-GOC) discussi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006311 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006335 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S32-S32 | LeRouge, E.; Burns, E.; Nouryan, C.<br/>Background Emergency departments (ED) serve as critical access points for patients with life-limiting illness. Up to 75% of older adults at end-of-life (EoL) visit the ED in their last 6 months. This highlights the significance of the ED in EoL di... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006335 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007158 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S71-S71 | Turkistani, F.; Wendel, S.; Mukubwa, N.;...<br/>Study Objectives Emergency department (ED) boarding, the practice of holding admitted patients in the ED while awaiting inpatient beds, has reached crisis levels nationally. Prolonged ED boarding may result in fragmented care and suboptimal discha... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007158 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006773 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S51-S51 | Levine, D.; Angkatavanich, A.C.; Hwang, H.;...<br/>Background Hydrocephalus affects approximately 1 in 500 children and may result in severe neurologic disability or death if elevated intracranial pressure (ICP) is not rapidly identified. Although cerebrospinal fluid (CSF) shunting is an effective... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006773 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007195 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S72-S72 | Asad, S.; Lavine, E.<br/>Background Seventy-two-hour emergency department (ED) return visits are commonly reviewed as a quality and patient-safety metric. However, not all 72-hour returns represent poor care or preventable events. Many may reflect expected disease progres... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007195 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007286 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S76-S76 | Lin, W.-S.; Chang, C.-C.; Chen, K.-F.<br/>Study Objective The 2026 Surviving Sepsis Campaign guidelines conditionally recommend at least 30 mL/kg of initial crystalloids, while noting that individual patient characteristics, including heart failure (HF), should inform the selection of ini... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007286 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007298 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S76-S76 | Chen, K.-F.; Chao, Y.-H.<br/>Study Objective Septic shock carries high mortality and frequently progresses before traditional clinical or laboratory markers become overt. Autonomic nervous system dysregulation, reflected in beat-to-beat heart rate variability, may provide an ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007298 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007407 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S80-S80 | Castillo, E.; Brennan, J.J.; Killeen, J.P.;...<br/>Study Objectives First introduced in 2005 as a glycemic control therapy for diabetes, Glucagon-like Peptide 1 receptor agonist (GLP-1) medications have had a massive increase in use in the U.S. over the past several years due to their ability to r... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007407 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007420 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S81-S82 | Miller, T.; Pekar, A.; Yaple, A.;...<br/>Study Objectives Ultrasound guided pericardiocentesis (UGP) is a lifesaving high-acuity, low-occurrence procedure with limited opportunities for clinical training. Successful performance requires hand-eye coordination to guide a needle under ultra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007420 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007493 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S84-S85 | Zaarour, J.; Holmes, C.; Newman, S.;...<br/>Study Objective Emergency departments (EDs) serve as a primary point of care for individuals experiencing homelessness, often resulting in high utilization rates and significant strain on healthcare systems. Street medicine programs offer an alter... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007493 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600747X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S83-S84 | Naseem, M.; Zamba, P.<br/>Study Objectives Workplace violence (WPV) against healthcare providers (HCPs) in emergency departments (EDs) intensified during the coronavirus pandemic, particularly in resource-limited settings. This study aimed to explore the Perceptions, Chall... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600747X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007547 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S87-S88 | Liao, P.H.; Chang, C.-M.; Chen, H.-Y.;...<br/>Study Objectives This study evaluated and externally validated severity scoring systems to predict early critical illness in emergency department (ED) patients with analytically confirmed illicit substance exposure, comparing simple physiological ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007547 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007377 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S79-S80 | Boccio, E.; Zhu, X.; Weiss, M.;...<br/>Study Objectives This study aimed to evaluate whether individual systemic inflammatory response syndrome (SIRS) criteria and total number of SIRS criteria satisfied are independently associated with time to in-hospital all-cause mortality among pa... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007377 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007560 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S89-S89 | Hampton, J.; Eugene, R.; Dumas, A.;...<br/>Study Objectives Buprenorphine induction in the Emergency Department (ED) is labor-intensive and requires frequent re-assessment by clinicians with the Clinical Opiate Withdrawal Score (COWS). Suboptimal buprenorphine dosing can lead to precipitat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007560 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007742 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S96-S96 | Zomorodian, L.; Tuan, V.; Cassin, K.;...<br/>Study Objectives Emergency physician burnout remains a significant challenge in the field, and engagement in hobbies is frequently promoted as a strategy to improve well-being, though there is limited supporting evidence. We sought to determine wh... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007742 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007638 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S92-S92 | Cerino-Penaloza, M.; Londono-Barreras, R.; Padilla-Zambrano, H.;...<br/>Study Objectives Commensurate with the growing population of older adults in the United States, emergency department (ED) visits for fall-related head trauma have more than doubled over the past decade. Because anticoagulants (warfarin and direct ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007638 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007675 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S93-S94 | Graziano, A.; Smith, K.; Patwa, A.;...<br/>Study Objectives Point-of-care ultrasound is commonly used in the emergency department to evaluate pregnant patients. Fetal heart rate is traditionally measured using M-mode, but newer ultrasound systems include AI-enabled automated B-mode fetal h... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007675 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007766 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S97-S97 | Arogundade, O.; Britt, T.W.; Rosopa, P.J.;...<br/>Study Objectives Emergency medicine is a demanding specialty that requires emergency medicine physicians (EPs) to make rapid, high-stakes clinical decisions under stress. However, their rotating shifts have a negative impact on sleep, recovery, an... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007766 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007663 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S93-S93 | Adhikari, S.; Shah, S.; Potla, M.;...<br/>Study Objectives The prognostic value of lung ultrasound (LUS) for predicting decompensation in patients with respiratory infections remain under investigated. Manual assessment of LUS findings is operator-dependent, time-intensive, and often requ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007663 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008255 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S120-S121 | Wahba, J.; Homma, K.; Madden, E.;...<br/>Study Objectives High utilizers are medically and socially complex patients whose frequent emergency department (ED) visits, recurrent hospitalizations, and prolonged inpatient stays contribute disproportionately to health care utilization and cos... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008255 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007316 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S77-S77 | Premer-Barragan, C.; Starahs, M.; Hare, J.M.;...<br/>Study Objectives Despite decades of randomized sepsis trials, biologically targeted therapies have repeatedly failed to demonstrate reproducible mortality benefit. Whether this reflects failure of individual therapies or broader limitations in sep... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007316 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600822X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S118-S119 | Wickman, J.; Daly, E.; Zoubek, E.;...<br/>Emergency departments (EDs) face prolonged wait times, with average lengths of stay exceeding 5 hours. These delays are associated with poorer outcomes, longer admissions, and increased return visits. Many factors contribute to these delays, howev... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600822X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007584 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S90-S90 | Barton, D.; Kim, T.; Rudolph, C.;...<br/>Study Objectives Recovery after acute concussion is extremely variable. Methods to prospectively identify who will have a good recovery vs. who will have persistent post-concussive symptoms or cognitive dysfunction are lacking. Pathophysiology-tar... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007584 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008231 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S119-S119 | Aslani-Amoli, B.; Kushan, J.; Place, C.;...<br/>Study Objectives Emergency department (ED) boarding has been classified as a public health crisis in its persistent contribution to clinical complications and delayed care, particularly at high-volume academic hospitals. Load leveling, a practice ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008231 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008267 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S121-S121 | Padmanabhuni, R.; Kamil, K.; Minato, R.;...<br/>Objectives Prolonged Ambulance Patient Offload Times (APOT) at emergency departments adversely affect emergency medical service (EMS) availability and response times for calls. In October 2024, the UCLA Ronald Reagan Emergency Department (RR ED) i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008267 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008292 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S122-S124 | Skrabak, M.; Bisom-Rapp, E.; Peabody, C.;...<br/>Objectives ED boarding is a well-documented crisis associated with adverse patient outcomes, healthcare worker burnout, and moral injury. While prior work has documented its operational and educational impacts, including reductions in resident pro... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008292 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008486 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S131-S131<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008486 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008371 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S126-S127 | Apterbach, W.; McGuire, M.; Sperandeo, M.;...<br/>Study Objective While a large amount of research and formal inquiry concerning undergraduate and graduate medical education exists, the educational needs at the attending-level have been largely self-directed by the individual learner. Attending p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008371 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008310 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S124-S124 | Sorensen, C.; Gupta, R.; Yeritsyan, A.;...<br/>Study Objectives PRIMARY - Does physician attire affect patient recognition of the physician? SECONDARY - Does physician attire affect patient level of satisfaction with their encounter in the emergency department? Methods We conducted a prospecti... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008310 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008358 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S125-S126 | Gettel, C.; Chung, A.; Topping, C.;...<br/>Study Objective In October 2025, the American Board of Emergency Medicine (ABEM) publicly released residency program-level board examination pass rates for the first time, generating substantial discussion regarding the potential effects of transp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008358 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008401 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S128-S128 | Joseph, J.; Neyman, G.; Harris, C.<br/>Study Objectives Pediatric patients comprise a minority of EMS encounters, limiting routine pediatric exposure and creating challenges for maintaining pediatric readiness. While pediatric EMS utilization has been described previously, national age... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008401 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008383 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S127-S127 | McElhinny, M.; Cano, A.; Mangin, E.;...<br/>Study Objectives Extreme heat events place a strain on emergency medical services (EMS). EMS call burden has been associated with climate and socioeconomic features such as the degree of local poverty, the percentage of impervious street surface, ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008383 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008450 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S130-S131 | Soljacic, F.; Snow, T.; Baker, R.<br/>Objectives Patient transport refusals are among the most common and clinically consequential reasons emergency medical services (EMS) clinicians contact online medical direction (OLMD). Despite this, the clinical factors associated with physician ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008450 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008474 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S131-S131 | Oshodi, E.; Williams, T.<br/>Background Emergency Medical Services (EMS) function as a critical safety net in the U.S. healthcare system, yet they face longstanding financial and operational challenges driven by rising non-urgent 9-1-1 utilization and transport-based reimburs... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008474 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008498 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S131-S132 | Montgomery, C.; Wei, E.; Qadir, N.<br/>Study Objectives Emergency physicians admit ICU patients and often lead goals-of-care conversations at the ED-ICU interface. These decisions are shaped by more than acute physiology. They depend on who the patient was before critical illness: base... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008498 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008516 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S133-S133 | Cropano, C.; Dupont, M.E.; Mark, K.;...<br/>Study Objectives Older adults experiencing prolonged boarding times in the emergency department (ED) have greater risk for hospital acquired delirium, functional decline, increased hospital length of stay (HLOS), and mortality. Prolonged ED boardi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008516 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008681 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S140-S141 | Perez, M.; Thomas, J.; Stringfield, C.;...<br/>The emergency department (ED) is vital for identifying undiagnosed HIV, Hepatitis C (HCV), and syphilis. Screening is often hindered by "clinical inertia" (a failure to initiate tests despite existing guidelines) and implicit provider bias, where ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008681 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010279 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S213-S214 | Sung, A.; Louie, M.; Hashikawa, A.;...<br/>Study Objectives Physician burnout remains a major threat in emergency medicine (EM), where limited restorative time may contribute to persistently high rates of physician burnout. A 2024 national survey linked fewer than two weeks of vacation wit... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010279 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010164 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S208-S208 | De Mel, S.; Bokser, E.; Dixon, C.;...<br/>Background While several guidelines define type and duration fasting for patients undergoing procedural sedation or analgesia (PSA), evidence for the routine practice of keeping emergency department (ED) patients nil per os (NPO) is limited. Despi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010164 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009686 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S186-S187 | Boccio, E.; Niu, J.; Eckardt, P.;...<br/>Study Objectives Linkage-to-care following an HIV diagnosis represents a critical inflection point in the care continuum that influences both individual clinical outcomes and broader public health prevention efforts. Timely initiation of antiretro... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009686 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010449 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S220-S220 | Santa Lucia, G.; Lord, K.<br/>Background Emergency department (ED) boarding is a national patient safety crisis, defined as the time admitted patients spend in the ED awaiting an inpatient bed. Boarding is associated with increased mortality, longer hospital stays, mediation e... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010449 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010486 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S221-S222 | Brower, I.; Silver, G.; Malka, O.;...<br/>Objectives Emergency department (ED) boarding is a widely recognized national public health crisis. Patients who present to the emergency department requiring placement represent an understudied subgroup who are presumed medically stable, yet unab... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010486 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010759 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S232-S232 | Huang, C.-T.; Fan, C.-Y.; Pei-Chuan Huang, E.;...<br/>Study Objectives In the emergency department (ED), the optimal time interval from return of spontaneous circulation (ROSC) to hospital admission after out-of-hospital cardiac arrest (OHCA) remains unclear. This Study examined the association betwe... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010759 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601053X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S223-S224 | Johnson, E.; Menchine, M.; Cadet, J.;...<br/>Objectives Workplace violence and abuse towards emergency department (ED) staff is high and increasing, with up to 78% of ED physicians reporting violence or abuse. Despite this, most EDs lack standardized, enforceable protocols to protect staff w... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601053X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010668 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S229-S229 | Zepeski, A.; Adeagbo, M.; Faine, B.;...<br/>Study Objectives Supraventricular tachycardia (SVT) is a common dysrhythmia encountered in emergency departments (EDs), for which adenosine is the guideline-recommended first-line therapy. In hemodynamically stable patients, non–dihydropyridine ca... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010668 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011017 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S242-S242<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011017 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010747 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S232-S232 | Roncagli, C.; Shuber, K.; Waters, A.;...<br/>Background Synchronized cardioversion (SCV) is performed in the Emergency Department (ED) for patients with arrythmias. Study Objectives This Study seeks to characterize the safety and efficacy of ED cardioversions in both hemodynamically stable p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010747 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010796 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S233-S234 | Koo, A.; Balls, G.; Quintero-Cepero, T.;...<br/>Background The relationship between chest tube size and opioid requirements in pneumothorax has not been quantified. Existing studies show lower pain scores with small-bore tubes, yet opioid exposure has not been reported. Objectives This Study de... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010796 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010619 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S227-S227 | Gawel, R.; Tsai, H.-Y.; Collins, J.;...<br/>Study Objectives Hip fractures are a common reason for emergency department (ED) presentation and are associated with substantial morbidity and mortality. Early and effective analgesia is a cornerstone of quality emergency care. Multiple analgesic... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010619 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010711 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S231-S231 | Betcher, J.<br/>Objectives To compare the efficacy and safety of a gradual intravenous (IV) diltiazem infusion versus standard IV push diltiazem for initial rate control in hemodynamically stable emergency department patients presenting with atrial fibrillation o... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010711 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010826 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S234-S235 | King, L.; De Smet, K.; Wanberg, E.;...<br/>Introduction Serotonin syndrome (SS) is a potentially life-threatening condition resulting from excessive serotonergic activity, most often due to drug interactions or overdose, presenting with altered mental status, autonomic instability, and neu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010826 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010565 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S225-S225 | Desai, A.; Ward, N.; Merte, B.;...<br/>Background and Objectives Ultrasound-guided fascia iliaca block (FIB) is increasingly used in emergency departments as an opioid-sparing analgesic technique for hip fracture and other painful lower extremity conditions. Despite growing adoption, t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010565 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010991 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S241-S242 | Hahm, G.; Toy, J.; Bosson, N.;...<br/>Study Objectives The use of technology to support emergency medical services (EMS) care has grown substantially, including mobile applications that provide real-time access to protocols, policies, and clinical decision support in the field. Despit... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010991 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011005 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S242-S242 | Collins, J.; Revello, D.; Forde, F.;...<br/>Background Airway management quality metrics increasingly emphasize physiologic stability, yet outcome-based validation remains limited. DASH-1A (Definitive Airway Sans Hypoxia or Hypotension on First Attempt) has been proposed as a superior measu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011005 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010966 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S240-S241 | Ewy, S.; Charlston, S.; Li, S.;...<br/>Introduction Emergency Medical Services (EMS) Advanced Life Support (ALS) and Critical Care Transport (CCT) providers routinely utilize automatic transport ventilators during interfacility transport of ventilated patients. The devices, operating c... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010966 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011091 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S244-S245 | Goebel, J.; Sidle, J.; Wider, M.;...<br/>Introduction Efficient practice systems are essential to high-quality care and clinician well-being. Across Northwell Health’s Emergency Medicine Service Line (18 Emergency Departments), post-discharge callbacks were handled inconsistently—some si... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011091 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011042 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S243-S243 | Kim, Y.; Moon, S.; Ahn, J.Y.;...<br/>Objective Mass resignation or strike action by physicians can disrupt emergency medical systems, raising particular concern for time-sensitive conditions such as acute myocardial infarction (AMI), where treatment delays may directly worsen patient... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011042 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010929 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S239-S239 | Paxton, J.; Daniel, N.; Thai, A.;...<br/>Study Objectives The ACEP Research Forum (RF) Medical Student Scholar (MSS) program, developed in 2018 to strengthen the emergency medicine (EM) research pipeline, was merged with the ACEP Medical Student Delegate (MSD) Program in 2025. This study... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010929 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011169 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S247-S248 | Abir, I.<br/>Study Objectives Worldwide, adverse drug reactions (ADRs) are a significant cause of preventable harm. Pediatric patients are particularly vulnerable due to immature drug metabolism, off-label medication use, and limited pediatric clinical trial d... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011169 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011121 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S246-S246 | Apterbach, W.; Gupta, S.; Gupta, K.;...<br/>Objectives Concerns of longevity and age-specific needs for emergency physicians (EPs) are gaining prominence. Burnout and early cessation of practice are national level concerns throughout medical practice. The Objectives: of the this Study are t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011121 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011200 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S249-S249 | Grover, P.; Purva, G.<br/>Background In the past five years, pediatric mental health-related visits to the emergency department (ED) have increased by more than 45%. The average ED length of stay( LOS) for these patients ranges from 3 to 8 hours. Following initial risk ass... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011200 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011285 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S251-S252 | Lareau, S.; Haines, C.; Waasdorp, C.<br/>Study Objectives Emergency department (ED) providers face a significant documentation burden, which frequently contributes to burnout and decreased workflow efficiency. Ambient artificial intelligence (AI) scribes offer a potential solution by aut... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011285 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011248 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S250-S250 | Beland, S.; Croteau, A.; Biggs, E.;...