Emergency Medicine Emergency Medicine RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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

The Clinical Characteristics and Early Detection of Postpartum Choriocarcinoma
Conclusions: The most common symptom of patients with postpartum choriocarcinoma in the short and long interval groups was genital bleeding, and the overall prognosis may be improved by introduction of an appropriate chemotherapy regimen. Careful pathological examination of the placenta is needed in cases of fetomaternal hemorrhage, unknown fetal anemia, and abnormal obstetric events, including premature delivery, still birth, and infantile growth retardation, for the early detection of intraplacental choriocarcinoma. (Source: International Journal of Gynecological Cancer)
Source: International Journal of Gynecological Cancer - May 23, 2015 Category: Cancer & Oncology Tags: Gestational Trophoblastic Neoplasia Source Type: research

Attitudes Toward Computer Interventions for Partner Abuse and Drug Use Among Women in the Emergency Department
Conclusions: Women with partner abuse and drug use histories were receptive to computerized screening and advice, while still expressing a need for the empathy and compassion of a human interaction within an intervention. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 23, 2015 Category: Addiction Tags: Original Articles Source Type: research

Premorbid Antisocial Personality and Substance Use Disorder in Traumatic Brain Injury: A Case Report and Review of Literature
We report on a 29 year-old male with a history of antisocial personality and polysusbtance use disorder, who sustained a traumatic brain injury five months before presenting to the psychiatric emergency room in an agitated state and with suicidal and homicidal ideations. We discussed medication management and psychotherapeutic interventions in this case, and we performed a literature review on brain traumatic injury. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 23, 2015 Category: Addiction Tags: Case Report Source Type: research

Predicting time to emergency department return for anxiety disorders and acute stress reactions in children and adolescents: a cohort study
Conclusions Following an index visit, ED return by children with anxiety disorders or acute stress reactions is associated with specific characteristics of subsequent physician visits. Improving physician use of evidence-based treatment and family access to coordinated services may reduce costly hospital-based care. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - May 23, 2015 Category: Psychiatry Source Type: research

Emergency Department Processes for the Evaluation and Management of Persons Under Investigation for Ebola Virus Disease
Conclusion ED processes for the safe and timely evaluation and management of the person under investigation for Ebola virus disease are presented with the ultimate goals of protecting providers and ensuring a consistent level of care while confirmatory testing is pending. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Global Emergency Medicine Journal Club: A Social Media Discussion About the Lack of Association Between Press Ganey Scores and Emergency Department Analgesia
The objective was to curate a 14-day (December 1 through 14, 2014) worldwide academic dialogue among clinicians in regard to preselected questions about the article. Five online facilitators hosted the multimodal discussion on the ALiEM Web site, Twitter, and Google Hangout. Comments across the social media platforms were curated for this report, as framed by the 4 preselected questions. Engagement was tracked through Web analytic tools and analysis of tweets. Blog comments, tweets, and video expert commentary involving the featured article are summarized and reported. The dialogue resulted in 978 page views from 342 citie...
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Emergency Department Crowding and Outcomes After Emergency Department Discharge
Conclusion Our findings suggest that ED length of stay is a proxy for unmeasured differences in case mix and challenge the validity of the CMS metric as a safety measure for discharged patients. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Laryngospasm With Apparent Aspiration During Sedation With Nitrous Oxide
We report a case of single-agent nitrous oxide sedation of a child, complicated by laryngospasm and radiographically confirmed bilateral upper lobe pulmonary opacities. Although rarely reported with parenteral sedative agents, laryngospasm and apparent aspiration has not been previously reported in isolated nitrous oxide sedation. This case highlights that, similar to other sedative agents, nitrous oxide administration also needs to be conducted by staff and in settings in which airway emergencies can be appropriately managed. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

