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

(100) Evaluation of the influence of stress-induced pain vulnerability and sociodemographic characteristics on acute pain after a motor vehicle collision using structural equation modeling
In this study we used structural equation modeling (SEM) to test the hypothesis that sociodemographic characteristics and stress-induced vulnerability influence acute MSP severity in the early aftermath of MVC. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: J. Hu, K. Bollen, S. Lane, A. Borstov, D. Peak, J. Jones, R. Swor, R. Domeier, D. Lee, N. Rathlev, P. Hendry, S. McLean Tags: A01 Acute Pain Source Type: research

(224) Education status is not associated with opioid medication receipt among African American emergency department patients with acute pain
In this study, we repeated the same analysis in a sister cohort of African Americans (AA). Data for this analysis were obtained from an ongoing, prospective cohort study of African Americans (current n=691) who presented to the ED within 24 hours of motor vehicle collision and were discharged to home after evaluation. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: A. Liu, J. Hu, T. Platts-Mills, B. Lateef, Y. Qadri, H. Wang, M. Velilla, C. Pearson, E. Zimny, C. Lewandowski, P. Hendry, K. Damiron, R. Domeier, S. Kaushik, J. Feldman, J. Jones, M. Villard, S. McLean Source Type: research

(230) Few individuals at high risk of persistent musculoskeletal pain after motor vehicle collision receive early psychological or physiotherapy intervention
More than four million patients present to U.S. Emergency Departments (EDs) each year after motor vehicle collision (MVC). Over 90% of these individuals have acute musculoskeletal pain (MSP), and, while less than 5% have a fracture or require hospital admission, 20-30% transition to persistent MSP. Individuals presenting to the ED with acute MSP after MVC do not receive risk-stratified care, however in other settings providing stratified physiotherapy and psychological interventions for acute MSP has been shown to improve outcomes and reduce costs. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: M. Villard, F. Beaudoin, J. Hu, D. Orrey, D. Peak, J. Jones, R. Swor, R. Domeier, D. Lee, N. Rathlev, P. Hendry, S. McLean Source Type: research

(232) Haloperidol vs. placebo in addition to conventional therapy to treat pain secondary to gastroparesis in the emergency department
Gastroparesis (GP) is a debilitating condition that causes severe abdominal pain, nausea and vomiting. Treatment in the emergency department (ED) includes analgesics and antiemetics. Pain is often refractory to conventional therapy. Haloperidol has been utilized clinically for the management of nausea, vomiting and pain in patients under palliative care. We propose that haloperidol in addition to conventional therapy is a more efficient treatment of pain for patients with GP. We performed a randomized, double-blind, placebo controlled trial involving adult patients who presented with acute GP exacerbation. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: C. Roldan, Y. Chathampally Tags: B23 Visceral Pain - Gastrointestinal/Abdominal Source Type: research

(246) Racial and ethnic disparities in pain care at a statewide federally qualified health center
To date most research on racial/ethnic disparities in chronic nonmalignant pain management has evaluated care in settings such as emergency departments, academic primary care, and post-operative settings. However, community health centers, organizations with a specific mission to provide culturally appropriate care and reduce disparities, have not been examined in this context. We hypothesized that there will be less evidence for pain care disparities in such settings. We retrospectively examined the extent to which racial/ethnic disparities occur in pain care at a statewide, Federally Qualified Health Center in Connecticu...
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: B. Teevan, I. Zlateva, D. Anderson Source Type: research

(258) CYP2C8 and CYP2C9 metabolic profiles and frequency of emergency department visits for sickle cell disease pain management
We describe CYP2C8 and CYP2C9 genotypes and phenotypes and frequency of emergency department (ED) visits in an African American SCD patient cohort. DNA from 165 unrelated SCD patients (82 males/83 females, aged from 16 to 61 years) was genotyped for seven CYP2C8 (*1, *2, *3, *4, *5, *7 & *8) alleles and 15 CYP2C9 alleles (*1, *2,*3, *4, *5, *6, *8, *9, *10, *11, *12, *13, *15, *25 & *27) using the iPLEX® ADME PGx multiplexed panel. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: C. Jaja, L. Bowman, L. Wells, H. Xu, M. Lyon, R. Gibson, A. Kutlar Source Type: research

