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This page shows you the most recent publications within this specialty of the MedWorm directory.

Partial Contents of Volume 46, Number 6
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Tags: Frontmatter Source Type: research

Contents
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Tags: Frontmatter Source Type: research

Issue Highlights
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Tags: Frontmatter Source Type: research

Rare-Earth Magnet Ingestion-related Injuries among Children, 2000−2012: De Roo A, Thompson M, Chounthirath T, et al. Clin Pediatr (Phila) 2013;52:1006−13.
As children learn to interact with their world, foreign bodies (FB) are commonly placed inside their mouths and, as such, foreign body ingestion commonly occurs. Typically, FB ingestion is a benign process, but there are various exceptions; magnets are one of these exceptions. Rare-earth magnets are a more powerful subgroup of magnets, commonly consisting of alloys of neodymium iron boron or samarium cobalt, and typically range from 3 to 6 mm in size. Due to their strength, they can attract to one another through up to six layers of bowel wall. To further examine the outcomes associated with rare-earth magnet ingestion, a ...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Marc Quinlan Tags: Abstracts Source Type: research

Short- vs Long-duration Antibiotic Regimens for Ventilator-associated Pneumonia: Dimopoulos G, Poulakou G, Pneumatikos I, et al. Chest 2013;144:1759−67.
Ventilator-associated pneumonia (VAP) accounts for 25% of the total infections occurring in the mechanically ventilated patient. Patients with VAP not only have significantly longer intensive care unit (ICU) and hospital stay lengths, but increased rates of morbidity and mortality. Varying antimicrobial treatment durations have been used to treat VAP. To further examine this topic, this meta-analysis sought to assess the efficacy of short- vs. long-duration antibiotic regimens for the treatment of VAP. The study reviewed four randomized controlled trials (RCT) comparing short duration (5−7 days) and long duration (10−1...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Marc Quinlan Tags: Abstracts Source Type: research

Albuterol Administration is Commonly Associated with Increases in Serum Lactate in Patients with Asthma Treated for Acute Exacerbation of Asthma: Lewis L, Ferguson I, House S, et al. Chest 2014;145:53−9.
Varying reports have described hyperlactatemia in asthmatic patients who receive treatment for acute asthma exacerbations. Various etiologies have been postulated to explain this, namely: side effect of therapy, increased work of breathing, or increased production. To further examine this issue, a randomized controlled trial was fabricated to better assess the cause of the hyperlactatemia in this specific population. All patients in the study initially received standard-of-care treatment, including 5–15 mg nebulized albuterol, 0.5–1 mg nebulized ipratropium, and at least 50 mg oral prednisone or an equivalent. Patients...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Marc Quinlan Tags: Abstracts Source Type: research

Inhaled Corticosteroids and the Risk of Pneumonia in People with Asthma: McKeever T, Harrison TW, Hubbard R, Shaw D. Chest 2013;144:1788−94.
Although there are studies demonstrating a relationship in chronic obstructive pulmonary disease of inhaled corticosteroid use and increased risk of pneumonia, these authors demonstrate a dose-dependent relationship between inhaled corticosteroids in asthma and increased risk of pneumonia and lower respiratory tract infections (LRTI) (p < 0.001 for trend). Through regression analysis of data from The Health Improvement Network the authors retrospectively analyzed data from a cohort and found 6857 patients with asthma and a LRTI. Patients that had asthma and smoked, had a higher Charlson Comorbidity Index score, used more f...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Java Tunson Tags: Abstracts Source Type: research

Effects of Habitual Coffee Consumption on Cardiometabolic Disease, Cardiovascular Health, and All-cause Mortality: O'Keefe JH, Bhatti SK, Patil HR. J Am Coll Cardiol 2013;62:1043−51.
This study examines existing data regarding coffee consumption and its effect on health and all-cause mortality. Coffee consumption confers a benefit in the reduction of Type II diabetes mellitus (T2DM). There was significant reduction in a dose-dependent relationship of coffee consumption and reduction of T2DM. Caffeinated and noncaffeinated beverages confer the same benefit. The authors conclude that coffee's effect on serum lipids is a dose-dependent increase in serum total cholesterol and a nonsignificant increase in low-density lipoprotein concentrations in only boiled preparations of coffee, but not for filtered coff...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Java Tunson Tags: Abstracts Source Type: research

Intussusception in Children Presenting to the Emergency Department: Lochhead A, Jamijoom R, Ratnapaian S. Clin Pediatr (Phila) 2013;52:1029−33.
The objectives for this study include analysis of the presentation, treatment, and outcomes of children with intussusception through a retrospective chart review of children diagnosed with intussusception over 2 years at a tertiary care pediatric hospital. Out of 152 children with 189 emergency department (ED) visits, 114 presented with large bowel intussusception and 38 with small bowel intussusception. Males were more likely to present with intussusception, and the mean age of presentation was 32 months (with a range of 2 months to 17 years). All children < 12 months only had large bowel involvement as opposed to small b...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Java Tunson Tags: Abstracts Source Type: research