What Are the Most Useful Red Flags for Suspected Vertebral Fracture in Patients With Low Back Pain in the Emergency Department?
Publication date: Available online 21 May 2015 Source:Annals of Emergency Medicine Author(s): Suneel Upadhye , Dinesh Kumbhare (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Transport and Management of Patients With Confirmed or Suspected Ebola Virus Disease
The objectives of these hospital and out-of-hospital collaborations were to close education, training, and practice gaps to best facilitate the care for patients with serious communicable disease while ensuring the safety of the medics and the general public through meticulous implementation of infection control practices as recommended by Centers for Disease Control and Prevention. The description of practices implemented by EMS teams in these communities for the transport of patients with confirmed Ebola virus disease is shared so that others might more readily implement these practices, policies, and procedures as appli...
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Carotid Flow Time Changes With Volume Status in Acute Blood Loss
Conclusion Corrected carotid artery flow time decreased after acute blood loss. In the setting of acute hypovolemia, a passive leg raise restored corrected carotid artery flow time to predonation levels. Further investigation of corrected carotid artery flow time as a predictor of volume responsiveness is warranted. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Complications Associated With Nitrate Use in Patients Presenting With Acute Pulmonary Edema and Concomitant Moderate or Severe Aortic Stenosis
Conclusion In this retrospective study, neither moderate nor severe aortic stenosis was associated with a greater risk of clinically relevant hypotension requiring intervention when nitroglycerin was used for acute pulmonary edema. Future studies should investigate safety and efficacy of nitroglycerin for patients with aortic stenosis because this study was limited by a small sample size and design limitations. Cautious use of nitroglycerin in patients with moderate or severe aortic stenosis and presenting with acute pulmonary edema may be a safer strategy than traditionally thought. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

Extracorporeal Treatment for Salicylate Poisoning: Systematic Review and Recommendations From the EXTRIP Workgroup
Conclusion Salicylates are readily removed by extracorporeal treatment, with intermittent hemodialysis being the preferred modality. The signs and symptoms of salicylate toxicity listed warrant extracorporeal treatment, as do high concentrations regardless of clinical status. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 23, 2015 Category: Emergency Medicine Source Type: research

What are the Costs and Benefits of Providing Comprehensive Seven‐day Services for Emergency Hospital Admissions?
Abstract The English National Health Service is moving towards providing comprehensive 7‐day hospital services in response to higher death rates for emergency weekend admissions. Using Hospital Episode Statistics between 1st April 2010 and 31st March 2011 linked to all‐cause mortality within 30 days of admission, we estimate the number of excess deaths and the loss in quality‐adjusted life years associated with emergency weekend admissions. The crude 30‐day mortality rate was 3.70% for weekday admissions and 4.05% for weekend admissions. The excess weekend death rate equates to 4355 (risk adjusted 5353) additional...
Source: Health Economics - May 22, 2015 Category: Health Management Authors: Rachel Meacock, Tim Doran, Matt Sutton Tags: Research Article Source Type: research

Part Two: Against the Motion. Carotid Endarterectomy is not Safer than Stenting in the Hyperacute Period After Onset of Symptoms
The most commonly quoted risk of 1–2% at 1 week and 4% at 1 month are considered to be underestimated because patients are generally seen several weeks after a transient ischemic attack (TIA) or minor stroke.1,2 In a study of patients presenting to the emergency department within 24 h of a TIA, Johnston et al. reported a risk of stroke of around 5% at 2 days.3 Coull et al. reported on early risk of stroke after TIA/minor stroke, and found that the risk of recurrent stroke was 8.0% at 1 week, 11.5% at 1 month, and 17.3% at 3 months, and after a minor stroke they were 11.5%, 15.0%, and 18.5%, respectively. (Source: Euro...
Source: European Journal of Vascular and Endovascular Surgery - May 22, 2015 Category: Surgery Authors: A.F. AbuRahma Source Type: research