<br/>Study Objectives 1. To measure the performance of Shock Index, Pediatric Age-Adjusted (SIPA) in identifying pediatric patients presenting to the emergency department with common pelvic surgical emergencies at the time of triage. 2. To measure the ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011248 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011078 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S244-S244 | Goebel, J.; Sidle, J.; Filippazzo, C.;...<br/>Introduction Clinician burnout remains highly prevalent in emergency medicine and has the highest reported rate among all specialties (Medscape, 2024). Burnout is associated with downstream effects on clinicians, healthcare systems, and patients, ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011078 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011339 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S253-S253 | Rech, M.; Finch, D.; Lorie Jacob, R.;...<br/>Study Objective Tele-emergency care (tele-EC) has expanded rapidly within the Veterans Health Administration (VHA) to improve access to emergency care for Veterans facing geographic, transportation, and mobility barriers. Medication prescribing is... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011339 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011467 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S258-S258 | Albert, S.; Kreitzer, N.; Sucharew, H.;...<br/>Study Objectives Utilization of Emergency Medical Services (EMS) is critical to achieve optimal outcomes during acute stroke care. Despite ongoing stroke awareness efforts encouraging symptom recognition and immediate EMS activation, a substantial... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011467 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601142X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S256-S257 | Torres, R.; Pham, K.; Long, S.;...<br/>Study Objectives While not pathognomonic, emergency department (ED) patients presenting with dizziness are at increased risk for cerebral ischemia, particularly posterior stroke. However, the Spanish word for dizziness, " mareado," also encompasse... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601142X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011492 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S259-S260 | Creed, S.; Mazer-Amirshahi, M.; Ramdin, C.<br/>Objective The American College of Emergency Physicians (ACEP) recommends that diagnostic testing in adult patients with primary psychiatric complaints be guided by history and physical examination rather than performed routinely. However, general ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011492 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011133 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S246-S247 | Cohen, I.; Sureshanand, S.; Sifnugel, N.;...<br/>Study Objectives Dementia is frequently under-recognized in emergency department (ED) patients despite its association with delirium, adverse transitions of care, medication-related complications, and increased healthcare utilization. Existing dem... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011133 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601156X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S263-S263 | Weiss, T.; Chapman-Kramer, K.; Eswaran, V.;...<br/>Background Life Outside of Violence (LOV) is the St. Louis, Missouri region-wide hospital-based violence intervention program (HVIP). During the 2018-2022 pilot period, LOV enrolled 6% of eligible patients. Our Objective: was to assess participant... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601156X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011571 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S263-S263 | Ulrich, E.; Bartkowiak, C.; Dean, L.;...<br/>Study Objective Hazardous alcohol-related YouTube videos are increasingly tied to intoxication and injury among adolescents and young adults presenting to the emergency department (ED). Yet we know little about why youth join these trends or how p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011571 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011601 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S264-S264 | Wanberg, E.; Hooper, C.; Clements, C.;...<br/>Objectives Hospital shootings are rare but increasingly common events in the United States. This Study examines state-level associations between hospital shooting incidence and firearm ownership, mortality, and policy strength. Methods We conducte... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011601 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011698 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S270-S270 | Kanuri, S.; Radhakrishnan, A.; Jindhal, K.<br/>Objective Traumatic brain injury is among the most time-critical emergency diagnoses, and the place of death marks how far a patient progressed along the acute trauma-care pathway. This Study characterized national trends in the location of fatal ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011698 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011753 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S272-S273 | Hassan, S.; Lohana, K.; Kumar, Kantesh;...<br/>Interpersonal violence (IPV) is a major source of surgical injury, yet longitudinal functional outcomes from LMICs remain limited. We sought to describe injury severity, operative care, and recovery after IPV in Pakistan. We analyzed all IPV cases... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011753 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011728 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S271-S271 | Hay, S.; Khosla, Shaveta; Caskey, Rachel;...<br/>Background and Objectives Approximately 800 individuals die annually in the United States from pregnancy-related causes, most of which are preventable, and nearly half occur during the postpartum period. In Illinois between 2018 and 2020, 91% of m... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011728 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011650 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S268-S269 | Rammal, J.; Orow, K.; Almri, Y.;...<br/>Objectives Unintentional injury in the home is a leading cause of morbidity and mortality, yet the emergency department (ED) visit is an underused opportunity for home safety screening and intervention. This Study aimed to describe home safety pra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011650 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011662 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S269-S269 | Salter, A.; Chavez, J.; Dhaliwal, J.;...<br/>Study Objectives St. Anthony North (SAN) Emergency Department (ED) is an urban facility located in the Denver metropolitan area. In 2022, the Denver metropolitan area accounted for 62.4% of all new HIV diagnoses with an average CD4 count of 399, i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011662 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011789 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S274-S274 | Rubio, C.; Kirby, Jessica; Knowles, Heidi;...<br/>Objectives Emergency department (ED) crowding is associated with adverse patient outcomes, including increased rates of patients leaving without being seen (LWBS). While mitigation efforts often focus on patient volume and inpatient boarding, the ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011789 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011637 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S266-S267 | Cota, K.; Padlipsky, R.; Pfahler, R.;...<br/>Objectives Use of basic bleeding control measures, including wound pressure and tourniquets, are among the most effective victim and bystander interventions to decrease mortality in traumatic hemorrhagic shock. Nonetheless, rates of effective byst... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011637 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011765 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S273-S273 | Castillo, E.; Molina, Anthony; Attias, Jennifer;...<br/>Study Objectives Older adults are seen with increasing frequency in the emergency department (ED). One of the most common reasons for going to the ED in this population is for falls. Although more EDs are becoming accredited under ACEP’s Geriatric... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011765 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011819 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S275-S275 | Seiff, T.; Casterline, Benjamin; Trempy, Kieley<br/>Study Objectives Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening mucocutaneous emergencies that frequently present early to the emergency department (ED), often before extensive skin involvement develops. E... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011819 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012369 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S299-S299<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012369 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012011 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S285-S285 | Lewis, B.; Lund, Nina; Lindemann, Emma;...<br/>Study Objectives Exploratory sip volume has been previously studied in adults and children to help estimate ingestion dose when drinking an unknown liquid. These studies have used water or apple juice whereas many toxic substances have an undesira... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012011 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011881 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S278-S278 | Chapman, J.; Yaffee, Anna<br/>High-consequence infectious diseases (HCIDs) are novel or reemerging pathogens with person-to-person spread, few medical countermeasures, and high mortality rates. Examples include Middle East respiratory syndrome, novel influenza, and viral hemor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011881 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601231X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S297-S297 | Le, M.; Oh, L.; Fong, T.C.;...<br/>Background Point-of-care ultrasound (POCUS) has become integral to emergency medicine (EM) practice, yet the structure of dedicated POCUS training for medical students remains poorly characterized. As graduate medical education shifts toward compe... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601231X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011996 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S284-S284 | Espeland, J.; Shelley, Kaitlyn; Leikin, Jerrold<br/>Patterns of methamphetamine exposures are influenced by many factors; one recent influence on illicit substance use was the COVID-19 pandemic. This Study analyzed the National Poison Data System (NPDS) recordings of methamphetamine exposures calle... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011996 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011960 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S282-S283 | Bales, B.; Andereck, Jonathan; Stubblefield, William;...<br/>Background Emergency department (ED) crowding contributes to delays in care and increased rates of patients leaving without being seen (LWBS). Veterans Affairs (VA) EDs face several challenges including boarding, throughput, and limitations in cli... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011960 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011984 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S283-S284 | Barrera, J.; Sandhu, Muskaan; Hill, Rebecca;...<br/>Study Objectives With over 16 million pounds of organophosphates and carbamates used annually in the US, understanding patterns of toxic exposures and their health outcomes is crucial for improving safety and treatment strategies. We analyzed toxi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011984 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011790 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S274-S275 | Feldmeier, M.; Peabody, Christopher; Rai, Radha;...<br/>Objectives Hoshin Kanri, part of Lean methodology, is a strategic framework designed to align an organization’s mission and True North goals with operational tactics and daily activities. Traditionally, Lean in healthcare addresses specific operat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011790 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011868 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S277-S278 | Amalathasan, T.; Northup, Tyler; Muir, Jason<br/>Background Patients presenting to the emergency department (ED) with stroke-like symptoms who are deemed ineligible for acute intervention, typically due to symptom onset greater than 24 hours prior, nonetheless require a systematic workup compara... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011868 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011923 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S280-S280 | Brenner, J.; Eke, Omoefe; Wang, Dongliang;...<br/>Study Objectives To evaluate the association between use of a previously described AIMED (assess, investigate, mitigate, explain, document) checklist on outcomes among ED patients requesting to leave AMA. Methods A retrospective cohort Study was c... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011923 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012497 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S305-S305 | Patterson, G.; Purim-Shem-Tov, Y.A.<br/>Study Objectives To examine the association between Medical Home Network (MHN) enrollment and emergency department (ED) visit rates and characteristics, and to evaluate primary care appointment adherence as a driver of ED utilization among enrolle... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012497 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012485 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S304-S304 | Lotfi, C.; Onyenso, C.; Jean, Z.;...<br/>Background The Accreditation Council for Graduate Medical Education (ACGME) Review Committee for Emergency Medicine has proposed substantial revisions to residency requirements, including extending training to 48 months, mandating rotations in bot... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012485 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012370 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S299-S299 | Wickert, A.; Rosenzweig, T.; Hagberg, L.;...<br/>Study Objectives Point-of-care ultrasound (POCUS) is widely accepted for central venous catheter insertion and increasingly used for post-procedural catheter position confirmation. However, evidence supporting ultrasound-based confirmation of inte... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012370 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012059 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S286-S286 | Planchart, C.; Maguina, Andrea; Solomon, Justin;...<br/>Background Despite the increased prevalence of cannabis use in the United States over the last decade limited research exists to describe the association between changes in legislation and the incidence of pathologic sequela, such as cannabinoid h... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012059 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012357 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S298-S299 | Kinchelow, D.; Quazi, N.; Parish, A.;...<br/>Background Gallbladder pathology affects approximately 2 million Americans a year with acute cholecystitis accounting for about 200,000 cases per year. Accurate diagnosis of such a common pathology can be limited by variable gallbladder appearance... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012357 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012527 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S306-S306 | Sohn, Y.; Cho, G.; Cho, Y.;...<br/>Study Objectives Chest compressions improve neurological recovery after cardiac arrest, but whether this reflects circulation restoration, direct brain protection, or both remains unquantified. This study aimed to decompose the neurological benefi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012527 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601262X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S309-S310 | Gartenberg, A.; Seu, R.; Gabay, A.;...<br/>Study Objectives Sexual assault survivors frequently present to emergency departments (EDs) for acute medical, forensic, and psychosocial care. Sexual Assault Response Teams (SARTs) provide multidisciplinary trauma-informed evaluation, yet contemp... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601262X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012539 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S306-S306 | Berry, R.; Dayal, D.; Rao, K.;...<br/>Study Objectives Emergency department (ED) boarding has reached crisis levels at academic medical centers nationally, with well-documented consequences for patient safety, quality of care, and frontline worker safety and wellbeing. At our urban ac... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012539 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012436 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S301-S302 | Ramberg, O.; Carrillo, E.; Kreibig, S.;...<br/>Study Objectives Emergency department (ED) overcrowding and ambulance offload delays remain pressing challenges in emergency medicine. In regions where one trauma center serves a wide catchment, routing low-risk trauma patients there can saturate ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012436 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012758 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S316-S316 | Solomon, C.; Watson, C.R.; Weintraub, M.L.;...<br/>Study Objectives To characterize referral processes and patterns and identify factors associated with community resource referrals for patients presenting to emergency departments (ED) or outpatient clinics with acute intimate partner violence (IP... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012758 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010887 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S237-S237 | Schauer, E.; Steinhauser, M.; Medak, A.;...<br/>Study Objectives Ultrasound-guided intravascular (USGIV) access is an increasingly important procedural skill that improves safety and first-attempt success, especially in difficult access patients in the emergency department. Expectations for med... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010887 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010838 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S236-S236 | Boccio, E.; Zhu, X.; Weiss, M.;...<br/>Study Objectives Septic shock remains a major cause of critical illness and mortality among emergency department (ED) patients. This Study aimed to identify demographic and clinical factors independently associated with all-cause mortality among E... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010838 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010930 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S239-S240 | Wong, K.; Sena, A.; Choi, A.;...<br/>Study Objectives Pediatric emergency care is a core competency in emergency medicine (EM); however, residents often have limited exposure to high-acuity, low-frequency pediatric cases, leading to gaps in confidence and preparedness. EM residents a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010930 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601108X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S244-S244 | Goebel, J.; Murray, K.; Levine, H.<br/>Background Workplace efficiency is a critical and often underrecognized driver of clinician well-being. The Stanford Model of Occupational Well-Being emphasizes that burnout is primarily influenced by organizational and system-level factors, with ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601108X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011170 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S248-S248 | Cacciatore, C.; Dietrich, A.; Gormley, M.;...<br/>Study Objectives To evaluate the difference in overall rates of physical and chemical restraints in a large pediatric emergency department based on the care team. Methods A retrospective, pre-post intervention cohort study was conducted at a large... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011170 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010899 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S237-S238 | Desai, A.; Fallah, P.; Ward, N.;...<br/>Study Objectives The erector spinae plane (ESP) block is an increasingly adopted opioid-sparing technique for acute truncal and axial pain in the emergency department. Despite growing clinical interest, training remains limited by barriers specifi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010899 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011145 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S247-S247 | Radhakrishnan, A.; Patel, M.; Jindal, K.<br/>Study Objectives To quantify the long-term trend, pandemic-era disruption, and projected trajectory of cardiac arrest (I46)–associated mortality with co-listed ischemic heart disease among U.S. adults aged 65 years and older. Methods CDC WONDER Mu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011145 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011029 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S242-S242 | Collins, J.; Consing, K.; Combs, S.;...<br/>Background Stadium operators and mass gathering medical directors routinely plan for late-event intoxication emergencies. However, the true clinical burden of late-game intoxication remains poorly quantified. A lack of empirical data often leads t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011029 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011054 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S243-S243 | Zhang, X.C.; Lisco, E.; O’Meara, M.;...<br/>Study Objectives To assess the impact of formal suicide prevention training through the lens of transformative learning theory on medical students and its implications for medical education. Physicians occupy a unique role in suicide prevention, a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011054 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010978 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S241-S241 | Piela, S.; Dubey, N.; Deaner, T.;...<br/>Study Objectives Out-of-Hospital Cardiac Arrest (OHCA) affects approximately 350,000 people in the United States annually. Research on pre-hospital OHCA in rural settings is limited. This knowledge gap affects medical command recommendations and s... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010978 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010620 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S227-S228 | Patel, C.; Balakumar, G.<br/>Background Ultrasound-guided regional anesthesia is an effective analgesic modality increasingly utilized in emergency medicine. Despite growing adoption, many emergency physicians report limited experience and confidence performing nerve blocks. ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010620 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011303 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S252-S252 | Abdelati, A.; Han, G.; Faber, J.;...<br/>Background The popularization of generative artificial intelligence (AI) has prompted implementation of AI tools in clinical care. Discharge instructions (DIs) are an excellent application given the difficulty of writing personalized DIs. However,... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011303 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011182 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S248-S248 | Ishimine, P.; Chaudhari, P.; Atigapramoj, N.;...<br/>Study Objectives Minor blunt head trauma is among the most common pediatric emergency department (ED) presentations, and computed tomography (CT) continues to be used frequently. Prior studies have demonstrated differences in diagnostic testing an... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011182 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011108 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S245-S245 | Eygnor, J.; Allen, J.; Best, K.;...<br/>Background and Objectives Embedding an Emergency Department (ED) based advanced care planning (ACP) and goals of care (GOC) focused team that documents patient preferences can improve quality of life near the end of life and reduce unnecessary uti... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011108 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011340 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S253-S253 | Ramachandran, A.; Dosanjh, M.; Hsiang, E.;...<br/>Background Patient-facing artificial intelligence (AI) health assistant platforms are growing rapidly, and now routinely advise users on when to seek acute care, including emergency department, urgent care, or same-day clinic visits. Prior literat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011340 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011212 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S249-S249 | Weiner, N.; Black, A.; Wong, K.<br/>Study Objective The increasing prevalence of pediatric mental and behavioral health disorders, combined with limited psychiatric resources, has led to a growing number of children presenting to Emergency Departments (EDs) while awaiting inpatient ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011212 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601125X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S250-S251 | Khajehmiraki, F.; Levine, M.; Feng, S.-Y.;...<br/>Study Objectives Acetaminophen (APAP) is a leading cause of pediatric acute liver failure (ALF). Adult-derived prognostic tools like the King’s College Criteria (KCC) determine the need for emergency liver transplantation in patients with APAP-ind... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601125X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011479 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S258-S259 | Benson, J.; Netto, B.; Gonzalez, A.<br/>Introduction Rapid administration of intravenous thrombolytics for acute ischemic stroke is strongly associated with improved functional outcomes and reduced mortality. Although the American Heart Association recommends a door-to-needle (DTN) time... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011479 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011297 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S252-S252 | Han, G.; Jacobson, J.; Brown, J.;...<br/>Background/Objective Patients with mild and moderate asthma have historically been prescribed as-needed albuterol inhalers as their relief therapy. Since 2019 the Global Initiative for Asthma (GINA) has recommended that combination inhalers (inhal... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011297 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011431 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S257-S257 | Mendola, T.; McCann Pineo, M.<br/>Objectives Compared to other healthcare workers, Emergency Medical Services (EMS) clinicians are at elevated risk for adverse mental health outcomes, including anxiety, depression, posttraumatic stress disorder (PTSD), suicide, and burnout. Relati... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011431 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601139X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S255-S255 | Singh, P.; Kheyraddini, A.; Ramdin, C.;...<br/>Objectives Pelvic exams in the ED are frequently delayed due to limited private rooms, inconsistent supply availability, and competing operational demands. Following COVID-19, room repurposing and ongoing ED construction at an urban Level 1 trauma... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601139X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011388 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S255-S255 | Schultz, K.; Broza, J.; Connell, C.;...<br/>Study Objective The National Institute on Minority Health and Health Disparities provides directives to prioritize studies that promote health equity and determine how to improve diagnostic care through the consideration of patient characteristics... