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

League City clinic closes, low-risk patient to be tested for Ebola
An emergency clinic in League City reportedly closed on Oct. 24 in response to a patient with symptoms that could be consistent with Ebola, though the patient is at very low risk for having the virus, according to reports. Although the patient recently traveled from Africa, the Centers for Disease Control and Prevention believes the patient is at "very little to zero risk of exposure to Ebola" based on the countries visited, the Houston Chronicle and KHOU report. Intermediate Medical Care at 2640… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - October 24, 2014 Category: American Health Authors: Olivia Pulsinelli Source Type: news

Impact of Polypharmacy on Occurrence of Delirium in Elderly Emergency Patients
To examine associations between polypharmacy and delirium diagnosed in elderly patients hospitalized in geriatric acute care unit after emergency hospital admission. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 24, 2014 Category: Health Management Authors: Christophe Hein, Adrien Forgues, Antoine Piau, Agnès Sommet, Fati Nourhashémi, Bruno Vellas Tags: JAMDA Online Source Type: research

Assessment of Suicidal Youth in the Emergency Department - Berk MS, Asarnow JR.
We examined self-reports of 181 adolescents who presented to an ED with suicidal ideation (SI) or a suicide attempt (SA). Par... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 24, 2014 Category: Global & Universal Tags: Age: Adolescents Source Type: news

In Vitro Laser Aortic and Thoracic Stent Graft Fenestration for Urgent Treatment of Aortopathies
This study was conducted to demonstrate that in situ fenestration of stent grafts will soon allow patients presenting with most life-threatening aortic pathologies to be amenable to emergency “off the shelf” percutaneous treatments. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 24, 2014 Category: Surgery Authors: Jing Lin, Navalkishor Udgiri, Robert Guidoin, Jean Pannneton, Xiaming Guan, Hélène Crépeau, Maxime Guillemette, Bin Li, Lu Wang, Jia Du, Mark Nutley, Ze Zhang, Yvan Douville Tags: Abstract from the 2014 Canadian Society for Vascular Surgery Annual Meeting Source Type: research

A&E emergency admissions at highest ever level
Emergency admissions to accident and emergency departments have hit their highest level since records began, the latest NHS England figures reveal. (Source: HSJ)
Source: HSJ - October 24, 2014 Category: UK Health Source Type: news

Risk Factors Associated With Antihypertensive Medication Nonadherence in a Statewide Medicaid Population
Conclusions:This cross-sectional study suggests that substance abuse, black race, emergency department visits and hospitalizations are risk factors associated with nonadherence. Outpatient visits are associated with a small decrease in nonadherence. Further studies are needed to determine the characteristics of outpatient visits that most improve adherence. (Source: The American Journal of the Medical Sciences)
Source: The American Journal of the Medical Sciences - October 24, 2014 Category: Journals (General) Tags: Clinical Investigation Source Type: research

Does Guideline Knowledge Affect Treatment Compliance Among Emergency Doctors?
Conclusions:Overall, a fair level of guideline knowledge and treatment compliance was noted among EPs. Doctors with adequate guideline knowledge were more likely to comply with GINA 2011 asthma treatment guidelines. (Source: The American Journal of the Medical Sciences)
Source: The American Journal of the Medical Sciences - October 24, 2014 Category: Journals (General) Tags: Clinical Investigation Source Type: research

C-reactive Protein, Procalcitonin and the Lab-Score for Detecting Serious Bacterial Infections in Febrile Children at the Emergency Department: A Prospective Observational Study
Background:C-reactive protein (CRP) and procalcitonin (PCT) are useful diagnostic tools to estimate the risk of serious bacterial infection (SBI) in febrile children at the emergency department (ED). The Lab-score combines these 2 biomarkers with urinalysis in an easy to use validated model. Kinetics of inflammatory markers suggests a differentiating role of duration of disease. Aim:Appraisal of the diagnostic role of CRP and PCT in febrile children at risk of SBI, determining the differentiating value of duration of fever, and validating and updating the Lab-score. Methods:In this prospective observational study previousl...
Source: The Pediatric Infectious Disease Journal - October 24, 2014 Category: Infectious Diseases Tags: Original Studies Source Type: research

NY Doctor Craig Spencer Followed Proper Protocols After Returning From Ebola-Stricken West Africa
Spencer, a French-speaking international emergency physician at NewYork-Presbyterian/Columbia, followed all recommendations for any caregiver returning from an Ebola-affected West African country. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - October 24, 2014 Category: Pharmaceuticals Authors: David Kroll Source Type: news

Evaluation of the Pulmonary Embolism Rule-Out Criteria in a Retrospective Cohort at an Urban Academic Hospital
The objective of this study was to determine PERC's safety and diagnostic utility in our institution's ED population. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - October 24, 2014 Category: Emergency Medicine Authors: Andrew L. Bozarth, Navin Bajaj, Margaret R. Wessling, Dustin Keffer, Shais Jallu, Gary A. Salzman Source Type: research

