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Emergency Medicine

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

Pediatric Envenomations: Don’t Get Bitten By An Unclear Plan Of Care (Trauma CME)
This review presents the basic epidemiology of bites and stings of spiders, bees and wasps, fire ants, scorpions, and snakes, but it primarily focuses on the underlying pathophysiology and clinical presentation of the envenomated patient. While the pathophysiology and much of the presentation and treatment are the same for both children and adults, there are occasionally subtle differences, which will be highlighted. The management and disposition of pediatric patients for each type of bite or sting will also be discussed. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - July 31, 2014 Category: Emergency Medicine Source Type: research

Ambulance services: 16 emergency calls to 999 per minute
July 31, 2014: Figures from the Health and Social Care Information Centre (HSCIC) show that ambulance trusts dealt with an average of 16.1 emergency calls per minute (23,216 on average per day) in 2013-14. (Source: The IC : Dentistry)
Source: The IC : Dentistry - July 31, 2014 Category: Dentistry Source Type: news

The Success of Prescription Drug Monitoring Programs
The prescribing of opioid painkillers parallels the dramatic increase in number of deaths, emergency room visits, and treatment episodes due to non-medical use of controlled substances. Here is what states are doing to limit the abuse of prescription painkillers.read more (Source: Psychology Today Addiction Center)
Source: Psychology Today Addiction Center - July 30, 2014 Category: Addiction Authors: Constance Scharff, Ph.D. Tags: Addiction Health Integrative Medicine Self-Help cliffside malibu constance scharff drug addiction drug addiction treatment drug overdose opioid addiction prescription addiction prescription drug monitoring prescription drug overdos Source Type: news

Major campaign to stop practice closures launched
Emergency funding should be allocated to help struggling practices survive, a major campaign launched by our sister publication Pulse claims Hide related content:  Show related content read more (Source: Management in Practice)
Source: Management in Practice - July 30, 2014 Category: Practice Management Authors: lspringer Tags: *** Editor ' s Pick Finance Patient Access Patients Practice development Practice management Latest News Source Type: news

University of Hawaii nursing simulation center receives three-year accredidation
The University of Hawaii at Manoa’s nursing school has become the first in the state to receive a three-year accreditation from the Society for Simulation in Healthcare for its translational health science simulation center, which serves as a practice ground for students and local health care providers. The center creates “real-life” medical scenarios that happen in hospital emergency rooms, ambulatory care, and even home environments using manikins that can show symptoms such as skin color… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - July 30, 2014 Category: Pharmaceuticals Authors: Matt Tuohy Source Type: research

Reproductive health needs assessment in the emergency department
(Source: Contraception)
Source: Contraception - July 30, 2014 Category: OBGYN Authors: C. Lu, E. Rebman, T. Wiskel, R. Tripp, C. Babcock Tags: ARHP Abstracts Source Type: research

Levonorgestrel iud as possible emergency contraception
(Source: Contraception)
Source: Contraception - July 30, 2014 Category: OBGYN Authors: L. Prine, K. Fox, E. Olenzek, S. Shah, A Nayot Tags: ARHP Abstracts Source Type: research

No time for a better ec: willingness to participate in a prospective trial of the copper t380 iud or oral levonorgestrel and the levonorgestrel iud as emergency contraception (coliec)
(Source: Contraception)
Source: Contraception - July 30, 2014 Category: OBGYN Authors: J. Sanders, D. Turok, P.A. Royer, I. Thompson Tags: ARHP Abstracts Source Type: research

De Blasio’s Plans to Reduce Worker Health Costs Have a Carrot and a Stick
More use of walk-in clinics and generic drugs and fewer emergency-room visits were envisioned in Mayor Bill de Blasio’s first labor agreements. (Source: NYT)
Source: NYT - July 30, 2014 Category: American Health Authors: By STEVEN GREENHOUSE and NIKITA STEWART Tags: New York City de Blasio, Bill Health Insurance and Managed Care Government Employees Labor and Jobs Source Type: news

Emergency contraceptives still effective for heavier women
Emergency contraceptives continue to be suitable for all women who need them, regardless of the woman’s weight, according to the Medicines and Healthcare products Regulatory Agency. (Source: Nursing Times Breaking News)
Source: Nursing Times Breaking News - July 30, 2014 Category: Nursing Source Type: news

Reducing the Burden of Injury: Advancing Prevention and Treatment
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 30, 2014 Category: Nursing Source Type: research

Kosova relief efforts at Fort Dix, New Jersey: One DMAT nurse’s experience
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 30, 2014 Category: Nursing Authors: Renee Charbonneau Source Type: research

“Awakening” to integrated therapies: Vermont Medical’s experience
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 30, 2014 Category: Nursing Authors: Andrea G. Atmore Source Type: research