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011388 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011546 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S262-S262 | Hassan, N.; Kerber, K.; Meurer, W.<br/>Background Dizziness accounts for approximately 4.3 million emergency department (ED) visits annually in the United States. Conversely, posterior circulation strokes are uncommon but clinically significant causes of dizziness, with vertigo/dizzine... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011546 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011376 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S254-S255 | Rainer, T.; Zhang, X.; Xiao, C.;...<br/>Background and Objectives The 2023 ESC Guidelines recommend SCORE2-Diabetes for predicting 10-year cardiovascular disease (CVD) risk and guiding personalised risk-stratified interventions in people with diabetes. Given potential variability in its... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011376 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011613 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S264-S265 | Pfahler, R.; Padlipsky, R.; Cota, K.;...<br/>Objectives Opioid overdose remains a leading cause of preventable death. Naloxone (Narcan) is a life-saving intervention; however, public awareness of how to recognize an overdose, access naloxone, and administer it remain suboptimal. Prior invest... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011613 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012205 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S293-S293 | Foster, S.; Elleman, Kylee; Gould, Eryn;...<br/>Study Objectives Shoulder dislocations reduced in the emergency department (ED) are performed by either emergency physicians or orthopedic surgeons. However, management approaches may differ depending on whether the reduction is performed by emerg... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012205 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011522 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S260-S261 | Garcia, S.; Akhter, M.<br/>Objectives Benign paroxysmal positional vertigo (BPPV) is a common cause of dizziness in the emergency department (ED), where concern for central neurologic pathology may prompt neuroimaging despite canalith repositioning maneuver (CRM) being a gu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011522 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011509 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S260-S260 | Freitas, M.; Beffa, D.<br/>Background Emergency department (ED) boarding of psychiatric patients remains a significant challenge throughout the United States and contributes to ED overcrowding, prolonged patient wait times, delayed access to definitive psychiatric treatment... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011509 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012229 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S294-S294 | Groneman, M.; Hacnik, J.; Mock, P.;...<br/>Study Objectives Trauma-related emergency department (ED) visits among undocumented immigrants may represent a substantial source of operational and financial burden for community hospital systems, yet encounter-level utilization characteristics i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012229 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601228X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S295-S296 | Zaylskie, L.; Nti, B.<br/>Study Objectives Sepsis affects more than 25 million children globally every year, a majority involving children under the age of 5. However, diagnosing pediatric sepsis remains challenging due to a lack of concrete testing biomarkers, guidelines ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601228X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012291 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S296-S296 | Nicholas, D.; Camara, M.<br/>Background Ultrasound-guided peripheral IV (US-PIV) placement is commonly used in emergency department (ED) patients with difficult vascular access. While central line infection risks are well established, infection rates associated with US-PIVs r... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012291 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012242 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S294-S295 | Nair, R.; Baugh, C.<br/>Study Objectives Mild intracranial hemorrhage is a common presentation in the emergency department; however, it has historically been associated with excessive intervention and resource use. The Brain Injury Guidelines (BIG) were developed to iden... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012242 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011674 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S269-S270 | Stanley, N.; Gold, S.; Kea, B.;...<br/>Objectives Unintentional falls drive approximately 8.9 million emergency department (ED) visits annually in the United States. Validated prevention exists; consistent delivery does not – saddling EDs saddled with the downstream burden. To address ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011674 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011583 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S263-S264 | Hale, O.; Novicoff, W.; Borsinger, T.;...<br/>Introduction Sport-related injuries are a leading cause of emergency department (ED) visits among young people in the United States, with approximately 2.7 million annual ED visits for sports injuries among patients aged 5–24 years. Fractures acco... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011583 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012412 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S300-S301 | Kong, C.; Isakov, A.; Mojgani, B.;...<br/>Background Mass gathering events such as the FIFA World Cup present complex and overlapping risks from both man-made and natural hazards, including biological threats, chemical exposures, radiological incidents, active assailant events, and severe... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012412 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012461 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S303-S304 | Staats, K.; Franklin, N.; Crowe, R.;...<br/>Study Objectives Cross-border transfers of care occur daily at the United States (US)-Mexico Ports of Entry (POEs), where US EMS agencies receive patients transported by Mexican ambulances seeking continued care in the US. Despite the frequency of... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012461 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012382 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S299-S299 | Cozzi, N.; Porcelli, A.; Weber, J.;...<br/>Study Objective High-acuity, low-frequency procedures - including advanced airway management, cricothyrotomy, and needle thoracostomy - remain critical competencies for paramedics operating in rescue and austere environments. Traditional manikin-b... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012382 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012448 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S302-S303 | Merriman, C.; Mechler, C.; Tsingos, M.;...<br/>Introduction The emergency department (ED) is a key point of contact for patients experiencing homelessness and other forms of housing instability. In 2022, the national Point-In-Time Count identified more than 650,000 people experiencing homeless... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012448 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012564 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S307-S308 | Park, D.; Chun, S.; Kim, G.W.;...<br/>Study Objectives Prehospital return of spontaneous circulation (ROSC) is a widely used intermediate endpoint in out-of-hospital cardiac arrest (OHCA), but its clinical significance may differ according to when ROSC is achieved. Prior studies have ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012564 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012321 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S297-S297 | Ajhar, A.; Coburn, W.; Ryan, T.;...<br/>Study Objective In military medicine, care delivered at the point of injury is governed by a tiered system of medical capability, with the Role 1 Battalion Aid Station (BAS) serving as the most forward echelon of physician-led care. These austere ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012321 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012394 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S299-S300 | Wyshel, T.; Hayden, C.; Kundurti, N.;...<br/>Background The 2026 Surviving Sepsis Campaign emphasizes prehospital early recognition and treatment of sepsis while adhering to antimicrobial stewardship protocols. The evidence base remains weak, usually informed by Emergency Department (ED) or ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012394 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012503 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S305-S305 | Martinez, J.; Halling, J.; D'Acquisto, H.;...<br/>Introduction Transitioning care for out-of-hospital cardiac arrest (OHCA) patients depends on effective handoffs from Emergency Medical Services (EMS) to in-hospital clinicians. Prior studies have shown that the content and consistency of EMS hand... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012503 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012606 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S309-S309 | Billig, A.; Kimbrell, J.; Greenberg, D.;...<br/>Study Objectives Patients presenting to the emergency department (ED) often have health behaviors that could benefit from targeted counseling. ED-based programs such as Screening, Brief Intervention, and Referral to Treatment rely on a single glob... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012606 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012540 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S306-S307 | Lozano, M.<br/>Background Machine-derived data from monitor-defibrillators offer granularity on CPR compression fraction, depth, and waveform features that clinician-documented records cannot provide. Integrating these files with electronic patient care reports ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012540 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012680 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S312-S312 | Hay, S.; Prabhala, J.; Weiner, S.G.;...<br/>Study Objectives The emergency department (ED) serves as a critical safety net for patients with unmet social needs, yet screening initiatives may be difficult to implement with overcrowding, staffing shortages, and documentation demands. Social d... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012680 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012771 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S316-S317 | Bianchi, W.; Henderson, B.; McGuire, M.;...<br/>Study Objectives A small subset of patients accounts for a disproportionate share of emergency department (ED) visits, often driven by unmet social, behavioral, and care coordination needs rather than acute medical pathology. This study evaluated ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012771 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013533 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages e1-e349<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013533 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601276X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S316-S316 | Schneider, T.; Okonkwo, E.; Broza, J.M.;...<br/>Study Objectives For sexual assault survivors, the emergency department (ED) is often the entry point into care and where time-sensitive interventions begin, including STI prophylaxis, HIV post-exposure prophylaxis, emergency contraception, and fo... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601276X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012631 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S310-S310 | Wilson, J.; Young, S.; Chamani, A.;...<br/>Study Objectives Previously we reported the finding that host-protein test integration into an ED sepsis order set was associated with a significant shift from possible toward unlikely sepsis classification, with reductions in cefepime exposure an... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012631 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012722 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S314-S315 | Felice, B.; Shah, P.; Morrell, S.;...<br/>Study Objectives While non-clinical social factors are known to drive patient outcomes, capturing and acting upon these factors remain difficult in the emergency department (ED), where high-acuity care must be delivered in a rapid, time-dependent ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012722 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012576 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S308-S308 | Tolins, M.; Huang, A.W.; Sax, D.<br/>Study Objectives Burnout disproportionately affects emergency physicians, with 49.8% reporting at least one symptom in 2025 per the American Medical Association, the highest rate of any specialty. Burnout drives sick leave, reduced clinical effort... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012576 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426014459 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S69-S69 | Xiao, V.; Gazzola, M.; Kim, J.G.;...<br/>Study Objectives We aimed to broaden patient access to naloxone from the emergency department (ED) using clinical decision support (CDS) and evaluated the impact of CDS on co-prescribing rates across a single health system. As an exploratory analy... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426014459 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013491 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages A3-A28<br/>October 5, 2026 | 8:00 AM 8:00 AM Research Forum Exhibit Hall RF1 Abdominal, Gastorintestinal, Geintourinary & Gynelogic Room 1 5Incidence, Predictors, and Outcomes of Acute Mesenteric Ischemia in U.S. Emergency Departments S Ju, National Taiwan U... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426013491 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005937 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S15-S15<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005937 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005603 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S1-S2 | Owyang, C.; Teran, F.; Araos, J.;...<br/>Background Current cardiac arrest algorithms classify patients by electrical rhythm despite substantial heterogeneity in intra-arrest cardiac mechanics. Resuscitative transesophageal echocardiography (TEE) enables real-time characterization of occ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005603 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005925 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S15-S15 | Rogers, E.; Winskill, C.; Weiss, R.;...<br/>Study Objective Risk stratification is a key component of syncope management in the emergency department (ED), but objective risk-stratification tools have not been widely adopted. This study aimed to externally validate the FAINT score and compar... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005925 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005901 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S14-S14 | Hsieh, W.-Y.; Tsai, T.-Y.; Chu, Y.-Q.;...<br/>Study Objectives Manual bag-valve ventilation during cardiopulmonary resuscitation (CPR) ties up a dedicated provider, a growing problem amid emergency department staffing shortages. Mechanical ventilation may ease this burden, but guideline recom... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005901 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005949 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S15-S15 | Libov, J.; Le, K.K.; Hanselman, N.;...<br/>Study Objectives Complete heart block (CHB) is the complete absence of conduction between the atria and the ventricles, leading to independent contractions and critical patient outcomes. We aim to evaluate the demographics and outcomes of patients... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005949 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005950 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S15-S15 | Joseph, J.; Al-Rahman Traboulsi, A.; Carey, M.R.;...<br/>Study Objectives Patients with cardiac implantable electronic devices (CIEDs), such as pacemakers and implantable cardioverter-defibrillators, frequently present to the emergency department (ED) with complaints potentially attributable to their de... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005950 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005913 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S14-S14 | Khanafer, J.; Elzaanoun, R.; Durr, K.M.;...<br/>Study Objectives Peri- and post-intubation hypotension (PIH) is a common complication of emergency airway management and is associated with adverse outcomes (including cardiac arrest and mortality) in critically ill adults. Although individual stu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005913 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006001 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S17-S18 | Kamila, P.; Martin, E.; Shanabrook, S.;...<br/>Background Chest pain accounts for over 8 million annual emergency department (ED) visits in the U.S., with intermediate-risk patients representing the highest diagnostic uncertainty and greatest risk of unnecessary admission. The 2021 AHA/ACC gui... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006001 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005962 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S16-S16 | Vaishal, T.; You, A.; Nene, R.;...<br/>Study Objectives Patients evaluated in the emergency department (ED) for symptoms suggestive of arrhythmias may undergo brief inpatient telemetry or be discharged from the ED with short-duration ambulatory monitoring up to 48 hours. Because arrhyt... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005962 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006104 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S22-S22 | Cohen, A.; Beinlich, M.; Young, E.;...<br/>Study Objectives Multiple tools exist to evaluate cardiac function in critically ill patients. Our group previously described a novel marker for right ventricular (RV) function, the RV saline bubble time, which measures the duration that a 10-cc s... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006104 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006050 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S19-S20 | Brooks, A.; Johnson, T.; Brooks, A.;...<br/>Study Objective Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) provides respiratory support for patients with respiratory failure that is refractory to traditional therapy. In recent years, health systems have seen an increase in patient... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006050 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005998 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S17-S17 | Thakor, K.; Shen, C.; Zhang, Y.;...<br/>Study Objectives Clinical prediction models increasingly require multicenter data to ensure generalizability across healthcare systems. However, centralized aggregation of patient-level data is frequently restricted by privacy regulations and inst... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005998 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005986 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S17-S17 | Tinter, J.; Lozano, M.; Dumas, K.<br/>Study Objectives To identify and characterize Emergency Medical Services (EMS)–based interventions associated with reductions in prehospital time intervals in ST-elevation myocardial infarction (STEMI) care and evaluate their operational impact. M... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005986 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006165 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S24-S24 | Arana-Arri, E.; García-de-Vicuña, A.; Carbajo, S.;...<br/>Background Triage accuracy is a core competency in emergency care, directly impacting patient safety and resource allocation. Traditional training approaches are resource-intensive, instructor-dependent, and difficult to standardize. Virtual reali... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006165 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005974 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S16-S17 | Ashrafi, S.; Fifer, K.; Roels, C.;...<br/>Study Objectives Atrial fibrillation and flutter (AFF) is one of the most common arrhythmias presenting to emergency departments. The treatment options are typically intravenous (IV) beta blockers, such as metoprolol, or IV calcium channel blocker... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426005974 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006062 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S20-S20 | Eckert, C.; Burgess, E.; Wegman, M.;...<br/>Study Objectives Tenecteplase (TNK) has become an alternative to alteplase (tPA) for intravenous thrombolysis in suspected acute ischemic stroke. As treatment is frequently administered before definitive diagnostic confirmation, real-world cohorts... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006062 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006220 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S27-S28 | Le, J.; Laoteppitaks, C.; Yedlarajaiah, A.;...<br/>Study Objectives Clerkship rotation evaluation traditionally relies on a combination of workplace-based evaluations and standardized examinations. Standardized examinations, such as the emergency medicine (EM) National Board of Medical Examiners (... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006220 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006281 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S30-S30 | Rammal, J.; Kapnick, D.; Klemet, D.;...<br/>Study Objectives Prehospital tourniquets are a key intervention for life-threatening extremity hemorrhage, but their appropriateness may vary by who applies the tourniquet. The objective was to determine whether applier type (professional, non-pro... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006281 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006827 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S53-S53 | Jones, D.; Morey, J.; Shen, T.;...<br/>Study Objective Ambient AI scribes are increasingly used to reduce documentation burden, yet their impact on clinical documentation language is unclear. We evaluated whether emergency department (ED) notes generated with ambient AI scribes demonst... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006827 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006037 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S19-S19 | Singer, A.; Singer, D.D.; Keister, M.;...<br/>Study Objective Dual antiplatelet therapy (DAT) is recommended for the treatment of acute myocardial infarction (AMI). However, after ED administration of aspirin for AMI treatment, the timing of the second antiplatelet agent is controversial. We ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006037 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006372 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S34-S34 | Chen, S.; Flamm, A.<br/>Study Objectives Artificial intelligence (AI) has shown growing utility in Emergency Medical Services (EMS), including training simulations, stroke recognition, critical care triage, and cardiac arrest dispatch. Large language models (LLMs) like C... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006372 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006177 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S24-S25 | Alyesil Ozturan, C.; Ozturan, I.; Karatas, E.;...<br/>Study Objectives Simulation-based mastery learning (SBML) is an effective approach for training endotracheal intubation with videolaryngoscopy (VL) but typically requires an instructor for real-time feedback, limiting scalability where faculty tim... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006177 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006153 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S23-S24 | Taubman, S.; Lawson, N.; Romero, J.;...<br/>Study Objectives Emergency department visits for heat illness are increasing with rising temperatures and more frequent extreme heat events. The American Medical Association urges medical educators to incorporate climate health implications into c... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006153 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006839 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S53-S54 | Morey, J.; Mullen, A.; Walker, L.;...<br/>Study Objectives Ambient artificial intelligence (AI) scribes have rapidly expanded across health systems and may reduce documentation burden in emergency medicine. Existing evidence has largely been limited to small pilot studies with limited com... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006839 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600630X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S30-S31 | Numata, K.<br/>Study Objectives Japan’s rapidly aging population has made it increasingly challenging to provide high-quality end-of-life care in emergency departments. To address these needs, we organized a binational cultural adaptation team composed of emerge... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600630X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006256 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S28-S29 | Maddern, S.; McElhinny, M.; Norman, J.;...<br/>Study Objective Prehospital intubation is an uncommonly performed but life-saving intervention requiring routine training and skills practice to prevent skill decay. When determining training frequency, optimizing patient outcomes must be balanced... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006256 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006876 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S55-S55 | Sax, D.; Cheng, S.; Marafino, B.;...<br/>Study Objectives Emergency department (ED) triage has critical implications for patient safety, quality, and timeliness of care. Machine learning models can accurately predict hospitalization risk at triage using electronic health record (EHR) dat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006876 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006918 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S57-S57 | Ramdin, C.; Jacob, M.; Singh, P.;...<br/>Study Objectives Stroke is a debilitating condition and one of the leading causes of death in the United States. In 2023, cerebrovascular disease (stroke) accounted for about 162,639 deaths, making it among the top five causes of death in the U.S.... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006918 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600692X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S57-S57 | Tsai, T.-Y.; Li, H.; Huang, H.-K.;...<br/>Study Objectives Direct oral anticoagulants (DOACs) have largely replaced warfarin for stroke prevention, yet 2–10% of treated patients experience acute ischemic stroke annually. Current American and European guidelines, based on expert opinion, r... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600692X https://www.clinicalkey.com/playContent/1-s2.0-S019606442600689X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S56-S56 | Shabbir, M.; Jacobson, E.; Libby, C.;...<br/>Study Objectives Emergency Department (ED) triage is an essential tool to prioritize care and optimize resource allocation for patients, especially in increasingly crowded emergency departments. Emergency severity index (ESI) triage assignments ca... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600689X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006906 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S56-S56 | Rainer, T.; Zhang, X.; Evy, Y.;...