An ABC for decision making
The present study was aimed at proposing a systematic evaluation of cranial computed tomography, identifying the main aspects to be analyzed in order to facilitate the decision making process regarding diagnosis and management in emergency settings. The present descriptive study comprised a literature review at the following databases: Access Medicine and Access Emergency Medicine (McGraw- Hill Education); British Medical Journal Evidence Center; UptoDate; Bireme; PubMed; Lilacs; SciELO; ProQuest; Micromedex (Thomson Reuters); Embase. Once the literature review was completed, the authors identified the main diseases with t...
Source: Radiologia Brasileira - May 22, 2015 Category: Radiology Source Type: research

Nepal: UN health agency marks one month since devastating earthquake as it ramps up aid
Nearly one month after a 7.8 magnitude earthquake struck Nepal, flattening large swathes of the country’s Kathmandu valley and affecting millions of people, the United Nations health agency is continuing its emergency response aimed at saving lives and addressing the urgent health needs of the Himalayan nation. (Source: UN News Centre - Health, Poverty, Food Security)
Source: UN News Centre - Health, Poverty, Food Security - May 22, 2015 Category: Global & Universal Source Type: news

Proficiency vs Deficiency… The Art Of Electrocardiography Analysis
Conclusion to 1st case: This patient was admitted to the cardiovascular unit,  awaiting pacemaker placement.   Another example of why we should not solely rely on the computerized ECG interpretation: There is a sinus rhythm with LVH, physiologic Leftward axis (aVF is the isoelectric lead perpendicular to Lead I) at approximately -10 degrees. No primary (ischemic) ST-T changes with normal R wave progression and QT prolongation. The computerized ECG interpretation is “SINUS TACHYCARDIA WITH 2nd DEGREE AV BLOCK 2:1 AV CONDUCTION”  Does this mean that we will give Atropine or stand by pacing for the 2nd ...
Source: EMS 12-Lead - May 22, 2015 Category: Cardiology Authors: Ivan Rios Tags: 12 lead ecg Source Type: research

Brookwood Medical Center plans October opening for freestanding emergency room
Brookwood Medical Center is currently constructing a $19 million freestanding emergency room at the intersection of U.S. 280 and Alabama 119, and hospital officials expect the project to be complete by late October. Despite running into initial rain delays in April, Brookwood Chief Development Officer Mike Rickman said the 25,000-square-foot facility is coming online nicely. It will consist of 12 beds for trauma, obstetrics and mental health, an on-site pharmacy and full diagnostic services including… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 22, 2015 Category: Pharmaceuticals Authors: Alan Alexander Source Type: news

New 43-bed psychiatric facility proposed for Wake County
Springstone, a national chain of private hospitals that treats mental illness, filed plans to build Triangle Springs, a 43-bed psychiatric facility in Wake County. These services are needed in Wake County and around the state: A top concern of nearly every hospital executive in the county – and really the state – is that mental and behavioral health patients clog hospital emergency rooms sometimes for weeks on end. Consider that 17 percent of Wake County adults reported being diagnosed with… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 22, 2015 Category: Pharmaceuticals Authors: Jason deBruyn Source Type: news

A Tool for Detecting and Managing Measles Patients in the EDA Tool for Detecting and Managing Measles Patients in the ED
This novel tool will assist emergency personnel identify and manage measles patients presenting to the ED. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 22, 2015 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

Bleeding Risk With Systemic Thrombolytic Therapy for PEBleeding Risk With Systemic Thrombolytic Therapy for PE
How often does bleeding occur in patients receiving thrombolytic therapy for PE? Can you minimize the risk? Therapeutic Advances in Drug Safety (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 22, 2015 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

How Brain Science Can Help Explain Discrepancies in a Sexual Assault Survivor's Story
"I believe that you believe something happened to you." The young woman repeated the detective's statement to me again. It had been the detective's response to her question of whether he believed her account of the brutal sexual assault she had experienced the past weekend. As a counselor on the local rape crisis hotline, it was not the first time I had heard such a demoralizing story of an individual's attempt to report sexual violence to law enforcement. Because her story had been disjointed, and she had stumbled over several sections of it, the detective had thought that she was confabulating, creating a crime where n...
Source: Science - The Huffington Post - May 22, 2015 Category: Science Source Type: news