(260) Vitamin D deficiency is associated with worse overall pain outcomes over time among African Americans experiencing motor vehicle collision
More than four million Americans present to the emergency department (ED) each year for evaluation after MVC. More than 90% of these individuals are discharged to home; evidence suggests that chronic musculoskeletal pain is common in this population and that rates of chronic pain development are increased in African Americans (AAs). Biological mechanisms responsible for elevated risk in AAs remain poorly understood. Vitamin D deficiency (VDD, defined as 25[OH]D plasma levels (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: A. Bortsov, M. Velilla, K. Damiron, C. Pearson, J. Jones, P. Hendry, M. Kurz, S. McLean Source Type: research

(369) Emergency department femoral nerve blocks for acute hip fracture pain: a randomized controlled trial
Hip fractures are a significant source of morbidity and mortality among older individuals and poorly controlled pain is associated with delirium, delayed functional recovery, and increased healthcare costs. In this multicenter single-blind randomized controlled trial among older adults with acute hip fractures, we compared femoral nerve blocks (FNB) performed by emergency physicians to usual care with conventional opioid therapy (COT), with pain intensity and relief as primary outcomes. All subjects were allowed intravenous opioids as needed. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: K. Todd, E. Dickman, U. Hwang, S. Akhtar, R. Morrison Tags: F07 Nerve Blocks, Indwelling Catheters and Infiltration Source Type: research

(412) Treatment effects of opioids versus NSAIDs prescribed from the emergency department following motor vehicle collision: the impact on pain outcomes at 6 weeks
More than four million Americans present to U.S. Emergency Departments (EDs) each year after motor vehicle collision (MVC). More than 90% of these individuals have acute musculoskeletal pain (MSP), and, while less than 5% have a fracture or require hospital admission, 20-30% transition to chronic MSP. Individuals with acute MSP after MVC are most often discharged with oral non-steroidal anti-inflammatory drugs (NSAIDs) or opioid medications, however optimal medication treatments are poorly defined and the influence of acute medication choices on post-MVC pain trajectory are unknown. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: F. Beaudoin, R. Gutman, D. Peak, J. Jones, R. Swor, R. Domeier, D. Lee, N. Rathlev, P. Hendry, S. McLean Source Type: research

(436) Pain catastrophizing as a predictor of opioid administration in patients presenting to the emergency department (ED) after motor vehicle collision (MVC)
In this study we examined the relationship between pain catastrophizing and receipt of opioid medication for pain among European American patients seen in the emergency department (ED) after motor vehicle collision (MVC). (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: B. Lateef, A. Liu, J. Hu, R. Swor, D. Peak, J. Jones, N. Rathlev, D. Lee, R. Domeier, P. Hendry, M. Martel, S. McLean Source Type: research

(443) Low risk of diversion in a randomized, double-blind, placebo-controlled study of extended-release hydrocodone tablets formulated with abuse-deterrence technology for the treatment chronic low back pain
Emergency department visits and deaths related to prescription opioid misuse have increased. A single-agent (i.e., acetaminophen and ibuprofen free) hydrocodone extended-release (ER) tablet that uses CIMA® Abuse-Deterrence Technology was developed to maintain extended release properties despite misuse or manipulation for abuse by crushing or by alcohol extraction. Several abuse characteristics of this hydrocodone ER formulation were assessed in a 12-week, phase 3, randomized, double-blind, placebo-controlled, randomized-withdrawal study. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: M. Hale, T. Zimmerman, E. Eyal, R. Malamut Source Type: research

(456) Using saline for myofascial pain syndromes
Myofascial-Pain-Syndrome (MPS), regional pain originated in the muscle and fascia, is characterized by the presence of referred pain and a trigger point able to reproduce it. Trigger point injections (TPI) are considered an effective treatment. Conventional drugs used for TPI add cost and might have adverse effects; physiological normal saline (NS) does not. We propose that TPI with NS is non-inferior to conventional drugs. This randomized, double-blinded, and controlled trial included patients diagnosed with MPS of the trapezius, gluteus medius and minimus, iliocostalis thoracis-lumborum, quadratus lumborum and paraspinal...
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: C. Roldan, N. Hu Source Type: research

(529) Implementation of a social worker screening process to explore unmet psychological and social needs for adults with sickle cell disease in the emergency department
The objective of this quality improvement (QI) project was to implement a social worker screening of all adults with SCD during an ED visit and explore psychological and social needs. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: H. Williams, P. Tanabe Source Type: research