<br/>Background Stroke is a leading cause of disability and mortality worldwide. Plasma proteins hold the potential to improve early stroke diagnosis due to their association with stroke pathogenesis and stability in peripheral blood. Study Objective T... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006906 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008553 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S135-S135 | Hazekamp, C.; McCarthur, A.; Skaletski, E.;...<br/>Background People with disabilities account for a substantial proportion of annual emergency department (ED) visits, often due to limited access to primary care, outpatient services, and high-quality longitudinal care. Despite the ED’s critical ro... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008553 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008577 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S136-S136 | Petelinsek, S.; Memmott, A.; Casper, S.;...<br/>Study Objectives Television medical dramas shape public perceptions of healthcare, yet their accuracy remains variable. The Pitt is a newly released series praised for its realistic depiction of emergency medicine. This study aims to evaluate whet... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008577 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600870X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S141-S142 | Manteuffel, J.; Owda, D.; Miller, J.;...<br/>Study Objectives Emergency department (ED)–based hepatitis C virus (HCV) screening programs are effective in identifying HCV and often rely on reflex HCV RNA testing following a positive antibody (Ab) result to confirm active infection. However, r... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600870X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008747 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S143-S143 | Watkins, J.; Dare, R.; Norse, A.;...<br/>Study Objectives Unnecessary antibiotic prescribing in the emergency department (ED) contributes to antimicrobial resistance and patient harm. These harms can be attributed to overall antibiotic exposure: a combination of prescription rate and dur... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008747 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008978 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S155-S155<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008978 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008814 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S146-S147 | Nisper, E.; Feiner, J.; Grinstead, E.;...<br/>Study Objectives Current LLMs show promise as decision-support and educational tools in pediatric emergency medicine, with several models approaching expert-level performance on complex cases. However, model-specific limitations and inconsistent r... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008814 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008930 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S153-S153 | Wanberg, E.; Wu, J.; Hua, A.;...<br/>Objective To identify and characterize shootings involving on-duty emergency medical services (EMS) clinicians in the United States over the past decade and describe associated risk factors. Methods We conducted a systematic review of shootings in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008930 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600867X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S140-S140 | White, D.; Hunt, B.; Jewett, M.;...<br/>Objectives Emergency departments (EDs) serve as critical points of identification and linkage to HIV care for persons with HIV (PWH), including those with newly diagnosed HIV as well as those previously diagnosed but not engaged in care. Downstrea... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600867X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008899 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S150-S151 | Szwajnos, T.; Ashrafi, S.; Huynh, D.;...<br/>Study Objectives Migraines account for over 3 million emergency department (ED) visits annually and significantly impair quality of life. Guideline-recommended first-line treatment typically includes a dopamine antagonist, often prochlorperazine, ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008899 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009078 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S159-S159 | Benton, E.; Perotte, R.; Necci, C.;...<br/>Objectives Difficulty swallowing, also known as dysphagia, puts patients at significant risk for aspiration pneumonia, a lung infection caused by inhaling oral and gastric contents. Aspiration pneumonia presents a high risk of mortality and is oft... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009078 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008802 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S146-S146 | Gatz, J.; Schulkey, C.; Gingold, D.;...<br/>Study Objectives Unstructured computed tomography angiography (CTA) reports contain critical diagnostic and risk stratification information related to pulmonary embolism, but manual abstraction is time-intensive and limits scalability for research... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008802 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009297 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S169-S170 | Ivanov, D.; Patel, P.; Lotterman, S.;...<br/>Objectives Resuscitative transesophageal echocardiography (resusTEE) is an expanding practice in the emergency department (ED). Although resusTEE offers ED physicians several advantages in critical care, clinical outcomes have not necessarily impr... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009297 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600911X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S161-S161 | Wu, J.; Mohawk, A.; Sunga, K.<br/>Study Objectives This Study aimed to characterize patient narratives elicited during Sexual Assault Nurse Examiner (SANE) evaluations using inductive reflexive thematic analysis to better understand survivor perspectives and inform trauma-informed... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600911X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009169 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S164-S164 | Bowling, M.S.; Ammar, L.; Rattner, P.;...<br/>Study Objectives Access to high-quality reproductive healthcare in the U.S. is increasingly limited. While contraception counseling and initiation traditionally occur in outpatient settings, evidence shows patients are amenable to Emergency Depart... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009169 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009376 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S173-S173 | Bissell, K.; Koike, S.; Kea, B.;...<br/>Background Atrial fibrillation (AF) is an arrhythmia that increases stroke risk, which can be reduced by 64% with appropriate oral anticoagulation (OAC). Many patients are first diagnosed in the emergency department (ED), where treatment decisions... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009376 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009030 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S157-S158 | Rehman, T.; Miller, M.; Shippey, E.;...<br/>Study Objectives Hospital-acquired pressure injuries (HAPI) and in-hospital falls with hip fracture (FHF) are care-process-dependent safety events that disproportionately follow admissions through the emergency department. This study examined whet... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009030 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600942X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S175-S176 | Raj, H.; Radhakrishnan, A.; Jindal, K.J.<br/>Study Objectives Cardiac arrest is the terminal event of most fatal cardiac diseases, yet where these deaths occur and how that setting has shifted is poorly described. This Study examined the place of death, long-term mortality trends, and projec... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600942X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008966 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S154-S155 | Clark, M.; Weeks, C.; Gomez-Picazo, J.;...<br/>Study Objectives Falls are the leading cause of fatal and nonfatal injuries in older adults. A randomized controlled trial of the GAPcare Intervention reduced fall-related emergency department (ED) visits by 66% with in-ED pharmacy and physical th... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008966 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600884X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S148-S148 | Kay, A.; Janke, A.; Najarian, K.;...<br/>Study Objectives Manual electronic health record (EHR) abstraction for research case report forms (CRFs) is accurate but labor intensive. We developed a two-phase HIPAA-compliant large language model (LLM) abstraction workflow called INtelligent D... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600884X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009005 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S156-S156 | Nicholson, A.; Sharp, B.; Pulia, M.;...<br/>Study Objectives In emergency medicine (EM), clinicians routinely navigate countless day-to-day decisions that fall into gray zones where the evidence is limited, evolving, or absent. While traditional morbidity and mortality and peer-review forma... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009005 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008991 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S155-S156 | Fatuzzo, S.; Koziatek, C.; Brodsky, L.;...<br/>Background and Objectives Prior studies suggest that clinicians’ cognitive performance may decline across consecutive shifts, but whether this translates into measurable decline in the quality of emergency department (ED) care is unclear. We evalu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008991 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009273 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S169-S169 | Johnson, J.; Flannigan, M.; Casella, J.;...<br/>Objectives Point-of-care ultrasound (POCUS) for detection of pneumothorax and intraabdominal injury in trauma patients has been studied extensively, but most work has focused on large trauma centers. Limited data exist on the diagnostic performanc... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009273 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009637 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S184-S185 | Le, K.; Tan, J.; Steckler, L.;...<br/>Study Objectives Firearm injuries remain a major public health concern in the United States. Older adults represent a distinct and vulnerable population with worse outcomes in terms of mortality following firearm injury when compared with sequela ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009637 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009339 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S171-S172 | Organick-Lee, J.; Mcgaughey, S.; Xu, O.;...<br/>Study Objectives Critical care (CC) billing is a time-based cognitive service susceptible to systematic undercoding with significant documentation implications. Despite its importance, CC billing capture rates — the proportion of eligible encounte... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009339 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009248 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S167-S168 | Ataş, F.; Yıldız, A.F.; Karaduman, M.E.;...<br/>Study Objectives The aim is to assess how variations in surface temperature (ΔT), detected through infrared thermography (IRT), correlate with displaced vs non-displaced of fractures, the extent of displacement, and the necessity for surgical inte... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009248 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009546 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S180-S181 | Rundle, A.; Itzkowitz, N.; Mills, C.;...<br/>Study Objective Early receipt of naloxone during an opioid overdose (OOD) is crucial for preventing morbidity and mortality. This study assesses community naloxone administration occurring before the arrival of emergency medical services (EMS) and... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009546 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009455 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S177-S177 | Wong, K.; Tejani, C.; Mody, K.;...<br/>Study Objectives In the United States, most children’s emergency care occurs in general, community, or regional hospital emergency departments (EDs), where pediatric care is often delivered by non-pediatric specialists and variability in expertise... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009455 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009492 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S178-S179 | Lee, C.; Dzeng, E.; Kross, E.;...<br/>Study Objective Patients with advanced dementia frequently receive high-intensity out-of-hospital interventions that conflict with care preferences, initiating aggressive clinical momentum prior to Emergency Department (ED) arrival. In certain geo... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009492 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600973X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S189-S189 | Kumar, K.; Lohana, K.; Hassan, S.;...<br/>Introduction Emergency Medical Diseases (EMDs) account for over 50% of the global burden of diseases, with significant variations across regions and the socio-economic status of the countries. For the United States, regional variations have been s... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600973X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009649 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S185-S185 | Shabbir, M.; Torbati, S.; Distaso, C.;...<br/>Study Objectives As part of routine patient care, geriatric emergency departments (EDs) commonly conduct delirium screening. A recent Study from the Mayo Clinic found that ED patients with delirium were more likely to have adverse health outcomes ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009649 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009765 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S190-S190 | Perez Hernandez, R.; Nguyen, R.; Ge, S.;...<br/>Study Objectives Although emergency departments (EDs) are commonly cited as safety net healthcare sites, there is little national data describing the patient population that uses it as such. We sought to determine the percentage of ED patients who... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009765 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009601 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S182-S183 | Ibu, F.; McGuire, S.; Luke, A.;...<br/>Objectives Emergency medical service (EMS) clinician handoffs to emergency department (ED) staff often rely on unstructured verbal reports, increasing the risk of information loss and communication errors. Structured handoff protocols are not cons... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009601 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009741 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S189-S189 | Rammal, J.; Orow, K.; Almri, Y.;...<br/>Objectives To assess willingness to schedule cancer screenings among emergency department (ED) patients not up to date on recommended screenings, identify demographic factors associated with screening intention, and evaluate whether offering sched... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009741 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009832 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S194-S194 | Faber, J.; Fisher, D.; Kingsbury, K.;...<br/>Objective Emergency Department (ED) encounters are frequently coded by third party vendors to reduce operational costs. We developed and deployed a locally trained artificial intelligence (AI) ensemble classification model to support auditors. Mat... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009832 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009790 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S192-S192 | Martinez, A.; Janke, A.; Seiler, K.;...<br/>Background Timely presentation to the emergency department (ED) has important implications for many acute conditions. Although ED processes influence timeliness after arrival, an important factor beyond ED control is when patients seek care for th... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009790 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009856 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S195-S195 | Chen, K-F.; Li, W.-E.<br/>Background Sepsis management requires rapid, dynamic titration of intravenous fluids and vasopressors. While offline reinforcement learning (RL) shows promise for generating personalized treatment strategies, existing models lack standardized, cli... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009856 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009819 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S193-S193 | Kwan, B.; LaFree, A.; Hayek, J.;...<br/>Study Objectives Clinical documentation burden contributes to inefficiency, burnout, and suboptimal reimbursement in emergency care. A large language model (LLM)-based approach designed to generate, refine, and format emergency department (ED) enc... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009819 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009820 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S193-S194 | Kwan, B.; Stawnychy, M.; Tolia, V.;...<br/>Study Objectives Physician scheduling in emergency medicine is challenging due to multi-site staffing and variable shift structures, with implications for physician wellness and burnout. We aimed to (1) develop an automated scheduling tool to gene... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009820 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009704 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S187-S188 | Heinert, S.; Salas, R.; Cherukara, L.;...<br/>Objectives Diabetes is the seventh leading cause of death in the United States, with many deaths resulting from complications related to poor glycemic control. Patients with diabetes have high rates of emergency department (ED) utilization and are... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009704 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009844 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S195-S195 | Crudo, V.; Liu, W.; Schmitzberger, F.;...<br/>Study Objectives Pulmonary embolism (PE) is a high-stakes emergency department (ED) diagnosis whose evaluation depends on documented symptoms, thromboembolic risk factors, and structured risk stratification. Understanding how and under what clinic... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009844 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009789 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S191-S192 | Martella, A.; Cozzi, N.; Cole, M.<br/>Study Objectives To quantify the prevalence of uncaptured clinical complexity in emergency department E& ;M documentation by identifying EMS arrivals whose prehospital records document high-acuity features consistent with high-risk medical decisio... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009789 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009807 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S192-S193 | Kundurti, N.; Solanky, M.; Wyshel, T.;...<br/>Study Objectives The Emergency Severity Index (ESI, levels 1–5) is a standard, national triage screening tool used in the emergency department. Current Procedural Terminology evaluation and management (CPT E/M) codes (99281–99285, 99291) determine... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009807 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009893 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S197-S197 | Carter, J.; Paul, K.; Hoffmann, H.;...<br/>Study Objectives Anti-amyloid monoclonal antibodies have emerged as disease-modifying therapies for Alzheimer’s disease. However, concerns persist regarding cerebral hemorrhagic complications, particularly amyloid-related imaging abnormalities wit... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009893 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009935 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S198-S198 | Kontowicz, E.; Irish, A.; Harland, K.;...<br/>Study Objectives Prolonged recovery from COVID-19 among health care personnel (HCP) threatens workforce capacity and patient care. SARS-CoV-2 vaccination reduces infection risk and symptom severity, though efficacy has varied across pandemic phase... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009935 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009984 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S200-S201 | Gresham, M.; Osborne, A.; Kumar, R.<br/>Study Objectives Emergency medicine providers work in high-acuity environments with significant risk of violence, physical harm, and psychological stress. In response, many institutions respond with increased presence of security personnel. Howeve... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009984 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009959 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S199-S199 | Shaikh, S.; Srinivasan, S.; Khan, Z.;...<br/>Background Extreme heat is a growing environmental emergency and an increasingly important driver of preventable death among older adults. Emergency departments and EMS systems play a critical role in early recognition, rapid cooling, and linkage ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009959 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600990X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S197-S197 | Galbraith, T.; Ibrahim, R.; Hochman, S.<br/>Background Migraine headache is a leading cause of emergency department (ED) visits and neurologic disability worldwide. Dopamine receptor antagonists such as metoclopramide and prochlorperazine are recommended first-line parenteral therapies for ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600990X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010462 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S221-S221<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010462 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009868 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S195-S196 | Ahern, T.; Kyin-Ye Tam, G.; Rivera, A.;...<br/>Study Objectives Abnormal Neurological Pupil Index (NPi) values measured by quantitative pupillometry have been associated with elevated intracranial pressure and neurologic deterioration in intensive care unit populations. However, the use of aut... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009868 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010000 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S201-S202 | Liao, J.; Leo, M.; Burlotos, A.<br/>Study Objectives It is standard practice that unidentified patients who present to the emergency department (ED) are assigned placeholder names to facilitate care. While the use of aliases is universal, naming conventions vary considerably between... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010000 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010346 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S216-S216 | Lacy, A.; Gerhart, C.; Barnicle, R.;...<br/>Study Objective First-attempt success (FAS) is widely used as a benchmark outcome in emergency department endotracheal intubation (ETI) research, yet no universal definition exists. We sought to characterize agreement among emergency physicians (E... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010346 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010024 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S202-S202 | Aslani-Amoli, B.; Kushan, J.; Getachew, B.;...<br/>Study Objectives Communication failures in the emergency department (ED) have significant impacts ranging from acute, adverse patient events to a chronic undermining of team cohesion and, therefore, patient trust. Structured, interdisciplinary tra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010024 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009911 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S197-S198 | McCormack, R.; Ludwig, B.; Eldridge, A.;...<br/>Study Objective The objective of this study was to determine the sensitivity, specificity and negative predictive value of the combined diagnostic strategy of brain computed tomography (CT)/CT-angiography (CTA) for detecting aneurysmal subarachnoi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009911 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010371 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S217-S217 | Alpert, E.A.; Granat, N.; Shohat, T.;...<br/>Study Objective The objective of this study is to identify factors associated with a delayed diagnosis of cholecystitis among patients admitted to the hospital from the emergency department (ED). Methods This is a retrospective Study of patients a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010371 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010292 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S214-S214 | Goebel, J.; Sidle, J.; Filippazzo, C.<br/>Background Emergency medicine clinicians experience high rates of burnout, emotional exhaustion, and mental health challenges due to demanding clinical environments; in fact, emergency medicine reports among the highest burnout rates across U.S. s... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010292 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010334 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S216-S216 | Oyama, L.; Murray, T.; Rudolf, F.<br/>Objective Residency training is a notoriously challenging endeavor, during which resident physicians report high levels of fatigue and burnout. Verbal recognition from peers and leadership has been shown to be a highly valued aspect of work satisf... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010334 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010541 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S224-S224 | Paddock, D.; Laverdiere, J.<br/>Study Objectives Space travel presents a hostile medical environment comparable to the most remote critical-access locations on Earth, where medical evacuation beyond low-earth-orbit (LEO) is often impossible. Unreliable communication may necessit... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010541 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010577 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S225-S225 | McCue, W.; Coyne, C.<br/>Study Objectives Although prior literature has supported the use of music as an adjunct therapy to address patient anxiety, pain and overall experience, there is a dearth of research on its utility during ED procedural sedation. This Study was des... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010577 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601067X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S229-S229 | Le, K.; Sahai, I.; Nieto, D.;...<br/>Study Objective ST-segment elevation myocardial infarction (STEMI) remains a major contributor to morbidity, mortality, and healthcare utilization worldwide, and represents one of the most time-sensitive cardiovascular emergencies in clinical prac... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601067X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010425 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S219-S219 | Chhabria, S.; Chhabria, M.; Anaesiuba, I.;...<br/>Introduction Intestinal perforation complicated by sepsis is a critical surgical and medical emergency with an alarmingly high mortality rate. Sepsis caused by abdominal content spillage is a leading driver of ICU admissions in the US, posing enor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010425 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010632 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S228-S228 | Paulose, M.; Laterza, C.; Aiello, K.