An unusual case of ventriculoperitoneal shunt fracture caused by central line placement
Ventriculoperitoneal (VP) shunts used in the treatment of hydrocephalus have a long history of unusual complications. The most common complications are occlusion or infection followed by disconnection. Shunt fracture accounts for 15% of all failures and can lead to serious morbidity, especially if the fragments migrate.1 Fragmentation usually occurs after repeated stress due shearing forces. However, previous case reports have demonstrated unusual mechanisms for shunt catheter fractures, including trauma to the neck from a car window,2 seatbelt3 or even from pressure applied by a razor during a haircut. (Source: The Americ...
Source: The American Journal of Emergency Medicine - October 24, 2014 Category: Emergency Medicine Authors: Meaghen Finan, Mary Eberhardt,, Rebecca Jeanmonod, Source Type: research

The sports medicine literature 2012
A. McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sports—the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Clin J Sport Med 2013;23(2):89‒108. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - October 24, 2014 Category: Emergency Medicine Authors: Monique Alworth, Michael C. Bond, William J. Brady Source Type: research

Ebola: Possible Case in NYC?
(MedPage Today) -- Healthcare worker has fever, GI symptoms, and recent travel to West Africa. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - October 24, 2014 Category: Emergency Medicine Source Type: news

Make the Diagnosis: A Middle-Aged Woman with Sudden Leg Weakness
(MedPage Today) -- Case Study: A fifty-six-year-old woman presented to the emergency department with a sudden onset of dyspnea, stupor, and weakness of both lower extremities. She had been in good health until two weeks previously, during which she had undergone nonoperative treatment for lower back pain. She received ceftriaxone for a fever that developed two days before arrival in the emergency room. She had diabetes mellitus and high blood pressure, but no specific event or invasive procedure triggered the onset of the symptoms. The patients temperature was 36.5°C, and she had back tenderness and marked global weaknes...
Source: MedPage Today Endocrinology - October 24, 2014 Category: Endocrinology Source Type: news

Craig Spencer, Doctor in New York City, Is Sick With Ebola
Dr. Craig Spencer, who returned from Guinea last week, remains in isolation at Bellevue Hospital Center. Authorities are tracing anyone who might have come into contact with him recently. (Source: NYT Health)
Source: NYT Health - October 24, 2014 Category: Consumer Health News Authors: By MARC SANTORA Tags: New York City Ebola Virus Newark Liberty International Airport (NJ) Emergency Medical Treatment Source Type: news

Physician in New York Tests Positive for EbolaPhysician in New York Tests Positive for Ebola
The physician, Craig Spencer, MD, had just come back from Guinea on an assignment with Doctors Without Borders. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - October 24, 2014 Category: Emergency Medicine Tags: Infectious Diseases News Source Type: news

Urgent lung transplant programme in Italy: analysis of the first 14 months
CONCLUSIONS The urgent lung transplant programme allowed transplantation in a significant percentage of prioritized patients with acceptable 30-day and 1-year mortality rates. An accurate selection of recipients may further improve the clinical impact of this programme, reducing the ethical concerns about transplantation in high-risk patients. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - October 24, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Boffini, M., Venuta, F., Rea, F., Colledan, M., Santambrogio, L., D'Armini, A. M., Bertani, A., Voltolini, L., Parisi, F., Marinelli, G., Nanni Costa, A., Rinaldi, M. Tags: Trachea and bronchi Adult Cardiac Source Type: research

Why pediatric patients with cancer visit the emergency department: United States, 2006–2010
ConclusionFN was the most common reason for ED visits among pediatric patients with cancer and is the condition most strongly associated with admission. Socioeconomic factors appear to influence ED disposition for this population. Pediatr Blood Cancer © 2014 Wiley Periodicals, Inc. (Source: Pediatric Blood and Cancer)
Source: Pediatric Blood and Cancer - October 24, 2014 Category: Cancer & Oncology Authors: Emily L. Mueller, Amber Sabbatini, Achamyeleh Gebremariam, Rajen Mody, Lillian Sung, Michelle L. Macy Tags: Research Article Source Type: research

Watch: NYC Mayor de Blasio Remarks on Possible Ebola Patient
Mayor commends emergency response workers for following careful protocol in dealing with patient who has Ebola-like symptoms. (Source: ABC News: Health)
Source: ABC News: Health - October 23, 2014 Category: Consumer Health News Tags: Health Source Type: news

Patient-Centered Medical Homes in the Time of … Ebola?
(MedPage Today) -- The Ebola situation offers opportunities for improvements in care. (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - October 23, 2014 Category: Emergency Medicine Source Type: news