Preoperative Rosuvastatin Protects Patients with Coronary Artery Disease Undergoing Noncardiac Surgery
Conclusions: Preoperative rosuvastatin reload therapy decreases the incidence of myocardial necrosis and MACCE after noncardiac emergency surgery in patients with stable coronary artery disease on long-term statin therapy.Cardiology 2015;131:30-37 (Source: Cardiology)
Source: Cardiology - March 26, 2015 Category: Cardiology Source Type: research

Study: Certificates of need are bad for health care, TN requirements among most restrictive
A new study from George Mason University's Mercatus Center may be music to the ears of TriStar Southern Hills Medical Center and Saint Thomas Midtown Hospital, both of which saw their applications for new freestanding emergency departments in Brentwood shot down Wednesday. The think tank, which is funded in part by the well-known libertarian Koch brothers, released a report earlier this week arguing certificate of need requirements lead to "less competition and few choices, without increased access… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - March 26, 2015 Category: Hospital Management Authors: Eleanor Kennedy Source Type: news

Evaluation of older adult patients with falls in the emergency department: discordance with national guidelines - Tirrell G, Sri-On J, Lipsitz LA, Camargo CA, Kabrhel C, Liu SW.
This study was a chart review of randomly selected older adu... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - March 26, 2015 Category: Global & Universal Tags: Age: Elder Adults Source Type: news

Falling behind? Understanding implementation science in future emergency department management strategies for geriatric fall prevention - Carpenter CR, Lo AX.
[Abstract unavailable] Language: en... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - March 26, 2015 Category: Global & Universal Tags: Age: Elder Adults Source Type: news

Update on abusive head trauma - Shaahinfar A, Whitelaw KD, Mansour KM.
This article provides an update on abusive head trauma (AHT), focusing on new developments most salient to the emergency medicine clinician, including epidemiology, clinical recognition, diagnostic work-up, management of neurologic inju... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - March 26, 2015 Category: Global & Universal Tags: Age: Infants and Children Source Type: news

Perceived quality of life with spinal cord injury: a comparison between emergency medicine and physical medicine and rehabilitation physicians - Cushman D, Thomas K, Mukherjee D, Johnson R, Spill G.
OBJECTIVE: To explore the attitudes of healthcare providers who treat spinal cord injury (SCI) patients and examine whether there are differences between Emergency Medicine (EM) and Physical Medicine and Rehabilitation (PMR) physicians in their judgments a... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - March 26, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Disrupting Diagnostic Reasoning: Do Interruptions, Instructions, and Experience Affect the Diagnostic Accuracy and Response Time of Residents and Emergency Physicians?
Conclusions: Experienced emergency physicians were both faster and more accurate than residents. Instructions to proceed quickly and interruptions had a small effect on response time but no effect on accuracy. (Source: Academic Medicine)
Source: Academic Medicine - March 26, 2015 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Progressive aortic dissection following RCA instent angioplasty
Percutaneous coronary intervention (PCI) in restenotic stented lesions is one of the common challenging issues of interventional cardiology. Although most patients have been performed safely stenting repeatedly, PCI may lead some critical complications such as coronary or aortic dissection especially in the proximal lesions (1). Acute aortic dissection originating from coronary intervention is a rare but life-threatening emergency associated with a high rate of mortality (2). Reported cases have shown that half of the aortic dissections remains localized. (Source: International Journal of Cardiology)
Source: International Journal of Cardiology - March 26, 2015 Category: Cardiology Authors: Atila Iyisoy, Cengiz Ozturk, Zekeriya Arslan, Turgay Celik, Murat Unlu, Faruk Cingoz, Uğur Bozlar, Sait Demirkol Tags: Letter to the Editor Source Type: research