<br/>Objectives Lateral canthotomy and cantholysis is a vision-saving but low-frequency emergency procedure. Cadaver training provides high-fidelity procedural experience but is resource-intensive and may be limited by availability and opportunities fo... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010632 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010498 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S222-S222 | Aragon, P.; Simmons, S.; Fedigan, A.;...<br/>Study Objectives To describe characteristics of civil monetary penalties (CMPs) resulting from Emergency Medical Treatment and Labor Act (EMTALA) violations when emergency medical services (EMS)-transported patients were turned away from emergency... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010498 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010450 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S220-S221 | He, S.; Khinchin, J.; Muhamed, A.;...<br/>Study Objectives To externally validate the Discharge Severity Index (DSI) across multiple clinically relevant outcome definitions in a large multi-center health system, and to derive a simplified bedside score with robust performance across outco... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010450 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010802 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S234-S234 | Toppo, A.; Kumar, S.; Contreras, S.;...<br/>Study Objectives Emergency department (ED) boarding of critically ill patients has been associated with adverse outcomes, but this relationship may have been modified by post-COVID-19 workforce and throughput changes. This Study examined whether E... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010802 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010760 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S232-S233 | Georgiev, A.; Filla, T.; Dziegielewski, J.;...<br/>Objectives Acid–base disturbances at emergency department resuscitation room admission are associated with adverse outcomes. Whether prognostic performance differs across acidosis subtypes and which bedside parameters provide the greatest predicti... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010760 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012667 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S311-S311 | Manteuffel, J.; Miller, J.; Owda, D.;...<br/>Study Objectives Hepatitis C virus (HCV) infection remains a major cause of cirrhosis, hepatocellular carcinoma, transplant, and liver-related mortality. While direct-acting antivirals (DAAs) are highly effective, linkage to care (LTC) after ED-ba... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012667 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012163 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S291-S291 | Teran, F.; Peng, Yifan; Dieiev, Vladyslav;...<br/>Background Recent work evaluating intra-arrest transesophageal echocardiography (TEE) in cardiac arrest (CA) has demonstrated that chest compression (CC) location is a strong predictor of return of spontaneous circulation (ROSC). However, an impor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012163 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012060 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S286-S287 | Aden, J.; Boppana, Ujwal; Lama, Nima;...<br/>Objectives Alcohol withdrawal syndrome (AWS) is a common and potentially severe condition. Literature has shown that it is important to recognize alcohol withdrawal early. Early identification of AWS using standardized screening tools may reduce v... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012060 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012175 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S291-S292 | Chororia, S.; Sahu, Ankit; R., Abhiraj, MD<br/>Objective The primary objective was to study the clinico- epidemiological profile of patients presenting with post traumatic BPPV (pt-BPPV) at a level 1 trauma centre (including age, injury mechanisms, time of injury to time of presentation and on... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012175 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012709 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S313-S313 | Mehta, S.; Schissel, B.; Johnson, V.;...<br/>Background Food insecurity affects 18.3 million U.S. households, including 6.7 million children. Pediatric emergency departments (PEDs) are critical access points for underserved populations who may lack consistent primary care. Self-administered,... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012709 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012746 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S315-S316 | Shaltry, J.; Padley, M.A.; Ouellette, L.;...<br/>Study Objectives Emergency departments increasingly serve as low barrier access points for reproductive health concerns when outpatient care is unavailable, delayed, geographically distant, or difficult to navigate. Urgent care centers may provide... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012746 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426014125 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S21-S21 | Griffin, J.; Forrester, A.; Haver, K.;...<br/>Study Objectives Acute respiratory distress syndrome (ARDS) is a severe complication of drowning injury and a major contributor to morbidity and mortality following submersion events. Outcomes associated with drowning-related ARDS remain poorly ch... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426014125 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009236 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S167-S167 | Cooper, C.; Bachler, M.; Do, A.;...<br/>Objectives Personal protective equipment (PPE) is a critical safeguard against occupational exposure during trauma resuscitations; however, adherence remains inconsistent despite established institutional policies and well-documented risks. Unders... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009236 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009054 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S158-S158 | Krentz, C.; Baumer-Mouradian, S.; Chinta, S.;...<br/>Study Objectives Approximately 750,000 children are seen in the pediatric emergency departments (PED) annually in the United States for asthma-related complaints. ICS have greatly improved the treatment of asthma as evident by a decrease in future... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009054 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009200 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S165-S166 | Ahmed, M.; Qamar, I.; Khurram, M.M.;...<br/>Adults presenting to the emergency department (ED) following non-fatal opioid overdose carry a high risk of short-term mortality and repeat overdose. This systematic review and meta-analysis examines the effect of ED-based take-home naloxone disch... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009200 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009029 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S157-S157 | Asghar, A.; Riaz, M.; Mumtaz, I., Dr.;...<br/>Study Objectives Occupational burnout among emergency department (ED) physicians is a recognized patient safety threat, associated with increased diagnostic error rates, reduced empathy, and higher rates of adverse events. Non-consultant hospital ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009029 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009443 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S176-S176 | dela Cruz, J.; Frey, D.; Funke, K.;...<br/>Study Objectives Our project explores the utility of creating a disaster medicine table-top role-playing game (TTRPG) to train system-level and bedside concepts in disaster medicine to physicians. Methods An in-hospital disaster medicine TTRPG, CO... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009443 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009327 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S171-S171 | Eygnor, J.; Allen, J.; Best, K.;...<br/>Objectives Advance care planning (ACP) can improve the end-of-life experience for patients and families and potentially reduce unnecessary utilization. Defining the consistent approach to identifying patients who would benefit from an ED embedded ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009327 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009194 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S165-S165 | Lancia, S.; Parker, S.; Grace, K.;...<br/>Introduction Alcohol use disorder (AUD) constitutes a significant utilization burden on the Emergency Department (ED) and the healthcare system. Naltrexone is a pharmacological deterrent for alcohol use, but its effectiveness in reducing subsequen... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009194 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600939X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S174-S174 | De Smet, K.; Sandefur, B.; Mullan, A.;...<br/>Objectives Advances in risk stratification, cardiac biomarkers, imaging, and emergency department (ED) observation have improved acute coronary syndrome (ACS) evaluation, especially for those at the ends of the risk spectrum. Moderate to high-risk... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600939X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009960 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S200-S200 | Cheng, T.; Yao, R.; Zhang, S.;...<br/>Background With global temperatures rising, the frequency and intensity of extreme heat events are increasing, posing growing threats to human health. The interplay between environmental stressors and post-infarction prognosis is critical for seco... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009960 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600987X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S196-S196 | Pendley, A.; Akella, M.; Bénard-Séguin, E.;...<br/>Objectives Acute central and branch retinal artery occlusions (CRAO/BRAO) represent ocular stroke equivalents with time-dependent treatment windows analogous to cerebral ischemia. Diagnosis is frequently delayed in emergency departments (EDs) due ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600987X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009947 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S199-S199 | Padlipsky, R.; Cota, K.; Warren, J.;...<br/>Objectives Bystander cardiopulmonary resuscitation (CPR) and use of automated external defibrillators (AEDs) are among the most effective interventions to improve survival after out-of-hospital cardiac arrest (OHCA); however, rates of bystander CP... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009947 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009972 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S200-S200 | Medhat, Y.; Adebekun, J.; Avelar, K.;...<br/>Study Objectives A lumbar puncture (LP) is an invasive diagnostic procedure where a needle is inserted into a patient’s lower back to remove cerebrospinal fluid for testing. Post-LP complications are common, with 25% to 40% of patients experiencin... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009972 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009996 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S201-S201 | Lalli, K.; Raymond-King, C.; Morton, C.;...<br/>Background Globally, violence against healthcare workers in Emergency Departments is alarmingly common and increasing in prevalence. While workplace violence is possible in any patient encounter, disclosure of traumatic deaths to family and friend... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009996 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010048 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S203-S203 | Driver, L.; Perice, L.; Rizvi, T.;...<br/>Study Objectives Ultrasound-guided nerve blocks (UGNBs) are increasingly used in emergency departments (EDs) as effective, opioid-sparing analgesic interventions. Despite demonstrated safety and efficacy, perceived procedural difficulty remains a ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010048 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010012 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S202-S202 | Sidle, J.; Goebel, J.<br/>Background Staff wellbeing is closely linked to patient care quality and patient experience. Prior workflows relying on handwritten pre-arrival notes and phone communication from outpatient facilities contributed to increased workload burden and p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010012 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009923 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S198-S198 | Cyndari, K.; Hansen, T.; Irish, A.<br/>Study Objectives The Emergency Medicine (EM) 2030 Research Strategic Goals were established in 2020 to guide development of the physician-scientist pipeline, associated grant funding, and research advancement in EM. The explicit goals as stated ar... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009923 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010036 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S202-S203 | Dilip, M.; Shah, R.; Rose, J.;...<br/>Study Objectives Computed tomography (CT) turnaround time is a major contributor to emergency department (ED) crowding and throughput delays. ED imaging workflows function as interconnected queueing systems in which delays may propagate across tra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010036 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601005X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S203-S204 | Driver, L.; Schaeffer, W.; Leo, M.;...<br/>Study Objectives To characterize protected time for emergency ultrasound (US) leadership relative to Emergency Ultrasound Fellowship Accreditation Council (EUFAC)/national benchmarks and identify program-level and regional factors associated with ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601005X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010073 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S204-S205 | Perkins, W.; Chan, W.; Zarider, N.;...<br/>Background Shoulder dislocations are the most common presenting joint dislocation to the Emergency Department (ED). Procedural sedation is often used for shoulder reduction, but is resource intensive, prolongs ED stay, and poses many risks to the ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010073 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010061 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S204-S204 | Perice, L.; Perez, D.; Dwyer, K.;...<br/>Study Objectives Point of Care Ultrasound (POCUS) in the emergency room has been shown to be highly accurate in the diagnosis of nephrolithiasis, however it is underutilized. Excessive use of computed tomography (CT) scans for nephrolithiasis/rena... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010061 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009881 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S196-S196 | Pendley, A.; Lee, W.-H.; Benard-Seguin, E.;...<br/>Objectives The United States is experiencing a resurgence of syphilis, with 190,242 cases reported in 2024 — a 42% increase compared to 2020. 1 Ocular syphilis can present as seemingly isolated bilateral optic disc edema indistinguishable from pap... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009881 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010085 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S205-S205 | Darawish, S.; Aboali, A.; Adel, M.A.;...<br/>Objective To evaluate the effect of ultrasound guidance on procedural outcomes of lumbar puncture in pediatric patients, including first-attempt success, traumatic tap rate, procedural failure, overall success, and procedure duration. Methods A sy... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010085 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010097 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S205-S205 | Bartoe, A.; Berkvens, L.; Pedersen, C.;...<br/>Study Objectives In 2001, the U.S. Food and Drug Administration (FDA) issued a boxed warning for droperidol due to concern for QTc prolongation and malignant dysrhythmias. Despite this warning, droperidol continues to be used in the emergency depa... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010097 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010115 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S206-S206 | O'Brien, C.; Brown, J.; Schwab, E.;...<br/>Background Large language models (LLMs) have demonstrated high diagnostic accuracy in toxicology cases, but their value as teaching tools extends beyond correctness to include explanation quality, transparent clinical reasoning, and support for le... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010115 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010103 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S205-S206 | Tam, I.; Hakanson, D.; Barr, T.<br/>Introduction Acute ethanol intoxication accounts for millions of emergency department visits annually and remains without any approved pharmacologic therapy. Management is purely supportive, constrained by the zero-order kinetics of endogenous hep... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010103 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010127 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S206-S207 | Bushman, Q.; Khowoung, T.; Zhang, R.;...<br/>Objectives Ketamine use has increased substantially in the United States over the past decade. Despite rising rates, data characterizing emergency department (ED) presentations among patients with ketamine use in contemporary US settings remain li... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010127 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010139 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S207-S207 | Hailer, A.; Siff, J.; Papp, J.;...<br/>Study Objectives Substance Use Navigator (SUN) programs demonstrated benefit for patients with opioid use disorder (OUD) in facilitating treatment and reducing adverse outcomes. In contrast, SUN program effectiveness for stimulant use disorder (St... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010139 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010152 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S208-S208 | Hailer, A.; Papp, J.; Piktel, J.<br/>Study Objectives Stimulant Use Disorder (StUD) is increasing in the United States and is frequently encountered in the emergency department (ED). Stimulant use is associated with acute cardiovascular events, including myocardial infarction (MI), n... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010152 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601019X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S209-S210 | Martella, A.; Cozzi, N.; Cole, M.<br/>Study Objectives To identify and characterize a dual-discordant cohort — EMS arrivals simultaneously assigned below-threshold Emergency Severity Index (ESI) scores and below-threshold CPT E& ;M documentation despite prehospital high-acuity feature... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601019X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010280 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S214-S214 | Lovell, L.; DeFreitas, L.; Greaves, N.;...<br/>Study Objectives The global shortage of healthcare workers remains a critical concern. Emergency physicians (EPs) experience higher burnout rates than many other specialties with lower professional fulfilment, a key protective factor linked to ret... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010280 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601036X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S217-S217 | Armstrong, P.; Paul, K.; McTaggart, L.;...<br/>Study Objective Bariatric surgery reduces cardiovascular risk in patients with obesity, yet comparative outcome data between sleeve gastrectomy and Roux-en-Y gastric bypass remain limited. We evaluated cardiovascular, neurologic, and mortality out... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601036X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010188 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S209-S209 | Crook, J.; Champion, J.; Stubblefield, W.;...<br/>Background Acute stroke is a time-sensitive diagnosis in patients presenting to the emergency department (ED). Efficient triage processes are essential to identify patients with stroke symptoms and expedite imaging. The American Heart Association ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010188 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010218 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S210-S210 | Koehn, N.; Waymack, J.; Golitko, A.;...<br/>Background Overutilization of urinalysis (UA) testing in the emergency department (ED) reflects suboptimal diagnostic stewardship associated with: overtreatment (e.g., asymptomatic bacteriuria), increased ED length of stay (LOS), delay in patient ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010218 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010437 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S219-S220 | Chhabria, S.; Chhabria, M.; Anaesiuba, I.;...<br/>Introduction The coexistence of Chronic Obstructive Pulmonary Disease (COPD) and Gastrointestinal (GI) hemorrhage is a highly lethal and costly overlap in the US. COPD Patients face a substantially higher mortality rate compared to uncomplicated G... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010437 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010875 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S237-S237<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010875 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010395 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S218-S218 | Oliveira Junqueira e Silva, L.; da Cruz, N.; Ferronato, L.;...<br/>Study Objectives Preoxygenation reduces the risk of hypoxemia during rapid sequence intubation (RSI). End-tidal oxygen concentration (EtO2) is an established marker of preoxygenation quality in anesthesia, with values ≥85% considered adequate, but... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010395 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010322 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S215-S216 | Fuchs, K.; Jeanmonod, R.; Jeanmonod, D.;...<br/>Objectives Emergency physicians (EPs) work in a variety of practice settings: academic (where EPs engage in bedside teaching but also have formal academic responsibilities), hybrid (where the EPs engage in bedside teaching but have no formal acade... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010322 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010267 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S212-S213 | Pacheco, G.; Acuña, J.; Adhikari, S.;...<br/>Study Objectives Pre-intubation physiologic derangements, particularly hypotension, are associated with adverse events during emergency airway management and may represent modifiable targets for optimization. Point-of-care ultrasound (POCUS) impro... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010267 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010474 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S221-S221 | Kritenbrink, M.; Hood, D.; Glass, G.;...<br/>Objectives Assessment for acute alcohol intoxication is frequently required for medical clearance and disposition of behavioral health patients in the emergency department (ED). Laboratory-based serum ethanol testing is a commonly utilized method ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010474 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010784 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S233-S233 | Mady, A.; Mady, A.; Hamido, H.;...<br/>Background Accurate forecasting of intensive care unit (ICU) admissions is critical to optimize resource allocation, improve patients’ outcomes, and maintain hospital readiness. Time series models, particularly Auto-Regressive Integrated Moving-Av... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010784 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010310 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S215-S215 | Bopp, O.; Pollock, K.; Morales, E.;...<br/>Objective Occupational burnout and decreased job satisfaction among emergency department (ED) nursing staff negatively impacts patient care. Methods of evaluating burnout exist, but most assessment tools depend upon broad surveys that do not captu... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010310 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010528 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S223-S223 | Iyer, M.; Chen, E.; Furey, G.;...<br/>Background Emergency department (ED) crowding and prolonged throughput times impact patient outcomes, satisfaction, and operational efficiency. To address this, the UCLA ED implemented an 1:1 attending:resident dyad based in the low-acuity West Lo... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010528 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011236 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S250-S250 | Waseem, M.; Thapar, D.<br/>Objectives Communication failures are a leading cause of sentinel events in emergency departments (EDs). In safety-net pediatric EDs, where encounters may be the only chance to identify safety issues, failure to speak up can have serious consequen... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011236 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010693 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S230-S230 | Gould, L.; Craver, E.; Rosever, K.;...<br/>Introduction Noninvasive positive airway pressure (NIPAP) is commonly used to treat decompensated heart failure patients presenting in respiratory distress. Up to 40% of heart failure patients also have chronic obstructive pulmonary disease (COPD)... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010693 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601070X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S230-S231 | Short, L.; Blasius, J.; Amin, R.<br/>Objective Implementation of an emergency department–initiated, VTE pharmacist-driven pathway designed to facilitate early discharge of low-risk patients thereby avoiding unnecessary hospitalizations and cost expenditures associated with VTE hospit... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601070X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010863 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S237-S237 | Tannenbaum, L.<br/>Objectives Storytelling and medicine have an unbreakable bond. Early in medical school, students are taught to listen to a patient's history to understand their symptoms and tease out their primary concern. However, they are then trained to distil... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010863 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010607 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S227-S227 | Cheong, K.M.; Tsai, T.-Y.; Li, H.;...<br/>Study Objectives Forearm fractures are commonly encountered in emergency department (ED) settings and may result from both low and high energy trauma. Ultrasound-guided regional anesthesia (USGRA) may provide effective analgesia while reducing the... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010607 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010656 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S228-S229 | Abbo, J.; Prescott, P.; Xing, J.;...<br/>Objectives Discharging emergency department (ED) patients with elevated blood pressure is generally safe, but it is unclear whether increasing age is associated with worse short-term outcomes following ED discharge for hypertension. Our primary ob... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010656 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010735 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S231-S232 | Clarke, E.; Hayden, B.; Omba, E.;...<br/>Background Heart disease is a leading cause of morbidity and mortality in the United States and a frequent contributor to emergency department visits and hospitalizations. Risk is unevenly distributed across populations because social determinants... