New in JACEP Open: Leveraging Observation Units for Disaster Response: Cases of Efficient Care Delivery in Disaster Incidents Emergency department observation units can help maintain patient flow, expand surge capacity, and preserve inpatient resources during disasters. Their flexibility makes EDOUs valuable assets for hospital disaster preparedness and response. Article link in the comments ⬇️

New in JACEP Open: Acute Urinary Retention and Guillain-Barré Syndrome: A Zebra or a Horse Guillain-Barré syndrome can present with back pain and urinary retention, closely mimicking cauda equina syndrome. The case emphasizes avoiding diagnostic anchoring when imaging excludes the initial suspected diagnosis. Article link in the comments ⬇️

New in JACEP Open: Health Insurance Portability and Accountability Act Liability in the Age of Generative Artificial Intelligence Public AI tools can create HIPAA and legal risks when clinicians enter protected patient information without appropriate safeguards. Clinicians should verify institutional agreements and privacy policies before using AI with patient data and know how to respond to potential breaches. Article link in the comments ⬇️

New Image on JACEP Open: Neck Swelling After Total Parenteral Nutrition A malpositioned PICC infiltrated TPN into the mediastinum, causing pneumomediastinum, mediastinitis, and bacteremia. The case highlights the importance of recognizing delayed PICC complications and promptly stopping line use. Article link in comments ⬇️

New in JACEP Open: Development and Validation of a Prognostic Risk Score for Patients With Cancer and Neutropenic Fever Presenting to the Emergency Department A new objective risk score effectively identified ED patients with neutropenic fever at low risk for adverse outcomes. Using readily available clinical data, the tool could support safer disposition decisions and reduce unnecessary hospitalizations. Article link in the comments ⬇️

New Image on JACEP Open: Boy With a Sore Throat An 8-year-old boy with sore throat and painful swallowing was diagnosed with uvulitis after epiglottitis was excluded. Pediatric uvulitis warrants careful airway assessment and treatment tailored to the underlying cause. Article link in comments ⬇️

New in JACEP Open: Implementing Microhospital Emergency Medicine in an Academic Emergency Department: A Framework for Academic Health Systems Microhospital EDs can expand academic health system capacity while reducing strain on tertiary centers and maintaining high patient satisfaction. Lean staffing and efficient workflows make the model financially viable, though maintaining inpatient volume and critical care skills remains challenging. Article link in the comments ⬇️

New in JACEP Open: Human Trafficking: Emergency Department Screening and Referral About 1 in 8 screened ED patients were at risk for human trafficking, and most accepted referrals to supportive resources. The findings highlight the ED as an important setting for trafficking screening and connecting at-risk patients with assistance. Article link in the comments ⬇️

New in JACEP Open: “The 4D Approach”—An Effective Strategy to Improve Emergency Department Boarding and Operational Outcomes The “4D Approach”—Desire, Data, Direction, and Dedication—helped reduce ED boarding and left-without-being-seen rates despite rising patient volumes. This framework offers a practical strategy for driving hospital-wide change and improving ED flow. Article link in the comments ⬇️

New in JACEP Open: Dental Cement Placement to Temporize Recalcitrant Dental Pain From Acute Pulpitis Temporary dental cement placed in the ED provided rapid, sustained pain relief for severe acute pulpitis until definitive dental care. This case highlights a simple option for managing otherwise refractory dental pain in the ED. Article link in the comments ⬇️