Polio Then and Now: From Salk’s Game-Changing Vaccine to Today’s Resurgence
Credit: CDC photo by S. Smith. Member of an Emergency Citizens Group in Oklahoma City, radioing information to headquarters during the 1963 Polio Eradication Campaign. Public Health Image Library (http://phil.cdc.gov), #1624. This is a guest post written by Ann Glusker, MLIS, MPH, Reference and Consumer Health Librarian at The Seattle Public Library. The library world is a small one, and when I heard that a friend of a friend had worked with Jonas Salk, and that she would be interested in speaking about him and his work to mark the 100th anniversary of his birth, a program was born!  What could be more timely than cons...
Source: Dragonfly - October 23, 2014 Category: Databases & Libraries Authors: Emily Glenn Tags: News from Network Members Public Health Source Type: news

Quadruplet Mom-to-Be Has Emergency Surgery to Save Babies
A Utah couple is getting ready to welcome two sets of identical twins -- a one in 70 million occurrence -- after spending years in fertility treatments. (Source: ABC News: Health)
Source: ABC News: Health - October 23, 2014 Category: Consumer Health News Tags: Health Source Type: news

Perceptions of paramedic and emergency care workers of those who self harm: a systematic review of the quantitative literature - Rees N, Rapport F, Thomas G, John A, Snooks H.
OBJECTIVE:.The U.K. has one of the highest rates of self harm in Europe at 400 per 100,000 of population. Paramedics and emergency staff may be the first professionals encountered, therefore understanding their views and approaches to care is crucial. The ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 23, 2014 Category: Global & Universal Tags: Occupational Issues Source Type: news

Predicting geriatric falls following an episode of emergency department care: a systematic review - Carpenter CR, Avidan MS, Wildes T, Stark S, Fowler SA, Lo AX.
BACKGROUND: Falls are the leading cause of traumatic mortality in geriatric adults. Despite recent multispecialty guideline recommendations that advocate for proactive fall prevention protocols in the emergency department (ED), the ability of risk factors ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 23, 2014 Category: Global & Universal Tags: Age: Elder Adults Source Type: news

Passenger ship evacuation simulation and validation by experimental data sets - Wang WL, Liu SB, Lo SM, Gao LJ.
Due to the rapid expansion of cruise travel market as well as in light of the great loss caused by several maritime disasters, passenger ship evacuation in case of emergency has received increasing attention recently. For safety reasons, IMO has introduced... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 23, 2014 Category: Global & Universal Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news

Mountain disaster incidents and corresponding emergency rescue measures - Li Y, Dong X.
Mountain rescue is a new topic emerged after the expansion of emergency rescue function of public security fire force. This paper introduces the classification of mountain disaster incidents, analyzes mountain incidents rescue features. For Police Fire fig... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 23, 2014 Category: Global & Universal Tags: Disaster Preparedness Source Type: news

Predicting outcome in severe traumatic brain injury using a simple prognostic model - Sobuwa S, Hartzenberg HB, Geduld H, Uys C.
Background. Several studies have made it possible to predict outcome in severe traumatic brain injury (TBI) making it beneficial as an aid for clinical decision-making in the emergency setting. However, reliable predictive models are lacking for resource-... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 23, 2014 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Emergency planning: Be prepared
Raymond Scenario-based training for disasters is better than just drawing up a paper plan, say Jennifer K. Pullium and colleagues. (Source: Nature)
Source: Nature - October 23, 2014 Category: Research Authors: Jennifer K. PulliumGordon S. RobleMark A. Raymond Tags: Comment Source Type: research

Impact of the Affordable Care Act on Non-Emergency Medical Transportation (NEMT): Assessment for Transit Agencies
Summarizes the impact of the ACA on Non-Emergency Medical Transportation (NEMT) in relation to Medicaid expansion in both rural and urban areas. Discusses the importance of NEMT service to both urban and rural transit providers. -- Transportation Research Board (Source: Rural publications via the Rural Assistance Center)
Source: Rural publications via the Rural Assistance Center - October 23, 2014 Category: Rural Health Source Type: news

Homeland Security eyes device flaws
A senior official at the U.S. Department of Homeland Security said that it is currently reviewing nearly two dozen medical devices and pieces of hospital equipment for potential cybersecurity issues, according to reports. Though it’s not a complete list, Reuters reported that DHS Industrial Control Systems Cyber Emergency Response Team, or ICS-CERT is looking at a Hospira infusion pump, and implantable heart devices from both Medtronic and St. Jude Medical, as well as medical imaging and networking equipment.  read more (Source: Healthcare IT News)
Source: Healthcare IT News - October 23, 2014 Category: Information Technology Authors: Tom Sullivan Tags: Online Only Privacy and Security Source Type: news