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010735 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010516 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S223-S223 | Yura, T.; Wermuth, H.; Butler, I.;...<br/>Study Objectives Emergency Medicine (EM) and Hospital Medicine (HM) collaboration is increasingly recognized as a key driver of patient flow, quality, utilization management, and patient experience. Despite widespread efforts to improve integratio... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010516 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010954 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S240-S240 | Burke, K.; Richman, P.; Tom Xu, K.;...<br/>Study Objectives Boarding of psychiatric patients is widespread in U.S. EDs and contributes to crowding, delays, and negative effects on providers and patients. Prior studies have described the impact of psychiatric boarding on ED throughput, but ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010954 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010851 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S236-S237 | Schaffer, K.; Powers, M.; Kauffman, L.;...<br/>Study Objectives Statistics on human trafficking (HT), intimate partner violence (IPV), and sexual violence (SV) are challenging to collect. The UN’s International Labour Organization estimates there are 27.6 million survivors of human trafficking... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010851 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010590 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S226-S226 | Lal Vallath, A.; Engin, S.; Jones, K.;...<br/>Background Surgical cricothyrotomy is a critical, low-frequency emergency airway procedure for which simulation-based training is essential. Conventional surgical mannequins remain costly and may limit training accessibility. Three-dimensional (3D... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010590 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010917 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S238-S239 | Gonzalez, F.; Wilson, C.; Berger, M.;...<br/>Objective Bias in narrative evaluations of medical students is a well-established barrier to equitable advancement in medical education. Prior work has demonstrated that racially and ethnically underrepresented studentsare more often described usi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010917 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011893 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S278-S279 | Hollender, M.; Celmins, Laura; Bonomo, Matthew;...<br/>Study Objectives Hypokalemia is a common finding in the emergency department (ED). While correction of severe hypokalemia is urgent due to the association with increased morbidity and mortality, the management of mild hypokalemia (3.4 to 4.0 mEq/L... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011893 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011844 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S276-S277 | Tsai, C.-L.; Ju, S.C.; Leow, Joshua;...<br/>Objectives Return visits to the emergency department (ED) pose a significant challenge for patients, clinicians, and health systems. Accurate prediction of ED revisits is therefore important, particularly for identifying patients at risk of seriou... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011844 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601190X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S279-S279 | Palumbo, R.; Patnaik, Siriesha; Lederer, Thomas;...<br/>Study Objectives Emergency department (ED) noise levels routinely exceed recognized safety thresholds, yet patient-reported noise distress remains poorly characterized. A prior Study at our institution documented the ED's acoustic burden, with amb... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601190X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012084 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S287-S287 | Boccio, E.; Perez, Donny; Katz, Randy;...<br/>Study Objectives Electronic health records (EHRs) with integrated clinical decision support (CDS) tools can assist providers with complex medical decision-making processes. This Study assessed whether the implementation of an interruptive Best Pra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012084 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011935 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S280-S281 | Xie, J.; Galior, Kornelia; Johnson, Ryan;...<br/>Study Objectives Point-of-care (POC) testing offers rapid laboratory measurements that can facilitate early clinical decision-making in patients presenting to the emergency department (ED) with an infection at risk of further complications, includ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011935 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011947 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S281-S282 | Hembree, A.; Tran, Jacqueline; Sweeney, Justine;...<br/>Study Objectives The emergency department (ED) is a dynamic and chaotic environment, in which clear communication and teamwork are vital to delivering safe patient care. Nurses and providers spend approximately 89% of their shift participating in ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011947 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012023 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S285-S285 | Schwartz, H.; Severin, Courtney; Heeney, Megan<br/>Study Objectives Substance use is common in patients presenting to the emergency department (ED) with acute traumatic injuries. The majority of trauma patients are discharged from the ED rather than admitted, often on weekends, evenings and overni... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012023 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012278 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S295-S295<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012278 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012345 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S298-S298<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012345 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012126 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S289-S289 | Kundurti, N.; Smith, Douglas; Solanky, Maansi;...<br/>Study Objectives Triage levels and CPT codes quantify two ends of the same end-to-end patient care model in the emergency department (ED). One facilitates real-time resource mobilization and utilization, while the other suggests the complexity and... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012126 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012266 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S295-S295 | Behdin, S.; Balasubramanian, T.; Contillo, N.;...<br/>Study Objectives Wounds and lacerations are a frequent reason for emergency department (ED) utilization, comprising roughly 8.2% of ED visits each year. Thorough pressurized wound irrigation is imperative for successful wound decontamination and r... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012266 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012102 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S288-S288 | Mikell, C.; Tancredi, Daniel; Ortega, Joanna;...<br/>Study Objectives Rib fractures are a common injury in patients presenting to the emergency department (ED) with blunt thoracic trauma and are associated with significant morbidity. Systemic analgesics may provide inadequate pain control or cause a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012102 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012187 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S292-S292 | Slebonick, A.; Deaner, Traci; Sigal, Adam<br/>Background Upper extremity (UE) fractures and dislocations often require analgesics for pain management. Emergency department (ED) management may include a short course of opioid or non-opioid analgesics. However, inadequate pain control can promp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012187 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012230 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S294-S294 | Carbajo-Azabal, S.; Arana-Arri, E.; Garcia de Vicuña, A.;...<br/>Study Objectives Computed tomography (CT) is widely used in the evaluation of mild traumatic brain injury (mTBI), particularly in older adults. However, the impact of CT utilization—especially repeat imaging—on emergency department (ED) throughput... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012230 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601214X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S290-S290 | Koscumb, P.; Paul, K.; Schreck, Michael;...<br/>Study Objectives Adipose tissue echogenicity varies by anatomic location. Fat may appear echogenic when it reflects ultrasound well or echopenic/anechoic when it reflects poorly. Differences in the thickness of non-lipid supporting elements, inclu... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601214X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007456 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S82-S83 | Barkach, C.; Jaehne, A.K.; Peltzer-Jones, J.;...<br/>Study Objectives Frequent users of the emergency department (ED) are a small subset of patients that account for a disproportionate amount of ED visits. Some individuals lack reliable access to essential community-based services, including hemodia... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007456 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007432 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S82-S82 | Septaric, K.; Krizo, J.; Mascha, E.;...<br/>Study Objectives Extracorporeal cardiopulmonary resuscitation (ECPR) is a time-sensitive rescue therapy for selected patients with refractory cardiac arrest that requires rapid activation of a trained, multidisciplinary system of care. Successful ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007432 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600750X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S85-S85 | Pourmand, A.; Akbarin, M.; Smetana, I.;...<br/>Study Objectives Homelessness is a major social determinant of health associated with increased morbidity, barriers to healthcare access, and adverse health outcomes. Individuals experiencing homelessness often rely on emergency departments (EDs) ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600750X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007201 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S72-S73 | Krien, J.; Knych, M.; Holzem, K.<br/>Background Dermatologic conditions are common in emergency medicine (EM), and studies show diagnoses and management are frequently modified after specialty evaluation. While prior research has focused on in-person consultations, these are relative... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007201 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007444 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S82-S82 | Liu, A.; Nemani, A.; Pierrend, E.;...<br/>Study Objectives Emergency departments (EDs) have increasingly implemented health-related social needs (HRSN) screening to address social determinants of health (SDoH). Despite the widespread adoption of HRSN screening, there is limited data on ho... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007444 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007481 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S84-S84 | Gress, J.; Berlyand, Y.; Ali, F.;...<br/>Study Objectives The authors of this study present a retrospective analysis of a cohort of previously undomiciled individuals who were selectively housed in Newport, Rhode Island through a collaborative effort between community partners and a comm... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007481 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007614 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S91-S91 | Madhok, D.; Barber, J.; Temkin, N.;...<br/>Study Objectives Most patients with mild traumatic brain injury (mTBI) presenting to the emergency department (ED) are discharged home, yet a substantial proportion experience persistent symptoms. We sought to identify demographic, clinical, and p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007614 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007699 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S94-S94 | Chan, J.<br/>Study Objectives Medical imaging is a well-suited area for artificial intelligence (AI) utilization, given the immense data and visual patterns inherent to the modality. While many AI advances have been made in computed tomography (CT) and magneti... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007699 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007717 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S95-S95 | Cassin, K.; Jeanmonod, R.; Jeanmonod, D.;...<br/>Study Objectives Emergency physicians (EPs) operate at the forefront of the healthcare world, managing critically ill patients under high pressure. While these duties can lead to personal satisfaction, EPs are at increased risk for burnout, which ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007717 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007572 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S89-S90 | Ghafarian, A.; Lim, S.; Foster, S.;...<br/>Study Objective Mild traumatic brain injury (mTBI), defined by a Glasgow Coma Scale (GCS) score of 13-15, frequently prompts precautionary head CT imaging despite a low prevalence of clinically significant intracranial injury. The i-STAT TBI point... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007572 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007602 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S91-S91 | de Vicuña Melendez, A.; Azabal, S.C.; Santorcuato, A.;...<br/>Study Objectives Clinical decision rules for computed tomography (CT) in mild traumatic brain injury (mTBI) rely on age and clinical features to guide imaging, yet their utility in older adults with cognitive impairment and frailty remains uncerta... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007602 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007651 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S92-S93 | Thom, C.; Ottenhoff, J.; Vo, V.;...<br/>Study Objectives The Accuro XV ® is a novel automated imaging device for the evaluation of traumatic extremity injuries. The platform incorporates automated acquisition of ultrasound imaging supported by artificial intelligence (AI) imaging aids. ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007651 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007523 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S86-S86 | Frost, M.; Nunes, E.V.; Lofwall, M.R.;...<br/>Study Objectives This post hoc analysis aimed to evaluate the effect of single-dose Brixadi® (CAM2038) 32 mg weekly and 128 mg monthly on opioid withdrawal and self-reported illicit drug use in participants with moderate-to-severe opioid use disor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007523 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007808 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S98-S99 | AlAbdulaly, N.; Le, K.K.; Shapovalov, V.;...<br/>Study Objectives Urinary retention is a common and resource-intensive cause of emergency department (ED) visits and represents a clinically complex condition with multifactorial pathophysiology. Proposed mechanisms include bladder outlet obstructi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007808 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007857 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S101-S101 | Kaine, J.; Ferris, B.; Powell, M.;...<br/>Study Objectives Point-of-care ultrasound (POCUS) is routinely used in emergency departments (EDs), and adoption is expanding across inpatient and outpatient specialties. Sustainable POCUS programs require training, credentialing, image archiving,... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007857 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007821 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S99-S100 | Bongartz, T.; McFall, N.; Tran, H.;...<br/>Study Objectives Ovarian torsion (OT) is a time-sensitive gynecologic emergency traditionally evaluated with transvaginal ultrasound (TVUS). Many emergency department (ED) patients undergo both computed tomography (CT) and TVUS during their evalua... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007821 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007778 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S97-S97 | Mendes, M.; Goldberg, E.; Leroux, A.;...<br/>Study Objectives Emergency physicians (EPs) face high rates of burnout and early career attrition, with meaningful implications for workforce sustainability and patient care. Shift work — a defining feature of emergency medicine — is a known drive... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007778 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007754 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S96-S97 | Salen, P.; Irlbeck, E.; Fuchs, K.;...<br/>Study Objectives Meditation improves wellness and mental health by reducing stress, anxiety, and depression while increasing self-awareness and emotional regulation. This study sought to evaluate the impact of meditation on emergency medicine resi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007754 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007791 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S98-S98 | Carter, J.; Zatarain, J.R.; Koscumb, P.A.;...<br/>Study Objectives Ascites is a common complication of end-stage liver disease, and many patients develop refractory ascites requiring repeated large-volume paracentesis (LVP), often performed in the emergency department (ED). Although alternative c... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007791 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007730 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S95-S96 | Vanyo, L.; Wood, S.; Sorge, R.;...<br/>Study Objectives Emergency physicians (EPs) face significant cognitive and physical strain due to rotational shift work, a primary driver of fatigue and burnout. While research has explored scheduling innovations, there is a lack of qualitative da... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007730 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008656 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S140-S140<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008656 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008425 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S129-S129 | Abramson, T.; Cordova, D.; Tweedt, I.;...<br/>Study Objectives Cardiac arrest is a leading cause of death. There are more than 350,000 out-of-hospital cardiac arrest (OHCA) cases annually in the United States, 7,000 of which occur in Los Angeles County alone. Los Angeles County has one of the... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008425 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008449 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S130-S130 | Hanna, M.; Lim, A.; McStay, C.<br/>Study Objective Labor actions in hospital settings have broad operational consequences, yet their effects on prehospital emergency systems remain largely unexamined. Ambulance transport patterns during nursing strikes, in particular, have received... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008449 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008589 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S136-S137 | Gatling, K.; Haq, F.; Ibrahimian, R.;...<br/>Objectives Language barriers impact patients with Limited English Proficiency (LEP) and can lead to health disparities. Despite widespread federal mandates requiring meaningful interpreter access, practical use of interpreters in the Emergency Dep... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008589 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007912 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S105-S105 | Orcutt, M.; Schneir, A.; Coyne, C.;...<br/>Study Objectives This study aimed to evaluate methohexital and propofol as sedative agents to determine a) if there is a significant difference in the frequency of dosing between agents and b) if there are any significant differences in patient ou... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007912 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007948 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S106-S107 | Horigome-Taylor, T.; Lavine, E.; Legome, E.;...<br/>Study Objectives With the assistance of a team of stakeholders (five emergency medicine physicians, an emergency medicine physician and informaticist, and an anesthesiologist/pain medicine specialist), we developed an opioid analgesic-sparing prot... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007948 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008632 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S139-S139 | Das, I.; Bennett, C.<br/>Study Objectives The emergency physician workforce is unevenly distributed between rural and urban areas. Rural staffing is increasingly consequential as states pursue possible conversion of vulnerable rural hospitals to Rural Emergency Hospitals ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008632 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008693 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S141-S141 | Jehle, D.; Paul, K.; Kelley-Smith, C.;...<br/>Study Objectives Emergency physicians frequently administer an initial intravenous (IV) antibiotic dose before discharging patients with acute pyelonephritis, although the incremental benefit of IV lead-in therapy compared with oral-only treatment... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008693 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008711 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S142-S142 | Jehle, D.; Paul, K.<br/>Study Objectives Cellulitis is a common emergency department (ED) diagnosis frequently managed with outpatient oral antibiotics. Many emergency physicians administer a single dose of intravenous (IV) antibiotics before discharge, although the bene... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008711 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008528 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S134-S134 | Cuthel, A.; Grudzen, C.; Hoque, A.;...<br/>Study Objectives Emergency Departments Leading the Transformation of Alzheimer’s and Dementia Care (ED-LEAD) is a pragmatic, cluster-randomized multifactorial study across 79 US Emergency Departments (EDs) testing three interventions in persons li... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008528 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008887 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S150-S150 | Johnson, I.; Maynez, S.; Brigger, H.;...<br/>Study Objectives MRI is a critical tool for diagnosing neurologic emergencies; however, over half of emergency departments in the US lack access, leading to delays, missed diagnoses, and potentially avoidable transfers. Portable low-field MRI (pMR... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008887 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008929 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S152-S153 | Harris, C.; Joseph, J.; Neyman, G.<br/>Background/Objectives Older adults experiencing homelessness represent one of the most medically complex and understudied populations in emergency medicine. Chronic exposure to environmental hazards, lack of protective infrastructure, and barriers... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008929 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008504 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S132-S133 | Gunaga, S.; Emakhu, J.; Welchans, M.;...<br/>Study Objectives Older adults account for a disproportionate share of emergency department (ED) visits, hospitalizations, and operational complexity in the United States. Concurrently, freestanding emergency departments (FSEDs) continue to expand ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008504 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008772 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S144-S145 | Wu, J.; Achterkirch, E.; Reddy, A.;...<br/>Study Objectives This study aims to identify factors associated with patient receipt of the full 28-day (5 + 23) HIV post-exposure prophylaxis (PEP) regimen among patients evaluated by Sexual Assault Nurse Examiners (SANE). Methods We conducted a ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008772 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008838 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S147-S148 | Hsiang, E.; Dosanjh, M.; Ramachandran, A.;...<br/>Background and Objectives The 30-day post-discharge window is a high-risk period in which patients face medication changes, symptom uncertainty, and difficulty reaching their clinical team. Patient-facing artificial intelligence (AI) assistants ar... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008838 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009066 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S158-S159 | Patel, N.<br/>Study Objectives Sepsis is a life-threatening condition responsible for approximately 20% of global deaths annually. In pediatric populations, sepsis presents with distinct pathophysiology and clinical progression compared to adults, making early ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009066 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009091 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S160-S160 | Wu, J.; Achterkirch, E.; Reddy, A.;...<br/>Study Objectives We aimed to characterize medicolegal service utilization in the emergency department (ED) during Sexual Assault Nurse Examiner (SANE) evaluations and to identify factors associated with patients’ decisions to undergo forensic evid... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009091 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009315 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S171-S171 | Rammal, J.; Orow, K.; Chamaa, Y.;...<br/>Objectives Point-of-care ultrasound (POCUS) is widely used during resuscitation, but order placement, procedure documentation, and image archival are frequently incomplete. This Study evaluated POCUS utilization across three time periods at a sing... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009315 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008863 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S149-S149 | Haberman, Z.; Thomas, K.; Kazemi, B.;...<br/>Study Objectives Patients presenting to the Emergency Department (ED) with isolated sensory symptoms frequently undergo stroke activation and admission for workup, although MRI-confirmed sensory stroke is ultimately identified in only a small prop... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008863 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009133 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S163-S163 | Burner, E.; Lam, C.; Godinez, J.Z.;...<br/>Objective Research in emergency and acute care settings is often challenging due to lack of existing relationships between the clinical settings and the patients who constitute the potential participant population. Societal events such as politica... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009133 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009182 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S164-S165 | Feliciano, C.; Fahey, B.; Ravikumar, S.;...<br/>Background Over-the-counter naloxone (Narcan) availability has expanded rapidly as a harm reduction strategy, yet concerns persist that access may promote risk compensation among persons who use drugs (PWUD). Limited qualitative evidence exists ex... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009182 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009224 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S166-S167 | Hanlin, E.; Greenwald, E.; Chumpitazi, C.;...<br/>Objectives Children face disproportionate barriers to specialized burn care. Despite existing established pediatric burn care guidelines, adherence varies widely, and both over- and under-referral to burn centers persist. We aimed to identify barr... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009224 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009510 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S179-S179 | Collins, J.; Pitzer, C.; Lanza, J.;...<br/>Objectives It is well documented that patients with disabilities (PWDs) experience inequities in the American healthcare system, yet no research has quantified this impact in the prehospital setting. Current national education standards for prehos... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009510 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009261 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S168-S169 | Balbuena Bojorquez, M.; Cooper, R.; Vargas, J.;...<br/>Objective Approximately 8 million children present annually to U.S. emergency departments with blunt abdominal trauma. Identifying which children need computed tomography (CT) scans to identify significant injuries is challenging. We aim to descri... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009261 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009480 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S178-S178 | Muneer, A.; Fleming, A.; May, R.;...<br/>Objectives Early antibiotic use has been associated with decreased ICU length of stay and mortality. In patients with open fractures, EMS antibiotic use has decreased time to treatment and lowered infection rates. A recent position statement recom... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009480 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009509 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S179-S179 | Turgiss, K.; Mirajkar, A.; Brown, N.;...<br/>Objectives 1. Develop a large-scale, high-fidelity Mass Casualty Incident (MCI) simulation from initial scene response through emergency department (ED) treatment and patient disposition. 2. Demonstrate the core principles of MCI triage systems ap... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009509 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600956X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S181-S181 | Warrington, C.; Ding, M.; Mullan, A.;...<br/>Objectives Limited English Proficiency (LEP) refers to individuals whose primary language is not English and who have difficulty communicating effectively in the language. Emergency Medical Services (EMS) clinicians caring for patients with LEP ma... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600956X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009364 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S173-S173 | Reichert, Z.; Axeen, S.; Minasian, A.;...<br/>Study Objectives The Emergency Medical Treatment and Labor Act (EMTALA) requires that emergency department (ED) patients receive an appropriate medical screening exam (MSE) and stabilization of emergency medical conditions regardless of ability to... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009364 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009352 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S172-S173 | Volk, G.; Davis, S.; Dilcher, B.<br/>Study Objectives Recent revisions to the Emergency Medicine Evaluation and Management (E/M) coding guidelines have shifted emphasis toward a framework centered on medical decision making as a primary determinant of billing level. This Study aimed ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009352 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008279 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S121-S122 | Oiyemhonlan-Sule, B.<br/>Background Emergency departments (EDs) face increasing operational pressures from rising patient volumes, boarding, workforce shortages, and limited inpatient capacity. Hospital-at-home (HaH) programs have emerged as an alternative model for deliv... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008279 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008188 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S116-S117 | Hawatian, K.; Chien, C.; Sidani, M.;...<br/>Acute severe hypertension in the emergency department (ED) is usually classified as hypertensive emergency or uncomplicated severe hypertension, but this binary approach may miss early, distributed, or occult hypertension-mediated organ injury (HM... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008188 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008152 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S115-S115 | Sax, D.; Mark, D.; Huang, J.;...<br/>Study Objectives Clinical guidelines recommend treating acute heart failure (AHF) with intravenous diuretics at 1-2.5 times the equivalent daily oral loop diuretic dose, although emergency department (ED) outcome data is limited. We sought to asse... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008152 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008164 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S115-S116 | Chen, B.; Liao, P.-H.; Kuo, Y.;...<br/>Study Objectives Point-of-care ultrasound is increasingly incorporated into emergency department evaluation of suspected acute aortic syndrome. However, the anatomical distribution of acute aortic dissection relative to routinely obtainable emerge... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008164 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008413 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S128-S129 | Barghout, R.; Lachs, J.; Chen, K.-H.;...<br/>Objectives Pain in older adult patients presents unique challenges for Emergency Medical Services (EMS) clinicians. To effectively assess, treat, and transport these patients, EMS clinicians must recognize and address pain, which is often caused b... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008413 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008590 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S137-S137 | Rapaport, S.; D'Amore, A.; Carkin, J.;...<br/>Objectives The primary objective of this scoping review is to assess how periods of heightened immigration enforcement, including restrictive immigration policy and anti-immigrant rhetoric, affect healthcare-seeking and utilization among immigrant... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008590 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008668 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S140-S140 | Ghaith, S.; Mullan, A.; Lindor, R.<br/>Study Objectives The expanding role of non-physician providers (NPPs) in US health care raises questions about malpractice risk for both physicians and NPPs. Both NP and PAs practice with variable levels of physician supervision depending on insti... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008668 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008760 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S144-S144 | Rothman, R.; Hafner, J.; Dashler, G.;...<br/>Study Objectives TriVerity is an FDA-cleared 29-mRNA host-response blood test that reports the likelihood of bacterial infection, viral infection, and illness severity in emergency department (ED) patients with suspected acute infection. We evalua... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008760 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600898X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S155-S155 | Cachola, L.; Grant, R.; Polanco, A.;...<br/>Study Objectives Critical events, including cardiac arrests, airway emergencies, and pediatric resuscitations, occur regularly in the emergency department (ED). Providing a framework for healthcare providers to process and discuss these events is ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600898X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008851 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S148-S149 | Miulli, M.; Roth, H.; McCarthy, D.;...<br/>Background Dizziness affects 37 million Americans and accounts for 4.8 million annual emergency department (ED) visits. Undifferentiated dizziness can be challenging for emergency physicians to diagnose, resulting in unnecessary diagnostic testing... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008851 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008796 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S145-S146 | Varma, R.; Shoobe, J.; Perez de Souza, J.V.;...<br/>Study Objectives Ninety percent of U.S. Emergency Departments (EDs) face overcrowding, which is linked to increases in morbidity, mortality, medical errors, and wait times. A major contributor to overcrowding is the practice of assigning patients ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008796 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008619 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S138-S138 | Morales, C.; Valdebenito, M.G.; Pesenti, J.;...<br/>Introduction Burnout Syndrome is a frequent condition among physicians working in emergency departments (EDs) and can be observed as multiple phenotypes. However, it is traditionally reported as a binary outcome. We aimed to identify burnout pheno... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008619 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008954 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S154-S154 | Haussner, D.; Cheng, E.; Binder, T.;...<br/>Micromobility devices are small personal vehicles that include motorized and non-motorized modes such as bicycles, electric bicycles (E-bikes), mopeds, and electric scooters (E-scooters). With growing awareness of climate change, bike-share progra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008954 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009285 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S169-S169 | Cohen, A.; Khurana, P.; Bielawa, N.;...<br/>Study Objectives While lung ultrasound (LUS) is increasingly used to diagnose bacterial pneumonia, the relative diagnostic weight of different sonographic signs is not well established. We sought to develop and validate a prediction model and a si... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009285 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009145 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S163-S163 | Papp, J.; Siff, J.; Schmidt, K.;...<br/>Study Objectives Patients with substance use disorder (SUD) frequently present to the emergency department (ED). It can be challenging for staff to identify and intervene on these patients even when resources are available. We developed a novel, r... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009145 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010206 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S210-S210 | Blenden, M.; Venkatesh, A.; Parwani, V.;...<br/>Study Objectives Boarding of admitted patients in the emergency department (ED) prolongs length of stay (LOS) and threatens safety. We evaluated whether an "early hospitalist care model," in which hospitalists assume care of admitted patients shor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010206 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009583 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S182-S182 | Sidhom, D.; Shemesh, A.; Kue, K.;...<br/>Study Objectives To identify the current approaches to Emergency Department (ED) patient triage during Mass Casualty Incidents (MCIs). Triage is defined as the sorting of patients for the purpose of prioritizing those most in need of lifesaving in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009583 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009418 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S175-S175 | Khalid, A.; Mohnkern, J.D.; Riaño, A.S.;...<br/>Objectives Epinephrine administration is a cornerstone of pediatric in-hospital cardiac arrest (IHCA) management, with earlier delivery often emphasized as a time-critical determinant of outcomes. However, existing studies use inconsistent timing ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009418 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601022X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S210-S211 | Driver, L.; Gaspari, R.; Pierre, V.;...<br/>Study Objectives To describe trends in compensation, protected non-clinical time/release time (“buydown” hours), and characteristics for operational support of ultrasound directors across national survey years, including trends in inflation-adjust... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601022X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009716 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S188-S188 | Holzman, A.; Mohamed, A.; Fisher, M.;...<br/>Objectives Emergency department (ED) copayments have been proposed as a mechanism for reducing utilization and costs in emergency care. While prior literature has examined the impact of cost-sharing on ED attendance, much of this work predates sig... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009716 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009650 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S185-S185 | Prescott, P.; Abbo, J.; Xing, J.;...<br/>Although many patients presenting to the emergency department (ED) with severely elevated blood pressure are discharged home, limited data exist regarding whether increasing age is associated with worse short-term outcomes following ED discharge a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009650 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009613 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S183-S183 | Holstein, R.; Cooper, R.; Rodriguez, R.;...<br/>Objectives Older adults comprise a unique and growing proportion of trauma patients, accounting for one-third of trauma-related emergency department (ED) visits. Our aim is to provide a descriptive report of the characteristics, injury patterns an... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009613 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010231 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S211-S211 | Chow, E.; Nguyen, H.-L.; Singh, S.;...<br/>Background Ultrasound-guided pericardiocentesis is a critical, potentially life-saving procedure in the management of cardiac tamponade. The subxiphoid approach using a phased array transducer is the most commonly taught technique; however, it req... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010231 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010383 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S217-S218 | Gatz, J.; Gingold, D.; Schulkey, C.;...<br/>Study Objectives The Pulmonary Embolism Graduated D-dimer (PEGeD) Study demonstrated that patients with low pretest probability by the Wells score and a d-dimer 1000 ng/mL, 185 (9.1%) had PE. Using d-dimer >1000 ng/mL as a positive test, sensitivi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010383 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010243 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S211-S212 | Thom, C.; Mullins, C.; Ottenhoff, J.;...<br/>Study Objectives Provider-in-triage (PIT) models are common in Emergency Medicine (EM) practice and are associated with reduced door to doctor and left without being seen rates. However, due to the time pressured nature of the encounter, these mod... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010243 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009698 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S187-S187 | Owda, D.; Emakhu, J.; Miller, J.<br/>Study Objectives Hypertension is a leading cause of preventable emergency department (ED) visits and arises from both patient-specific and structural barriers. Pharmacy access represents one such structural factor, and prior work links residence i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426009698 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010358 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S217-S217 | Riley, J.; Villegas, M.; Becker, B.<br/>Objectives Clinical indications for MRI imaging studies have broadened dramatically in recent years, leading to increased utilization across the care continuum and associated downstream effects. In particular, non-emergent MRI obtained in the emer... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010358 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010772 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S233-S233 | Garrell, J.; Chin, C.; Hou, P.<br/>Study Objectives Health & ; healthcare disparities across race and ethnicity are a major concern in the United States. Specifically, previous research has identified ethnic and racial mortality differences in patients with acute lung injury and ac... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010772 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010723 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S231-S231 | Cremer, P.; Tirabassi, S.; Garshick, M.;...<br/>Study Obejctives To examine outcomes data from RESONANCE to test the hypothesis that 2nd-line rilonacept reduces recurrence rates, hospitalizations, ED visits, and escalation to next line therapy versus 2nd-line glucocorticoids. Methods Annualized... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010723 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010905 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S238-S238 | Winger, A.; Van Housen, K.; Kamens, R.;...<br/>Objectives Boarding of patients in the emergency department (ED) impedes patient flow through the department and deprives medical students of valuable educational opportunities. We designed a curriculum for medical students during their required E... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010905 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010504 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S222-S222 | Doren, P.; Valdebenito, M.G.; Pesenti, J.;...<br/>Introduction Patient experience is a key quality metric in emergency care, yet evidence regarding the impact of operational redesign and infrastructure expansion in occupational emergency departments (ED) remains limited. The Hospital del Trabajad... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010504 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010942 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S240-S240 | Adesina, A.; Sekhon, N.; Chary, A.;...<br/>Background Interprofessional education (IPE) is fundamental to preparing healthcare professionals to deliver comprehensive, patient-centered, and collaborative care. As the healthcare system becomes increasingly complex, intentional educational in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010942 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601098X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S241-S241 | Adkins, R.; Goel, A.; Schott, H.;...<br/>Study Objectives In the event of out of hospital cardiac arrest, cardiopulmonary resuscitation (CPR) performed by bystanders can increase survival rates by up to 7 percentage points, making it a critical tool to change patient outcomes. However, r... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601098X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011030 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S242-S243 | Lee, S.H.; Lee, J.H.; Ryu, H.H.<br/>Background Accurate prediction of out-of-hospital cardiac arrest (OHCA) incidence is essential for optimizing emergency medical services and resource allocation. This Study aimed to compare the performance of traditional time series models and dee... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011030 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010814 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S234-S234 | Cohen, A.; Solomon, E.; Bielawa, N.;...<br/>Study Objectives High VExUS scores are associated with fluid intolerance, high morbidity, and mortality. Identifying patients with high VExUS scores is important as these patients require more urgent specialized intervention. Assessing the wavefor... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010814 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010589 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S226-S226 | Albaba, D.; Slomers, A.; Imbroane, M.;...<br/>Objectives Simulation plays an important role in emergency medicine education, preparing physicians to work in high-acuity low-occurrence (HALO) situations in team-based settings. Incorporating key teamwork elements and designation of roles in sim... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010589 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010644 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S228-S228 | Gatz, J.; Gingold, D.; Schulkey, C.;...<br/>Study Objectives Current guidelines recommend against D-dimer testing in patients with a high clinical probability of pulmonary embolism (PE) due to higher than acceptable rates of false-negative Results. Recent European data suggest that age-adju... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010644 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011327 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S252-S252<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011327 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601084X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S236-S236 | Boccio, E.; Zhu, X.; Weiss, M.;...<br/>Study Objectives The Systemic Inflammatory Response Syndrome (SIRS) criteria have historically been used in sepsis identification, yet their independent association with mortality in septic shock has not been well characterized. This Study aimed t... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601084X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011273 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S251-S251<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011273 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010553 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S224-S225 | Mendelow, E.; Chavda, Y.; Islam, N.<br/>Study Objectives Hip fractures are among the most painful and high-risk presentations in older adults, yet opioid-based analgesia remains standard despite well-documented harms in the geriatric population. Ultrasound-guided fascia iliaca compartme... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426010553 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011315 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S252-S252<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011315 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011066 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S243-S244 | Goebel, J.; Sidle, J.; Siebold, D.<br/>Background Clinician well-being, with recognition as a key component, is increasingly recognized as critical to job satisfaction, retention, and quality of patient care. The “Thank a Life Saver” initiative is a recognition program designed to reco... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011066 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011157 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S247-S247 | Levkowitz, E.; Croteau, A.; Biggs, E.;...<br/>Introduction Prior research shows that the Pediatric Age-Adjusted Shock Index (SIPA) can improve triage risk classification and identify patients at higher risk for poor outcomes. The utility of SIPA in differentiating appendicitis with or without... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011157 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601111X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S245-S246 | Savitzky, D.; Goebel, J.; Nordenholz, K.;...<br/>Study Objectives Physician well-being is fundamental to sustaining engagement, reducing burnout, and enhancing both team performance and patient care outcomes. A national survey was conducted in partnership with the ACEP Professional Well-Being Co... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601111X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011224 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S249-S249 | Snyder, J.G.P.; Beckermann, J.; Linnaus, M.;...<br/>Objectives Appendicitis is the most common surgical emergency in the pediatric population. The objective of the study was to assess the accuracy of ultrasound for the diagnosis of appendicitis in pediatric patients presenting to rural and communit... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011224 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011364 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S254-S254 | Caldera, V.; Willis, O.; Marshall, J.;...<br/>Disparities in emergency department (ED) management of marginalized patient populations are well-documented across several clinical presentations, yet evidence for specific acute conditions, including appendicitis, remains limited. This multicente... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011364 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011510 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S260-S260 | Daviran Torres, A.; Julca, M.M.<br/>Objective Status epilepticus (SE) is a life-threatening neurological emergency requiring rapid recognition and timely antiseizure medication (ASM). Quality improvement (QI) initiatives are frequently implemented to standardize care and reduce dela... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011510 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011595 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S264-S264 | Mafield, P.; Pettit, N.<br/>Objectives Emergency departments (EDs) frequently serve patients with limited access to primary care, creating opportunities to deliver preventive health interventions. However, little is known about stakeholder perceptions regarding preventive ca... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011595 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011455 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S258-S258 | Syverud, E.; Liffert, H.; Chavez, L.;...<br/>Objectives Over 350,000 out-of-hospital cardiac arrests (OHCA) occur annually in the United States and survival with favorable neurologic outcomes is less than 10%. Activation of the emergency response system, high-quality bystander cardiopulmonar... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011455 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011625 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S265-S266 | Srinivasan, S.; Khan, Z.; Chan, V.;...<br/>Background Carbon monoxide (CO) poisoning remains a preventable cause of death in the United States and continues to pose a significant public health challenge due to its colorless, odorless nature and often delayed recognition. Because severe exp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011625 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011480 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S259-S259 | Edwards, R.; Raab, H.; Jimenez, J.;...<br/>Study Objectives To evaluate the impact of implementing the MI-SMART consensus-based medical clearance algorithm and standardized form on emergency department (ED) length of stay (LOS), diagnostic testing, and safety among patients requiring medic... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011480 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011406 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S255-S256 | Leyva-Pustogarov, S.; Meyer, B.; Gormley, M.;...<br/>Background Emergency department (ED)-based contraception interventions represent a promising strategy to address unintended pregnancies within the United States. However, variability in program design, implementation, and outcome measurement limit... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011406 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011534 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S261-S261 | De Mel, S.; Kinchin, J.; Makovoz, G.;...<br/>Objectives Suicide is a major global public health crisis, with more than 77% of suicide-related deaths occurring in low- and middle-income countries (LMICs). However, most evidence informing emergency department (ED)-based suicide prevention stra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011534 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011352 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S253-S254 | Boccio, E.; Zhu, X.; Weiss, M.;...