Relationships between academic performance of medical students and their workplace performance as junior doctors
Conclusion: Performance on integrated assessments from medical school is correlated to performance as a practicing physician as measured by the Junior Doctor Assessment Tool. These findings support the value of combining undergraduate assessment scores to assess competence and predict future performance. (Source: BMC Medical Education)
Source: BMC Medical Education - July 30, 2014 Category: Universities & Medical Training Authors: Sandra CarrAntonio CelenzaIan PuddeyFiona Lake Source Type: research

Analysis of biomarkers for risk of acute kidney injury after primary angioplasty for acute st‐segment elevation myocardial infarction: Results of the HORIZONS‐AMI trial
Conclusions: The risk of CI‐AKI after primary PCI for STEMI may be associated with hemostatic imbalances, activation of procoagulants, decreased endogenous anticoagulants, enhanced inflammation, platelet activation, or decreased fibrinolytic activity. © 2014 Wiley Periodicals, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - July 30, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Alejandra Guerchicoff, Gregg W. Stone, Roxana Mehran, Ke Xu, Dru Nichols, Bimmer E. Claessen, Giulio Guagliumi, Bernhard Witzenbichler, José P.S. Henriques, George D. Dangas Tags: Original Studies Source Type: research

University of Hawaii nursing simulation center receives three-year accredidation
The University of Hawaii at Manoa’s nursing school has become the first in the state to receive a three-year accreditation from the Society for Simulation in Healthcare for its translational health science simulation center, which serves as a practice ground for students and local health care providers. The center creates “real-life” medical scenarios that happen in hospital emergency rooms, ambulatory care, and even home environments using manikins that can show symptoms such as skin color… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - July 29, 2014 Category: Biotechnology Authors: Matt Tuohy Source Type: research

Fear: How Statistics Can Spin Out of Control (CME/CE)
(MedPage Today) -- Loss of consciousness may be statistically associated with clinically significant TBI, but that doesn't make it useful for decision-making, argues Rory Spiegel, MD. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - July 29, 2014 Category: Emergency Medicine Source Type: news

Airbnb to aid disaster response in San Francisco and Portland
Airbnb's short term residential rental business may not be legal yet in many cities where it operates, but officials in San Francisco and Portland have nevertheless struck formal partnerships with the company to use its network of hosts for disaster relief and preparedness. San Francisco-based Airbnb, which has spread to 35,000 cities in 190 countries since its 2008 founding, has signed memorandums of understanding with emergency management officials that cover activities before, during, and after… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - July 29, 2014 Category: American Health Authors: Patrick Hoge Source Type: research

Nearly half of Albuquerque health care workers do not have a bachelor’s degree, study says
Nearly half the health care jobs in the Albuquerque metropolitan area are held by pre-baccalaureate workers, or those without a bachelor’s degree, and those workers are the fastest-growing segment of the health care industry, according to a study by the Brookings Institution. Those workers are concentrated in 10 jobs, including nurses, home health aids, medical and dental assistants and emergency medical technicians and paramedics, and many have seen large increases in earnings since 2000, Brookings… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - July 29, 2014 Category: Hospital Management Authors: Dennis Domrzalski Source Type: research

Liberia: Ellen Declares Ebola Outbreak a National Emergency
[Heritage]President Ellen Johnson- Sirleaf has declared the outbreak of the deadly Ebola virus in the country a national emergency. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - July 29, 2014 Category: African Health Source Type: news

Technology: Disrupting Disaster Response since 1881
By Dom Tolli, Preparedness, Health and Safety Services Back in 1881, the American Red Cross used the telegraph for the first time to transmit disaster information during a forest fire in Michigan. I have hunch that someone at the time probably thought the telegraph was fad and that only “the young people” were into it. Little did anyone know it would launch the Red Cross -and the nation – onto a path of using technology to help during disasters. Since 1881, the Red Cross has made a paradigm shift in how it distributes information to the public in times of crisis. Instead of distributing millions of brochures and...
Source: Red Cross Chat - July 29, 2014 Category: Global & Universal Authors: Kristiana Almeida Tags: Health & Safety Source Type: news

Prediction Update: Infectious Disease
(MedPage Today) -- In January, we asked noted infectious diseases specialists what they thought would be the most important development in the field in 2014. Now, at the half-year mark, we check in again with them to ask how their predictions are holding up. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - July 29, 2014 Category: Emergency Medicine Source Type: news

Conception, development, installation and evaluation of a real time evacuation assistant for complex buildings - Wagoum AUK, Seyfried A.
In this contribution a pedestrian evacuation system for large buildings is presented. The aim of the system is to monitor and forecast pedestrian streams in complex facilities to assist decision makers and security services in case of emergency. Since the ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - July 29, 2014 Category: Global & Universal Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news