Dextrose Gel for Neonatal Hypoglycemia (the Sugar Babies Study): A Randomized, Double-blind, Placebo-controlled Trial: Harris DL, Weston PJ, Signal M, et al. Lancet 2013;382:2077−83.
This study was a well-conducted, prospective, randomized, double-blind, placebo-controlled trial comparing administration of 40% dextrose gel for treatment of neonatal hypoglycemia to placebo methylcellulose gel in neonates at high risk of neonatal hypoglycemia at a tertiary care center in New Zealand. Babies born at gestational age between 35 and 42 weeks and younger than 48 h old were registered and randomly assigned to receive study or placebo gel if their blood glucose concentration was found to be < 2.6 mmol/L (46 mg/dL) during standardized glucose monitoring. The primary outcome was failure of treatment as defined by...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Alex Badulak Tags: Abstracts Source Type: research

Ambulance Transport of Noncritical Children: Emergency Medical Service Providers’ Knowledge, Opinions, and Practice: O’Neil J, Steele GK, Weinstein E, et al. Clin Pediatr (Phila) 2014;53:250−5.
This small, pilot study describes the current restraint and transport practices for noncritically ill or injured children and correlates this with the knowledge, opinions, experience, and practice of local EMS providers transporting pediatric patients to the emergency department or outpatient clinics of a major, tertiary care pediatric center. A convenience sample of children and emergency medical services (EMS) providers was gathered by trained, certified child passenger safety technicians (CPST). EMS providers transporting “stable” pediatric patients age birth to 15 years were asked to participate in the study. If th...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Alex Badulak Tags: Abstracts Source Type: research

Participatory Medicine: A Home Score for Streptococcal Pharyngitis Enabled by Real-Time Biosurveillance: Fine AM, Nizet V, Mandl KD. Ann Intern Med 2013;159:577−83.
This retrospective cohort study sought to derive and validate a home scoring system based on established clinical scoring systems to help adult patients > 15 years of age determine whether to seek urgent or emergent care for a chief complaint of sore throat, with the goal to prevent urgent and emergent visits for patients that would not likely require testing or therapy directed at streptococcal pharyngitis. The variables used to generate a patient’s home score were based on those from the established Centor, McIsaac, and Clinical Biosurveillance scores, with clinician-generated variables removed (like tender anterior ce...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Alex Badulak Tags: Abstracts Source Type: research

Pediatric Shopping cart-Related Injuries Treated in United States (US) Emergency Departments, 1990−2011: Martin K, Chounthirath T, Xiang H, Smith GA. Clin Pediatr (Phila) 2014;53:277−85.
This study aimed to provide a comprehensive review of shopping cart-related injuries incurred by children younger than 15 years old over the last two decades. Data were collected from January 1, 1990 to December 31, 2011 using the US Consumer Product Safety Commission’s National Electronic Injury Surveillance System for shopping cart-related injuries in children younger than 15 years old. There were 16,939 reported cases that met the criteria, and patients were placed into two groups: younger children (ages 0−4 years) and older children (5−14 years). Results of the study showed that males had a higher injury rate of ...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Shea Cheney Tags: Abstracts Source Type: research

Medical Management with or without Interventional Therapy for Unruptured Brain Arteriovenous Malformations (ARUBA): A Multicenter, Non-blinded, Randomized Trial: Mohr J, Parides M, Stapf C, et al. Lancet 2014;383:614−21.
Unruptured brain arteriovenous malformations (AVM) pose a potentially lethal threat to patients if rupture were to occur. Currently, medical management alone and medical management with the addition of lesion eradication interventions are both viewed as acceptable management strategies in patients with unruptured AVMs. This nonblinded, multi-center, randomized control trial compared the outcomes of patients with unruptured AVMs who underwent medical management alone vs. both medical management and an intervention such as neurosurgery, radiotherapy, embolization, or combination therapy. The null hypothesis was that there wa...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Shea Cheney Tags: Abstracts Source Type: research

Premature Mortality in Epilepsy and the Role of Psychiatric Comorbidity: A Total Population Study: Fazel S, Wolf A, Långström N, et al. Lancet 2013;382:1646−54.
Epilepsy affects roughly 70 million individuals worldwide. The premature mortality associated with epilepsy is high, but the role of associated psychiatric comorbidity is unknown. This population study examined the risks and prevalence of premature mortality in individuals with epilepsy with and without psychiatric comorbidity from external causes in Sweden over a 41-year period. Data were collected from 69,995 people with epilepsy between the years 1969 and 2009 using several national population registers. The study examined a cohort of people born between the years 1954 and 2009. However, the national Patient Registers b...
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Authors: Shea Cheney Tags: Abstracts Source Type: research