Bronchoscopic Management of Patients With Symptomatic Airway Stenosis and Prognostic Factors for Survival
Conclusions Emergency interventional bronchoscopy for airway obstruction is safe, relieved symptoms, and facilitated palliative chemotherapy, which improved survival. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 26, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Emergency grafting for iatrogenic injury to portal vein
We report a case of iatrogenic injury to the portal vein during Whipple’s procedure and emergency interposition grafting of portal vein with 8-mm e-polytetrafluoroethylene graft. The patient had an uneventful recovery and was discharged after 15 days. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 26, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prognostic factors for exacerbations and emergency treatments in myasthenia gravis
Disease course in myasthenia gravis (MG) patients is highly variable. Prognostic factors that identify patients at risk for a more severe disease course would be helpful in clinical practice. (Source: Journal of Neuroimmunology)
Source: Journal of Neuroimmunology - March 26, 2015 Category: Allergy & Immunology Authors: Robert H. de Meel, Alexander F. Lipka, Erik W. van Zwet, Erik H. Niks, Jan J.G.M. Verschuuren Tags: Short communication Source Type: research

Pediatrics After-Hours: A Twenty-Year Academic-Community Partnership for Acute Care Delivery
Access to extended primary care hours in a non-emergency setting is essential to any health care system serving children.1 In many communities, after-hours care of sick children is performed by physicians in group practices, is shared among practitioners of different groups, or is handled by nonemergent visits to emergency departments. Some practices use centralized call centers to manage and triage after-hours calls from patients of multiple providers.2 Thereafter, patients requiring after-hours evaluation by a physician may also be referred to local emergency rooms, where they may, or may not, be seen by pediatricians. (...
Source: The Journal of Pediatrics - March 25, 2015 Category: Pediatrics Authors: Carolyn G. Carter, Lindsay A. Thompson, Janet H. Silverstein, Sanjeev Y. Tuli, Nicole M. Paradise Black, Scott A. Rivkees Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

FDA OKs Anthrasil for Inhalational AnthraxFDA OKs Anthrasil for Inhalational Anthrax
Anthrax immune globulin (Anthrasil) will be stored in the US Strategic National Stockpile to facilitate its availability in response to an anthrax emergency, the FDA said. FDA Approvals (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - March 25, 2015 Category: Primary Care Tags: Infectious Diseases News Alert Source Type: news

TriStar vs. Saint Thomas: Neither can build new emergency department
There will be no new emergency department in the Brentwood area. The Tennessee Health Services and Development Agency rejected competing applications from both TriStar Southern Hills Medical Center and Saint Thomas Midtown Hospital to build satellite emergency departments near Old Hickory Boulevard and Interstate 65 in southern Davidson County. The projects, priced at $11.3 million for TriStar and $6.8 million for Saint Thomas, were proposed for sites less than a mile apart. With two members recusing… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - March 25, 2015 Category: Pharmaceuticals Authors: Eleanor Kennedy Source Type: news

TriStar vs. Saint Thomas: Neither can build new emergency department
There will be no new emergency department in the Brentwood area. The Tennessee Health Services and Development Agency rejected competing applications from both TriStar Southern Hills Medical Center and Saint Thomas Midtown Hospital to build satellite emergency departments near Old Hickory Boulevard and Interstate 65 in southern Davidson County. The projects, priced at $11.3 million for TriStar and $6.8 million for Saint Thomas, were proposed for sites less than a mile apart. With two members recusing… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - March 25, 2015 Category: Biotechnology Authors: Eleanor Kennedy Source Type: news

Emergency medicine physicians urge colleagues to help prevent gun violence
Two practicing emergency medicine physicians -- both thought leaders at the forefront of finding solutions to the public health crisis of gun violence -- urge their colleagues to take direct action to protect the health and safety of patients and communities. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - March 25, 2015 Category: Science Source Type: news

Interatrial Septal Aneurysm Identified on Bedside UltrasoundInteratrial Septal Aneurysm Identified on Bedside Ultrasound
Bedside echocardiography confirms the diagnosis of interatrial septal aneurysm in this patient who initially presented to the ED with chest pain. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 25, 2015 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

Campaign launched to ‘rebuild’ emergency care in Scotland
Doctors’ leaders have launched an initiative aimed at “rebuilding the emergency medicine service step by step” in Scotland. (Source: Nursing Times Breaking News)
Source: Nursing Times Breaking News - March 25, 2015 Category: Nursing Source Type: news

Kayla, Joel and Robbie’s story: Taking life with hemophilia one day at a time
Hemophilia has always been part of Kayla Klein’s life. Her father, David, had the condition. Her son, 6-month-old Robbie (that’s him above), has it too. For years, though, Kayla has also surrounded herself with the right people—people who know hemophilia and who have helped her and her husband Joel create a life where the condition isn’t something that happened to them. Rather, it’s part of their family’s normal. And they’re determined to make sure that it will never keep little Robbie—or them—down. A life embedded in hemophilia David died when Kayla was just shy of two. But it was...
Source: Thrive, Children's Hospital Boston - March 25, 2015 Category: Pediatrics Authors: Tom Ulrich Tags: Diseases & conditions Our patients’ stories Source Type: news