Setting the width of emergency exit in pedestrian walking facilities - Wang S, Yue H, Zhang B, Li J.
To improve the safety of pedestrian evacuation and the utilization efficiency of emergency exits in pedestrian walking facilities, the method of computing the width of emergency exits was presented in this paper. These factors of influencing the setup of e... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - July 29, 2014 Category: Global & Universal Tags: Egress, Escape, Evacuation, Crowds Source Type: news

Kenya: Kenyan Officials to Meet Over Ebola Risk
[The Star]SENIOR ministry of Health officials will today hold an emergency meeting to draw up a plan to curb the threat of the Ebola virus countrywide. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - July 29, 2014 Category: African Health Source Type: news

Hospitals to scrutinise integration plans
Acute trusts must say whether they accept local forecasts for cutting emergency admissions under better care fund (Source: HSJ)
Source: HSJ - July 29, 2014 Category: UK Health Source Type: news

Oncologic Mechanical Emergencies.
Abstract Prevalence of cancer and its various related complications continues to rise. Increasingly these life-threatening complications are initially managed in the emergency department, making a prompt and accurate diagnosis crucial to effectively institute the proper treatment and establish goals of care. The following oncologic emergencies are reviewed in this article: pericardial tamponade, superior vena cava syndrome, brain metastasis, malignant spinal cord compression, and hyperviscosity syndrome. PMID: 25060246 [PubMed - as supplied by publisher] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Khan UA, Shanholtz CB, McCurdy MT Tags: Emerg Med Clin North Am Source Type: research

Oncologic Metabolic Emergencies.
This article reviews the 2 most emergent oncologic metabolic diagnoses: tumor lysis syndrome and hypercalcemia of malignancy. A discussion on associated cancers and conditions, pathogenesis and pathophysiology, and management recommendations is included. PMID: 25060247 [PubMed - as supplied by publisher] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Wagner J, Arora S Tags: Emerg Med Clin North Am Source Type: research

Pediatric Oncologic Emergencies.
Abstract The overall prognosis for most pediatric cancers is good. Mortality for all childhood cancers combined is approximately half what it was in 1975, and the survival rates of many malignancies continue to improve. However, the incidence of childhood cancer is significant and the related emergencies that develop acutely carry significant morbidity and mortality. Emergency providers who can identify and manage oncologic emergencies can contribute significantly to an improved prognosis. Effective care of pediatric malignancies requires an age-appropriate approach to patients and compassionate understanding of fa...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Prusakowski MK, Cannone D Tags: Emerg Med Clin North Am Source Type: research

Neutropenic Fever.
Abstract Fever is a common presenting complaint among adult or pediatric patients in the emergency department setting. Although fever in healthy individuals does not necessarily indicate severe illness, fever in patients with neutropenia may herald a life-threatening infection. Therefore, prompt recognition of patients with neutropenic fever is imperative. Serious bacterial illness is a significant cause of morbidity and mortality for neutropenic patients. Neutropenic fever should trigger the initiation of a rapid work-up and the administration of empiric systemic antibiotic therapy to attenuate or avoid the progre...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: White L, Ybarra M Tags: Emerg Med Clin North Am Source Type: research

Chemotherapeutic Medications and Their Emergent Complications.
This article reviews characteristic hypersensitivity reactions, typical organ system dysfunction, and treatment strategies for adult patients who present to the ED with complications after chemotherapy. PMID: 25060250 [PubMed - as supplied by publisher] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Young JS, Simmons JW Tags: Emerg Med Clin North Am Source Type: research

Acute Leukemia.
Abstract Although great progress has been made in the understanding and treatment of acute leukemia, this disease has not been conquered. For emergency providers (EPs), the presentation of these patients to an emergency department presents a host of challenges. A patient may present with a new diagnosis of leukemia or with complications of the disease process or associated chemotherapy. It is incumbent on EPs to be familiar with the manifestations of leukemia in its various stages and maintain some suspicion for this diagnosis, given the nebulous and insidious manner in which leukemia can present. PMID: 2506025...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Rose-Inman H, Kuehl D Tags: Emerg Med Clin North Am Source Type: research

Myeloproliferative Disorders.
Abstract The emergency providers generally encounters myeloproliferative disorders (MPNs) in 1 of 2 ways: as striking laboratory abnormalities of seeming unknown consequence, or in previously diagnosed patients presenting with complications. The course of patients with MPNs is highly variable, but major complications can arise. Emergent conditions related to hyperviscosity need to be recognized early and treated aggressively. Rapid hydration, transfusion, cytoreduction, and early hematology consultation can be lifesaving. Likewise, although management is not altered, a high index of suspicion for thrombotic complic...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Meier B, Burton JH Tags: Emerg Med Clin North Am Source Type: research