Substantial Improvement in Prophylactic Antibiotic Administration for Open Fracture Patients: Results of a Performance Improvement Program
Conclusions: Optimal treatment of open fracture patients with early and appropriate antibiotic prophylaxis was lacking for many patients at our trauma center. A multifaceted performance improvement program specifically concentrating on education, accountability, and antibiotic availability aimed at this aspect of orthopaedic trauma care was very effective in improving our early treatment of these patients. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: Journal of Orthopaedic Trauma)
Source: Journal of Orthopaedic Trauma - October 23, 2014 Category: Orthopaedics Tags: Original Article Source Type: research

Are U.S. Hospitals Prepared for the Next Ebola Case?
Health care emergency management expert Kristin Stevens tells us what went wrong in Dallas, and how we can do better   -- Read more on ScientificAmerican.com (Source: Scientific American - Official RSS Feed)
Source: Scientific American - Official RSS Feed - October 23, 2014 Category: Science Tags: Society & Policy Health Ethics Infectious Diseases Source Type: research

Drugmakers may need indemnity for fast-tracked Ebola vaccines
LONDON/GENEVA (Reuters) - Drugmakers are looking for some kind of indemnity from governments or multilateral agencies against possible losses or claims arising from the widespread emergency use of new Ebola vaccines in Africa. (Source: Reuters: Health)
Source: Reuters: Health - October 23, 2014 Category: Consumer Health News Tags: healthNews Source Type: news

Statement on the 3rd meeting of the IHR Emergency Committee regarding the 2014 Ebola outbreak in West Africa
The third meeting of the Emergency Committee convened by the WHO Director-General under the IHR 2005 regarding the 2014 Ebola virus disease (EVD, or “Ebola”) outbreak in West Africa was conducted with members and advisors of the Emergency Committee on Wednesday, 22 October 2014, from 13:00 to 17:10 CET. This meeting was convened in advance of the 3-month date of the expiration of the temporary recommendations issued on 8 August 2014 and their extension on 22 September 2014, owing to the increase in numbers of cases in Guinea, Liberia, and Sierra Leone, and the new exportation of cases resulting in limited transmissio...
Source: WHO news - October 23, 2014 Category: Global & Universal Tags: ebola [subject], ebola haemhorragic fever, ebola virus, ebola fever, ebola virus disease, ebola [subject], ebola haemhorragic fever, ebola virus, ebola fever, ebola virus disease, ebola [subject], ebola haemhorragic fever, ebola virus, ebola fever, ebola Source Type: news

Nurses asked to help boost awareness of infant bronchiolitis
Community and hospital nurses are being urged to help prevent emergency admissions this winter by raising awareness of bronchiolitis among parents with very young children. (Source: Nursing Times Breaking News)
Source: Nursing Times Breaking News - October 23, 2014 Category: Nursing Source Type: news

Dallas hospital had poor emergency room performance before Ebola case
Records show the emergency room at Texas Health Presbyterian Hospital Dallas failed to meet national patient safety and quality standards (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - October 23, 2014 Category: Consumer Health News Source Type: news

Radiographic fracture features predicting failure of internal fixation of displaced femoral neck fractures
Conclusion The results of this study show that patient age and fracture reduction are important predictors for reoperation. In the preoperative treatment plan, patient age should be taken into account and surgeons should strive for anatomical reduction. Patients over 75 should always undergo arthroplasty. In patients aged 65–75, conversion to arthroplasty should be strongly considered if anatomical reduction is impossible. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - October 23, 2014 Category: Emergency Medicine Source Type: research

Evaluation of an Emergency Department Lean Process Improvement Program to Reduce Length of Stay
Conclusion Although the program reduced ED waiting times, it appeared that its benefits were diminished or disappeared when compared with that of control sites, which were exposed to system-wide initiatives such as public reporting and pay for performance. This study suggests that further evaluation of the effectiveness of lean methods in the ED is warranted before widespread implementation. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 23, 2014 Category: Emergency Medicine Source Type: research

Efficacy and Safety of Out-of-Hospital Intravenous Metoprolol Administration in Anterior ST-Segment Elevation Acute Myocardial Infarction: Insights From the METOCARD-CNIC Trial
Conclusion Out-of-hospital administration of intravenous metoprolol by EMS within 4.5 hours of symptom onset in our subjects reduced infarct size and improved left ventricular ejection fraction with no excess of adverse events during the first 24 hours. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 23, 2014 Category: Emergency Medicine Source Type: research

Priorities for Emergency Department Syncope Research
Conclusion We convened a multispecialty group of syncope experts to identify the most pressing knowledge gaps and defined a high-priority research agenda to improve the care of patients with syncope in the ED. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - October 23, 2014 Category: Emergency Medicine Source Type: research