Commission to improve urgent care for older patients launched
An independent commission intended to drive improvements in urgent and emergency care for older people in hospitals and the community is being launched today. (Source: Nursing Times Breaking News)
Source: Nursing Times Breaking News - March 25, 2015 Category: Nursing Source Type: news

Emergency medicine physicians urge colleagues to help prevent gun violence
(University of California - Davis Health System) In an editorial posted online today in the Annals of Emergency Medicine, two practicing emergency medicine physicians from the University of California, Davis, and Brown University -- both thought leaders at the forefront of finding solutions to the public health crisis of gun violence -- urge their colleagues to take direct action to protect the health and safety of patients and communities. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - March 25, 2015 Category: Global & Universal Source Type: news

Blunt abdominal trauma and mesenteric avulsion: a systematic review
Conclusion Mesenteric avulsion is rare and has a complex and vague presentation. Due to its potential mortality and morbidity, emergency physicians should keep a high index of suspicion in individuals with blunt abdominal trauma from any mechanism of injury. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - March 25, 2015 Category: Emergency Medicine Source Type: research

Open distal tibial shaft fractures: a retrospective comparison of medial plate versus nail fixation
Conclusions ORIF leads to higher rates of nonunion and significantly increases the odds of developing a complication compared with IMN for open distal tibia fractures. This is the first study investigating complication rates based on surgical approach in a large cohort of patients with exclusively open distal tibia fractures. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - March 25, 2015 Category: Emergency Medicine Source Type: research

Spontaneous pneumomediastinum due to the Macklin effect: less is more
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 25, 2015 Category: Emergency Medicine Source Type: research

Large-scale implementation of alcohol brief interventions in new settings in Scotland: a qualitative interview study of a national programme
Conclusions: This qualitative study suggests that even with significant national support, funding and a specific delivery target, ABI implementation in new settings is not straightforward. Those responsible for planning similar initiatives should critically consider the relevance and value of the five implementation strategies identified. (Source: BioMed Central)
Source: BioMed Central - March 25, 2015 Category: Journals (General) Authors: Niamh FitzgeraldLucy PlattSusie HeywoodJim McCambridge Source Type: research

Takotsubo cardiomyopathy with transient left ventricular obstruction successfully treated with cibenzoline succinate: A case report
Publication date: Available online 24 March 2015 Source:Journal of Cardiology Cases Author(s): Katsuhiro Tomofuji , Shuntaro Ikeda , Chika Murakami , Yusuke Ochiumi , Masayuki Nakamura , Hisaki Kadota , Hideaki Shimizu , Kiyotaka Oshima , Mareomi Hamada An 84-year-old woman was urgently referred to our hospital owing to persistent malaise and chest pain. Takotsubo cardiomyopathy was diagnosed following transthoracic echocardiography, emergency coronary angiography, and left ventriculography. A left ventricular pressure tracing during cardiac catheterization revealed a 72mmHg-intraventricular pressure gradient (LVPG). Alt...
Source: Journal of Cardiology Cases - March 25, 2015 Category: Cardiology Source Type: research

[A case of necrotizing colitis presenting with hepatic portal venous gas and pneumatosis intestinalis].
Abstract Hepatic portal venous gas is a very rare radiologic sign which is characterized by gas accumulation in the portal venous circulation. Pneumatosis intestinalis is also very rare and is characterized by multiple air cysts in the serosal or submucosal layers of the gastrointestinal tract walls. These two findings are caused by various pathological conditions and can develop individually or simultaneously. The latter is clinically more significant because it is frequently related to bowel ischemia or necrosis, and represents a poor prognosis. However, prognosis is more influenced by the severity of underlying ...
Source: Korean J Gastroenter... - March 25, 2015 Category: Gastroenterology Authors: Song JG, Koo JS, Kang HS, Park JY, Kim SY, Hyun JJ, Jung SW, Lee SW Tags: Korean J Gastroenterol Source Type: research