Sickle Cell Disease in the Emergency Department.
Abstract Acute painful episodes are the most common reason for emergency department visits among patients with sickle cell disease (SCD). Early and aggressive pain management is a priority. Emergency providers (EPs) must also diagnose other emergent diagnoses in patients with SCD and differentiate them from vaso-occlusive crisis. EPs should be aware of cognitive biases that may misdirect the diagnostic process. Administration of intravenous fluids should be used judiciously. Blood transfusion may be considered. Coordination of care with hematology is an important part of the effective emergency department and long-...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Lovett PB, Sule HP, Lopez BL Tags: Emerg Med Clin North Am Source Type: research

Anemia.
This article reviews the evaluation and management of adult patients presenting to the ED with anemia. PMID: 25060253 [PubMed - as supplied by publisher] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Vieth JT, Lane DR Tags: Emerg Med Clin North Am Source Type: research

Thrombotic Microangiopathies (TTP, HUS, HELLP).
Abstract Thrombocytopenia, strictly defined as a platelet count less than 150,000, is common in the emergency department. Recognition, diagnostic investigation, and proper disposition of a thrombocytopenic patient are imperative. One group of disorders leading to thrombocytopenia is the thrombotic microangiopathies, hallmarked by platelet destruction. These thrombotic microangiopathies include thrombotic thrombocytopenic purpura (TTP), hemolytic uremic syndrome (HUS) and hemolysis, elevated liver enzyme levels, low platelet count (HELLP), which should be distinguished from similar disease processes such as immune t...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Kappler S, Ronan-Bentle S, Graham A Tags: Emerg Med Clin North Am Source Type: research

Evaluation and Management of Congenital Bleeding Disorders.
Abstract Patients presenting to the emergency department with acute bleeding and a history of clotting or platelet disorder present a unique challenge to the emergency physician. The severity of bleeding presentation is based on mechanism as well as factor levels: patients with factor levels greater than 5% can respond to most minor hemostatic challenges, whereas those with factor levels less than 1% bleed with minor trauma or even spontaneously. Treatment should be initiated in consultation with the patient's hematologist using medications and specific factor replacement, except in rare, life-threatening, resource...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Bhat R, Cabey W Tags: Emerg Med Clin North Am Source Type: research

Acquired Bleeding Disorders.
Abstract Emergency medicine practitioners treat bleeding patients on a regular basis. Disorders of hemostasis are an additional challenge in these patients but can be assessed and managed in a systematic fashion. Of particular importance to the emergency clinician are the iatrogenic causes of abnormal hemostasis. Other acquired causes of abnormal hemostasis include renal disease, immune thrombocytopenia, thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, acquired coagulation factor inhibitors, acute traumatic coagulopathy, liver disease, and disseminated intravascular coagulopathy. PMID: 25060257 [...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Hurwitz A, Massone R, Lopez BL Tags: Emerg Med Clin North Am Source Type: research

Antithrombotic Reversal Agents.
Abstract The actively bleeding anticoagulated patient presenting to the emergency department requires rapid evaluation and treatment, which is made increasingly complicated by the ever-evolving antithrombotic treatment options used in medicine. Even with excellent supportive care, the timeliness with which reversal decisions need to be made continues to demand of the emergency practitioner a familiarity with the properties and general characteristics of a variety of antithrombotic agents. Reversal options vary and may include vitamin K, FFP, PCC, rFVIIa, platelets, and desmopressin, among others. PMID: 25060258...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Wilson MD, Davis JE Tags: Emerg Med Clin North Am Source Type: research

Blood Product Transfusions and Reactions.
Abstract Blood product transfusions are an essential component of the practice of emergency medicine. From acute traumatic hemorrhage to chronic blood loss necessitating transfusion for symptomatic anemia, familiarity with individual blood products and their indications for transfusion is an essential tool for every emergency physician (EP). Although the focus of this article is primarily on the transfusion of red blood cells, many of the concepts are applicable to the transfusion of all blood products. EPs must be fully familiar with both the individual blood components and the potential reactions and complication...
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Osterman JL, Arora S Tags: Emerg Med Clin North Am Source Type: research

Hematology/Oncology emergencies.
PMID: 25060261 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Perkins JC, Davis JE Tags: Emerg Med Clin North Am Source Type: research

Hematology/Oncology emergencies.
PMID: 25060260 [PubMed - in process] (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - July 29, 2014 Category: Journals (General) Authors: Mattu A Tags: Emerg Med Clin North Am Source Type: research

Masthead
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 29, 2014 Category: Emergency Medicine Source Type: research

Contents
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 29, 2014 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 29, 2014 Category: Emergency Medicine Source Type: research