American Academy of Emergency Medicine
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Tags: American Academy of Emergency Medicine Source Type: research

Editorial Board
(Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 24, 2014 Category: Emergency Medicine Source Type: research

Study Suggests Heart Risk From Smoking Pot (CME/CE)
(MedPage Today) -- A French study provided support for an association between marijuana use and cardiovascular complications in younger adults, but didn't bring the field any closer to establishing a causal connection. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - April 24, 2014 Category: Emergency Medicine Source Type: news

Mukherjee on Practicing Oncology, the Pulitzer, and New BookMukherjee on Practicing Oncology, the Pulitzer, and New Book
Medscape Editor-in-Chief Eric J. Topol, MD, talks with Siddhartha Mukherjee, MD, PhD, about his career as a researcher and doctor, winning the Pulitzer Prize, and the topic for his next book. Medscape (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - April 24, 2014 Category: Emergency Medicine Tags: Hematology-Oncology Expert Interview Source Type: news

Anaphylaxis to a Banana in a 4-Month OldAnaphylaxis to a Banana in a 4-Month Old
This case demonstrates that while rarely implicated, banana may be an important allergen to consider in cases of babies presenting with anaphylaxis. Journal of Medical Case Reports (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - April 23, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

‘Task Shifting’ brings Emergency Maternity Care to Burkina Faso Women - 17 April 2014
OUAGADOUGOU, Burkina Faso – Aminata Kouanda, 20, arrived at the Koupela health post, in eastern Burkina Faso, suffering complications late in her pregnancy. She faced the risk of uterine rupture and required an emergency Caesarean section, a procedure that had long been unavailable outside major urban hospitals. But thanks to 'task shifting', the movement of emergency procedures from specialists to basic health facilities, Ms. Kouanda was able to access the surgery, saving her life and that of her baby. (Source: UNFPA News)
Source: UNFPA News - April 23, 2014 Category: Global & Universal Source Type: news

Use of statewide emergency department surveillance data to assess incidence of animal bite injuries among humans in North Carolina - Rhea SK, Weber DJ, Poole C, Waller AE, Ising AI, Williams C.
Objective-To determine incidence of animal bite injuries among humans in North Carolina by use of statewide emergency department visit data; to evaluate incidence rates on the basis of age, sex, urbanicity, biting species, and month for selected species; a... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - April 23, 2014 Category: Global & Universal Tags: Non-Human Animals and Insects Source Type: news

Violence reduction - Dean E.
AS AN A&E sister, Alice Kershberg has cared for many victims of violent assault at the London emergency department (ED) where she works. Language: en... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - April 23, 2014 Category: Global & Universal Tags: Occupational Issues Source Type: news

Victorian emergency department data for injury surveillance: how useful is it? - Gray S, Finch C.
BACKGROUND: The Victorian Emergency Minimum Dataset is a database used by the Victorian Injury Surveillance Unit that includes injury presentations to all public Victorian emergency departments with a 24-hour service. Triage staff are required to input inf... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - April 23, 2014 Category: Global & Universal Tags: Recreational and Sports Issues Source Type: news

Validation of the Chinese SAD PERSONS Scale to predict repeated self-harm in emergency attendees in Taiwan - Wu CY, Huang HC, Wu SI, Sun FJ, Huang CR, Liu SI.
BACKGROUND: Past and repeated self-harm are long-term risks to completed suicide. A brief rating scale to assess repetition risk of self-harm is important for high-risk identification and early interventions in suicide prevention. The study aimed to examin... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - April 23, 2014 Category: Global & Universal Tags: Suicide and Self-Harm Source Type: news

Physician tracking in sub-Saharan Africa: current initiatives and opportunities
Conclusion: While physician tracking systems vary widely between countries and a number of challenges remain, there appears to be increasing interest in developing these systems and many innovative developments in the area. Opportunities exist to expand these systems in a more coordinated manner that will ultimately lead to better workforce planning, implementation of the workforce, and better health. (Source: Human Resources for Health)
Source: Human Resources for Health - April 23, 2014 Category: Health Management Authors: Candice ChenSarah BairdKatumba SsentongoSinit MehtsunEmiola Olapade-OlaopaJim ScottNelson SewankamboZohray TalibMelissa Ward-PetersonDamen MariamPaschalis Rugarabamu Source Type: research

Trauma exposure, posttraumatic stress disorder and the effect of explanatory variables in paramedic trainees
Conclusion: There is a need for efficient, ongoing screening of depressive and PTSD symptomatology in trauma exposed high risk groups so that early psychological supportive interventions can be offered. (Source: BMC Emergency Medicine)
Source: BMC Emergency Medicine - April 23, 2014 Category: Emergency Medicine Authors: Celine FjeldheimJani NöthlingKarin PretoriusMarina BassonKeith GanasenRobin HenekeKaren CloeteSoraya Seedat Source Type: research