<br/>Study Objectives This Study aimed to develop and evaluate a multivariable predictive model for all-cause in-hospital mortality among patients with septic shock presenting to the ED, identifying independent predictors of survival within a time-to-e... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011352 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011261 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S251-S251 | Boccio, E.; Perez, D.; Katz, R.;...<br/>Study Objectives Sepsis remains a leading cause of mortality worldwide. Clinical decision support (CDS) tools, including sepsis alert systems, have demonstrated significant mortality reduction by facilitating earlier identification, increasing adh... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011261 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011443 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S257-S257 | Fridman, D.<br/>Study Objectives People living with human immunodeficiency virus (HIV) from lesbian, gay, bisexual, transgender, and queer communities and populations affected by social determinants of health experience persistent disparities in access to diagnos... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011443 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011649 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S267-S268 | Shaikh, S.; Khan, Z.; Srinivasan, S.;...<br/>Background Unintentional drowning ‌stands ‌ high among causes of injury death across the United States and reaches every age group. Mapping shifts in national mortality through the COVID-19 pandemic and after stays incomplete especially on regiona... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011649 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011686 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S270-S270 | Tiao, J.; Santoro, M.; Schriger, D.;...<br/>Objective Emergency medicine clinicians treat patients injured by gun violence in emergency departments throughout the United States. The CDC has adopted a prevention framework that seeks to address individual, relationship, community and societal... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011686 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011418 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S256-S256 | Wilkens-Reed, T.; Bukhsh, M.<br/>Study Objectives Pain management for non-cardiac chest pain is a regular part of emergency department (ED) care. Prior studies of acute and chronic pain have reported racial, ethnic, and sex-based differences in analgesic treatment, including lowe... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011418 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011716 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S271-S271 | Mcdow, M.; Shipley, Jeffrey; Hanzelka, Keeli;...<br/>Objective Motorcycle road racing is an elite sport with a high risk of crash and crash- related injury. In addition to longstanding helmet requirements, the International Motorcycling Federation (or, Fédération Internationale de Motocyclisme – " F... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011716 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011558 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S262-S262 | Villagrasa Mendez, N.; Akhter, M.<br/>Background Headaches and migraines are common reasons for emergency department (ED) visits. Evidence-based guidelines recommend specific pharmacologic therapies and selective use of imaging; however, current practice may deviate from established t... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011558 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011832 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S276-S276 | Nawaz, A.; Ahmed, Israr; Asghar, Atif;...<br/>Objectives Timely pain reassessment following analgesia is recommended by the Irish Association for Emergency Medicine (IAEM), with reassessment advised within 30 minutes for severe pain (VNRS 7–10) and within 60 minutes for moderate pain (VNRS 4–... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011832 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011820 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S275-S276 | Singh, P.; Ramdin, Christine; Dym, Akiva;...<br/>Background Emergency Department (ED) patients discharged with unresolved symptoms or incomplete follow-up plans are at risk for poor outcomes and preventable return visits. Structured post-discharge telephone callbacks have been shown to improve p... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011820 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011807 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S275-S275 | Hand, B.; Cirelli, Michael; Traub, Ryan;...<br/>Study Objectives Time is essential in the setting of acute ischemic stroke. For every minute of ischemia, 1.9 million neurons, 14 billion synapses, and 7.5 miles of myelinated fibers are destroyed. Efficient completion of the National Institute of... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011807 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601187X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S278-S278 | Schindler, H.; Hanrahan, Austin; Persaud, Nadiya;...<br/>Study Objectives Workplace violence against healthcare workers remains a persistent and underreported issue associated with burnout, staff turnover, and disruptions in patient care. Despite increasing recognition of this problem, there is limited ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601187X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011777 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S273-S274 | Penna, J.; Adam, Israel; Anderson, Jill;...<br/>Study Objectives Posterior circulation strokes are frequently under-recognized in the emergency department (ED). Commonly used stroke severity scales, including the NIH Stroke Scale (NIHSS) and the prehospital FAST-ED, were primarily developed to ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011777 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601173X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S271-S272 | Wu, J.; Reddy, Anya; Achterkirch, Ella;...<br/>Study Objective To characterize emergency department (ED) management, co-diagnoses, and pre-existing and incidental conditions among patients undergoing SANE evaluation after sexual assault. Methods We conducted a retrospective cohort Study of adu... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601173X https://www.clinicalkey.com/playContent/1-s2.0-S019606442601200X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S284-S285 | Maguire, L.; Osterhage, Wyatt; Monk, Kourtney;...<br/>Study Objectives As opioid-related morbidity and mortality continues to climb to unprecedented highs, emergency departments (EDs) play a crucial role in initiating treatment and connecting patients with further substance use care. While opioid tre... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601200X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011741 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S272-S272 | Kaufmann, Kristiana; First, First Aid<br/>Study Objectives 1. Evaluate the impact of hands-only CPR and hemorrhage control training on participant confidence in responding to emergencies.2. Assess the potential of medical students as community educators to train the community in life-savi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011741 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011911 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S279-S280 | Hughes, J.; Losak, Michael<br/>Study Objectives This quality improvement project aimed to challenge the "NPO until proven otherwise" mindset in emergency department geriatric care by implementing a standardized screening protocol with electronic health record integration and im... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011911 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011972 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S283-S283 | Kramer, Eric<br/>Background Emergency departments and acute care hospitals are critical intervention points for individuals with opioid use disorder (OUD) and alcohol use disorder (AUD), yet many are discharged without receiving evidence-based treatment. Bridge in... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011972 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012114 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S289-S289 | Wasiak, D.; Wallace, Neil; Patterson, James;...<br/>Background Patients with anorectal symptoms often seek care in the emergency department (ED). The differential can be wide including infectious sources such as perianal abscess, perirectal abscess, cellulitis and noninfectious such as hemorrhoids,... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012114 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011856 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S277-S277 | Pavuluri, S.; Sharma, Prateek; Ford, James;...<br/>Background Public reporting of the CMS SEP-1 sepsis measure lacks the granularity needed for real-time ED quality improvement. The ACEP Emergency Quality Network (E-QUAL) Sepsis Initiative previously reported high implementation of sepsis best-pra... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011856 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012035 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S285-S286 | Lewis, B.; Lund, Nina; Lindemann, Emma;...<br/>Study Objectives Patients frequently present to the emergency department with an overdose described as “a handful” in quantity. This study sought to determine if a “handful” of pills could be reliably quantified in order to better estimate overdos... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012035 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012096 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S287-S288 | Rush, S.; Thompson, Jasmine; Khosla, Shaveta;...<br/>Background and Study Objectives Point-of-care ultrasound (POCUS) is a bedside imaging tool that is increasingly integrated into Emergency Department (ED) clinical workflows to assess a wide range of complaints, including cardiopulmonary, abdominal... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012096 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012047 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S286-S286 | Albeloushi, S.; Aloumi, Abdullatif; Hoffman, Robert J.<br/>Study Objectives Severe poisoning may require endotracheal intubation (ETI) and mechanical ventilation in the emergency department (ED). This Study aims to describe and characterize ETI secondary to poisoning in ED patients. Methods This retrospec... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012047 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012199 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S292-S293 | Megahed, R.; Kartiko, Susan; Steckler, Leah;...<br/>Study Objective While geriatric trauma protocols typically define age ≥65 as high risk for ground-level falls (GLF), individuals aged 55–64 also have increased vulnerability due to frailty, osteoporosis, impaired balance, and medication use, which... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012199 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012151 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S290-S291 | Self, M.; Allison, Claire; Wardi, Gabriel<br/>Study Objectives Early sepsis detection is essential for mitigating mortality, but diagnosis may be delayed as symptoms and screening tools are non-specific. Best practice advisories (BPAs) are one tool to enhance sepsis recognition, but they are ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012151 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011959 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S282-S282 | Garcia Vaca, J.; Finkel, Leah; Sanchez, Andrea;...<br/>Background Improper splint application in both adults and children in the emergency department (ED) can cause serious complications, including skin breakdown, pressure ulcers and neurovascular compromise. In pediatrics, studies show that up to 93%... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426011959 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012138 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S290-S290 | Unebasami, E.; Nguyen, Lauren; Cazin, Marguerite;...<br/>Pediatric head trauma is a common emergency department (ED) presentation, with appropriate management critical to balancing early detection of acute neurologic pathologies and the risks of iatrogenic harm from unnecessary radiation, particularly w... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012138 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012072 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S287-S287 | Zuniga, G.; Castaneda, Maria; Martinez, Mariana;...<br/>Objective Current emergency medical care for traumatic brain injury (TBI) does not modify disability related to a greater incidence of dementia later in life. One of the most common dementias after TBI is Alzheimer’s disease, an incurable disorder... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012072 https://www.clinicalkey.com/playContent/1-s2.0-S019606442601259X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S308-S309 | Mendez, D.; Paul, K.; Roach, C.;...<br/>Study Objectives Pneumococcal conjugate vaccines (PCV13/15/20; Prevnar) are recommended in early childhood to prevent invasive pneumococcal disease. Real-world effectiveness across diverse U.S. healthcare systems warrants continued evaluation. We ... https://www.clinicalkey.com/playContent/1-s2.0-S019606442601259X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012655 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S311-S311 | Manteuffel, J.; Owda, D.; Miller, J.;...<br/>Study Objectives To evaluate the role of the emergency department (ED) in a federally funded hepatitis C virus (HCV) elimination program by describing demographics, treatment outcomes, and rates of substance use disorders (SUD) and housing instabi... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012655 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012734 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S315-S315 | Eichorn, L.; Vaughn, J.; Avegno, J.<br/>Study Objectives Medical Respite Programs (MRPs) provide short-term supportive housing, medical rehabilitation, and social stabilization for individuals experiencing homelessness who have complex health needs below the threshold for inpatient hosp... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426012734 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007080 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S68-S68 | Rammal, J.; Orow, K.; Almri, Y.;...<br/>Study Objectives To evaluate whether offering scheduling assistance changes willingness to schedule preventive screenings among emergency department (ED) patients initially reluctant to schedule, and to identify which demographic subgroups are mos... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007080 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008309 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S124-S124<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008309 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007249 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S74-S75 | Lederer, T.; Warrier, V.; Vargas-Torres, C.;...<br/>Study Objectives National quality measures from the American College of Emergency Physicians (ACEP) incentivize evidence-based management of venous thromboembolism (VTE) and atrial fibrillation (AFib). However, the degree to which real-world pract... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007249 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008206 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S117-S118 | Saba, A.; Colaco, L.; Myburgh, C.;...<br/>Study Objectives Acute aortic disease and acute myocardial infarction (AMI) are time-critical emergencies in which the emergency department (ED) is often the first point of contact. For AMI, regionalized systems of care reduced early mortality; no... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008206 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007122 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S70-S70 | Hawk, K.; Venkatesh, A.; Rothenberg, C.;...<br/>Study Objectives Despite strong evidence supporting the use of medications for opioid use disorder (MOUD) and take-home naloxone for emergency department (ED) patients with opioid use disorder (OUD), adoption of these evidence-based practices rema... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007122 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008346 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S125-S125<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008346 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007031 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S62-S63 | Wang, R.; Robbins, I.; Lloyd, S.;...<br/>Background Emergency departments (EDs) play an important role in connecting individuals to screening and care for infectious diseases such as HIV and Hepatitis C (HCV), particularly for populations with limited access to primary care or preventive... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007031 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008243 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S119-S120 | Grace, P.; Patel, A.; Toffey, N.;...<br/>Study Objectives UKCH is a 950-bed tertiary care center serving Kentucky, Ohio, and West Virginia. Like many hospital systems, UK Healthcare experiences constrained inpatient bed capacity, leading to ED boarding and overcrowding. With the support ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008243 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006888 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S55-S56 | Huang, T.; Chang, Y.-C.; Su, Y.-C.<br/>Study Objectives Emergency department crowding makes early identification of high-risk patients and disposition planning difficult. Using only information available at triage, we developed and externally validated models to predict (1) a critical ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006888 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007006 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S60-S61 | Riley, J.; Ko, J.; Becker, B.<br/>Study Objectives Pediatric intubation is a less frequent, but often stressful event in most emergency departments (ED). A performance improvement (PI) project at our institution identified a nonnegligible usage of improperly-sized equipment during... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007006 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007262 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S75-S75<br/>(no summary available) https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007262 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006955 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S58-S58 | Shabbir, M.; Mohammadzadeh, K.; Qureshi, N.;...<br/>Study Objectives Patients presenting to the ED with head injury following a traumatic mechanism frequently undergo computed tomography (CT) imaging to rule out intracranial lesions. While clinical decision rules exist to guide imaging decisions, C... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006955 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006980 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S59-S60 | Dick, S.; Waseem, M.; Fernandez, S.;...<br/>Study Objective Pediatric asthma continues to be a major contributor to emergency department (ED) utilization, particularly in underserved urban communities. To address the high burden of asthma-related ED visits and improve pediatric asthma outco... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426006980 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007213 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S73-S73 | Madden, E.; Haussner, D.; Yang, J.;...<br/>Study Objective Sepsis is a significant cause of morbidity and mortality, contributing to 20% of deaths globally. Over 50% of patients who die during hospitalization were septic at some time during their hospital stay. As such, the treatment of se... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007213 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007043 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S63-S63 | Rammal, J.; Orow, K.; Almri, Y.;...<br/>Study Objectives To assess willingness to contact the Quitline among emergency department (ED) patients identified as tobacco users, identify demographic factors associated with cessation engagement, and evaluate the impact of offering scheduling ... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007043 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007146 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S70-S70 | Boyle, S.; Shah, A.; Laterza, C.<br/>Study Objectives Older adults discharged from the emergency department are vulnerable to care-transition failures, including misunderstanding of discharge instructions, medication barriers, limited access to follow-up care, and difficulty managing... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007146 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007183 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S72-S72 | Bernard, J.<br/>Background For many new mothers, the Emergency Department (ED) serves as the crucial safety net when postpartum care falls short. While obstetric teams manage the delivery, the ED is left to manage the fallout, often mitigating the downstream effe... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007183 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007419 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S80-S81 | Ulam, J.; Khan, M.M.; Jones, E.;...<br/>Study Objectives Pediatric foreign body removal is a common but technically challenging procedure with limited opportunity for procedural training. Existing simulation models are often costly, anatomically limited, or inaccessible to many training... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007419 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007250 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S75-S75 | Wegman, M.; Stephens, M.; Fisher, J.;...<br/>Study Objectives To characterize emergency department (ED) migraine care across a national health system using pre-specified and proposed quality metrics, describe pre-existing and ED-prescribed outpatient medication patterns by diagnosis, and est... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007250 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600733X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S78-S78 | Boccio, E.; Zhu, X.; Weiss, M.;...<br/>Study Objectives Respiratory failure requiring intubation is a common and morbid complication of septic shock, occurring in a substantial proportion of emergency department (ED) patients and portending significantly worse outcomes, yet validated t... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600733X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008073 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S111-S111 | Alpert, E.A.; Kaplan, T.; Jaffe, E.;...<br/>Study Objective To analyze the Israel National Out-of-Hospital Resuscitation Database from January 1, 2023, through December 31, 2023, to quantify prehospital characteristics and outcomes, including the return of spontaneous circulation (ROSC) and... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008073 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008115 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S113-S113 | McCarthy, H.; d'Etienne, J.; Merchant, S.;...<br/>Study Objectives Acetazolamide has been shown to enhance diuretic efficiency when combined with loop diuretics in patients with heart failure. However, whether the timing of acetazolamide initiation influences clinically meaningful outcomes such a... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008115 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007225 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S73-S74 | Singh, P.; Dym, A.; Rosania, A.;...<br/>Background Variation in emergency department (ED) management of seizure patients can lead to inconsistent care, prolonged length of stay (LOS), and unnecessary specialty consultation. Evidence-based clinical pathways have been shown to improve eff... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007225 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008000 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S108-S109 | Reynolds, C.; Gorlick, M.-K.; Hamilton, E.;...<br/>Study Objectives Behavioral health patients frequently experience treatment delays and safety risks in emergency departments (EDs) due to fragmented intake processes. At Lyndon B. Johnson (LBJ) Hospital, the Green Check (GC) process was implemente... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008000 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007997 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S108-S108 | Zhao, V.; Stancliff, H.; Buresh, C.;...<br/>Study Objectives In recent years, emergency departments have seen a substantial increase in behavioral health emergencies (BHEs) among adult patients. However, the presentation and management of these patients in the prehospital environment, parti... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007997 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600805X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S110-S111 | Oules, J.; Jafarzadeh, S.R.; Brown, S.K.;...<br/>Study Objectives The standard dose of 1mg epinephrine for out-of-hospital cardiac arrest (OHCA) recommended by national and international guidelines was originally extrapolated from intracardiac injection practices in the 1970s in the operating ro... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600805X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008140 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S114-S115 | Yang, P.; Xie, Y.-T.; Zhang, X.-Y.;...<br/>Study Objectives Heart failure (HF) remains difficult to diagnose rapidly in emergency and acute-care settings because symptoms and signs are often non-specific. Natriuretic peptide (NP) testing is useful, but intermediate Results may leave substa... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426008140 https://www.clinicalkey.com/playContent/1-s2.0-S019606442600819X Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S117-S117 | Ramcharan, D.; Cotton, D.; Klausner, D.;...<br/>Background Hypertensive emergency is defined by severe blood pressure elevation with acute hypertension-mediated organ injury, but central nervous system injury may be difficult to identify at the time of emergency department presentation. Glial f... https://www.clinicalkey.com/playContent/1-s2.0-S019606442600819X https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007092 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S68-S68 | Altholtz, J.; Lebin, J.; Hoppe, J.<br/>Study Objectives To implement and evaluate a three-part intervention within the emergency department designed to increase use of non-opioid analgesic options when clinically appropriate. Methods Following user centered design, three implementation... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007092 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007171 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S71-S72 | Loney, R.; Huizenga, T.; Van Overloop, M.;...<br/>Study Objectives Emergency department (ED) high utilizers represent fewer than 5% of patients but account for nearly four times that proportion of ED visits. To address this, the Emergency Department Overutilization (EDO) Committee was established... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007171 https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007353 Annals of Emergency Medicine, Volume 88, Issue 4, Supplement 1, 2026 Oct, Pages S78-S79 | Lee, J.; Carp, S.A.; Donnino, M.W.;...<br/>Study Objectives Microcirculatory dysfunction is central to sepsis pathophysiology and may contribute to organ failure and poor outcomes. However, bedside assessment of microcirculation remains challenging. Diffuse correlation spectroscopy (DCS) i... https://www.clinicalkey.com/playContent/1-s2.0-S0196064426007353