JACEP Open

The Journal of the American College of Emergency Physicians Open is the official, open-access journal of the American College of Emergency Physicians (ACEP).

[JACEP Open @JACEPOpen]

💡 Have a novel idea that could change how we practice, teach, or think about emergency medicine?

JACEP Open is seeking video submissions featuring innovative ideas in EM — from creative bedside solutions and new workflows to educational techniques, practical innovations, and fresh approaches to patient care.

🎥 Pitch it. Film it. Share it.

🔗 Submit your video now!

[JACEP Open @JACEPOpen]

Article link: https://t.co/ZNtNvPbvdS

[JACEP Open @JACEPOpen]

New in JACEP Open: Cardiac Arrest Care on United States Golf Courses—Up to Par Yet?

False-positive methamphetamine urine screens were common in pediatric patients, emphasizing the importance of confirmatory testing. Tachycardia and concurrent amphetamine positivity were strongly associated with true methamphetamine exposure.

Article link in the comments ⬇️

[JACEP Open @JACEPOpen]

🎙️ Introducing JACEP OpenMic — JACEP Open’s very own podcast!

In our first episode, “What Makes JACEP Open a Great Place to Publish?”, host Michael Kim, MD sits down with Editor in Chief Dr. Marianne Gausche-Hill for a conversation about JACEP Open, publishing in emergency medicine, and what makes the journal a unique home for impactful work.

🎧 Episode 1 is now streaming.

Listen now and join the conversation at: https://t.co/P6CHNhPr7s

[JACEP Open @JACEPOpen]

Article link: https://t.co/g0jGhpmYNL

[JACEP Open @JACEPOpen]

New in JACEP Open: Association between agonal breathing and outcomes after out-of-hospital cardiac arrest: a retrospective study

Agonal breathing after cardiac arrest was strongly associated with better neurologic outcomes. Outcomes were most favorable when agonal breathing persisted from EMS contact through hospital arrival.

Article link in the comments ⬇️

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Article link: https://t.co/1R3N6hzX31

[JACEP Open @JACEPOpen]

New in JACEP Open: Strengthening Emergency Department Health Initiatives Through Partnership With Health Departments and Community Organizations

ED partnerships with public health and community organizations can address social needs, strengthen disease surveillance, and connect patients to essential resources. These collaborations can improve population health while reducing unnecessary ED utilization.

Article link in the comments ⬇️

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Article link: https://t.co/xOGRs6LIFH

[JACEP Open @JACEPOpen]

New in JACEP Open: Is End-Tidal Carbon Dioxide Indicative of Chest Compression Quality in Pediatric Out-of-Hospital Cardiac Arrest? A Video Review Study

ETCO₂ showed little association with chest compression quality during pediatric out-of-hospital cardiac arrest. It may therefore have limited utility as a standalone marker of CPR quality in children.

Article link in the comments ⬇️

[JACEP Open @JACEPOpen]

Not every story in emergency medicine fits in the chart.

JACEP Open is introducing Prose and Poetry, a new article type dedicated to the human experience of emergency medicine.

We’re now accepting original personal essays, poetry, and art that reflect the moments, perspectives, emotions, and experiences that shape emergency care.

Submissions should be original, eloquent, and relevant to the JACEP Open readership.

📝 Maximum length: 1,500 words

Learn more and submit through JACEP Open.

[JACEP Open @JACEPOpen]

Article link: https://t.co/hJuaerqg6s

[JACEP Open @JACEPOpen]

New in JACEP Open: Trends in Laboratory Evaluation and Risk Factors for Transfusion Therapy in Pediatric Epistaxis

Laboratory testing and transfusions were uncommon in children presenting to the ED with epistaxis. Prolonged or recurrent bleeding and underlying bleeding disorders, cancer, or anticoagulant use were associated with greater need for testing and transfusion.

Article link in the comments ⬇️

[JACEP Open @JACEPOpen]

Article link: https://t.co/qnsZQHePlm

[JACEP Open @JACEPOpen]

New Image on JACEP Open: A Teenager With Testicular Pain

A teenager with intermittent testicular pain was found to have absent testicular blood flow consistent with torsion.

Article link in comments ⬇️

[JACEP Open @JACEPOpen]

Article link: https://t.co/M3P0vBifjX

[JACEP Open @JACEPOpen]

New in JACEP Open: Suzetrigine for Acute Pain in the Emergency Department: A First-in-Class NaV1.8 Blocker

Suzetrigine is a new nonopioid analgesic targeting peripheral NaV1.8 channels, providing acute pain relief comparable to hydrocodone/acetaminophen without observed respiratory depression or abuse potential. Its safety profile and opioid-sparing potential are promising for ED pain management, though ED-specific studies are still needed.

Article link in the comments ⬇️

[JACEP Open @JACEPOpen]

Article link: https://t.co/6ife4fN29j

[JACEP Open @JACEPOpen]

New in JACEP Open: Opioid Prescribing Patterns of Board-Certified Emergency Physicians Compared With Other Physicians Practicing Emergency Medicine Among Medicare Part-D Beneficiaries Between 2018 and 2020 in the United States

Board-certified emergency physicians prescribed substantially fewer opioid days than non-EM board-certified physicians working in EDs. Across four common opioids, non-EM physicians prescribed roughly 3–4.5 times greater total day supplies.

Article link in the comments ⬇️

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Article link: https://t.co/dQL2hvJyki

[JACEP Open @JACEPOpen]

New Image on JACEP Open: A Woman with Vaginal Bleeding After Starting a New Oral Contraceptive

A 19-year-old woman with vaginal bleeding and passage of tissue was found to have a decidual cast rather than a miscarriage. Decidual casts are a rare complication of hormonal contraception that can mimic pregnancy loss.

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