Bleeding “Dieulafoy’s-like” lesion resembling the duodenal papilla: a case report
In this report, we describe a teenage patient with an unusual presentation of a bleeding duodenal Dieulafoy’s-like lesion that resembled the duodenal papilla.Case presentationAn 18-year-old Pakistani woman presented to our emergency department with hematemesis of 6 hours’ duration. Her past medical history was unremarkable. A nasogastric aspirate was negative for blood. The patient’s hemoglobin was found to be 4g/dl. She was resuscitated with intravenous fluids and blood transfusion. An esophagogastroduodenoscopy was performed, which revealed swelling in the first part of the duodenum, the initial appearance of which...
Source: BioMed Central - May 22, 2015 Category: Journals (General) Authors: Mohammad BilalAnastasios KapetanosHaider KhanShyam Thakkar Source Type: research

[Correspondence] Rising food insecurity in Europe
People queueing for food aid is an image reminiscent of the Great Depression in the 1930s, but one that has come to characterise many European nations in the grip of austerity today. In 2013–14, the UK's Trussell Trust, a national network of food banks, provided emergency food aid to more than 900 000 adults and children, a 163% increase from the previous year.1 Greek, Spanish, and French charities have also reported marked rises in the number of people seeking emergency food support.2 Alongside clinical evidence of rising nutritional deficiencies,2,3 these reports suggest that a problem is emerging, but to what extent...
Source: LANCET - May 22, 2015 Category: Journals (General) Authors: Rachel Loopstra, Aaron Reeves, David Stuckler Tags: Correspondence Source Type: research

Management of Spontaneous Hepatic Rupture on Top of HELLP Syndrome: Case Report and Review of the Literature
Conclusion: An association between liver rupture and HELLP syndrome is rare but was previously described in several case reports. In pregnant women with HELLP syndrome and acute onset abdominal pain, a potential spontaneous hepatic rupture should be taken into consideration.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - May 22, 2015 Category: Gastroenterology Source Type: research

5 Safety Tips for Grill Masters Readying to Fire up Their BBQ’s
Post by Kevin Wilkinson, Communications Intern The beginning of the summer is often filled with numerous ‘firsts’ – the first trip back to the beach, the first cannonball in the pool, the first ice cream truck spotting and the first picnic at the local park. With Memorial Day weekend only days away, Americans are getting ready to honor their veterans and also conquer many of these firsts of the summer season. While families and friends celebrate the unofficial start of summer, it is also one of the first times that people are firing up their barbecues for the season. Nothing says summer like a hot dog, cheesebur...
Source: Red Cross Chat - May 22, 2015 Category: Global & Universal Authors: Beth Pullias Tags: Preparedness first aid app grill safety grilling Source Type: news

U.S. bird flu causing egg squeeze, emergency measures
CHICAGO and NEW YORK (Reuters) - As a virulent avian influenza outbreak continues to spread across the Midwestern United States, some egg-dependent companies are contemplating drastic steps: importing eggs from overseas or looking to egg alternatives. (Source: Reuters: Health)
Source: Reuters: Health - May 22, 2015 Category: Consumer Health News Tags: healthNews Source Type: news

Study examines increase in calls to emergency services
As calls to emergency services increase, there is an urgent need for a reliable and consistent method of measuring whether or not these calls are appropriate. These are the findings from a University of Bristol study, published in BMJ Open, which explored ambulance use among patients with problems that could potentially be managed by their GP or other primary care health services. (Source: University of Bristol news)
Source: University of Bristol news - May 22, 2015 Category: Universities & Medical Training Tags: Research; Faculty of Medicine and Dentistry, Faculty of Medicine and Dentistry, School of Social and Community Medicine, Institutes, Elizabeth Blackwell Source Type: news

By the Book: How to Roll Out a New Chest Pain Pathway
(MedPage Today) -- A new chest pain protocol? (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - May 22, 2015 Category: Emergency Medicine Source Type: news