Fascia Iliaca (FICB) block in the Emergency department for adults with neck of femur fractures: a review of the literature
• A wide range of papers were reviewed.• FICB is effective in providing analgesia for proximal femoral fractures• FICB has less systemic side effects that opiates• Non-medical practitioners are able to administer FICB (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 25, 2015 Category: Nursing Authors: Stuart Pinson Tags: Review Source Type: research

The Portuguese Emergency Medical System
Portugal, which was founded in 1143, is a small southwest European country with a total of 35,556.15 square miles (roughly the size of the state of Maine in the United States). It consists of a continental portion that shares a land border with Spain and a maritime border with the Atlantic Ocean, along with 2 archipelagos: the Azores and Madeira. Portugal has been a member of the European Community since 1985 and has a population of approximately 10,562,178 inhabitants (52.2% female and 47.8% male). (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 25, 2015 Category: Nursing Authors: José Miguel Padilha, Nelson Coimbra Source Type: research

Literature Synthesis: Patient Aggression Risk Assessment Tools in the Emergency Department
Multiple risk assessment tools have been developed to prevent violent behavior of patients. The purpose of a risk assessment tool is to prevent injury to health care workers, prevent suicide, and de-escalate a patient before a violent act occurs. A risk assessment tool can be used by nurses to identify interventions and to protect themselves or their organization from potential poor decision making and poor outcomes when a violent event occurs.1 (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 25, 2015 Category: Nursing Authors: Natalie Calow, Angie Lewis, Scott Showen, Norma Hall Tags: Clinical Source Type: research

Performance du diagnostic anténatal et évolution postnatale des malformations pulmonaires congénitales
Conclusion Le diagnostic anténatal permet d’établir la nature précise de la lésion dans 90 % des cas en 2013 sans impact sur la symptomatologie à la naissance. Lorsqu’un diagnostic prénatal est possible, la chirurgie préventive permet probablement de diminuer la survenue d’une chirurgie en urgence. Objectives For many diseases, the comparison of prenatal diagnosis with a histopathological reality is not always possible. Fetal lung pathology, with its high rate of surgery in postnatal, allows this assessment. This study proposes an approach to the reliability of prenatal diagnosis and analysis of the postnat...
Source: Gynecologie Obstetrique and Fertilite - March 25, 2015 Category: OBGYN Source Type: research

Thoracolumbar pneumorrhachis after non-spinal gunshot wound
A 31-year-old man was referred to our Emergency Department with a gunshot injury. His mental state was confused. The physical examination of the patient showed clinical evidence of gunshot injury on the right lower quadrant. All vital signs were stable. There was no traumatic wound of the spinal column. Computed tomography (CT) was performed. CT images show massive thoracolumbar pneumorrhachis (Figure 1). In our case, the bullet was near the right retroperitoneal space. Retroperitoneal air probably reached along the vascular and neural sheaths into the epidural space, thus eventually it appeared in the spinal canal. (Sourc...
Source: The Spine Journal - March 25, 2015 Category: Orthopaedics Authors: Ihsan Yuce, Recep Sade, Leyla Karaca, Hayri Ogul, Mecit Kantarci Tags: Images of Spine Care Source Type: research

Feasibility and accuracy of bedside transthoracic echocardiography in diagnosis of acute proximal aortic dissection
Conclusion: Our data confirm that transthoracic echocardiography is a reliable method for diagnosis of proximal aortic dissection. TTE provides a reliable value of maximum diameter of the ascending aorta in comparison to both CT and direct intraoperative measurement. Moreover, transthoracic echocardiography gives the additional information that influences the operative technique of choice and identifies the high-risk patients (cardiac tamponade, severe aortic dilatation, severe aortic regurgitation). Our retrospective analysis confirms the pivotal role of TTE in the evaluation of the patients with suspected proximal aortic...
Source: Cardiovascular Ultrasound - March 25, 2015 Category: Radiology Authors: Dorota SobczykKrzysztof Nycz Source Type: research

Effect of Laparoscopic Surgery on Health Care Utilization and Costs in Patients Who Undergo Colectomy
Conclusions and RelevanceLaparoscopic colectomy results in a significant reduction in health care costs and utilization in the short- and long-term postoperative periods. (Source: JAMA Surgery)
Source: JAMA Surgery - March 25, 2015 Category: Sports Medicine Source Type: research