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Articles by Jonathan Edlow
Classification of Emergency Diagnosis–Sensitive Conditions Among Medicare Beneficiaries
Classification of Emergency Diagnosis–Sensitive Conditions Among Medicare Beneficiaries Supplement 1. eAppendix. Technical Appendix and International Statistical Classification of Diseases, Tenth Revision (ICD-10) Diagnosis Codes for Emergency Diagnosis-Sensitive Conditions (EDSCs) eFigure. Number of Included and Excluded International Statistical Classification of Diseases, Tenth Revision (ICD-10) Codes for Emergency Diagnosis-Sensitive Conditions eTable 1.
Thirty-Eight Years a Clinician … and What's Next?
Supervising Editor: D. Mark Courtney No abstract is available for this article. Data Availability Statement The data that support the findings of this study are available from the corresponding author upon reasonable request.
A Dizzying Number of Clinical Decision Rules … and Do We Need Them?
The author is a renowned expert in the field of dizziness and was lead author on the GRACE-3 clinical practice guideline published by AEM. Supervising Editor: Jeffrey A. Kline , “A Dizzying Number of Clinical Decision Rules … and Do We Need Them?,” Academic Emergency Medicine33, no. 7 (2026): e70374, https://doi.org/10.1111/acem.70374. No abstract is available for this article. Conflicts of Interest The author declares no conflicts of interest.
Tick Paralysis-A Rare but Important Tick-Borne Disease
Tick Paralysis—A Rare but Important Tick-Borne Disease To the Editor In a recent Clinical Insights article in JAMA Internal Medicine, Telford et al1 proficiently addressed tick-borne diseases; however, one additional condition remains worthy of mention.1 Tick paralysis is a rare, toxin-mediated disorder that results after a bite from numerous tick species, including Dermacentor andersoni (the wood tick) in the northwestern US, and D variabilis (the dog tick) in the eastern US.2 Rarely, Ixodes...
Biomarkers for acute dizziness: Nowhere near ready for prime time
INVITED COMMENTARY Biomarkers for acute dizziness: Nowhere near ready for prime time Jonathan A. Edlow MD, FACEP, Corresponding Author Jonathan A. Edlow MD, FACEP Harvard Medical School, Boston, Massachusetts, USA Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA Correspondence Jonathan A. Edlow, Harvard Medical School, Boston, MA 02115, USA.
Bedside Testing in Acute Vestibular Syndrome-Evaluating HINTS Plus and Beyond-A Critical Review
1. Introduction A chief complaint of acute vertigo or dizziness is related to about 2.1 to 7.1% of all emergency department (ED) visits [1,2,3,4], which have increased between 1995 and 2009 by 90% [5]. This translates to about 4.3 million ED visits in the USA per year as estimated in 2012 [6,7].
Prevalence of Horizontal Canal Variant in 3,975 Patients With Benign Paroxysmal Positional Vertigo
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A Systems Approach to Reducing Medical Error
A Systems Approach to Reducing Medical Error To the Editor I was pleased to read the recent Viewpoint1 highlighting the serious problem of diagnostic error—a crucial issue not just in emergency departments. I applaud the recommendations to move the focus away from individual physician failings and toward discussion of underlying causes. However, although some systems-based solutions can help reduce diagnostic error, they may also cause unintended consequences.
A Systems Approach to Reducing Medical Error-Reply
A Systems Approach to Reducing Medical Error—Reply In Reply We appreciate the opportunity to respond to Dr Oxman’s Letter about our Viewpoint.1 We agree with Oxman that the current use of algorithms to diagnose sepsis has caused unintended consequences. However, we would not classify the use of sepsis algorithms as a “systems approach.” A system is a set of parts that interact to achieve a goal, and systems engineering is the discipline used to solve system problems.
Response to “Give us some GRACE, we can't take the HINT”
No abstract is available for this article. REFERENCES 1, , , et al. Diagnostic accuracy of the HINTS exam in an emergency department: a retrospective chart review. Acad Emerg Med. 2021; 28: 387- 393. 2, , , et al. Can emergency physicians accurately rule out a central cause of vertigo using the HINTS examination? A systematic review and meta-analysis. Acad Emerg Med. 2020; 27: 887- 896. 3, , , et al.
VIDEO: Look at health systems, not physicians, to reduce misdiagnoses in ED
Source/Disclosures Source: Healio Interview Disclosures: The researchers report no relevant financial disclosures. We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. A recent systematic review commissioned by the Agency for Healthcare Research and Quality revealed that roughly one in 18 patients are misdiagnosed in the ED each year.
Misdiagnosis in the Emergency Department
The Agency for Healthcare Research and Quality (AHRQ) commissioned a systematic review of diagnostic errors in the emergency department (ED) that was conducted by the Johns Hopkins University Evidence-Based Practice Center and released on December 15, 2022.1 Few will read the entire 744-page document.
Corticosteroids for patients with vestibular neuritis: An evidence synthesis for guidelines for reasonable and appropriate care in the emergency department
Filename Description acem14583-sup-0001-AppendixS1-S2.docxWord 2007 document , 309.8 KB Appendix S1 Literature search details. Appendix S2. AMSTAR-2 assessment Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
Correct Diagnosis for the Proper Treatment of Acute Vertigo-Putting the Diagnostic Horse Before the Therapeutic Cart
Identify all potential conflicts of interest that might be relevant to your comment. Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. Err on the side of full disclosure.
Benign paroxysmal positional vertigo: A practical approach for emergency physicians
Benign paroxysmal positional vertigo (BPPV) is a very common condition in the population and an important cause of acute vertigo or dizziness in patients presenting to an emergency department (ED). Despite this, abundant evidence shows that current ED management of patients with BPPV is suboptimal. Common ED management processes include brain imaging and treatment with vestibular suppressant medications such as meclizine, neither of which is recommended by current guidelines.
Acute dizziness: A personal journey through a paradigm shift
Acute dizziness: A personal journey through a paradigm shift - Edlow - 2023 - Academic Emergency Medicine - Wiley Online Library Skip to Article Content Skip to Article Information COMMENTARY Supervising Editor: Prof. Latha Ganti REFERENCES 1. The Structure of Scientific Revolutions. 2nd ed. University of Chicago Press; 1970. 2, . An approach to the dizzy patient. Neurology. 1972; 22: 323- 334. 3. Diagnosing dizziness: we are teaching the wrong paradigm! Acad Emerg Med. 2013; 20: 1064- 1066. 4, , .
A negative non-contrast CT is insufficient to exclude a cerebellar infarct
http://orcid.org/0000-0001-6855-0912Jonathan Edlow Emergency Medicine, BIDMC, Boston, Massachusetts, USA Correspondence to Dr Jonathan Edlow, Emergency Medicine, BIDMC, Boston, Massachusetts, USA; jedlow{at}bidmc.harvard.edu Statistics from Altmetric.com stroke Computed tomography Sometimes, strict application of ‘evidence-based’ medicine can yield conclusions that are either wrong, clinically misleading and/or harmful.
A negative non-contrast CT is insufficient to exclude a cerebellar infarct
A negative non-contrast CT is insufficient to exclude a cerebellar infarct http://orcid.org/0000-0001-6855-0912Jonathan Edlow Emergency Medicine, BIDMC, Boston, Massachusetts, USA Correspondence to Dr Jonathan Edlow, Emergency Medicine, BIDMC, Boston, Massachusetts, USA; jedlow{at}bidmc.harvard.edu Statistics from Altmetric.com stroke Computed tomography Sometimes, strict application of ‘evidence-based’ medicine can yield conclusions that are either wrong, clinically misleading and/or harmful.
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