Time is muscle in acute heart failure
Urgent diagnosis and treatment in acute heart failure (AHF) has been emphasized for the first time in joint recommendations recently published. This is the first time cardiologists, emergency physicians, intensivists and nurses from Europe and the USA have joined forces to agree a treatment algorithm for patients with AHF. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - May 22, 2015 Category: Science Source Type: news

What is the evidence on interventions to manage referral from primary to specialist non-emergency care? A systematic review and logic model synthesis, Health Services and Delivery Research, Vol:3, Iss:24
Authors: Blank L, Baxter S, Woods HB, Goyder E, Lee A, Payne N, Rimmer M. (Source: NIHR Journals Library)
Source: NIHR Journals Library - May 22, 2015 Category: Global & Universal Source Type: research

BWH emergency radiology-surgical correlation: intraperitoneal urinary bladder rupture
We describe the radiological and intraoperative correlation of two cases of intraperitoneal bladder rupture: a 23-year-old man involved in a high-speed motor vehicle collision and a 49-year-old man with hematuria and abdominal pain after a night of heavy alcohol ingestion. Both patients underwent urgent exploratory laparotomies and repair of their bladder injuries. The purpose of this article is to emphasize the importance of understanding the different etiologies of bladder rupture and recognizing the imaging findings on computed tomography (CT) and CT cystography to help guide the surgeons in the patient’s management. ...
Source: Emergency Radiology - May 22, 2015 Category: Emergency Medicine Source Type: research

Adjunct prednisone therapy for patients with community-acquired pneumonia
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - May 22, 2015 Category: Emergency Medicine Source Type: research

High variability among Emergency Departments in 3rd-generation cephalosporins and fluoroquinolones use for community-acquired pneumonia
Conclusion Cephalosporins and fluoroquinolones use in pneumonia is highly variable among EDs. The majority of these prescriptions are avoidable. Antibiotic stewardship programs should be implemented to restrict their use in EDs. (Source: Infection)
Source: Infection - May 22, 2015 Category: Infectious Diseases Source Type: research

Duration of ruptured membranes and mother‐to‐child HIV transmission: a prospective population‐based surveillance study
ConclusionsNo association was found between duration of ROM and MTCT in women taking cART. Tweetable abstractRupture of membranes of more than 4 hours is not associated with MTCT of HIV in women on effective ART delivering at term. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - May 22, 2015 Category: OBGYN Authors: H Peters, L Byrne, A De Ruiter, K Francis, K Harding, GP Taylor, PA Tookey, CL Townsend Tags: Original Article Source Type: research

Your NEJM Group Today: PA Certification Maintenance, Benefit of HPV Vaccine in Boys, New York Emergency Medicine Opportunities (FREE)
By the Editors NEJM Group offers so many valuable resources for practicing clinicians. Here's what we chose for you today:NEJM Knowledge+ Blog: Over time, the … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2015 Category: Primary Care Source Type: news

Accuracy of PaO2/FiO2 calculated from SpO2 for severity assessment in ED patients with pneumonia
ConclusionsThe Ellis equation was more accurate than the Rice equation for estimating PaO2/FiO2, especially at higher levels of P/F ratio. Estimation of PaO2/FiO2 from SpO2 is accurate enough for initial oxygenation assessment. Ellis and Rice equations could misclassify 20% and 30% of patients, respectively, at higher levels of PaO2/FiO2. For patients with abnormal oxygenation falling near thresholds for clinical decision making, arterial blood gas measurement preferably on room air is more accurate. (Source: Respirology)
Source: Respirology - May 22, 2015 Category: Respiratory Medicine Authors: Francisco Sanz, Nathan Dean, Justin Dickerson, Barbara Jones, Daniel Knox, Estrella Fernández‐Fabrellas, Eusebi Chiner, María Luisa Briones, Ángela Cervera, María Carmen Aguar, José Blanquer Tags: Original Article Source Type: research